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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. �V w W X200 o -i C'ziZ14 ays 4 V� Q h Q C out V 4 ' •wovg � ay � WAC � �ih at SON O;W 2N W 4rp p W O Q�^ MQ \pV WV CN \� �Q 1Q ^ n4 O. aW rz �C °o OT We It h � 4 ° W. V 11 Q C Y 2 u a Wt •4.O Cis °j QQ \w V Ji NN INI pQ vep � tiQ �� WO Vr_ j 30 @� NW0 jgV W "O VOc es , V b� hri y2v u o e y4 � M y °i°4�xx 4 (osiboocz/JSU��U/Y/O�AL�22w/t fo/ j L W I t �o Cavm�iv�v r° I j3x�v�4W `rS � I avW4�3�az - •',;, lw � w�� O11 C0'V a 4 W M O a W V 0 '^ .li'OHb Bir : DO AOiY 1 1 �, � I I • � �o .ze •HHa ari bb+ooa V I N H w v W I I C� V �g ,re'Hab ai abcN>v -g I Ri 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.