HomeMy WebLinkAbout079-080-060036-800-060 03-3352
JONES,"JE
76 HART DR, ROVILL
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Cont: GE E L
TENT POWER FOR03-2037
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 * Telephone (530) 538-7541L;,1 Prz� IN
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDINGPERMIT
O;��NE
TELEPHONE
SO. Fr. OCC. BUILDING VALUATION
_T�7-_7V
OWNERS MAILING ADDRESS
1 r_99 (7,1, r*4\ 1 7AY C�
CONTRACTORS NAME
07 :,1" 524-9722
.1 t)TLT,
TELEPHONE
CONTRACTORS MAILING ADDRESS
57'�*) r1rMIJ,11, CA 175on".
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation Is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS "UNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
73 "� —
1 � Q'IlXrIT C�
Energy Plan Checking Fee $
_I.L,
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap 1 7.00
—
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00.
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: Tf,-7? PC'."11 76"11 0" -?(137
Gas piping system I - 5 outlets 15.001
Building sewer 15.00
Mobile Home I S I G I W (—a20.00
PERMIT FEE $
—ELECTRICAL PERMIT Filing Fee 20.09
Main Service '.' ' A Oo R. ',: ss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license isin-full force and effect.
License Class 7 _> Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST DWELLM OCCUP so.
OR ADDNS. & ACC. BLDS. 3.50FT.
CONS. MULT'_O LET
=RESIDT BRANCH C�Z,, 97.50
OWE.RAPPARATU
PSIN. 0 rLE T C SIR.
j 20 @ 1.00
Ex. Occup. OUTLET OR FDrrURES BAL 9 .50
..FIXED A LNS OR"
Ex. Occup. PPRES,6.) E 5.00
Temporary Service 23.00 9 3J ('0
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ It I
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
6.50
—Hood
Ventilation
PERMIT FEt
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
El I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those-pr&isions.
X A, Date
Signaturd-6f 'Applicant - 0 Owner O'Contractor 0 Agent
11
ed for excavations over 60" deep and demolition or construction
An OSHA permit is requir ps _��gh
JP 1. '1
of structures.over,11 St?ri _: 7,
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
EE $
TOTALF �j
�A
IMP FLOOD CDlf_�p
FEES D ISSUE
This permit is hereby issued under the applicable provisions
Of the Butte / County Code and/or Resolutions to do work
indicated' above f Whichl fees have been paid.
—
B 17
y Date
PERMIT EXPIRES ON
I (Date)
ReceiptNo. ,/
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
�A
COUNTY OF BUTTE - DEPARTMENT OF D VELO MENT SERVICES - BUILDING DIVISION
7 County Center Drive a Oroville, California 95965 * Telephone (530) 538-7541
IJ
(Rev. 12/96) APPLICATION AND PERMIT 05e�-
V.
ASSESSOR PARCEL NUMBER
060
ZONING
BUILDINGPERMIT
Cw�-809
JONEq 669-6420
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MIONG �Iw
1 sog rnTnMA WAY wnnm.AM CA 99699
CONTRACTORS NAME
GENE DEL 914-9799
TELEPHONE
CONTRACTORS MAILING ADDRESS
PQ BM 5739 OR ITTIF CA 95966
CONSTRUCTION LENDER
[Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
76 HART DRIVE OROVILLE CA
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
—Water piping
15.00
—Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe'Work: = POWER FOR 03-2037
Gas piping sy2tem I - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service o.R
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is force and effect.
License Class Lic. No. L -71
C
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
N DW
EW CONST. �LING Or -CUP.
— OR ADDNS. C. S.
so.
3.50FT.
NEW CONS T. MULTI -OUTLET
- NON-RESID. BRANCH IRCUITS
@7.501
( POWER APPARATUS
& SINGLE OUTLEr CIR.
EX. OCCUp. OUTLET OR FDCTURES
20 @ 1.00
BAL 9 .50
..FIXED APP NS OR
Ex. Occup. (RES16.1 E.
5.00
Temporary Service
23-00 23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
13 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
KI 'certify that in the performance of the work for which this permit is issued, I shall
-'not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
wor"' compensation provisigns of section 3700 of the Labor Code, I shall
fort comply w' Jos r sions.
X 10 OS zo o
:mj VT r S Date
Si 'A - licant - 0 Owner ontractor 0 Agent
pp K
An OSHA permit is required for excavatt s over 60" deep and demolition or construction
of structures W5,%!tcrier !2.Ae" If -2
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEP_
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
tTLAL FEE $ 43. 00
0. FEES IMP FLOOD CD SU
This I it is hereby issued under the
th4 ftleunty Cod and/or
of f s
indici a v f r khiees have
By A
_XP
PERMIT EXPIRES ON
S 0
applicable provisions
Resolutions to do work
been paid.
ate 1612q163
t
T-1 —1 _,J
ReceiptNo.,J�q
WHITE-D.D.S CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT �423-
ASS ESSOA PARCEL NUMBER
.036-800-060
ZONING
A -R
BUILDINGPERMIT
OWNER
JONES
TELEPHONE
662-6480
SO. FT. OCC. BUILDING VALUATION
I 'EMEY
OWNERS MAILING ADDRESS
1502 COLOMA WAY, WWDLAM 95695
1835 R 99,090.00
1440 U 25,920.00
CONTRACTOR'S NAME
GENE DILL
TELEPHONE
534-9722
CONTRACTORS MAILING ADDRESS
BOX 5732, OROVITIE 99966
CONSTRucnON LENDER
LENDERS MAILING ADDRESS
Fireplace "All 1 5nn on
Total Valuation $ 126 510.00
ARCHITECT OR ENGINEER
LICENSS NO.
Filinq Fee 20.00
Permit Fee $ 734.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 477.10
BUILDING ADDRESS I
HART DIR-, ORMIJE 95966
Energy Plan Checking Fee $ 23.00
$
PERMIT FEE 1254.10
LOT NO.
SUBDIVISIONS NAME
1
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap 14 7.00 98.00
Solar or heat pump water heater 23.00
Water piping 15. 0 0
-
-Each gas water heater or vent 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: NSE
Gas piping sy2tem 1 - 5 outlets 15-00 15.00
Building sewer 15.00 15.00
Mobile Home IS I GI W -F-' (920.00
11"
PERMIT FEE 178.00
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ".*.v ' .R "s.s 23.00 2_1, 00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. L -7 1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
11 1, as owner of theproperty, ormy employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR
OR ADDNS. & ACC. BLDS. 3.50s,'r.- 114.6�
NLw uuNsT, OUTLET
NON-RESID. IS= CIRCUITS @7.50
( PSOWELREAP.PARATUS
.G 0 1 ET C'R.
Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00
BAL @ .50
( O.FIXED APP . OR
Ex. Occup. (.a .) El 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE- $ 1 E;7- 3
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
11 1 have and will maintain workers' compensation Insurance, as required by Section
3700of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
11 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manniar so as to become subject to workers'
compewation laws of California, and agYee that if I should become subject to the
w,ork
, , compensation provisions of section 3700 of the Labor Code, I sh-
f:oVrth comply with Msr * s I a.
i
X Date Q
S 9
i NIQ�p nt - 0 OwWe�-�Cl_ Contractor 0 Agdint
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in hqght.
MECHANICAL PERMIT Filing Fee 20.00
Heating 1 15.00 15.00
Cooling 1 15.00 15.00
Hood 1 6.50 6.50
Ventilation 4.50 9.00
PERMIT FEIE $ 65- 5n
Mobile Home Installation Fee $
Energy Inspection Fee $ /-6.00
Occ
CONST. TYPE
TOTALFEE$ 1701.23
HAZ_
I D. FA I
V
RSr
C::�PARCEL
I P0 IHD LIS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By A-0 �r
PERMIT EXPIRES ON
(Datd) I
ReceiptNo. dgal
WHITE-D.D.S.-B.D. CANARY -As SESCO 0 PINK -1 TOR GOLDEN ROD -APPLICANT
,�5`1 U Ef 51 W b 4-4 1 -' -
COUNTY OF BUTTE-DEPARTMEN K DEVELOPMENT SERVICES -BUILDING DIVISION
-7541 Fax (530)538-2140
7 County Center Drive, r I N,95965 Phone (530)538
PE I APPLICATION DATA SHEET
.4 ' 3G-ffoo
OWNER: ASSESSOR PARCEL NUMBER
Proposed Building Use: F Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
:1:71. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans.
0 2. Comple4e plans, 3 or 4 sets, signed by the Ireparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
,,rr 4. Engineered truss details and layouts in duplicate. No faxes!
-;Lr5. Energ' compliance design and supporting documentation ir�duplicate.
y
-'TD 6. Manufacture -a homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate. 11
0 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
0- 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
0 9. Plot plan and business license approval from the City of Biggs ....................................
0 iO. Letter of intent for non-residential buildings ..................................... ....................
D I I.- Detached Accessory Building Form filled out by the owner .................. ...................
0 12. Hazardous Material Form .................................................................................
0 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.)
IV, 14. Fees as shown on the attached Schedule of Fees Due Sheet .............. ........................... W 9:113
'D 15. Statement of Intent for Non -heated and A/C Buildings .............................. * -,-_11 .......
*196.16. Sanitation and plot plan approval from the Environmental Health Department in
City of Chico Plumbing permit ....................
California Department of Forestry plan approvai, enpa:i�.* S**e*n, t*.*b, y*,:*
19 Planning approval for (A) Use: C)K (B)Parking: (C) Parcel Check:
0 20. Contact Land Development about 0 Improvements, 0 Drainage ...............................
,>0 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 22. Pre -Inspection for required ................
0 23. Contractor's license information. (Number, Name Style, Classification) ......................
0 24. Worker's Compensation Carrier and Policy Number ............... * ..............................
0 25. Owner -Builder Verification (0 Given to owner, 0 Mailed to owner) .....................
*26. Letter of Signature authorization ....................................................................
27. Recorded copy of Agricultural Acknowledgment Statement ...... .......
U&
0 28. Manufactured home utility clearance ................................................................
0 29. Existing violations and/or expired permits .........................................................
0 30. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.b. $
0 31. Other:
When issued Telephone and hold for pickup.
I have been jinfor of the above items and requirements for obtaining a building permit.
licant-
1. Index permit applicati;n for the above items numbered:
2. Additional items requ*
Contractor, designer w as advised cf the above data by V' Phone, 0 mail, 0 counter, by
Contractor, designer, owner, wa§ advised of the above data by 0 phone, 0 mail, 0 counter, by
Plans reviewed by: Date: Plans approved by:
Structural reviewed Date: Structural approved by:
Note transfer by: _�����Date: -4ff
VpllnJ- , 11,,flrlinai�i6�
Plan Check Lettef
Dz�t_e7 12/
ite: _L
—Date:
Date:
Date:
COUNTY OF BUTTE 63 -1 -
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. #
U
PROPROSED BUILDING USE DATE
1. BUILDING PERMIT FEES
--- Balance Due .....................
--- Additional Fees Due ...........
R)ECEEPT # DATE REC.
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES W1 '00 e,43:1� 7g, C(V
(paid at School District Office) (form av311-able after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ............ x $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... x
# Units Amt.
Commercial (Sq. Ftg.).... x
Sq. Fig. 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)
SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #.
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone x $
Zone # Units Amt.
Commercial (sq. ftg.) .......... - x $
Sq. Ftg. Amt.
10. OTHER
I
3&,7qiW —:7/ cy,/- -,
At time of permit applicAon) I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed durin t plan checkigg-pEocess.
IICANT� d V�OATE '7—
I
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)
A
BUTTE. COUNTY SCHOO&IMINA'C'T FEE CERTIFICATION FORM
'(One form per Building)
1Z
School District I V/ Building Department No
0
L,00Or County
A.P. Number QU-'300-00 Jurisdiction: city
Property Owner
t
Property Location/Address
� om
Subdivision Lot No.
..................................................................................................................
Sq. Footage
Residential Development
No of Living Mobile Home Addition/ *Supplemental to
(Group R)
Units Installation Conversion Permit #
*(No foundation inspection)i
...................................................................................................................
New AddRion
Representative
Sq. Footage
(including Exterior
Roofed Areas)
16?- /V/ - 0 -;�
Date
(Floor Plans reviewed by School District Personnel)
q�yDistrict Identification No.
District
(Applicant)
(Street Address)
Mhone Number)
(City)
(State)
(Zip Code)
has complied with the requirements of Resolution No.
represenbng square feet.
Schobl
Paid by Check # 1 -15 - � 0 - Wc2J,0 Remarks:
IL
by payment of $ J qa(a, 0
rB 2926 $
UL
FL MITIGATION $
10117LO
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid'. Failure to submit a timely written.protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County $0661s,impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewiid dhder the California Environmental Quality Act (CECIA),
this project may beisubject to additional school fees to fully mitigate its irihipact on he school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/98)dmm
0
PERMITNO.: 53-03
Lake Oroville Area Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of Public Works Building
Department prior to issuance of a building or occupancy permit, whichever is applicable.
Prior to final approv a*l by Butte County of a Building . or an Occupancy Permit, a copy of this verification
form, signed off by Lake. Oroville Area Public Utility District, must be submitted to Butte County.
Date: June 25, 2003
Applicant: JERRY'D. &,I!HyLLIS
_K___jQNES
Applicant Address: 1502 Coloma Way, Woodland. CA 95695
Applicant Phone No.: (530)662--6480
Property Locations(s): Hart Drive
Copley Acres 1 53
A. P. No. (s): 36-80-60
Fees due: All fees paid -
Application for service approved -
LAKE OROVILLE AREA
PUBLIC UTILITY' DISTRICT
Inspection(s) made and successful test(s) observed:
Location:
L -"A
Date:
, M,
Lake Oroville Area Public Utility District release to -close pern**.--�-�----
Date:
0
0
lk
CONNECTION PERMIT
APPLICATION FOR SEWER CONNECTION AND SERVICE FROM
- LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT
ing the ope hereinafter referred to as "Applicant",
requests Lake Oroville Area Public Utility
District, hereinafter referred to as "District", to co ect Applicant's sewage disposal line to District's sanitary sewer
system and to provide sewerage service.
Location of property: A. P. M
Subdivislc)n:4�'� fl 11A Lot#:__z�� Block#:
PropertyAnnexe
Proper ty Not Annexed No. of E.D.U.'s this permit:
El Property Annexation in Progress Multiplication Factor:
Kind of Service:
Residential
Residence of Owner
Rental (single family)
0 Rental (duplex)
0 Industrial
El Commercial
*Monthly Charges: 1340
Capacity Charge: no
Connection Fee:
E] Apartment SC -OR Facility Charge: 140W-00
Total Amount Pia nKl- 'rl,-. p 90
Li .,.-)ite plan reviewed E] Jobsite reviewed
Remarks:
The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the ordinances,
rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all- of which Applicant
agrees to abide by and fully perform. Applicant agrees to pay for such service at rates and charges as are
established by District from time to time.
)(_�Sign`ate Appliicant ��
Mailing Address of A-pplicant
N e of Own if not iApplii nt
L)a
Mailing Ad�dress �wn�er.4
Phone # of Applicant: Phone# of Owne 'e -
CONDITIONS OF ACCEPTANCE OF SEWERAGE SERVICE
1 - In accepting this application, District does not hold itself liable to Applicant for failure to perform any of
the obligations imposed upon it or assumed by it under this application if such failure be caused by accident, Act of
God, fire, strikes, riots, war, lack of capacity in SC -OR treatment/disposal plant or District's lines to handle the
sewage or nay other cause beyond reasonable control of District.
. 2. Installation of the sewer service line pertinent to this application shall conform in all respects to District's
specifications.
3. Applicant shall secure permit(s) as necessary from the County of Butte prior to doing any work,
including encroachment permits when work is within county right of way.
4. Installation of the subject sewer line shall be at the sole cost and expense of Applicant.
5. Actual connection of the subject sewer service line to District's sewer mainline shall be accomplished by
District staff.
6. All work shall be -inspected and approved by District.
7. This permit is valid for one (1) year. If work is not completed within said year, permit renewal will be
required, together with payment of any increase in capacity fee, connection fee and/or SC -OR Facility Charge.
8. District verification form must be issued with this permit.
Payment of Fees/Charges required prior to final
inspect' ent received by -
Date: Receipt #* S-11
El CASH %CHECK
LAKE OROVI E/AREA U.D.
By:
D� �2 n
$ �3 / -16 - 0 0 Permit#:
*Monthly charge payable at -t -he �currentrate at time of connection.
11*1%,
cbUNTY OF BUTTE - DEPARTMtNT OF DEVELOPMENT SERVICES - BUILDING DIVISION
E
.95965 & Telephone (530) 538-7541 �gRa
7 County Center Drive w Oroville, California =_a�a3 7
APPLICATIONAND PERMIT
BUILDING PERMIT
c 3e- 00W , 06 Z) -* e
Er(/ - - 6C
Fr.',- BUILDING VALUATION
I jqjp
CP 5 ?a-0
OMT WJLft=;37R=
>Cirem OR EMMUM
:wm= 'on Daww" UQUNM
-Cor G
I rEL VAP
USEOFSTRUCTUIRE
7� Duplex 0 Mob9ahorne 13- Mar -- SPECV1
TypE OF WORK
L -w\0 Addi6on 13 Flarnodel E3 Lffiffies 13 Inglanafion 0 Other 13
$ascribe Work'
vrt%
Slk)k
SX&Y.;
T=e;Ved
rNkm
Firma Foe 20.00
Parrnft Fos r73 (f - 0
Plan Chackina F99 !f -1 - ( 0
Enemy Plan Chackina Fee S A 3 -t 00
PERMIT
PLUMBING PERMIT
War % heat pump watear heal
Water (plptrw
Each gas water heiater or vent
MAft ftIrAnes MMIAM I - A ftilthatc
Isuitaing Sewer
Mobile Horne
EE,,'s 4 2? -/0
FrOg Feel 20.00
.'00
23.00
1 5.0D
I 5.D0
i S.DD
I S.D01
I La2D.001
PERMIT FEE I t / ?;?'�00
ELECTRICAL PERMIT Firing Fee 20. D D
Main Service ON 23.DD 0
Main Service 2o" 7* somA !!45.DO -
Ex. Occup. OVTLET OR Fwmfi=
I
FUMD ^PPLNS. OR
Ex. O=up. ovnzm fRemmi L&)—
MECHANICAL PERMIT
Temporary Service
23.DD
Mobile Home Facilities
2D.DD
Wirinn
23.DD
PERMIT FEE
I
MECHANICAL PERMIT
Firing F-811
20.D6'—
Haafmg
r —
Cooling
1p—
Hood
4L.2�k'),
Ventilation
L4;?l 4 - SOL-ff---O-
o
PERMIT FEE I S to a.,
Mobile Home InsteLflatDri Foe
Energy Inspacton Fos
I co�='Type JT9��L FEE $j
I '"Z. I D. FEES I q&O I kOCP. I CV I PlYtSf 11PY' I
Thisparmit is hereby issued UO'nder the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which faas have bean paid.
PERMIT EXPIRES ON
Date
Butte Count
,v Deparw2ent ofDevelopment Sel-Fices
YVONNE CHRISTOPHER, DIRECTOR
7 county center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
TO: LP2A
FROM: Michael Vieira (530) 538-7159
mviei ra(&-buttecounty. net
SUBJECT: Plans Transmittal For Review Per Contract
DATE: 8/13/2003
Applicant: Jones, Jerry Permit No: 03-2037
Project Type: NSF APN: 036-800-060
100% 70%
Plan Check Fees
Energy Calc Fees
$ 477.10
$ 23.00
500.10
$ 333.97
$ 16.10
350.07
LP2A Fee 350.07
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
-)— Building Plans
-k— Truss Calculations
Energy Calculations
't—iStructural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
July 1, 2003
Butte County
Development Services Dept.
Building Division
7 County Cen ter Dr.
Oroville, CA 95965
RECE.IVED
AUG 2 5 2003
M"Mlaoftft
RE: Truss Design, Jones' Residence, APN 036-800-060
Contractor: Gene Dill
I have reviewed the truss designs for this project. My review *'includes
identifying and locating loads in excess of 3000 pounds. Where inadequate,
foundation elements have been revised to reflect a maximum design bearing
load of 1500 pounds per square foot.
Thank you for your consideration.
Sincerel -
Jim sell,, P.E.
PLAN REVIEW RESPONSE FORM
In order to expedite the review of your plans, please complete the following information and return this form with your re -submittal. If
this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. Ilere must be a valid
res�onse to every item requested In our plan correction letter. "By others" is not conslidered a valid response. Please indicate your
response to each item and the location where the information can be found on the plans/calcs.
A I I ALH I HEN FORM TU A ILOPY OF YOUR PLAN REVIEW
OWNERSNAME
ASSESSORS PARCEL NUMBER
600 - c)�� c�
RESPONSE FOR PLAN CHECK LETTER DATED:
AND RETURN WITH REVISED AND ORIGINAL PLANS
DATE:
PERMIT NUMBER
C� 6); 3 , " — � ; 1- (0 3
PLAN CHECK'ITEM #
RESPONSE BY:
LOCATION ON PLANS/CAL
COMMENTS:
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ICOMMENTS: --------
September 11, 2008 County of Butte� FIRST CHECK
Jurisdiction Appl. No.: 03-2037
LP2A Job No. 203015-059
Jerry. Jones
1502 Coloma Way RECEIVED
Woodland, CA 95965
Phone: (530) 662-6480 -
Fax: SEP o 2 2003
SA
. CUM
Re: Plan Review: Jones SFD
Address: Hart Drive
Dear Mr. Jones:
'Linhart Petersen Powers Associates (LP2A) has completed an initial review of the
'following documents:
1. Plans: Two (2) copies plan sheets through 7 title sheet'dated April 15, 2003; by
Frank James Pursell.'
2. Structural Calculations: Two (2) copies dated July 01, 2003 by James Pursell.'
3. Title 24 Energy Compliance Documentation: Two (2) copies dated July 08, 2003
by Don Freemyers.
4. Truss Calculations: Two (2) copies dated June 25, 2003'by Longfellow Lumber
Co.
Note: Floodplain Mitigation Measures and/or comments will be reviewed by Butte
County.
These documents were reviewed only for their conformance to the 2001 California
Building,. Plumbing, Mechanical, and Electrical Codes. Our comments follow on the
attached list.
Please submit an itemized response letter and two (2) sets of complete and revised
documents with all revisions clouded.
Sincerely,
LINHART PETERSEN POWERS ASSOCIATES,
Roger- Peterson, S.E.
Structural Engineer
KB/MB:ag Opending plan review\butte\20301 5-059. doc
enclosures
cc: Mr. Michael Vieira Fax: (530) 538-2140
7OZ
Mike. -Bayless
Plans Examiner
/ /e/) 3 - -- Ild
Re: Occupancy Group(s): R -3/U-1
Type of Construction: V -N
Stories: One
Building Area (sq. ft.): 1835/1374
A. The following plan review documents are based on the County of Butte Building
Regulations. For your convenience, the following comments are referred to the
2001 California Building Code unless otherwise noted.
.1
\�C
Please respond in writing to each comment by marking the attached comment
list or creating a response letter. Indicate which detail, specification, -or
calculation shows the requested information. Your complete and clear
responses will expedite the re -check and hopefully, approval 'of this project.
Thank you for your assistance.
For clarity, specify on cover sheet that the 2001 CBC, CIVIC, CPC, CEC, as
amended by State of California.and local jurisdiction are applicable to this
project.
�D. Please be sure to include on the resubmittal the archite*ct's/engineer's "wet"
stamp, signature, "registration number and expiration date on all sheets of plans
[all sheets of plans depicting structura.1 designed elements] and cover sheets of
specifications and calculations. UBC 106.3.2
ARCHITECTURAL COMMENTS:
Al. Amend the plans for shower and tub/shower walls to specify a -smooth, hard,
nonabsorbent surface (e.g., ceramic tile) over a. moisture resistant underlayment
(e.g., w.r. gyp) to a height of 10 inches above the drain inlet. Sheet 3, CBC
807.1.3
A2. Specify a mechanical ventilation system capable of providing five air changes
per hour in the bathrooms if they don't have an openable window which meets
ventilation requirements. Sheet 7, CBC 1203.3
A3. Specify the. make, model number, and I.C.B.O. evaluation report number (or
other approved listing) of the metal fireplace on the plans. Sheet 3, CBC
3102.5.1
MECHANICAL, PLUMBING AND ELECTRICAL COMMENTS:
A4. Specify the seismic anchorage of the water heater to include anchors or straps
at points within the upper and lower one-third of its vertical dimension, the lower
anchor/strap located to maintain a minimum distance of 4 inches above the
controls. Sheet 3, CPC 510.5
T-24 ENERGY COMPLIANCE COMMENTS:
No Comments
STRUCTURAL COMMENTS
S 1.. Provide a'note on sheet 1 to indicate the governing code for this projec.f.is the
2001 CBC. CBC 106.3.3
S2. Provide structural specifications clearly ind icated on the plans for the f6llowing
-items, to correspond with the structural calculations:
1. Concrete strength for all footings and slab
\v 2. Grade of all concrete reinforcement
3. Type of nails & bolts used for this project
4. Grades of all dimension and manufactured lumber
5. Hem Fir sill plates
Sa. Amend the roof framing pI an on sheet 6 to. indicate the roof sheathing thickness
and required nailing to the roof framing members, CBC 163323
S4. Amend the plans to provide a reference note that all nailing shall conform to
CBC Table 23 -11 -B -l.' Please note that it.may a good idea to make or obtain a
copy of this minimum . nailing schedule and include it within the: plans along with a
note indicating that all nailing shall conform to this schedule.
S5. Revise* the building sections on sheet 5 to clea rly indicate the- 2x blocking
between the roof trusses at the exterior walls, roof edge nailing from the roof
sheathing into the 2x blocking, and shearwall edge nailing into the top plate of
the double top plates. CBC 1605.2 & 1633.2.3
S6. Revise the soffit detail at the porch on sheet 3 and building section A on. sheet 5
to clearly indicate shear transfer from the roof sheathing into the exterio ' r wall
between tlie residence.and front porch. Please note, it appears truss -blocking
panel s will be required. CBC 1605.2 & 1633.2..3
S 7.. Provide a note on section A/5 or 6 structural detail to clearly indicate the
connection of the W patio rafters to the continuous 2x8 ledger on the end of the
roof t,usses. CBC 1605*1
S8. Amend the truss cantilever shown in section A/5, at the rear porch,' since it
deviates from the truss profiles shown in the roof truss structLiral calculations.
Please note, the roof truss profiles by the premanufactured roof truss engineer
show the truss ending on the double top plates of the rear ext : erior wall. CBC
106.3.3
S9. Revise the roof framing plan on sheet 6 to clearly indicate continuous chords
along -the front wall line for this project. Please note, straps are required at the
discontinuou . s chords at the bay windows for this project, in accordance with
CBC 1633.2.5
S10. Provide a structural detail -to clearly indicate the number of nails or Simpson
strap required for the double top plate splice, in accordance with the structural
calculations. CBC 1633.2.3 & 1633.2.5
Premanufactured Roof Trusses
S11.
The engineer of record shall review the roof truss structural plans.and
calculations, since the configuration of truss:type "13-11" in * the roof truss structural
calculations deviates from the truss profile shown in:section B/5. Please note, the
profile shown in section B/5 indicates an opening at the center of the truss.
Review and coordinate upon resubmitt6l. CBC 106.3.3
S12.
The premanufactured roof truss enginee shall provide structural calculations for
roof truss type "GE" upon resubmittal. CBC 1605.2
SOIL FOUNbATION COMMENTS
S 13.
Provide structural.notes on sheet S1 to indicate that the subgrade is to be
prepared in accordance with CBC -3312, 3313 & 3313.4
\V _-S14.
Am' end the foundation plan on sheet 4 t10 indicate the thickness.of the c bncrete
slab, slab reinforcing, 2" sand, vapor barrier,& 4" gravel over the prepared
building pad. CBC 1900.4.4,'1907.12.2.'2 & 1825.2
S15.
Amend all foundation details and or plans to clearly indicate that al * I sill plate
anchor bolts have. 2" square by 3/16". thick plate washers, in accordance with
CBC 1806.6.1, item 2.
S16
Revise detail 4 on sheet 7 to indicate'the sill plates are to be Hem Fir, in
accordance with the structural calculations. CBC 16312.3
S17
Amend the foundation plan on sheet 4 to indicate the'maximum'spacing of all
non-shearwall anchor bolts. CBC 1806.6 & 106.3.3
S18
Revise the foundation plan on'sheet 4 to indicate the required reinforcement for
all spread footings, employed for this project. CBC 106.3.3
S 19 Provide a structural detail to indicate the interior step down continuous footing
between the residence*and garage. CBC 106'.31.3
S20 Provide overturning structural calculzitions for the 12'-0" shear wall along line "B"
forthis project, clearly indicating the appropriate safety factor for overturning for
seismic and wind, in accordance with CBC 1605.2, 1605.2.2, 1621 & 1633.1, as
well as calculating the holdown device employed. Please note, after a preliminary
analysis, approximately 1300 lb. of uplift occurs at ihis shearwall. CBC 1.605.2
If you have any questions regarding the above comments, please contact Roger
Peterson, Structural and/or Mike Bayless, Non-structural at (916) 725-4200 between
8:00 A.M. to 5:00 P.M., M -F.
October 8, 2003
Mr. Michael Vieira
County of Butte Department of Development Services
7 County Center Drive
Oroville, CA 95965-3397
Phone: (530) 538-7541
Fax: (530) 538-2140
Re: Plan Review: Jones SFD
Address: Hart Drive
Dear Mr. Vieira:
County of Butte- FINAL CHECK
Jurisdiction Appl. No.: 03-2037
LP2A Job No. 203015-059
Linhart Petersen Powers Associates (LP2A) has.completed a final review of the following documents:
1 Plans'. Two (2) revised copies of sheets 1 through 7 title sheet dated April 15, 2003, by Frank James
Pursell.
2. Structural Calculations: Two (2) revised copies of Structural Calculations dated September 16, 2003
by James Pursell.
3. Title 24 Energy Compliance DQcumentation: Two (2) copies of T-24 Documents dated July 08, 2003
by Don Freemyers.
4. Truss Calculations: Two (2) copies of Roof Truss Calculations dated June 25, 2003 by Longfellow
Lumber Co.
These documents were reviewed only for their conformance to the 2001 California Building, Plumbing,
Mechanical, and Electrical Codes. We do not have any further comments regarding this submittal
package. This plan review is recommended for approval as submitted with the following red -marked
revisions and conditions:
Detail 114 was amended to show length and embedment of the #4 dowels.
2. Sections A/6 and B/5 were amended to show 2x blocking at the roof trusses, at the
perimeter walls.
3. Detail A/6 was amended to show W wall top plate braces at 6'-0" o.c.
Enclosed for your use are the above noted documents that were reviewed, bearing the LP2A plan approval
stamps. If you have any questions, please do not hesitate to contact us directly.
Sincerely,
LI RT PETE S OWERS ASSOCIATES
RI
,.;oge er o Z_ E. Mike Bayless
Struc ral Engineer Plans Examiner
KB/MB:ag i:\pendingplanreview\butte\203015-059.doc
enclosures
IsLINHART PETERSEN POWERS AssocIATES
7610 Auburn Boulevard * Citrus Heights, CA95610
(916)725-4200 *,FAX(916)725-8242 0 Toll Free (877) 235-0653
. I .
SITE PLAN REVIEW APPLICATION
Date: 7- AP# 3 3 6- 0 6P
Permit Number (if applicable)
APPLICANT INFORMATION Parcel Size:
Owners Name: I
Owners Address: 0 2- C�o �WOODL;q_.0b CA qS965-
Telephone No
Situs Address:
Proposed Use:
co,j—,
V-8 69 & 6A) I- L S -3 L-1 —
M P:� r;a: —I J�V,2_ '�Jlv V, I L -t,- (S
Residential
New Single Family Residential
F-1 Single Family Addition
F-1 Mobile Home
F] Residential Accessory
F-1 Permanent Second Dw'elling
F-1 Temporary Mobile Home (Aunt Minnie)
F� Temporary Travel Trailer
F-1 Multi -family
Non-residential
F-1 New Commercial
F-1 Commercial Addition
F-1 New Industrial
0 Industrial Addition
Other
F-1 Septic
F-1 Agricultural Exempt Building
F -I Other:
Brief Explanation (if necessary):
F� Single Family Remodel
F-1 Commercial Remodel
F-1 Industrial Remodel
Fj Well
DO NOT WRITE BELOW THIS LINE
DE VEL OPMENT SER VICES INFORMA TION (For Staff Use)
Approved E] Conditionally Approved E] Resolve Problems Prior to Approval
j9- Site Plan Stamped Approved
By Date
Page I of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
F -I Snow Load Area: - -
El Land Conservationi Act Minimum Acreage:. El Verify residence can be built per contract
F-1 Nitrate Action Plan (See Environmental Health for standards)
El Watershed Protection Overlay Zone (See attached standards and requirements)
E] Expansive Soils (Test for expansive soils and if verified proper foundation design required)
IR SRA - (CDF to determine specific requirements)
I 00 -Year Flood Plain: (See attached)
Flood Zone: X 7�e�
Flood Panel No.: 3CJB Index Date: t—).—r2o— C-0
Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board)
Feather River Reclamation District (Approval must be obtained from the Califomia Reclamation Board)
North Chico Specific Plan (See Development Fees Section and attached standards and requirements)
Chapman/Mulberry (See attached standards and requirements)
F-1 Cohasset Area (See attached standards and requirements)
Ej Grading Zone (See attached handout)
Use Requires:
F-1 Use Permit El Minor Use Permit El Administrative Permit
F-1 Minor Variance E] Variance
-----------------------------------------------------------------------------------------------------------------------------------
Fj Detached Building Use Form Encroachment Permit
F1 Agricultural Worker Affidavit Agricultural Acknowledgement Statement
Zoning:
Applicable Building Setbacks:
F� Setbacks drawn on site Plan. El CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
So
Side
30)
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
F� Setbacks drawn on site Plan. El CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
r#
Applicable Development Fees:
Standard Fees Amount Formula
FJ Fire
School*
Parks/Recreation
E] Roads
M Sheriff -
El Drainage
NCSP/CSA 87
Chico Urban Area — Road
Thermalito Drainage Area
El Thermalito Urban Area
Other
Subdivision'Map Special Fees
r-1
Water Tender
F1
Road Improvement
El
North Oroville Area
E]
Other (per map)
Cbeck with scbool 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
D Deeds:
Date of Creation: Legal Access Provided: [:] No El Yes
Deed of Reference: Legal Access Required El No El Yes
Parcel Frontage on Publicly Maintained Road: El No F� Yes, Road Name:
Complies with County Standards for Deed Creation:[] No E] Yes
Comments:
R Parcel Deemed to be legal
F1 Verify Legal Parcel F1 Verify Legal Access F]Provide Deed of Creation
F-1 Obtain a Certificate of Compliance
Obtain a Merger I El Obtain a Lot Line Adjustment
Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
El Construct road to: El Meet Parcel size required by zone
n Meet current Environmental Health Department requirements
Page 3 of 5
4b�
Subdivision MapTarcel L)�) I -F '3 PH
Map: CQPL-e-�/ -A e -y? -SS
Map Date of Recording: 2- -ez- a- 9.
Lot: 'S -��
E] Use Permit/Minor Use Permit
Permit Number:
Book: Page:
Date of Approval:
Parcel Map/Subdivision Map/Use Permit Conditions
[:] Comply with the following Conditions of ApprovaL N D.A) 6
F-1 Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
Fj 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 aipproved 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.
Fj Class A roofs are required.
[:] Property owners responsible for road maintenance, and stop sign maintenance.
F-1
FE �
Page 4 of 5
x
0
0
0
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CAMy Documents\Building Permit Site Plan Review Ldoc
Page 5 of 5
14,
AND WHEN RECORDED MAIL TO -
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
9�-- 10 10 Z3 — 10 10 r=1 I E� I r=1
Recorded
Official Records
Count Of
BUTTE
-7 CANDACE J. GRLIBBS
Recorder
ROSEMARY DICKSON
Assistant
12:25PM 04 -Sep -2093
REC FEE 10.00
COPIES 2.50
Cheryl
Page I of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 2678 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agridultural 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 resi d'ients within said zones and on
adjacent property should be prepared to accept such inconvenience or discomforti-&-orn normal, necessary farm
operations. .1.1;
All that real property situate in the County of Butte, State of California, described as follows:
SEE ATTACHED7LEGAL DESCRIPTION
Date SEPTEMBER 4, 2003 PROPERTY OWNERS:
�RY D. JONES
State of California
County of 'BUTTE
On SEPTEMBER 4, 2003 before me,
MARY A. THOMPSON, NOTARY
personally appeared JERRY D. JONES personally
known to me (or proved to me on. the basis of satisfactory evidence) to be the-person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which
the person(s) acted, executed the instrument.
WITNESS my hand and official s--1—
Signature -4 MARY A. THOMPSON
U) Commission #1351470 0
'0
a. Notary Public - California CD
Butte County
AT.# 036-800-060 My Comm. Exp. APR. 15,20060
C�o )
m
DESCRIPTION
THE LAND REFERRED TO IN THIS REPORT'IS SITUATED IN THE. STATE. OF
CALIFORNIA, COUNTY*OF.BUTTE, AND IS DESCRIBED AS.FOLLOWS:
LOT 5 3, AS SHOWN. ON THAT CERTAIN -MAP ENTITLED,, "COPLEY- ACRES
SUBDIVISION UNIT NUMBER THREE,- PHASE IIIllj WHICH MAP WAS RECORDED
IN THE OFFICE OF'THE RECORDER OF. THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON.FEBRUARY 28, 1991, IN'BOOK 122 OF MAPS, AT PAGE(S).
27 AND 28.
THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTSo CONDITIONS'AND
RESTRICTIONS AS SET FORTH IN THAT . CERTAIN - -DECLARATION OF
RESTRICTIONS RECORDED FEBRUARY 28, .1991, UNDER BUTTE COUNTY
RECORDER'S SERIAL NO.- 91-07665, BUTTE COUNTY, CALIFORNIA; ALL OF.
WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME
FORCE AND EFFECT AS THOUGH FULLY. SET FORTH. HEREIN AT LENGTH AND
GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND
AGREE TO'THE TERMS OF SAID DECLARATIONO
PARCEL -11:
A RIGHT OF WAY FOR ROAD PURPOSES OVER AND ACROSS L40T 31.5, AS SHOWN
ON THAT CERTAIN MAP ENTITLED, "OFFICIAL MAP OF-OROVILLE--�WYANDOTTE
FRUIT LANDS UNIT NO. 6.11,. WHICH MAP WAS RECORDED IN THE OFFICE OF.
THE RECORDER OF' THE COUNTY OF BUTTE, - STATE OF CALIFORNIA, ON MARCH'.
1929, IN BOOK 10 OF MAPS, AT PAGE(S) 3A, 4A,'AND 5A.