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069-030-017
1 1 ; 04-2715 �r r k� !{►i+1f 4 ` }'Mit .r. Y S r A C 1 C • • f r d r L,:�`a • I t Iy 1 fte,. .:ii ttrt� �,it �; f • t BLDRS i� ,uf .P , f, '",tt > I i`zx;'jF+l .Y•1d +�. -"j: }�, Y NO ` �•t' fdr ++ £Y a I , i � ilitttYa � t I ii' a ' 4 ' .•; ! - ? •.! r +. t ,fS I'i'i! + 1 fi 1 1 4 . +� •l. + It t 1 -' �.1 - f .;t .,. .rub it a +' ¢�FK�i - f: � - o •1, IY' e,,.� r�,111_ '�tt!£�f-..��II f: Ar; ` �+ ' A - _ 'r.. c l� �i x1 1't? 1 • F. - , • Yn %�' frl� � } S, - r !r• t 6{? fidlt t .. ��t 1 .,. V'c'. 4v ?I. RESIDENTIAL p� q. -03o -617 PER IT N0. 04-2715 BRAY. ; ALT ____.�:46_i"SU-BEGKWO.URTH, O7V]LLE CONT: BETTER B.LDRS NEW SNGLE FAMILY All, + "SPECIAL CONDITIONS CHECKED BY , -- SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ' USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 7-3 OFFICE COPY ' v / Address at� ELECTRIC Meter By Date ':JOB FINALED (2-at, Signator t ' NOTES ,G 'S A ✓' L S hoc 14 C 41 4 • � ✓ •III'/,+l / /^ ut • «�if #, 6' A "05- A16+ A� k":" 3.. RESIDENTIAL p� q. -03o -617 PER IT N0. 04-2715 BRAY. ; ALT ____.�:46_i"SU-BEGKWO.URTH, O7V]LLE CONT: BETTER B.LDRS NEW SNGLE FAMILY All, + "SPECIAL CONDITIONS CHECKED BY , -- SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY ' USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER 7-3 OFFICE COPY ' v / Address at� ELECTRIC Meter By Date ':JOB FINALED (2-at, Signator J=OK 0 = Not OK ^ Note . NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 2. Soils; Compaction -Structure Stability 3. Sewer; Location -Test -Fall -C/O -Concrete Pool Structure; Steel -Connections -Thickness Dead Men -Lining. 4. Water; Location -Test -Easement Needed (Sketch) Elec.; Receptacles and Lighting, Distance-GFI 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Elec.; Pool Lighting; 15 Volts-GFI 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Well Clearance & Disconnect Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Utility Clearance Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 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/O 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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- Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms t Date Card B-1 Date ' Card B-1 ` Date Card B-1 Date Card B-1 Nr t f S.. J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Main; Soils-Elec. Grnd. /?_j g&W-Ftg., Garage; Soils-Steel-Elec. Grnd.-Jy)�" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel -Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground S rvice-Riser Conductors & Ground Main Disconnect nums & Ducts; Clear n aterial-Support-Ins 14. rs-Sills-Anchor 132!ttsts- Mp ' s 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 #'s Card B-1 Date Card B-1 Water Htr.; Vent -Access -Combustion Air Baffle ljKW,ater Pipe; Test & Anchor -Nail Protection 1 . D.W.V.; Test Fit ' & hor-Nail Protection 20. Shower T40oorirst Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date - -QSCard B-1 (A Date Card B-1 Date Card B-1 Date Card B-1 Date ELECT CAL (Permit) OK except #'s 24 ixture & Transformer Clearance -Ins. Protection 25. fit6c. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 28,�Equip. Ground made up w/Mech Fasteners -Bo Gas & Water 29/2 Appliance Circuits in Kitchen & Conductor Size GFI 30. ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Ran a Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al I ulated Neutral IQ Yae O No 3 S rvice-Riser Conductors & Ground Main Disconnect 3 ui . Clearances Panels-Motors-Mech. Equip. Cle 'Looked and -Floor O Ye tothes Closet Light -Shower Light -Spa Light Date Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MEC NICAL (Permit) OK except #'s S 7*. 36 A.C. Ducts Insulation & Support G e Fire Door; Swing -Landing -Closure 37. ent Fan, Exhaust above insulation t�r. Ht�r.; Vents -Clearance -Comb. Air Connector-P.R.V. in �9e; Above Floor-Mech. Protection C fidensate Drain & Overflow, Size & Grade I lec. & Mech. Equip. Listed for Location 3 Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date 82 Card B-1 Date .-Card B-1 Date Cle 'Looked and -Floor O Ye Card B-1 Date Card B-1 Date FR AWING (Permit) OK except #'s 4 ills Proper Materials & Anchors Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 4 ails Studs -Nailing Spacing & Braces -Plates -Sound 88.Erior, 4 gearing Walls over Girders & Floor Nailing V ation Throughout House 44. Draft Stop in Walls (rat proof) , 91. Correcti s from Previous Inspections Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Gas T t -Meters Tagged, Gas -Electric' 46.,Headers & Beams -Size & Bearing Water Sewer Connected -C/O to Grade -HD Approval 94. Lxrgy Compliance Certificate -Other Certificates Date FRAMING (Continued) 47. )Mangers -Post Caps -Anchors -Connectors 4 C'ng. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 eplace Ties or Type A Flue -Fireplace Throat Clearance 50 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5t- drm. Windows or Exiting Doors -S' im nsions Cjarage Fire Protection Frami -RC Chapnel, �5a. Prooertv Line Firewall & Openings 4. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55 i ; Width -Headroom -Rise Run -Landing -Fire Protection 5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers r 5 Siding -Nailing Veneer 58. Stucc Mesh -Drip Screed -Fd. Vents-Underflr. Access 59J GMT= Area -GI rotectioK-Skvliqhts-Plastic _61o00'Brace Interior/Exterior Wall Panels /1 63. I nfi Itration- Wal Is -W ihdows Date v/ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL a ) OK except #'s 64 -Door & Sidelight Protection -Landings 6&-`§pi6ke Detector Furnace Vents -clearance -Comb, Air-Connector- lo�araae: Above Floor-Ducts-Mech. Protection W. Pefl. ath Fixtures & Tub Access -Spa W. . Tj*1-& Subpanel, Breaker Sizes & Labels yY. F lace -or Stove, Clearance -Hearth EI . utlets at Wood Panel, Int. & Ext. i & Appliance; Ground -Air -Gap -Cooking Clearance S 7*. Outlets & Receptacles at Kit. Counter LB. G e Fire Door; Swing -Landing -Closure A . uct in Garage -Damper t�r. Ht�r.; Vents -Clearance -Comb. Air Connector-P.R.V. in �9e; Above Floor-Mech. Protection 7 I lec. & Mech. Equip. Listed for Location 7 leeceptacles in Garage (F.F.I.)-Romex Protection ns�n- Foam- Looked in Attic yard -Rails & Deck Construction -Post Caps 82 Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Cle 'Looked and -Floor O Ye _ 8 in stld./Dri Yes O No/Walks LTYes O No/Planters O es ❑ No 84-Stpeco Brown -Finish A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water I, Disconnect, Electrical, Plumbing 88.Erior, Elec. Trim, G.F.I. Receptacle Underground V ation Throughout House Glass Prot? ion 91. Correcti s from Previous Inspections 4,5 -.4T2. Gas T t -Meters Tagged, Gas -Electric' 93. Water Sewer Connected -C/O to Grade -HD Approval 94. Lxrgy Compliance Certificate -Other Certificates 98"Address Posted 96. Fire Sprinkler Date_ Card B 1 Date Card B 1 Date ' Card B-1 Date Card B-1 Dote Card B-1 Date Card B-1 Comments at Final Fire Prevention Bureau Butte County Fire Rescue White Copy - Business 176 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File Oroville, CA 95965 and Fire Protection Pink Copy - Station File Telephone 530-538-7888 Facility Inspection Report Occ. Class. Fax 530-538-2105 Fire alarm system defective 13. Address: Business Name: Sprinkler system: Service required, defective Owner/Mamger: Bus: Hm: Fax. Assistant Manager: Bus: Hm: Fire walls, ceilings, fire doors, draft stops Building Owner: Bus: Hm: Knox Box keys Address: Address post and visible from road 9. civ r%TeDri (`TTnV nF VnITR IRA RF.VF.AI.F.n TRF, FOIJ, 1WiNG! 1. Fire Extinguishers: Required, service due 10. Exit(s) obstructed, inadequate 2. Extension cords: Excess use, defective 11. Exit sign(s) required, illumination 3. Excessive rubbish, trash, debris 12. Exit sign lights need replacing 4. Fire alarm system defective 13. Exit lighting: Required, defective 5. Sprinkler system: Service required, defective 14. Smoke detectors: Required, defective 6. Kitchen hood extinguishing system service due 15. Wiring: Exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops 16. Heating system: Defective appliance, flue combustibles 8. Knox Box keys . Address post and visible from road 9. Fire Drill Witnessed Yes ❑ No H�;H 8. Other !1l'� ] w\."N/.V Y raI01F.\►"4I IIFwe VN'7 Y" Y 1110 MItll.:C N XN ■Alii Date: l/(Print) Discussed with: Signed: Inspect i Off, Battalion 1 2 3 4 5/%)7 F Station: PB FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUMNE-9S. YOUR COOPERATION WITH CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: •t . COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Cenlet-Prive • Ciroville, CA - (530) 538-7541 CORRECTION NOTICE j A OWNER r.V PERMIT NO. 34 A routine inspection indicates that. -the following violations of butte countybrdinances exist at the above address' and, should be corrected:. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date 4?-Y.-Insvector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER I PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please cont t this office immediately. a ►,, a �, I J2,U �Z & r l:�- . Date f / %y� Inspector r _ REV 10/92 " a N. k17 �J Date f / %y� Inspector r _ REV 10/92 " a '+ .... COUNTY OF BUTTE p . BUILDING DIVISION tx. DEPARTMENT OF DEVELOPMENT SERVICES k 411 Main Street - Chico, CA - (530) 891-2751 <: 7 County Center Drive - Oroville, CA - (530) 538-7541 R { CORRECTION NOTICE Rh 'I,.-. OWN A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed.. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. rl s .« Date _ REV 1 Inspector -0ERKE INSULATION CO., INC. DESCRIPTK)N OF INSTALLATION 1. ROOF Ma�rlai Thi Less (Inches) 2. CEILING INGULATK3N CERt i I LATE Themral Rhe (R -Value) Batt or Blanket Type t Brand Name Johns Mamml e ThWu as ThennW Redstwm (R -Value) �3g Loose FIN Type Fib s Brand Name Johns MaMle Curls min. Inaialled vet sq. b15 tb, Minimum Thickness 15.-35 I xgm Umftetureft Instep weight per square tYaot to ire ThwMW Reddence (R Vakw) 1;38 3. EXTERIOR WALL ►.�- Perblu"r Immiatrnrt Depth & FOUNDATION WALL Thickness (inches)- -Them" Brand Nam . Johns Me AID Thermal R (Rr-Vako 19 a Name .Awm Manvitte -- ThwvW R (R Value) 1q _ Themtal Resi$Wm (R Value) Resistance (R -V") : ,:. 4 r7.: Vii: '� �• �i �- �: C... ,. i :.r 1. • • •. - PA'-M,ww . .Y o 'Certificate on . .. l :. .. formanCe Certificate 05-4082 THIS IS TO CERTIFY that the glued laminated timber products identified- with a• collective 'mark -of Engineered Wood Systems (EWS) were manufactured in accordance'with the `applicable standards ' and associated speclflcatlons indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber " - NER-486 Glued Laminated Timber" Combinations And "GAP" Computer Program For Determining.0esign -Stresses 1. AITC 117-93 — Manufacturing —Standard Specifications For Structural . Glued Laminated Timber Of Softwood Species •." , IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered :Wood Systems (EWS) Ouality Assurance Program. Routine audits Include inspection of the r manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify t conformance to industry standards for lumber grade and glueline bond quality. O�PORgr � .��• • w w� . Thomas G. W(I)iamson %�,� • �;,�` Ex9Cuti•ve Vice President i list sty ENGINEERED W900 SYSTEMS is • raluao corporation a1 APA • TME ENQINEEAED WOOD AS500L4nON • 70113oulh IM Sueat • R0. BOY 11700 - TaCOm9, W11;88411.0700 e - ,A, • Tel90Tlpn8t (253) 565•8800 Fax Number:_(259) So5.7285 ., SITE PLAN -REVIEW APPLICATION Date: IOL -24 e y AP# Permit Number (if applicable) APPLICANTINFORMATION Parcel Size: Owners Name: { Owners4Address: (o��a C/C G�O'u-Yl U . O/!ayil,& f<• l �o� Telephone No. , �f�%t/u/� �L z — v2S 7 -Situs Address: ► Proposed Use: Residential New, Single Family Residential ❑ Single Family Addition ❑ Siiigle Family Remodel ❑ . Mobile Home s: Residential Accessory q� Y F]Permanent Second Dwe ling v ` ❑ Temporary'Mobile Home (Aunt Minnie) _ ❑ 'Temporary Travel Trdiler ' ❑ Multi -family. - Non-residential ❑ New Commercial i ❑ Commercial Addition ❑ Commercial Remodel.,.. ❑ -New Industrial • ❑ ; Industrial' Addition "ElIndustrial Remodel'' ' 'Other' ❑ Septic ,' ❑ Well ; 9_ �a ❑ Agricultural Exempt Building + . ` ❑ 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 ® Site Plan Stamped Approved By Date "16 /,2-1 0 • Page l of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY t' ii 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: , : 1< • Flood Panel No.: azo �2$ C Index Date: (p 9 ❑ Sacramento River Reclamation District (Approval must be obtained from the Calif rnia 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) 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: t GP-Lnz 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 5D' 65. (,, -C Side —301 Side Street Rear 3 0 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 Developarieiat Fees:'k, Standard Fees Amount L i 'x Formula Fire,.; ❑ 'School* ❑ Parks/Recreation Q Roads ` ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87. ❑ Chico Urban Area -.Road ,. µ ❑ Thermalito Impact ❑ Other +. -------------- ------------------------------------------------- . - --------------------- Subdivision Map Special Fees Water Tender , ❑ Road Improvement _ - ❑ North Oroville Area , ❑ Other (per'map) ' Check with school district to verify actual fee if pre -application review: 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 ❑ Yes Parcel Frontage on Publicly Maintained Road: r❑'No 1-1 Yes, Road Name: Complies with County Standards for Deed Creation:[:] No ❑ Yes ' .Comments - El Comments: ❑ Parcel Deemed to be legal ` ❑ Verify Legal Parcel '❑ Verify Legal Access t ❑Provide Deed of Creation' ❑ Obtain a Certificate.of Compliance- El ompliance❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance'(Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ - Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ----------------=-------------------------=--------------------------------- x. ' Pae 3 of 5 I$ Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: (D Page: l "&2 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ 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 approved and designed 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 roa FN Page 4 of 5 JA ❑ , s • Summaryof Specific Requirements: y R A, This information provided in this summary is based on the application information and on the b of review. est available data at the time b C:1LarryslBuilding Permit Site Plan Reviewl.doc Page .5 of 5 F Butte County Department of Development ServicesU o�TT�o ' YVONNE CHRISTOPHER, DIRECTOR " o 0 7 County Center Drive .0 roville, CA 95965 . (530) 538-7601 TelephoneuN,�.�° , ' (530) 538.7785 Facsimile 5 ADMINISTRATION * BUILDING * GIS * PLANNING October 21, 2004 , Walt Bray • .6180 Beckworth Ct'. Oroville, CA 95966 ' Subject:' APN - 069-030-017 -Dear Mr. Bray, The Butte County Department of Development Services, Planning Department, has reviewed the submitted Building Permit Application 04-2715, and has found your, application in compliance. with the established` planning criteria. The site plan you ,submitted meets the setback requirements for your zone as well as . applicable map or use Permit conditions.. The Permit Application has now been forwarded to the Building Division for their consideration and action.,,,, . . Attached, please find a copy of any usepermits, or map notes and conditions for your property. We are providing this to your for your information and future reference. Should you have any questions please feel free to contact me between the hours of 8:00 a.m. and° 4:00 p.m. Monday throtigh Friday at (530) 538-7601. Sincere ti a Adler Assistant Planner ' OWNER'S CERTIFICATE We, SOUTHERN CALIFORNIA FINANCIAL CORPORATION, as owner of the lands included within KELLY RIDGE ESTATES UNIT 6, as shown within the colored border lines on the annexed map, do hereby certify that we. are the only persons whose consent is necessary to pass clear title to said land and we consent to the preparation and recordation of said map u shown within the colored border lines. LEAFCREST WAY and LEAFCREST COURT , as show within the colored borderlines of aaid map are hereby offered for dedication and granted in fee for public use. We also offer for dedication, and do hereby dedicate. for specific, purposes, the following: - (1) Eas wants for light and air over those strips of, land lying between the front and/or sidelines of lots and the linea shown hereonand designated "BUILDING SETBACK LINE" (B•S.L•), said .trips to be kept open and,free of building. + (2) Rights of way and easements for water, gas, .ewer and for over headand undergrnd wires for electric. and telephone services, together wiou th any and all appurtenances appertaining thereto, on, over, under and together with the right to trim or remove the necessary tree., tree limb. or brush on those portions of land more particularly described as follows: (e) A strip oflead ten (10) feet in width within the lots and contiguous to any .street or other public way. (b) Those strips of land designated as "PUBLIC UTILITY EASEMENT" (P•U.E.), in the locations and of the widths shown hereon. (c) A .trip of land five (5) feet in width within the lots` and contiguous to side and rear lot lines. (3) Rights of way and easements for drainage pipes -and other drainage. weys together with any and all appurtenances appertaining thereto, on, aver, and under those strips of land designated "DRAINAGE E(SE 1' (D.E.), in the location. and of the widths show hereon. (4) Rights of way and easements for ingressand egress, and public utilities, an, over and under those strips of land designated "COMMON PRIVATE,DRIVEWAY EASEMENT" (C•D.E.), in the locations: - and of the widths shown herean. (5) Eos .menta for light and air over those strips of land lying between the .front of permanent parking structures or areas + and the lines shown hereon and designated "COMMON PRIVATE DRIVEWAY EASEMENT" (C. D.E.), said strips to be kept open and free of building. Minimum width of said strips .hall be the width of aaid permanent parking structure or area; minimum depth of said strips shall be twenty (20) feet, measured perpendicular to said "COMMON PRIVATE DRIVEWAY EASEMENT". SO (ERN CALIFORMIAMANCIAL CORPORATION O firer igirre✓� ssvrt,n , STATE OF CALIFORNIA COUNTY OF 16-A41 ) ' On'17. „ 4- /r , 1978, before ai%. bl a Notary Public -, in and for R.. Count State of / - �� , personally appeared ` know to me [o be, the of the - corporation that executed the wi thio Sas truce t, —deals know RECORDER'S CERTIPICATE _ to me 'to be the per. on who executed it .9W behalf of such Recorded. in the office of the R$Corder of Butte County, State of Corporation and acknowledged to me that such corporation executed C lifoznline, et the r ueat ofcor- this 49 M day of 197T, at I minutes - My Commission expires - Pest / .'clot e•M., in Map Book• r. at pages /I% +c li 1 a /979 �` Notary blit • -SIAL Recorder Number A135+ n /ref Jjj yyawWb O. i R.. tuf 4 C/w'+'".Count Recorder., -?y.` G i'•e.l�+ tg wly SURVEYOR'S CERTIFICATE , - I, Dan J. Cook, hereby certify chat I em a Registered Civil Engineer of the State of California; that the annexed map of KELLY RIDGE ESTATES., UNIT 6 correctly represents a survey made under my,supervis Lan in 1978; that the survey is complete as shown; that the monuments sham will be set by ocloeea I,/977 and will be of the cheracter'and will occupy the positions indicated and that said monuments will be ' sufficient to enable the survey to be retraced. Dpuf J. d'iook R.C.E. 13062 „ AUDITOR'S CERTIPICA TimTiMww'JE.w + I, uditor of the County of Butte, State of Calif form n, do hereby certify'that there.are no tax liens against KELLY RIDGE - ESTATES UNIT 6 a hereon set forth, or unpaid State, County, Municipal, or localtaxes, or special assessments or yet payable. Taxes or assessments which are a lien but not yet payable, I estimate to he in the amount of $ -e- , SM5 ausE. BX— County Auditor COUNTY SURVEYOR'S CERTIFICATE ' I, Clay Castleberry, County Surveyor of the County of Butte, State of California, do hereby certify that I have examined the final map of KELLY RIDGE ESTATES UNIT 6 and that it is substantially the same as what appears an the Tentative Map an file and any approved alterations; that all the provisions of the Subdivision Map Act of the State of , California and any local ordinances applicable at the time of approval of aaid Tentative Map has been complied with and I am satisfied that the map is technically correct. ///��•.�- ' Clay CaSfLeberry R.C.E. 142 County Surveyor COUNTYCLERR'S CERTIFICATE I do hereby certify that an the !30 day. of -3�A A/. 197 the Butte County Board of Supervisors officially approved the Subdivision Map of KELLY RIDGE ESTATES UNIT 6. The receipt of satisfactory security in the Auditor's estimated amount of $ -D to insure payment of taxes which are a lien but not yet payable was acknowledged. LEAFCREST WAY and LEAFCREST COURT , as show A within the colored borderlines on the'aonexed map and offered for dedication and granted in fee for public use, together with those rights of way and easements described in (1) through (5) of the Ower'. Certificate hereon and offered for dedication to the public, were acceep/p��teddjj an/behalf of nthe public. ' By County Clerk - SUBDIVISION N0.11 L_ KELLY - RIDGE ESTA TESU/V/T 6 A PORTION. OF THE SOUTH HALF OF SEC TION 1 , T. 19 N., R. 4 E., M.D. M., BUTTE COUNTY , CALIFORNIA to ■ OWNER B SUBDIVIDER SOUTHERN CALIFORNIA FINANCIAL CORPORATION 9100 WILSHIRE BLVD, SUITE 1003 BEVERLY HILLS , CALIFORNIA co OCIATES eww.uw. ew.unewiara ao.�eo""oww _ anaee Sheet / of 2 Sheets 6, ... - 1 � • / � / fes. LAKE j� /�� BASIS OF BEAR/NG o pR0y1LlE �� LL.9 �� 4a a 69! ;\\ Es 1>. 99.99919�W97 KELLY RIDGE /3 ' �� , . /I�� ESTATES UNIT 6 /2 o e 9 /5 a aD P�OGB 3 ogs 0 ACREAGES 11, 0 ye PP wr. ao7 9.9fi 4... I' P +•c .eecO a 0.3b 4vu x•{29 :•: //,;, // pAA R /B �I � df� 6291199 .98 Ore - •Nd Sao/e: 1'- 100'. o A/ dpy ° lou 27. n Ors 10 /7 n --- - Iv 0 18 COR96 DATA MDO Q Vii .Opp g + - /S 4`p ebt C 099ve 1)614 / R6eLue La th 1., 5' 55' 26" 258.00 26.68 I 0 L\* B �• _ .� ,•ptr. 2. 20. 06' 51" 342,00 119.86 f\ a 3. 79' 05' 46" 20.00 27.61 d 3 Of • 20 Y / 5. 13' 00' 31" 93.37 66.61 b. i8^ • , 29• Aeo. W 89.0, _ �. \ �1' _ /9 - • 7. W,2' X' 20.00 6.89 2/ ��. - 9. 8. 53. u' 12" b w 51. of 0 S.Yy%y 10. 60' 35' ,N' 50.00 52.68 11. 46' 32' 07' 50.00 40.61 12. 57. 07' 20" 20,00 19.94 1 o•"Q �,22 / a/e \ SYy 13. 14' 17' 28" 120.00 9.93 �d P3 • �� 14. 90. 00. 001• 20.00 31.42 13. 8' 21' 20" .480.00 70.00 . 16.' S' 07' 31" 480.00 42.94 4 / ^` qc. 24 17. 41• 37.' 58" 20.00 16.50 •' G /%- PARCEL A 2. �< 18. 87• u' 19" 50.00 76.15 30\ cc`y, 6 ` y 19. 64' 00' Oil- LOCA l" 50.00 55.65 LOCAT/ON MAP 3� /V� / T $ ,/. _ ^ a/J EytpSE 0 21. 4 -' ,r 9• x. o0 62.74 V //� ` a \ / �� 005 22. 52' 04' SC ed. 00 i 8. t8 - • ♦ r' 3/ „rr:' e 25 _ I al 23. .r .9'-,9• •moo 5?. 36 29 \ Y ; -., Q L .a/e KE��"Y ONj1 • I • PpOEy g d 23. 21' 12• l0" 233.31 90.70 66.36 1- y8 » 26. 86• 22' 44" 20.00 30.15 '�p,e'`' • N • J p0a 27. 9' 28' 06" 342.00 56.52 28 9.1' •>• eov . I 2/] dpP 8 29. 120° 54 ,2' 20.00 9) ]00 27 SUBDIVISION NO._` 426 .,< a • \ ���IIIII� eisl 36 <im aaD o b7 y `. i �1 57 KELLY. RIDGE ESTATES / n i `\ \38 i s e / UN/7- x / /e %�9 �s �� ' ' <- •�/ 6 E5tp1Ey _ KELLY RIDGE / Nwf s0oq •,7 feoes_� A u �,�/��� ' DD e ESTATES UNIT 6 aEELY 01 0 j8 p0 E5 35 s $ v z AS / Ia as \' 40'°«A PORT/ON OF THE SOUTH HALF OF SECTION I T. 19 N., R. 4 E., 4f. D. BUTTE COUNTY , CALIFORNIA LEGEND se of e 5°8' E ip?ES OWNER B Suazyylo£R • t6 ®[ u Seow O 900610 give Is AS 6 SOl/]N£RN CALIFORNIA 13 + romm I/t4^ o ivm rtva ' © Crave 9AIe '� m:t. I. I Sam .<.a. 0062 01!17 PA068 FINANCIAL CORPORATION '� PoII®'f" i@OI PIp[ SAC® eALR1 - LIM E5Tp1E l J 'tea 11 9/00,W/L SN/RE BL Va., $(//7£ /OD3 a.c.1. i,mi 2 9vum4c 9emAm Li16 IvOE • I - `� J S / /\L\' \ .dpP f` � \\ 9 BEVERLY HR.LS , CALIFORNIA a .9.f \`'T irtaSenl ac00y9'��- oaLUAm rumor EL1r ye 7 y6 s \' -�`( • , P.6L2 1991.IC mItlt9 6A96mi - �alT 0 0 •4 fogs /'69 9' ` \ e \ _ CmO1J4�690C1ATHB -O ': 98913'•1 16.::x' GG=7 , -.. t.<.a...`6:Obi :.•'.. .:. caefN Pl[vA26 O1Ird.V 45p®i , I•3L l �1 � T - 1 � . ' ,;A tt d n.R. ovAm9or m v m t9amem.9 P,P P oa cer cm2n'E28a imlmav9 - m""' "•••�•• 6031! caa3p cuenuma s -u 99Aa m r...7omu d - /, / J' a „ Shoot 2 of 2 SAee/s 'w Serving WI LLDA�N Public ies October 27, 2004 Scott Rutherford Butte County Building Department 7 County Center Drive , Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1158 Jurisdiction Job No: 04-2715 Assessor's Parcel No: 069-030-017 Description: Bray Residence Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: # Plans: Two (2) copies sheet 1, dated 09-14-03, signed by Gary Hawkins -architect, two (2). copies sheet 2, dated 08-22-04, signed by Gary Hawkins -architect, two (2) copies sheet 3, dated 09-13-03, signed by Gary Hawkins -architect, two (2) copies sheet 4, dated 10-04-03, signed by Gary Hawkins -architect, two (2) copies sheets 5 through 7 dated 08-21-04, signed by Gary Hawkins -architect, two (2) copies sheets 8 and 9 dated 08-27-04, signed by Gary Hawkins - architect, two (2) copies sheet Dl dated 06-15-04, signed by Gary Hawkins -architect, two (2) copies sheet Dlalt dated 09-09-04, signed by Gary Hawkins -architect, two (2) copies sheet D2 dated 08-05-04, signed by Gary Hawkins -architect. # Structural Calculations: Two (2) copies dated 09-06-04, signed by Gary Hawkins. * Energy Calculations: Two (2) copies dated 09-15-04, signed by Gary Hawkins. # Truss Calculations: Two (2) copies dated 09-08-04, by Longfellow Lumber Co. The plans have been stamped with the Willdan approval stamp and dated the date of this letter.. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. �WILLDAN , Serving Agencies i APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Type of Occupancy Type of Constructio n Sprinklers Stories 1" Floor Sq Ft 2nd Floor Sq Ft Total Sq Ft - Q i - R-3 V -N N/a 2 2179 658 2837 U-1 • V -N N/a 1 506 N/a 506 U-1 V -N N/a 1 520 N/a 520 Deck V -N N/a 1 466 N/a . 466 Porch V -N N/a 1 224 N/a 224 Mech/Stora e V -N N/a 1 355 N/a 355 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as redlined on the plans. 3; All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. See sheets D1, Dlalt. &D2. 4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans to Butte County's satisfaction. Deed restriction may be required. Page 2 of 3 Butte County 1.4353-1158 j A WILLDAN Serving Public Agencies DEFERRED SUBMITTALS Our plan review reveals no deferred 'submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection need§pursuant to CBC 1701. Rick Essenwanger Plans Examiner. CC: Alice Mefford, amefford(a,buttecounty.net Walt Bray 6180 Beckwourth Ct., Oroville, Ca 95966 Gary Hawkins jarvarch@email.msn.com Better Builder Construction 5263 Royal Oaks Dr., Oroville, CA 95966 yT . �k BUTTE COUNTY,,, DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.nehdds PERMIT NO. BP042716 LICENSED CONTRACTORS 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 Issued Date: 11/08/2004 APN: 069-030-017-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 6180 BECKWOURTH WAY ORO Date: Contractor: Map Index: Description: NSF(2837)GAR(1026)COV(690) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BRAY WALTER T & MARILYN A FAMILY permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a TRUST signed statement that he or she is licensed pursuant to the provisions of BRAY WALTER T TRUSTEE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 7372 VIA MONTECITOS she is exempt therefrom and the basis for the alleged exemption. Any SAN JOSE, CA 95135-1342 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BRAY WALTER T & MARILYN A FAMILY owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, TRUST provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: BETTER BUILDERS CONSTRUCTION INC ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 5263 ROYAL OAKS DRIVE OROVILLE, CA 95966 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 License #: 323225 Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: HAWKINS, GARY insurance carrier and policy number are: Engineer: Carrier: Sl- P. r.,J Policy #: ❑ I certify that in the performance of the work for which this permit is Total Square Ft: 4553 S.F. issued, I shall not employ any person in any manner so as to Valuation: $220,069.00 become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' Census Code: compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: //- 8 -Q `l Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Af nray4s,1 CONSTRUCTION LENDING AGENCY This permit is hereby issued undK the applicable provisions of the Butte County Code anrver I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio s to do work igdica d a ove for which fees have been paid. Name: Date: B / Fr PERMIT EXPIRES ON: (/� - (I s 1S Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure es. �+� Print Name: J eJ TiA1?A Signature: Date: ❑ Owner Contractor ❑ Agent for Owner O Agent for Contractor r 616(� Few $ -3f4/. � l BUTTE COUNTY VvC-1 9,0A, DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" 13 `i g63.6S APPLICANT NAME OWNER Last Name irst Name 1 a Address te1160 ek , City u State. ZPS ca Phone Fax E-mail � CSU APPLICANT NAME CONTRACTOR Nameuc/ieJ - !2 e LR n Address S 3 Zip City �b q bf( State y, C4kk Zip 9S94C4 pro // Zip Phone � CSU Phone -.259y' Fax -'2 9 Y.? E-mail Lic.# Cla% 1 9.2S APPLICANT NAME ARCHITEC ENGINEER Name --4PWr - Z2 A-A-SAdA::�2 Zip Address �b q bf( City6 (_0 State 614 Zip Phone � CSU Fax 8 3 -OS 3 a E-mail Y S State License Nuumber8 / 3 t0 APPLICANT NAME Name w,rrt Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X ��i ��" -JL— I For offic use only: Zoning Property Address U ckwoaxlk Flood Zone Cross Street P6 �s+Ks SRA es No Occ. Type Const. VN Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT 0q'2915 BP LOCATION AP# Property Address U ckwoaxlk City 04001fit Cross Street P6 �s+Ks WORKER'S COMPENSATION Policy Number - - Carrier Jr& Ac A_J If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name 10yQNs ' Address Description or Scope of Work: By 11 WIN 0111081 R ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR SUBMITTAL REQUIREMENTS LL K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Received by: Amount: B dg Se�r<"� Receipt #.412-4 S:. 5 c Q Gu �7 / (( Sheriff dL� �T ` L IU � ri, _ G SMIP Date: �/' � C,/''�Other j 1.17' –3. &-)Potal REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy, compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent -for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after•Plan Check and Planning review (May require additional plan review, upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Keiunds can.oniy be made upon written -request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits 'not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 Butte County Department of Development Serviceso�03TTFo , YVONNE CHRISTOPHER, DIRECTOR G �� a 7 County Center Drive c =o Oroville, CA 95965 �+ y (530) 538-7601 Telephone OUR (530) 538.7785 Facsimile TO: WILLDAN FROM: Scott Rutherford (530) 538-7160 -' srutherford Wbuttecounty.net' 1 SUBJECT: Plans Transmittal For Review Per Contract O DATE: ,9/16/2004 Applicant: Bra ,:Walt Permit 04-2715 Project Type: NSF/Gar/Cov' APN: 069-030-017 100% 70% Plan Check Fees .$ 1,376.64. $ 963.65 $ 1,376.64 $ 963.65 WILLDAN Fee $ `963.65 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: (�7Ia, �_�%%��I ASSESSOR PARCEL NUMBER (_ ) G/ - �. )-/_1 r2 Proposed Building Use: ��/,�� Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. t0' 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. "O 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! 5. Letter from Engineer or Architect for truss design review. OM 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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 114. Hazardous Material Form 5. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ ' 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ Erosion Control Plan Required........................................................................ ........ 21. ees as shown on the attached Schedule of Fees Due Sheet., 0 22. City of Chico Plumbing permit......................................................... ' 23. California Department of Forestry plan approval Paid. Sent by: ............. 24. Planning approval (A) Use: 0�_ (B)Parking: (C) Parcel Check: t0=0 ❑ 25. Contact Land Development 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 .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... O 32. Letter of Signature authorization....................:.................:............................. g. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone < _/ and hold for pickup. I have been ilaformed of the above items and requirements for obtaining a building permit. Applicant: '1� Date: 9 - / / - G V 1. Index permit application for the, bove items numbered: Plan Check Letter 2. Additional items req l ifed I 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: 1 11 Date Structural reviewed by: Date: Structural approved by: i Date: Note transfer by: Date: Yellow: Building Division 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 PAT. # - C PROPROSED BUILD G USE �J DATE ' v RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee....' $ 2. SCHOOL DISTRICT FEES Qjld aid at School District Office) (form available after Plan Check) SHERIFF FEES (paid at Building Division) ` Residential............ X 360.00 $ Units Commercial (sq. ftg.)..... -,-X$0.03 = $ Sq.Ftg. H iz4s n2sLS'�7� 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)...:. X # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Fig. Amt. i ,: 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PL CHECK FEE $ (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC_PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. VSn Commercial (sq. ft X = $ _ Sq. Fig. 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 da ing the plan checking process. APPLICANT . '14A� J DATE Pursuant to Government Code`5ecti6n 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 DivisionYellow-Applicant Pink -Owner (rev. 2/2003) De artment.of Public Works wTrF p W. ?0 C o u n t y o f B u t t e 1 0. C LAND DEVELOPMENT DIVISION o ° J. Michael Crump, Director Storm Water Management. Program \O C 7 County Center Drive C'0 u Nay Oroville, CA 95965 A�ettC WQIF' '(530) 538-7266 (FAX) 538 2171 National Pollutant' Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement'.LLESS THAN 1 ACREI Project Description: IT"`'`L Q • / �S a Project Location and/or Parcel Number:r �o �' (J< �) "� By signing below, I, the project' owner/owner'4s. agent, certify that this project WILL NOT DISTURB I acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality ControlBoard for. a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: ' Title: D Date: Less than I Acne NPDES & SWPPP Compliance Certification Rune Countv Storm Water Management Program AND WHEN RECORDED'MAIL TO: BUTTE COUNTRY BUILDING DIVISION 7 COUNTRY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 14 -Sep -2004 2004-0056660 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.of the Butte County Code required this acknowledgement to be recorded prior to issuance of a building permit. f11 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 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: PARCEL l: LO'r'19, AS SHOWN ON THATCERTAIN MAP EN'I'I`fLED, "KELLY RIDGE ESTATES SUBDIVISION UNIT No. 6", WHICH MAP WAS RECORDED IN THE OFFICE OF -THE RECORDER OF THE COUNTY OF BUTTE„ STATE OF CALIFORNIA, ON FEBRUARY 6, 1979, IN BOOK 66 OF MAPS, AT PAGES) 61 AND 62. PARCEL 11: AN EASEMENT I -OR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER, ACROSS AND UNDER A STRIP OF LAND THE UNIFORM WIDTH OF "TWENTY FEET LYING SOUTHEASTERLY OF, ADJACENT TO AND PARALLEL WITH THE NORTHWESTERLY BOUNDARY LINE OF LOTS 20 AND 21, AS SHOWN ON THAT CERTAIN MAI' ENTITLED "KELLY RIDGE ESTATES SUBDIVISION UNIT 6", WHICH MAP WAS RECORDED IN "THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 6, 1979, IN BOOK 66 OF MAPS, AT PAGE(S) 61 AND 62. r / Date 7 1 % PROPERTY OWNERS: ` Walter T. Bra State of California c, ) County of, BAJTTE •_�•� `- G�c '- ) ),Q,CH_ before me, �jut'r personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names(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) acted, executed the instrument. WITNESS my hand and official seal. Signature1�1C.L'X- A.P.n . 069-030-017 f . L"'h�Clcv A"avn�.A. 11 Seal: NICOLE BROWN Commission # 1442303 Notary Public - California s;. Santa Cara County My Corrin Expires Sep 28, 2007 , PERMIT NO.: 72-0.4 :Lake .Oroville Area Public UtilityDistrict 1960 Elgin Street OROVILLE,, CALIFORNIA 95966 533-2000 ' DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or, occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte'County. . Date: September .14 , 2004, Applicant: WALT BRAY (Better' Builders Constr: ) Applicant Address: 5253 Royal Oaks Drive Applicant Phone No.: 589-2574 Property Locations(s): 6180 Beckwourth Way Kelly Ridge Estates - Unit 6 - Lot 17 A.P..No.(s): 69-03-17 Fees due: All fees paid Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and. successful test(s) observed: Location: By: Lake Oroville Area Public Utility District release to close permit:. Date: By: Date:_ AND WHEN RECORDED MAIL TO:.4 ` BUTTE COUNTRY BUILDING DIVISION 7 COUNTRY CENTER DRIVE OROVILLE, CA 95965 2004-0056660 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03;37PM 14 -Sep -2004 REG FEE 7.00 CONFORM 1.00 CONFORM 1.00 Myles Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT , Section 26-8 of the Butte County Code required this acknowledgement 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 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: PARCEL 1: LOT 19, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES SUBDIVISION UNIT No. 6", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE„ STATE OF CALIFORNIA, ON FEBRUARY 6, 1979, IN BOOK 66 OF MAPS, AT PAGES) 61 AND 62. PARCEL II: AN EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES OVER, ACROSS AND UNDER A STRIP OF LAND THE UNIFORM WIDTH OF TWENTY FEET LYING . SOUTHEASTERLY OF, ADJACENT TO AND PARALLEL WITH THE NORTHWESTERLY BOUNDARY LINE OF LOTS 20 AND 21, AS SHOWN ON THAT CERTAIN MAP ENTITLED "KELLY RIDGE, ESTATES SUBDIVISION UNIT 6", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE; STATE OF CALIFORNIA, ON FEBRUARY 6, 1979, IN BOOK 66 OF MAPS, AT PAGE(S) 61 AND 62. Date V7 1 PROPERTY OWNERS: Walter T. Bray State of California County of BU-T-TEe- ) before me, personally appeared Q�e�r - CJI GJ�� ' personally known to me (or proved to me on.the basis of satisfactory evidence) to be the person(s) whose names(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) acted, executed the instrument. WITNESS my hand and official seal. Signature-V-�I1 CJy l�C- { Seal A.P.# 069-030-01.7 ' �� NICOLE BROWN Commission # 1442303. Notary Public - California M rna Santa Clara Count NfyCornm. ExpkssSep213 2007 ' �� NICOLE BROWN Commission # 1442303. Notary Public - California M BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District L- E Building Department No. A.P. Number Qtof? - 030.O Jurisdiction: city E=ElCounty ll— Property Owner _BRA - Property Location/Address 6160 Subdivision Lot No. District Identification, No. -C- vv, School District certifies that rr (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ (0,3s-( representing 2 A 3 7— square feet. 2926 rT FULLLLL L MmGATION L( School Distric0evresentative Date Paid by Check # Remarks: 0 C( 0 ,'3 k -7 C No You may protest the Imposition of the fen Identified above by submitting a written protest to the District, in compliance with Gov arnment Code Section 66020(a), within W days from the date few are paid. Failure to submit atImely written protest will'prohlbit you from ch@IWVlng the Imposition of the fen In any court action. ff, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certlftatlon Form, the School District Is at!" by the applicable Local Planning Agency UW this project Is being reviewed under the Callfomia Environmental Quality Act (CEQA), this project may be subject to additional school fen to fully nftate. he Inqxict on the school dWbftft sdxmk. White (applicant), Yellow (building department), Pink (school district) feeformads (t0/03)dmm