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079-260-027
t �n�UoffOrlg�n afid i�emanuf�ctuFQd�,�''�� � rFDR.VALiJJr RED�tYED'!Ottle:su�@r�st�neder�hy±�e7�thr , state; also ' wand cemfies that the,raome rs new arad has n it. n re mer@dila this b a', Y otter tie warranty the;t�ttey' . be rdetwhhvyNNNrryVVud tqthe !mss anQ enGumbrancesfi rf any asset otrt below, } manufactued hme atkme of o Ri�X'Y eQJm of sant t��, � A dress +,•^ } G � s r � o U ya y ,'� - � *�. .j �✓ p 7�# mo o en ^ fY , { fes. 3To WhP' D e� 9R a 4, ..tri, �° "' � s on},. �,� � ' fr+at}sletoror �rtni'l�c[re) ' �;• n zau ,.�.Y `� ��$1gnk19r6 � fir"' + cA,zr } � .,,•,Y X �S til t.u...r { �;.^L.':.:... ..� .., ....' .,..'. . , �...< ...r : :: ,ti <� .t, rr Fa + b whobyme 6ekng ,� w. t >eY t its set for MAY'R aIgyt e� hd;co re ,, �, s k y ,� i,e •� a onbLlki��i%ht� M1� CQMMISSION D(PIFi�S}f1Ai Jcgor `'-Cauntyj State of�'�'' NpT'AR(fk o L F1 Ot ED lra ' [JG JURfSDiGTIbAI ;+ 7 w ° s lei _ g �Ff F3 MALttE`lJEG`EA the uhdet$}.gnetl iter@bar Er�'nsiters^this Stat@rrfi` �? p O,r�gi rind the manufactured tno n described theism to y rjr2R.iiu c� .Addie$ and d6d home is r W,and'hasmo eh„rra@q+a $red �tt-£+rr�an Qt e1 ate he also warrant nth@TFtie t gu w 1Os that tete mored ho[e atmeot r"lfv@r�r,UleCttt4erfs°ai ecut�nbzresrf aY,etAe)ow s of said rnanufat �'�� �r �•�c3'1�t�,gm''Dtt'2 � �, � Addr$Ss �� � r '?,r a WG �' � Amount Of Lten �� � ;j v",�.g �m �� . '" ,.r S 4 _,,�,•�.� t � 2 iej'j"' - tkVcTii'�'. 4��5" FrG Wig s u vs, W �+ obt Y YwytF, "c nY Yet yr. t WV7 m _n e i Crra[(sieroy or Firrrlame , •� ] , @ rib t `5 1yr L Noy`" Dealer�Uc�nse (FerrpF� YWhO t}y me Uelhg p D $efo�re me per$bnaUy appeared a} ippon oath"says thatt�Ie staters nTt�sv`�ete�o brt�Ye`erea�dcoFrect -dilly sworn r }� } .Ss, �„"hc ':�^rs - a- � j A c4"titl �,,.., r "be c. �n •�Q4's"r r! �5+�.'pp" a ' SaiScrtbed and syVgtn toiefore it ar `� $� 7S } ' 4Jrr'F { k`` e bf—---- No Publrrror rCourityx5ta ?dotarySeal� ({SN3TARk7�+T1Ot OPi�1�IREQU'1FrEbi1GJRiS a' VALUE RECEIVCD the unders{gn`ederebytra +r�sf$ s�thisS;etgmek�t oOrrgrn andthe`manufact�3�ed ,* FOR WK. 'Jif✓s homc'desohbed theraib toj 'Ir a nY hdcfress r rx a „° r b {� 'CiA�'♦ §� r N to 11, also warrants th@ S�He ar cerlrftes thati the hpme is nM.-and--bas�FlOt been reg sfeted ln:tf ass ay o" e s o co' ui'er and w bianNckrl�/�S sFrtiltb8�r,� of td cnanufaetured'home of tifne�delt�rery, st7p es;t to,heeis M11. f Rte' WC L $ a1 vFrransf8r©J o[ FuRI P�3fK@} ' f+ C .� Fa . t ti.a r� t� x +" ; T Z +pl (/k rf' "•t a^' g ate c ills i7Gtsor2all�ta Pared -Y. a,4.d ' � .t Jsr• 7.f'Si e �3 r,�s'"-,+.,t ",.46 r d�Ndrnporrath say�s'`'at thedt�oare tewd cordo °,� d' '} '1'a .�dy.r�i r�.+ y}, n4y.� 3��• ' f 6 Y ! iJ 4 yy. '% m. t�ksad �Iryw.�i\n�\i%.GlVrs l �'Y ..1.h £4 il b.t i J'4 }yb Y t+ ' b�C.ourty State�of '� za �ldiar�p#ci5r, r a "� 'T ' JG(„FitSl)iGT10� � �.� 'r .: i�' �lotary $ESI : �SEr�JtlTAk3. �7Jory Ort�,�� A�QiJkREOJAi''4ttfCl� G .�eufse••�:w�x..�';D. fi til lf� b flit! ltt� � It�i ft � i�� E ��?t�t8—�2tL?tK2tti4 1 1 ✓eCDI C+.0 I Nor FE _'J. V5 When recorded return to: County or I Eetie I County of Butte CRZA e J. GRUFt:S I Department of County 6lerk-RecorderI Development Services 1 00 Building Division ���:'-� =-Jan-���� I Pa_s ! of 7 County Center Drive Or oville, CA 55965-3397 Space above for Recorder's Use SECOND DWELLING UNIT DEED RESTRICTION 1. WHEREAS, on this -Ag4 day of 1 , 2003, THOMPSON, TOMMIE, hereinafter referred to as owner(s), is the record owner of the following real property: 6765 LOWER WYANDOTTE RD, OROVILLE, CA95965 (APN 079-260-027), and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and 11. WHEREAS, Building Permit No. B07-2536 was applied for on 12/14/2007 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and Ill. WHEREAS, the use allowed by Building Permit No. B07-2536 has been reviewed and approved as a Second Dwelling unit; and IV. WHEREAS, Section 24-280(c)(2)(f) of the Butte' County Zoning Ordinance conditions the occupancy of the primary and secondary dwelling units as follows: the owner of the parcel or lot must occupy either the main dwelling or the second dwelling unit, and V. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or, law has occurred, either of which change allows the use otherwise restricted herein to be conducted on the real property described herein.. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of 'a Peter Calarcojj` Assistaht Director I �/ 0 subsequent document entitled Rescission of Second Dwelling Unit Deed Restriction by the Director of Development Services; and NOW, THEREFORE, with the issuance of Building Permit No. B07-2536 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, which establishes occupancy restrictions on the dwellings. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to the restrictions. , This deed restriction and notice of occupancy restrictions shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. B07-2536. DATE: ..1 nr_�ti 2. S , , 20 c Owner Signature:,,,,, Print or Type Name of Above Owner Signature: n Peter Calarco t/ Assistant Director `1'4 Print or Type Name of Above State of ) County of On personally appeared before me, Notary Public (here insert name and title of the officer), who proved to me on the basis of satisfactory evidence to be the person(�j whose name�s5 is/armsubscribed to the within instrument and acknowledged to me that he/sbeA-hey executed the same in his/her/their authorized capacity(ies), and that by his/herwiF-signatur%sj on the instrument the person l or the entity upon behalf of which the person(, acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my handands official seal. Signature /(.�� ll' (Seal) �J (notary)(12-07) M. MAJOR to Commisslon #1727728 0 .a- Notary Public •Califomia Butte County co My Comrn, Exp, MAR. 1, 2011 This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: Peter C91a c Assistant Director Department Development Services ST%OFIFORNIA.SS. COTTE ). Onu.n(�� �^{ before me, Notary Public, personally appeare L G, lez�-Ca ho proved to me on the basis of satisfactory evidence to the person hoe namgd) is/aFd subscribed to the within instrument and acknowledge o at he/sle/tl) y executed the same in his/ice/tWir authorized capacity(09), an a his/,Mr/tFjdir signatureko on the instrument the person(o, or t71!91 f pon behal which the personA acted executed the instrument. WITNESS my ignature official seal. ANN MEFFORD mmt stop 167796 No F;t�c - Coiuio►� 9'1,,M�AUCE COUy y co�toof. s JulJ22, 20 (Seal) Peter Calarco. I� 4 Assistant Director �' CALIFORNIA /ALL-PURPOSE ACKNOWLEDGMENT State of California County of On Jdbefore me _A 4 rr P Ailk1 j -"I I;% Dale Here Insert Name and Title of the Officer personally appeared Milt=. /tt:tCE AaNAN MEf'ME) CComrnl;c M 0 1677696 a N pub7,. Cotifamto Butte County tom: Comm. Expires rut 22,201 C-1 who proved to me on the basis of satisfactory evidence to be the person9 j whose name(q) is/subscribed to the within instrument and acknowledged to me that he/ski€/they executed the same in hisMo/fir authorized capacity(ies), and that by his/WAWsignature(s) on the instrument the person(s), or the entity upon behalf of which the person,(9) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and offi ial seal. Place Notary Sent Abova Signatu e Slgnalure of Noifa.#*Pubflc (1'P7'A�iiP�� Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: ❑ Individual O Corporate Officer —Title (s): — ❑ Partner — O Limited O General ❑ Attorney In Fact O Trustee O Guardian or Conservator-` O Other: Signer Is Representing: Number of Name: ❑ Individual ❑ Corporate Officer—Title(s): _ ❑ Partner — O Limited O General O Attorney in Fact O Trustee O Guardian or Conservator ❑ Other: Signer Is Representing 2IGIii3l3 u n7aPJINT. _.? 0F..SIGNER:; ' National Notary Association • 9350 De Solo Ave.. P.O. Boz 202 • Charsvmnh. CA 913134402 • vnxv.NationalNoteryorg llom #5907 Reorder: Call Ton Fre .80"76-6B27 V I� RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Tommie Thompson and Vivian Thompson ' 7740 Old Honcut Road Oroville, CA 95966 A.P.N.: 036-310-045-000 2��4-1007358 Recorded OfficialRecords f Records CountBUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 02 -Dec -2004 REC FEE 13.00 TAX 79.20 MONUMEN 10.00 Lisa Page 1 of 3 Space Above This Line for Recorder's Use Only GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $79.20; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ File No.: 0403-1683527 (AM) ] computed on the consideration or full value of property conveyed, OR X ] computed on the consideration or full valueless value of liens and/or encumbrances remaining at time of sale, X 1 unincorporated area; [ ] City of Orovi lie, and ja! FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Ronald E. Faulkner and Garnee Faulkner, his wife at joint tenants hereby GRANTS to Tommie Thompson and Vivian Thompson, husband and wife as joint tenants the following described property in the unincorporated area of Oroville, County of Butte, State of California: PARCEL I -A: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE WEST QUARTER CORNER OF SAID SECTION 35; THENCE SOUTH 00 DEG. 46'43" EAST ALONG THE WEST ii ERLY LINE OF SAID SECTION 35, A DISTANCE OF 655.52 FEET TO THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35, AND THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING, AND CONTINUING SOUTH 00 DEG. 46 43 EAST ALONG THE WESTERLY LINE OF SAID SECTION 351 A DISTANCE OF 414.21 FEET; THENCE NORTH 89 DEG. 44'00" EAST, A DISTANCE OF 485.02 FEET; THENCE NORTH 15 DEG. 08'00" EAST, 12.0 FEET; THENCE NORTH 31 DEG. 34'40" EAST, 153.37 FEET; THENCE NORTH 272.34 FEET TO THE NORTHERLY LINE OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35; THENCE SOUTH 89 DEG. 44'00" WEST ALONG THE NORTHERLY LINE OF SAID SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER, A DISTANCE OF 574.09 FEET TO THE POINT OF BEGINNING. PARCEL I -B: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, BEING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: Mail Tax Statements To: SAME AS ABOVE A.P:N.: 036-310-045-000 Grant Deed - continued File No.:0403-1683527 (AM) Date: 11/19/2004 COMMENCING AT THE WEST QUARTER CORNER OF SAID SECTION 35; THENCE SOUTH 00 DEG. 46'43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 1556.85 FEET TO ITS INTERSECTION WITH THE CENTERLINE OF THE LOWER WYANDOTTE COUNTY ROAD, AS THE SAME EXISTED ON MARCH 1, 1961; THENCE SOUTH 70 DEG. 57' 00" EAST ALONG THE CENTERLINE OF THE LOWER WYANDOTTE ROAD, A DISTANCE OF 347.67 FEET TO THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID POINT OF BEGINNING, NORTH 30 DEG. 40'30" EAST, 126.68 FEET; THENCE NORTH 14 DEG. 55'30" EAST, 177.18 FEET; THENCE NORTH 00 DEG. 24'30" WEST, 172.07 FEET; THENCE NORTH 15 DEG. 08' 00" EAST, 168.0 FEET; THENCE NORTH 31 DEG. 34' 40" EAST, 80.0 FEET TO THE END OF SAID CENTERLINE. PARCEL II -A: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE WEST QUARTER CORNER OF SAID SECTION 35; THENCE SOUTH 00 DEG. 4643" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 655.52 FEET TO THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35; THENCE CONTINUING SOUTH 00 DEG. 46'43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 414.21 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING AND CONTINUING SOUTH 00 DEG. 46'43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 487.12 FEET TO ITS INTERSECTION WITH THE CENTERLINE OF THE LOWER WYANDOTTE COUNTY ROAD, AS THE SAME EXISTED ON MARCH 1, 1961; THENCE SOUTH 70 DEG. 57' 00" EAST ALONG THE CENTERLINE OF SAID LOWER WYANDOTTE COUNTY ROAD, A DISTANCE OF 347.67 FEET; THENCE LEAVING SAID CENTERLINE, NORTH 30 DEG. 40'30" EAST, 126.68 FEET; THENCE NORTH 14 DEG. 55'30" EAST, 177.18 FEET; THENCE NORTH 00 DEG. 24'30" WEST, 172.07 FEET; THENCE NORTH 15 DEG. 08'00" EAST, A DISTANCE OF 156.0 FEET TO A POINT WHICH BEARS NORTH 89 DEG. 44'00" EAST FROM THE POINT OF BEGINNING; THENCE SOUTH 89 DEG. 44' 00" WEST, A DISTANCE OF 485.02 FEET TO THE POINT OF BEGINNING. PARCEL II -B: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, BEING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE WEST QUARTER CORNER OF SAID SECTION 35; THENCE SOUTH 00 DEG. 4643" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 1556.85 FEET TO ITS INTERSECTION WITH THE CENTERLINE OF THE LOWER WYANDOTTE COUNTY ROAD, AS THE SAME EXISTED ON MARCH 1, 1961; THENCE SOUTH 70 DEG. 57' 00" EAST ALONG THE CENTERLINE OF THE LOWER WYANDOTTE ROAD, A DISTANCE OF 347.67 FEET TO THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID POINT OF BEGINNING, NORTH 30 DEG. 40' 30" EAST, 126.68 FEET; THENCE NORTH 14 DEG. 55' 30" EAST, 177.18 FEET; THENCE NORTH 00 DEG. 24'30" WEST, 172.07 FEET; THENCE NORTH 15 DEG. 08'00" EAST, 168.00 FEET; THENCE NORTH 31 DEG. 34'40" EAST, 80.0 FEET TO THE END OF SAID CENTERLINE. Dated: 11/19/2004 Page 2 of 3 A.P:N.: 036-310-045-000 Ronald E. Faulkner STATE OF California COUNTY OF Butte Grant Deed - continued File No.:0403-1683527 (AM) Date: 11/19/2004 On // 30 G`f before me, c 0 0 --/personally appeared 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 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 seal. My Commission Notary Name: Notary Registration Number: This area for official notarial seal ANGELA D. MASTELOTTO Commission #1381123 n - Califomia U v Butte County My Comm. Exp. OCT. 22, 2006 Notary Phone: County of Principal Place of Business: Page 3 of 3 BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds f Permit No: B07-2536 Issued: 01/29/2008 Address: 6763 LOWER WYANDOTTE RD Area: OROVILLE Owner: THOMPSON, TOMMIE Applicant: THOMPSON, TOMMIE Permit Type: SFD-Mobile Home PFS APN: 079-260-027 Description: 2nd DWELLING MH PERM FND 1387 SQ.F Flood Zone: None SRA Area: Yes Front: 20 Ultimate R/W from CL: 40 Rear: 5 SRA: Side: 5 AG: Other: Total Setback from Centerline of Road:20+40 ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 11 I Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 143 l Pre-Sla. Bldg Permit? Gas Tel Address: Gas Te}: Mason OFFICE COPY _ - j Masons • GAS By: r � '- . 2 --'Dat Underf:. _ Underf. Electric By: I ' 7 Dat. ` Shear I ,{ Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 ShearwallB.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Siding/Stucco or Roofing Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 - _ . Y F:R'als Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type I IVR I INSP I DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: V,.o,rc,,es Date of Manufacture: Z , Z( , Model Name/Number: Q6 2-3;57 Serial Numbers: p p O} L O —) $ Length x Width: Insignia: s Public Works Fina 538-7681 L,—F Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 1 801 -rrulect rmai is a t ernncaie of vccupancy Ior (mesjuennal Vniyd PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy NOTES RESIDENTIAL (0'7q - 2•(0�Z7 PERMIT NO. _;;83e_ -� 05-1251 THOMPSON, TOM LOWER WYANDOTTE, OROVILLE Cont: BURTENSHAW CONST I NEW SINGLE FAMILY I "�-'FF� COPY�� Y wt' Address14 T a GAS Meter BY-0_� �� I Date - ELECTRIC Meter By r Date A' _ ' SPECIAL CONDITIONS ' CHECKED — BY .- SRA r ►� FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. t.. SPECIAL•INSPECTION ITEMS ; VERIFY USE PERMIT CONDITIONS y�1 *' SUB -STANDARD HOUSING LETTER y M 4� I OFFICE COPY r Address–(0(05 i GAS Meter By Date ELECT% C _ - Meter By - Scvy"VLOM S Date ' 13 ---()S JOB FINALED (Data)_ Signature J=OK 0 =Not OK = Not ReadyApplicable MOBILE HOMES . =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils-, Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity, Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ftJ P LPG MISCELLANEOUS Date 7. Well Clearance & Disconnect 8. Utility Clearance 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectoe 7. Water and Sewer Connected -C/O to Grade -HD Approval Date 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas-, MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. 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 Date Card B-1 Date Card B-1 Date Cana B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK p = Not OK • ripble =Not App = Not Ready RESIDENTIAL Date UND RFLOOR (Plans) OK except #'s oning-Setbacks-Easements-Flood-Slope . F ., Main; Soils-Elec. G -/ Ftg. Depth t. tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth temwalls, Main; Steel-Blockouts-Wrapped t mwalls, Garage; Steel-Blockouts-Wrapped 6 old Downs and Special Anchors 7. S!ab', Steel -Wrapped i -Fire lace Ftg.-Steel 1. W.V.; Fall -Felting -Test -2 Way C/O -Sewer Test . UF, Gas Pipe; Size Anchors -Yard Gas -I �1ng; Size Test 1 Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground ums & Ducts; Clearance -Material -Support -Ins. rders-Sills-Anchor Bolts-Joists-Vents-Crippies Access & Ventilation 16. Insulation Date / v' Card B-1 Date Card B-1 Date o- Card B-1 Date Card B-1 Date PLU ING (Permit) OK except #'s tr.; Vent -Access -Combustion Air Baffle er Pipe; Test & Anchor -Nail Protection 1 .W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Taub & Shower, Second Floor -Tub Access_ Pr -Gas Pipe; Sixe & Anchors 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECJ PA'L (Permit) OK e�pt #'s Isis. Protection & Switches at Lud- Size Boxes & No. of Conductors Stapled (Single & Duplex) 27. Rome -Installed Close to Edge of Studs & C ip. Ground made up w/Meth Fasten -Bon Water p fiance Circuits in Kitchen & Conductor Size GR 39*�Subfeed Wire Size/ Ne. Cu C. Wire Size/ /ga Cu or AI 31. Range Circle/ 0/ga r Ad -'Oven Circ. / /ga Cu or AI Instated Neutral O Yes O No 3 ervice-Riser Conductors & Ground Main Disconnect 33. . Clearances Panels -Motors -Meth. Equip. Clo s Closet Light -Shower Light -Spa Light moke Detector Dat40- (2'O Card B-1 U Date Card B-1 Date Card B-1 Date Card B-1 Date MEC ICAL (Permit) OK except #'s A ucts Insulation & Support 3 . e an, Exhaust above insulation aS-etondensate Drain & Overflow, Size & Grade 39. ace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAWAG (Permit) OK except #'s 4'I: Silly Proper Materials & Anchors g2!Vjl6)Is,Studs-Nailing Spacing & Braces -Plates -Sound 43o00'B_ei6rinq Walls over Girders & Floor Nailing 4.4' Q4ft Stop in Walls (rat proof) 4. Fir tops, Furred Ceilings -Stairs -Chasers -Tubs 46 eaders & Beams -Size & Bearing Date FRA (C nued) ers-Post Caps -Anchors -Connectors 4 PCling. Joi Rftr. Ties-Purlin-Roll Brac.-Truss-Shting: Rtng. 49. Rr ce Ties or Type AFlue-Fireplace Throat Clearance ccess; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stu Mesh -Drip Screed -Fd. Vents-Underflr. Access 3S!Glazing Area -Glass Protection -Skylights -Plastic 60. Shear W_09; Nailing -Bolts 61. B-Interior/Exterior Wall Panels Date CQ -Y- 15 Card B-1 `/ Date Card B-1 Date Card Date Card B-1 Date FINA )ans) OK except Ps Stens-Door & Sideliaht Protection-Landinas 68' Furnace Vents -clearance -Comb, Air -Connector - In ge; Above Floor-Ducts-IvJ,ech. Protection room Exiting . & Bath Fixtures & Tub Access -Spa Else -Trim & Subpanel, Breaker Sizes & Labels ?T Stairs ails 71. U09ace or Stove, Clearance -Hearth utlets at Wood Panel. Int. & Ext. .73' Ij! ixt. & Appliance; Ground -Air -Gap -Cooking Clearance Fk1 . Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C-Duct in Garage -Damper 7.T!Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. it arage; Above Floor -Meth. Protection P & Mech. Equip. Listed for Location Receptacles in Garage (FF.I.)-Romex Protection 89!Insulati ri=oam-Looked in Attic 81. d Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Cleardn`ce Looked undecFloor ❑ Yes.- / a8!Followina,ins- WDrive D Yes D No/WalksJ;Yres D No/Planteni4rYes O No 84. eco Brown -Finish 85- A._Cellnit Disconnect, Electrical -Plumbing to Openings 87. W4WrWejLUisconnect, Electrical, Plumbing 88"_Ext r Ems: Trim, G.F.I. Receptacle -Underground entilatGon Throughout House 91. CorrecSfons from Previousjing'pections 111 (j 0 G 92. Gas -Meters Tag , Gas -Electric -v 93. er & Sewer Connected -C/O to Grade -HD Approval 1Rf En Compliance Certificate -Other Certificates Address Posted 96. Fire Sprinkler Date 1 n_ Card B-1�- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1/,.77Date Card B-1 Comments at Final: LOERIM WMATM 00.1 INC. ffM"7KMCERTMArE 6469 LcwGre — - nuffewsmalpm I DESCRMON OF WMALLAMON 1. WOOF Bred mm" 7tddmm 2. CERM Bad Grwm*etType_ BmmbmAmm. *ad Hem jam- vAr4ft 7bidmose nmM RnMwm (R-VWw) 3Z a FM'Typ iib sa stem walm Johns manvols ca*wwsnftkwWWwWoWsq. ..:6�15 Mkftm 7Mdm8s–LG _-T5 mm- fi-Pill Res hjshmwvj8wper GqumftdtDadder jmvwnw PJI$hdmm (Ft VSIW) LEXTEFOORWALL PANIP EMMMUM soft 7hk*mms 4. RAMW FLOOR malmew Ememku soft rL MM FLOOR I MGM" Tikkim PWbmW his on Depth 9 RXWArlON WALL Brod No= Johns mtmdb i'hemud RG*Wm (R�Vaiael x221 Blared Now IMM ftmft mm" ft*Wm (wv") 3M9 Brand Name Tnmlmd Ro$bWm lka-dNwn :'3 vAb" Zi.. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds 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 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Date: Contractor: OWNER -BUILDER DECLARATION I 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 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 license6pdrsiJant to the prdVisidhs of 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 she is exempt therefrom and the basis for.;the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 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 iMended_o.Q_ff..gred for•sajQ„(Sec. 704q,,,BN igess..an, Professions. Code: The Contractors' State'License Law does not apply to an 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 & 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.). ❑ 1 am Exempt under Article 3 of the Business -and Professions Code' Date: ! Owner: - +� �++�'►� WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: O I 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. ❑ 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 insurance carrier and policy number, are: Carrier: Policy # ❑ 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 the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and,attomey's.fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for %%rhich this permit is issued (Sec 3097 Civ.) Address: PERMIT NO. BP051251 Issued Date: 06/30/2005 APN: 036-310-045-000 Site Address: 6765 LOWER WYANDOTTE RD ORO Map Index: Description: NSF (1642) GAR (1008) COV DECK (760) Owner: THOMPSON, TOMMIE & VIVIAN:........... .,;m.. -7740 OLD HONCUT ROAD OROVILLE, CA .95966 - ,.. (530)521-4008 Applicant: BURTENS-HXW CONSTRUCTION ' 5415 MINERS RANCH RD. OROVILLE, CA. 95966 530-589-5266 Contractor: BURTENSHAW CONSTRUCTION' 5415 MINERS RANCH RD. OROVILLE, CA. 95966 ' 530-589-5266 License #: 393919 Architect: Engineer: Total Square Ft: 3410 S.F. Valuation: $143,082.00 Census Code: Building �tes $ 21992.3q q 312 5 -7 y�5c�3 This permit is hereby issued under the applicable provisions of the Brute County Coda anrVor Resolutions to do work indicatedQ above for which fees have been paid. r �y � C By�6�(_►� t 6V16 , Date: / n ' �.J V /� -� PERMIT EXPIRES ON: L) In - Oan ❑ 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. O 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. 1 agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: —tomn m m l e- I h n ►rr p Secs ro Signature Date A Owner ❑ Contractor ❑ Agent for Owner 0 Agent for Contractor COUNTY OF BUTTE-DEPAP,TMEIVT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER I Proposed Building Use: Permit Technician: Date: ` v Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in orderio apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Sj 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. l� 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) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11'. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form A6 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other R ning items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑9. Erosion Control Plan Required........................................................................ Fees as shown on the attached Schedule of Fees Due Sheet .............................. F,. City of Chico Plumbing permit........................................................................ ❑ / 22.. Site plan and business license approval from the Cily of Biggs ...... . ........ lifornia Department of Forestry p� an approval W paid. Sent by: lanning approval for (A) Use: S.K{B)Parking: (C) Par el eck............. O 25. Contact Land Development about _ Improvements, _ Drainage ........................ 26. NPDES Form..'.......................................................................................... l 27.ncroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ ,,,,,� 31. Letter of Signature authorization.................................................................... 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction......................................................... ............................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................:.'. . ❑ 36. Other: a n+ ❑ 37. Other: C,, When issued Telephone 0' 5:s� 4 G and hold for pickup. I have been informed of the abo a items and requirements for obtaining a building permit. Applicant: - , ^ �; ; Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contrac designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date:Ol�fltllli Con rac or, designer, owner, was advised of the,above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: i i Date: Structural reviewed by- Date: Structural approved by: ► Date: Note transfer by: Date: Yellow: Building Division E.H. USE ONLY tb' Piot Pian Achod `T— Heol Plan AtUCQ Sons to 6.0. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private We I Clearance for . ✓dw fling. Other - /2 c,U � Hold final for: Final clearance O.K. for: NOTE: mental Health Spe ' list Date COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE "(530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/d s OWNER PROPROSED BUILDING USE DATE��n6 J RECEIPT # DATE REC. 1. BUILDING PERMIT FEES0 ` q% 4'6 �� G ����/� --- Balance Due ..................... $ ` �c� V --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ ,� /' ` 2. SCHOOL DISTRICT FEES�V `( ) (paid at School District Office) (form available after Plan Check) 3. ERIFF FEES (paid at Building Division) Rest tial............ X $360.00 =$ Units Commercia q. ftg.)..... X $0.03 = $ IW Sq.Ftg.4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENN IMPACT COUNTY WIDE (per dwelling) $ 0Co CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning Mc. Co -30-05 K.6. P,ec. c -o -3m5 0, 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP I ' DT _ OTHER 10. OTHER 11. OTHER 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 Chan ed during th checking p ocess. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 3/05) W4 T ®- ®epartrnent of Public Works ° County of B utte ��'H• ® J. Michael Crump, Director LAND DEVELOPMENT DIVISION ,\ a O Storm Water Management Program 7 County Center Drive O U NI Oroville. CA 95965 Acetic WOF�S (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement rLESS THAN 1 ACRE1 Project Description:_ a 1-1 L l P _ �� Project Location and/or Parcel Number: h o-t->-e(Z "� U , I(.� o� &- 3(O - L) des By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs -of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: rr-) Vl Title: 0 Wti L� Date: D J Less than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte Counly Department of-Development Semces '%.1 ° 7 County Center Drive 0 ° \ �! ' ° o-:. , . = ° Oroville, CA 95965 0=: d`r o (530) 538-7601 Telephone (530)538-7785 Facsimile cOUN�y BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 9 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained • I am responsible for notifying Development Services; in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended buildingplansto the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: j Applicant Name:`J (� (AIU Building site address: LbwQe WLA100-J A d� APN: 0 �G � f v - '>� Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DAFE r ..., A..nr:rant/FH/Filo K:Forms/Bid2PennitwithoutClearances 020705 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) e5 G - 51P �bys Building Permit Number 2 5—/ Property Owner (s) zt �i P�6Y"\J6-M Project Location /Address 67&S- e--;,rL W 607 07-72!— } O 12-6 - Subdivision Name Assessable Sq. Ftge 116412 T of Residential Development (check one) New DevelopmentSingle Family -Detached Single Family -Attached Alteration/Addition(s) Mobile home Demo Permit (date issued Comments: Non -Residential to Residential Mobile home replacement Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD ❑ CARD ❑ PRPD ❑ DRPD certifies that: __TowtuvtcP �xomtDsen+a -933 6O 9 S Applicant Name Phone Number -r -, yO old Ha 10c o -r (0 eo vt7/e C& !�LNRIV 6 Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: �,, Paid by Cash: Recreation and Park District KAFORMSWILDING FORMS\park-rec standard form rev Ldoc per unit for a total of $ per sq foot for a total of $ Receipt No: / —)/ 5_� BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number 71V �Cl 7--> Jurisdiction: city County Property Owner /7-//f�� IP -S 6-/V 7f 71-1 Property Location/Address A0. Subdivision Lot No. A� Residential Development N oop Sq. Footage Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspecilon) ......................................................... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification, 16 {N -o: ,,��-,- tiz" calk, k e lEke_Vv-, School District certifies that (ApMicant) 4,4 to-, 14S LQ (Street Address) 40 (Phone Number) r-av (City) (State) (Zip Code)' has complied with the requirements of Resolution No. by payment of $ representing square feet. 2926 $ FULL 110111111GATION $ nA hr,-- fa Lo School District Repres6dtative Date Paid by Check 0 Remarks: 0 Notice: You may protest: the imposition of the fen klentifled above by substinga written protest to the District. In complLence with Govorruim Code Section 66020(a), within 90 days from the date fen are paid. FaI116 to submit a timely written protest wfIrprohlbit. you from challenging the Imposition of the fees In any court action, K, subsequent to the School District Representative signing this Butte County Schools Impact Fes Certification Fonr% the School. Dh*id Is nod by the applicable Local Planning Agency that this project Is being reviewed under the California Envilronmentall Quality Act (CE0ft this project may be subject to additional school fen to fully mftlgate. its Impact an the school dleftlet's schools. White (applicant), Yellow (building department), Pink (school district) feeform.:da (10/03)dm.m DOUGLAS ARNOLD Engineering Technician Land of Natural Wealth and Beauty DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE ".HMENT PERMIT Department of Public Works >65 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 r Y.buttecounty.net/publicworks/forms.html � OROVILLE, CALIFORNIA 95965 `� TO BE DONE Permit Number District (530) 538-7681 FAX: (530) 538-4356 E-MAIL: damold®buttecounty.net . 'PLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be typed or legibly rinted. 1. Applicant's Name: - S la. Company Name: 2. Address:011,2150 3. Phone: SZ/ �far1� 4. Assessor's Parcel Number: :5 /0 - 6 ,<- 5. Location of Work to be Done 6. Applicant's Signature 7. Date: CONTRACTOR'S INFORMATION 8. Contractor's Name 4 /1 Woe- L � u) Q Lt..> l 9. Address 10. Phone: 5 2-6 6 G 11. Fax: 12. Contractor's License Number: "�; 5 3S / 13. Certificate of Insurance: Yes No: ❑ 14. Contractor's Signature;- - 14a. Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check:Curb: El Gutter: ❑ Sidewalk: El17. If Driveway List Type: �Tj`i�ily 18. Other Work - Describe: 19.. Plans Attached: ❑ Yes 2_NO PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 20. Conditions Underground Service Alert U.S.A. must be notified two working days prior to any excavation. 800-227-2600 21. ❑ All work shall conform to accompanying: Detail ❑ Plans ❑ Special Conditions ❑ 22. Date Issued 23. Expiration Date: 24. Surety: 25. Date Paid: 26. Amount Paid: 27. Paid By: 28. Receipt No.: Mike Crump, Director of Public Works By: For County 29. Final Inspection Date: 30. Inspected By: ❑ Completed - OK ❑ Completed - Not OK ❑ Additional Comments Attached the only: 31. Comments: Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one week. Page I of 2 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded I Official Records I County of I Butte I CANDACE J. GRLIBBS 1 County Clerk-Recorderl I I 03: 39PM 18 -Nay -2N5 I REC FEE 13.00 CONFORMED COPY 1.00 KL Page 1 of 3 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: occ e� h b (4 "A �� 3 �L Date 5 Il g o PROPERTY OWNERS: �L ►nn V� l� �i/1© Vy► V:50 VI% State of California County of 1;uftc On % 6ZM l K Lbl) r before me, known to me (or proved to me on the basis of satisfaciory 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 d and officia ea . r Signature Seal: TOM M: RVMEL 4 1487649 - Cad1torr9a _ ,Nc�tay _P� � . !D—oLlY Butte County A.P. # _ 0 RWIy OOfY1rn. F:xlilres May 4, 2008 C'o,, i e(Zc4 HNI IAAHROT •� 'y { �� �iw(r2,o� Gw► �..�� Metall k Lo, � �i c C 1061 CL�✓wv—� . utoUi yE+i1,i;;�:J 9ri:8 Q ;,r;o Via: �G 4 .titrilO `1M�. I // Lo-(eI ' Ile r_g C�� Ke�OtLcP �R o+n + << 6uf is tt 1 / 7 C !1 �+ �6CLW� QZ4n ` Cy al �o �f�tl IG�I117 �e(�� a0� lbi���Z�I -�( , S a✓1 .e r-" I Title Order Number: File Number: 0403-1683527 Exhibit "A" Real property in the unincorporated area of the County of Butte, State of California, described as follows: PARCEL I -A: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE WEST QUARTER CORNER OF SAID SECTION 35; THENCE SOUTH 00 DEG. 46' 43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 655.52 FEET TO THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35, AND THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING, AND CONTINUING SOUTH 00 DEG. 46'43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 414.21 FEET; THENCE NORTH 89 DEG. 44'00" EAST, A DISTANCE OF 485.02 FEET; THENCE NORTH 15 DEG. 08'00" EAST, 12.0 FEET; THENCE NORTH 31 DEG. 34' 40" EAST, 153.37 FEET; THENCE NORTH 272.34 FEET TO THE NORTHERLY LINE OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35; THENCE SOUTH 89 DEG. 44'00" WEST ALONG THE NORTHERLY LINE OF SAID SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER, A DISTANCE OF 574.09 FEET TO THE POINT OF BEGINNING. PARCEL I -B: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, BEING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE WEST QUARTER CORNER OF SAID SECTION 35; THENCE SOUTH 00 DEG. 46' 43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 1556.85 FEET TO ITS INTERSECTION WITH THE CENTERLINE OF THE LOWER WYANDOTTE COUNTY ROAD, AS THE SAME EXISTED ON MARCH 1, 1961; THENCE SOUTH 70 DEG. 57'00" EAST ALONG THE CENTERLINE OF THE LOWER WYANDOTTE ROAD, A DISTANCE OF 347.67 FEET TO THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID POINT OF BEGINNING, NORTH 30 DEG. 40'30" EAST, 126.68 FEET; THENCE NORTH 14 DEG. 55'30" EAST, 177.18 FEET; THENCE NORTH 00 DEG. 24'30" WEST, 172.07 FEET; THENCE NORTH 15 DEG. 08'00" EAST, 168.0 FEET; THENCE NORTH 31 DEG. 34' 40" EAST, 80.0 FEET TO THE END OF SAID CENTERLINE. PARCEL II -A: A PORTION OF THE SOUTHWEST QUARTER OF SECTION 35, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B. & M., AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:. COMMENCING AT THE WEST QUARTER CORNER OF SAID SECTION 35; THENCE SOUTH 00 DEG. 46'43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 655.52 FEET TO THE NORTHWEST CORNER OF THE SOUTH HALF OF THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 35; THENCE CONTINUING SOUTH 00 DEG. 46'43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 414.21 FEET TO THE TRUE POINT OF BEGINNING FOR THE PARCEL OF LAND HEREIN DESCRIBED; THENCE FROM SAID POINT OF BEGINNING AND CONTINUING SOUTH 00 DEG. 46'43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 487.12 FEET TO ITS INTERSECTION WITH THE CENTERLINE OF THE LOWER WYANDOTTE COUNTY ROAD, AS THE SAME EXISTED ON MARCH 1, 1961; THENCE SOUTH 70 DEG. 57'00" EAST ALONG THE CENTERLINE OF SAID LOWER WYANDOTTE COUNTY ROAD, A DISTANCE OF 347.67 FEET; THENCE LEAVING SAID CENTERLINE, NORTH 30 DEG. 40'30" EAST, 126.68 FEET; THENCE NORTH 14 DEG. 55'30" EAST, 177.18 FEET; THENCE NORTH 00 DEG. 24'30" WEST, 172.07 FEET; THENCE NORTH 15 DEG. 08' 00" EAST, A DISTANCE OF 156.0 FEET TO A POINT WHICH BEARS NORTH 89 DEG. 44'00" EAST FROM THE POINT OF BEGINNING; THENCE SOUTH 89 DEG. 44' 00" WEST, A DISTANCE OF 485.02 FEET TO THE POINT OF BEGINNING. PARCEL II -B: A RIGHT OF WAY FOR ROAD PURPOSES OVER A STRIP OF LAND 60 FEET IN WIDTH, BEING 30 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE WEST QUARTER CORNER OF SAID SECTION 35; THENCE SOUTH 00 DEG. 46' 43" EAST ALONG THE WESTERLY LINE OF SAID SECTION 35, A DISTANCE OF 1556.85 FEET TO ITS INTERSECTION WITH THE CENTERLINE OF THE LOWER WYANDOTTE COUNTY ROAD, AS THE SAME EXISTED ON MARCH 1, 1961; THENCE SOUTH 70 DEG. 57'00" EAST ALONG THE CENTERLINE OF THE LOWER WYANDOTTE ROAD, A DISTANCE OF 347.67 FEET TO THE TRUE POINT OF BEGINNING FOR THE FOLLOWING DESCRIBED CENTERLINE; THENCE FROM SAID POINT OF BEGINNING, NORTH 30 DEG. 40'30" EAST, 126.68 FEET; THENCE NORTH 14 DEG. 55'30" EAST, 177.18 FEET; THENCE NORTH 00 DEG. 24'30" WEST, 172.07 FEET; THENCE NORTH 15 DEG. 08'00" EAST, 168.00 FEET; THENCE NORTH 31 DEG. 34'40" EAST, 80.0 FEET TO THE END OF SAID CENTERLINE. APN : 036-310-045-000 SITE PIAN REVIEW APPLICATION Date: A3 le AP4 IZ T Permit Number (if applicable) 2 APPLICANT 17VFORMATION Owners Name: Owners Address: Telephone No.: Situs Address: Proposed Use: Residential Parcel Size: ff o `"l O-C/,t S I Shoo -- & 69-5 -- New Single Family Residential Single Family Addition ❑ Single Family Remodel ❑ . 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): s ❑ Commercial Remodel ❑ Industrial Remodel DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Ilse) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved' By Date /�—// 7/®L( ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ 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)I SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain. (See attached) o Flood Zone: X Flood Panel No.: -6666 ��-�rT) Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the 'f®r2 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 El Minor Variance ❑Administrative Permit ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Front a O, Side Side Street RearS- Height 301 Waterway N/A N/A N/A Subdivision Map ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * 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 Date of Creation: / F/4 V— D27S00 Legal Access Provided: ❑ No K Yes Deed of Reference: `'f ZO —al Legal Access Required No a Yes Parcel Frontage on Publicly Maintained Road: ❑ No 11 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 ❑ Subdivision Man/Parcel Map: Map Date of Recording: Lot: Book: Page: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may required. ❑ Measures shall be taken to control ther civil construction associated with residentiiaall development emissions Approved dust control meeway and oasures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for roa 101 0 Summary of Speck Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CM-arrysSuilding Permit Site Plan Reviewl.doc :7. LAN REVIEW APPLICATIONDate: X 5-C, . % AP# Permit Number (if applicable) APPLICANT 17VFORMIATION Owners Name: /0` Owners Address: Telephone No.: Situs Address: Proposed Use: 5-15 5 -i- o 91-5- Z,,,W el Size: ®6 oa.1 C� t -e_ i .Z1 Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Mon -residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: t Brief Explanation,(if necessary): ❑ Commercial Remodel ❑ Industrial Remodel DO NOT WRITE BELOW THIS LINE DEVELOPMENT S`ERUCEST1VF0RMAT101V (For Staff Use) f 0 �0/1_ t_1 Approved ❑ Conditionally Apprdve ❑ esolve Problems Prior to Approval -7-RvSite Plan Stamped Approved, -{— 1-7- RV Date ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ 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) r® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: k • Flood Panel No.: /D 25' © Index Date: L%- 20 - ?_Goo ❑ 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 E] Minor Variance ®Administrative Permit ❑ Variance ❑ Detached Building Use Form ❑ Encroachment -Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Applicable Building Setbacks: Front Zoning Code Streets & Highways Fire Prevention Subdivision Map Side Side Street Height Waterway N/AN/A N/A ❑ Setbacks drawn on site Pim CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees Amount ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Formula * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Jj Deeds: Date of Creation: fcZ. 2 (tel Legal Access Provided: ❑ No eyes Deed of Reference:36,2) - 411 Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No 90, Yes, Road Name: Complies with County Standards for Deed Creation:[] No n Yes Comments: &-r_—p ���"" t'y Odyf 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 vdth 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 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: ❑ 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: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission . requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development . Approved dust control measures are found in -the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ' ❑ Property owners responsible for roa 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. C:EarrysSuilding Permit Site Plan Reviewl .doc { Recorded at the reauest of Return to Ga rn L.r.._V,)9 °._............ .... ............ '2"g Wj . a ter-�xi�t e ytzlGi :y, California Rev, 22.00 21.210 000K1360 iaA 9 RECORDED AT THE REQUEST OF -Ow FFE CUUXTY TITLE CU, _EY- 24 I , atyam- min• past —3 _� �0.0c yc' M. OFFICIAL R= -CORDS OF BUTTE COJNTY, CALIFORNIA i:•I"L M. E3TES, County Recordor By ,i i� O-PUTV RECORDER Grant 'eeb (Joint Tenancy) For Value received ANNE CANrELLO, a widnw x GARN'L.'-MOODY AND IDA MAY MOODY, his wife; RONALD E.. FAULKNER GRANT ........ to AND GARNEE FAULKNER: his wife as JOINT TENANTS all that real property situate in the County of BUTTE , State of California, described as follows: The Westerly 1100 feet of the South half of the Northwest quarter of the Southwest quarter and the Westerly 1100 feet of the Southwest quarter of the Southwest quarter, lying Northerly of the Lower Wyandotte County Road: as the same existed on March 1, 1961 in Section 35, Township 19 North, Range 4 East, M,D.B.CM. GO` February 12, Dated..............:............_..... .................... ....... 19.65 ___-- -- --- - _.-.....--_--------•. .............�_._�. �___..,__ _ ___ _ -: _-._........__. _ .....-... -. STATS OF CALAPO i1KA Oa .Gk- _� L DtJon rnt✓.Ji��! ���-!�li� �` • 5 I'G�' . 41 e Notary poLUo, in and /or said. State, Perv0=4 oPFM^s4j tPy r _�wo�tw to int to be tht Psrra✓✓vAow to the W"A'W ind-t, and aohwowitdped to me that tseerttd the same. ll : t Yy oomininion wrpirtt -�Gf�/ � . Gee r. i 't1 tt1+• hN+ N Mary, 9L4fY1i ruk Foy et f... • O A co MILD ■ 0 I I I I I I I I I I I I I •I �o - I• f .I .I •I •` I Recorded at the request of Retrun to Pon aid E_ Faulkner 10 Rosita I[ay Oroville. California �' k553 RFCCRDED AT TttE kEOUFST OP BUTTE MIK" 17TIE CO. —9 ING �AtVol� pegerOiL_� OFFICIAL RECORDS OF BUTTE COUNTY, CALIFORNIA ET E Cga�Rracord.r IW-- StF ao4R ' tis •f�_ O rapt t 0 teb dant Taaancy) For value received Garn L. Moody and Ida}laj Moody, h i s wife and Ronald E. Faulkner and Garnee Faulkner; his wife GRANT__..to Ronald E. Faulknerand Garnee Faulkner his wife as JOINT TENANTS all that real property situate in the. r County of Bu t to . State of California, described as follows: PARCEL. ONE : A portion of the Southwest quarter of Section 35, Township 19 North, Range 4 East, N.D.B. E U. and being more particularly described as follows: Commencing at the West- quarter corner of said Section 35; thence South 000 46' 43" East along the Westerly line of said Section 35, a distance of 655.52 feet to the Northwest corner of the South half of the Northwest quarter of the Southwest quarter of said Section '35 and the true point of beginning for the parcel of land herein described;. thence froa'said point of beginning and continuing South 000 46' 43" East along the Westerly line of said Section 35, a distnace of 414.21 feet; thence North 890 44' 00" East a distance of 485.02 feet; thence North 150 08' 00" East 12.0 feet; thence North 31° 34' 40" East 153.37 feet; thence North 272.34 feet to the Northerly line of the South half of the Northwest quarter of the Southwest quarter of said -Section 35; thence South 69" 44' 00" West along the Northerly line of said South halt of the Northwest quarter of the Southwest quarter, a distance of 574.09 feet to the point of beginning. Reserving therefrom a right of way for road purposes over a strip of land 30 feet in ar'_dth lying Northwesterly of and adjacent to the following described line: Beginning at the Southeasterly' corner of the above described parcel; thence North 150 00' 00" East a distance of 12.0 feet; thence North 310 34' 40" East, a distance of 80.0 feet to the end of said line. Together with a right of way for road purposes over a strip of land 60 feet in width, being 30 feet on each side of the following described centerline: Commencing at the West quarter corner of said Section 35; thence South 000 46' 43" East along the Westerly line of said Section 35, a distance of 1556.85 feet to its Intersection with the centerline of the Lower Wyandotte County Road, as the same existed on March 1, 1961; thence South 700 57' 00" East along the centerline of the Um'er Wyandotte Road a distance of 347.67 feet to the true point of beginning for the following described centerline; thence from said point of beginning, North 300 40' 30" East 126.68 feet; thence North 140 55' 30" East ITT.18 feet; thence North 000 24' 30" West 172.07 feet; thence North 150 08' 00" East 168_.0 feet; thence North 310 34' 40" East 80.0 feet to the end of said centerline... _ PARCEL TWO: C4 A portion of the Southwest quarter of Section 3:,, Township 19 North, Range 4 East, C Z H.D.B. C M., and being more particularly described as follows: C;% Commencing at the West quarter corner of said Section 35; thence South 000 46' 43" W' East along the Westerly line of .said Section 35, a distance of 655.52 feet to the Northwest corner of the South half of the Northwest quarter of the Southwest quarter of"said Section 35; thence continuing South 000 46' 43" East along the Westerly line of said Section 35, a.distance of 4I4.21 feet to the true point of beginning for the parcel of -land herein described; thence from said point of beginning and continuing South 000 46' 43" East along the Westerly line of said Section 35, a distance of 487.12 feet to its intersection :with the centerline of the Lower Wyandotte County Road as the same existed on `larch 1, 1%1; thence South 700 57' 00" East along the center line of said Lower Wyandotte County Road, a distance of 347.67 feet; thence leaving said. center..line_. North 300...40' 30" .EacL 226_6R feet! t hoi,r.p .\n.r.h leo - 6 �� l M d 30" East I77.13 feet: thence North 000 24' 30" West - 172.07 feet; thence North 15* 08'-00" East a distance of 156.0 feet to,a point which bears North Scr 44' 00" East from.the point of beginning; thence South 890 44' 00" West a distance of 485.02 feet to the point of beginning. 'Reserving therefrom a right of way for road purposes over -the Easterly 30.0 feet of the above described parcel of land. Together with a right of viay for road purposes over strip of land 60 feet in width, being 30 feet on each side of the following described centerline: Commencing at the West quarter corner of said Section 35; thence South 000 46' East along the Westerly line of said Section 35, a distance of 1556.85 feet 43" Intersection with the center line of the Lower Wyandotte County Road. a 'the to its existed on blarch 1. 1961; s same C-2 thence 700 57' 00" East along the centerline of the <= Lower Wyandotte Road, a distance of 347.67 feet to the true point of beginning for iz the following described centerline; thence from said Point of beginning North 300 40'-30" East 126.66 feet! thence North IAO CrO 1. I" East 177.18 feet; -thence North 00*- 24' 30" West 172.07 feet; thence Nortb'150 08' 00" East 168.00 feet; thence - North 31? 34* 40" East 80.0 feet to the end of said centerline.' CS .. I Dt,4 Jun -e-6 l9 66 STATZ Or CAUFORNIA Co.wt�roJ.— Rutter bO. a Notwv P*bU*. in and tcw mou a -to, Pffe"Gay Ida May Mood EARZAPA M. G71MM Moody_ Ronald E. Faqkner. I _k0ow" so me to be me pwsoft.a. ah". %@am S a rp Notary P,WIC - LUfAat cour..y of c.: to 02 MY coutmindoo 44P6 d@..:jMj.X_ 26. 1969 Barbara Al. Grimm JVGCWV PubMe MAM TAX STATEMENTS TO:—Pona Id E. Faulkner N_ 10 Rosita Way- OrOviI.IP ral-i-rairtia AAd— zip C.I.A. Fam all WILLies Serving Publ,DA�N June 22, 2005 Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willdan.com Willdan Project No: 14353-1655 Jurisdiction Job No: 05-1251 Assessor's Parcel No: 036-310-045 Description: Thompson NSF/Garage/Deck Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project and recommends your approval with the conditions noted on the 2"d page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: ➢ Plans: Two (2) copies of sheets 1 through 7 dated 04/19/05 by Dick Miller ➢ Energy Calculations: Two (2) copies dated 05/02/05 by Donna Wallace ➢ Truss Calculations: Two (2) copies dated 05/04/05 by Longfellow Lumber Co. The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to our previous letters relating to this project, the superseded plans and documents will be discarded within 10 days unless we receive other instructions. On the pages to follow is the identification of the codes and standards applicable to the project, a code analysis, conditions -of -approval and identification of any deferred submittals. - J WILLies Serving Publ,DA�N APPLICABLE CODES Unless noted otherwise, all comments are based on requirements of the 2001 California Building Standards Code found in the California Code of Regulations, Title 24: • Part 2, known as the California Building Code and abbreviated herein as CBC • Part 3, known as the California Electrical Code and abbreviated herein as CEC • Part 4, known as the California Mechanical Code and abbreviated herein as CMC • Part 5, known as the California Plumbing Code and abbreviated herein as CPC • Part 6, known as the California Energy Code, and Energy Commission Standards, and abbreviated herein as CECS CODE ANALYSIS Our plan review revealed the following information regarding the .occupancy designation, type of construction, and other pertinent features. This information is consistent with that shown on the plans and permit application. Specific Use Type of Occupancy Type of Construction Stories 1" Floor S Ft 2" Floor S Ft Total Sq Ft Dwelling R-3 V -N 1 1642 NA 1642 Garage U-1 V -N 1 1008 NA 1008 Covered Porch R-3 V -N 1 760 NA 760 CONDITIONS OF APPROVAL 1. Approval is contingent upon the review, requirements and approval of other departments and/or agencies that have jurisdiction over this project. 2. Revisions and/or notes as red -lined on the plans. 3. All plan sheets shall be signed by designer or person responsible for the plans as required by California Health & Safety Code Section 5536.1. DEFERRED SUBMITTALS Our plan review reveals no deferred submittals noted at this time. SPECIAL INSPECTION NEEDS Our plan review reveals no special inspection needs pursuant to CBC 1701. Plans Examiner Ce: Alice Mefford, E-mail: amefford@buttecounty.net Brian Burtenshaw, 5415 Miners Ranch Road, Oroville, CA 95966, Fax: (530) 589-5266 Page 2 of County of Butte Permit Number 05-1251 Willdan Project Number 14353-1655 w ... _.......... SITE PLAN ............... .. :. .. .. ... .. .. .. .. .. .. ... .. _ ... .. .. 4'1� q 77, ..... .....r ........................... -. .. ... .. .. .. .. ....... .. 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