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073-160-038
i NOTES RESIDENTIAL 073-160-038 ' 03-1997 y PERMIT NO. ! PACK, LONNIE Esc ROBIN - - - — 52 -'OLD FORBESTOWN RD., ! i FORBESTOWN NEW SINGLE FAMILY E l r , PERMIT RENEWAL BP# Q 3-Icjq,7 Date: 1 /30 0 BP Expires: 30107 4/�1 SPECIAL CONDITIONS ,CHECKED i BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS - VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER LL . 1. JOB FINALED (Date) Signature dte - r J=OK Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 0 = NolOK Card B-1 Date Card B-1 . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch Blocking 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed, (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or'/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance 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/0 to Grade -HD Approval 8. Gas. and Electricity Tagged 9. Tie Downs -Type -Installation Cert: 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 . • Date Card B-1 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 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. Verifv #'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 Date Card B-1 Date 'Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = NotOK Applicable =Not Applicable RESIDENTIAL - . = Not Ready Date UND FLOOR (Plans) OK except #'s Zoning -Setbacks -Easements -Flood -Slope , Main; Soils-Elec. Grnd.-/ Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/ L ' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped W.V FFitting-Test-2 Way C/O -Sewer Test , Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test "I r /' , r 13. gr'enums & Ducts; Clearance -Material -Support -Ins. A 115. Access & Ventilation 16. Insulation Date/ /� Card B-1 ,!24= Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17 a er Htr.; Vent -Access -Combustion Air Baffle A ate i e; Tes &Anchor -Nail Protection 19,:.".V; T i ings & Anchor -Nail Protection -2.0—Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23-Fire237'Fire Sprinkler; Test Date Q I 7 Card B-1 v Date Card B-1 Date 4 Card B-1 Date Card B-1 Date TRICAL (Permit) OK except #'s 24. F' re & Transformer Clearance -Ins. Protection klec. Receptacles Spacinq-Liqhts & Switches at W. Si£e Boxes & No. of Conductors Stapled rrs x Installed Close to Edge of Studs & C.J. Ground made up w/Mech Fasteners -Bond Gas & Water A pliance Circuits in Kitche Conductor Size GFI 3T Subfeed Wire Size/ /ga. Kor AI-A.C. Wire Size/ /ga Cu or Al _ „ an a Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Neutral O Yes O No Conductors & Ground Main Disconnect U' C thes Closet L —3• moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 (Single & Duplex) Date MEC ANICAL (Permit) OK except #'s 3 A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38 (Condensate Drain & Overflow, Size & Grade 3V Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platt rm if Furnace in Attic Date tv/Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s NS' KProper Materials & Anchors 4 . W trs'Studs-Nailing Spacing & Braces -Plates -Sound 4 ring Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 45. dire Stops, Furred Ceilings -Stairs -Chasers -Tubs 4je Headers & Beams -Size & Bearing Date FRAMIN (Continued) 47 ers- Post Caps -Anchors -Connectors 4 . Clin . Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 4 ire ace Ties or Type A Flue -Fireplace Throat Clearance 50 i Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 drm. Windows or Exiting Doors -Sill Ht. !2!-,- ensions -- � Garage Fire Protection Framing -RC nel L65 • 1_21- o5 5,31Property Line Firewall & Openings 5,4' Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 5f.. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56!Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 758_Stueco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINA Plans) OK except #'s E�Steps-Door & Sidelight Protection -Landings y$wioke Detector AC Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection . Bedroom Exiting & Bath Fixtures & Tub Access -Spa Fier. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 7a!(Ct. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure 76.,AfE. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 7 Ib.; Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. C3uard Rails & Deck Construction -Post Caps 82- Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 84. Stucco Brown -Finish W. A C. Unit Disconnect, Electrical -Plumbing V nts Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings ater Well, Disconnect, Electrical, Plumbing Exterior Elec. Trim, G.F.I. Receptacle -Underground 8 Ve tilation Throughout House IT-G';;qs Protection orrections from Previous Inspections 9 s Test -Meters Tagged, Gas -Electric 9T- Water & Sewer Connected -C/O to Grade -HD Approval . Energy Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date 9.-Z 1_Y Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE RAk 111_` OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as i dicated below. Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 j��'sparij++lA+'���.�y�,7'�.sr'7UAf'�.'*�+'l�.btu-c4�G'"-..r"C...-.,�-a..�1 fa;k�..--1.�'� ti�+Ya.""�-.-•--•:'�-., r-.�.+-.+{'.,....-t.�,,.w �y-�-,.;#''� 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 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 contact. this office immediately. i �-1' ✓ min li � Date :Z c Inspector, ! i* u � �.�..�'as^ra...�}•,�`'1'.-�.,•�y.��,fx�rT�y.1"�+y..,�'n�y�/�jr°"riy,iys�..�r,..,,�,;i7,�„w,-" f ) COUNTY OF BUTTE y BUILDING DIVISION r DEPARTMENT OF DEVELOPMENT SERVICES _. 411 Main Street • Chico, CA • (530) 891-2751 { 7 County Center Drive • Oroville, CA • (530) 538-7541 r CORRECTION NOTICE OWNER PER 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. j 1 .L- r i t} v{ kl A'.yl } • ,i tM3 rN� •k Date --4116 Inspector/V REV 10192 y 1 • -� � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 1} PERMIT NO. 7 County Center Drive Oroville; California 95965 • Telephone (530) 538-754 ,12/96) U � - I � � (Rev. 12/96) APPLICATION , 07 - ASSESSORPARCEL NUMBER J 073-160-038 ZONING U BUILDING PERMIT OWNER PACK. LONNIE & ROBIN TELEPHONE 741-3515 SQ, FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS .12729 HONCUT RD. I" RICA 95901 1453 R 78,4&2.00 675 U 12 150.00 CONTRACTOR'S NAME OWNER TELEPHONE 210 � A �.�^.� L 30 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace I A 1 500, 00 LENDER'S MAILING ADDRESS k Total Valuation $ 94.842.00 'ARCHITECT OR ENGINEER LICENSE NO. -Filing Fee $ 20.00 Permit Fee $ 617.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 401.05 BUILDINGADDRESS FORBESTM RD, FOUES Energy Plan Checking Fee $ 23.00 PERMIT FEE $ 1061.05 LOT NO. SUBD"IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 '.� USEOFSTRUCTURE m SF .",DplexsO:Mobilehome ❑ Other S cFY Each Trap $i 7.00 56.90 Solar or heat pump water heater 23.00 Water piping 1 15.00 15.00 Each as water heater or vent 15.00 1 S- TYPE OF WORK New. it Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Dft escribe` Work: NSF WATPACH GARAGE - 2BR9 2BM Gas piping system 1 - 5 outlets 15.00 Building sewer� ^ 15.00 1 S Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ,. e � ELECTRICAL PERMIT Fling Fee 20.00 E00V OR LESS Main Service 2001 OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION Y I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ' License Class Lic. No. A OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: t 0 I, as owner of the propertyror my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of',the property, am exclusively contracting with licensed contractors to construct the project. ❑ I amT;exempt under Sec. Business and Professions Code for this reason .4 WORKERS' COMPENSATION DECLARATION 1 hereby -affirm'under penalty of,perjury one of the following declarations: ❑ 1 have a6d will maintain a certificate of consent to self -insure for workers' compensatlon, as provided for by section 3700 of the Labor Code, for the performanceof the work for which this permit is issued. ❑ I have arid Will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 0Date 0 - Signatureof Applicant -/•E1 Owner [I Contractor ❑ Agent An OSHA permit is requir/d for excavations over 60" deep and demolition or constructi of structures over 3 stories in height. A A IAO Main Service 200A To 1000A 46.00 NEW CONST. DWE UNG OCCUP. ( s0 $ 3.5¢x: NEW CONST. MULr� DEBBIE. NON-RESID. CU @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FDCTURES BIL. Q 1'50 " Ex. Occup. OuTIEDTs R6ID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 a" •�, PERMIT FEE $ 117.4$ MECHANICAL PERMIT Filing Fee 20.00 Heating 1 15. 15.00 Cooling1 15. OC 15.00 Hood 1 6.50 6.50 Ventilation 3 4.50 13.50 PERMIT FEE $ ��� 00 Mobile Home Installation Fee $ Energy Inspection Fee $ .OU OCC CONST. TYPE 4' �5 TOTAL FEE $ HAz. ..; D., -FEES IMP FL_ D � coF 1/ P 'CEL 4� Pn Hoy J �ss_vE ' This permit is hereby issued under of the E utte'Sounty Code and/or indicated above for which fees have By �yv&rDate PERMIT EXPIRES ON /) / /., ° % the applicable provisions Resolutions to do work been paid. ��✓ ` Dale Receipt No. c v.;Oee % 10-90y ')W WHITE-D.D.S-:BD. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1,34 'J'CERTIFICATION-OF INSULATION ADDRESS .OR TRACT SACRAMENTO BUILDING C NTRACTORS 4q�p6� 11 '�C�Gj� ;, `1309 MELODY ROAD, MARYSVILLE; CA 95901 LIC#202026 .-�; _ '�^ JO,?/� t7s ' S ❑_ X605 S. AUBURN STREET, GRASS VALLEY; CA 95945 LIC#202026 • ❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 ��' /O� A ❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 y• DATE INSULATION COMPLETED .�' • , is ( square feet) . ( square feet) ( square feet) TYPE OF INSULATION TYPE OF INSULATION TYPE OF INSULATION MATERIAL MATERIAL �`.; MATERIAL FIBERGLASS FIBERGLASS FIBERGLASS • FORM. BAITS: o- 'fix FORM BATTS & BLOW FORM BATTS MANUFACTURER'S PRODUCT MANUFACTURER'S PRODUCT I.D. MANUFACTURER'S PRODUCT I.D. MANUFACTURE,Ri',*; j+l MANUFACTURER MANUFACTURER CT OCF KN CT OCF KN CT OCF KN ✓ �'��✓ BAGS .a R -VALUE APPLIED R -VALUE APPLIED MIN. INSTALLED WEIGHT PER R -VALUE APPLIED INSTALLED THICKNESS INSTALLED THICKNESS SQUARE FOOT INSTALLED THICKNESS KNEE WALLS IF R -VALUE IS OTHER THAN WALLS ABOVE MATERIAL FORM R -VALUE MANUFACTURER FIBERGLASS BATTS CT OCF KN AIR INFILTRATION SEALANT MATERIAL MANUFACTURER FOAM HILTI HANDY FOAM THIS -IS TO CERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, ' ,MATERIAL STANDARDS AND REGULATIONS .SIGNATURE ILLATION CONT OR/ TITLE DATE j ,SIGNATURE - GENERAL CONTRACTOR TITLE DATE REMARKS WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy �nev�a� of �Po3-�qq`1 BALANCE OF FEES SHEET r �V " C)& DATE: O J` g q 1 I PERMIT #: 1 ASSESSOR PARCEL #: OWNER'S NAME: FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ commercial only): SHERIFF FEE ( y): $ SRA: $ 1 COPY FEES($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban _ EI Medio North Chico Specific _ $ WATER TENDER FEES $ BAT ION # FEMA $ SMIP $ RECEIPT NUMBER(S) tt -q 3 n 2 BUTTE COUNTY ADMINISTRATIVE PERMIT FOR TEMPORARY TRAVEL TRAILER Assessor's Parcel Number for Site: Street Address of Site: Applicant's Name: L—ok) /l)( 073 (�O- 038 Applicant's Mailing Address: 4 S A QO U [- Applicant's Telephone Number: 5-3 O/ is % 5 — q3 7 O 54 Building Permit Receipt Number: ✓' / G���i.J (Show copy of Permit signed and issued) Date Sewage Disposal Permit issued: A 7/ 03 (Show copy of Permit signed and issued) I certify that the above information is corect and that I have read Butte County Code Section 24-300-C (on the r rse sid oft .s ap ication.) Applicant's Signature: Date:IV /3 0 TO BE FILLED IN BY PLANNING DIVISION Date Application Received: Zoning Verified by Permits Reviewed by Associated Building Permit # 03-0717 �f o2aa2 D Administrative Pi Planning Approv Date Approved: File: "Administrative Permits" Date revised: July 20, 2004 K:\Planning\FORMS\APPLICATIONS\ADMINISTRATIVE PERMITS\Temp. Travel Trailer.doc COUNTY OF BUTTE n OFFICIAL REC cart no ncPewT NT ISSU G RECEIPT Received Ile Sum of For Received: Received By CASH ❑ Title CHECK mvro 7e2ast 1 Form 75702 412221 200 . - BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEM INSPECTION CERTIFICATE 1469 HUMBOLDT ROAD 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95928 OROVILLE, CALIFORNIA 95965 Telephone (9 6) 891-2727 Telephone (916) 538-7281 The Sewage Disposal System was inspected at 06,6 FOR SEPTIC TANK LEACHING FIELD r Size %dam Gallons Length _ c'20-0 feet Material 6Z �,cln Width inches No. -of lines Rock Under Pipe inches The above dimensions meet the minimum requirements of Butte County Code, Chapter 19: Additional leaching area will be required if experience shows it to be necessary. Remarks: ZZ 4 - Date: " !41 flZ �.CJ S2 - 778R (Rea194) /94) ENVIRONME T L HEALTH SPECIALIST COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 _ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-160-038 ZONING U BUILDING PERMIT OWNER CK LONNIE & ROBIN TELEPHONE 741-3515 SO. FT, OCC. BUILDING VALUATION AI . OWNERS MUNG ADDRESS 12729 HONCUTT RD LOMA RICA 95901 1453 R 8. 675 U 12 150.00 CONTRACTOR'S NAME OWNER TELEPHONE 210 C 2,730.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 1,500.00 Total Valuation $ 94.842.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 617.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 401.05 BUILDING ADDRESS OLD FORBESTOWN RD FORBESTOWN Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 1061.05 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF q Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap g 1 7.00 56.00 Solar or heat pump water heater 23.00 Water piping 15.00 D Each gas water heater or vent 15.00 1 9_00 TYPE OF WORK New IQ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF W/ATTACH GARAGE 2BR 25114 Gas piping stem 1 - 5 outlets 15.00 15-00 Building sewer 15.00 15-00 Mobile Home ISI GI Wl 1@20.00 PERMIT FEE ELECTRICAL PERMITFling Fee 20.00 Main Service 2o0A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSINGLE License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that If I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f with comply with those provisions. X Q Date nature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is require for excavations over 5'0" deep nd demolition or nstruction of structures over 3 stories in height. Receipt No. Main Service 200A TO 1000A 46.00 NEW CONST. OW ELLING UP. SO " OR ADDNS. a AcC. BLDS. 3.5,sFF 74.48 NOµp61pT. MULTI.OLRg @7,50 OUTLET OWER APPARATU 8 CIR. EX. OCCU OUTLET ORFDLTUREs zo @ 100 BAL 50 Ex. Occup. oM', AZ.GFR.n 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 117.48 MECHANICAL PERMIT Filing Fee 20.00 Heating 1 15. OC 15.0 Cooling1 15.0 15.0 Hood 1 6.50 6.5 Ventilation PERMIT FEE s 70.00 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE TOTAL FEE $ , 1430.53 HAz D 9EES IM CD PAR 0. H S This permit is hereby issued under of the un Co and/or indica d o e 0 whi fees have By Q / PERMIT EXPIRES ON (J d the applicable provisions Resolutions to do work been paid. D to �3 a Date WHITE-D.D.S.-810._ CANARY -AS E OR PINK-INSPLFCTOR GOLDENROD -APPLICANT CJ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIONf� / A 7 County Center Drive • 0roville, California 95965 •Telephone (530) 538-7541 D3 PE��iT NO 1ti9fi� APPLICATIONANDPERMIT T2-7 ZOf•N° BUILDING PERMIT . T\�''"E ISO. FT. OCC. BUILDING VALUATION MER r ... ., Ih' . �D - - ,' - •L //_ (/ ,'. _ / .'. I n I s uw AcoR�s ' a'. ( s www ADDREss u:►mm ,Ai s wAan+c ADDRESS 'oR ptDwFf3tI UkLM ADDRESS 2- USEOFSTRUCTURE �6 Duplex O Mobiiehome D- Other ePs:cr y,53 TYPE OF WORK law % Addition I] Remodel 0 wroas O hstakfon D Other O $ascribe Work: UU50C— �carw►>`�- �bt�►1 � � .� 5g3.o5— & rmn .oS&rm Cc" ��V s PERMIT FEE t / 3 6. O O ELECTRICAL PERMIT Firing Fee 20.00 My Main Service 290& OR Lm 23 -DD a� 3 D Mala S8Nire 46.DD AFEW oo►st: ( owtvwa DCGJP. 3.5t: wwui Ex. Occup. ounFr OR FacnsM S / %• . ovmm Ex FX nr S.ODOccu Temporary Service 23.DD Mobile Home Faali6es 2D.DD Fireplace 23.DD LJ �I Total Valuation 5 ( 6.50 �'� a Firma Fee Permit Fee O '• Plan Chackina Fee S' / O J Energy Plan Checking Fee s a o d S PERMIT FEE t PLUMBING PERMIT F g Fee 20.Do Each Trap - 7.00, Ob Solar or heat pump water heater 23.00 Water piping 15.00 — Each gas water heater or vent 15.DD - Gas piping syswrI - 5 outlets I 15.00 Build'ing sewer 15.0D Mobile HDme I S I G W @20.00 PERMIT FEE t / 3 6. O O ELECTRICAL PERMIT Firing Fee 20.00 My Main Service 290& OR Lm 23 -DD a� 3 D Mala S8Nire 46.DD AFEW oo►st: ( owtvwa DCGJP. 3.5t: wwui Ex. Occup. ounFr OR FacnsM S / %• . ovmm Ex FX nr S.ODOccu Temporary Service 23.DD Mobile Home Faali6es 2D.DD Msc. Wirino 23.DD PERMIT FEE S / %• MECHANICAL PERMIT Fining Fee 2D.DD Heating 1.5— CODrin LJ �I Hood ( 6.50 �'� Ventilafion 3 4 . Jro PERMIT FEt S Mobile Home Installation Fee S Energy Inspection Fee $ •6C CONST. TYPE TOTiAL FEE S1 / ,c/ Ag 44; This permit is hereby issue under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT"EXPIRES ON '��ir's,�r-�r'wa=�-►s-`i'��!'.wr''n"Nt`�is�',T/'`9�+�l���'G'9r`x`�^�. 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: �� ( �t�•., ASSESSOR PARCEL NUMBER 73 -160 -03k 9 &J%)/ Proposed Building Use: i' iCounter Technician: Date: 3/3 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. `�7! - 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. 1:2. Complete plans, 3 or 4 sets, signed by the l reparer of the plans. ❑ 3. Engineered plans; 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. JT 4. Engineered truss details and layouts in duplicate. No faxes! �5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ..................................... ❑ 12. Ijazardous Material For ............. :................................................................. ` 3 the; /K-1 6 emaining rtems;lneeded to issue the permit. (May require additional plan review upon receipt of he fo loowg'items.) Fees as showh- y -e wn-6 66"the. ,attached Schedule of Fees Due Sheet ....................................... 15. Statement of Intent for Non -heated and A/C Buildings ............................................ 16. Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit ................................................. ... California Department of Forestry plan approval paid. Sent by /. ,aj ......... . 19. Planning approval for (A) Use: ® )<, (B)Parking: (C) Parcel Check: -�_) ;.,,.. _. W2 . Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 1. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy)- -0- 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26. Letter of Signature authorization.................................................................... / • 27. Recorded copy of Agricultural Acknowledgment Statement .................................... 1243103 ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telene and hold for pickup. I have been informed of the above it s and requirements for obtaining a building permit. 9PPicant: � _0e:'7 -3-C,) 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, ow , was advised cf the above data by phone, ❑. mail, ❑ counter, by Date: Contractor, designer, o ner, was advised of the above data by ❑ phone, ❑ mail, ❑ o ter, by Date: Plans reviewed by: Date: Plans approved by: Z Date: Structural reviewed b Date: Structural approved ryt. Date: Note transfer by: Date: el ow: Building ision - COUNTY OF BUTTE 7. DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROPROSED BUILDING USE V S 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ A.P. # 3 — / - 63 �- DATE RECEIPT # DATE REC. --- Revised Plan Checking Fee.... $ / 2. SCHOOL DIST CT FEES (paid at School s f ) abl c) / /' 0 3. SHERIFF FEE paid at Building Division) Residential............ X $360.00 =$ 3 00 b6 Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (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. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER 103 At time ofd permit is tion, I was vised e a ove fees are required to be paid prior to issuance of the permit. These fees maybe changed d the plan chec ng r ces . AP LICANT DTE V 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) National Pollutant Discharge Elimination System (NPDES) Phase II & SWPPP Non -Certification for Project # n 3 - q 9 7 for Butte County Storm Water Permit Compliance By signing below, I, the project architect/engineer of record, indicate that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board. I, additionally, understand that it is the project owner's/owner's agent's responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a fee of $700.00 to the State Water Resources Control Board to obtain such a permit. 1, further, certify that this project will not disturb more than 1 acre of land. I have also reviewed the Best Management Practices Handbooks, California Storm Water Quality Task Force, Sacramento, CA. I certify that appropriate BNTs will be implemented to effectively minimize the negative impacts of this project's construction activities on storm water quality. I acknowledge that it is my obligation to make the project owner and contractor aware that the selected BMPs must be installed, monitored, and maintained to ensure their effectiveness. If, at any time, site conditions and/or observations by a County official warrant reevaluation and revisions of the chosen BMPs, the appropriate changes will be made without unnecessary delay. I am aware that failure to properly implement and maintain the BMPs necessary to prevent the discharge of pollutants from this project during construction could result in significant penalties and/or delays. Signed: 25�� zz Title: Date: 2 D By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs more than 1 acre of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP) and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit, if my project disturbs more than 1 acre of land. I, further, certify that this project will not disturb more than 1 acre of land. This document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified individuals properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, I certify, to the best of my knowledge and belief, that the information submitted is true, accurate, and complete. Signed: Title: Date: NPDES & SWPPP Non -Compliance Certification Draft Butte County Stormwater Plan O.B.-1 OWNER -BUILDER VERIFICATION 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 permit' will be issued until this verification is received. . I personally plan to provide the major labor and materials for construction of the proposed roperty improvement: YES : ' - NO ❑ I HAVE P( HAVE NOT ❑ signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CONTRACTOR'S LICENSE NO. 4. I pl to provide portions of this work, but I have hired_ the following person to coordinate, supe", and provide the major work: NAME: PHONE: 5. I will provide some of the work indicated: NAME SIGNED: PROPERTYOWNER: 'S LICENSE NO. but I have contracted (hired) the following persons to provide PHONE TYPE OF WORK Rc-e 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 180 BUIt.DER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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 worm with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is "$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments 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. ♦ 'Dere may be financial risks for you if you do not cavy out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, ifyou 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned q ly, l C. Vi ira, C.B.O. r, Building Inspection NOTE. Yhis Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER v � Marysville Joint Unified School District Exhibit 3610 #1 CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be completed by applicant and taken to: Marysville Joint Unified School District Part I Property Owner's N Owner's Address: Project Address: _ Parcel No: D Building Dept: TYPE OF CONSTRUCTION: Residential Construction Residential Reconstruction Commercial Construction Commercial Reconstruction Lot No: City or County: &u2t Permit No: ®� t/ ?67;? Total Number of Habitable Square Feet: Single Family Dwelling Multiple Family Dwelling No. of Units Mobile Home ///7L/` f ,5: 4& _1� �ys3 THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDMONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERM FI - CATION OF COMPLIANCE. FALSIFICATION OF SQUARE:FOOTAGE AND/OR TYPE OF CONSTRUCTION IS CAUSE FOR -� -REVOCATION OF CERTIFICATION•OF COMPLIANCEn+ ACCORDING TO GOVERNMENT CODE SECTION 66020 (d) (1), I HAVE BEEN NOTIFIED THAT WITH THE IMPOSITION OF THIS FEE, THE 90 -DAY APPROVAL PERIOD IN WHICH I HAVE TO PROTEST THE FEE HAS BEGUN. Applicant's Name: 6 n k i ?A LA Date: 19-1-03 Applicant's Signature: Part H TO BE COMPLETED BY BUILDING DEPARTMENT AR Total Numb HabitT/t le Squar F et /� City of Marysville County of Yuba Signature County of Butte Part III TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.): Fees Collected: No. of Square Feet x's $.34 for Commercial = $ (12- No. LNo. of Square Feet x's $2.14 for Residential = $ & i, � Exempt from Fees: Reason: AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL, I HEREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65995 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. U 3a SignatureLAi�JA Alj-�•__ / - G L-1 f Maureen Fitzgerald. Assistant Superintendent of Business Services Date /1 -*/" White: - School District Yellow: -Applicant SD:co Pink - Building Dept 6/10/02 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 tilIIIIIIIIIIIIIitIIINIIIIlI�IIII .242rCDZ3-101i4B�4�4ID 1 Recorded I REC FEE 10:00 Official Records 1 COPIES 4,50 County Of I BUTTE I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant. I mark 12:48PM 03 -Dec -2003 I Page 1 of 2 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, CT-� 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: .7,3 -I(.0 -03g S e c- A T'mc." G t� Date PROP TY O E d 4A,w I )p fi. 4i/c, State of California ) County of y tib q On &Z 5 before me, � ��✓ N ! � �Zi� /�j��l �lzk7/t�• personally appeared LoN�tIiL ASK pexsQuaRy Mme (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) it/are subscribed to the within instrument and acknowledged to me that heEshe/they executed the same in r/their authorized capacity(ies), and that by bis4 Wtheir signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature S&Z�& eal: MERLIN H. MITCHEII ®! � � /'/ � > ` NOTARY PUBLIC • CALIFORNIA < A.P. # Z SUMOCJU04TY X MY Comm. &0n to 17, 2003 .41 RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND WHEN RECORDED MAIL TO: LONNIE A. PACK ROBIN A. PACK 12729 HONCUT ROAD LOMA RICA, CA 95901 Ca1111i3o 2��2—�ib2773fc� Recorded Official Records CoBpT TEf CANDACEUUJ. GRUBBS Recorder ROSEPNARY DICKSON Assistant 09:00AN 30 -Nay -2N2 Above This Line for Recorder's Use Only REC FEE 7000 TAX 49.50 Kathy Page 1 of 1 A.P.N.: 073-160-038 Order No.: 19777 Escrow No.: 197777MAM GRAW DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $49.50 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ X ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, HENRY T. RUNGE, JR., TRUSTEE OF THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST hereby. GRANT(S) to LONNIE A. PACK and ROBIN A. PACK, Husband and Wife as Joint Tenants the following described property in the Unincorporated Area of the, County of Butte State of California; Parcel 2, As Shown on that certain parcel map, recorded in the office of the recorder of the county of Butte, State of California, on September 30, 1982, in book 89 of maps, at page(s)58. THE HENRY T. RUNGE, JR. AND CYNTHIA A. RUNGE LIVING TRUST HENRY T. RUNGE, JR., TRUSTEE Document Date: May 17, 2002 STATE OF CALIFORNIA )SS COUNTY OF Butte ) On May 29, 2002 beforeme, Michelle A. Miller, Notary Public . personally appeared Henry T. Runge, Jr., Trustee personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. a AeUXMICHELLE A. MILLER Si� /�LLr>r,�` i�C�ommissioh #1351456 . /' ::. 0 V Notary Public - Califomia Bis area for official notarial seal. Butte County My Comm. Exp. APR. 15, 2006 Mail Tax Statements to: SAME AS ABOVE or Address Noted Below J� L V / AP NO.: 073-160-038 DATES: 07/03/03 County ofBum? 0 T'Fe 0 Department of Develop�gns,$e(o 11� o OWNER: Lonnie Pack Phone: 530 741-3515 Robin Phone: 12729 Honcut Road Phone: r MAIL ooUNty� Building Division /�` 1 �/ OOwner ADDRESS: 7 County Center Drive Oroville, CA 96965 AUG 2 5 2G ' Loma Rica CA 95901- Email: Phone: - Phone: CONTRACTOR (530) 538-7541 A6�� CA I Email: Phone: ARCHITECT OR ENGINEER Lic No.: PERMIT NUMBER: 03-1997 CA Emaili SITE ADDRESS: old Forbes town Road Phone: APPLICATION AND PERMIT Forbestown CA Email: ZONING U LOT 2 BLK MAP BKPG Flood: X, 0850C PM 89-58 09-30-82 SRA Yes ACRES 4.53 SNOW LOAD 2500-3000' OTHER:; USE F �Dplx MH Other: TYPE OF WORK New o Addn o Rmdl O Utlts o I Instln o Other DESCRIPTION NSF with attached garage 2 bdnn 2 bath LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penality of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class _ License No. OWNER -BUILDER DECLARATION I hereby affirm under penality of perjury that I am exempt from the Contractor's State License Law for the following reason: o 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. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason: Reason: WORKERS.'. COMPENSATION DECLARATION I hereby affirm under penaty of perjury one of the following declarations: 0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of 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: Policy Number: This section need not be completed if the permit is for one hundred dollars $100 or less). p I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 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 0 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued. _ Lenders Name: Lenders Address: 1 certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for Inspection purposes. Signature of Applicant Date c Owner ° Contractor o Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date PERMIT EXPIRES ON: Page 1 of 2 AP NO.: 073.160-038 1 DATES: 071031031 1 OWNER: Peck Phone: (530)741-3515 SITE ADDRESS: Old Forbestown Road Forbestown CA VALUATION CODE SO FT $ISO FT VALUATION ELECTRICAL PERMIT R -1453 $54.00 $ 78462.00 Filing`. 111$ 20.00$ 20.00 U 675 $18.00 f 12 150.00 Main Service Cov -210 $13.00 $ 2.730.00 600V or less/200A or less i $ 23.00 $ 23.00 $ 200+A to 1 OOOA $ 46.00 $ $ New Construction or Additions Roofing x 0 s .ff 0 $ 60.00 f Dwelling Occupied 8 Accessory Bldgs 1 2128 $ 0.035 1 f 74.48 Fireplace A/0 11 M 1 $ 1,500.00 New Construction Non -Residential TOTAL VALUATION $ 94,842.00 Multi -Outlet Branch Circuits $ 7.50 f PERMIT:FEES OTY FEES. Power Apparatus 8 Single Outlet Circuits $ Filing 1 $ 20.00 $ 20.00 Existing Occupied Permit Fee 1 $ 617.00 Outlet or Fixtures 1.20 $ 1.00 $ Permit Fees Mobile Homes @ 1/2 Fee $ Outlet or Fixtures 20+ $ 0.50 $ Plan Check @ 65% Permit Fee 1 $ 401.05 Fixed Appliances or Outlets (Res) ea. $ 5.00 $ Plan Check Minimum/Mobile Home State Approved Plan 1 $ 23.00 $ Temporary Service $ 23.00 $ Revised Plan Check $ 46.00 $ Moble Home Facilities - $ 20.00 $ Energy Plan Check Commercial: 4000+; 0 $ Miscellaneous Wiring$ 23.00 $ Residential: 1 To Master. 1 f 23.00 Pre -inspection 1 $ 23.00 f Energy inspection Fee 1 $ 46.00 $ 46.00 Pool Electric $ 30.00 $ Mobile Home Installation Inspection $ 100.00 $ f $ $ $ f TOTAL PERMIT FEES $ 1,107.05 TOTAL ELECTRICAL PERMIT FEES $ ` 117.48; PLUMBING PERMIT MECHANICAL PERMIT Filing 1 $ 20.00 f 20.00 Filing 1 $ 20.00 $ 20.00 Each Trap 8 $ 7.00 $ 56.00 Heating Up to and ind ding 100,000 BTU 1 $ 15.00 $ 15.00 Solar or heat pump water heater $ 23.00 $ Greater than 100,000 BTU $ 20.00 $ Water piping 1 $ 15.00 $ 15.00 Cooling Up to 3 HP and 100,000 BTU 1 $ 15.00 $ 15.00 Each gas water heater or vent 1 $ 15.00 $ 15.00 3+ to 15 HP and Over 100,000 BTU $ 25.00 $ Gas piping system 1-5 Outlets 1 5+ Outlets 1 1 $15/$3 $ 15.00 Evaporative Cooler 1 $ 15.00 $ Building Sewer 1 $ 15.00 $ 15.00 Extend Ducts in Additions $ 15.00 $ Mobile Home Utilities Sewer. I I Water. I I Gas: 0 $ 20.00 $ Hoods 1 $ 6.50 f 6.50 S Ventilation 3 $ 4.50 $ 13.50 $ Gas Fireplace $ 15.00 f TOTAL PLUMBING PERMIT FEES $ 136.00 Is IMPACT FEES MECHANICAL PERMIT FEES $ 70.00 SHERIFF TOTAL BUILDING PERMIT FEES $ .. 1,430.53 Residential Per SF Living Unitl 1 1 $ 360.00 1 $ 360.00 TOTAL OF ALL FEES $ 1,879.53 Multiple Per Living Unit $ 252.00 $ MINIMUM PAYMENT OF FEES Commercial Per Sq. Ft. $ 0.03 $ Filing Fees f 80.00 STATE RESPONSIBILITY AREA (SRA) Per Structural 11$ 89.00 1 $ 89.00 Plan Check Fees f 424.05 DRAINAGE SRA FEES $ 89.00 Thermaiito Residential Per Living Unit $ 510.00 1 $ Other Fees: Cammerc'al Per Ordinance 3304 1 S MINIMUM PAYMENT OF FEES $ 593.05 STREET IMPROVEMENTS Chico Urban Area Residential Per Each Single Living Unit $ 1,982.00 f Per Each Mit le Living Unit $ 1 370.00 f Service Structures Per Sq. Ft. $ 10.19 $ Commercial Medical Structures Per Sq. Ft. $ 2.22 $ Industrial Structures Per Sq. Ft. $ 1.02 f PAYMENT INFORMATION Da te: 3 -Jul -03 - Staff: I Receipt # 382366 Cash Chek#1 Check $: 593.05 FEES PAIDI 593.05 BALANCE OWED I $ 1,286.48 Residential Per Each Single Living Unit 1 $ 595.00 $ Date: - Staff: I Receipt # 1 1 Cash Per Each Mltple Living Unit $ 355.00 $ Chedk # Check $: - - ' Thermalito Urban Area Commercial Per Acre Developed $ 23,849.59 $ FEES PAID 0.00 Office Per Acre $ 11,924.80 $ BALANCE OWED $ Industrial Light Per Acre $ 5962.40 f Date: - Stall: - Receipt # I I Cash Heavy Per Acre $ 1,192.48 S Check#j - Check $: WATER TENDER Per Parcel $ 200.00 f FEES PAIDI 0.00 RECREATION DISTRICTS -Proof of Payment Only BALANCE OWED $ - Chico Area Residential Per Living Unil$ 1,189.00 ❑ Date: Staff: Recei t # Cash Durham Residential Per Sq. Ft. I Check # I Check $: . ❑ FEES PAIDI 0.00 NORTH CHICO SPECIFIC PLAN BALANCE OWEDI $ 1,286.48 Residential Per Dwelling uriltR1: SR -1: - SR -3: SR-1/PD: 0 $ 3,315.00 $ R2: R3: 0 Is Occupancy: Construction: - . ISSUED Industrial! Commercial Industrial SF Commerical SF Office SF School HAZ FEES IMP i HD _ 0 Is SCHOOL DISTRICTS - Proof of Pa ment Only O O ❑ ❑ Marysville Joint Unified - 064 ❑ Note:' ,. ... 1 1 - I - TOTAL IMPACT FEES Collected by Development Services $ 449.00 ButteCo tyDepartrnentofDevelopmentServlces YVONNE CHRISTOPH , DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538.7785 Facsimile CoV N.�,h TO: LP2A FROM: Michael Vieira (530) 538-7159 mviei ra(a-buttecou nty. net SUBJECT: Plans Transmittal For Review Per Contract DATE: 8/13/2003 Applicant: Pack, Lonnie & Robin Project Type: NSF 100% Plan Check Fees $ 401.05 Energy Calc Fees $ 23.00 $ 424.05 Permit No: 03-1997 APN: 073-160-038 70% $ 280.74 $ 16.10 $ 296.84 LP2A Fee $ 296.84 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 DA TE: TRANSMITTAL LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard, 2nd Floor Citrus Heigh`Ls, CA 95610 FAX (916) 725-8242 (916) 725-4200 Toll Free 1-877-235-0653 'To: tlmrw - , 71i1 - From: Message: -FAX No- JOB NO OPERATOR ...............................TIME........................... O FAX ❑ MAIL ❑ FEDEX ❑ OVERNIGHT ❑ uPS CQ MESSENGER I,, ORIGINAL TO ❑ NO ORIGINAL FOLLOW TO FOLLOW Number of pages including cover sheet. 4 This document is intended only k (ha individual o, entity b vhi:h r is addressed, and may con:aln inlortrelion that Is oriv;leged, enfi identi2l and Ezempt iro,-7 disclosure urder 9Dpiicaute law, If yW rite no' Ins intendec retipiant• o; f s empblps o: agent re.-ocnsibie ror d6liveri10 the messaoe to the inrendad racioi=n!, ycu an; h� 90v noshed 1. ei disstn;ratinr, w pppg ^,f this :ar'luni:o'ion is pnhfhr;cL. I, you heve : �neivee ;his ro.mmunire:ior ir. errjr, pleece noire us in7mediet-A, by tet9ohane vd rer: r. the orinirai messeoc to us a' the move adds --a s October 14, 2003 County of Butte- SECOND CHECK Jurisdiction Appl. No.: 03-1997 LP2A Job No. 203015.053 Lonnie Pack 12729 Honcut Road Loma Rica, CA 95901 Phone, Not Provided Fax: 916-322-3197 Re: Plan Review: Pack SFD Address: Old Forbestown Road Dear Mr. Pack: Linhart Petersen Powers Associates (LP2A) has completed a second review of the following ' documents. - 1 . ocuments:1. Plans: Two (2) revised copies plan sheets 1 through 6 dated 10/3103 by Robin Pack. 2. Structural Calculations: Not Provided 3. Title 24 Enerpv Compliance Documentation: Two (2) revised copies dated September 25, 2003 by George Chappell. 4. Truss Calculations: Two (2) copies dated June 30, 2003 by Homewood Truss. Two (2) copies of analysis for Truss A4. Note: Floodplain Mitigation Measures and/or comments will be reviewed by Butte County. These documents were reviewed only for their conformance to the 2001 California Building, Plumbing, Mechanical, and Electrical Codes. Our comments follow on the attached list. Please submit an itemized response letter and two (2) sets of complete and revised documents with all revisions clouded. Sincerely, i 7. -,( T P RS POWERS ASSOCIATES it g rs, SE Mike Bayless Structural Enginee Plans Examiner CLJ:ag i:lpendingplanreviewlbutte1203015-053_doc enclosures ci✓::Mr. Michael Vi ira Fax: (530) 538-2140 LINHART PETERSEN POWERS ASSOCIATES ® 7610 Auburn Boulevard • Citrus Heights, CA. 95610 (916) 725-4200 FAX (916) 725.8242 ThII Free (877) 235-0653 Pack SPD Old Forbestown Road County of Butte - Second Check October 14, 2003 LP2A Job No.: 2030095-053 Page 2 of 2 Re: Occupancy Group(s): R -31U-1 Type of Construction: V_N . Stories: 1 Building Area (sq. ft.): 1453 sq. ft. (Living) 675 sq, ft. (Garage) 210 sq. ft. (porch) G1. The following plan review documents are based on the County of Butte Building Regulations. For your convenience, the following comments are referred to the 2001 California Building Code unless otherwise noted. G3. For clarity, specify on cover sheet that the 2001 CBC, CMC, CPC, CEC, as amended b State of California and local jurisdiction are applicable to this project. y G6. Site -related comments applicable to this project will be generated by others (e.g, City Engineering, Public Works, Health, etc.)" ARCHITECTURAL COMMENTS: A2. Install an additional interior braced wall line from east to west. Comply with CBC Section 2320 or provide a lateral analysis. PC2: An additional braced wall panel is required in'the braced wall line aligned with the plan -right wall of the Garage. The braced wall panel must located within 8' from the rear wall of the house, occurring between the Living Room and Dining Room. Reference CBC 2320.9 9.3. T-24 ENERGY COMPLIANCE COMMENTS: T5. The energy calculations will need to be signed by the Owner prior to permit issue. This can be addressed at the Building Dept: STRUCTURAL COMMENTS: S6. Provide a structural roof plan. Include all trusses and beams and provide details of truss connections at braced walls, over beams, to interior bearing and non-bearing walls when walls are parallel or perpendicular to trusses. PC2: Amend Sheet 7 to show and specify the beams and posts supporting the save of the covered Porch. The posts and footings at the foundation level must also be shown and specified. S7. Specify all post to beam connections. PC2: See Comment S6, above. If you have any questions regarding the above comments, please contact gill Rodgers, SE at (916) 725-4200 between 8;00 A.M. to 5:00 P.M., M -F. [END) I e� SITE PLAN REVIEW APPLICATION Pate: -i- 3 _ AP# Permit Number (if applicable) 997 APPLICANT INFORMATION Parcel Size: H S _3 A Owners Name: Owners Address: ) 27) 2-9 a N G 0 —F Z b _ LO V-rNp. 'Z > C� A C A 0) 5,9 p . J Telephone No.: Situs Address: 0 Lb -Fd fZ rIES- 6W 1J Proposed Use: Residential 13 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 DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ' Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval 0 Site Plan Stamped Approved By Date �--1 Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: 10 Snow Load Area: - `-SCYO "Y -O 3a�� ❑ 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: Q • Flood Panel No.: D 8 5 O C✓ Index Date: 6~ ❑ 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/Mu I berry (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: 0 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 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 2 of 5 5 Applicable Development Fees: Standard Fees Amount ❑ 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) Formula * 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: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:[] No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot 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 Subdivision Map/Parcel Map: Map Date of Recording: C) - so B 2 Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: 8 S Page: S 8 Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: �j Oj\) e ❑ 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. u Page 4 of 5 top W19, W.Sr"KAN,9. �Armmov Am .12 At lop It "I viag 9A X .��.--�.-�.. « +---..+ti.� .yam..... �sr. .... �. �r-.,,I•- , r , � -ti.. t'-.N....—.Lw r.� . �ti.. +r --r ... .+-�.. �.,.,,rv., '.r .. �.�.,...+--"—'s.w.,.-^•'R.. .'�..-�'t....^'.�.r....r,..-r....r.�..,.w.v-�% d-1 03-/q17 c ZA E.H. USE ONLY Flat Pian AttncMd LI F7r�or man Nu Saw to B.D. TO: Building Department LP FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for dwelling. Other r1ulu WWI lug. Final clearance O.K. for: NOTE: mental Health Specialist Date 8/96 10, 1918 14'8 4'4 I E uP ...... . . ........ ........... PATIO GREAT ROOM MASTER I ZI x 1-4)n LL�Lij 3'5 .......... rM 11 COATS CID '3 DINING XR0O3M ' �2 14 KITCHEN , 11 il� -4 10 X 133.1 EN RY SO CD Iq 5 X 12 NilwM: 8'1 LZq—DR) H II -13-6 BEDROOM Nq 12 X 10 C14 3'8 CID GARAGE 4f 1.11".....-M-1 . ..... . ....... Ni 1914 X 2116 5'8 CA C00 . .. .. .. ....... .. .. .. .... .. .. .. .. ..... .. .. ....... .. .. .. .... .. .. . BEDROOM #3 12JA X 10 1 .. .. . .... .. .. .. .......... ... .. .... .. .. .. ...... .. LJ V ........... y 11111. m WCp ....., 1919 8'11 I 32 r 12'6 44,4 APPROVED Butte Coun Environmental %afth LIVING AREA 1960 -sq ft a i__........_.........._...... / .... . . ..... cr � '4 tri 4L CPQ i APPROVED 9� Butte County Environmental Health ate Q N D v A �015 4c>I& r --7:� �--, November 11, 2003 Mr: Michael Vieira .County of Butte 7 County Center Drive Oroville, CA 95965-3397 Re: Plan Review: Address: Dear Mr. Vieira: Pack SFD Old Forbestown Road County of Butte- FINAL CHECK Jurisdiction Appl. No.: 03-1997 LP2A Job No. •203015-053 r Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents: Plans: -Two (2) revised copies of sheets 1 through 7 dated 10/3/03 by Robin Pack. 2. Structural Calculations: Not Provided 3. Title 24 Energy Compliance Documentation: Two (2) revised copies of T-24 Documents dated September 25, 2003 by George Chappell. 4. Truss - Calculations: Two (2) copies of Truss Calculations dated June 30, 2003 by Homewood Truss. Two (2) copies of analysis for Truss A4 dated June 30, 2003 by Homewood Truss. These documents were reviewed only for their conformance to the 2001 California Building, Plumbing, Mechanical, and Electrical Codes. We do not have any further comments regarding this submittal package. This plan review is recommended for approval as submitted with the following red -marked revisions and conditions: 1. On sheet 1 the length of braced wall type 5 was amended to 8'-0" as shown. 2. The energy calculations will need to be signed by the Owner prior to issuing a final building permit. Enclosed for your use are the above noted documents that were reviewed, bearing the LP2A plan approval stamps. If you have any questions, please do not hesitate to contact us directly. Sincerely, LIRT PE SEN POWERS ASSOCIATES Roge erson, SE Ala Structural Engineer miner CLJ:ag enclosures is\pendingplanreview\butte\203015-053.doc LINHART PETERSEN POWERS ASSOCIATES 7610 Auburn Boulevard • Citrus Heights, CA 95610 (916) 725-4200 • FAX (916) 725-8242 • Toll Free (877) 235-0653 4. i _ .. - .. w r e. t ,..:, :..r.. .. a.,r,,.,., .`r • t i"_^• lt. i5- "S. `.' v.H� q. je. r . .. .i .. �' ;'t rti w,* a•.. ?'sit t .. ��' •ice yt R { 073-160=038 HOZ-1866 PACK, LON�IE t; '•y OLD FORBESTOWN RD., r FORBESTOWN 1 ELECTRIC FOR WELL OFFICE COPY Address GAS Meter By Date ELECTRIC t' Meter By Dat 4 •r S } r i OFFICE COPY Address GAS Meter By Date ELECTRIC t' Meter By Dat 4 •r OFFICE COPY Address GAS Meter By Date ELECTRIC t' Meter By Dat • COUNTY OF BUTTE - DEPARTMENT OF'DEVELOPMENT SERVICES - BUILDING DIVISION 7,County Center Drive • Oroville, California? 95965, • Telephone (530) 538-7541 PE pIT N (Rev.1,219s APPLICATION AND PERMIT., ' I If ASSESSOR PARCEL NUMBER U 3 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIU ADDRESS 12729 AA-- IC f'l� QSU11� _ - S CONTRACTOR'NAME ` TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS RE -2 nF, Rx y W 14 r n Axa u Energy Plan Checking Fee $ $ 1s01 r TSR i.a PERMIT FEE $ LOT NO. SUBDIHISIONSNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other _ SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYF,0dF WORK New ❑ Addition ❑ Remod'el ❑ Utilihye ❑" Installation ❑ Other ❑ Describe Work: tRjC FOR WM, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. Pam exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of cons nt to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit,is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier ? Policy Number (The above sections need not be completed N the permit is for work of a valuation of one hundred dollars ($100) or less.) ted' I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that 01 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. n J X _sJC ADate IvZ Signature of Applicant,;I�Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING Occup. so OR ADDNS. ( 6 ACC. S.3.5¢FT. N N.R.IDT' MUL 11 CI LETrS @7,50 OWERLE 0 T. APPARATUCIR.S 6 20 @'•0° Ex. Occup. OUTLET ORFD(TUREs BAL- @ .50 Ex. Occup. DFucF ELEDA Aa OR'. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Oro- Inspection 23.00 — PERMIT FEE $ 66• Da MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ .00 HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have 141.1 _ By /,} /�L4I 1 PERMIT EXPIRES ON 7'` applicable provisions Resolutions to do work been paid. %LZof Datte 11/13 Date ReceiptNo.'2r*(V,Qf� 414; iA() WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street • Chico, CA a (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE _k OWNER 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 contact this office immediately. _w :5 -au -'�P '4tia i i; '� ov S n Pr' , S T Date ` v Inspector \� 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 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 contact this office immediately. T;ZA Li T 1AJ /l 1� /L��7drrz-►� REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF, DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P,E Idd Ng (RPv.12/96) APPLICATION AND PERMIT 0Z d �C�LO ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER PA TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIU ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 2 0.0 0 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: FT RMTC FOR WET T. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.8 License Class Lic. No. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, Will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 1 46.00 NEW CONST. pWp-UNG OCCUP. WE U OR ADONS. 8 ACC. S. SO 3.50FT. NOON SID OUTLET -REOMULTICIRCUITS - @7.50 PSINGLE OUTLET CIR.OWER APPARATUS Ex. OCCu OUTLET OR FDTTURES 20 @ "Go SAL @ .50 Ex. Occup. ounces Ao .OE'. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre— Inspection 1 121.00 PERMIT FEE S 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith complywith those provisions. X Date '?/) � �% �— � �N Signature of Applicanty�Owner ❑ Contractor ❑ Agent An OSHA permit isrequired for excavations over 5'0" deep and demolition or construction©` of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ AA nn no HAZ. D. FEES IMP FLOOD CDF I PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do work fees have been paid. inIRL Date d� t PERMIT EXPIRES ON % G �3 Date ReceiptNo..3AOZLq $66 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT '^"^e+Mai,::.��A-aw'�%'A:�""'•.na.w+w-+.m.«..�o-�,..,mfi,.�;.,,;,,,syr„7f„�pyYy..tiRCy�jv't�4.�1%,}i�+�.�7.j:ZY'""'., -.-,.._...-,....--..�-�.-,�.�...-.;,s,���-��.-•; 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 -63 �0 OWNER: A S SSOR PARCEL NUM ER073' �i Proposed Building Use:WCounter Technician: Date:06 v Items required in order to apply for a permit. All boxes MUST be checked marked NA in order to apply. ❑ 1.. Plot plans 3 or 4 sets, signed by the preparer of the plans. r ❑ 2. Complete !plans, 3 or 4 sets, signed by the preparer of the plans: ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................. ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... r ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... D 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit .............................. ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: } ❑ 29. Contact Land Development a o`Nt D Improvements, ❑ Drainage ............................... D 1. Encroachment Permi r dr v W fr=Works Dept. (construction approval prior to occupancy). 22. Pre -Ins ection for t required................p � lY'1 'Y ❑ 23. Contractors license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner).: ................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... a fi' ❑ 29. Existing violations and/or expired permits......................................................... ' ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ a ❑ 31. Other: When issued Telephone t Ltr and hold for pickup. I have been inf6r) ed of th ab e t ems and requirements for obtaining a building,pe rmit. l�`T7iswA�arfJ t7 /a 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Yellow: Building Division ❑ phone, ❑ mail, ❑ counter, by ❑ phone, ❑ mail, ❑ counter, by _ Plans approved by: Structural approved by: Plan Check Letter _Date: _Date: Date: Date_ PRE -INSPECTION REPORT OWNER: LOCATION. CONTRACTOR: PRE-IISPETION DATE TO INSPECTOR: Building Description': Electric: Gas: Co n nercial/Usage: ResidentiaUg of Units: Currently Occupied AbandonedNacant 21 PERMIT HISTORY:( DATE: � Z A.P. ZONING: ( ) AS FOLLOWS: BUILDING; INSPECTOR'S REPORT Yes No �' Electric current:-zy On Off_ Condition of Electric Natural Propane None _ Currently On Off Obvious Problems:, Sanitatlon: Plumbing Working d� / Well Working %- Potable Watcr ! zj, ', Obvious SewageProblems/—/yt Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspecto Date•— Sketch buildings on reverse and indicate location on property .. OUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • nroville; California 95965 • Telephone (530) 538-7541 PERMIT NC 1ev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL MlYeEA i/ D ':oxwo BUILDING PERMIT OWNERTrum"OG l"s SO. FT. OCC. BUILDING VALUATION 077Y`7 w s YAUNO AD a }y LO C A COMPACTOR'S NAYS TELLVHONE COMPACTORS YARJNO ADOREN CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuatlon E ARCHRECT OR ENGINEER LICENSE No. Flirt Fee I E 20.00 ARCWTECT OR ENOwEERS t!��SV Permit Fee E gUA.DwG ADDRESS Plan Checking Fee E Energy Plan Checking Fee i $ PERMIT FEE t LOT NO. SUB0610NSNAME PARCPL YAP PLUMBING PERMIT Fling Fee 20.00 N USEOFSTRUCTURE Each Trap 7.00 Solar or hent pump water heater23.00 SF O Duplex O Mobilehome O Other Water piping 15.00 oPEcry Each gas water heater or vent 15.00 TYPE OF WORK Gas plping system t - 5 outlets 15.00 New O Addition ❑ Remel ❑ UtiO sta0etion ❑ Other 0 Buildingsewer 15,00 Describe Work: Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT i Filing Feel 20.00 Main Service 8 e0v oR LEs zow oR LEsss 1 1 23.00 Main Service 20M TO IOWA I 46.00 NEW CONST: ( OR AODNs. a CC. eLnsOw,iA. pCCuP. SO . � 3.SCFT. Ntw rams I. MULTI-OUTLET �iO 7.50 NON•RESID. POWER APPAMTUS A slIOLE OUTLET CIA EX. up. ovr ET OR FmTwEs ew o I.50 I MED APPLNS. OR . EJC. Occup. OUTLETS ESID.) EA I 5.00 Temporary Service 23.00 (zq bile Hom Facilities20.00 �V"/} ;two Mi Wirin 23.00 SRA PEAMW FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating O4+%t,;iIeiiiiiiI Cooling Hood I I 6.50Now MINNOW 1 Ventilation I PERMIT FEL t Mobile Home Installation Fee $ ktwv4 ��� Energy Inspection Fee E �` NST. ryPE F AL FEES HA2 D. FEES :L000 COF PARCEL PO HO i 6" • �� e�n�® This permit is hereby Issued under the epp lonll t provisions Ab 6coo} the Butte County Code end/or Resolutbns to do work indicated above for which fees have been paid. �km �- 8 y Date PERMITEXPIRES ON .17 3 r • IV ESTOWN d' ' , JJ ' — tf �� 34 1% y o � Z�y MD6� I t N8749'OOr r AC �,: �. T .•'r ��� %' ..' �-+� , .� .., 'aC�IErC')MBE OUARTZ IAS NO. X497 BLUE EAGLE LOC•E 3.1 AC 10 25.15 AU MS NO. 6267- 22 Xi 5 4 33 HOME MININGCLAIM LIS NO. 72E7 927 ACS 6.25 AC .p 5 (P37 oR '94 sT _. 4 uSd• ; , 3.58 --- 12 1 50 . 7 AU15 17 USA . 2 - � 11.73 3.03 A,* � 38 47 1.3 ACt 21 __ 1 _ ____ -i32iz 3 3 --------- W38' E 4.22 Act _ _ . 19 10 1� - � � 4.53 AC o 8 21'BZ / 26 .3 13 s �a 3 12 5 AC so r 1 27 4.59 AC _--- 3'r�,'P�� / 4 ,+ 28 hsi 16 r 10 1 14 , 11 \ 4.54 AC 15 5 AC 5 AC. i ?$0.5 2 Jorm sac 1 + ► 1 . 168 60 1 41 , f I ��� ./� 24 1.45 1 1 49 , t 25 2 ` c� 4;73'AC �r 70.83 ACtr'+ i �`�;\ 5 AC /�,' 30 1 42 1 r f---------- `t� I USA t Ilt 23 .663ACa�= • �• t �� 18 i 17 +r i 1 t 1 ,' �' r Itl ' 5 A 5 A I ''I` 5AC n + Lir q 26 5 AC 3 W �� + r + r• i 43Q,4� ----�---- ' 43 4 +-----------{ ii i 31 28 i 5.63 AC ��~ 20 5 AC n I �i'i 5 AC �� 8.2 i t 6.58 AC 5 AC I ' 1 I I------------ -------- PM 92-59 1r I (5 19 o 21 5 AC 213.67 1 431. 1 LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE OWNERS r C�MAO I NAME- PAINT AME QCI P INT LAST NAME FIRST ADDRESS /LOCATION: (f e i P:<t noAf Building Permit No. A.P. NUMBER / �7 3 -W -63P j . COUNTY ZONING DESIGNATION: L( FLOOD MAP: d FLOOD ZONE: K APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR TO APPROVAL PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: Y 4 , LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING: O SZ LOT BOOK PAGE S COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES ✓ NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE Buxpm DMSION UNLESS OTHERWISE NOTED. Z1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline _ 3. Comply with Zoning code for building setback from road. 3 —4. Maintain a 100 it leachfield setback from all ebsting wells. k 5. Maintain a _� R leachfield setback from 5 W P L (✓ �S E �� PM —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department XT Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Conned to a public water supply. —9. Conned to a public sewer system. _ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the 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 Fire Department specifications, serves the parcel. RECEIVE® —11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ AUG 1 7OF BUTTE 1998 —12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See pvi WPIV. —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _,14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. —19. 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. 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. 22. i —23. 24. 26. LD 6/98 FORM&BLDG PERMIT tLEARANCE ,-01-02 THU 05:02 PM LONNIE PACK DRYWALL 630 T42 0156 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538.7681 Ext. 2016 Fax. (530) 538-1356 Download Forms: www.buttccounty.nedpublieworks/fo=.bttml NOTIFY COUNTY 24 i Pun BEFORE WORK 1S TO BE DONE PermirNutnbcr District Phone (530).538-7681 Ext. 2016 02- 1 d 3 X [/ APPLICATION 11 WE, the uodersigne 1, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and hi h;k* s all in accordance with Count ordinances and enerol taws. (All lnfortration exce t si nature must be d or le ibl printet!) I, Applitsirt's Name; la. Company Nazne: f p . A )Oki 2. Addmxs )Z7 -D +<Ot4 ! 5 j 3. Phone: 63 7 , / 1-3 - 3 9 15 4. Awe$sor's Pagel Number: 7 - 9-3 G 5"Location of`7Wotk to be DcFw J D ` -. Applieeat's r nature 7. Date: ' G� CONTRACTOR'S INFORMATION tb Contractor's Nome Q ! D 9• Address 12. ConUactor'o Lictince Number: l3. Certiflceta of imureace; }res ❑ NO: ❑ 14. Contractor'$ Signature: 14a. Date Signed: ' a. t5. Authorize Agent W ..� TYPE OF WORK. TO BE DOTE 16. Newt Cheek, Curb:'Cl Gutter'. ❑ Sidewalk: ❑ = _ 17, Driveway (Lice Type); 18.Other: <-r A I m L) Ey PQ1-�� PERMIT GRANTED Ln com�eo with the above request, and subjecr to all terms, condiliom (ineludlaQ those on page 2 of this permit form) ay)d special ccnditiow writtenbelw asion is >ndition e - L Undergound Service Alert R:-S.A, must be notified two workint d$ spoor to any excavenon, eua-sit-touv 20. ❑ All work Shall conform to accompanying' Detail .0 Plans ❑ Special Conditions n 21. Date Issued e Q �F 22. Expiration Date: �� O Q Mike Crump, Pirec'tor.o£fublic Works ` ' EY *" Note: Upermits are faxed to any number besides (330) 538.4356, they can be delayed up to rage t of 2 General Conditions —See Page 2 v4, -...AUG -04-02 SUN 08:31 PM LONNIE PACK DRYWALL 330 742 0186 L M30cc. r /4,L( - co -r 'FL AQ to ki AN