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073-260-019
0yT.-, 7E 3+-44ti.147t26Ss 0s -0.:�1 MYSIN, Kiy i'Or♦� i+4 _ ti rA+ �Y -Jf/S -IS$ 11234 WINDING WAY, CLIPPER MILL SCom: MYSIN OUSTQM IiMS COVNSf/GA/ v ' i 11 ;v j .. 60 - M1, Oft ) + 19 O NII r I w t l 7 y y ff�" I I • iia; r ;( k ) a 7 it6 Y) i' j r r r q v 14 •' '!, .,: � ., -f; , ..• i'. . - . -.r.. n. n5>�!"W'��,,1 ���. �. � � it ^i �"��'jJ)1 ki;K t )�: + !'. � r y .. , yew 2 , NOTES RESIDENTIAL r 'PERMIT NO. —'013-260-019 - MYSIN, NIKOLAY OS-1851 11284 WINDING WA-,Y, CLIPPER MILLS Cont: MYSIN CUSTOM HMS ,d NSF/GAR/COV I Ce ECO I JJ S t•,-> • �, - g 1 Address E •�� / D ,, GAS Date=� { 6 Meter By ELECTRIC � 1 pate2 t Meter By U ` SPECIAL CONDITIONS •1 w CHECKED BY- /SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. x, e� SPECIAL INSPECTION ITEMS 1 VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER i i, I �JOB FINALED (Da / ` Signature J=OK D= Not OK . = NotRealicable . =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) S. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ P' L "fU P LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'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 -Connect& 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 Cana B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frng.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8.• Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDE LOOR (Plans) OK except #'s oning-Setbacks-Easemenysi ood-Slope tg., Main; Soils-Elec. G d.-/ /" Ftg. Depth Ftg., Garage; Soils-Steel-Elec. Grnd.-/rL- /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6p,."' Hold Down3.and Special Anchors Slab, St -Wrapped -, -�) -' 8. piers -Fireplace Ftg.-Steel Ar D.W.V.; Fall-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date W012LrCard B-1 1,, Date Card 3-1 Date (j Ja' Card B-1 C;oon L Date Card B-1 Date PLUMBING (Pe . K except #'s Water H .-, Vent -A ess-Combustion Air Baffle Water PiW_,7es Anchor -Nail Protection 1D.W.V. est fittings & Anchor -Nail Protection 20. an; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Faire SpCu*lerr� Date .1 q -CX.Q Card B-1, Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ixtu & Transformer Clearance -Ins. Protection 25 ec. ReceDtacles SDacino-Uohts & Switches at Doors 26. y$i�oxes & No. of Conductors Stapled 27' Ramex Installed Close to Edge of Studs & C.J. / 28. Equip. Ground made up w/Mech Fasteners- Bo-pWGaser 2 ppjiance Circuits in Kitchen & Conductor Size GFI 3 . ubfeed . ire Size/ / a Cu or AI-A.C. Wire Size/ /ga Cu or AI _14-14ange Circle(i/„ /g u)or AI -Oven Circ. / /ga Cu or AI Insulated NedWal Woes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. 5 o e Detector Date-QiQ Card B-1 8 Date Card B-1 Date Card B-1 Date Card B-1 Date MECH CAL (Permit) OK except #'s A-' Ducts Insulation & Support v 37. Vent Fan, Exhaust above insulation 3 . ndensate Drain & Overflow, Size & Grade 3 ur ce-Vent Access -Comb. Ait-Return Air Vent 115 Outlet 4 ttic Access & Platform if Furnace in Attic Date() - Date a�C rd B-1 Date Card B-1 Card B-1 Date Card B-1 Date FRAM (Permit) OK except #'s Sill.s�r6Der Materials & Anchors 42/Wall tuds-Nailing Spacing & Braces -Plates -Sound _ 4 eeing Walls over Girders & Floor Nailing 44. raJKStop in ails (rat proof) Beams -Size & Bearing Date FRAMING (Continued) 4 Hangers -Post Caps-Anchors-Conrs 48. Cling. Joist-Rftr. Ties-Purli - Brac.-T-Shting: Rtng. 49. Fireplace Tiesr Type ue- ireplace Throat Clearance 50. Attic Access; S8Afomex Protectiory-Draft Stop -Ins. Baffles 51. Bdnn. Wind s or Exiting Doo - ill HL & Dimeast ns 52. Garage Fre Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. g Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date /3`WCard B-1 UJ5 Date Card B-1 Date Card -1 Date Card B-1 Date FIN tans) OK except #'s _ Detector \ Vents -clearance -Comb, Air -Connector - pe; Above Floor-Ducts-Mech. Protection 9t. .1. & Bath Fixtures & Tub Access -Spa Elec- Trim & Suboanel. Breaker Sizes & Labels 70. St4K & Rails p ace or Stove, Clearance -Hearth Outlets at Wood Panel, Int. & Ext. . F' . & Appliance; Ground -Air -Gap -Cooking Clearance Outlets & Receptacles at Kit. Counter 7.%,' Gage Fire Door, Swing -Landing -Closure 7 AXr_n, ct in Garaae-Damper in age; Above Floor-Mech. Protection 7 ; Elec. & Mech. Equip. Listed for Location Receptacles in Garage (F.F.I.)-Romex Protectiori- Insulation-Foam-Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. Y.Bents & Crawl Hole Door Drainage & Wood -Earth arance Looked under Floor 0 Yes Follow'-tnAdJDrive 0 Yes 0 No/Walks 0 Yes 0 No/Plariters 0 Yes 0 No 84. Stw6co Brown -Finish AC. Unit Disconnect, Electrical -Plumbing 6! ents ove Roof, Plbg-Appliance-Rreplace-Clearance to Openings 8 r Well, Disconnect, Electrical, Plumbing E d r Elec. Trim, G.F.I. Receptacle -Underground V IatiorrThrouahout House 9;!C ections from Previous Inspections Ga_4;g s( -Meters Tagged, Gas -Electric 22-e23ter &ewer Connected -C/O to Grade -HD Approval 94. En v Compliance Certificate -Other Certificates 95!Address Posted 96. Fire Sprinkle Date /, IG 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: ;:',a FIRE SAFEREQUIREMENTS Butte County Fire Department California went of Forestry and Fire Protection 176 Nelson Avenue, OrovW aifornia 95965 • (530) 538-7888 �i�,/' .Property Owners Name: �Inspector: !Inspection Date: � Building Pemiit #!"_� Property Location: 7/1�=7 iq,/&�Phone: . ✓ �2 00 MAIl+iTENANGE�` E SIBI.E AGF` ` (a) Gate entrances shall be at least two feet wider on both ends then " To ensure continued maintenance of properties in'conformance conformance.:. j with these standards and measures and to assure continued with availability, access,' and utilization of tfie defensible -s" provided' for these standards during a wildfire, provisions for annual maintenance shall be included' in the development plans and/or shall be provided as a condition of the permit, parcel or map roval. Public .Resources Code 4291 information provided? Yes D • No ❑ I understand it is my responsibility as the property, owner to annually' >! provide defenstbie space on my property as required by law (PRC 4291). All:buildmgs slalltbe rssred an address by the local jurisdiction, Property Owners signature ✓ +��,. 73 lA RI`rEWAYS x,,12 ` a (a) All new driveway coirstruction or in extension of an existing driveway shall comply with Public Resources Code 42 0 roadway uirements. ✓ " Is the drivew ne or was it extended? Yes o ❑ (b) All driveways shall provide a minimum 1.0' traffic lane and unobstructed vertical clearance of 15' along its entire len Driveway width: Vertical Clearance: (c) Driveways exceeding 150' in length, but less than 800' in length, shall provide a turnout near the midpoint of the driveway. ✓ " Where the driveway exceeds 800', turnouts shall be provided no more than 400' apart7 Driveway.le (d) A turnaround shall be provided to all building sites on driveways over 300' in lengt}i; and shall be within 50' of the building.. Turnaround distance'from tiinl Correct?. :Yes No Cl The,surface; shall'provide unobstructed access to conventional drive, vehicles, including sedans and.fire engines. Surfaces should be. established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall berequired for all drivewa s, turnouts and:turnaiounds . . Depth of to base: X1273 0 tfMA, DW_,r(:RADES. The grade for all roaAYds; streets; private lanes and driveways shall not exceed 15,%.'Allgcades ovei 15% shall have 4" of class 2 aggregate." and 2" of asphalt concrete. No driveways. allowed in , excess of 20%: Percentage of sl %. � E1t27304 RADWA�X7RADIUS +... MVV .; � ' M (a) No roadway shall have a horizontal inside radius of curvature - of less than 50' and additional surface width of 4' shall be added to.: curves of 50-100' iadius•`2'-to'those from 100-200'. ✓40Sr1W-PRA'CTICAI Questionable borizontal;curve radius: . (b); The length of vertical curves in roadways exclusive of gutters, - ditches and drainage stiiictures designed io-hold ordivert water, shall be not less than100..' .:Questionable vertical curve 1 "mss.✓,, 1273.05ROADWAYiTURIVARO, ,.. . Turnarounds arerequtred on'dnveways as specified m this article.:,:: The"minimum,turningradtu§for a turnaround shall be:40 'from'tbt centerline of the road if. is:used the to Hie "T" shall be a minimum oftr0':inaee` ` • T e of roadwa tumaround useid?. Measurements? M 12<73 06 RQADWAY T,.MO,U2S ' Turnouts shall be a minimum of 10' wide and, 30' long with a: ✓ minimum 25'taperon each end. Roadwa turnout measurements and location t X1273 07ROADWAYcSTRDCTIJEiES , (a) All driveway, road; street, and private lane ioadwaystructures (Bri4es,,cuerts, and other appu itenant structures ,which.: lv supplement the roadway.lied or shoulders) shall be construd.ed to .'. carry at least the maximum load andprovide:ttie minimum vertical .. clearance as requited by: Vehicle Code Sections 355$0, 35750,and' ; 35250.' .. Bridge certified b re -stemd civil engineer? -Yes ❑.No � (b) Appropriate signing; including butnot.limited to weight.or vertical clearance limitations, one way road or single lane •- conditions; shallreflect the bili .. of ti bridge. Correct signs installed? Yes'❑:. No- (c) Abridge with only one traffic lane maybe authorized by the local jurisdiciioii; however; ii _shallptovide for obstructed ... '.. visibilifrom one end to the other and turn.is at both ends. . T»mout mrnsutements on eachend . Re -Inspection Mtes or ,sr- --Mir- 2 5 2 3 No .. Violation/Remarks Cleared Distribution: •L �y: Distribution: White –Building Department Yellow _ Fire Prevention - . Pink –Property Owner QA ` (a) Gate entrances shall be at least two feet wider on both ends then " ti the..width'of the traffic Ian s servin a ate. ; j i,�Qate ineasurements on ends: ` F (lf Agates, providing access fra oad to a driveway shall be` ' locat�ed,at least 30' from. the roadway and shall open to allow a vi T to to sto 'without�obstructin traffic on thot road. - Gate,distarice on' drivewa :•from road (c) W> ere(a orte-way road with a singl tc lane provides access to a ateid�eutrance9„:a 40'. radi a be used. Turning radius meastuements:: >! 1274�81ADDRESSEStFORB,' All:buildmgs slalltbe rssred an address by the local jurisdiction, which confotm`s`to that jt6sdictioa's'ovemB address system,. Accessory buildings wdl not be required to have a separate address; however, each dwelhng unit within building shall be separately identified. ` Is address correct? Yes ” o,❑ ✓ " . &Y27d SIZE DIEL , >ERS,, NiJMBERS AN„DISXlIiBU Size Ofleners, numbers and symtiols,'for addresses shall be a minimum 3" letter height, 3/8". stroke,'reflectorized, con g with the background color of the si&- Utters,.Numbers and Symbols correct?. Yes, o:❑ ✓ " ""I" 1YISIBILII Y OF .. ADDRESSES '�•. ' (a), All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible:from both directions of travel along the road. In all cases,. the address shall be posted at the beginning of construction and shall be maintained thereafter, and the addr Sss shall be visible and legible from the road on which the add located. Correct?. :Yes No Cl (b) Address.signs along,one-way roads shall be visible from both themtended diiecti of travel and the site direction. Correct?:•Yes o ❑ (c), Where multiple addrpaks are required at a single driveway, they shall be mounted riDesingle post. Correct? Ye . No ❑ (d) Where:a'roadway provtdes'access solely to a single comn►ercial or industrial business; th dress sign shall, be placed it the nearest road intersection ' access. to that site: Correct? `Yes o; ❑ i276:0ESE, nUCK F�ORtSTRUG�TURE DEFENSIBLEaSPA`�Ej,; (a) All parcels 1 acre and larger shall provide a minimum 30' setback for buildings and accessory buildings from all property lines and/or the center of the road.'! (b). For parcels less than 1 acre, the local jurisdiction shall provide for the same. piiicticitl eiTect } , ✓40Sr1W-PRA'CTICAI EFFECT RE: UIREMEN.=TSw .�.V rv� . If a Building Setback; is less then 30 from all property lines and/or - . the cenfer: of the load; the followin 'shall. l .• •Class A roof - Correct? Yes ❑' No. •Full enclosed eaves on entire structure .= Correct?,Yes o i .Metal doorsio vard insufficient setback Yes ❑• No •:Siding from the following: list: (a) Stucco -3 coat (b) Non combustible Ha &Board, Plank or similar.siding (c)Masonriy r �� �. _est e Other Butte CountyFire a ved materials Correct siding used on entire structure?..Yes <:No ❑ ., ✓ , 1276 'OVDISI` . AL" E," 11AMM_ A$E YEGE�'TAFI'IOMAND r$ S a Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused'bysite:developmot and construction, road and drivewaY.eonstrucuon; and fuel modification shall be.completed prior to:com' Ietioe of road: construction or final inspection of a buildin f ' Gori letcd?::Nes o ❑ � o7�.i�RE,Q �> �snvs� RESIDER( 1AL FIRE„SP NK _. If your:pioperty _was part of a parcel split after January. ] , 1991, you are required to install residential fire sprinklers: It is: the property owner's tesponsibtlityto review the ofcial 1 map to,00nfirm I f sprialders arwreiguired. sprigklers required? Yes ❑ No '.. Are. ii imers.installed? Yes ❑ No No .. Violation/Remarks Cleared Distribution: •L �y: Distribution: White –Building Department Yellow _ Fire Prevention - . Pink –Property Owner QA OF BUTTE. - BUILDING DIVISION - — DEPARTMENT OF DEVELOPMENT SERVICES 7 Cou Venter Drive - Oroville, CA • (530) 538-7541 CORRECTION NOTICE a W311-1 057 -/S - OWNER // PERMIT NO. A routine insp�ease 'rldicates that the following violations of Butte County Ordinances exist at the above addnd should be corrected. Please call for re -inspection when correction of work is compIf you have any questions pertaining to this matter, or need additional explanation, ontact the Nilding Inspector as indicated below. - r" l'/� T/- 61i// /14 � ( /_ //' Q6/,'/ i/ — . ii, -r __ - W iv / " // f Date Inspector / t✓ r/ / C g/Y REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r, COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 4Y .V ` Yµ' OWNERU PERMIT NO. A routine inspec indicates that the following violations of Butte County Ordinances exist at s" the above a ess and should be corrected. Please call for re -inspection when correction of work is pleted. If you have any questions pertaining to this matter, or need additional expla^ ion, please contact the Building Inspector as indicated below. r, _ / S•l ^ AAM Li .�� -D :;F: ` ' (a UeA I v ✓ a� o f r Date Inspector 0R REV 4/05 Phone # 1 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 638-7541 PERMIT, NO. BP051851 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 11/22/2005 APN: 073-260-019=000 the Business and Professions Code, and my license is in full force and effect. 22 Class: License Number: Site Address: License -�Jf�� 11284 WINDING WAY CLP Dale: ! Ip Contractor: IL491� 114S/N Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF(1896)GAR(472)COV(588) 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: MYSIN CUSTOM HOMES INC ETAL to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 733 WATER ST 7000) of Division 3 of the Business and Professions Code) or that he or WEST SACRAMENTO, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95605 applicant to a civil penalty of not more than five hundred dollars ($500).): (916) 997-7373 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does Applicant: MYSIN CUSTOM HOMES such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for 733 WATER ST sale. If however, the building or Improvements are sold within one WEST SACRAMENTO, CA year of completion, the owner -builder will have the burden of 95605 proving that he or she did not build or improve for the purpose of sale.). (916) 997-7373 ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Stale License Law does not. apply to an owner of properly who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: MYSIN CUSTOM HOMES pursuant to the Contractors' Stale License Law.). 733 WATER ST ❑ I am Exempt under Article 3 of the Business and Professions Code WEST SACRAMENTO, CA Date: Owner: 95605 (916) 997-7373 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one or the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 831009 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit / Is issued. have and will maintain workers' compensation Insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier: �lli✓y /y� U Policy #: 10A0 7 Total Square Ft: 2956 S.F. ❑ I certify that In the performance of the work for which this peril is Valuation: $143,976.00 Issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' I compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply w' h those provisions. Date: "\ Applicant: WARNING: Failure to secure rkers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pery4f is hereby isp6WL nder 1 e app' ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for which this Is issued (Sec 3097 Civ.) Resol ions to do w dicated a ve f ch fees have been paid. r� performance of work permit B t Date: y Nome: %' 2 PERMIT EXP RES ON: 2 2-26 Address: (Date)' ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. . t orized gent of the owner. I agree to comply with 1 hereby certify that I have read this application, that the above Information is correct, and that I am the oZarilc�iial all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substaor document of Butte County.I hereby BuuttteCounty to enterruupon the abov mentioned propertyffor inspection pur/e��o,� authorize representativessof / " Print Name:��57t�/7T/O/r�Sigrfature: Date: �44A/ ❑ Owner Contraclor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit W -16-U4 pg 'I tot� I l �� 15""` �� 83.9 3 � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 �� A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 7 "PLEASE PRINT CLEARLY; �I OWNER Last Name mvsfA ist Name Al.. o/a Address 3 3 1✓% 1 e s 4 Cill W e-> 01 c— 419 State C A - Zp 6 057 Phone -, 3 731 Fax ?� 372,- 08/9 E{nal CONTRACTOR Name Address !) 3 1� 46 r S - A city I . 56> C_ state zip q5 -,t;675 Phon 4!6) 5,7 3 '[W) 372 -CIS/ 9 E -mail, -5.3/0011 Class13 I , I' A_ I,, r For office use onl : ARCHITECTIENGINEER Name W!ti-2 Address Map Book city Lot # State zip Phone Fax E-mail State License Number I , I' A_ I,, r For office use onl : APPLICANT NAME Name W!ti-2 Address Map Book city Lot # State Zip , Phone Fax E-mail I , I' A_ I,, r For office use onl : Zoning Flood Zone SRA K Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS V KAFORMSMILDING FORMS1BldgApplSubRgmrts.doc Page 1 of 2 PERMIT NO. BP 051-951 BIN # 6-S LOCATION AP# 0 - X1Address <S e; Cross Shwt v WORKER'S COMPENSATION Policy Number Carrier N hiring anyone other than license contractors, a certificate of worker's compensation must he shown at the time ofperrnit issuance. LENDING AGENCY Nene Address Description or Scope of W k: Sq F.00ta e 6 17 o 5$ ❑ Structdre 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. Received by: K-6. Amount: i 113 . JQ� Bldg 20,A.q O SRA R"Pt#�SA1 5LA Date:7/1 3 /-as All SNAP 1 � I 5� Total REV 7-27-04 Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR lq- 7 County Center Drive Oroville, CA 95965 LO (530) 538-7601 Telephone (530) 538.7785 Facsimile . TO: ' FROM: LO LO I SUBJECT: O In DATE: WILLDAN Scott Rutherford (530) 538-7160 o�UTTFo 0 0 0 0 0 _ _ - 0 0 OUR srutherford(ftuttecounty.net Plans Transmittal For Review Per Contract 7/14/2005 Applicant: M sin, Nikolay Permit No: 05-1851 Project Type: NSF/Gar/Cov 073-260-019 100% 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 Epp 5 X51 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: 1 `1� i n r ASSESSOR PARCEL NUMBER 073-21c0-01"I Proposed Building Use: NSF Or Cob � Permit Technician: % .l7 • Date: �/�3/W It9ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 1I W 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. lZ=N 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. %7XV4 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bidgs: (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. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form �W.TN 13. Acknowledgement,of building permit application without required clearances. ❑ 14. Other Re @inin ems needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15 Sanitation and site plan approval from the Environmental Health Department in O Chico O Oroville, as applicable ❑ 16. Fire Sprinklers ........................... :................................................................. b 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑rosion Control Plan Required........................................................................ (20.,Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ . City of Chico Plumbing permit........................................................................ 22. Site plan and business license approval from �the Ci y of Biggs .......t ...................... ' 23. California Department of Forest plan approval%paid. Sent by: K•C�•/.lbs �f 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: .... ❑/ 25. Contact Land Development about _ Improvements, _ Drainage ........................ �'� 26. NPDES Form .. .................................................................................. .. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑, 31. Letter of Signature authorization.................................................................... Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 3. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... Legal description, ❑ M. Title, title search, registration or MCO ......................... 3 ther: S�sZrn ❑ 37. Other: When issued Telephone l ��� �� �"� 3 and hold for pickup. I have been informed of Oe abgve items and requirements for obtaining a building permit. Applicant: W114-1111, 14 1 �&.9), Date: ' /31. Index permit applica on for the above items numbered: _) Plan Check Letter 2. Additional items re ' Contractor, design , owner s advised of the above data by phone, ❑ mail, ❑ counter, ate: . Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, byDate: Plans reviewed by: Date: Plans approved by: n Date: Structural reviewed Date: Structural approved by: t ate: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER Iv lysin IK ED BUILDING USE Q c� � i I I 1 Cl BUILDING PERMIT FEES �+ --- Balance Due ..................... $ 10-10 --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES�V t (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. �,1 q,, {� 4. RECREATION DISTRICT FEES �(g 1tr (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT �IMnP T FEES COUNTY WIDE (per dwelling) $ U.J q0 © n CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) A.P. # 0773-2_69 Iq DATE `7-I3'05 RECEIPT # E REC. 'NV 44 IDAT �j r "V Il-LK-6.5'1to zLt��as i/' 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP" 14.40 ��� l 9. OTHER 10. OTHER 11. OTHER 1 1 At time of permit application, I was may be changed during the plan the APPLICANT above fees are required to be paid prior to issuance of the permit. These fees DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) Qom? p,Ri�tE,yT O� �uT7" ASLIC WO��S Department .0 o u n t J. Michael Crump, Director of Public o f B U t Works LAND DEVELOPMENT DNISION Storm Water Management Program 7 County Center Drive Oroviile. 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 BLESS THA IN 1 ACRE) Project Description: el S F 0 Project Location and/or Parcel Number: By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent 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:"' Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program P-evised 5/24/04 Butte County Department ofDevelopnentSeryzces 7 County Center Drive 00 00 ° ` ° Oroville, CA 95965 `= ° ° 530 538-7601 Telephone (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation: clearance to the Building Division as soon as clearance is obtained. • I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: / Applicant Name: 1-IG91A 5/'k APN: 7 Z 61)0 ? Building site address: IMS 11Vr �,22:a Permit No.: 8P051S 5i I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: /3 �S SIGNATURE OF APPLICANT DATE . .. k•Fnrmc/Rlri°Pr.TmitwithnutClearances020705 i SITE PLAN REVIEW APPLICATION Date: l9 o5� AP# 0? 3 026 0-01 9 Permit Number (if applicable) J b APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: 7 3 Telephone No.: C ql 6 9 %c 7- 73 73 p , 9 . Situs Address: ll 02 6 y TA%G�GI.�i✓lA Gv&# M��M Proposed Use: 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 DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By 4Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY a` Parcel Is In: Snow Load Area: •3660 h 35-w -b 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)—Mod, ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See att cc ed) • Flood Zone: • Flood Panel No.: Index Date: �o ❑ 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: K. 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 1,20 Q S, �J Side 5—/ Side Street Ia Rear S` Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2of5 ' Subdivision Map/Parcel Map: /1, 5,t- Map Date of Recording: 10130 Lot:Book: �J. Page - F] Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.RC. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for ' installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California'Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division.'. ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa u Paize 4 of 5 Applicable Development Fees: Standard Fees ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Amount 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: F-1 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 r El Summary of Specific Requirements: FM 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 El Summary of Specific Requirements: FM 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 rho oadraWod, RDLLEV WATERSON B ASSOCIATES, BUr7E COUNTY, o W_ pwmw.nQo consisting at DoWtHr ALLEN, C.A. CATASS; HELEN SNOCK WLLIAV 'SLOCUM, DAVID SIMMAN, VAN TUCKER, ROLLER, WArERSON, and ROLLER, WA- TERSON ASSOCIATES, a co-Pwtaemft4O condslhp of ROLLEN WATERSON and VKLEr K WATERSON, as owner of the /and inckdeO within MERRY MOUNTAIN VL - LASE SUA%V/90N UNIT NO. 2, as sham an IAe mooed crop, and CENTRAL VALLEYSEZLRiri DOVAWr a Coh7foraa ch'Pwallan, as trustee under Deed Of Trust —dad Afiv S, 968, M Boos Lilt Ol Of/'dW Records of Pogo 436, dl hareby certify Mal mid m-pwMw_ a1{o and CENTRAL VALLEY SECURITY COVPANY, as !rust.., ora the and& penin: u*_ can- emJ is --my to pate c/a- title Jo said,. id bad, and - coasml ta the Peparowan and reco'd lion of sold map as aloam miAh 1be cdkred bwderhaes. WADING MAY and MERRY WAr as shown ►!thin the caved bwdor ims ore Private roads, but auy'act to so omen's over and along and miam sold rands l public uflhly burst! s and Orahmq,. Wa, also, plana. the fa/ooft easemonts lov the Vmjf,, uses avO'_d be/ow: Cal front of Way and eosammls far rater, go,, rarer and a amag, Apes, and averb-d and andelgro-d rims for sAlcMc and Jobpt-, service, logaho, r!M my and O// apparlenances aAparfaning secreta, on, over, and under loose atter of Mod Iyhg bear..n !Ae raw and/w dOsenar of lots and Me tines d"10"ed "PUEE/C Urturr EASEMENT LAVE." (blEasemanth Aar 4401 and a!, over /Rase strips of lead Vag bare.. the f I and/w sideh'nes Of tots and /he 0-s Ohoa Awem and deslgnoled "SETBACK LINES said strips to be kept spm and It. of buRdmgs. (drasameas far 9,v eves and -,how., eslead/ng 20 lea from me cmtw/ines of sus, -to "for ee/o in far above, and five feel in Winn, at the location Morn heeon by symbols. ROLLEN WATERSON and ASSOCIATES, Butte CoYay�,y, A PmYoe * e, (YnA-il .. .Q.f'sa[.-✓ bel, u SM.. -7a_. A ./ Oqo A/n ,pDon No/ten Walenm by �' Rallan Waterson and Associates GA. Calps f�>Sw co-paiJnersblp by Helea Snook a9 �''WJ �r�'s�- /R`ol/m Water,- Jy I W'Mam S/oc,�' Vide) M. Waersan ,Yi. QJT.,,.,, i••• 7na� dry tti. Zu..:f` CENTRAL VALLEY .SEZT/R/rY COURINY Trustor WALTER B. GRIMES, do hereby catty that / our o REGIS TERED CIVIL 6116/011 - EER of the Sole of CW'fora4 /hot the annexed mop of MERRY MOWTA/N VILLAGE suawmLS/ON UMr N0. 2 cwrecJry represeeho survey mode -der y anmerridm h Aug - L usL,/966m 1bIt 1:1true one ampere cs darn, /hut mea mems shorn th— exist od we @f UM 11'ar-t oM occupy the Posh- h kvmO and we a /i enJ M moth the usvey WALTER B. OPIYES - Registered Civit Engineer Na 7294 F. K SEELY, ✓R, AUDITOR of the COUNTY Or BUTTE, Stare of Caawnfe, do name, certify that there no /as Mans abolns! AIERRY MOUNTAIN VILLAGE SLWKSION BNIr No. 2 os tmmb ser lovte, w m~ Scam, Cm4y, Mhnin'pw. lir Local Jades w "..I" ossedimnds CMxred as /Ole4 .."Pt tore. or apedaf a ommfs not ya po).Me, rases orphicA aro o Ian, but not yet payable, I estimate ta be in to. wminJ of 'y a. L. DO FK SEFL ✓ , Avdifor STATE OF CALIFORNIAa cDUNTr LY' BIrrE Joe On INsl-2de1 0.0 ,1968, before me, the mdersigned, o Notay Rd- Iic in and lar Me said County one Slate, persona/ly 4ppeared ROLLEN WAr£RS0,% *naw ta me Io be one of the pwMen of IM ROUEN WATERSON and ASSOC4=, 8.11. County, a co-palls-sb O, and /r Me saes v-- rbose name 6 subwlbee to 'AV within iarmsmml as o/twosy h fact of DOROTNY ALLEN, DAVID SING - MAN, C.A. CATASSI, HELEN SNOOK, WILLIAM SLOCUM, DAN TUCKER, Mo are partners of be porinereoip that ..-led the rifhm Instrument and ace.-I-Ved Io ma that such partnership esscaee 'be - IN WITNESS WACREOF, I be,. 1--.1. of my *and and o//ised my Of- ficial seal the day and IAe ya- in Mia Certificate /i's, above written _ "f 71 Notary Public STATE OF CALIFORNIA cowrr Lb Misj',"eay of a 1968, before me, the weerrignee, a Notary Pub- lic il and for said Charly and Stale, pweana/Iyof CENTRAL VALLEY SECURITY COALPANr l4e corporation thatexecutedlee wM- h'-aromai onto In me to be the persanJ rho exacted the wiMln inslrume.l, an bene// of the Corporation hwin tamed and acfeor/eged 10 me that such cm- po/olion executed Jlne rilhin imlramant prsuanl to its by -lays or a resolution of of its 'board of directors. IN WITNESS WHEREOF, I have Aero -to set y hand and off! ed my of- ficial shot MI dy ad lie year in this certificate first above written. -�R- sr.wt �" . . -.! .. G 7 4 `S"%r`i ,?i tlERTa E. L'iALF LI �;L 1jM '"'n.Y a+SUc GuraAvu f 'Vale', PubA'e �^ i 4kt�i<glrra cnontt CC � of l-:k+w;.s�wt. fele. 9ialt , My aspires 1-1 "..f •,. STATE OF C4LIFORN/A) cDVNTr OF BUTTE r Oa Mls�day ofLL�,/968, before me, the wacr*ned, o Awory Public m and lar Me said Coady Ord Slate, persona/y pmorad ROLLEN WATERSON, known he me to be ane of In. Farman of the BOLLEN WA TERSON ASSOCIATES, co- PorfnerMly and I$ Ms came person Whose none is subscribed to with& imfrumea as attorney n fact to, VICDET N. WATERSON, a partner of the p -me -hip Mol —I'd Me widen M.Aro-enl and oc*n I&dg,d la me that sum parinership u- -fee be s IN WITNESS WHEREOF, Ilove here -lo se/ y bond and ottlsed my oNidol tea/ It. day and Me year in this cerli/icae first above rrifteh. .. +].e+.•r?w u S: f u41 -•.I / A i'YG'. jn� i (tr`"✓* . c. . Notary Ruble b, '�ti{S" _ ••''�1O n: i .rty'd cony MY eanmisdan wit" 1114, I,A.L. WALSH,INTERIM DIRECTOR OF PLANNING of Me pLANNAVG CCNOOSS/ON OF THE COUNTY or BUTTE, stall of eostwhie, do hereby cwti, thol the —ed the mm of MERRY MOUNTAIN VILLAGE SUBO,VLSIoN UNIT NO. 2 conform: sub- amfiary rlth Ibe subdWsion igo r T ta Me tars s.. sbP rAicb ap- proved by 14ls canmI— on 1I �^L6`�'�'�'(' � Iaerlm odea r of Planainp I do hereby cslify that ere Mee a , /969 Me &Orr£ Cowrr 804W OF SLWERMSORS ollrclly ysrosed Me-bd'eldan map of MERRY NOUN- TO/N VILLAGE SBD/VISION UNIT NO. 2��'.''' ��r�ko receipt of rolisfactw, ..orally n 16. AuO7w7 eslha/ed amour/ of S 00 4- p rmeal of I— whim eve hh, but not yet payable, was acknoaeged. W/IKYNG WAY and MERRY WAY, as shown an sold mop One "I shared fw dedication, ware net -accepted an behalf of the public for Comfy Road O-Imarr. by 41 Corny Clerk D4ay Recorded in Ina office of Ina RECORDER CM avirrE COUNTY, State of California, a, the request of Bt/rm Col/Nrr TITLE LTWPANY this le shy of akji f-ri 1968, 1iMminafes past "Io clock -4•M, a Map BOW ��.ol Pages -4.2v 33 r3e1 . So,", NO S 3S/ Cony Recarder Deputy /, CLAYTON D. CAsarsu'RRY, LVRECTO4 OF PUBLIC WORKS of /be COUNrr Of BUTTE, Slate of CW'laao, do he eby ea/i/y that / how uoojo ed the final map of MERRY MOUNTAhV VILLAGE SUBDIVISION IINIr NO. 2 that it is s"woetial/y Me came as 4weared an /he Tmtanre Map an No oma ony awovea alterations /hereof, Jho' o// lne Provisions of Me Subdvisian Map Act of 'be Statutes of California and a y loco' Ordinances ogoh'coble at fee time of gWova, a/ sad rm/oli✓e Map have been complied rill{ and I am satisfied Mel the mop is tech- nically torte,/. CACYTON O. CASTLEBERRY 1 Oa,w- of Pum2 Warks R.C.E. 14224 MERRY MOUNTAIN VILLAGE SUBDIVISION UNIT NO 2 A PORTION OF THE N.W. 1/4 OF SECTION 2, T. 19 N., R.7 E., M. D B.a M. BUTTE COUNTY, CALIFORNIA OWNER 8. SUBDIVIDER: ROLLEN WATERSON a ASSOCIATES, BUTTE COUNTY SCALE: la= 100' AUGUST, 1968 r WALTER B. ^ RIMES SSOC. CIVIL ENGINEERS B LAND SURVEYORS 1356 MANGROVE AVENUE, CHICO, CALIFORNIA SHEET I OF 3 SHEETS 1. GRIZZLY CREEK NATURAL AREA 34 I INE 1 MATCH ...d r ,,. •. sy -L-- . srA CIRCLE 1 T9 79 �A` ) I 80 77 6I�� P^A 4 a I SSI o� p!� +%o 33 I TyyWh�p62 \�\ �,'• 1. _ � .p. 76 deCp1 WN AM 82 y R�/03Q00 IWa L•3044 � v `fid',%.•..• n - p�� � . \ w B3 °,• -" w�,. e. . o' , P °...5°;.. 75. 73.98' 5020Gl5�� D�� dal1:J ,: e ' 32 61 < a• < I I I . PIZo----I-I N6a9'S'4e'E 30�0`O' ` a9 74 (R) N25,44%2 W 64.55 J I I,�B6 e ,$ • d � Ny /� 60 aL•/657' _ 90 85 d .� 4° - 30�o,q�.rl / W*001/0' 64 `a �� o� t 91 �5L-/J/. �' -W\ i 73 3. r` 6/eLY°Y� 8 AREA S66°05'/3w4292 SOUTH 436' § CIRCLE NAuRAL W£sr 235.00' -NW_ - - - 5 LAIR 605.00' LOAF29 .MERRY MOUNTAIN VILLAGE 24 25 I26 y9 S7 19n 22 1, 23 do�'�a 279/ `L.g'• �r-- SUBDIVISION UNIT NO 2 �A11'S62°3/'2T'W2' `, 1 20 A PORTION OF THE N.W. I/4 OF IB 11 /9 �\ n9p ��lla I..r A•I ll e11 ll SECTION 2, T. 19 N, R. 7 E., M. D B. & M. a��8$n�°� BUTTE COUNTY, CALIFORNIA OWNER a SUBDIVIDERt ROLLEN WATERSON a ASSOCIATES, BUTTE .COUNTY . SCALE: I 100` AUGUST, 1968 WALTER & RIMES SSOC. CIVIL ENGINEERS 8 LAND SURVEYORS 1356 MANGROVE AVENUE, CHICO, CALIFORNIA • ° SHEET 3 OF 3 SHEETS a6 SITE PLAN �VIIEW APPLICATION Date: AN Permit Number (if applicable)( / Bin Number Owners Name: Owners Address: 3 Telephone No.: Situs Address: Proposed Use: MINIZJ 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): Parcel Size:U � Email: ❑ Single Family Remodel f ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form ❑ Applicable ❑ NST/A DO NOT WRITE BELOW THIS LINE �wl��ll�InlIRwW1s1lR DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ® Site Plan Stamped Approved � By •Date ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: w 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) a Expansive Soils (Test for expansive soils and if verified proper foundation design required) Yl2d- ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: Y� o'? • 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: .'f— A Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. D-- 7 „r C Zoning Code Streets & Highways Fire Prevention Subdivision Map Front /3 Side Side Street la r Rear l S Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. D-- 7 „r C Applicable Development Fees: Standard Fees ❑ 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) Amount 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/Notice 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 JO Subdivision Ma /Parcel Ma 6W Map Date of Recording: U U j ,)UseLot: Book: 3) Page: 3,)- Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa IN 0 0 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. CALanys\Building Permit Site Plan Reviewl .doc N;�VW I LLDAN Ma s Street Marysville, California 95901 Serving Public Agencies 530/749.2373 fax 530/749.2199 www.willdan.com November 2, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX BUTTE COUNTY PLAN REVIEW REPORT Status: Approved Jurisdiction Job No: 05-1851 Assessor's Parcel No: 073-260-019 Description: Mysin-NSF/Gar/Cov, 11284 Winding Way, Clipper Mills Willdan Project No: 14353-1780-M Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project I nd recommends your approval with the conditions noted on the 2nd 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 1 through 8 dated 5/25/05, by Mysin Custom Homes, Inc. * Truss Calculations: Two (2) copies dated 5/23/05, by General Truss Company. * Energy Calculations: Two (2) copies dated 09/09/05, by Melnokov Construction. 11 The plans have been stamped with the Willdan approval stamp and dated. 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. Cc: Alice Mefford, amefford@buttecounty.net t W I LLDAN Serving Public Agencies APPLICABLE CODES Our review was based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code (CBC). • Part 6, known as the California Energy Code, and Energy Commission Standards (CECS). CODE ANALYSIS Specific Use Type of Occupancy Type of Construction Stories 1" Floor S 2° Floor S FtTotal Sq Ft i» --- — - -- -1 �Ft +1896 Dwellin, R-3 V -N 1896 NA Garage U-1 V -N 1 472 NA 472 Covered Porch R-3 V -N 1 588 NA 588 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. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. 4. Field inspector to verify installation of existing or new smoke detectors in all existing bedrooms and hallways leading to bedrooms (may be either battery operated or 110 volt with battery backup) as required when the valuation of any addition made to a Group R -occupancy exceeds $1000 per CBC 310.9.1.2 through CBC 310.9.1.5 5. Gable -End Truss calculation submittal is deferred to Butte Co.'s review at their discretion. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals. Sincerely, b� Plans Examiner Page 2 of 2 Gustavo Franco, P.E. Structural Plans Examiner County of Butte Willdan 1.4353- 1780.POF BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP051851 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 11/22/2005 APN: 073-260-019-000 the Business and Professions Code, and my license is in full force and effect. 22 License Number: �J�t%tn � LicenseClass: Site Address: 11284 WINDING WAY CLP Dale: r.51—Contractor: lU��/y S� �� aA' Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF(1896)GAR(472)COV(588) 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: MYSIN CUSTOM HOMES INC ETAL to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 733 WATER ST 7000) of Division 3 of the Business and Professions Code) or that he or WEST SACRAMENTO, CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95605 applicant to a civil penalty of not more than five hundred dollars ($500).): (916) 997-7373 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MYSIN CUSTOM HOMES such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 733 WATER ST sale. If however, the building or improvements are sold within one WEST SACRAMENTO, CA year of completion, the owner -builder will have the burden of 95605 proving that he or she did not build or improve for the purpose of sale.). (916) 997-7373 ❑ I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: MYSIN CUSTOM HOMES 733 WATER ST ❑ lam Exempt under Article 3 of the Business and Professions Code WEST SACRAMENTO, CA Date: Owner: 95605 (916) 997-7373 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 831009 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �Lr/Q✓y 3_�9 U /� Policy #: /�rY �' ` Total Square Ft: 2956 S.F. ❑ I certify that in the performance of the work for which this permit is Valuation: $143,976.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' I compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: // O � � r I Applicant: \"A\ WARNING: Failure to securerkers' compensation coverage is unlawful, and shall subject an -employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This per is hereby is under 1 e app' ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for this is issued (Sec 3097 Civ.) Resol ions to do w ' dicated a ve f ch fees have been paid. performance of work which permit B Date: y Name: PERMIT EXP RES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl 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.PA. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or th I M onzed gent of the owner. I agree to comply with all county and stale laws relating to building construction. 1 acknowledge it Is unlawful to alter the substance of a ficial form document of Butte County. I hereby Butte County to enterupon the abov mentioneed� property for inspection purposes 47Yv authorize representativesof , �e/o,� �"Jel /�/ �LA- I 51 �UG576/VltW al'ature: /'' /' f 5/ Print Name: �0-, 7 A Date: ❑ OwnerJ Contractor O Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 Is GENERAL POWER OF ATTORNEY I, Nikolay Mysin, residing at 733 Water Street, West Sacramento, California 95605; Tel. (916) 372-7019 or (916) 997-7373. I designate Irina Mysin at my attorney. in fact to complete and sign any and all necessary documents and snake any business and financial decisions, including sell, buy or exchange any assets or property owned by me or including, but not limited to, making deposits and withdrawals, obtaining bank statements, passbooks, drafts, money orders, warrants, and certificates or vouchers payable to me.by any person, firm, corporation or political entity. A Signed this /77/ da of �yd , 20 05 Signatu CA City, County, and State of Residence STATE OF CALIFORNIA COUNTY OF -mac`-c= rmvie,A0 �` F� On N C' R , 20 05 , before me, personally appeared t opersonally ow to me ( nse) to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. Witness my hand and official seal. ROMAN fV1YSIN o COMM. #1546558 z NOTARY P Ic C °Notary Public.- California p. Sacramento County M Comm. Ex fires Jan. E.H. USE ONLY "j Plot Plan Attached �s Floor Plan Attached Sent to BD/DS TO: Building Division – Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal: >— Water Suppl : Public Private Well Clearance for dwelling. Other 3 Hold final for: Final clearance O.K. for: NOTE: Emfironmen�ai-Ffealthecialist I n l Building Clearance 9/2005 //- 2/-0E Date (916) 990-9997 Andre Baranov PAGE 519 T . . . * , 02- 01 I E A p 89gwg�£ >i a z ±< w! all a o qo m I � WD 1 N151N CUSTOM HOMES, Inc. � �� � n Q 7."WATFR S1REEi • WEST SACRAMENTO, 5605 � 05605." CA m TEL (916) 997-7373 = �_+• Q fAX (416) J72-0819 1 _4r _ Uf }fie N �5 gra�a�RA-2 Jig g€ $sill a F g vi e v F OS a m n I J1 . . . * , 02- 01 I E A p 89gwg�£ >i a z ±< w! all a o qo m I � WD 1 N151N CUSTOM HOMES, Inc. � �� � n Q 7."WATFR S1REEi • WEST SACRAMENTO, 5605 � 05605." CA m TEL (916) 997-7373 = �_+• Q fAX (416) J72-0819 1 _4r _ Uf }fie N �5 gra�a�RA-2 g€ $sill a F g e v F OS a m n SINGLE FAMILY DWEUNC z - CLIPPER MILLS ll FLOOR PLAN AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 2678 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: LEGAL DESCRIPTION EXHIBIT "A" Lot No. 86, as shown on that certain map entitled, "Merry Mountain Village Subdivision Unit No. 2",which map was filed in the office of the Recorder of the County of Butte, State of California, on October 30, 1968, in Book 35 of Maps, at pages 32, 33 and 34. A.P.N. 073-26D-019 Date // PROPE ApEew 10/A1WV A IV9�& L / yrs.;✓ State of California ) County of 9,,t4+, ) On /00l7 - a 1. -Loos,- before me, -r--_i . 1, C, personally appeared I rZA)C. I" ! tj known o r 1r (or proved to me on the basis df satisfactory evidence) to be the persorr(s-)-whose name is/ re -subscribed to the within instrument and acknowledged to me tha she/ executed the same in IAAE3authorized capacityEiess}, and that by -E% rr/ ' signature(s) on the instrument, the person*or the entity upon behalf of which the person(g) acted, executed the instrument. WITNESS my han and AL,- official 1. Signature .._ ,1Seal: JAMES LAMAR KINSER COMM. #1377185 �1 m NOTARY PUBLIC _ CALIFORNIA A.P. # 3 V • BUTTE COUNTY a My Comm. Expires Sept. 28, 2006 ®® RTHTCC ltd, - GEOTECHNICAL ENGINEERS • SPECIAL INSPECTORS GEOEWRONMENTAL CONSULTANTS November 16, 2005 Timel Construction Attn: Mr. Tim Gregory 7918 McCourtney Road Lincoln, CA 95648 RE: COMPACTION TESTING SERVICES PROJECT NO. 205259 MARY MOUNTAIN. SUBDIVISION T11284 WIN_ DING WAY& ' 11284 HOLIDAY DRIVE CLIPPER MALS, CALI ORNIA Dear Mr. Gregory: Earthtec, ltd. performed compaction testing services on November 9, 2005, for the above referenced project site. The scope of our services was directed toward compaction testing only after the earthwork related to the construction of the building pads, at the above referenced sites. We performed one field nuclear density test on the earthwork for each of the building pads after completion of the grading operations. These tests indicated that, in the building pad locations tested, the earthwork was compacted to at least 90 percent relative compaction per ASTM D 1557. We employed earthwork compaction testing procedures that are in accordance with generally accepted geotechnical engineering practices in the Northern California area. We do not undertake the guarantee of the construction nor do we relieve the grading contractor of his primary responsibility to produce a completed project conforming to the owner's directions and/or the project plans and specifications. In addition, our work did not include certifying dimensions and elevations-- such work should be performed by the Civil Engineer and/or Surveyor for this project. This warranty is in lieu of all other warranties whether expressed or implied. Please note that weathering, activities of man, etc., can cause the soils to become unstable, or there may be unseen/untested portions of the fill that are unstable, in which cases, the soils may have to be reprocessed as engineered fill. If the pad remains vacant for six months or there are any indications of instability during any phase of construction, then the geotechnical engineer should be retained to make evaluations/assessments and recommendations for remedial measures, as he may deem necessajy. If you have any questions concerning the contents of this letter, then please call our office. Thank you for the opportune to provide observation and compaction testing services for you. MWe. Yea •e o e pj�ep ' a r o •/per' • _ �h P -C Engineer No. GE 002021 (Expires 3/31/07) J, e•;•o -91 1830 Vernon Street, Suite 7 e Roseville, CA 95678 a (916) 786-5262 a fox (916) 786-5263 0 E-mail: earthtec@surewest.net BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s)�i I Project Location /Address Subdivision Name )�3 a(,00-- D Building Permit Number I + . Yh Assessable Sq. Ftge g ZNew Typee of Residential Development (check one) Development V 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: • li �s- Building Department Repre ve D e r• D ❑ CARD ❑ PRPD ❑ DRPD certifies that: 160,&st /14 Y s`�J101b)W 7r 73.73 M"JAF.ii Applicant Name Phone Number Ives Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. � Dwelling Units @ $ o - 03per unit for a total of O Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: / y6 Paid by Cash: Recreation and Park District Representative Receipt No: IT3- q\ 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 1919 B Street, Marysville, CA 95901 Part I (530) 749-6114, Room 106 Property Owner's N Owner's Address: Project Address: Parcel No: �� '� " �r) - i )� Lot No: City ojjrr� County: Building Dept: Permit No: —ong349 FA/ TYPE OF CONSTRUCTION: Residential Construction Residential Reconstruction Commercial Construction-, Commercial Reconstruction Single Family Dwelling Multiple Family Dwelling No. of Units Mobile Home Total Number of Habitable Square Feet: _ THIS CERTIFICATION COVERS ONLY THE.AMOUNT OF, �SQUARE 'FOOTAGE INDICATED ABOVE. ANY ADDITIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFI- CATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE OF CONSTRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE. ACCORDING TO GOVERNMENT CODE SECTION 66020 (d) (1), 1 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: Applicant's Signat Part II Total Number of H Signatur� Part III I Date: U S ure: i,✓ TO BE COMPLETED Y BUILDING DEPARTMENT abitable Square Feet .A Certification of Compliance'No. (Receipt No.): 0 Q n)6() ( ch Fees Collected Exempt from Fees No. of Square Feet No. of Square Feet Reason: City of Marysville County of Yuba County of Butte x's $.36 for Commercial = $ x's $2.24 for Residential = $ 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. 0 Signature White: - school District Ye low: -Applicant Pink: - Building Dept. Date SD:co 6110102 . "" ' ,%T.'';.:ti;.,d. ;.'r:. .;' :�'n:4`.ix''fv.`�•ftr'c"� �.q ' �,.. tK r.:, . •. ' w ''"" .' �!;."% a '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 1919 B Street, Marysville, CA 95901 Part I ` ' / (530) 749-6114, Room 106 Y Property Owner's Name: � �' ��� /Ov 5 j Owner's Address: 5731--3 Project Address: I 1 vk () `-Ivi 1 Parcel No:Lot No: City or County: Building Dept: Permit No: TYPE OF CONSTRUCTION: Residential Construction Residential Reconstruction Commercial Construction Commercial Reconstruction Single Family Dwelling Multiple Family Dwelling No. of Units Mobile Home Total Number of Habitable Square Feet: THIS CERTIFICATION COVERS ONLY THE AMOUNT OF. SQUARE FOOTAGE INDICATED ABOVE. ANY ADDITIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFI- CATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE' OF CONSTRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE. 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: l' ') !� .� ' r' WS i ti I Date: Il �/ /U zov' r Applicant's Signature: Part II Total Number of Habita Signature j C Part III Square Feet/3 Certification of Compliance No. (Receipt No.):( Fees Collected: No. of Square Feet LENT j City of Marysville County of Yuba County of Butte x's $.36 for Commercial = $ No. of Square Feet x's $2.24 for Residential = $ 'L/ 9. V7 0/ 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. Signature N At White: - School District Yellow: - Applicant Pink: - Building Dept. 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