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068-400-008
r- t�%-:.t t k : - c.=�' r s <s�-�`....�.•�;?7vi� t.-♦-�q"�`�,'."'ti-' �v�cFi"^i� i 1 rte. m -;r > � -S2. 1 i Z i Y 4�t r .F �! r t'F # 3 s t t 3( {� t; r S. r. r r♦ Y� is i7h t:w LiiF• ��' {- 's rrf v. i t e i!is �z -. .♦j !( 7 I r '+v „7 f� y„{s rY:;i �r.'tR, 7 .t...t,r 7y.��ti"t}.,�.; �Za7t .4r e � �+ f i tiv�t,.r� �. r ,{; t r �:�5 { X7 � r.,:;; f� + 3 � •.� 068-400-00 .# . 273 •NST 04-0 i .1 1 I Fr 7w ' {{ �• �; (� zr} . 11111 r t 1 EMEL • •VILL i�1 NSF tf7i c f i .. - ��®.fi arc 21fj04 la 12AM ),iGFKSI;rl' C. r N.^ '243'2 1 CertainTeed Cq Builders Statement lnsulSaf(?4 Fiber Glass Blowing Insulation Homeowner Name Jobsite Name •. H ddrBss i Installer/Contractor (srgn) Company Name Date Du"uer Lsigni ; Company Name Date Inspeoted By (sign if required) Date R -VALUE BAGS PER 1000 SQ. Fr. MAXIMUM $4 FL PER BAG MINIMUM WEIGHT- POUNDS PER $G. T- ' MINIMUM MINIMUM To OO-esi a [:Thermal Resistance Bags per 1000 aq. R Co I We ght per cq. R of GMESS Should not be (R) of or net area should not corer should n t cove more than: (sq. K.) inrnatled ineWatipn shw10 not be less then: Qba.) le" than: 80 36.5 27 .. 01988 on.) 22 49 28.6 N_ 0.800 18%a• 44 36 26:4 98 0.712 16i: 30 22.8 44 0.818 14i:, 18.0 56 0.485 12 28 1 S.S 85 0. 18 t 0 ie 22 13.1. 70,' 0.353 y 19 11.1 pg.;�. _ 0.301 — 79G 13 7.7 128 0,209 SSs 11 8.8 151' _ 0.178 4k Itft11MAL PIERFORMANCE—ATTIC BLOWING APPLICATION • In aocordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for eacn R -Value listed. • The maximum net.coverage must not exceed that'speclfled for each R Value. The installed insulation.must be at or aboi'e'the specified minimum thickness for. each R -Value. Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value: • . This product should not be mixed with other blown insulations or the thermal claims will become invalid= 1 DANGER: ',RECESSED LIGHT FIXTURES TO PREVENT OVERHEATING, DO NOT INSULATE ON TLP OR WITHIN s" OF SUCH DEVICES. DOES NOT APPLY TO TYPE: IC LIGHT FIXTURES ORTO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS 30.24.233 BUIIGers Statvmont A saint -Gobain Company C2002 Cerlaln'rew c4rpO:ation 11/02 R -VALUE THICKNESS AREA(sq.FTJr INSU�A 4[✓) BAGS U8m) SATTWROLLS(✓) CEILINGS zt WALLS /3. 17 FLOORS Itft11MAL PIERFORMANCE—ATTIC BLOWING APPLICATION • In aocordance with the chart above, you must install the minimum number of bags per 1,000 sq. ft. of net area for eacn R -Value listed. • The maximum net.coverage must not exceed that'speclfled for each R Value. The installed insulation.must be at or aboi'e'the specified minimum thickness for. each R -Value. Failure to install the required minimum weight per sq. ft. of insulation at or above the minimum thickness will result in reduced R -Value: • . This product should not be mixed with other blown insulations or the thermal claims will become invalid= 1 DANGER: ',RECESSED LIGHT FIXTURES TO PREVENT OVERHEATING, DO NOT INSULATE ON TLP OR WITHIN s" OF SUCH DEVICES. DOES NOT APPLY TO TYPE: IC LIGHT FIXTURES ORTO FLUORESCENT FIXTURES WITH THERMALLY PROTECTED BALLASTS 30.24.233 BUIIGers Statvmont A saint -Gobain Company C2002 Cerlaln'rew c4rpO:ation 11/02 NOTES RESIDENTIAL �- LS PERMIT NO. —.--0.6-8-4.00-008_ MALAMAR CONST, 40 ROSEMEL CT, OROFUl', t. t: Cont: GREENE ROOFII�TG '. NSF ,t. 4 ' l r t 1� t ... w. Lar V♦ 04-0273 _ J� ~ SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS ` VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER z .In L OFFICE COPY i Addreys � r � GAS r Meter By Date D ELECTRIC I Meter By Date 1 ELECTRIC Meter By Date r "JOB FINALED (Date) :a Signature '�— , J=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Date MOBILE HOME INSTALLATION (Plans) OK except Vs 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch Footings; Size -Spacing -Marriage Line . 3. Sewer; Location -Test -Fall -C/O -Concrete Gas; MH Test -Demand -Valve -Connector 4. Water; Location -Test -Easement Needed (Sketch) Electricity; MH Test -Crossovers -Breakers -Clearances 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete . 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / . P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except Vs 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line . 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. - Cert. of Occupancy Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test .6. Water; MH Test 7. ' Water and=Sewer Connected 8: Gas and Electricity Tagged, 9. Exits 10. License Decals ' 11. Verify #'s with Office 7. Date Card B-1 Date • Card B-1 Date Card B-1 Date Card B-1 9. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date, Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI .5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date U D FLOOR (Plans)`OK except #'s Zoning -Setbacks -Easements -Flood -Slope 11 J2 Main; Soils-Elec. Grnd.- tg. Depth tg., Garage; Soils -Steel -EI c. Grnd.-/ Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 7 L� pcJ V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 0. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except ff's LyNVater Htr.; Vent -Access -Combustion Air Baffle 4.8 -Water Pipe; Test & Anchor -Nail Protection W.V.; Test Apg&s & Anchor ailrotectio 20 Shower Pa Tes, irst Floor -Tub Access 1. Test Tub & Shower, Second Floor -Tub Access 622' -Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ff's /2A, -Fixture & Transformer Clearance -Ins. Protection I7 Elec. Receptacles Spacing -Lights & Switches at Doors f,!. ize Boxes & No. of Conductors Stapled 2� Romex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 26T- pliance Circuits in Kitchen & Conductor Size GFI ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 3&..,,F(ange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes O No 32-'S-ervice-Riser Conductors & Ground Main Disconnect ui . Clearances Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light -Spa Light oke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support !!t�t Fan, Exhaust above insulation Condensate Drain & Overflow, Size & Grade F ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet P. Attic Access & Platform if Furnace in Attic /4 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA!TG (Permit) OK except Vs . dills Proper Materials & Anchors (42, -Walls Studs -Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date MING (Continued) (4-Ij Hangers -Post Caps -Anchors -Connectors Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. (replace Ties or Type A Flue -Fireplace Throat Clearance is ccess; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions Ga age Fire Protection Framing -RC Channel roperty Line Firewall & Openings L54 -'Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. - II eneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 45T -Glazing Area -Glass Protection -Skylights -Plastic ear Walls; Nail' - ace Interior 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date, / /,<eg/ Card B-1 ,[�A� Date Card B-1 Date - Card B-1 Date Card B-1 Date FI AL (Plans) OK except ff's Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air-Connector- lp Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 7D. Stairs & Rails 71 !replace or Stove, Clearance -Hearth 72e"Elec. Outlets at Wood Panel, Int. & Ext. 73.`Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74.,Elec. Outlets & Receptacles at Kit. Counter 7! . Garage Fire Door; Swing -Landing -Closure 76,A:C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 79' Plb.; Elec. & Mech. Equip. Listed for Location 79,/I lec. Receptacles in Garage (F.Fl.)-Romex Protection 80,,/Ihsulation-Foam-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83Fo in Instld./Drive O Yes O NoMalks 0 Yes O No/Planters O Yes D No tucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86' Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8 - ker Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground 89' Ventilation Throughout House Glass Protection 9; . Corrections fro Pr 'ou In ecti 9 Gas T eters agge as-Ele 93. Water & Sewer Connected -C/O to Grade -HD Approval 9' ..,Etiergy Compliance Certificate -Other Certificates 9 . Address Posted 96 -Fire Sprinkler Date et(/1 Card B-1 Date Card B-1 Date I Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: +t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES _ BUILDING DIVISION ,7 -County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. '(Rev. 12/96) APPLICATION AND PERMIT MY -07-7 3 ASSESSOR PARCEL NUMBER O� , . /•� /}� =G V• BUILDING PERMIT O Nt )0 10 -n ^ ,�. /} � _7 ' wV T,f�lEr�}HON6s �''/W/ /' /�f,,•J��j�4/l- (/N���or SO. FT. OCC. BUILDING VALUATION OB 1...�, !O�/Jjj' NER='S MAIUNO#, -`/V/l.Jl •�` ���VV � (,RACTO 1:3 00 LA C� C R'SMr'rhNAM[ E CO ji-• ei rEb .._._1...- .{1 ^ 1.sJ i l - e ♦' t�T�/�+'� //�" (' /1 % '•�N' (�'- /�`�`,�..^'(�V,-�" �!i/}�/rF�.V CONSTROuriON LENDER LENDER'S MAILING ADDRESS Fireplace _ Total Valuation is 1 ARCHITECT OR ENGINEER UCENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS `' n ^� Plan Checking Fee $ BUILDINGADDRESS,%� r "-� A _[_ A t' D V 'r'` (�/ •f�J T (,1�/ EnergyPlan Checking Fee �f,•• +.... $ PERMIT FEE $ LOT NO. SUBDNLS IONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF)4 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00-- I ,C( Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK Newj'❑,. Addition ❑. Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: k' ' : Gas piping system 1 - 5 outlets 15.00r Building sewer 15.00 (� — Mobile Home ISI GI W 920.00 - PERMIT FEE • `�., ELECTRICAL PERMIT_ Filing Fee 20.00 „ 800V R UE Main Service zo.AOR LESS 23.00" LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. +�.,•,�w t��y ( License Class f � LIC. No. _ l ' i i�� 0 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLOS. SO 3.50,. NE CONST MULTI.OUTLET I?7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1'00 BAL @ .SO Ex. Occup. o'ER='.)o 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE - $ 1q —6 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating j Cooling Hood _ I 6.50 (mac Ventilations J L}• �(} . u� T1i G j A b c t IS r 11 PERMIT FEE $ ( Policy Number (The above sections need not be completed if the permit is for work of a valuation ,,o,'of one hundred dollars ($100) or less.) 111 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall - forthwith comply w h those provisions. ' X ( Date Sf . U o , t Signature of Applicant - ❑ Owner ❑ Contractor�009 ant An OSHA permitisrequired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. r Mobile Home Installation Fee $ Energy Inspection Fee $ 4L4) . 00 - _ occ ti.�;� CONST. TYPE • f TOTAL FEE $ j , nCj4.! j rTMP HAZ. ...-- D. F V OD ` G ,/� CDf PARCEL / HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By �,c PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. /(,Dat 7 7 bele Receipt No. .�i�/ 5 5 5 S U&11 ,1 1ADS• (,o# WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROoy'-APPLICANT 01 I ►,� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7,County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev.12/96) APPLICATION ANSI PERMIT )q -4Z7:5 ASSESSOR PARCEL NUMBER O , , h ( z°N G Q Ci D BUILDING PERMIT E "° /} ��/� Gl' ct / /c. -t_/ . SO. FT. O BUILDING VALUATION -N 5 MAI ADDRESS C �� �� D I ��C� U C7 -)C R• , ! l )II 1 i CLQ,, ONTRAC 'P' P AD�RE S_ C L r -*,v / i I i Irl i lei CONSTRUCTION lENOER 1-�Ii-"._r T 1 ✓" l LENDERS MAILING ADDRESS Fireplace Total Valuation $'2 1225 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS KWUNG ADDRESS Plan Checking Fee $ ' BUILDING ADDRESSr b v , l e Energy Plan Checking Fee $ 3- `' $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF04 Duplex ❑ Mobilehome ❑ Other sPE°IFv Each Trap ' 7.00 _a Solar or heat pump water heater 23.00 Water piping 15.00 — Each gas water heater or vent 15.00 TYPE OF WORK New kAddition ❑` Remodel ❑ Utilities ❑ Installation ❑ Other [3— Describe Work: Gas piping system 1 - 5 outlets 15.00 •-' Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ I _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service eoov oR Ess 200A OR LESS 23•()0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. /� License Class Lic. No. C 1 C7d OWNER -BUILDER D L RATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the kers' compensation provisions of section 3700 of the Labor Code, I shall hwit comp h those provisions. 0 •0 L Dateint U of pli ant - ❑ wner ❑ Con An OSHA per . is required for excavations ov r 5'0" deep and demolition or construction of structures over 3 stories i height. Main Service 200A TO 1000A 46.00 NEW CONST. ( OWEwNG OCCUP. 3 5 -ia 111001E ORNEW o"NS. MULTIC S. 5 NONREsiD. --- 97.50 POWER APPARATUS a swGLE oUTLFT aR. Ex. Occup. OUTLET OR FD(TURES BAL 9' 0 Ex. Occup. ovn*s'Rt=.°FRRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating �^ Cooling Hood 6.50 o tj Ventilation zj �jZi Sit U PERMIT FEE $ ) Mobile Home Installation Fee $ Energy Inspection Fee $ Z11 00 YPE PE co Q T TAL FEE $ 1, n q4 HA2. D. FE IM O D CDF P�RCEJ! v D u This permit is hereby issued under of the Butte County Code and/or indicat a ove for which fees hav B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate 11 Receipt No. z ..9 Q Q �oZQr Q WHITE-D.D.S.-B.D. CAN Y -ASSESSOR 2 PINK-INSPECTORGOLDEN R0 APPLICANT i IM COUOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION y 7 ,bounty Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 �r , T APPLIC ION DATA SHEET y�` OWNER. ��� SSESSOR PARCEL NUMBER r�U' i_4�ff)Arl Proposed Building Use: Counter Technician: /I Date: items r quired in order to apply for a permit. All boxes MUST be checked OR marked NA in or erlb apply. 1. Site plans, 3 or"4 sets, signed by the preparer of the plans. U ❑" 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped, and signed; calculations. --- 4. Engineered truss details and layouts in duplicate. No faxes! �1 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ �9 ` I'd. 066d Elevation Certificate, wet -stamped and signed, in duplicate ❑ ( 11. Site plan and business license yapproval f om" 64 6ity of Biggs ❑ 12. Letter of intent for non-residential buildings 6V-1 J4.CY ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chik&le, as applicable. 0 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑17. 18, Fire Sprinklersffer :..',an . site ........pr fr ....................... ssio ............................ Agricultural Buffer clr�and site plan apr from the Ag Commissioner Sent by .. a �19 20. Soils Report and/or Engineered Foundation required ................................ :.......... ❑ Erosion Control Plan Required........................................................................ ........ d` 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. 23. City of Chico Plumbing permit .............................. H.......... ............................... California Department Forestry S660r' of plan approval aid. 2 ❑ 24. Planning approval (A) Use -.011< (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Develooment about Improvements. Drainage........ -� 26. NPDES Form ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ,- 29. Contractor's license information. (Number, Name Style, Classification) ................... 30. Worker's Compensation Carrier and Policy Number .......................................... y� 31.. Owner-Builder.Verifi cation (_ Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorization.................:....................:............................. 31- Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance................................................................ ,L❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction,........................................................................................ ❑ 37. ❑ Grant Deed, ElM.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone /_, Ski f7. !�«'_ %i /�//� " %3 , 7a d Jd�p�r�plCkup T- T- �p'�r. _- -, I have been informed of the above items and requirements for obtaining a building permit: ry` Applicant: Datt: V 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed Date: Structural approved by: Date: Note transfer by: Date: i Yellow: Building Division ,;/,v / 1, F't' I > COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER C�(� C�//` / LCA C A.P. # D DU PROPROSED BUILDING USE DATE } RECEIPT # DATE REC. Z1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... • s 2. K400L DISTRIC FEES tricrWi 1 er 3.S FF FEES (paid at Building Division) �) Residential............ X $360.00 =$� Units Commercial (sq. ftg.)..... X $0.03 $ 'Sq.Ftg. 4. URBAN AREA FEES . (paid at Building Division) Residential (per unit)...... X # Units Amt. v�u Commercial (Sq. Ftg.)... X $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES�J ' A7RA 0.00 (paid at Building Division) ` FIRE INSPECTION AND PLAN CHECK FEE I�Z7�0� q�� $89.00 (paid at Building Division) y S. 8. WATER TENDER FEES BATTALION # VG $200.00 (paid. at Building Division) - 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X _ $ - Zone #Units Amt. Commercial (sq. ftg.) ......... X _ $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you, are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) 01et 613 'F1�r,�g & COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ..7 Couniy Center Drive Oroville, California 95965 •Telephone (530) 538 -7r -A 1 P IT No. Mev.12% ) APPLICATION AND PERMIT ;z�� ASSESSOR PARCEL /1/n ZONING J BUILDING PERMIT OWN /i // /AA /✓/Vl/ Ci. l3i I i .G , S �� �E M ��A A4A1 .S�OIP D ° S D - 1�4 rep r_COTORS HARING ADDRESS NSTRUCTION LENDERN04 NDER'S MUNG ADDRESS Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 ' Permit Fee' $ — ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSw Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. �r v SUBDN610N'SNAME C �,-� �� 0 11 PARCE MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Y -L 61V USEEOFSTR CTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY X33 (�� Solar or heat pump water heater 23.00 Water piping 15.00 157-1 Each gas water heater or vent 15.00 1:5,00 TYPE OF WORK New ❑ Addition ❑ Remodel stallation ❑ Other ❑ Describe Work: aj� fl r`j FL D 7 �,~ , Gas piping system 1 - 5 outlets 15.00'j cm Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE $ jO Sgt ELECTRICAL PERMIT Fling Fee 20.00 Main Service loon OR. L.ss 23.00 .PERMIT FEE PAID $ � ��, qs —1 SRAIy �-_ $ 1 SHERIFF $' OTHER $ + $ $ // � r( 1 AMOUNT RECEIVED $ to f7 �7, JJ\`JJ % DATE RECEIVED ( 9� �� RECEIPT # 3 qq , ��� Main Service 20" TO 1000A 46.00 NEW CONST. DWEJIING OCCUP. 3.5d SO. OR ADONs. a ACC. BLDS. Fr. NEW CUM NON R6oT MULTI -OUTLET @7,50 - POWER APPARATUS a SINGLE OUTLET CIR. r7 OUTLET OR FIXTURES 20 @ 1.00 Ex. OCCU BAL @ .w APPEx. Occup. ouneTs R6 °EE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling ee 20.00 Heating Cooling Hood 6.50 &5 n 'la ' n ` PERMIT FEIE $ O Mobile Home Installation Fee $ j Energy Inspec 'on Fee $ _V T. TYPE TOTAL FEE $ I/ � Z - D. FEES IV FL O CD F EL HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON oeTa —. -- . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District �j' Vt (�[ f'��7 Building Department No. A.P. NumberOU Jurisdiction:e=j City County Property Owner Ldva'a_ate V (/ Property Location/Address ' � �X /,O , / ' / Subdivision l Lot No. /4Z Residential Development Q Q Sq. Footage 4R3 7;;5 No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # {% *(No foundation inspection) i i...................................................................................................�.'. ' y. Deed Restricted'Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) (Comm rcial/Industrial Q "' Sq. Footage tJew Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No. �p $" U 2r l�.e C e r►. School District certifies that (Applicant) CA - (Street Address) (Phone Number) C JS Ike Com' �► S a L. lA (City) (State) (Zip Code) S '1 has complied with the requirements of Resolution No. d'? .r(k� . k by payment of $ 53 representing ,:t 3 '13 square feet. 2926 $ FULL MITIGATION $ School District RepriWentative Date Paid by Check # �� Remarks: ';L3"►3 Notice: You may protest the Imposition of the fess Identified above by submitting a written protest to the District. In coo. terms with tsovernbrNm Code Section 66020(a), w@Mn 90 days from the date fees are paid. Failure to submit a timely written protest wllf prohW you from challenging the Imposition of the fess In any court action. N, subsequent to the School District Representative signing thio Butte County Schools Impact Fes Certification Form, the School District Is rnoflfied by the applicable Local Planning Agency that this project Is being reviewed under the Californla Environmental Quality Act (CEM). this prolsct may be sul*d to additional school fess to fully rnitlpe o.Its Impact on the school dhdrk s schook. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dmm JIM PURSELL,. Civil Engineer, R.C.E. 60924 " 5 Madrone Avenue, Suite B Oroville CA 95966 Ph. (530) 533-2131, FAX (530) 534-0902 INVOICE.- NVOICE. TOTAL DUE 905.00 Date HRS DESCRIPTION UNIT PRICE TOTAL NOTAL Date 1-28-04 an. '04- 11.5 - Engineering, ' 70.00 805.00 Job Number . 103-11-263 an. T4 1 Drafting . 50.00 50.00 Job Description% Residential Engineering ,Administration 50.00 .50.00 ;n SOLD TO Name Pina - Job Site LOt#8 Address Rosemel Court City, State or Prov. Oroville, CA Postal code, Country 95966; { Phone Fax w Please matte checks payable to: , ' SUBTOTAL 905.00 Sales wX % Jim P u rse I I SNIPPING a HANDLING ' MMENTS PLEASE PAY THIS AMOUNT 905.00 TONS: Net 80 daVS . 1 , ,COP'Y of Document Recorded 15 -Apr -2002 2002-0019145 AND WHEN RECORDED MAIL TO: Has not been compared with BUTTE COUNTY BUILDING DIVISION original 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26 -8 -of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and.from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning' and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residentswithin said zones and on adjacent property, should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate. in the County of Butte, State of California, described as follows: The land referred to herein is situated in the State of California, County of Butte, and is described as follows: Lot 8, as shown on that certain map entitled, "Melrose Estates", which map was recorded in the office of the Recorder of the County of Butte, State of California, on February 15, 2001, in book 151 of maps, at page (s) 15, 16, and 17. Date JUNE 8, 2001 . PROPERTY OWNERS: MALAMAR CONSTRUCTION, INC., A CAL 0 A CORPORATION State of California ) County of BUTTE ) On JUNE 8, 2001 before me, PENNY C. ENGLAND,.NOTARY PUBLIC,, personally appeared MALCOM I.. HALL personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my -hand and official seal A.P. # ..06�_ 1�-DoB. Seal: PENNY C. ENGLAND Conanis w #1240914 MIrCPS1 Notary WK Butte cauray, cwh" is. My Commission Exp. DEC. 3, 2003 ' Water closet ckearances (Uniform plumbing Code 408.5). 16. Shower compartment minimum 1024 sq. in 8 30" circle (Uniform Plumbing Code 412.7). taring walls shall be supported on masonry or concrete foundations that shall be of sufficient size to support j5jjall loads (Uniform Building Code section 1806.3). STRUCTURAL DETAILS: 1. Braced -4211 panels shall start at not more than 8 feet from each end of a braced Wall line. Braced Nall panels must be in line or offset from each other by not more than 4 feet (UBC section 2320.11.3). Spacing shall not exceed 34 feet on anter in both the longitudinal and transverse directions NBC section 2320.4.1.) Braced vall lines must be continuous throughout the structure. 2. A California licensed architect of registered engineer must prepare a lateral analysis for the area of the building that do not oomph With the Uniform Building Code. This must include the designer's "wet" stamp, si=gnature, registration number and expiradon date on all sheets of plans depicting the designed elements and cover.sheets of calculations. t.MMIace erestory requiring balloon framing and/or engineering. undation plans complete enough to construct building (Uniform Building Code Table 18-I-C�. oor construction details complete enough to construct building. evations and wall construction details complete enough to construct building. oof construction details complete enough to construct building. concoction details and calculations if necessary. arage door header size(s). orch header size(s). Typical header size(s). d- Stud heights. 3: High expansive soil - special foundation design required. Retaining walls requiring design. C)*= wallboard nailing inspection required. the area below the lowest floor .is fully enclosed, than a minimum of two openings are required with a total net area of at least one square inch for every square foot of area enclosed with the bottom of the openings no more than one foot above grade. Alternatively, certification mai• be provided by a registered professional engineer or architect that the design will allow equalization of hydrostatic flood forces on exterior walls. Building must be designed and anchored to prevent floatation, collapse or lateral movement. Construction design requirements must be sho%%m on the building plans. Electric, heating, ventilation, plumbing and air conditioning equipment and other ser�ce facilities shall be designed and/or located so as to prevent water from entering or accumulating with the components during conditions of flooding. MISCELLATTOUS ITEMS: Stairway details- landings, rise and run. head clearance, handrails (Uniform Building Code section 1003). Guardrails (Uniform Building Code section 509). Brick or stone veneer (Uniform Building Code section 1403). Exac rior plaster- weep screeds (Uniform Building Code section 2506.5). - Roof pitch for protection. (Uniform Building Code Table 15-B-1& 2, 15-D-1 & 2). Foam 36" halls and stairways (Uniform Building Code section 100.4.3.3.2). LFnerm exits on three - story dwellings (Uniform Building Code section 1004.2.3.2). erfloor access and ventilation (Uniform Building Code section 2306.3 & 2306.7). access and ventilation (Uniform Building Code section 1505). d requirements. design compliance and supporting documentation. responsible area requirements. ING PERMIT REQUIREMENTS: 1. ❑ SRA. 2. ❑ Flood elevation cenificate. 3. ❑ Fire Sprinklers required 4- ❑ Special Inspection requirements. 5. ❑ Use Permit conditions. 6. ❑ Sub -Standard Housing lener. Pzee 2 of 0 V ::- ° ' RESIDENTIAL PLAN ° `0 REVIEW GUIDE o - .• i.::,- a SINGLE FAMILY, DUPLEXAND MISMIANEOUS ONLY O%vner. Building Permit Number: Plans Examiner-: ,Liadn r5�. ja=�'� A. P. Number: (� (�`d 1`� eD }' GENERkL: A- Zoning requirements - (number of permitted living units). Plans signed by the designer. Proper description of work on the application. Existing violations on the property. Recorded notice of ,iolation. Building permit valuation. LOT PZZ : Complete parcel size and dimensions. Setbacks. side yard, easements, etc. Other buildings or structures. Grading, fills andior drainage. Flood hazard. Special conditions on Parcel Map: poise ❑ SR_-� ❑ Fire Sprinklers ❑ Water Tender ❑ Traffic and Drainage fees ❑ Federal Aid Route and/or Federal Aid Secondary Route setback requirement. Building or utilities across lot lines (Lot merger approval by Butte County Land Development) FLOOR PLA`: Plans and specifications drawn to scale with dimensions and of sufficient clarity (UBC section 106.3.3). 1011'0 of natural light and 5% of ventilation (Uniform Building Code section 1203). Escape or rescue windows shall have a minimum net clear openable area of 5.7 square feet The minimum net clear openable height dimension shall be 24". The minimum net clear openable width dimension shall W20*. When %indo%%s are prodded as a means of escape or rescue, they shall have a finished sill height not more than 44" above the flcor (Uniform Building Code section 310.4). Skylights (Uniform Building Code section 2409 & 2603.7). Glazing in Hazardous locations (Uniform Building Code section 2406). Habitable space shall have a ailing height of not less than 7 feet 6 inches except as otherwise permitted in this section. Kitchens. halls, bathrooms and toilet compartments may have a ceiling height of not less titan 7 feet measured to the lowest aroiection from the ceiling (Uniform Building Code section 310.6.11 All habitable rooms except kitchens shall have an area of not less than 70 square fat and not less than 7 feet is any dimension (Uniform Building Code section 310.6.2 & 310.6.3). GFCI in baths. garage, kitchen, wet bar, and exterior receptacles (NEC 210). `Fater heaters %%hich depend on the combustion of fuel shall not be installed in a room used or designed W be used for sleeping purposes, bathroom. clothes closets or in a closet or other confined space opening into abeth or bedroom (Uniform Plumbing Code section 509.0). Fuel burning equipment shall not be installed in a closet, bathroom ora room readily usable as abedrootn. of m a room. compartment or alcove opening directly into any of these (Uniform Mechanical Code secdo -� Garage firewall separation - required on garage side including supporting walls and posts (Unidbi'tn 8 Code section 302.4 exception #3). Under no circumstances shall a private garage have any opening into a room used for sleeping purposes (C;nifor-n Building Code section 312.;). Wood store location - Alcove - UNtC section 205 confined space & 223 unconfined space & 304.2). Smok; defectors (Uniform Building Code section 310.9.1). Page i of 2 SITE PLAN REVIEW •APPLICATION Date: �-�'- D AP# C% 8— Lld D— Q �� Permit Number (if applicable) 0 `'f — 0 2Bin Number — C) APPLICANT INFORMATION '' - Parcel Size: Owners Name:-�•:� 2 w� S Owners Address: (. U pX D O. (` o w ski O > N)_A T S O � Telephone No.: - So 7 H SS - oy Li .2 8-7 2 - Cj-LS Situs Address: f; C) ROS 1'Y>CL L,1 Proposed Use: Y ,. Residential New Single Family -Residential r - ❑ Single Family Addition ❑Single Family Remodel Mobile Home ' ' ❑ Residential Accessory Permanent Second Dwelling ,. . ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer "r ❑ Multi -family Non-residential ❑ New'Commercial , ❑ Commercial, -Addition ❑ Comm ercial•Remodel. , ❑ New Industrial . ❑ Industrial Addition,. ❑ Industrial Remodel Other .� r '❑ Septics _ ❑Well _ Agricultural Exempt Building - ❑ Agricultural Buffer Form `❑ Applicable ❑ N/A El Other: , Brief Explanation (if necessary): DO NOT WRITE BELOW -THIS LINE' DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval VSite Plan Stamped Approved •• t Y By Date `Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: • Flood Panel No.: Oc) 8 9:2S Index Date: H —'-L0 — &D ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 50, Side 3 D Side Street Rear SO Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: , Standar_ d Fees Amount Formula ❑ Fire ❑ School*' ;. ❑ Parks/Recreation Roads .Y i ❑ Sheriff , .'i'❑ Drainage NCSP/CSA 87 ❑.d Chico Urban Area —Road ❑ Thermalito DrainageArea ❑ Thermalito Urban Area ' °i❑ Other --------------- —------------------------='------=--------------------- ---------------- Subdivision ---------------- -- Subdivision Map Special Fees ❑ Water Tender R - i^❑ Road'Improvenient 0 North, Oroville Area • ` . - t' _r' , ❑ Other (permap) - *. Check with school district to veiify actual`fee if pre -application eview: A final determination will be made at the time of the building permit. Parcel Created By _ [] Deeds: "Date of Creation: Legal Access Provided:❑ No ❑ Yes. Deed of Reference: ` $' Legal Access Required ' - ' ❑ No E] Yes Parcel Frontage on Publicly Maintained Road: ' ❑ No ❑ Yes,Road Name: ' Complies with .County Standards for Deed Creation: E] No ❑ Yes Comments: : , + ,� �,, `•' .�. x J •,ri, . -r- ti r x ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel. ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance Obtain a Merger . ❑ Obtain a Lot Lirie Adjustment ElComply.wit -Old Subdiv,rision Lot Ordinance (Maps recorded prior to Book'l7 of Maps Page 23): - ❑ Construct road to: ❑ Meet Parcel size required by zone , - ❑ Meet current Environmental Health Department requirements :T ' . ---------------------------=------------------------------------- '-.------------------------- -------------------------------- �; Page 3 of'S , , . Subdivision Man/Parcel Man: !.-, a L2 ©S(CS-a--ra-.S5 Map Date of Recording: -,2_—I S - O ") Lot: 8 ❑ Use Permit/Minor Use Permit Permit Number: Book: I ':-> 1 Date of Approval: Page: S % Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approvedanddesigned to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional • and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. D D Page 4 of 5 Rx Date/Time 5EP-17-2000(5UN) 23:51 507 455 0442 FROM : HALL CONSTRUCTION INC PHONE NO. : 507 455 0442 VWK "ORoV 1LLE I lJ • !)•JVJJJ4J 1 J BUTTE COUNTY AGRICULTURAL BUFFER NOTIFICA31oN AND/OR UNUSUAL CIRCUMSTANCES REQUEST P. 002 Jan. 30 2004 11:42AM P2 Butte County requires a Soo foot buffer between neighboring eg-:cultural operations and a residence. This . dimension is basad on wvirvnmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances whore the 300 fort butter cannot be met on existing parcel;. This exception iQ not available for lots being crated, divided or subdlvlded. Owner or Authorized Agent; must complote the toftowing and return with the required site plan to: Dav®lopntont Services Department, 7 County Cgnter Drive, Orovllie, CA (530) 5354631 o.CWW";T- Nsme• Ls [w% Phone: D� �57o 7%— 03 g OCr-aA Mailing L Address:, �� � -a,,1 G T. E -Mail address dr�Pl/t70-2 ��• Asmssoes, Parcel Number: I/ [&0 IZ &I `'' Reason you believe you quality forthe unusual drournstent;®s exc®pton: or Authorlrad Agentb / —'30 - a c • Data uNUSUA 6 CIBCl1M$TAwcc2-INITI0 An exceptional or extraordinary condition when® the existing iot glee or shape or an existing Improvement (weft, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE EL&U IR subrnit 4 coples w h this form Refer to tho Slte Plan Subm no requirements Internal�Depk Cc ..... onta............................................................................ ......... ............. Q Env. HeaMd ❑ Planning 13ultdin� Of►+ar Corded Person: Phone: FORWARD Th11S FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING .............................. ...................................._......,........................................................_.................................................. For Agrtcstltural Coromlaatbne► offla• use only ((o be completed after submtual ) ISCRE11ONARY PERMIJ§ JEIamaiMINISTERI&E M Eullding) I bXoeptlon Recommended EDccoptton Granbad with the Exception NOT Racommanded following oondltlonr, Reason/Conditlons/Sp®aN9c setbacks from adiacont agricultural operations: Agric uftuml Department Signature: Date: YMC 7n/aa Rx Date/Time 5EP-17-2000(SUN) 2j;51 507 455 0442 r P.003 ` FROM : HALL CONSTRUCTION INC PHONE NO.-: 507 455 0442 Jan. 30 2004 11:43AM P3 Dt,1R ORUV1L�k _u, JJ -JJ JJ41 J1 National Pollutant Discharge Elimination System (NPIDES) Phase it Construction, Storm Water Permit ' and, Storm Water Pollution . 'Prevention Plan (SWPPP) Ac' knowlodgement jLESS THAN I Project Title: Iti-L�fl'1 �-1� p. J 0. By signing below, T, the project owner/owner's agent,`cettify that I am aware that a construction project that disturbs 1 aera or more of land requires a donstruction Storm Water 1'mmit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to ' the State Water Resourccs Control Board to obtain such a permit if my project disturbs 1 acro or more of land 1, :brthcr,. certify that this pro oct will,&ot turb I acre or ' more of land. I am aware that submitting false. and/or inaccurate information may result in re of grading and/or other pennits or other sanctions providod bylaw. Title: Da goo -0 $- �0 ooS e.7 Co .. r , , AND WHEN RECORDED MAIL -TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 IIII lii I II I I I II I I 20GD I I I I I I I I I I I it I I I I 0019145 Recorded I REC FEE 7.00 Official Records I CONFORM .00 Cou�y Of CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathy 03:55PM 15 -Apr -2002 I Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this 1 property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to FV herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, I� plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: The land referred to herein is situated in the State of California, County of Butte, and is described as follows: Lot 8, as shown on that certain map entitled, "Melrose Estates", which map was recorded in the office of the Recorder of the County of Butte, State of California, on February 15, 2001, in book 151 of maps, at page (s) 15, 16, and 17. Date JUNE 8, 2001 State of California County of BUTTE PROPERTY OWNERS: MALAMAR CONSTRUCTION, INC., A ® CAL 0 A CORPORATION 7— ,^LCOM I., On JUNE 8, 2001 before me, PENNY C. ENGLAND, NOTARY PUBLIC personally appeared MALCOM I. HALL personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that be/shetthey executed the same in his/her/their authorized capacity(ies), and that by his/ber/tbeir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Seal: PENNY C. ENGLAND Comffission #1240914 Mir CPSI Notary PuWic Butte can", cavorrka wy Cwrunission Exp. DEC. 12003