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HomeMy WebLinkAbout073-290-003y-IS-og ��i-�n�roh �wyn 41 f -u- # 89- � g g y PA/YJ4 o9--33 y APN 4 03 -,;-)10 - 003 BUTTE COUNTY MAR 2 0 20CI IDE VELOPt6IENI L/ SERVICES • The Permanente Medical Group, Inc. Medicine -station 4 1001 Riverside Avenue Roseville, CA 95678-5134 Dept: 916484-4050 Main: 916-784-4000 August 14, 2007 Timothy J Apostolos 409 Keehner Ave Roseville, CA 95678-4045 To whom it may concern: The above patient, Timothy Apostolos, sustained multiple fractures from motorcycle accident. Continues to have pain and nerve sequelae from injuries. Any further questions please contact my office. Sincerely, JONATH N JULIUI�NZ DO BUTTE COUNTY MAR 2 0 Z008 DEVELOPMENT SERV7CES BALANCE OF FEES SHEET DATE: PERMIT #: ASSESSOR PARCEL #: U OWNER'S NAME: G ` o-5 FEES (Amount and Purpose): BALANCE OF FEES: $ ADDITIONAL FEES: $ REVISED PLAN CHECK: $ SHERIFF FEE (commercial only): $ SRA: $ COPY FEES ($1 or more) $ DRAINAGE $ BASIN BC RESIDENTIAL IMPACT County Wide Chico Urban EI Medio North Chico Specific_ $ WATER TENDER FEES $ BATTALION # FEMA $ SMIP $ /\ OTHER(� $ / RECEIPT NUMBER(S) - BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP043346 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHINO) OFFICE #: (530) 538-7541 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 penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/16/2005 APN: 073-290-003-000 the Business and Professions Code, and my license is in full force and effect. License glass; License Number: Site Address: 11185 BREEZY BLVD CLP Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF(1445)GAR(484)COV(193)OPN(312) Contractors' Slate 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: APOSTOLOS, TIM 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 409 KEEHNER AVE 7000) of Division 3 of the Business and Professions Code) or that he or 95678 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 (916)223-0816 applicant to a civil penalty of not more than five hundred dollars ($500).): 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 Applicant: APOSTOLOS,JOHN owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 409 KEEHNER AVE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one ROSEVILLE, CA 95678 year of completion, the owner -builder will have the burden of (916223-0816 ) proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not Apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). am Exempt under Article 3 f the Business and P of ssions Code ❑ 11/ 6 Date! _Q S Owner:,L�n 2LL License #: 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 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: RILEY, PAUL required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 2434 S.F. Policy#: Valuation: $111,749.00 1 certify that in the performance of the work for which this permit is Census Code: 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 compplly, with those provisions. f Dale: V Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of damages as for in Section 3706 of the Labor�� / compensation, provided code, interest, and attorney's fees. U CONSTRUCTION LENDING AGENCY This perm' is eb ' sued under the applicable provisions of the Butte County Code andlor I hereby affirm that there is a construction lending agency for the Civ.) Resolutio o d V rk ' diva�d�abov/e)for yvhich fees have been paid. 2) performance of the work for which this permit is issued (Sec 3097 Name: w� .—y Dat@@: By. O PERMIT EXPIRE 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 & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos �b5 Signature: Print Name: l li�oo f Date: "Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor D. V. oui,u,i.W rc.i ,. v,- izia s P nus- U.) BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION ,�o©..a.y AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CI -ICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" I ARCHITECT/ENGINEER I Name Aml j /t Address 1 Phones tv y3r _q5 E-mail 11 i.� PERMIT NO. BP e>4334& 1 I BIN -A I Z I LOCATION OWNER Last Name ,,,,, 5 irst Name T. M1 Address I 11h? ee ,✓,c✓ yr I I City G [Mille State C:.4 Zip g5767 j) 77 JJ Phon �� 9 �� b Y Fax E-mail Lic. # I ARCHITECT/ENGINEER I Name Aml j /t Address 1 Phones tv y3r _q5 E-mail 11 i.� PERMIT NO. BP e>4334& 1 I BIN -A I Z I LOCATION CONTRACTOR Name AJ Address WORKER'S( COMPENSATION city Carrier State -FFP- LENDING AGENCY -Phone Address -Fa E-mail Date Approved: Lic. # Class I ARCHITECT/ENGINEER I Name Aml j /t Address 1 Phones tv y3r _q5 E-mail 11 i.� PERMIT NO. BP e>4334& 1 I BIN -A I Z I LOCATION AP# D 7 5 rop�� d s . Cross Strilefz WORKER'S( COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -Nam Address /5.,?90 ,?9 S U-!)0? &RA0 o CI.�FWSIWNFRI'/)/�� '--n�9e License Numbr,LL A �M f Fk frl// I �, -1,.5 APPLICANT NAME Name s Address ce of .4ve City i W(1 Statec h Zip 6 79 Phone Q�G Z.23-0016 7hp ,ft- E-mail APPLICANT (SIGNATURE X r ooi For office use only: Zoning t'Z - Flood Zone I x_ I SRA es No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: Description or Scope of Work: ge of Occupancy use): OF APPLICATION Apt,.. ,r which a permit has not been issued will expire one year after _ . date of application. In order to renew action on an application after expiration, a new application, plans and 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. I I Received by: +__I — Amount: a 500 • g 5 Bldg I I OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receipt#: ¢ 1830 Date: ( f .,7) .0,4- -204 'q 8 SRA 3 Sheriff If -o( SMIP REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INIC ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). - ❑ 12. Hazardous Material Form (for Commercial Buildings only). _3—Sanitation-aft"te-pJariappmyalfromihs-EavlronmentaLHealih-Depadment. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval. prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 } TO: WILLDAN N FROM: Scott Rutherford (530) 538-7160 !� srutherfordna buttecountv.net SUBJECT: Plans Transmittal For Review Per Contract QDATE: 11/23/2004 Applicant: JApostolos, Tim Butte County Department of Development Services vT TF 04-3346 YVONNE CHRISTOPHER, DIRECTOR CO : �, �� 00 e/Cov . 0 0 073-290-003 7 County enter CDrive o _ - o c 100% Oroville; CA 95965 C. c Plan Check Fees (530) 538-7601 Telephone UN �y $ (530) 538-7785 Facsimile TO: WILLDAN N FROM: Scott Rutherford (530) 538-7160 !� srutherfordna buttecountv.net SUBJECT: Plans Transmittal For Review Per Contract QDATE: 11/23/2004 Applicant: JApostolos, Tim Permit 04-3346 Project Type: NSF/Gars e/Cov . APN: 073-290-003 100% 70% Plan Check Fees $ 1,000.34 $ 700.24. $ 1,000.34 $ '700.24 WILLDAN Fee $ 700.24 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Y, Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: APC5-rnLa. -77" ASSESSOR PARCEL NUMBER `73 • X90 oe 3 4C40g OPM c3 1.2 - Proposed Building Use: /j 5 F ( 14 t AVATT F„Af'46�1 Counter Technician: Date: Items required in order to apply for a permits All boxes MUST be checked OR marked NA in order to apply. �6 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. . 7 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. Letter from Engineer or Architect for truss design review. fQ 6. Energy compliance design and supporting documentation in duplicate. �❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. O 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ ChicoOroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................. ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑* Erosion Control Plan Required........................................................................ ........ Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 2. City of Chico Plumbing permit....................................................................... 23. California Department of Forestry plan approval p�p'aid. Sent by: je M ?Ij Lz� D 5F )I . a4-- e4- .T 24. Planning approval (A) Use: 01�- eck (B)Parking: (C) Parcel Ch: t 11 2 6q Wl ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .��...............................:....... 31. Owner -Builder Verification (_ Given to owner, _o�Vlailed to owner) ..................... la ! (o 3 Letter of Signature authorization......................................:............................. l 3 ecorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... `0 '35'. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ r3DOther:_ opera .,,z_ p,Ar p, r, w r F' ❑ 39. Other: When issued Telephone 151 dam- -2_:X , e=a I I- and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant _ % Date: 2 ' p tr 1. Index permit app cation for the ab��e items numbered: Plan Check Letter 2. Additional items requi Contractor, designer owner, as advised of the above d by o , ❑ mail, ❑ counter, b Date: 3 Contractor, designer, r, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: %A 11114A. Date Structural reviewed by: Date:_ Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY .o �. Piot Rea Attached Floor Rau Attached Seem to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance %,--��OS%6 L 4 S /�zc��� ��✓� . 0 7.3-a %- o a-ff Ow-ner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ✓ Private Well Clearance for ✓ dwelling. Other /S�-aAee-a-,n wr-aa 4 Hold final for: Final clearance O.K. for: NOTE: Environmental Health COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNERA.P. # 3 PROPROSED BUILDING USE DATE ! I- ZZ -04 RECEIPT # DATE REC. 1. BUILDING PERMIT FEES --- Balance Due ..................... $ 7_5nb• 5'S- 4-/ �L3 d 0-77-94- Additional .77-94-Additional Fees Due........... $ - R vised Plan Checking Fee.... $ OOL DISTRICT FEES 5W L,L-(5 aid at School District Office) (form avails le after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. 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) Ao7. SRA FIRE INSPECTION AND PLAN CHECK FEE X"0 (paid at Building Division) (1-22-04- 8. '-2Z8. 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 (1 - b f �` ' Z z At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. APPLICAN DATE 1A Pursuant to Govemmentode Section 664/0 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) 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. 1. I personally plan to provi he major labor and material for construction of this proposed property improvement:. YES ] NO [ ]. 2. I HAVE >q HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME - ADDRESS SIGNED: PROPERTY OWNER: DATE: ),;--10—D4 PHONE TYPE OF WORK NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 �m �PosFo 10,s 73-�i0-o 03 epil-ot 33 �� Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under `limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. MiclPel C. Vieiri C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. TT Department of Public Works 0� F P �o C o u n t y o f B u t t e O O LAND DEVELOPMENT DIVISION O J. Michael Crump, Director Storrs Water Management Program 0 0 7 County Center Drive Oroville, CA 95965 \ c0UN'�� (530) 538-7266 '4C/e1 rr; �Npp@�5 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES)Phase 11 Construction Storm Water Permit and StormTHAN �WaterACREtion Prevention Plan (SWPPP) Acknowledgement [LESS Project Description: Project Location and/or Parcel Number: �o� /sy �'ly�'�' ^f' ��' 'LIMI `1 By signing below, I, the project owner/owner's agent, certify foat r a Constructs project ion on Storm Wat S PPernuL NOT B 1 acre or more of land and that I, therefore, do not need to apply 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 1 Acre WPDES & SWPPP Compliance Certification t4' W I LLDAN Serving Public Agencies March 4, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 Tel: (530) 538-7169 Fax; (530) 538-2140 SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com 0 Willdan Project No: 14353-1265 Jurisdiction Job No: 04-3346 Assessor's Parcel No: 073-290-003 Description: Apostolos NSFD Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2nd page of this letter. The revisions were in response to a previous plan review and comments listed in our letter dated January 4, 2005. The plans and documents provided for this review that have been found in compliance with the applicable codes are: 1. Plans: Two (2) copies sheets T1 through AD.1 dated 2/9/05, by Mike Corenbery. Two (2) copies T24 dated 06-15-04, by Scott Fraser. 2. Structural Calculations: Two (2) copies dated 05-20-04, by Paul Reilly P.E. 3. Energy Calculations: Two (2) copies dated 06-15-04, by Scott Fraser. 4. Miscellaneous Documents: Two (2) copies Response Letter not dated, by Paul Reilly P.E. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as "CBC". • Part 3, known as the California Electrical Code and abbreviated herein as "CEC". • Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". • Part 5, known as the California Plumbing Code and abbreviated herein as "CPC". • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as "CECS". CODE ANALYSIS Our plan review revealed the following information regarding the occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans. Type of Occupancy Type of Construction Srinklers p Stories 1" Floor S Ft 2" Floor Scl Ft 3' Floor Sq Ft Total Sq Ft - R-3 V -N No 3 27 844 574 1445 U-1 V -N No 3 488 0 0 484 Uncovered Porch V -N No 3 0 312 0 312 Covered Porch V -N No 3 0 0 193 193 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. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. ,. A:?, 7 C, Michael LeBeau Gordon Wright P.E. Plans Examiner Plan Check Engineer Cc: Alice Mefford, amefford(a)buttecounty.net Tim Apostolos, Fax: (916) 782-2016 Paul Riley, 5321 Humboldt Drive Rocklin, CA 95765 Pag,e 2 of 2 W illdan 14353-1265 Butte County 04-3346 09 Marysville Joint Unified School District Exhibit 3610 #1 CERTIFICATION OF COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPAC' FE To be.completed by applicant and taken to: Marysville Joint Unified School Dtstri 1919 B Street, Marysville, CA 95901 Part I A (530) 749-6114, Room 106 Property Owners Name:--/ l Vki t -f' om `o Owner's Address:Q_ �%'Ile O �--- Project Address: Jugs- l (� Parcel No: D%3 oZ�10-003 Lot No: CityOCC o u n ty: Building Dept: u- C Permit No: �1 c, `i Y� 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: i —T J THIS CERTIFICATION COVERS ONLY TRE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANYADDTTIONS OR CORRECTIONS TO TRE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO TIE CERM 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 TBE IlljPOSCTION OF THIS FEE, TIE 90 -DAY APPROVAL PERIOD IN WHICH I HAVE TO PROTEST TBE FEE HAS BEGUN. Applicant's Name: ^ �� M o S U� S Date: � Applicant's Signature: Part II BY BURRING DEPARTMENT II '' ` Total Number of H bitable Square Feet U S� City of Marysville County of Yuba Signature County of Butte 1TO BE 461LETED BY SCHOOL DISTRI Certification of Compliance No. (Receipt No.): C— Fees Collected: No. of Square Feet x's $.28 for Commercial = $ No. ofuare Feet / �{ Sq q T x's $77T2 -for Residential = $ 3 0 30 Exempt from Fees: Reason: AS TRE AUTHORIZED SCHOOL DISTRICT OFFICIAL. I ilEREBY CERTIFY THAT THE REQUntEMENTS OF GOVERNMENT CODE SECTION 68995 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. Signature '�� i� `Sandra Davini, Assistant Superintendent oJBusiness Services Date ` _U White: - school District Yellow: - Applkxnt Pink • &tlWtng Dep, SD:co 8/10/00 i -d dib:20 s0 bI Jew fi SITE PLAN REVIEW APPLICATION Date: ��"�(Q �4`i AP# U _a03 Permit Number (if applicable) 04-1_ 33�C, APPLICANT INFORMATION Parcel Size: Owners Name: zt:n� Owners Address: �� 4 Telephone No.: Situs Address: S 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) a Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval is Site Plan Stamped Approved By Date l `� Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: Snow Load Area: 3000 ye 35�00-�-t; ❑ 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) " ( LlX , SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X >> • Flood Panel No.: _660 WOK7s-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) .;c 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: e ,1 A D_ Applicable Building Setbacks: Front Zoning Code o .9— 0, Streets & Highways Fire Prevention Subdivision Map �0 ` Q• S. G . Side S 1 30 Side Street /01 Rear l�� , coo Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2.of 5 �.� Applicable Developanenit Fees:> Standard Fees Fq'�Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Amount r , _�, Formula ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender , ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By II 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 I ❑ 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: ft, t� V Map Date of Recording: ;-oL2- Lot: / Sq ❑ Use Permit& inor Use Permit Permit Number: Book: 3 r Page: Date of Approval: Parcel Map/Subdivision MapIUse Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development.. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa EI n Page 4 of 5 x 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. CAL,arrys\Building Permit Site Plan ReviewLdoc Page 5 of 5 TM, -arsyrd, ROLLEN WAT£RSON S ASSCaWrS, Bum COmty, o oopabasolp crosirlhp o/OORO7W ALLEN, CA. C47ASS/, NELEN SNOLA; W/LL/AM STOCUA/,,REA, S/NGMAN, DAN TUCKER ono RLCLEN WATERSaV MW ROLLEN WATER,SOW 0 ASSOaATES o m-POIM-041 —.-got ROLLEN WATERSOV mid VIOLET M WATERSON, mor or /he And *=Wed dMh MERRY M0LNT4iV VILLAGE SUaV/SKW W/T NO 4, as Norm ml IM —sed mop, and CENTRAL VALLEY SEctowry O7MAwy, o Col'fomlo awpo otAm, m Raft order Oeed d Ttus/ recmed May S, l%S, In BMLS7/ of O//'dolR.-'e, of pope 456, b 4—by -r#* the sed co Ominsishpe and CENTRAL MILLEY SECLW/TY CMUMNY m r—Aw, — Ins mN persms hose --f it —11-1 b Pose d,ar lift m roto MN and - .mean/ b IM OreP►ol/m and —do—Of sail mop m sho— riMm pr m'vp edede•- A- SMT --Y OL VD od AOL"Y ORIVE as ibsh r/Men !M cobnd .Ode,,A_ — /rya/. mads, LUI sue/ed to --Amen// ori and almp and rAAh raid d for Pdic el//ay h,,hAss and aYdrops. ILt msa pmelde the Idbrip eosermis far Ib wedge ms at/sud eekr, to) Rgkhr of .q oro —I. f ro10r, pm, raw and duY- a Ad—, oil aevhead and -dln-,.d rias for CAS Oil AjgA_e Je'MLe, IgWW ra Ory and d/ gpvlcaxea gpe-lasrbp Maeb, on, —1 and aide- Mors skips Of /and /y!,>o Alt.— MI ma. mdym Bile Aims of /ae and me Mas ako'4nded "A6UC UTILITY EASEMENT LAVE. (b) Co""' IO 50" oil pb — Moa stops d k d yhp, oe/eeen the Am/ mil[e "&YA s of ms and pr lsrs 0-- Ast— pod dosyabd SE78ACC LwE; soft stops 10 b App• ppm and five of bdAb'np1. (c l Edwo e s fay pq ries old Oabges eslodilp ZOIC hdn Kr cenlalbas of .®lapid- mknM b mlo) above, and 5- Ari h -i*,%d he A—Ab", down I—e bysyadoN. /, HAIL7ER B. GRIVES, do h—by artily that / — o RE9S7E7W am ENGAVEEw of eb Sab Of Obil/Mlb, #W the a—ed mqo of KERRY AVMVT4lN KLLAGE SLENV1SOtl (4V/T NO 4 mreclly mpremdc o suray mNe rd, my s,poMMsb7 h Aopul, 1971, Md B Is Irnr and ewp to as darn, that molmmmp show IMrra, a/ 1 and are M cft—/or and oxvpy Me parilbns k7&C~end are wywol1. .At MLTER a GmAMES N,, 7291 i FN SEELY, JR, AUO'TOR of Mo couNTY OF BUTTE, P&. \ DML / C"fF Md Mwv — no Aa I— Woer/ MERRY MO(N7A1N VB.LAGE /T NO 4 - Aman vel f -lb, a tepadd Sole, C—ly, Maoldpd m L-1 Imes s,.d j ass'ess- -oft mYAded m lora; -swept bees Or -pada/ oaesimeM not yid myaela Tmes m V -w onemnems ✓,Iab — o Ike ed m yd p gob., I edhab to be m Me —IV alAfz&L!A ROLLEN WA�7E-RS^OV BASMaATES, BdM 0—f,, A P-h—sNp by y 1/9 71 O 's�e1/m w Om Tiers r Nei e^�p"e7 mZld►a+.r. a.. Van Sa pn,an .s Ay4� yttn, I;— C. A. Cdassi t7allmft y. wllfmn Sown •� eft/ er STATE OF CALIFORNIA /1 Roll- WsA— COUNTY OF SACRAVENTO J �J/�, ROL'L-E.N/�W4TERS7N A.TSXIATE , o Cb-pane,WNp A. V%ahl N. Rblerson - CENTRAL may SEaIN/TY camPANY, 0 0y/iffmn•/o✓Co-pmolb,, 1/ao �� ey�2% I V'rc Assts STATE OF L•AIJI0 V/A / LTWA?Y OF BUTITE / On Ih/af%.J'/ dq of 197.(, eskee me, the uW-7.-4, o Ablmy Ad2 h we pe som C-01 Sob, pa By Whored BOLLEN WATERSM; Anon Jo ms b ee ooe of 110-11— of MWN WATLRSOV alai A-1=147ES, Bum Comfy, a Lb-porArrsAp, and/s IM sora pemw whose I—e N 1,6—told to lee wlAVh inlh—w m oho—y h fad of DORO7NY ALLEN, C A. CATH", IREN£ S*r.VAN, W2LMM &OMN, !FLEW SNOOK, aid DON 7UQYER .Aa — Pr — d IM pwlnvlsNp A6.1 —td Me selNn h0—,d oekrorkoped to— /hot aid Co -p etne'0/P —ted Inc Smno, M tc•:a'r: 41RGINIA'µNDSLY f/ , rAie` 'day Am/'c eey£e e�u.M..c..� we,`,e.R,amaow... LWel4..'...«S Aly mnmilsan .Soiree F N SEELY, JR. a&gmwwy Audi On M! 41—tIt - Of .197f eel— me. the mNs Ma Notmy A,D/k k, and fs said Ca-ly and S7ole, pe—fly opposed �t� Vice Prodd-t of CENTRAL WLL EY .SLrQ/R/TY COViDLYY, the copwWhr loaf coded iM r/lnin �,• l-aumrnl,.— torte b be hb prim da —fed 1M rim Irol meN m eehol'd!M Corporal/m ll—in nmad and odlaelodpod to — IAd said CmTmlkn 1—fied the n'ildn irtOrvned P—t I- 'Is vy-rail of o msaktkn of in eoold Of di, -I—. .......................... "`. Nol-y. Pne/k .....-...... ....::.. ..... —WOO a a, I. vm,. ^ .:.:.•:> o.c y u M' .QrseJ ;p=—el-'2'n STATE 6 CAUMQNIA IJJ COUNTY OF BUTTE J On Mis�dq d R eelae mr,1M uder.OW, a AblsrPub4 h mid fir IM soh! Liss/y and S ily opposed ROLLEN WATER.SOV, Anwm h, nr b be o of Ib parlors of A04LEN WATERSON B ASSOCIATES, o co-pshersn/P, OW d MJ soma parson whose none is subscrltod to IM ran/n insn-anl m ottOre y b tad to, VIOLET N. WATERSON, o j—t - of IM —pall—,AO that -.tune the within hsh,anes and onMor/edpsd to me th.1 sato jjco-psnaship .—led the morin $ �'Yµ,^..N,NIA I1Na5?YLY•� tory Pudic anile u.Vr,.iv� My co—askn avf.S I, CLAYTON D. CASTIEB£RRY, OREC7OR DOPUBL/C WWKSd the Corm, of BU77E, Soto of rfllf—/o, b Amey —116y IAoI /nme O—ld lb rmot nW W MERRY NOONTA/N VILLAGE SL.6LVV150V IIATT NO 4, that it is sub/onlioly 1M some m oppe d m m 7enh,,_ AAP m silo and ag 4411—W dl—Ai— M—ol tAV oN the plwaknl of IM Sal-lskn Mop Ad of Me SbbWs of Coo .v orb any WN OrO" apes opPV mile m the '11" of gW—al of Jaid TMluAW Abp A" ben compiled e%l, and I On solisfled Md !M ® e hchiwly moot/. LL 4onw O. C45TLE RY &'- It Aak ft k, 100 Mrs4 arl%y JAd m Me_LLdry d a /971, Me BUTTE COLW7Y RGAW a' SLFERVI5LY7S oN/ddly ,go—d the rubdi-W.1 W oftldiRY MOUNTAIN VILLAGE SUBDI h - SKY UAVT NO. 4. The reodpl Of sdilf-c y s=e& h IM Aum',brJ ellmaled O_, A' ve— Pgmml Of Asp- rhu5 m ole. bt not W pgae/o, was ack—Ah* d. MOL/OAY OR1VE and BREEZY BLVD m shorn m sato v and nd eff—d for dem'collm, wm nil acrePdiC W Aehd' of 110 P,A/k fd Counly Rood purposes. GPa.1E G �u�o q Co-ty -perk Deputy Rl—d !n the -0- Of the RECORDER Or BUTTE COUNTY, Sols Of Colllom/o, of the request of BUTTE COUNTY TITLE CO.VPANY IM'J�doy o/ /9A(, a, W les post �.-o'eloa P.M, In Map Bookj .1 mg" 9 6 Serial Na sl by Imply Reoords Alp -fl SUBDIVISION NO. SA MERRY MOUNTAIN VILLAGE SUBDIVISION UNIT NO 4 A -PORTION OF SECTIONS 2 8� 3, T19N., R.7E., M.D.B.M. BUTTE COUNTY, CALIFORNIA OWNER B SUBDIVIDER ROLLEN WATERSON 8 ASSOCIATES, BUTTE COUNTY SCALE- 1"•100' SEPT., 1971 WALTER, 8. RIMES 'SOC. CIVIL ENGINEERS B LAND SURVEYORS 1356 MANGROVE AVENUE. CHICO. CALIFORNIA SHEET 1 OF 2. SHEETS se -96 - I I- 149 ".At- 1 • 157 129 148 130 158 LOCATION MAP SEE, Ut 128 SCALE: I"= 2000' 13 147 159 NOTES 7 127 9! t& June 1), 19)O, 1, B.1 35 of woo, et Ppu re a 77, Blft Coo., W. So,. No930)3. 134R-.370 A.. l..9. 20.843 — A—oo. 8.616 A,. 146 "/. •°/ '1°O;' B P '�• :. x \ o ,' - Yool A9raa0e 33839 4c 1 135 26 2 N.e,15' 00 .6s V -a 136 124 vi :-,-,3 1 - - SUBDIVISION NO I` NA '00d 0 CURVE DATA A MERRY MOUNTAIN VILL,--,.-,rE A A:0 P 5448" L°20.00 8-598,33- SUBDIVISION UNIT NO. 4 0 6-02-06'09" —.59' R=.� I 1 144 E A-04-24'51' L•16.56' R 215. A PORTION OF SECTIONS 2 1 1:041'30" 1129.56' R -=.W* A01 L -2L°20.00' �32&"' 158 0 N -0041'36' —8.67' R:9?aCD� & 3, T 19N., R.7 E., M.D.B. M. — 139 1 6-1744' L-20.01" 2645 BUTTE COUNTY, CALIFORNIA OWNER B SUBDIVIDER "M" ROLLEN WATERSON EkASSOCIATES, DETAIL A BUTTE COUNTY SCALE, I°=1001 SEPT., 1971 143 142 WALT ER B. Ai -A 140 GR 1;EIS ssoc. CIVIL ENGINEERS a LAND SURVEYORS 1356 MANGROVE AVENUE, CHICO, CALIFORNIA SHEET 2 OF 2 SHEETS SSM,,/1• . eoaas ,;no -2'X36'!,00p0l—RC 294 RIZZL y CREEK AtA ruRA 4 AREA Found NI. —1. — ol No, 5.11 nns E9ezo.=t 117.U.E• Z --------------------- IIW' 4'—'oo— P..c D.U.E. 51 2 oz . 155 153 152 156 151 150 se -96 - I I- 149 ".At- 1 • 157 129 148 130 158 LOCATION MAP SEE, Ut 128 SCALE: I"= 2000' 13 147 159 NOTES 7 127 9! t& June 1), 19)O, 1, B.1 35 of woo, et Ppu re a 77, Blft Coo., W. So,. No930)3. 134R-.370 A.. l..9. 20.843 — A—oo. 8.616 A,. 146 "/. •°/ '1°O;' B P '�• :. x \ o ,' - Yool A9raa0e 33839 4c 1 135 26 2 N.e,15' 00 .6s V -a 136 124 vi :-,-,3 1 - - SUBDIVISION NO I` NA '00d 0 CURVE DATA A MERRY MOUNTAIN VILL,--,.-,rE A A:0 P 5448" L°20.00 8-598,33- SUBDIVISION UNIT NO. 4 0 6-02-06'09" —.59' R=.� I 1 144 E A-04-24'51' L•16.56' R 215. A PORTION OF SECTIONS 2 1 1:041'30" 1129.56' R -=.W* A01 L -2L°20.00' �32&"' 158 0 N -0041'36' —8.67' R:9?aCD� & 3, T 19N., R.7 E., M.D.B. M. — 139 1 6-1744' L-20.01" 2645 BUTTE COUNTY, CALIFORNIA OWNER B SUBDIVIDER "M" ROLLEN WATERSON EkASSOCIATES, DETAIL A BUTTE COUNTY SCALE, I°=1001 SEPT., 1971 143 142 WALT ER B. Ai -A 140 GR 1;EIS ssoc. CIVIL ENGINEERS a LAND SURVEYORS 1356 MANGROVE AVENUE, CHICO, CALIFORNIA SHEET 2 OF 2 SHEETS 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 n (530) 749-6114, Room 106 Property Owner's Name �L Owner's Address: _� I Project Address: Parcel No: Building Dept: aqo-oD3 TYPE OF CONSTRUCTION: Residential Construction Residential Reconstruction Commercial Construction Commercial Reconstruction City of County: Single Family Dwelling V Multiple Family Dwelling No. of Units L� Mobile Home Total Number of Habitable Square Feet: ! -I J 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 IIIfPOSITION OF THIS FEE, THE 90 -DAY APPROVAL PERIOD IN WHICH I HAVE TO PROTEST THE FEE HAS BEGUN. Applicant's Name: Applicant's Signature: Part II Total Numl Signature Part III Date: TO BE COMPLETED BY BUILDING DEPARTMENT Certification of Compliance No. (Receipt No.): 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 $.28 for Commercial = $ x's $1.72 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. Signature Sandra Davini, Assistant Superintendent of Business Services Date White: - School District Yellow:- Applicant SD:co Ilk . Building Dept 8/10/00 C�l(�) ��a-ao1�O COPY of Document Recorded 16 -Mar -2005 2005-0014693 Has not been compared with original BUTTE COUNTY RECORDER AND WHEN RECORDED 11AIL TO: BUTTE COUNTY SUILT)ING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, Ck 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the. pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL I: LOT 154, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MERRY MOUNTAIN VILLAGE SUBDMSION UNIT NO. 4", SAID MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 20, 1972, IN BOOK 38 OF MAPS, AT PAGE(S) 95 AND 96. APN 073-290-003-000 Date ---I- - PROPERTY OWNERS: State of California Counry of California (-L-er, On Il , e.h iiF Z ` )c before me, L'furq AbIJ,C personally appeared '7,'rn�p,-� aerse�ally known -to -me (or proved to me on the basis of satisfactory evidence) to be the personk4 whose name(Jil is/afesubscribed to the within instrument and acknowledged to me that he/&ht4hey executed the same in his/hefAlLe4r authorized capacity(ies), and that by his/l►eM4e1r signaturew on the instrument, the person,,4 or the entity upon behalf of which the person{%] acted, executed the instrument. WITNESS my hand and official seX A.P.#D73o-oo3 yewcomftExpi TERESA A. HEINE aCOMM. #1294856 IMP mNotary Public-Caldomia ic PLACER COUNTY _.�mar.19, 2006 AND WHEN RECORDED MAIL TO: BIFITE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 20105-00 1 4 693 Recorded Official Records County Of SU f iE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 01:34PM 16 -Mar -2005 REC FEE 7.00 CONFORM 1.00 Kathy Page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL I: LOT 154, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MERRY MOUNTAIN VILLAGE SUBDMSION UNIT NO. 4", SAID MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 20, 1972, IN BOOK 38 OF MAPS, AT PAGE(S) 95 AND 96. APN 073-290-003-000 Date PROPERTY OWNERS: State of California Counry of l ) On eh Re Z before me M� 54 rfe%ne, o%rN 'Aubfic_ personally appeared 7-,'01 4pr:6t)6D5S affsonally known -to -we (or proved to me on the basis of satisfactory evidence) to be the persona whose name is/awe subscribed to the within instrument and acknowledged to me that heM eAhcy executed the same in his/her-4hek authorized capacity(ies), and that by his/her4elr signatureW on the instrument, the persons') or the entity upon behalf of which the persono acted, executed the instrument. WITNESS my hand and official se Signature Seal: A.P.9 [) 13a906b3 TERESA A. HEINE CL COMM. #1284M to m Notary Public-Cardomia ` PLACER COUNTY niMar.19, 20Qla