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069-210-020
NOTES Lp?T4 p R I o2- -ro SNEET20c-rc. — bl" Loc-,f- Lo t C.c_ u E SV26ctj_5 i0 i AjT-4 _C_ %t [ C V&tn ` Address OIi. fo C-0 JeA,- 12..13-6S GAS • %)4 Meter By - Date ELECTRIC )� 'c, or -if Meter By. f 10' x prs �GSI� S1�L �� ,f ,e eel 4,j xoz dal r y r tet{ RESIDENTIAL x069 -210-U20 03-0232 PERMIT NO, SEGURA, ROWER'() (.) ql—LODGEVii W, ORO`✓ILLE COnt: OWNF?I:. NEW SINGLY' ":AiNITLY SPECIAL CONDITIONS CHECKED ' BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB'STANDARD HOUSING LETTER II Ile0 c� - iLE« y ,zl oc"F II OFFICE COPY mer Address GAS • %)4 Meter By - Date ELECTRIC )) Meter By. Datel��L JOB FINALED (Date) 1-7to� ryi , Signature Insulation Certificate . J t? RITaDING OWNER / c o�`rfo Jecv� v�"bG BUIUING PERMIT ,U P05D2 32 BUILDING LOCATION: `!7l Y - Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING Z� Batt or Blanket Type Brand Name 'Ihiclrness (iches) 'f n Thermal Resistance_(R-Value)- Loose Fill TypeBrand Name Contractor's minimum installed weight/ft lb Minimum thickness inches weight . Manufacturer's installed wei t pe r square foot to acheive Thermal Resistance (R -Value) EXTERIOR- WALL I �(R BrandName1Thickness (inchesThermal Resistance RAISED FLOOR Material Thickness (inches) /!r SLAB FLOOR Material Thickness (inches) Width (inches) Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) - FOUNDATION WALL Brand Name Material (inches) � _,rmal Resistance (R -Value) Thi Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) License Number amre and Title Date St ub-C actor (Insulation Installer) License Number /�- ©� gnature and Title Date THIS CERTIFICATE MUST .BE PROVIDED HN SING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POS JANUARY 1993 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING April 14, 2005 Roberto Segura 2100 Elliot Drive American Canyon, CA 94503 Subject: Building Permit— 05-0232 (New Single Family); APN: 069-210-020 Dear Mr. Segura: The Butte County. Department of Development Services, Planning Division, has reviewed the submitted application. The home site location indicated on your site plans does not conform to the limitations of this specific parcel. Specifically, a ten (10) foot. drainage easement exists on the west property line. This is indicated on the map (Kelly Ridge Estates Unit 3, 43 M.O.R. 44/48). You site plan must conform to the limitations of this map before it will be approved. Please adjust your site plan and then resubmit to this division. Should you have any questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. Sin rely, Stephen Stree er Planning Manager J=OK 0 = Not OK + = NotReadyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Electricity; MH Test - 4. Water; Location -Test -Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Gas and Electricity Tagged 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG 10. 7. Well Clearance & Disconnect Verify #'s with Office 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Date 2. Card B-1 Date Card B-1 Date Pool Structure; Steel -Connections -Thickness Dead Men -Lining Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Elec.; Pool Lighting; 15 Volts-GFI 1. Zoning Requirements -Setbacks -Easements Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 2. Footings; Size -Spacing -Marriage Line 9. 3. Gas; MH Test -Demand -Valve -Connector Plumb.; Cir. Test -Water Supply Test 4. Electricity; MH Test -Crossovers -Breakers -Clearances 12. 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 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 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 UNDERFLOOR (Pla s) OK except #'s 441,. Z in -Set cks-Easements-Flood-Slope . Card B-1 Date Card B-1 2. Uk Matin; s EI . Gr .-/ /" Depth /! 3. ., Garage; S s -Ste lett d.-/ /" g. Depth ater Htr.; Vent -Access -Combustion Air Baffle er Pipe; Test & Anchor -Nail Protection 40 D.W.V.; Test Fittings & Anchor -Nail Protection 4. Ftg., P .hes & Decks; Soils -Steel-/ /" . Depth IJ /r 5. 6. St walls, Main; Steel -Blockouts-Wr ped Ste s, Garage; St lockouts -Wrapped Gas Pipe; Sixe & Anchors a. 7. owns nd Special Anchors Slab,Steel-Wrapped Il 8. s=Fire lace Ft .-Steel Fall -Fitting -Test -2 Way C/O -Sewer Test / 10. 11. 12. Gas Pipe; Size Anchors -Yard Gas PiWpg1gize Test ater Pipe; Test -Anchors -Regulator -Service Test Electric Underground Date 13. 'hums & Ducts; Clearance -Material -Support -Ins. fixture & Transformer Clearance -Ins. Protection ja'edroom Exiting Gi ers-Sills-Anchor Bolts-Joists-Vents-Crippies 1 . Access & Ventilation Date FRAMING (Permit) OK except #'s ills Proper Materials & Anchors ails Studs -Nailing Spacing & Braces -Plates -Sound 4 Baring Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 4 re Stops, Furred Ceilings -Stairs -Chasers -Tubs 4q.,Waders & Beams -Size & Bearing Date �4 . r g. Joist-Rftr. Ties- Purlir(Roff Br®,e.-Truss= hting.-Rtng. Fireplace Ties or Type A Flue F replace Throat Clearance Ic Access; Size & Romex Protection -Draft Stop -Ins. Baffles *lr.'- Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Garaae Fire Protection Framina-RC Channel -53. 16. Insulation xt. Doors -One 3' Check Garage 3rd Story, 2 Exits Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUM G (Permit) OK except #'s it a ater Htr.; Vent -Access -Combustion Air Baffle er Pipe; Test & Anchor -Nail Protection 40 D.W.V.; Test Fittings & Anchor -Nail Protection 59. 0 Shower Pan; Test, First Floor -Tub Access 60. T st Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors 62. 23. Fire Sprinkler; Test 63. Infiltration -Walls -Windows Dateq-1 - O S Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Smoke Detector Vents -clearance -Comb, Air -Connector - n FnGarage; Above Floor-Ducts-Mech. Protection fixture & Transformer Clearance -Ins. Protection ja'edroom Exiting Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled 27. Aomex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech Fasteners -Bond Gas & Water 20o,12 -Appliance Circuits in Kitchen & Conductor Size GFI Q0r3ubfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 3]-4Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral des ❑ No 82 --Service- Riser Conductors & Ground Main Disconnect ui . Clearances Panels-Motors-Mech. Equip. othes Closet Light -Shower Light -Spa Light woke Detector Date g l- O S Card B-1 QyrQp S- Date Card B-1 Date Card B-1 Date Card B-1 Date ME A CAL (Permit) OK except #'s C. Ducts Insulation & Support Vent Fan, Exhaust above insulation 3J8,.Gmdensate Drain & Overflow, Size & Grade 39-%'u—rnace-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 49-1�tf-ic Access & Platform if Furnace in Attic Date? -/-OS- Card B-1 S Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s ills Proper Materials & Anchors ails Studs -Nailing Spacing & Braces -Plates -Sound 4 Baring Walls over Girders & Floor Nailing 4 raft Stop in Walls (rat proof) 4 re Stops, Furred Ceilings -Stairs -Chasers -Tubs 4q.,Waders & Beams -Size & Bearing Date �4 . r g. Joist-Rftr. Ties- Purlir(Roff Br®,e.-Truss= hting.-Rtng. Fireplace Ties or Type A Flue F replace Throat Clearance Ic Access; Size & Romex Protection -Draft Stop -Ins. Baffles *lr.'- Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions Garaae Fire Protection Framina-RC Channel -53. Property Line Firewall & Openings xt. Doors -One 3' Check Garage 3rd Story, 2 Exits 55. S ' s; Width -Headroom -Rise -Run -Landing -Fire Protection lywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 8 (g "S—Stucco Mesh -Drip creed -Fd. Vents-Underflr. Access < 59. Glazing Area ss Protection -Skylights -Plastic 60. S ear Walls ailing -Bolts Brac IrQFjq xterior Wall Panels 62. Insulatio Walls -Ceilings 63. Infiltration -Walls -Windows Date -1 _(, �S Card B-1 S , Date , 6-055— Card B-1 Date -C),!9— Card B S . Date Card B-1 Date FINA ans) OK except #'s t. Steps -Door & Sidelight Protection -Landings 6.ace Smoke Detector Vents -clearance -Comb, Air -Connector - n FnGarage; Above Floor-Ducts-Mech. Protection ja'edroom Exiting �$! ..I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels firs & Rails _ ireplace or Stove, Clearance -Hearth W. 54ec utlets at Wood Panel, Int. & Ext. . Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance EJec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure �CrX.C. Duct in Garaae-Damoer 1W Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection Ib.; Elec. & Mech. Equip. Listed for Location I . Receptacles in Garage (F.F.I.)-Romex Protection lation- Foam- Looked in Attic W. uard Rails & Deck Construction -Post Caps 8Y Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth learance Looked under Floor ❑ Yes �. 5VOIowin Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No W/ttucco Brown -Finish -/.C. Unit Disconnect, Electrical -Plumbing K. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. ter Well, Disconnect, Electrical, Plumbing terior Elec. Trim, G.F.I. Receptacle -Underground ntilation Throughout House ass Protection Corrections from Previous Inspections 92. T t -Meters Tagged, Gas -Electric e iJoire ater & Sewer Connected -C/O to Grade -HD Approval phergy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date ! Card B 1 Date Card B-1 Date Card B-1djN Date Card B-1 Date Card B Date Card B-1 Comments at Final: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPOS0232 D. c. DJuhn ream, , 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: 04/26/2005 APN: 069-210-020-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 489 LODGEVIEW ORO Date: Contractor: Map Index: Description: NSF (1834), GAR (576), COV (114) 'OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the - Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter. Improve, demolish, or repair any structure, prior Owner: SEGURA, ROBERTO to its issuance, also requires the applicant for such permit to rile a 2100 ELLIOTT DRIVE signed statement that he or she is licensed pursuant to the provisions of AMERICAN CANYON, CA the Contractors Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 94503 she Is exempt therefrom and the basis for the alleged exemption. Any (707)557-7113 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than rive hundred dollars ($500).): 01 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 Applicant: SEGURA, ROBERTO Code: The Contractors' State License Law does not apply to an owner of properly who builds or improves thereon, and who does 2100 ELLIOTT DRIVE such work himself or herself or through his or her own employees, AMERICAN CANYON, CA provided that such improvements- are not Intended or offered for 94503 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (707)557-7113 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' Slate License Law does Contractor: not apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Slate License Law.). ❑ 1 am Exemptunder Article 3 of the Business and Professions Code Date: Owner: G 'License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally 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 Architect: Is Issued. Engineer: C3 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 insurance carrier and policy number are: Carrier: Total Square Ft:- 2566 S.F. Policy If: Valuation: $137,588.00 Census Code: I certify that in the performance of the work for which this permit Is issued, I shall not employ any personany manner as to become subject to the workers' compensation laws of California,l % `� •� -/f(/� 5 � � 411 and agree that If I should become subject to the workers'P compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply witt�hj those provisions. ! o J J Date: Applicant:'�a�-r Is-`� WARNING: Fallure to secure workers' compensation coverage 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. CONSTRUCTION LENDING AGENCY This permit,ls hereby Issued under the applicable provlslons-of the Butte County Code and/or- I hereby affirm that there Is a construction lending agency for the Resolut to o work Ind ated bo for Which fees have been paid. �. •• r performance of the work for which this permit Is Issued (Sec 3097 Civ.) By: Date: r Name: PERMIT EXPIRES ON: Address: (Dai ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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 slate laws relating to building construction. I acknowledge It Is unlawful to alter th6 substance of any official form or document of Butte County. I hereby authorize representatives of Butte Countytoenter upon the above mentioned property for inspection purposes. Print Name: tOPY(1 f v�'���i Signature: Date: as ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor Ir.nn,...i D. c. DJuhn ream, , 6C 4 �17f'3r 93 BUTTE MUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 5r) OFFICE #: (530) 538-7541 I A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 111 `J Website: www.buttecounty.net/dds 1 "PLEASE PRINT CLEARLY" APPLICANT NAME OWNER Name Last Name S irst Name Address 61)0 r State City Phone State a C Zip Phon %D _ 7—:2:':113 Fax E-mail APPLICANT NAME CONTRACTOR Name City � /� Address Zip City Fax State Zip Phone Lot # Fax E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City � /� Address Zip City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT NAME Name 6C 64 Le� r� Address City � /� State C' Zip Phon D Y Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning I RT— / Flood Zone Cross Street SRA K Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP2 2 BIN t J v� LOCATION AP# 06 2/0 ©ZO Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier 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 Address OVER FOR SUBMITTAL REQUIREMENTS \K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of Description or Scope of Work: �7G- Sq. Footage ❑ Structure Built without Permits ❑ 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. S7 Received by: Amount: /1/3 Bldg CC ZDV 98 - SRA Receipt �� (� � � , / Sheriff 1� =SMIP Date 1j16 / rz� 1 6_5"�' TDotal I I oFv 7_')7_1)n 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 IN 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 faxes! ❑ 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.- ees.❑ 0 3. California Department of Forestry plan approval (if required).. - ❑ 4. NPDES Form. e ❑ 5. ccupancy)..❑ Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy)..- El 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 Refunds can only 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 KIFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 0 Applicant: ' Segura, Roberto Permit No: 05-0232 Project Type: NSF/Gar/Cov APN: 069-210-020 100% 70% Plan Check Fees $ 1,113.57 $ 779.50 $ 1,113.57 $ 779.50 WILLDAN Fee $ 779.50 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 Butte County Department of Development Services �vTtF YVONNE CHRISTOPHER, DIRECTOR °° i�°° N ° ° 7 County Center Drive ° = �;�=.. ° ° Oroville, CA 95965° COU M (530) 538-7601 Telephone N'�y (530) 538-7785 Facsimile N , O TO: WILLDAN ' FROM: Scott Rutherford (530) 538-7160 �� � srutherford abbuttecountv.net L■ /l B SUBJECT: Plans Transmittal For Review Per Contract O I< DATE: 2/4/2005 Applicant: ' Segura, Roberto Permit No: 05-0232 Project Type: NSF/Gar/Cov APN: 069-210-020 100% 70% Plan Check Fees $ 1,113.57 $ 779.50 $ 1,113.57 $ 779.50 WILLDAN Fee $ 779.50 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 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: ��� VA* i 7<�4) /> "ZTDASSESSOR PARCEL NUMBER dG Proposed Building Use: A) S %/ Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �\0 ri 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. N 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. fN 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ I 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 ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. 16. Other i e:2Z,r,e n� -Uii 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 ........................................... ........ 0. Erosion Control Plan Required........................................................................�L .... 21 Fees as shown on the attached Schedule of Fees Due Sheet .............................. L21 22. City of Chico Plumbing permit........................................................................ 23. California Department of Forestry plan approval Tanning approval (A) Use: C (B)Parking: (C) Parcel Check: I a _0 \ 0 25. Contact Land Development about _ Improvements, _ Drainage ......................... `9 26. NPDES Form....................................................................... _................. \ C ncroachment Permit for driveway from the Public Works Dept ... �.��......, ❑ 2rPPre-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) ..................... cot 32. Letter of Signature 33�authorization..................... .............................................. (tecorded copy of Agricultural Acknowledgment Statement ................................. 34. Manufactured home utility, clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... \ ❑ 36. Deed Restriction...�...--��.F.�,f .vn�,�Fh./?.................... 37. 9 GraDl-ge ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other ❑ 39. Other: When issued Telephone'1,4 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: &A5._P1 - Date:0�- 1. Index permit application for the above i ems. numbered: Plan Check Letter 2. Additional items re . _ Contractor, designer owner as advised of the above data by ❑ phone, ❑ mail, Vcounter, by ate: 15 OS Contractor, designer, ner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed bv: Date: Structural approved by: Date: Note transfer by: Q 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 ��?/l0k-4 A.P. it 00 d >16 PROPROSED BUILDING USE DATE _/'-6> 3 � RECEIPT # DATE REC. "IB C/ DING PERMIT FEES � 670 '% /rt — *9637� I,� --- Balance Due ..................... $ (7 / --- Additional Fees Due........... $ --- vised Plan Checking Fee.... $ 5P. SCHOOL DISTRICT FEES &j 2-0 V)b .� VA"a>v 116 ZSHERIFF at School District Office) (form available after Plan Check) FEES (paid at Building Division) l! Residential............ _� X $360.00 =$ 3,60 3i Units Commercial (sq. ftg.)..... Sq.Ftg. 4. URBAN AREA FEES X $0.03 = $ (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Co cial (Sq. Ftg.).... X = $ Sq. Fig. G� Amt. e 5. RECREATION DISTRICT FEES / C-�^� �' �''�- RW6a /�-Z (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $5 0 (paid at Building Division) 5_k7. SRA FIRE INSPECTION AND PLAN CHECK FEE 4�id at Building Division) c� ^ q 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) i* - 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq.IIFtgg.�. q Amit. A-_ �10.THER 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. APPLICANT4" DATE ©S 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) 5 A"bUc Wc¢� Department J. Michael Crump, Director Public Works LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan-(SWPPP) Acknowledgement jLESS THAN 1 ACRE 1 - Project Description: N5 r Project Location and/or Parcel Number-: -- By signing below, I, the p>=oject=owner/owv er's` agent; certify--that-thi-s�profect=WILL NOT DISTURB acre'or more of need toyappy�aCi7sxon=Storm.Water Permit from d�Pk�a the- State of California= Regional Water Quality �Corioltivsed projects that contain multiple site build -outs sof less thanonez:acre_.butl when. combined with-z.subs-equent phases --total more. than one -acre of disturbed soil will require 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 Control Board 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: Acm- A- Lo�//l/L/T — Date: &Z — l — ©,S" Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 orderxo. 00220121-001 E�Im01S--goG511IErb E&4% Recorded Official Records CountyOff CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 31 -Jan -2005 REC FEE 10.1 TAX 82.; Jason Paye 1 of 2 THIS LINE FOR RECORDER'S USE Parcel No. 069-210-020 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 82.50 ❑ City/Town of 0 computed on full value of interest or property conveyed, or 0 Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, First Federal Properties, Inc. a Nevada corporation hereby GRANT(s) to Roberto Segura Uribe, a married man the following real property in the ❑ City of 0 Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF First Federal Properties, Inc. a Nevada corporation y: Paul sident Document Date: January 27, 2005 State of California County of Butte SS. On January 27, 2005 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared _Paul Savage Personally known to me (orp FOR NOTARY SEAL OR STAMP ovkhmee) to be the person(sy whose name(4 is/a)6 subscribed to the within instrument and acknowledged to me that he/s"ey executed the same in hish/ Veir authorized capacity(ig§), and that by hisiUr/tIpir signaturegl) on the instrument the personfs), or the entity upon behalf of which the person(A) ac d, executed the instrument. GAYLA WILDER U COMM. * 1399916 WITNESS myhha7ndtrial seal. • '*4► � NOTARY PUBUC-CAUFORNIABU1TE COUMY FR COAeM. D(P. FFB. 22.2007 tueu rev-cterrtucurc rn . c- — e+,,..,e a' RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Nome Roberto Segura Uribe street Add Address 2100 Elliott Drive American Canyon, Ca. 94503 city, state Zip 6 orderxo. 00220121-001 E�Im01S--goG511IErb E&4% Recorded Official Records CountyOff CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 31 -Jan -2005 REC FEE 10.1 TAX 82.; Jason Paye 1 of 2 THIS LINE FOR RECORDER'S USE Parcel No. 069-210-020 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 82.50 ❑ City/Town of 0 computed on full value of interest or property conveyed, or 0 Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, First Federal Properties, Inc. a Nevada corporation hereby GRANT(s) to Roberto Segura Uribe, a married man the following real property in the ❑ City of 0 Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF First Federal Properties, Inc. a Nevada corporation y: Paul sident Document Date: January 27, 2005 State of California County of Butte SS. On January 27, 2005 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared _Paul Savage Personally known to me (orp FOR NOTARY SEAL OR STAMP ovkhmee) to be the person(sy whose name(4 is/a)6 subscribed to the within instrument and acknowledged to me that he/s"ey executed the same in hish/ Veir authorized capacity(ig§), and that by hisiUr/tIpir signaturegl) on the instrument the personfs), or the entity upon behalf of which the person(A) ac d, executed the instrument. GAYLA WILDER U COMM. * 1399916 WITNESS myhha7ndtrial seal. • '*4► � NOTARY PUBUC-CAUFORNIABU1TE COUMY FR COAeM. D(P. FFB. 22.2007 tueu rev-cterrtucurc rn . c- — e+,,..,e Order No. 00220121-00 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 84, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 39, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 26, 1974, IN BOOK 43 OF MAPS, AT PAGES 44, 45, 46 47 AND 48. AP NO. 069-210-020 I Roberto Segura Uribe give permission to Gerardo Segura to get all permits for any of my properties or projects. o b - PERMIT NO.: 5-05 Lake Oroville Area Public Utility. District 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: -,-..February 1, 2005 Applicant: Roberto Segura (Gerardo Segura) Applicant Address: 210.0 Elliott Dr. American Canyon, CA Applicant Phone No.: (.707-644-8827) Property Locations(s): 489 Lodgeview Drive Oroville CA 95966 KRE Unit 3 Lot 84 A. P. No.(s): 069-210-020 Fees due: $1,690 LOAPUD Capacity Charge, $1,277 SC -OR RFC Application for service approved - I AR O OVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: By: Lake Oroville Area Public Utility District release to close permit: Date: By: 069 -2-Id `C9 2-0 ,�;,po5-023Z �. w�. b,�',�c�:,K=c-, �!ecwG.fS`, �.._.fi ��+ur._...c,..y%�:•aa ��s �N� . 3c.�t^as Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building pernlit will be issued until this verification is received. 1. I personally plan to provide the major labor and material for construction of this proposed property improvement: YES ,/ NO [ ]. 2. I HAVE J,-, AVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the.following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code.' This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION' BUILDING' GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538.2140 Facsimile ,rrj .skT4".e� aaI+v:s*e. � a .�;� r.�.r.,,.na �^.T.rs',h?c�t+f�x,..k... �`5 � �.xtt�� k:•- E.. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o if you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific -information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. cerely, Mic el C. Vieir C.B.O. M ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. J BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Numb (s) —����'� Building Permit Number �0-�CD Property Owner (s Project Location /Address Subdivision Name New Development Dm 01 t�e Assessable Sq. Ftge Type of Residential Development (check one) Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement verified by Assessor Department Demo Permit (date issued ) verified by Building Department Comments: 4.1 4_� ild g Department Representati Date . ❑ FRRPD 0 CARD 0 PRPD ❑ DRPD certifies that: �7&7 5,57- -1r /5 Applicant Nami —Phone–Number $! Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: Recreation and Park Distri K:\FORMS\BUILDING FORMS\park-rec standard form rev Ldoc per unit for a total of $ 40-6 .6& per sq foot for a total of $ Receipt No: i& 1-1410 . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM, (-One form per Building) 1 School District On u 1 { VC. �X�� ' ' Building Department No. A.P. Number C� C09��l 0 "– Jurisdiction: City County Property Owner _ I Property Location/Address I ` Subdivision Lot No. ...................._..._..._.................._............................................., Residential Development Q Q Sq. Footage ile Home Addition) *Supplemental to No of ng Mob(Group R) Units Installation Conversion Permit # *(No foundation inspection) Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Q Sq. Footage New n (Including Exterior _A" F Roofed Areas) 4t4& . 0 ,o� wilding Department Representative j I Date District Identification No.. School District certifies that p'Q ,P—V- to S� q Lr C, (Appli nt) (Street Address) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. O 3��� — _ by payment of $ L{ ( 0 g representing square feet. 2928 i FULL MMGATION $ rte_ „r•e �'Y�.�1-.�LA.SI 4-�--0 5 School District gepresentative Date Paid by Check X Remarks: (3 to O '3—'cs S l , NoNcs: You may protest the Imposition of the fess identified above by subnd ting a written protest to the District, In compllancs with Govanmerrt Code Section 66020(a), wltldn 90 days from the dab fees aA pald. Faliure to submit a limey written protest wig'pmhiblt f you from challenging the Imposition of the fees In any court action. y If, subsequent to the School Dlstrict.Rspreserdstivs signing this Butts County Schools Impact Fee Certification Form, the school District Is Win by the spplitable Local Planning Agency that this project Is being rwlerwd underthe California Environ mwdal Qusilly Act (CEGA� this project may be subject to additional school feu to fully mitigate.lts Impact on the school dlsblelle schools. White (applicant), Yellow (building department), Pink (school district) feeform.xts 110/03)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2005-00224 1 5 Recorded I Official Records 1 Countyy Of I BUT 1 CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Andrevi 11:53AM 2$ -Apr -M5 I page 1 of 3 REC FEE CONFORM 13. en0 1. ®a 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 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: Date' — /'9-05 PROPERTY OWNERS: State of California ) County of ti�� ) On ( [(I `/ S before me, 0 k's of �t-t-- personally appeared J (—Q'� S , l ( ptI.y knewn4emv (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) acte , xecuted he instrume t. WITNESS my h ld nd official deal., Signature \ Seal: AMIT NISCHAL Commission # 1373553 Z Z` - : Notary Public - California z CJ�d My comm. Expires Sep 8, 2006 r 3 d Z . ® a A.P. # Na., -,;i County IL s RECORDING REQUESTED BY Bidwell Title & Escrow Company American Canyon, Ca. 94503 City, sate Zip Oder No. 00220121-001 �0C_n5-992110110564 Recorded Official Records CoOf BUTT CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AN 31—Jan-2005 REC FEE 10.1 TAX 82.; Jason Page 1 of 2 THIS LINE FOR RECORDER'S USE Parcel No. 069-210-020 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 82.50 ❑ City/Town of R1 computed on full value of interest or property conveyed, or ® Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, First Federal Properties, Inc. a Nevada corporation hereby GRANT(s) to Roberto Segura Uribe, a married man the following real property in, the ❑ City of m Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF First Federal Properties, Inc. a Nevada corporation y: Paulsident Document Date: January 27, 200S State of California County of Butte ) SS. On January 27, 2005 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Paul Savage Personally known to me (orp y oA4mee) to be the person(sy whose name(4 is/aA subscribed to the within instrument and acknowledged to me that he/s}WOfey executed the same in hi&10/tofeir authorized capacity(ig§), and that by his/Fdr/tlpit signature() on the instrument the personfts), or the entity upon behalf of which the person(A) ac , executed the instrument. WITNESS my hander 9ificial seal. MAIL TAX -STATEMENTS TO: Same as above ._ _ FOR NOTARY SEAL OR STAMP COU WA #)399s,)6 2 'y, NOTARB� CO ANTy RNIA � COMM. EXP. FEB. 22, 2007`' AND WHEN RECORDED MAIL TO Name Roberto Segura Uribe street Addr Address 2100 Elliott Drive American Canyon, Ca. 94503 City, sate Zip Oder No. 00220121-001 �0C_n5-992110110564 Recorded Official Records CoOf BUTT CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AN 31—Jan-2005 REC FEE 10.1 TAX 82.; Jason Page 1 of 2 THIS LINE FOR RECORDER'S USE Parcel No. 069-210-020 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 82.50 ❑ City/Town of R1 computed on full value of interest or property conveyed, or ® Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, First Federal Properties, Inc. a Nevada corporation hereby GRANT(s) to Roberto Segura Uribe, a married man the following real property in, the ❑ City of m Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF First Federal Properties, Inc. a Nevada corporation y: Paulsident Document Date: January 27, 200S State of California County of Butte ) SS. On January 27, 2005 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Paul Savage Personally known to me (orp y oA4mee) to be the person(sy whose name(4 is/aA subscribed to the within instrument and acknowledged to me that he/s}WOfey executed the same in hi&10/tofeir authorized capacity(ig§), and that by his/Fdr/tlpit signature() on the instrument the personfts), or the entity upon behalf of which the person(A) ac , executed the instrument. WITNESS my hander 9ificial seal. MAIL TAX -STATEMENTS TO: Same as above ._ _ FOR NOTARY SEAL OR STAMP COU WA #)399s,)6 2 'y, NOTARB� CO ANTy RNIA � COMM. EXP. FEB. 22, 2007`' ,Z EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: Order No. 00220121-00 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 84, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "KELLY RIDGE ESTATES UNIT NO. 39, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 26,1974, IN BOOK 43 OF MAPS, AT PAGES 44, 45,46 47 AND 48. AP NO. 069-210-020 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING April 14, 2005 Roberto Segura 2100 Elliot Drive American Canyon, CA 94503 Subject: Building Permit — 05-0232 (New Single Family); APN: 069-210-020 Dear Mr. Segura: , The Butte County Department of Development Services, Planning Division, has reviewed the submitted application. The home site location indicated on your site plans does not conform to the limitations of this specific parcel. Specifically, a ten (10) foot drainage easement exists on the west property line. This is indicated on the map (Kelly Ridge Estates Unit 3, 43 M.O.R. 44/48). You site plan must conform to the limitations of this map before it will be approved. Please adjust your site plan and then resubmit to this division. Should you have any questions please feel free to call Chris Tolley, Assistant Planner, between the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603. SX ely, StephAStreer Planning Manager 7 SITE PLAN REVIEW APPLICATION Date: J ' 7 AP# — 2t U - ow Permit Number (if applicable) Bin Number APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: U9 1 Z-06 Proposed Use: Parcel Size: A" Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary- Travel '-Trailer- ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial . ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑i/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site an Stamyd Approved By Date q't�. or -- Pap -e 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.: Index Date: ❑ 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) 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 2of5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road. ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ 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 4 ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No Deed of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Yes ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ 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 Page 3 of 5 0 Subdivision Map/Parcel Map: �,�� r-nP11 el Map Date of Recording: I U - (2 7 Lot: o �{ ❑ Use Permit/Minor Use Permit Permit Number: Book: qJ Page: Y1-19 Date of Approval: Parcel Map/Subdivision MapIUse 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 road maintenance, and stop sign maintenance. Page 4 of 5 u C Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 WI LLDAN Serving I Agencies March 23, 2005 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.wilidan.com Willdan Project No: 14353-1370 Jurisdiction Job No: 05-0232 Assessor's Parcel No: 069-210-020 Description: New Single Family Dwelling 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 Sheets I. through 5 dated 01/15/05, by Owner. ➢ Energy Calculations: Two (2) copies dated 01/29/05, by Barry Rubanoff. ➢ Truss Calculations: Two (2) copies dated 01/27/05, by Robert Anderson, P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. 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. s W I LLDAN Ma s Street Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com 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: 1 • 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 Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans and permit documentation. Specific Type of Type of 1" Floor 2nd Floor Total Sprinklers Stories I Use Occupancy Construction Sq Ft Sq Ft Sq Ft Dwelling R-3 V -N No 1 1,834 N/A 1,834 U-1 V -N No 1 576 N/A 576 R-3 V -N No 1 114 N/A 114 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 red -lined on the plans. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. incer , aac Kuster Tans Examiner Cc: Alice Mefford, E-mail: amefford@buttecounty.net Roberto Segura, 260 El Sendero, Vallejo, CA 94589 Gage 2 of 2 County of Butte Permit Nuziber 05-0232 Wil.ldanP.roiectN ember 11353-1370 J,