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064-490-004
064-490-004 e e "+" t a: +lie Y( 7f�` BENNETT, CHERYL NORWICH CIRCLE - I - �+ •+ ++t! . ,�tt + 1� s�pejf� ci 1f i •.tNEW SINGLE FAMILY +1 !i si t�zt c , +.14 R NOTES RESIDENTIAL '064-490-004- 03-0716 PERMIT NO. _ BENNETT, CHERYL ') NORWICH CIRCLE, MAGALIA 3 NEW SINGLE FAMILY _S Vi Lf . it. ' SPECIAL CONDITIONS Nz CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. hf• SPECIAL INSPECTION ITEMS k'•� VERIFY .1.E USE PERMIT CONDITIONS ^ Z�.. SUB -STANDARD HOUSING LETTER OFFICE COPY Address I GAS ,t Meter By Date ? ELECTRIC l� 0 ^� 3 0, Meter By Dat .JOB FINALED (Date) '4 Signature J=OK 0 = Not OK . = Not Readyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements-Setbacks-Easements Soils; Compaction -Structure Stability 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location-Test-Fall-C/O-Concrete Elec.; Pool Lighting; 15 Volts-GFI 4. Water; Location-Test-Easement Needed (Sketch) 7. 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-.Panelboards-Ins. to Main Conduit 6. Gas; Location-Test-Wrap;-/ P' L 'ft. • / P Nat. or/ P' L "ft./ P LPG 10. 7. Well Clearance & Disconnect Light Niche 8. Utility Clearance 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-Connector 7. Water and Sewer Connected-C/O to Grade-HD Approval 8. Gas and Electricity Tagged 9. Tie Downs-Type-Installation Cert. _ 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 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 Card 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-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-.Panelboards-Ins. to Main 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 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s (/ ain; Soils-Elec. Ftg. Depth Gooftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. FW 'Porches & Decks: Soils -Steel-/ /" Fta. Depth ifia!Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Riers-FireDlace Fta.-Steel r, I -Fitting -Test -2 Way C/O-SeA :)e; Size Anchors -Yard Gaul lator-Service 12. d is Underground P�arlt'ims & Ducts; Clearance -Material -Support -Ins. Gir rs-Sills-Anchor Bolts-Joists-Vents-Crippies Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLU NG (Permit) OK except #'s ter Htr.; Vent-Access-Cpmbustion Air Baffle ater Pipe; Test & Anchor -Nail Protection D.W.V.; Test Fittings & Anchor -Nail Protection hower Pan; Test, First Floor -Tub Access .a1. st Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors %2&.—Fire Sprinkler; Test Dat$ , _ Card Date Card B-1 Date Card B-1 Date Card B-1 Date .. ELECTRICAL (Permit) OK except #'s 04' 7xture & Transformer Clearance -Ins. Protection . Elec. Receptacles Spacinq-Liqhts & Switches at Doors 24 a Boxes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. uip. Ground made up w/Mech Fasteners -Bond Gas & Water 29 liance Circuits in Kitchen & Conductor I Subfeed Wire Size/ /ga. Cu or AjAoire Si r Al a-'�- Ranae Circle/ /aa Cu or AI -Oven Circ. / /aa Cu or Al Neutral ❑ Yes ❑ No 3W rvice-Riser Conductors & Ground Main Disconnect Equip. Clearances Panels-Motors-Mech. Equip. 9d- othes Closet Light -Shower Light -Spa Light Smoke Detector Dat r Card B7t, V Date Card B-1 Date Card B-1 Date Card B-1 Date M C ANICAL (Permit) OK except #'s 3 AC. Ducts Insulation & Support ent Fan, Exhaust above insulation /Wpondensate Drain & Overflow, Size & Grade Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 44 -'Attic Access latform if Furnace in Attic Dat fD , , and B- -V Date Card B-1 - Date Card B-1 Date Card B-1 Date FRAWAG (Permit) OK except #'s ills Proper Materials & Anchors IIs Studs -Nailing Spacing & Braces -Plates -Sound 4 earing Walls over Girders & Floor Nailing aft Stop in Walls (rat proof) Ar/Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date AV g. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. eplace Ties or Type A Flue -Fireplace Throat Clearance W. is Access; Size & Romex Protection -Draft Stop -Ins. Baffles -R4'Xrm. Windows or Exiting Doors -Sill Ht. & Dimensions arage Fire Protection Framing -RC Channel BT operty Line Firewall & Openings Ext. Doors -One 3' -Check Garage 3rd -Story, -2 -Exits -5'3' airs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers -8;y ;(ding -Nailing Veneer ,S)t'ucco Mesh -Drip Screed -Fd. Vents-Underfir. Access ing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 6 . Infiltration -W -Windows Dat and B Date Card B-1 Date._ leillCard B-1 Date Card B-1 Date FINAL (Pla ) OR except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 6,5/Smoke Detector 66 -.'Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection F.I. & Bath Fixtures & Tub Ac ss -Spa Elec. Trim & Subpanel, r izes &Labels /4 I!K FA 74.—Stairs & Rails 71,,5replace or Stove, Clearance -Hearth 7 . Elec. Outlets at Wood Panel, Int. & Ext. 7 it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 7 E1ec. Outlets & Receptacles at Kit. Counter 7 Garage Fire Door; Swing -Landing -Closure 7 . Ate. Duct in Garage -Damper 77 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78 fib.; Elec. & Mech. Equip. Listed for Location 7 EI c. Receptacles in Garage (F.F.I.)-Romex Protection 8 . lation-Foam-Looked in Attic 8 . G rd Rails & Deck Construction -Post Caps 8 . Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ C arance Looked under Floor O Yes 8 F llowing Instld./Dr' es Cl No/Walks!34es O No/Planters O Yes pNo N. t cc Broyyp4QAisq 8 Q. Unit Disconnect, Electrical -Plumbing 8 ""V-, §Q Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings —8`Y'1JTa eir Well, Disconnect, Elgctrical, Plumbing 88fE terior Elec. Trim, G.F.KHeceptacle-Underground 8 tilation Throughout House 9 Glass Protection 9Y. orrectio from Previous Inspections 9 _,Gas Tod -Meters Tagged, Gas -Electric W. Wa er & Sewer Connected -C/O to Grade -HD Approval 9 rgy Compliance Certificate -Other Certificates 95,4ddress Posted 96. Fire Sprinkler Date p and B-1 to Card B-1 Date 'Ll G7 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF! DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NP. (Rev.12/96) APPLICATION AND PERMIT 03 b 7/ ASSESSORPARCELNUMBER 064-490-004 ZONING R-1 BUILDING PERMIT OWNER Bennett Cheryl 877-1737 TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING .DDRESS 320 Burden Terrace Paradise CA 95969 1641 R 88,164.00 484 U 8,712.00 CONTRACTOR'S NAME owner TELEPHONE 128 1.6 4.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LFireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $00 ARCHITECT OR ENGINEERS MAILING ADDRESS Pian Checking Fee $ BUIL INGADDRESS Norwich Circle Magalia Energy Plan Checking Fee $ PERMIT FEE $ 701-00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: new NSj� Master- # 97-46 Gas piping system 1 - 5 outlets 15.00 15 oo Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service E00V OR LESS 200A OR LESS 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 in full force and effect. ! /' License Class � �S r%/ R Lic. No. �{ �S �� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. OWELLING OCCUP. OR ADDNS. ( a Acc. Bms. S 3.5¢xO, NO.-REBIDDT MULTI.OUTLET 97.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR PICTURES BAL p �.w Ex. Occup. OFlxxEDDSA'RESI6.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 117 1c; WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 MECHANICAL PERMIT Fling Fe -e-1 20.00 Heating 0.00 Cooling Hood 6.50 Ventilation gas fir -p -place PERMIT FEE s81.50 Policy Number e above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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' laws of California, and agree that if should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall NftAcrip th those provis' s. Date 3-0-03 Sign u o caner ❑Contractor ❑Agent An A permit is requir d for excavations over 5'0" deep and demolition or construction of ructures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 1$46.00 occ R3 CONST. TYPE TO L FEE $ 0 . 8 5 8 HAz. I o c P EL ISSUE This permit is ereby issued under of the Butte Coun Code and/or in ' ate ab f r ichfees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 2�f' p3 Date `L Det. Receipt No. O WHITE-D.D.S.-B.D. CANAR -AS ESS PINK -INSPECTOR GOLDENROD -APPLICANT 4'�1F.7J^'.w�nLs'6.<ri-,}j {i.F1i,,..R�a`'!,,j.Mtw`t;<i{lidi.-44r="4'YrMrtir'���'�GnV',.+sS`-+s,.-...�3-�"fi'....�-."` 03 m F COUNTY OF BUTTE -DEPARTMENT: DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive„Oroville, CA 95965 Phone (530)538-754,1 Fax (530)538-2140 ---PERIVIIT'APPLICATION DATA SHEET OWNER:2(� L'fesit ..f ASSESSOR PARCEL NUMBER G� Proposed Building Use: T,�5/7- Ma T7- counter Technician: Date: _ Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order' er o pply. Z___610t plans, 3 or 4 sets, signed ty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 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 b the he en ig neer. 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 ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Fees as shown on the attached Schedule of Fees Due Sheet........................................v 15. Statement of Intent for Non -heated and A/C Buildings .................................. 16. Sanitation and plot plan approval from the Environmental Health De artment in K) C 03 17. City of Chico Plumbing permit ............................................... ................. #A19. California Department of Forestry plan approval )0 paid. Sent.byPlanning approval for (A) Use: a B)Parking:(C Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... 1� 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy)3--j'&-!23 MTS ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... 26 ., Letter of Signature authorization.................................................................. b 7. Recorded copy of Agricultural Acknowledgment Statement...,�i .6�... �!- V ❑ 28. Manufactured home utility clearance ................................................ ❑ 29. Existing violations and/or expired permits.....................................................:... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 1-31. Other: P -1-0q 9q aw_VL���li When issued Te ephone % -7 -79= / :7 3 ”' and hold for pickup. I have been in ,Ki6d of the above items ano. jequirements for obtaining a building permit. G,✓��/�� 1. Index pgxi{application for the above items numbered: % T% (o�_71V,5 Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, Date: Plans reviewed by: Date: Plans approved by: �b ZDate: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division E.M. USE ONLY at 9San Attachod Roar Man AttzcA®d Smn4 to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance L'cP L7� Lci I �/ 1 "1n/ 1 G L cl l'. ��l Q� 1 [ (7 ' 6D Owner Location ®� AP# Plan Approved fo Sewage DisposaIX Wat r S ply: Public �i Private Well Clgarance for dwelling. Other W -% Hold final for: Final clearance O.K. for: NOTE: oo e,3 �7/ 3,'r-M15ir, 19 Environmental Health Specialist Date 8/96 d3- o7i (,f,, COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT .SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVELLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE y 7- 16 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ...... $ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ 3�00 d!D Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... —x—=$ # Units Amt. Commercial (sq. ft.) ............ —x—=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.# DATE 3 A-31-2, RECEIPT # DATE REC. '3 70370 3 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. Pursuant to ernment Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6; 7, 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 arespecified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6100) Commercial/Industrial New Addition - t ajeh&/La Building Department Representative (Floor Plans reviewed by School District Personnel►' N`.� School District certifies that % r- Sq. Footage (including Exterior Roofed Areas) 3 i3 .3 Date IStre- t Address) -.. . (Phone Number) (City has complied with the requirements of Resolution No. * s representing �p square feet. AB 2926 IZip Code);Y " by payment of $ dz. // $ FULL MITIGATION $ /.1 3. /,�o3 0: — Date / Paid by Check # Remarks: e, 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 660201a), 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 Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm i •N - �Y'� . .•r•ye.. f Y.1 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One formper Building) School District A �('L/i p Building Department No. f A.P. Number h�4 -�/h • D.D 4� Jurisdiction: city County Property Owner Property LocatiordAddress' Subdivision Lot No. r" Residential Development/• ( Sq. Footage K� No oViVi g Mobile Home Add'RioN 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)' Commercial/Industrial New Addition - t ajeh&/La Building Department Representative (Floor Plans reviewed by School District Personnel►' N`.� School District certifies that % r- Sq. Footage (including Exterior Roofed Areas) 3 i3 .3 Date IStre- t Address) -.. . (Phone Number) (City has complied with the requirements of Resolution No. * s representing �p square feet. AB 2926 IZip Code);Y " by payment of $ dz. // $ FULL MITIGATION $ /.1 3. /,�o3 0: — Date / Paid by Check # Remarks: e, 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 660201a), 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 Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm i •N - ,W _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.1`2/96) APPLICATION AND PERMIT ASSESSO;iQ EE(}lL�NU__MBER - v�L` ZONING R-1 BUILDINGPERMIT OWNER Bennetkt,.,e 1 877-1737 TELEPHONE SO. FT. OCC. BUILDING VALUATION 1 1 �4-00 . OWNER53 ILING_ ADDRESS Terrace Paradise CA 96969 �� 4 R 8 1 CONTRACTOR'S NAME " '�, owner :w TELEPHONE 328 C 1 CONTRACTORS MAIUNG ADDRESS.':' CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ QQ QQll ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee �.o�NGADDRESS g ;t Norwich Circle alfa Energy -Pian Checking Fee $ $ PERMIT FEE $ 7Q1 nQ LOT NO. SUBDIVISIONS NAME PARCEL MAP (. i PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE r 3F ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 - Water piping Water 15.00 S as water heater or vent 15.001K rNA TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF 1449ter A 97-46— Gas piping system 1 - 5 outlets 15.00 Building sewer 15.001"'-' Mobile Home I S I G I W 920.001-w PERMIT FEE $ ar- ^ ELECTRICAL PERMIT 20.00 20.00 "OOVOR UE Main Service zo.A OR LESS 23.007 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 its in full force and effect. ' 1pr,,5S / � ;e Lic. No. `��� �I License Class OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: f^ ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ` ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLIN G OCCUP. OR ADDNS. ( a ACC. BLOS. SO 3.50FT.7A -1 Nlpµq NSTMULTI.OUTLET 97,50 POWER APPARATUS a SINGLE 0 IT. CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 SAL @ .50 Ex. Occup. GFlxuT>E p 1 E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 11 S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 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 ,A7he above sections need not be completed if the permit is for work of a valuation / of one hundred dollars ($100) or less.) yO I certify that in the performance of the work for which this permit is issued, I shall not employ an person in an manner so as to become subject to workers' P Y Y p Y I 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 fo hFWith omp y with those Prov. io°ns. Date? - /�/'%� .�,J � � Z -- Sig��e' of Applicant ®. Owner ❑ Contractor ❑ Agent An j S'HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. N MECHANICAL PERMIT Filing Fee 20.00 Heating 90.00 Cooling Hood 6.50 Ventilation BAR f i rpnl PrA am w_ PERMIT FEE 581.50 Mobile Home Installation Fee $ Energy Inspection Fee $46.00 occ CONST. TYPE TOT L FEE $ 85 �1�' ` HAZ. p, 6 I .s FL D CD V P©f10EL PD� H ISSUE This permit is"hereby issued under for hichCodand/or indicated above for which fees have in the Butte Countabove / �yRw ".,,- PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ° Receipt No. OlA .104 /16 _r WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r✓- • 'I r r r> r r` 1 r r 1 f.. `} ,i r t� r ry Q COUNTY -OF -BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 53.8-7541 i CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. REV 10/92 • •v=. r.y..� _.Y. r.�i. �"r..w.. .-... .,.r.�i-."cr+7.K."titi .v .-..+�—.-�-..ti �« s��ur'Y� .,. .- �.,�` �..+„•.. a' COUNTY OF BUTTE rte` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE 7/c OWNERPERMIT NO. � i A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and -should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. CrJ�fl7-� S'1 J C L� C' 0/a —-f i r Date IM, -REV 10192 Y Inspector 1.' :;01 "1 LOERKE INSULATION CO., INC. INSULATION CERTIFICATE - um -Mu-ntv OLMMOM Lot Numbar DESCRIPTION OF INSTALLATION 1. ROOF Mabrial Brand Name Thickmess (inchesiMWM (R -Value) 2. CEIUNG Batt or Blanket Type_,.ELaWb&s-ffs#& Brand Name Johns Manville Thlgcness (inches) 13 Thennat Resistance (R Value) ;2 Loose Fill Type FIto r bm Brand Name Johns Mamrllie Contractods min. Installed weWft eq. , bl 5 n, Minimum Thicisness t S 25 tndtes. Manufacturees installed weight per square Boat to achieve Themtat Resistance (R Value) ,23g 3. EXTERIOR WALL Material _ - Fibeti fans Batts v Thickness (in I ' 3 S 4. RAISED FLOOR Materiel EMOM M t3strs Thidutess (in�es) 6. 5 5. SLAB FLOOR / • Material Perimeter I on Depth (indtesl 8. FOUND ION WALL DECLARATION Brand Name Johns Manville ThemrW ResiBW= (R -Value) Brand Name jaboa Manville Thermal Resistance (R -Value) 3119 Brand Name Themnal Resistance 8rartd N 'i'It Resistance (R Valuel ELOW ��rbu A.Pjs on thecompliance, ance )art�M�Maamie of eg ( I.1 -i . D3 LOERKE INSULATION CO., INC. Item 0 .Genevan contrajgr ame or 'lie m— gn , Genera n tm ctor ( . !ns"ffft BUD r erne) ry r OenemI Contractor Co. T ane O er Jan -20-00 07:23A wbdc 9166852831 P.02 APA=ww-%v,, 8 Certificate of Conform-, a.nce Certificate__:. -----0 5 2 7 3 6 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood Systems (EWS) were manufactured in accordance with -the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products -Structural Glued Laminated Timber NER-466 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 - Manufacturing - Standard Specifications For Structural Glued Laminated Timber Of Softwood Species IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued_ laminated -timber members, were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards.for lumber grade and glueline bond quality.'' II _ ,��1 glen lames 5��,�1� 4d Lee 'iZ sevw,e�t a 14121 0rr,-J(c� % %%w 0 po ••••• o $ SEAL ;W ti� • ••+all iN•I���� were 2 IF 16X e06 44 M by . 14 JA4 �. Thomas G. Williamson Executive Vice President ENGINEERED KVOD SYSMUS is s remeo corporation of APA — TNF ENGINEERED WOOD ASSOCIATION 7011Soutn 191h Street - P.p.fox 11700 - Tacoma. WA 05411-0700 Trilephone: (253) 565-e800 - Few Number: (253) 565-72e5 .SND WHEN RECORDED MAIL TO: RI TTP. l'OUNTY BUILDING Dr"SION 7 COUNTY CENTER DRIVE ORo%ILLF CA 95965 COPY of Document Recorded 15 -Apr -2003 2003-0023439 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESMENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The propem. 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 agricilhiral operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established apcultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property -situate in the County of Butte. State of California, described as follows: parcel 1: Lot 69, as shown on that certain Map entitled, "Paradise Pines Unit 8", filed in the Office of the County Recorder of Butte County, California, on October 21, 1970, in Book 38, of Maps, at Page(s) 1;-2,• 3•, .and 4. Excepting therefrom all minerals, oil, gas, asphaltum, and other hydrocarbon substances with provisions that any and all mining operations shall be done from orifices outside the surface area of the land described herein and that no, damage shall �}je 'done •to the surface of said land. Parcel 2: A non-exclusive easement over.Lot AJThe common area) of said Paradise Pines Unit 8 and the lots designed for common and recreat>Fon . i i `i•. a , t e. .. S t. Date "� 03 'PRQffATY OWNERS: ryl Bennett State of California ) County of Rut.te ) � On before me, C C/ pemonally appeared Cheryl Bennett 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/sbe/tbey executed the same in his/her/their authorized capacity(ies), and that by hisiheNtheir signature(s),on. the instrument,. the person(s),or the entity upon1behalf of which the person(s) acted, executed the instrument. l; WITNESS my hand and of1cial s i AIVENDY DSER [ Signature ;-, 7 A.?.# 064-490-004 The undersigned grantor(s) declare(s) Documentary transfer tax is $38.50 [ X I computed on full value of property conveyed, or [ I computed on full value less value of liens or encumbrances remaining at time of sale, [ ) Unincorporated Area City of Unincorporated FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, William L. Weisbecker, Successor Trustee of the William L. Weisbecker and Beryl M. Weisbecker Family Trust dated October 6, 1992 hereby GRANT(S)to Lee R. Bennett and Cheryl Bennett, Co -Trustees of the Bennett Family Trust dated September 8, 1999 the following described real property in the City of Unincorporated County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: March 10, 2003 STATE OF CALIFORNIA COUNTY OF Butte ON _ March 11, 2003 before me, Tdendv Cseer, a notary personally appeared fdilliam L T4eisbecker 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,instrt. Witness my hand Signature '--"V'--t L FD -213 (Rev 7/96) William L. Weisbecker, Successor Trustee of the William L. Weisbecker and Beryl M. Weisbecker Family Trust dated October 6, 1992 V By: L�ai���i.G�WI X V William L. Weisbecker, Trustee J.uAta_ r Comm.#1306527 _ O d NOTARY PUBLIC CALIFORNIA Q V BUTTE COUNTY 1 My Commission Expires Jun. 27, 2005 MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED Illlllllllllllllllllllillllllll�l RECORDING REQUESTED BY: 2GD03-10GD JL 5269 Fidelity National Title Company of California Recorded I REC FEE 10.00 .Dfficial Records I TAX 38.50 Escrow No. 304545 -WC COUi1__ Title Order No. 00304545 $nt _ty_�f When Recorded Mail Document CANDACE J. GRUBBS I Recorder I and Tax Statement To: ROSEVARY DICKSON I Mr. and Mrs. Lee R. Bennett 320 Burden Terrace 09:0Assistantrl r-2003 I Page l of 2 Paradise, CA 95969 PN: 064-490-004 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) Documentary transfer tax is $38.50 [ X I computed on full value of property conveyed, or [ I computed on full value less value of liens or encumbrances remaining at time of sale, [ ) Unincorporated Area City of Unincorporated FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, William L. Weisbecker, Successor Trustee of the William L. Weisbecker and Beryl M. Weisbecker Family Trust dated October 6, 1992 hereby GRANT(S)to Lee R. Bennett and Cheryl Bennett, Co -Trustees of the Bennett Family Trust dated September 8, 1999 the following described real property in the City of Unincorporated County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: March 10, 2003 STATE OF CALIFORNIA COUNTY OF Butte ON _ March 11, 2003 before me, Tdendv Cseer, a notary personally appeared fdilliam L T4eisbecker 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,instrt. Witness my hand Signature '--"V'--t L FD -213 (Rev 7/96) William L. Weisbecker, Successor Trustee of the William L. Weisbecker and Beryl M. Weisbecker Family Trust dated October 6, 1992 V By: L�ai���i.G�WI X V William L. Weisbecker, Trustee J.uAta_ r Comm.#1306527 _ O d NOTARY PUBLIC CALIFORNIA Q V BUTTE COUNTY 1 My Commission Expires Jun. 27, 2005 MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED EXHIBIT "ONE" Parcel 1 : Lot 69, as shown on that certain Map entitled, "Paradise Pines Unit 8", filed in the Office of the County Recorder of Butte County, California, on October 21, 1970, in Book 38, of Maps, at Page(s) 1, 2, 3, and 4. Excepting therefrom all minerals, oil, gas, asphaltum, and other hydrocarbon substances with provisions that any and all mining operations shall be done from orifices outside the surface area of the land described herein and that no damage shall be done to the surface of said land. Parcel 2: A non-exclusive easement over Lot A (The common area) of said Paradise Pines Unit 8 - --- - and the lots designated for common and recreation.— -- - - Assessor's Parcel No: 064-490-004 COUN TY OF BUTTE - DEPARTME iT OF DEVELOPMENT SERVICES - BUILDI G DIT,SIOH 7 County Center Dave s Orovills, California 95965 a, Telephons (bio) 8-1541 7 PENAT Igo• w12is•°� APPLICATION AND PERMIT 3-07/ ss P �LqO 0! BUILDINGPERMI17 a FT, o+x. suwa4a YALuAmN 07_,q O/A //JJ �HIACrJBi m4m ADWE= = ORENMNM GGA e/l 5 ¢sem on ears HacM AWOM %„L 0,, t� arraQ s wu - J susam�• 3 --) y i 0- 21- USEOFSIRUCTURB D*= D rJb5Rebms D C*ver i 23 A e— TYPE OFWOr K Nz~v f Admen D R=c dar f] Urlm D LioWbg f D aper D D�eaba Wart � -P c-- ( s hn /-, SevOv✓ LOlt>, 1"o- Fl,Q'cfi�, s x (5 L4 crD *OM= FEE P. Alb SRS Ste« $_ -3(oo ,ori �c eau 376 3 7 6 " TO R Km two COQ mn= DR MUM swv=9 e Faces PERMIT Faro s // AF-CiiAPDCAL PERMIT Fmng Fes 2 D. DD ram... [.!)n 6.50 . c ed PERMIT FEE s • S Ubb0e Home best- lsftn Fee >: e'�eetgy b�eon Fee 5 ' f _A0) 0 AL. FEE $ R. 1!tn p 71 Tf This pwma is hereby Issued under She sppB=ble provcsnrs5 oS the Buffo' Gaud► Cade andlor Resoiu6ans b do work b 6cibd above for whin fees hsve been pari 8y Re pWz, PEER= EXPIRES ON o...Re_., .. �....vr_►�eve•ene eunc_nSPeCTDR e+OL6=�uRQD.4PPLt_ANT Da'z Yaltzalgon O U Fee S 20,00 RFes to 3 5,Oa Ch=wncp Fea s O O FY pian Che-4:,ig Fes s a U ) pEpmlT F°E s 7o . o 0 PUr6((3mG •pERwT FFmg Fail 2D.DD Trap 1 7.0D 1cr�7 or had pLanp wsier beater 23.DD gyp•' g. 15.DD /j-- gn wetat heir cc vent 5.DD 1,�;- — i 1 -5 oa IMS 7-- 15.DD /57— I bg Spy 15.DD a I.bme S G W 020.00 PEST Fm s 1,36 Od .7RrAL PEWIT Fftg Fml 20.DD S�vte � awn � 29AD � 7 $g�y� ( sem► 77 femA ) 46AD mn= DR MUM swv=9 e Faces PERMIT Faro s // AF-CiiAPDCAL PERMIT Fmng Fes 2 D. DD ram... [.!)n 6.50 . c ed PERMIT FEE s • S Ubb0e Home best- lsftn Fee >: e'�eetgy b�eon Fee 5 ' f _A0) 0 AL. FEE $ R. 1!tn p 71 Tf This pwma is hereby Issued under She sppB=ble provcsnrs5 oS the Buffo' Gaud► Cade andlor Resoiu6ans b do work b 6cibd above for whin fees hsve been pari 8y Re pWz, PEER= EXPIRES ON o...Re_., .. �....vr_►�eve•ene eunc_nSPeCTDR e+OL6=�uRQD.4PPLt_ANT Da'z 1�1 .. r SITE PLAN REVIEW APPLICATION p Date: 3 43 -o Y AP# Permit Number (if applicable) (33-0--31 LP APPLICANT INFORMATION Parcel Size: Owners Name: LF� �. ,JA) Owners Address: Telephone No.: Situs Address: Proposed Use: Residential ® New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Septic r ❑ Agricultural Exempt Building ❑ Other: ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ® Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved. • By Date Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY a Parcel Is In: • Snow Load Area: 2OrZ7tj -7-0 2 4" ❑ 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) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: O Lq O D C'— Index Date: G ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement • Zoning: I-?- -- Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front O L Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. • Page 2 of 5 sa Applicabie Development Fees: Standard Fees • ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees Amount Formula ❑ 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 ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger I❑ 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 is Page 3 of 5 11 Subdivision Map/Parcel Map: P; n f -- 6 P' �C3 �'j 0-' Map Date of Recording: 1©_n1_q0 Lot: b 11 ❑ Use Permit/Minor Use Permit Permit Number: LO -Te . FA IN Date of Approval: Page: f Ll • 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 must be prepared by a registered civil engineer or other qualified professional and e 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 cwners responsible for roa Page 4 of 5 x Summary of Specific Requirements: C, This information provided in this summary is based on the application information and on the best available data at the time of review. CMArrys\Building Permit Site Plan Reviewl.doc Page 5 of 5 ENCROACHMENT PERMIT 03,0-71 (� County of Butte Department of Public Works rWA.) E r 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/fomis.html _T NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number _ District Phone (530) 538-7157 Ext. 2016 030 3 q A APPLICATION 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 roa and highways, all in accordance with County ordinances and general laws. All i CLOt" nformation exce t signature must be ed or legibly printed.) 1. Applicant's Name- 1 a. Company Name: e. 13e,h/3to 2. Address: ! 7 Pr,,rc dis 3. Phone: 4. Assessor's Parcel Number: 777-/ U%O 5. Location of W rk to be Done I'i I Z 1 r��; 6. Appli ,grra 7. Dater - CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: 13. Certificate of Insurance: Yes ❑ No: ❑ - - _ 14a Date Signed: 15. Authorized Agent: TYPE OF WORK TO BE DONE 16. Please Check: curb: El Gutter: El Sidewalk. ❑ 17: Driveway ( st Type): 18. Other. S� 3 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 ted. p 19. Conditions /1 / �- ) �r C r -t'a, /�!%q fG r0. �� v k0ld A A YO0.Ch a b� Z r /all CMP FIX o` P7d rie Z ROUr1d MS. Conal: anS oL-j- .-- -- -+- -,- (--- --tf, ;eL.-} Underground Service Alert (USA) must be notified two working days prior to any excavation. nuu-,4L i -tow 20. NAll work shall conform to accompanying: Detail R Plans ❑ Special Conditions 21. Date Issued 3 Z O G3 22. Expiration Date: 23 Surety: J O O Mike Crump, Director of Public Works By: "Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one we &. Page 1 of 2 General Conditions - See Page 2 ENCROACHMENT PERMIT County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 5384356 Download Forms: www.buttecounty.net/pubhcworks/forms.html n 03 --0 7! ti NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Permit Number _ District Phone 530) 538-7157 Ext. 2016 1U3 a 3 1 APPLICATION 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 Countyordinances and general laws. All information except signature must be ed or legibly printed.) 1. Applicant's Name: la. Company Name: �. tae 2. Address: ! 3a) r P,,- 1 Pcr<. is 3. Phone: 4. Assessor s Parcel Number: 777 - / o - vo 5. Location of W rk to be Done !� 141Z I rw,' 6. Appli �na 7. Date:3 - CONTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: 11. Fax: 12. Contractor's License Number: 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: ❑ Gutter: ❑ Sidewalk: ❑ 17: Driveway ( st Type): S 3 18. Other. 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 ted. /I % /�/ 19. Conditions r'O 0. G h �o O C L /� " �°' a �G r4 de o n koad/W . loG.t1 CMJ u1l ouncf r l �octn� a Con : i'enS A loci - Underground Service Alert (USA) must be notified two working days prior to any excavation 800-227-2600 20. 0,All work shall conform to accompanying: Detail K Plans ❑ Special Conditions 21. Date Issued 2 C 22. Expiration Date: h 23 J A 0/0,v Mike Crump, Director of Public Works I BY ** Note: If permits are faxed to any number besides (530) 5384356, they can be delayed up to one wee Page 1 of 2 General Conditions - See Page 2 O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. personally plan to provide the major labor and materials for construction of the proposed �roperty pirovement: YES NO 11C�HAVEHAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: \AME: CITY• PHONE::77 : CONTRACTOR'S LICEO� 4. I plan to provide portions o is work, but a hired the following person to coordinate, supervise, and provide the major w NAME: ADDRESS: ITY: PHONE: CONTRACTOR' S LICE NO. 5. I will ovide some of the work but I have contracted (hired) the fol o g persons to provide work indicated: NAME ADDRESS PHONE TYPE WORK SIGNED: PROPERTYOWNER: \6 DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from.possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are - subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +rely,Vi ira, C.B.O. ,uilding Inspection NOTE. This Owner -Builder Information is.required by Section 19830 of the California Health and Safety Code. OVER 15 r, CDF FIRE SAFE REQUIREMENTS 4� -04 6-3 -d 716 & ".!� AP# PERMIT # NAM Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. Q/] 1272.00 Maintenance of Defensible Space. To ensure continued \ maintenance of properties in conformance with these. standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [ 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius [ 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 1007200 feet. �.] 2;. The length of vertical. curves -in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. N 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1270.10 Width. All driveways shall provide a minimum 10 foot I' traf f is lane and unobstructed vertical clearance of 15 feet along its entire'length. Page 1 of • 3--. r _! AP # PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates ,] 1. Gate entrances shall be at least two feet wider than / the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [ J 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. �] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. [ 1276.02 Disposal of Vegetation and Fuels. Disposal., including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f._-ial inspection of a building permit. e Page 2 of 3 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves (�f If Building Setback is Less Than 15 Feet ,1 Choose any 3 of the following: - Metal or no doors on bide toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials f -03 Date Signature Page 3 of 3