HomeMy WebLinkAbout078-010-0584
7.7
HAMILTION, JAMES
BRONSON LN, OROVILLE
tol. DEADMOND BROS CONST
NEW SINGLE FAMILY
"d
., • NOTES
RESIDENTIAL \
036-500-058 04_-1
HAMILTION, JAMES
,2nj�_ BRONSON CIr, OROVILLE
Cont: DEADMOND BROS CONST
NEW SINGLE FAMILY
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ. _
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS —
SUB -STANDARD HOUSING LETTER
OFFICE COPY }}
Z� Cr
Address °'�
�L
'-I-'GAS
t Meter By&g
Date-M�.
' ELECTRIC �.
Meter By Date
f, 'f-JOB FINALED (Date)
Signature
V= OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date erfloor (Plans) OK except #'s
Zog' g -Setbacks -Easements -Flood -Slope
tg. Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
ig., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
oa emwalls, Main; Sfeel- Blockouts- Wrapped
emwalls, Garage; Steel-Blockouts-Wrapped
VjU 6a. Hold,Downs and Special Anchors
Date Card B-1 Date Card B-1
8.
Piers -Fireplace Ftg.-Steel
Date
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
lec. Receptacles Spacing -Lights & Switches at Doors
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
2 -
11.
Water Pipe; Test -Anchors -Regulator -Service Test
E . Ground made up w/Mech Fasteners -Bond Gas & Water
12.
Electric Underground
2 eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
3 .
14.
Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies
qu' . Clearances Panels-Motors-Mech. Equip.
Closet Light -Shower Light -Spa Light
15.
Access & Ventilation
16.
Insulation
Fireplace or Stove, Clearance -Hearth
Date
Elec. Outlets at Wood Panel, Int. & Ext.
Card B-1 Date Card B-1
Date
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
Card B-1 Date Card B-1
Date
lec. Outlets & Receptacles at Kit. Counter
UMBING (Permit) OK except #'s
7
,rage Fire Door; Swing -Landing -Closure
,ter Htr.; Vent -Access -Combustion Air Baffle
1 .
WaterPipe; Test & Anchor -Nail Protection
7.
r�
7!Zlec.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
n Gar!S; Above Floor-Mech. Protection
Plb.,lec & Mech. Equip. Listed for Location
Receptacles in Garage (F.F.I.)-Romex Protection
D. .V.; Test Fittings & Anchor -Nail Protection
DIVY"rhoover
Lw
Date
21.
2.
Pan; Test, First Floor -Tub Access
t Tub & Shower, Second Floor -Tub Access
Gas Pipe; Sixe & Anchors
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Date
i Lure & Transformer Clearance -Ins. Protection
2
lec. Receptacles Spacing -Lights & Switches at Doors
25.
a Boxes & No. of Conductors Stapled
2 -
mex Installed Close to Edge of Studs & C.J.
3
E . Ground made up w/Mech Fasteners -Bond Gas & Water
2,g'
liance Circuits in Kitchen & Conductor Size GFI
2 eed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
3
Rang Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
I lated Neutral Q Yes Q No
3 .
Se ice -Riser Conductors & Ground Main Disconnect
32.
3'othes
qu' . Clearances Panels-Motors-Mech. Equip.
Closet Light -Shower Light -Spa Light
6_54.
Smoke Detector
D'tt \Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
t 3
C. Ducts Insulation & Support
36.
nt Fan, Exhaust above insulation
Bearing Walls over Girders & Floor Nailing
Condensate Drain & Overflow, Size & Grade
3
Fur ace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
ttic Access & Platform if Furnace in Attic
eaders & Beams -Size & Bearing
yB€droom Exiting
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
i FRAMING (Permit) OK except #'s
c
40.
SjIls Proper Materials & Anchors
4/Walls
Studs -Nailing Spacing & Braces -Plates -Sound
4�0
Bearing Walls over Girders & Floor Nailing
43.
Draft to in Walls (rat proof)
,4
Fi Stops, Furred Ceilings -Stairs -Chasers -Tubs
eaders & Beams -Size & Bearing
Date FRAMING (Continued)
H ers-Post Caps -Anchors -Connectors
1477`6lin Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
,07 Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4 ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5&-gd-rm. Windows or Exiting Doors -Sill Ht. & Dimensions
Garage Fire Protection Framing
perty Line Firewall & Openings
53. Doors -One 3' -Check Garage 3rd Story, 2 Eich .T:.
eadroom- Rise- Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Sidi ding Veneer
Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
9. S r Walls; Nailing -Bolts
Interior/Exterior Wall Panels
Insulation -Walls -Ceilings
2. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
EV-. Steps -Door & Sidelight Protection -Landings
W. S oke Detector
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
yB€droom Exiting
7.
G.F.I. & Bath Fixtures & Tub Access -Spa
6
lec. Trim & Subpanel, Breaker Sizes & Labels
irs Rails
Fireplace or Stove, Clearance -Hearth
7
Elec. Outlets at Wood Panel, Int. & Ext.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
7
lec. Outlets & Receptacles at Kit. Counter
7
,rage Fire Door; Swing -Landing -Closure
A . Duct in Garage -Damper
7.
r�
7!Zlec.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
n Gar!S; Above Floor-Mech. Protection
Plb.,lec & Mech. Equip. Listed for Location
Receptacles in Garage (F.F.I.)-Romex Protection
79.,Ansulation-Foam-Looked
in Attic
86.
uard Rails & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
8?/'Following
Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J Nc
83
tucco Brown -Finish
A.
A.C. Unit Disconnect, Electrical -Plumbing
8e
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
866ater
Well, Disconnect, Electrical, Plumbing
."Exterior
Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
BYGlass Protection
90
rections it revious ln_§pections
r-' 41ZGas
92.
T eters Tag , Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates oit
Address Posted
Date3
Card B-1 Date Card B-1
Date 6
Card Brl Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
./ = OK
4.
0 = Not OK
2.
- = Not Applicable
MOBILE HOMES
= Not Readlr. _•
,
Date MOBILE HOME UTILITIES (Plans) OK except #'s
5.
1. Zoning Requirements -Setbacks -Easements
Well Clearance 8 Disconnect
2. Soils; Special MH Support Sketch
8.
3. Sewer; Location -Test -Fall -C/O -Concrete
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
4.
Water; Location -Test -Easement Needed (Sketch)
2.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"h./ PLPG
5.
7.
Well Clearance 8 Disconnect
Carports; Windows -Doors
8.
Utility Clearance
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
Ext.; Steps -Doors -Landings
Card B-1 Date Card B-1
Date
5.
Card B-1 Date Card 3-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Elec.; Enclosures; Conduit Entries -Terminals -Listed
1.
Zoning Requirements -Setbacks -Easements
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
2.
Footings; Size -Spacing -Marriage Line
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
3.
Gas; MH Test -Demand -Valve -Connector
Health Department Approval
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
Plumb.; Cir. Test -Water Supply Test
5.
Drain; MH Test -Fall -Flex Connector
Light Niche
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
Card B-1 Date Card B-1
9.
Tie Downs -Type -Installation Cert.
Card B-1 Date Card B-1
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
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- Rttrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
I
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (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 in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
I
L.OERKE INSUI AT1ON CO., INC C 3(, -500' b5 g INWLA710M CERTIFICATE
Muffuw um -4mgm Law
DESCRIPTION OF INWALLATION
1. ROOF
Materlei Brood Now. --
1 t1 ThemodPwomme
val�)
2. CEtUNG
Batt or Type t Brand Name Johns Mam ille
11Mdkness ( �1 11:-15 ThennW Rosidwm (R -Value)
Loose FM TYR Brand Name Johns Marvell!®
Cr/s mtn. Ms�iedweIR sq. •1015 �.LiMmon Tt ,
AlJatn.ecls insloftd weW per square 11MID addeve Them al Rodolmme (R Vahm)
3. EXTERIOR WALL
moww mbMimm Bats NameJdmWmM&-
Twdums Thin W R (RI•da O 1&= k 55
4.`
RAISED FLOOR �
Maleriai Efismim am Brand Naffm jolm Nkomo
Th 2— --- --- 110ind Reddence (R.Vakm)
& SLAB FLJOOR / PERIMETER
Pabuder Insulation Depth
1
8 FOUNDATION WALL
Thickness (inch�s?-
DECLARATION
Brined Name
i Thennai RG*WM (R•dahee)
TheMIW Resieianae (R -Value)
il .�., r .:•I:ry r1• ! •1 (:• ►:
1 /' I 1� V r 1:;11.1 •'I: 1.1 •W :lf!i� 1 'Y/
• t:' • i .. I.:.1 r: 1 11 rl' .r.: ::1 r r1'.j 11::
..1• .. ' ` • i i '�' •�•
1:-. f 11 1 R�1 � t-=1:- L.: r.�:l' 1 ;Til 1 . X1:1 •'
i1�1 :, r+lr� . Y •
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION At: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE M (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP041414
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: 08/27/2004 APN: 036-500-058-000
the Business and Professions Code, and my license is in full force an
License Class: Licen a Num er: "le) G
Site Address: 24 BRONSON CT ORO
Dater 2- 7 -() Contractor:
Map Index:
Description: NSF (2272) GAR (608) COV (195)
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: HAMILTON, JAMES &BEVERLY
permit to construct, alter, improve, demolish, or repair any structure, prior
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
1877 MODOC DRIVE
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
CHICO, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95928
violation of Section 7031.5 by any applicant for a permit subjects the
530-895-8908
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: HAMILTON, JAMES 8r BEVERLY
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: DEADMOND BROTHERS CONSTRUCTION
O 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
14905 WOODLAND PARK DR
95942
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
530-519-9917
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #• 519199
abor Code, for the performance of the work for which this permit
is issued.
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Architect:
insurance carrier and policy number armee:
Engineer:
Carrier:
Policy #: 166. 4 4-3`7
❑ 1 certify that in the performance of the work for which this permit is
Total Square Ft: 3075 S. F.
issued, I shall not employ any person in any manner so as to
Valuation: $165 392.00
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those, provisions.
Z O `
Date: — fp
Applicant: !�
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject a( em)to criminal penalties and one
hundred thousand dollars $100,,000000, in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
_
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Cody and/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resolutions o -d wort indicated above for which fees have been paid.
By:_Date: 111
Name:
PERMIT EXPIRES
Date
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document o Butte County. I hereby
authorize representatives Butte County to enter upon the above mentioned property for inspection purposes..
ffof
Print Name: W D N✓�� ) Signature: Ul/
Date:
O Owner Contractor 0 Agent for Owner 13 Agent for Contractor
r53" 99
AUT TF BUTTE COUNTY
° ° I
DEPARTMENT -OF DEVELOPMENT SERVICES
0 0 BUILDING PERMIT APPLICATION
0 0 AND SUBMITTAL REQUIREMENTS ,
o •=� 0 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834!
c�UN'yOFFICE #: (530) 538-7541
&.4A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
CONTRACTOR
Name j ea��nzo•�-� /�r� �vtisi
OWNER
Name
VW�w
dfd�
Address
Fax 3C/S'-,3Z�/
E-mail
City
l ,
State
Zip
Phone
State License Number
Fax
E-mail
A/0
CONTRACTOR
Name j ea��nzo•�-� /�r� �vtisi
Addres
City
ti
State
Zip
Phone
J I
Fax 3C/S'-,3Z�/
E-mail
#
Cla
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
Lot #
State License Number
APPLICANT NAME
Name
Address
City
State
Zip
Phone S! cl_ 4��
Fax
E-mail
APPLICANT SIGNATARE
X
�.
For office use onl .
Zoning
2
Flood Zone I X I
SRA I Yes
Occ.
Tye Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.dor
PERMIT
NO. CC
BtP�I``/
BIN #
LOCATION
AP#
3�—JDc7�,j
Property Address
Cross Stre f3 r)_ , �r
WORKER'S COMPENSATION
Policy Number
h,�, 42
Carrier f
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name J�
Address
Page 1 of 2
Description or Scope of Work:
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy �=U
(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 deartm t os e not
refundable.
Recei Amount: Bldg
SRA
Receipt #: Sheriff
b SMTP
Other
Date: (� I Dq_/1 Total
REV 4-30-04
06
SUBMITTAL 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
'BIBLE AND IN INK.
ItesiAential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 5. Letter from Engineer or Architect for truss design review.
❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to
mobile or modular homes.)
❑ ` 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 8. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 9. Sanitation and site plan approval from the Environmental Health Department.
❑ 10. Metal Buildings: (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.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑
1.
4 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑
2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑
3.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑
4.
Letter from Engineer or Architect for truss design review.
❑
5.
2 Energy compliance design and supporting documentation (if required).
❑
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
7.
Statement of Intent for Non -heated and A/C (if required).
❑
8.
Metal Buildings: (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.
❑
9.
Letter of intent.
❑
10.
Hazardous Material Form.
❑
11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04
-• � _ i .. • nr.:.. �5..+`:r'-. .Tra'Hx...-..�•ry.. t.§'�...,..-:r �•yr r ---_r r.;v ...- .�..s.'s.v-w ..vr..^'..w .w�...: �.+r-ro+-.
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
1 ASSESSOR PARCEL NUMBER
OWNER:
Proposed Building Use: Counter Technician: Date:
It ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t ply.
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 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.
6. Energy compliance design and supporting documentation in duplicate.
❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevationsin triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
O 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
O 11. Site plan and business license approval from the City of Biggs
0 12. Letter of intent for non-residential buildings
O 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 O Chico ❑ Oroville, as applicable.
Cl 16. Other
Remaining items needed to issue the permit. (May, require additional plan review upon receipt of the following items.)
� 17. Fire Sprinklers...................................................................................
4� 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent b_..
O 19. Soils Report and/or Engineered Foundation required ........................................... .........
20. Erosion Control Plan Required ......................... :............................................... ...:....
21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 22. City of Chico Plumbing permit........................................................................
23. California Department of Forestry plan approval ❑ paid. Sent by: r
r� 1�
,} 24. Planning approval (A) Use:ci (C) Parcel Check: -� �
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
10 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) ................... `
0 30. Worker's Compensation Carrier and Policy Number ..........................................
❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
32. Letter of Signature authorization ...................................... :................... .........
.
33. Recorded copy of Agricultural Acknowledgment Statement .................................
34. Manufactured home utility clearance ................................. I.............................
❑ -35. Existing violations and/or expired permits.........................................................
❑ 36. Deed Restriction.........................................................................................
Ey 37. O Grant Deed, O M. . Titl /Statement of Fits, Letter 2m Legal Ow �, O Check to H.C. . $
38. Other: ,
39. Other:04
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: .✓✓ iw / ?►' Date: s /, � Z'- &L/
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items requir
Contractor, designer ow as advised of the above data by phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: _ Plans approved by: Date
Structural reviewed Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
TO:
FROM:
SUBJECT:
8dilding Department
Environmental Health
Sanitation Clearance
E.N. USE ONLY
Fiat Plan Attac
Roar Plan Acta. ►
Salm to B.D. !
Owner Location AP#
Plan Approved for: Sewage Disposal Water,upply: Public Private Well
Clearance for dwelling. Other 7�� ;�,- VLrVI, �U J A j f �U�
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental
8/96
th Specialist
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER A.P. o6-36- 5-,63 - veD�
PROPROSED BUILDING USE DATE ✓ ' O ' G
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ..................... $ I 41 Z 113 �' 27 0 4'
--- Additional Fees Due........... $
--- Revised Plan Checking Fee .... $
2. SCHOOL DISTRICT FEES-0
(paid at School District Office) (form available try
Ian Check) 2 �Y
�-3. SHERIFF FEES (paid at B 'lding Division) _/"
Residential............ X $360.00 =$y �(2 3
its
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)
JA 7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #,
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $
I? Sq. Ftg. �j A t.
10. OTHER �f' l�Q • ✓ f-17, 113 2
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 theplan chSpJ&g process. ,
APPLICANT
DATE 05"'
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
National Pollutant. Discharge Elimination System (NPDES) Phase II
Construction Storm . Water Permit and Storm Water Pollution
Prevention Plan (SWPPP) Acknowledgement ILESS THAN 1 ACRE1
Project: Title:
By signing below, I, the project owner/owner's agent, certify that I am aware that a construction
project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the
State Water Resources Control Board and that it is my responsibility to submit a Notice of Intent
(N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made
payable to the State Water Resources Control Board to obtain such a permit if my project
disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or
more of land. I am aware that submitting false and/or inaccurate information may result in
revocation of grading and/or other permits or o er sanctions provided by law.
Signed:
Title:
Date:
% i
+ !
Name ISCHULZ ROBERT W SS
i� Asmt # I Fee # 036-500-058-0001
'
Status ACTIVE �� 'Status Date
Addrl 122 CLITTONW'OOD CIR
-
1
Tax 000 NORMAL OWNERSHIP 11MA 092 007
Addr2 0ROVILLE CA 95965.5841
p
Situs -- -
Addr3 "- _ ��
Base D 01!01!1979 maim
Addr4 - -
Land 7,617
�J Timber Preserve Structure
Q
AgPres ' Fixtures 0
Comments 3650005800 CONVERTED- 09!08!88 1 Etal . _ y. _
Growing 0
Creating,Doc# 19798236.4688 1 Date
Total
Current Doc# __ _ _ _ _ _ ( Date
�� Bonds L&I 7,817 .
Fix. RP 0,
Killing Doc# - 3 Date
.: 0
rJ Multi Situs
j--Jj Flagl MH PP 0;
Asmt Desc 003.01 AC SERENE LANE
lagg PP 0; .
Zoning Ql 00 Dwell
QJ 910 MH Exempt
Acres/Sq Ft N IC 036
�J Asmt PP Pen Net � -7,8.171
Q Tax PP'Pen R!C#
e
FJ Appeal Pending . T/R Dt
.'
0Split Pending. JR/C Stat
,F--PH-YIr OWN EXP'
TAX HON ;' ATT SIT ' APR.' PCL
;► EO- 11
112003
lmbyte, 0311712004 10;21;53 AM -_ 1
»t, BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. /
(One form pef Building)
School -District , Building Department No.
A.P. Number U Jurisdiction: City County
Properly Ctivner r n 0
Property Location/Address
Subdivision s Lot No.
Residential Dpvelopnt
't 0 ovfrg Mobile Home
Units (Installation
t
n
Commercial/Industrial
1 _ New Addition
................... .......... .............................. :..................... ........... c... �i;,��
'Sq. Footage
Addition/ *Supplemental (Group R)
Conversion Permit #
:. .................._..._...............'(No foundation inspecifon)....^...i
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Sq. Footage
((including Exterior
Roofed Are s)
e`
Dai i
District Identification No.
Vt) V 11hyV
( X`DV i (g N i I�YI 1ti School District cartes that in I i�
(Applicant)
09
(Street Address) (Phone Number)
C �4
(city) (State) (Zip Code)
has complied with the requirements of Resolution No. i�� -� (1 by payment of $ JV
representing square feet. 2926 $
FULL 11R1GATION =
School District Rep're_ ntative Date
Paid by Check # OgRemarks:
No tic You may protest the Imposition of the fess Identified above by submitting a written protest to the District. In compliance with
Government Cote Section 66020(a), wMdn 90 days from the date fees are paid. Failure to submit a timely vnItten protest vAU'p ohibit
you from challenging the Imposition of the fees In any court action.
K, subsequent to the School District Representative signing this -Butte County Schools Impat:t Fee Certification Form, the School Dbttrkt Is
mo -IN by the applieabe Local Planning Agency that this project Is being revlound under the Califomia Environmental GwIUy Act (CEQ4
thisproject may be subject to additional school fees to fully mltigate.ks Impact cm the school dhoft s schools.
White (applicant), Yellow (building department), Pink (school district) feeform.* (10/03)dmm
i
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
09 -Aug -2004 2004-0048292
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this 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:
5-'-, p. � , \\,\
Date t�dl0 D4 PROPERTY OWNERS:
State of California
County of ZLLtk-
On
re me,
{
personally appeared 'Gl E l VZ 11vi . v1Li L personally
known to me (or proved to me on the basis of satisfactory evidence) to be the erson(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my han and official seal;
Signature Seal:
KARY J. BI DWELL
A.P.# x'36- --M.
Zo- Commission #.1381097
U Notary Public -California cn
Butte County 1
My Comm. Exp. NOV. 08, 2006 L
Order No. BU -221652-3 AM
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 28, 1981, IN
BOOK 81 OF MAPS, AT PAGE(S) 61.
APN 036-500-058-000
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR EGRESS, INGRESS AND FOR PUBLIC UTILITIES OVER
PARCELS A, B, C AND D, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
NOVEMBER 22, 1978, IN BOOK 68 OF MAPS, AT PAGE(S) 87 AND 88.
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June 27, 2004 County of Butte- FINAL REVIEW.
Jurisdiction Application No.: 04-1414
LP2A Job No. 2040015-067
Mr. Michael Vieira `
County 'of Butte
7,:CoUhfyCenter Drive �� _ ask
Oroville, CA 95965-3397
Phone: (530) 538-7541
Fax: (530) 538-2140
Re: Plan Review: Hamilton SFD
Dear Sir/Madam:
Linhart Petersen Powers Associates (LP2A) has completed a final review of the following documents
1. Plans: Two (2) revised copies Plan Sheets 5 total sheets) Title/Cover Sheet not dated, not
signed.
2. Structural Calculations: Not Provided
3. Title 24 Energy Compliance Documentation: Two (2) copies dated April 12, 2004 by Donna
Wallace. .
4. Prefabricated Roof Truss Calculations: Two (2) copies dated August 31, 2002 by Moss Lumber
Co.
The 2001 California Building, Mechanical, Electrical, Plumbing and Energy Codes were used as the
basis of our review. Please note there are no further comments. Therefore, we are
recommending approval of the above noted items with the added redlines shown on sheets 1
through 5.
Enclosed for your use are the above referenced documents bearing the LP2A plan review stamps along
with the applicant's response letter. Please let us know if you have any questions. Thank you.
Sincerely,
LINHART PETERSEN POWERS ASSOCIATES
NX X�Yt—
Roger Peterson, S.E.
Structural Engineer
ga ml -m
Enclosures:
Bin 107
fAbutte county 015\butte county 2004\2040015-067-pcf.doc
isLINHART PETERSEN POWERS ASSOCIATES
7610 Auburn Boulevard • Citrus Heights, CA 95610
(916) 725-4200 • FAX (916) 725-8242 9 Toll Free (877) 235-0653
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
Butte County Department of Development Services 3TTF
YVONNE CHRISTOPHER, DIRECTOR o o 00
0 0
7 County Center Drive 00
Oroville, CA 95965
c�UNty
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
TO: LP2A
'
FROM: Scott Rutherford (530) 538-7160
srutherfordo)buttecounty.net
SUBJECT: Plans Transmittal For Review Per Contract
O
DATE: 6/2/2064;
Applicant: 111amilton, James. Permit 04-1414
v Project Type: NSF APN: 036=500-058
1.0.0% 70%
Plan Check Fees $ 1,219.95 ". $ 853.97
$ 1,219.95 $ • 853.97
LP2A Fee $ 853.97
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
BUTTE COUNTY
`3o ,iw1ti
AGRICULTURAL -BUFFER NOTIFICATION AND/OR
UNUSUAL CIRCUMSTANCES REQUEST
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Ordville, CA (530) 538-7601
Name:
Mailing Address: /tl!ZOS "��1`,' x'14 .40i -
E -Mail address I
Phone: 3VS -g9l7
Assessor's Parcel Number: _03C.
Reason you believe you qualify for the unusual circumstances exception: /1/o%��wg
,-ZOO-' .v im �G ` ��y �x�s� -;w ,a4.e2A
Owner or AuthorizelI Agent's signature
Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement
(well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone.
�SITE PLAN REQUIREMENT: submit 4 copiesTwith,this`for�
Referto-the-Site`Plan`Su bmittal-handout-for-specific-req u irements
...................................................................................................................................................
Internal Dept. Contact Info:
❑ Env. Health ❑ Planning ❑ Building ❑ Other
Contact Person: Phone:
...................................................................................................................:.....................................................................
For Agricultural Commissioner office use only: (to be completed after submittal)
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building)
❑ Exception Recommended ❑ Exception Granted with the
❑ Exception NOT. Recommended following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations:
Agricultural Department Signature:
Date:
YMC 7/1/03
SITE PLAN REVIEW APPLICATION
Date:
Permit Number (if applicable)
AP# ®34=, - 5Sc9c)- 058
Bin Number
APPLICANT INFORMATION Parcel Size: 24U we
Owners Name: A`k' 74 ,,
Owners Address: Gni 7
Telephone No. `.3 D
Situs Address:
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
.x
❑ Commercial Remodel
❑ Industrial Remodel
❑ Well
E] Agricultural Buffer Form ❑ Applicable ❑ 'N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site lan Stam ed Approved
By Date
Page 1 of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY ti
Parcel Is In:
a
❑ Snow Load Area:
❑ Land Conservation Act Minimum Acreage: ❑Verify residence can be built per contract
❑ Nitrate, Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) 6-d%C4f
❑ SRA - (CDF to determine specific requirements)
- ❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: k
• Flood Panel No.: e -$ -jggA dex Date: ®6U0�LOq�caG
❑ 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: AP V--, 2. S- &P- A- 2
Applicable Building Setbacks:
❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
20 t
Side
10
Side Street
Rear
t o'
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 Development Fees:
Standard Fees Amount .Formula
ro
❑ Fire,
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico, Urban Area — Road
❑ Thermalito Drainage Area `
❑ Thermalito Urban Area
❑ Other
--------------------------------------
Subdivision Map Special Fees
❑ Water Tender
❑ Road Improvement
❑ North Oroville Area
❑ Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit. '
Parcel Created By i
Deeds:
Date of Creation: Legal Access Provided: ❑ No ❑ Yes
Deed of Reference: Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation:❑ No ❑ Yes
Comments:
❑ Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
11 Subdivision Map/Parcel Map:
Map Date of Recording: vim,
Lot: '� Book: of
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
of
Page:
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 road maintenance, and stop sign maintenance.
0
Page 4of5
Y
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CALarrys\Building Permit Site Plan Reviewl.doc
Page 5 of 5
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
204—�048Z92
Recorded
Official Records
Count
CANDACEEUUTTJT. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
01:13PM 09 -Aug -2004
REC FEE 10.00
CONFORM 1.00
COPIES 2.50
Kathyh
Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
Date_ � I (O 1 C4 PROPERTY OWNERS:
State of California )
County of Zut a'—
On
'
On 't5 �p ILi--before me,
J. i
0
personally appeared j o S vn i l h personally
known to me (or proved to me on the basis of satisfactory evidence) to be the erson(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my ha and official seal.
Signature Seal: WELL
KARYJ. BID
Commission #1381097
"fir ,C6 a Notary Public - Califomia U)
A P # L U Butte County
My Comm. Exp. NOV. 08, 2006
Order No. BU -221652-3 AM
Description
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 28,198 1, IN
BOOK 81 OF MAPS, AT PAGE(S) 61.
APN 036=500-058-000
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR EGRESS, INGRESS AND FOR PUBLIC UTILITIES OVER
PARCELS A, B, C AND D, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE
OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON
NOVEMBER 22, 1978, IN BOOK 68 OF MAPS, AT PAGE(S) 87 AND 88.