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026-172-012
UNSAFE BUILDING FIRE•REPORT 10/ 95 Building Code Violation Complaint to inspector / Z 27 30 day,violation letter, 10 i ay violation letter Abated or Closed i 4 t r OZ(o -1 ?Z - 046 26-172-}-i�(Z FDEND _ _ APPLICATION FOR CERTIFICATE oln Blvd, Palerm o-84B(add. entry_. ea./.tavern) OFMERGERAPN# O 26- 672 _�/ 6% d M- PERMIT#96-1089 Z O � Joginder"Pal - 1 7513 Lincoln Blvd., Paler o 1 Demo/Bar D 026-172-00+- RAY, JAMES .;?62-7 KENILWORTH, PALERMO Cont: OWNER' NEW SINGLE FAMILY/ GARAGE f �1 NOTES ,. f RESIDENTIAL PERMIT N0. —'026-172-001- �— t RAY, JAMES a -.io 7,7 KENILWORTH, PALERMO Cont: OWNER' NEW SINGLE FAMILY/ GARAGE t oq vnvjesrq 'i SPECIAL CONDITIONS ' CHECKED BY ?SRA FLOOD CERTIFICATE REQ. iC FIRE SPRINKLERS REQ. Vf OFFICE COPY tl Ll Address .. l' M GAS I �_S Meter By IC Dat@ ELECTRIC /-�(��, - Meter By Dal i t 00 ell •� o 0 '�. r i 1 1 JOB FINAL ED (Date S Signature J=OK 0 = Not OK . = NotReadyable Card B-1 Date Card B-1 MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Footings; Size -Spacing -Marriage Line 2. Soils; Special MH Support Sketch 4. 3. Sewer; Location -Test -Fall -C/O -Concrete Electricity; MH Test , 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 7. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 8. 7. Well Clearance & Disconnect 9. 8. Utility Clearance 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Braced Wall Panels i Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 1. 3. Gas; MH Test -Demand -Valve -Connector a 2. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. 5. Drain; MH Test -Fall -Flex Connector 4. 6. Water; MH Test -Regulator -Connector 5. 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. 8. Gas and Electricity Tagged 7. 9. Tie Downs -Type -Installation Cert. 8. 10. Exits; Insp.-Sketch 9. 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 i Date Card B-1 Date Card 8-1 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- Panel boards- 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 i :: J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s n i ng -Setbacks -Easements -Flood -Slope F ., Main; Soils-Elec. Grnd.-/• ?/f' Ftg. Depth Date' W.,,5442 tg., Garage; Soils-Steel-Elec. Gmd.-j Ftg. Depth • , Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -8lockouts-Wrapped a. HqW Downs and Special Anchors , Slab, Steel -Wrapped 8. 5wSlireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -S er Test 0. UF, Gas Pipe; Size Anchors-Yar s Piping; SiW lest Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) ers-Post Caps -Anchors -Connectors �97. Clin . Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. fireplace Ties or Type A Flue -Fireplace Throat Clearance 0. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles �,�B rr�m. Windows or Exiting Doors -Sill Ht. & Dimensions 52 Garage Fire Protection Framing -RC Channel 58e15/bperty Line Firewall & Openings 5 t. Doors -One 3' -Check Garage 3rd Story, 2 Exits airs; Width -Headroom -Rise -Run -Landing -Fire Protection 515 wood on Roof Overhang -Attic Vents -Rafter Outriggers r i iding-Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents- U nderflr. Access 5Qe<F4ng Area -Glass Protection -Skylights -Plastic e alts; Nailing -Bolts 1*61,ZFace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL ans _OK except #'s 6 to -Door & Sidelight Protection -Landings 6 e Detector Furnace Vents -clearance -Comb, Air -Connector - In ara ;-Above Floor-Ducts-Mech. Protection 6. room Exiting 08- G.F.I. & Bath Fixtures & Tub Access -Spa 6 Elec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails fireplace or Stove, Clearance Hear Ground-Air-GaD-Cookina Clearance !!!B c. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure 7i -A -C. Duct in Garage -Damper 7.7 r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Galage; Above Floor-Mech. Protection 7 .; Elec. & Mech. Equip. Listed for Location 72,-El—ec. Receptacles in Garage (FF.I.)-Romex Protection 0 ulation-Foam-Looked in Attic 81 i.Zuard Rails & Deck Construction -Post Caps l 22.`6d"n'.-VBents & Crawl Hole Door Drainage & Wood -Earth _ CI arance Looked under Floor ❑ Yes 8 ollowing Instld./Drive O Yes O No/Walks ❑ Yes O No/Planters 0 Yes O No 8a/A.0 nit Disconnect, Electrical -Plumbing Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings a . Wat ell, Disconnect, Electrical, Plumbing erior Elec. Trim, G.F.I. Receptacle -Underground 8d 89 -Vehlilation Throuahout House 9t,,ebrr ctions from Previous Inspections a est -Meters Tagged, Gas -Electric W r & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 95. dress Posted -9e-117SPirinkler Date Card B-1 ate Card B-1 Da e .l 3 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Date' W.,,5442 y Card B-1 Date Card B-1 Date _ Card B-1 Date Card B-1 Date PLUM G. (Permit) OK except #'s r Htr; Vent -Access -Combustion Air Baffle 1 &.`1Nate i e; Test & Anchor -Nail Protection 1 .V; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 21. TesioTub & Shower, Second Floor -Tub Access as Pipe; Sixe & Anchors 23. Fire Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ure & Transformer Clearance -Ins. Protection 2 . eceptacles Spacing -Lights & Switches at Doors 2 ¢e Boxes & No. of Conductors Stapled 2 o ex Installed Close to Edge of Studs & C.J. 2 qui .Ground made up w/Mech Fasteners -Bond Gas & Water 29 A pliance Circuits in Kitchen & Conductor Size GFI 3 ubfe d -Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 3 ange Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 4. es Closet Light -Shower Light -Spa Light moke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANI L -(Permit) OK except #'s 3 C • cts Insulation & Support 3 end Ean, Exhaust above insulation 3 oo densate Drain & Overflow, Size & Grade r4lu Access -Comb. Ait-Return Air Vent 115 Outlet 40. is Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMIN (Permit) OK except #'s 1 it roper Materials & Anchors s Studs -Nailing Spacing & Braces -Plates -Sound Q4Bea4ng Walls over Girders & Floor Nailing 1&16raK Stop in Walls (rat proof) FireArops, Furred Ceilings -Stairs -Chasers -Tubs 46 eaders & Beams -Size & Bearing Date FRAMING (Continued) ers-Post Caps -Anchors -Connectors �97. Clin . Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. fireplace Ties or Type A Flue -Fireplace Throat Clearance 0. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles �,�B rr�m. Windows or Exiting Doors -Sill Ht. & Dimensions 52 Garage Fire Protection Framing -RC Channel 58e15/bperty Line Firewall & Openings 5 t. Doors -One 3' -Check Garage 3rd Story, 2 Exits airs; Width -Headroom -Rise -Run -Landing -Fire Protection 515 wood on Roof Overhang -Attic Vents -Rafter Outriggers r i iding-Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents- U nderflr. Access 5Qe<F4ng Area -Glass Protection -Skylights -Plastic e alts; Nailing -Bolts 1*61,ZFace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL ans _OK except #'s 6 to -Door & Sidelight Protection -Landings 6 e Detector Furnace Vents -clearance -Comb, Air -Connector - In ara ;-Above Floor-Ducts-Mech. Protection 6. room Exiting 08- G.F.I. & Bath Fixtures & Tub Access -Spa 6 Elec. Trim & Subpanel, Breaker Sizes & Labels Stairs & Rails fireplace or Stove, Clearance Hear Ground-Air-GaD-Cookina Clearance !!!B c. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closure 7i -A -C. Duct in Garage -Damper 7.7 r. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Galage; Above Floor-Mech. Protection 7 .; Elec. & Mech. Equip. Listed for Location 72,-El—ec. Receptacles in Garage (FF.I.)-Romex Protection 0 ulation-Foam-Looked in Attic 81 i.Zuard Rails & Deck Construction -Post Caps l 22.`6d"n'.-VBents & Crawl Hole Door Drainage & Wood -Earth _ CI arance Looked under Floor ❑ Yes 8 ollowing Instld./Drive O Yes O No/Walks ❑ Yes O No/Planters 0 Yes O No 8a/A.0 nit Disconnect, Electrical -Plumbing Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings a . Wat ell, Disconnect, Electrical, Plumbing erior Elec. Trim, G.F.I. Receptacle -Underground 8d 89 -Vehlilation Throuahout House 9t,,ebrr ctions from Previous Inspections a est -Meters Tagged, Gas -Electric W r & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 95. dress Posted -9e-117SPirinkler Date Card B-1 ate Card B-1 Da e .l 3 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE 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 OWNER PERMIT NO. a A routine inspectioindicates that the following violations of butte county Ordinances exist at the above add2stytt nd should be corrected. Please notice this office when correction of work is completedou have any questions pertaining to this matter, or need additional explanation, please cois office immediately. 7q �v✓ CI,',�� un OW A`- VAC ef)�"G�9�) 1 �U ✓� e C t- 3 Pf 'oI� S (CCt fi��TS a COUNTY OF BUTTE 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 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 "+ou have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. i t),I i �,NtL CC SS -!� ��%uVvvj -tO W\ -C C( t 6-016 4� n"e1, D � -ry t �S►� Ic, �—� 04' ji, d Date Inspector ` /t REV 10/92 // CERTIFICATION OF INSULATION ADDRESS OR TRACT SACRAMENTO :BUILDINGCONTRACTORS R X- 1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026 ❑ 605 S. AUBURN STREET, GRASS VALLEY, CA 95945 LIC#202026 ❑ 3881 BENATAR WAY, SUITE A, CHICO, CA 95928 LIC#202026 I ❑ 8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026 DATE INSULATION COMPLETED square feet) TYPE OF INSULATION MATERIAL FIBERGLASS FORM BAITS MANUFACTURER'S PRODUCT I.D. MANUFACTURER CT OCF I KN R -VALUE APPLIED '!STALLED THICKNESS k MATERIAL FORM 1 FIBERGLASS ( ®4-�quare feet) TYPE OF INSULATION MATERIAL FIBERGLASS FORM BAITS BLOW MANUFACTURER'S PRODUCT I.D. MANUFACTURER CT I OCF I e;:iD BAGS �C R -VALUE EE WALLS IF R -VALUE IS OTHE R -VALUE BAITS square feet) TYPE OF INSULATION MATERIAL FIBERGLASS FORM BAITS MANUFACTURER'S PRODUCT I.D. MANUFACTURER CT TOCIF KN WEIGHT PER, R -VALUE APPLIED SQUARE FOOT INSTALLED THICKNESS MANUFACTURER CT I OCF KN AIR INFILTRATION SEALANT MATER;AL MANUFACTURER FOAM HILTI HANDY FOAM [THIS 'S TOCERTIFY THAT INSULATION AND/OR SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES, ATERIAL STANDARDS AND REGULATIONS 11RE /INSULATIONCJ?l TITLE DATE/IGNATURE -GENERAL CONTRACTOR TITLE DATE REMARKS �v r WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy'•`,��, •' A BUTTE _COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041461 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/02/2004 APN: 026-172-001-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 2027 KENILWORTH AVE PAL Date: Contractor. Map Index: Description: NSF(1440)GAR(470)COV(222) 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 OWn@P' RAY JAMES ALVIN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a PO BOX 923 signed statement that he or she is licensed pursuant to the provisions of PALERMO, CA 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 95968-0923 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 intended or offered for sale (Sec. 7044, Business and Professions Applicant: RAY JAMES ALVIN 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 or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.).' i 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 Contractor: 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.). ❑ I arl Ex pt under Article f and Professions Code Musiness 1 a Date: ` Owner: 1 License #: WORKERS'COMPEN9ATION DECLARATION I hereby affinn under penalty of perjury one of the following declarations: ❑ 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 Architect: is issued. Engineer: PURSELL, FRANK JAMES ❑ 1 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 insurances carder and policy number are: Carrier: ZTal'e, R,tvt> Total Square Ft: 2132 S.F. Valuation: $108,432.00 Census Code: 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' Pi compensation provisions of Section 3700 of the Labor Code, I shall forthwi,h corril,ly with those provisions. Date: �( C ( 00 V S A Applicant: /J 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 attorney's fees. CONSTRUCTION LENDING AGENCY This pe i ishereby issued under "the applicable provisions of the Be County Co a ?nc(lor I hereby affirm that there is a construction lending agency for the Res s trt�o work in i ted ab v for w ich fees have been paid.utt performance of the work for which this permit is issued (Sec 3097 Civ.) Name: Y Date: PERMIT EXPIRES ON: Address: Da ❑ 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. ❑ Nolification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. Cl 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 he o ner or the duly uth riz d agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the bsta a of any offici f o document of Butte County. I hereby uthorize repress vejs'yof� County to enter upon the above mentioned property for inspecti0 p rP ses. Butte Print , , w'ZA SignaturDate:V imwner ❑ Contractor ❑ nt for Owner 0 Agent for Contractor Y.1 BUTTE COUNTY 000 �� PERMIT DEPARTMENT OF DEVELOPMENT SERVICES 1700, NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS BP 24 HOUR INSPECTION#: OROVU LE: (530) 538-7636 • CHICO: (530) 891-2834 # OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION OWNER Name J ,yes • f Address PO $ 0X 2- City &,Iermo State C_X I Zip '7,596 Phone 3/ l0q,7 Fax ,53 -7-7()3 E-mail CONTRACTOR Name " /Rp cl /\ Address F0 3 City , e YID Stated_# Zip Phone :S 1 & 10q -Z Fax T31 %-703 E-mail Lic. # .� ClajL_P ARCHITECT/ENGINEER Name Jim rG Address S ,6 City U 9no StateCg Zip �o• Phone Z I ' Fax V E-mail State L' e r APPLICANT NAME Name Address City State Zip Phone Fax E-mail AP LICANT SIGNATURE Fk office 4e only: Zon)%Q, JJLIto d Zone JALISRA Yes Occ. T pe Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# D2_6 1-7 Z 001 Property Address acke k) i I woY4 i4r Cross Street L' tj c 0 WORKER'S COMPENSATION Policy Number Carrier N hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DescripitJog or Scope Work: Sq. Footage S ❑ Structure Built without Permits ❑ Proposed Change of Occupancy `✓ (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: " O Receipt #: 414e6L9 Amount: SRA VO Sheriff 9.1 SMIP I I Date:J''� a � Total K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REV SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE L D IN INK. Residenial, w, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to ❑ 4. Letter from Engineer or Architect for truss design review. mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in Hazardous Material Form. ❑ 11. triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 O COUNTY OF BUTTE -DEPARTMENT OF DEVELOPM/.ENT SERVICES -BUILDING DIVISION U 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SKEET .� .6 OWNER: ASSESSOR PARCEL NUMBERy u Proposed Building Use: Counter Technician:47 4cDate: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order t pply. 1 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 1 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. Letter from Engineer or Architect for truss design review. 6. Energy compliance design and supporting documentation in duplicate. ❑ 7 Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9.. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these ust be stam ed and wet-si ned b the en ineer. 1 . Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16 Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required ................ :....................................................... ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ 0 23. California Department of Forestry plan approval ❑ paid. Sent by: .... . dr 24. Planning approval (A) Use:(B)Parking: (C) Parcel Chec VO25, Contact Land Development about _ Improvements, _ Drainage ......................... 26. NPDES Form ............... 27. Encroachment Permit for driveway from the Public Works Dept ........................... L� 0 28. Pre -Inspection for required....... ❑ ` 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... er 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... p i 32. i_etter of Signature authorization ...................................... :............................. 33. Recorded copy of Agricultural Acknowledgment Statement ................................. _IZ-O O 34. Manufactured home utility clearance........................................................ I...... ❑ -35. Existing violations and/or•:expired permits......................................................... O36. Deed Restriction......................................................................................... 0 37. ❑ Grant Deed, O M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ O 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. ed of the able items and requirements for obtaining a building permit Date: 1. Index iaW2. Addition I items quit i 1 Contractor, signe , owner, as dvi ed f the above data by ❑phone, ❑mail, ❑ ,counter, by _ f tQO ` Contractor, de ' r, owner, was advise of the above data by ❑ phone, 0 mail, ❑ counter, by _ 6Z`^�� , Plans reviewed by Date: Plans approved by: 6Vs ctural reviewed by: Date: Structural approved by: Q(�UKlo�tetra(lsfer by: Date: Cif \�.����(j"1�� Yellow: Building Division �1 _ Plan Check Lette _ Date: _ Date: _ Date Date: 6_1/ COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 •COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER A.P. # PROPROSED BUILDING USE DATE 1. BUILDING PERMIT FEES --- Balance Due ..................... $ --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Chec 3. SHERIFF FEES (paid at Building Division) esidential............ X $360.00 =$ Un Commercial (sq. ftg.). Sq.Ftg. X $0.03 = $ RECEIPT # DATE REC. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ _ # Units Amt. Commercial (Sq. Ftg.).... X = $ _ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Amt. 0. OTHER ! At time of e ' a lication I was advi d the above fees are required ired o be aid prior to issuance f th p pp q p p o e permit.' The e fees may be ch4n d g the plan checkli g ivocess. Pursuant to Gov\in C e Section 66020, yo have 90 days fromte f approval of the prod c protest are specifirnment Code Section Original -Building Division Yellow -Applicant DATE e hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You or from the imposition of the above mentioned items during which you may protest. The requirements for a Pink -Owner (rev. 2/2003) O.B.-1 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. wubuuuuUu-urLuG-pr-upusea -- Property improvement: YES NO ❑ 2. I HAVE 13 HAVE NOT -*signed an application for a building permit for the proposed work. . I have contracted with the following person (firm) to provide the proposed _construction: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, .supervise, and provide the major work CITY: PHONE: CONTRACTOR'S LICENSE NO. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated.: ADDRESS PHONE TYPE OF WORK SIGNED: , I PROPERTYOWNER: V DATE: 1 A10T E. TTiis Owner -Builder ert cation is required by Section 19531 and 19532 of the California Health and Safety Code. This verification must be completed and returned to our o.#we before we are permitted to issue the permit I OWNER BUILDER MTORMATION Dear Property Owner. An application for a budding permit has been submitted in your name listing yourself as the builder of property improvements specified. For yourrprotection, you should be aware that as "Owner-builder"you are the responsible party ofrecord on such a permit. Bulling permits are not required to be signed by PrnPeY 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 am required by law to be licensed and bonded Try-the_State.-of-CaMmaia-and to -have a business -license from time city► or county. I7mey 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 time exception of various trades that you plan to subcontract, you should be aware of time following information for your benefit and protection: 0 Ifyou 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 wish the State and Federal Goverm nents as an employer and you are subject to smhl 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 (arum, if you wish, time U.S. Small Business Administration). For more specific infornmation about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the Z uctum is intended for sale, property owners who are not licensed contractorsare all, to p erform their conditions. work personally or through their own employees, without a licensed contractor or subcontractor, only under limited A frequent practice of unlicensed persons professing to be contractors is tin secure an "owner builder" budding PeMk eroneousiy'mPlYmg that the property owner is providing his or her own labor and material era pemmits are not required to be signed by personally. Building Property owners unless they are Performing_t6eir own work- erso 3nfozmaiiowabou t -licensed contractors may be obtained b P �' - -- - u ommunity or at 1020 N Stye S Y contma�g the Co tractoma State License Board in your , CA. 95814. Please complete time "Owner Builder Verification" on 'he reverse side of this form so that we can confirm that you are awau�e of these matters. The budding p� will not be issued umiil the verification is returned. 1 1 C. vi ira, CB.O. Building Inspection NOM, T his Owner -Builder InfomuM&pn is required by Section 19830 ofthe California Health mid Safety Code OVER School -District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM. (One form per Ruilding). 0 ro Building Department No. O'ZU 001jurisdiction: Q City 1County 1r Property Location/Address I � Q. pi, I' I wo r+k Tq- It rVy" Subdivision Lot No. C.................................... Residential Development Sq Footage No of Living Mobile Home Addition) *Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation Inspection) ......................... Deed Restricied Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial!industrial Now Addition Building District Identification No. 05 DCOAW'Ay\�4 IA� School District certifies that LAVY (city). has complied with the requirementsW Resolution No. square feet. it". District Sq. Footage (Including Exterior ' Roofed Areas) ��3o-vy Date Ta 0, 0-, 3 (Applicant) i - / U I'll (Phone Number) (Zip Code) by payment of $ 3,0 FUEL 2926 $ • MMGATION $ Date Paid by Check Remarks: No*@: You may protest the Imposition of the fees Identfill1w above by submitting a written protest to the District, In compliance with Gotierrunerit Code Section 66020(a), within 90 days from the date fen are paid. Failure to submit a dimly written proted will\proldbit you from diallienging the imposition of the fen In any court action. ff, subsequent to the School District Representative signing this Suft County Schools Impact Fee . Certillicstion Fonr% the School. DW.trkt Is rtottiled by the appliceble Local Planning Agency that this project: Is being reviewed under the Calffbrnle Environmental Quality Act (qEQAh this project may be subject to additional school ton to fully mitigift. he Impact on the school districils schools. White (applicant), Yellow (building department), Pink (school district) fe6forrini.xis (10/03)dm.m 47 WILLDAN Serving Public Agencies ' August 27, 200.4- Scott Rutherford Butte County Building Department 7 County Center Drive Oroville, CA 95965 (530) 538-7169 (530) 538-2140 FAX 117 C Street Marysville, California 95901 530/749.2373 fax 530/749.2199 www.willda.n.com E SUBJECT: COUNTY OF BUTTE PLAN REVIEW, APPROVED Willdan Project No: 14353-1012 Jurisdiction Job No: 04-1461 Assessor's Parcel No: 026-172-001 Description: RAY RESIDENCE Dear Mr. Rutherford: Willdan has completed a plan review of submitted plans and documents for the above referenced project andrecommendsyour approval with the conditions noted on the second page of this letter. The plans and documents provided for this review that have been found in compliance with the applicable codes are: 1. Plans: Two (2) copies cover through 6 (7 sheets) dated 3/24/04 by Jim Pursell 2. Structural Calculations: Two (2) copies dated 4/22/04 by Jim Pursell 3. Enerfy Calculations: Two (2) copies dated 3/29/04 by Barry Rubanoff 4. Truss Calculations: Two (2) copies dated 4/6/04 by Mitek Industries Inc. 5. Elevation Certifications: Two (2) copies dated 3/15/04 by Jim Pursell 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. 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" I li Serving Public Agencies CODE ANALYSIS 'i it Type of Type of 1" Floor 2"d Floor Occu anc Construction Sprinklers Stories S Ft Total Sq Ft S Ft _ N i R-3 V -N No 1 1487 1487 U-1 VN No 1 480 480 Covered V -N No 1 240 240 i Porch !l .i CONDITIONS OF APPROVAL M All plan sheets and related.documerits shall Iii stamped and wet signed'b"the` , Engineer.. of• Record; James,Pursell, P.E. The Engineerof Record, James Fursell, P.E. will submit anew stamped, wet signed" P ., ` ,eleEvation certificate wrth�flood vent �s icahons that �match'the specificatoins called _ •- --J !Pout on.the approved plan sets. }� ►r -r SPECIAL INSPECTION NEEDS ' Our plan review reveals no special inspection needs pursuant to CBC 1701. —8 DEFERRED SUBMITTALS fOur plan review reveals no deferred submittals noted at this time. i� li ISincerely, ff , it { Isaac Kuster Gordon Wright, P.E. Plans Examiner Plan Check Engineer I` CC: Alice Mefford at Butte County Email: amefford(a,buttecounty.net Jim Pursell at Jim Pursell Engineering 5 Madrone Avenue, Oroville, CA 95966 i aursell(iDsbcelobal.net James Ray, PO Box 923, Palmero,.CA 95968, irayconcrete(iDhotmail.com �i FROM Butte County Fubl i c Works, FAX NO. 530-530-4356 May. 11=5 2004 03:06AM P1 L1'ICROACHMENT PE .tl.ii 1 8 County of.13utle Department of Public 'Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 F.xl. 2016 Pax: (530) 538-4356 Download Forms: www.buttecourtty.netlpublioworks/fonns.httnl NOTIFY COUNTY 24 HOURS BEFORE WOIU/,1S TO BE DONF Phone (530) 538-7157 Ext. 2016 Permit Number u Y D 7 District -0 S APPLICATION I 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 hi diways, all in accordance with Count ordinapces and gerieral laws. (All infurmntion exee t Si nature ntust be ed or Icgibl rintcd. 1. Applicant's Name: Iu. CompanyNatrne: L�litidress:0X 2'to 5 Tphone; IS ), 1047 4. Assessor's Pane)Number:Oo 5. Location of Wyk to ones a ,C oY lir � �? ! Uo U t 11 LIAIC /J 6. Applicant's Signature i 7. Date; CONTRACTOR'S INFORR'IATION 9. Contractor's Name Me 9. Address 10. Phone: , �, i `l. t 1. Fax: j3 C. ^� 12. Contractor's License Number: 3152- 13. Cenifcato of lnsuranec: Yes X No: 0 14. Contractor's Signa uri: 14a. Date Signed: , r 15. Autbori2ed Agent , TYPE OF WORK TO BE DONE 16. Please Check: Curb: Gutter: Sidewalk 17. If Driveway List Type: .J 18. Other Wwk - Describ-_: 19: Plans Attached: 0 Yes 0 No PERMIT GRANTED _ In complian::e with the. above request, and suhjeat to all terns, vond,riovs (inoluding those m) on page 2 of this permit orand spcctal conditions written below, prrmiesitm is hereby gninted. 20. Conditions 6 �K_So f Underground Service Alert U.S.A. must be notified two working days Edor to an X extsvation. 800-227-2600 21, W All work shall conform to accompanying: Detail 9 Plans 0 Special Conditions R 22. Date Issued �s o Y-2'— JQ Expiration Date: �AS G'S -1 L4. Surety: 25' Dto Paid: / l O 11 � 26. Amount Paid: / � G O 12 f� C� Ry�Q C 1C � i9z 18, Rcecipt l o.:, j �..� Mike Crump, Director of Puktlic Works By: �. Fe, Ccuntr 29. Final fnapectinn Datc; ?U. Inspected By. 0 Completed - OK iff Completed — Not OK C Additional Comments Attached list onir_ 31. C:ommcnts: NOW IT pelmas arc laxed to any number betides (3 30) 538-4356, they can be delayed up to one week. Page I or 2 Applicant: Ray, James . Permit 04-1461 Project Type: NSF/Garage APN: 026-172-001, 100% 70% Plan Check Fees $ 1,000.34 $ 700.24 $ 1,000.34 $ 700.24 WILLDAN Fee $ 700.24 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other Butte County Department of Development Services 3T rF YVONNE CHRISTOPHER, DIRECTORo 0 _ o 0 0 0 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephoneco (530) 538.7785 Facsimile TO: WILLDAN ' FROM: Scott Rutherford. (530) 538-7160 sruthe rford Muttecou ntv. net SUBJECT: Plans Transmittal For Review Per Contract O DATE: 7/1/2004 Applicant: Ray, James . Permit 04-1461 Project Type: NSF/Garage APN: 026-172-001, 100% 70% Plan Check Fees $ 1,000.34 $ 700.24 $ 1,000.34 $ 700.24 WILLDAN Fee $ 700.24 Copies Attached: Qty Chk Application Site Plan Review FEMA Elevation Certificate Building Plans Truss Calculations Energy Calculations Structural Calculations Residential Plan Review Guide Residential Construction Requirements Other Other USE PERMIT BUTTE COUNTY PLANNING COMMISSION DATE: (Certified Mail Rec.) UP 04-08 PERMIT NO. 026-172-001 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: James Ray is hereby granted a Use Permit -for a single family residence in a commercial zone on APN 026-172-001 on Kenilworth Avenue, Palermo. 1. Failure to complywith the conditions specified herein as the basis for approval of application and issuance of Permit constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless otherwise provided for in a special condition to this Use Permit, all conditions must be completed prior to or concurrently with the establishment of the granted use. The use granted by this permit must be established within two years of the date of approval. 3. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. 4. If any use for which a Use Permit has been granted is not established within two years of the receipt of the Permit by the Permittee, the Permit shall become null and void and reapplication pursuant to Section 24-45 (of the Zoning Code) shall be required to establish the use previously granted under the expired Permit unless, 30 days prior to the expiration date, a request for a one year extension is submitted to the Planning Commission together with sufficient evidence that the time limits for processing development permits under federal or state regulations require time limits which exceed one year. Upon application, and for good cause by the Permittee, at a public hearing pursuant to Section 24-45.25 above, the. Planning Commission may extend any time limitation previously made a part of any condition to a Use Permit. The terms and conditions of this Permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. 6. Neither the applicant, nor any agent nor representative of the applicant shall intentionally omit or misrepresent any material fact in connection with the application. Any alleged 1 National Pollutant Discharge Elimination System (NPDES) Phase II .Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement (LESS THAN 1 ACRE Project Title: By signing below, I, the project owner/owner's agent, certify that I am aware that a construction project that disturbs 1 acre or more of land requires a Construction Storm Water Permit from the State Water Resources Control Board and that. it is my responsibility to submit a Notice of Intent (N.O.I.), a Storm Water Pollution Prevention Plan (SWPPP), and a check for $700.00 made payable to the State Water Resources Control Board to obtain such a permit if my project disturbs 1 acre or more of land. I, further, certify that this project will not disturb 1 acre or more' of land. I am aware that submitting false and/or inaccurate information may result in revocation g ading and/oMther permits or other sanctions provided by law. Signed: Title: Date: .�.' _err,. •� r ' E.H. E ONLY Plot Plan Attschod Roca Plan Attached Sant to G.D. TO:: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance wu 4-2J Owner Location AP# Plan Approved for: Sewage Dispos rA7;�,.- p lClearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: blic Private Well k4f 2> Environmental Health Specialist Date 8/96 ",We Hell) from Finance to Finish The Westfield BY ENDEAVOR HOMES OF CALIFORNIA KPPRO ��tte VFG Fhviroh Cont mental H date m1.9millmawm ��.�Immm 62.6' - T71 KITCHEN �'�•c��i4; I G r"�' CC IDINING " MASTER BEDROOM BATH 13'-6''13'-6- cc m1.9millmawm ��.�Immm 62.6' - T71 KITCHEN ' J- CC IDINING " MASTER BEDROOM BATH 13'-6''13'-6- cc 12'-B'z16'-10' !d!d W.I.C. ' I II �.BATH GREAT ROOM 16'-2'.•.1 T<- GARAGE N , 19'-B'z27'-d' BEDROOM r 12•-0'x11'4' - BEDROOM#2 12••rx12v' E L3*10 walls, lap siding, gridded window incluTe'd CygSe Ply REV 3/02' APPROXIMATELY 1470 SQUARE FEET LIVING AREA P US GARAGE YOUR ENDEAVOR REWARDING HOME 7 s • SITE PLAN REVIEW -APPLICATION Date: 8 _ 6.O AP# d Z6' 112 - D6 1 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners Address: 9 2'S Telephone No.: /Oct Situs Address: - e Proposed Use: Residential New Single Family Residential 1. ❑ 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 ❑ Single Family Remodel 9 ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Agricultural Buffer Form ❑ Applicable ❑ 'N/A ❑ Other: Brief Explanation (if necessary):= DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) - Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Sit lan Stamp Approved By Date e (1 Z©��-( Page 1 of 5 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) #SW SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: - (See attached) • Flood Zone: IPT tt • Flood Panel No.: Index Date: ❑ 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: G-1 &to. 4L', 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 Side Side Street Rear ' r Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable. Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ ' Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other ------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road hnprovemerit ❑ 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 Deed'of Reference: Legal Access Required ❑ No Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: r Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Yes ❑ Yes ❑ 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 F1Meet current Environmental Health Department requirements Page 3 of 5 At ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: 0 Use Permit/Minor Use Permit Permit Number: 6�- Ob Date of Approval: Page: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. EJ ■❑ Page 4 of 5 J F-1 a a 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. CA arrys\Building Permit Site Plan Reviewl.doc a Page 5 of 5 E.H. USE 0lVCr / Plot Plea Attack -ed Roar Plea AtucAed � i Sent to B.D. TO: Building Department vl FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# " Plan Approved for: Sewage Disposal \Water Supply: Public Private Well Clearance for dwelling. Other Final clearance O.K. for: NOTE: Environmental Health Specialist g -Ly Date G� 8/96 q h ROAD LINCOLN BLVD) KENILWORTH AVE. PARCEL APN: 026-172-001 ESCROW NO. N/A AFTER RECORDING RETURN TO: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COF31Y of Document Recorded 04 -Jun -2004 2004-0033878 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED FOR VALUE RECEIVED, JAMES ALVIN RAY GRANTS TO THE COUNTY OF BUTTE THE FOLLOWING DESCRIBED PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA; ALL THAT REAL PROPERTY AS DESCRIBED IN ATTACHED EXHIBIT "A" AND GENERALLY DEPICTED ON ATTACHED EXHIBIT "B " I-zo 101 'DA E PAGE 1 OF 04-018GD A.M.E R � IC AL } STATE OF .CALIFORNIA }ss. COUNTY OF BUTTE } On APRIL 20:,.2004 before me, MARY A. THOMPSON, NOTARY.. , personally appeared JAMES ALVIN RAY personally known to me.. (or proved. tome on -the basis of satisfactory. evidence) to be the persoh(s) whose names) islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and'that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. �J Signature (This area for official notarial seal) MARY A. JOMPSON ®r, Commission #135147001 a Notary Pub11c-caltfomia U Butte County.my comm. Exp. APR. 15, 200 Title of Document GRANT DEED Date of Document APRIL 20, 2004 No. of Pages Other signatures not acknowledged N7A GI -5191 3008 (i..94) (General) F:rs' Ann?vcar. Tr11n Insurance EXHIBIT "Ng LEGAL DESCRIPTION JAMES AL,VIN RAY TO BUTTE COUNTY ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF BLOCK 10, ACCORDING TO THAT CERTAIN MAP ENTITLED "TOWN OF PALERMO", AS FILED FOR RECORD IN THE OFFICE OF THE BUTTE COUNTY RECORDER ON FEBRUARY 17, 1891, IN BOOK 5 OF MAPS AT PAGE 4, BUTTE COUNTY, CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID BLOCK 10, SAID CORNER BEING THE INTERSECTION OF THE CENTERLINE OF LINCOLN BOULEVARD WITH THE CENTERLINE OF KENILWORTH AVENUE, AND THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL OF LAND; THENCE EAST, ALONG THE CENTERLINE OF KENILWORTH AVENUE, 190.00 FEET, TO A POINT ON THE NORTHERLY PROJECTION OF THE EAST' LINE OF LOTS 1 THROUGH 6, OF SAID BLOCK; THENCE SOUTH, ALONG SAID LINE, 30.00 FEET; THENCE WEST, PARALLEL WITH THE CENTERLINE OF KENILWORTH AVENUE, 140.00 FEET, TO THE BEGINNING OF A CURVE TO THE LEFT, HAVING A RADIUS OF 20.00 FEET AND A CENTRAL ANGLE OF 90000'00"; THENCE SOUTHWESTERLY, ALONG SAID CURVE, AN ARC DISTANCE OF 31.42 FEET, TO THE END OF SAID CURVE; THENCE SOUTH, PARALLEL WITH AND 30.00 FEET EASTERLY OF THE CENTERLINE OF LINCOLN BOULEVARD, 140.00 FEET, TO THE WESTERLY PROJECTION OF THE SOUTH LINE OF SAID LOT 6; THENCE WEST, ALONG SAID PROJECTION, 30.00 FEET, TO A POINT ON THE CENTERLINE OF LINCOLN BLVD.; THENCE NORTH, ALONG SAID CENTERLINE, 190.00 FEET, TO THE POINT OF BEGINNING. END OF DESCRIPTION PREPARED BY: AA 0m ��Q LAND S�9 �NRISTO,c OHN D. CHRISTOFFEle o N0.4208 z G.D.A., ENGINEERING & SURVEYING Exp. 06 30-04- D:1MyFiles%LEGALS104018LD1.wpd April 7, 2004 uA, SCALE: 1"=50' NOTES: EXHIBIT "g" A PORTION OF LOTS 1 THRU 6, BLOCK 10, 'TOWN OF PALERMO", BOOK 5 OF MAPS, PAGE 4, LYING IN THE NW 1/4 OF SECTION 8, T18N, R4E, M.D.M., BUTTE COUNTY, CALIFORNIA. LEGEND LANDS DEEDED TO BUTTE COUNTY IN FEE 1.00' WIDE NO ACCESS STRIP I I KENILWORTH AVENUE o7 WEST195.00' / M Ji EXISTING R/W LINE m o o r 1 00' WIDE NO O z ACCESS STRIP U l Z = CD LANDS OF o J 0 i JAMES ALVIN RAY Lo APN: 026-172-001 (N X RSN: 2002-0036554 IW 30.0 S.E. CORNER LOT 6 BLOCK 10 �— 10.00' �- 150.00' I EAST 190.00' 1) THIS PLAT IS FOR DIAGRAMETRIC PURPOSES AND DOES NOT REPRESENT THE RESULTS OF A SURVEY. e G JOHN D. CHRISTOFF 220 WAND MVUE DRMIZ ca(5W)mm- oae P.L.S. 4208, EXP. 6/31 Dt\Land Projects 3\04018\dwg\04018DP.dwg 04/07/2004 Vi00i40 AM PDT VICINITY MAP N.T.S. { 0 0 o rn T F- CC 0 z LAND l�, �5� SNR I STS 1Y1� a i EXPIRE 6/30/2004 L.S. 4208 CF CAL�� DATE:4-7-04- i CERTIFICATE OF ACCEPTANCE This is to certify that the interest in the real property conveyed by the within Grant Deed dated April 20, 2004 from James Alvin Ray to the County of Butte, a political subdivision of the State of California, is hereby accepted by the undersigned on behalf of the County of Butte, and the grantee consents to recordation thereof by its duly authorized officer. a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS By altnj Date: � W O MMi e Crump Director of Public Works W:9.D Dorntn=40=& & A=cpten=\CERTIFICATE OF ACCEPTANCE DPW 2.dx 1 ROAD LINCOLN BLVD./ KENILWORTH AVE. PARCEL APN: 026-172-001 ESCROW NO. N/A AFTER RECORDING RETURN TO: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded' 04 -Jun -2004 2004-0033877 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER'S USE EASEMENT GRANT DEED ... FOR VALUE RECEIVED, JAMES ALVIN RAY GRANTS TO THE COUNTY OF BUTTE A NON-EXCLUSIVE EASEMENT OVER REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AS DESCRIBED IN ATTACHED EXHIBIT "A" AND GENERALLY DEPICTED ON ATTACHED EXHIBIT "B PAGE 1 OF 04-018EGD A.M..E R I STATE OF. CALIFORNIA }ss. COUNTY OF BUTTE } On APRIL 20, 2004 before me, MARY A.THOMPSON, •NOTARY c personally appeared JAMES ALVIN RAY personally known to me.. (or proved to me on -the basis of satisfactory. eviden ce) to be the persoh(s) whose name(s)'islare subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/heritheir authorized capacity(ies), and that by his/her/their signatures) 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..... Signature 01 d MARY A. THOMPSON� C- - Commission #1351470 U Notary Public -California CD Butte County b My comm. Exp. APR. 15,.2006 (This area for official notarial seal) Title of Document EASEMENT GRANT DEED hate of Document APRIL 20, 2004 No. of Pages Other signatures not acknowledged NTA GI -5191 3008 (1:194) fGen&all F:rs, An-,2r.ran Ti[tn lnsuranC'2 C-Orrp.in'f EXHIBIT "A" LEGAL DESCRIPTION JAMES ALVIN RAY TO BUTTE COUNTY NO ACCESS STRIP EASEMENT A NON-EXCLUSIVE EASEMENT FOR THE SPECIFIC PURPOSE OF LIMITING VEHICULAR INGRESS AND EGRESS, TO AND FROM, A PORTION OF LINCOLN BLVD., OVER A STRIP OF LAND 1.00 FOOT IN WIDTH, LYING EASTERLY OF, PARALLEL WITH AND ADJACENT TO THE FOLLOWING DESCRIBED LINE, SAID EASEMENT BEING OVER A PORTION OF BLOCK 10, ACCORDING TO THAT CERTAIN MAP ENTITLED "TOWN OF PALERMO", AS FILED FOR RECORD IN THE OFFICE OF THE BUTTE COUNTY RECORDER ON FEBRUARY 17,1891, IN BOOK 5 OF MAPS AT PAGE 4, BUTTE COUNTY, CALIFORNIA, SAID LINE BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID BLOCK 10, SAID CORNER BEING THE INTERSECTION OF THE CENTERLINE OF LINCOLN BOULEVARD WITH THE CENTERLINE OF KENILWORTH AVENUE; THENCE EAST, ALONG THE CENTERLINE OF KENILWORTH AVENUE, 190.00 FEET, TO A POINT ON THE NORTHERLY PROJECTION OF THE EAST LINE OF LOTS 1 THROUGH 6, OF SAID BLOCK; THENCE SOUTH, ALONG SAID LINE, 30.00 FEET; THENCE WEST, PARALLEL WITH THE CENTERLINE OF KENILWORTH AVENUE, 140.00 FEET, TO THE BEGINNING OF A CURVE TO THE LEFT, HAVING A RADIUS OF 20.00 FEET AND A CENTRAL ANGLE OF 90000'00"; THENCE SOUTHWESTERLY, ALONG SAID CURVE, AN ARC DISTANCE OF 31.42 FEET, TO THE END OF SAID CURVE, AND THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED LINE; THENCE SOUTH, PARALLEL WITH AND 30.00 FEET EASTERLY OF THE CENTERLINE OF LINCOLN BOULEVARD, 140.00 FEET, TO THE WESTERLY PROJECTION OF THE SOUTH LINE OF SAID LOT 6, AND THE END OF.THE DESCRIBED LINE. END OF DESCRIPTION PREPARED BY: LAND S> CNRIST�F9� JG.D.A., HN D. CHRISTOFFERS . S. J o 0 ENGINEERING & SURVEYING N0.420$ z D:\MyFiles\LEGALS\04018LD2NOACCESS.wpd April 7, 2004 N Exp. 06-30-�21 EXHIBIT "B" A PORTION OF LOTS 1 THRU 6, BLOCK 10, 'TOWN OF PALERMO", BOOK 5 OF MAPS, PAGE 4, LYING IN THE NW 1/4 OF SECTION 8, T18N, R4E, M.D.M., BUTTE COUNTY, CALIFORNIA. LEGEND . LANDS DEEDED TO BUTTE SCALE: F11172COUNTY IN FEE 1" = 50' 1.00' WIDE NO ACCESS STRIP VICINITY MAP N.T:S. KENILWORTH AVENUE WEST?190.00' o/ 0 do J i EXISTING R/W LINE m 0 I o z °� I � z 1.00' WIDE NO 0 O z ACCESS STRIP c) i o z O LANDS OF 0 �o z JAMES ALVIN RAY r rU) I X APN: 026-172-001 RSN: 2002-0036554 IW 30.0 S.E. CORNER LOT 6 BLOCK 10 �— 10.00' I (�- 150.00' \i EAST 190.00' NOTES: 1) THIS PLAT IS FOR DIAGRAMETRIC PURPOSES AND DOES NOT REPRESENT THE RESULTS OF A SURVEY. - 4- b 0 0 T 2 0 z LAND j� a EXPIRE 6/30/2004 y L.S. 4208~ 0 CALZ� PISMO DATE: 4"'-.o4_ D,\Land Projects 3\04018\dwg\04018DP;dwg 04/07/2004 07i00j40 AM PDT CERTIFICATE OF ACCEPTANCE This is to certify that the interest in the real property conveyed by the within Grant Deed dated April 20, 2004 from James Alvin Ray to the County of Butte, a political subdivision of the State of California, is hereby accepted by the undersigned on behalf of the County of Butte, and the grantee consents to recordation thereof by its duly authorized officer. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS By: f� Date: �A v q Mike Crump Director of Public Works WALD Dowmmu\Dec& & AcccpmncaNMnFICATE OF ACCEPTANCE DPW2.dw 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this .property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date S / Z 1 State of California County of $c,lh TY OWNERS: !n 0 On Al A-7- 11 ,_ zoo Y, before me,. J7o NA- IZ� H. AK c A7-'3 LL personally appeared ,TJ'R- u dF-5, Ly j ✓ RAST personally known to me (or proved to me on the basis of satisfactory evidence) to be the person( whose name(p) is/am subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his/herkheir authorized capacity(iesj, and that by his/hef4hak signature) on the instrument, the person() or the entity upon behalf of which the person(y) acted executed the instrument. WITNESS hand nd official seal. DONALD H. MC ABEE Sign a Seal: Comm.#1412561 ►A NOTARY PUBLIC -CALIFORNIA N A.P. 9 0 Z 6 l Z v0 my Comm. Edi IIarch19,2008 "� 2004-003 1. 009 AND WHEN RECORDED MAIL TO: RecoBUTTE COUNTY BUILDING DIVISION00 Officialrded Records I CONFORM 110.00 7 COUNTY CENTER DRIVE CountyOff COPIES 2.50 OROVILLE, CA 95965 BUTTE i CANDACE J. GRUBBSReco I ROSEMARY DICKSON I Assistant I Kathy 10:05AM 25 -May -2004 I Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this .property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date S / Z 1 State of California County of $c,lh TY OWNERS: !n 0 On Al A-7- 11 ,_ zoo Y, before me,. J7o NA- IZ� H. AK c A7-'3 LL personally appeared ,TJ'R- u dF-5, Ly j ✓ RAST personally known to me (or proved to me on the basis of satisfactory evidence) to be the person( whose name(p) is/am subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in his/herkheir authorized capacity(iesj, and that by his/hef4hak signature) on the instrument, the person() or the entity upon behalf of which the person(y) acted executed the instrument. WITNESS hand nd official seal. DONALD H. MC ABEE Sign a Seal: Comm.#1412561 ►A NOTARY PUBLIC -CALIFORNIA N A.P. 9 0 Z 6 l Z v0 my Comm. Edi IIarch19,2008 "� EXHIBIT "A" LEGAL DESCRIPTION JAMES ALVIN RAY TO BUTTE COUNTY ALL THAT REAL PROPERTY DESCRIBED AS A PORTION OF BLOCK 10, ACCORDING TO THAT CERTAIN MAP ENTITLED "TOWN OF PALERMO", AS FILED FOR RECORD IN THE OFFICE OF THE BUTTE COUNTY RECORDER ON FEBRUARY 17,1891,1 - N BOOK 5 OF MAPS AT PAGE 4, BUTTE COUNTY, CALIFORNIA, BEING MORE PTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID BLOCK 10, SAID CORNER BEING THE INTERSECTION OF THE CENTERLINE OF LINCOLN BOULEVARD WITH .THE CENTERLINE OF KENILWORTH AVENUE, AND THE TRUE POINT OF BEGINNING FOR THE HEREIN DESCRIBED PARCEL OF LAND; THENCE EAST, ALONG THE CENTERLINE OF KENILWORTH AVENUE, 190.00 FEET, TO 'A POINT ON THE NORTHERLY PROJECTION OF THE EAST LINE OF LOTS 1 THROUGH 6, OF SAID BLOCK; THENCE SOUTH, ALONG SAID LINE, 30.00 FEET; THENCE WEST, PARALLEL WITH THE. CENTERLINE OF KENILWORTH AVENUE, 140.00 FEET, TO THE BEGINNING.OF A CURVE TO THE LEFT, HAVING A RADIUS OF 20.00.FEET AND A CENTRAL ANGLE OF 90000'00''; THENCE SOUTHWESTERLY, ALONG SAID CURVE, AN ARC DISTANCE OF 31.42 FEET, TO THE END OF SAID CURVE; THENCE SOUTH, PARALLEL WITH AND 30.00 FEET EASTERLY OF THE CENTERLINE OF LINCOLN BOULEVARD, 140.00 FEET, TO THE WESTERLY PROJECTION OF THE. SOUTH LINE OF SAID LOT 6; THENCE WEST, ALONG SAID PROJECTION, 30.00 FEET, TO A POINT ON THE CENTERLINE OF LINCOLN BLVD.; THENCE NORTH, ALONG. SAID CENTERLINE, 190.00 FEET, TO THE POINT OF BEGINNING. END OF DESCRIPTION ******************************************************************************************** PREPARED BY: (Exp.loo6-30-iW, G�1RIS T�\ O, 4208 Butte County Department ofDevelopment Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING March 25, 2004 James Ray P. O. Box 923 Palermo, CA 95968 CERTIFIED MAIL Re: Use Permit UP 04-08,M—N-102-6-4-7-2=300-1-7 Dear Mr. Ray: Enclosed is your validated Use Permit to establish a single family home in the C-1 zone in Palermo,, located on the southeast corner of Kenilworth Avenue and Lincoln Boulevard, Palermo. Should you have any questions regarding this matter, please contact this office between 8:00 a.m. and 4:00 p.m., Monday through Friday. Sincerely, Roni Thornton Office Assistant 11 Enc. cc: Land Development Division (g) Building Division (y)'% Environmental Health (p) Department of Forestry (gld) Larry Painter USE PERMIT BUTTE COUNTY PLANNING COMMISSION YAH 2 6 2004 DATE: (Certified Mail Rec.) UP 04-08 PERMIT NO. 026-172-001 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: James Ray is hereby granted a Use Permit for a single family residence in a commercial zone on APN 026-172-001 on Kenilworth Avenue, Palermo. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-45.65. 2. Unless otherwise provided for in a special condition to this Use Permit, all conditions must be completed prior to or concurrently with the establishment of the granted use. The use granted by this permit must be established within two years of the date of approval. f 3. Minor changes may be approved administratively by the Directors of Development Services, Environmental Health, or Public Works upon receipt of a substantiated written request by the applicant, or their respective designee. Prior to such approval, verification shall be made by each Department or Division that the modification is consistent with the application, fees paid and environmental determination as conditionally approved. Changes deemed to be major or significant in nature shall require a formal application for amendment. 4. If any use for which a Use Permit has been granted is not established within two years of the receipt of the Permit by the Permittee, the Permit shall become null and void and reapplication pursuant to Section 24-45 (of the Zoning Code) shall be required to establish the use previously granted under the expired Permit unless, 30 days prior to the expiration date, a request for a one year extension is submitted to the Planning Commission together with sufficient evidence that the time limits for processing development permits under federal or state regulations require time limits which exceed one year. Upon application, and for good cause by the Permittee, at a public hearing pursuant to Section 24-45.25 above, the Planning Commission may extend any time limitation previously made a part of any condition to a Use Permit. 5. The terms and conditions of this Permit shall run with the land and shall be binding upon and be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee. 6. Neither the applicant, nor any agent nor representative of the applicant shall intentionally omit or misrepresent any material fact in connection with the application. Any alleged 1 material misrepresentation shall constitute grounds for the Director of Development Services to commence a revocation hearing, and, if proven to exist, shall constitute sufficient grounds to revoke a Permit. Conditions of Approval: Planning Division: Mitigation Measure #1. "Wood stove and fireplace inserts installed in any home within this development shall be EPA approved and designed to meet emissions standards of the California Clean Air Act of 1988 as amended." Plan Requirements: All requirements shall be shown or noted on the Use Permit and building plans. Timing: Prior to issuance of building permits, compliance with above mitigation is required to authorize fireplace or wood stove inserts. Monitoring: The Building Division shall review EPA approval for applicable building permit applications and shall inspect improvements to ensure construction in compliance with approved permit(s). 2. Mitigation Measure # 2. "Measures shall be taken to control fugitive dust emissions from all driveways and other civil construction associated with development. All disturbed areas, including driveways, shall be treated with water and/or other acceptable soil palliatives during and after construction to minimize the creation of dust and to protect air quality in the surrounding area. The treatment shall be maintained until ground surfaces are stabilized with vegetation or pavement. Plan Requirements: All requirements shall be shown on building plans. j Timing: Requirements of the condition shall be adhered to throughout all grading and construction periods. Monitoring: The Planning Division and the Public Works Department shall ensure that the conditions are placed on the Use Permit. Building inspectors shall spot check and shall ensure compliance on-site. Butte County Air Pollution Control District inspectors shall respond to nuisance complaints. 3. Mitigation Measure #3. Should grading activities reveal the presence of cultural resources (i.e., artifact concentrations, including arrowheads and other stone tools or chipping debris, cans, glass, etc.; structural remains; human skeletal remains), work within 50 feet of the find shall cease immediately until a qualified professional archaeologist can be consulted to evaluate the remains and implement appropriate mitigation procedures. Should human skeletal remains be encountered, State law requires immediate notification of the County Coroner. Should the County Coroner determine that such remains are in an archaeological 2 context, the Native American Heritage Commission in Sacramento shall be notified immediately, pursuant to State law, to arrange for Native American participation in determining the disposition of such remains. Plan Requirements: All requirements shall be shown on building plans. Timing: This measure shall be implemented during site preparation and construction. Monitoring: Should cultural resources be discovered, the Planning Division shall coordinate with the developer and appropriate authorities to avoid damage to cultural resources and determine appropriate action. 4. Development fees for the proposed residential improvements shall be paid prior to the issuance of Building Permits. The fees shall be those in effect at time of application and may include, but not be limited to, Park and Recreation District fees, Water and Sewer Service Fees, Permit and Plan Check Fees, and Fire Protection Fees. 5. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. 6. All outstanding application processing fees shall be paid prior to issuance of the Use Permit. Environmental Health 7. Prior to building permit issuance, under permit from the Environmental Health Division, abandon any septic tank on-site. 8. Prior to building permit issuance, meet the requirements of the Butte County Environmental Health Division for a sewage disposal permit. Land Development 9. Prior to issuance of building permits, obtain an encroach permit for all new or existing driveway approaches and construct them to County standards, as specified in the County Improvement Standards. 10. Prior to issuance of building permits, deed to Butte County, in fee simple, 30 feet of right-of- way from the centerlines of Lincoln Boulevard and Kenilworth Avenue, along the entire property frontage. The right-of-way shall be sufficient for the installation of standard No. S- 5 at all street intersections. 11. Prior to issuance of building permits, dedicate a one foot "no access strip" or relinquish abutter's rights to Butte County, along the Lincoln Boulevard frontage, except at approve access points. 3 12. Prior to issuance of building permits, establish the 100 year floodplain elevations and lowest floor elevations for any structures. Show on the site plan for building permits the elevations '(by contour) and the location of an accepted NVGD benchmark and a temporary benchmark on-site. 13. 'Prior to issuance the Use Permit, prove to the satisfaction of the Director of Public Works, that the parcel of the subject application is a legal parcel. County Counsel 14. If this entire matter or any finding, action or condition of this matter is appealed to the Board of Supervisors, the applicant or any other developer/operator other than the applicant agrees to defend, indemnify and hold the County of Butte harmless from liability or loss related to the approval of this project and agrees to sign an indemnification agreement in a form approved by County Counsel before the Board's appeal hearing: If the application is not appealed, this condition is deemed satisfied. I hereby declare under penalty of perjury that I have, read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of Ois use permit, and that I agree to abide fully by sai j conditions. Date: NOTE: Issuance of this Use Permit do�wa'uireme t ' 'ng Building and Health Department permits before starting c�it aian other requirements. Butte County Planning Commission Chairman cc: I Building Division Environmental Health Division 1 Land Development Division Fire Department/CDF Butte County Assessor's Office 4 Department C o u n t y J. Michael Crump, Director Warner C. Phillips, Assistant Director November 22, 2002 f Public o f B u t Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 James Alvin Ray P.O. Box.923 .Palermo, CA 95968 Re: CApplication for Certificate of Single Merger ` APL026-172-001 (Lots 1— 6)—J ;Dear•Mr. Ray: On November 21, 2002, the Department of Public Works made the finding that the Certificate of Merger on the'above referenced property is exempt from environmental -,review, and approved the project. Enclosed please find a conformed copy of the Certificate of Merger that Was issued by the Butte County Department of Public Works and recorded 'on November 22, 2002, under Serial Number 2002-0064004, in the office of the Butte County Recorder. 'If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday,.8:00 a.m. to 4:00 p.m. "Sincerely, Stuart Edell Manager, Land Development Division ' SE/kp cc: /nvironmental Health Department uilding Division Ron Graves (02-037) i AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 LANDS BEING MERGED: CC31:3'Y of Document Recorded 22-ROV-2102 2002-0064004 Has not been compared vith original BUTTE COUNTY RECORDER CERTIFICATE OF MERGER AP NUMBERS) 026-172-001 SUBDIVISION MAP: "OFFICIAL MAP OF THE TOWN OF PALERMO BOOK 5 PAGE 4 BLOCK 10 LOTS) 1 2, 3, 4, 5 and 6. BOOK PAGE BLOCK LOT(S) As of the date of recordation, those lands noted above are merged to create ONE parcel(s) of land as described in Exhibit(s) "A" attached hereto. MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER { THE UNDERSIGNED, as owners of all that real property to be merged, do. hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(s) "A" attached hereto. ALL 5I5NA ZZIRES MUST BE NOTARIZED.• /' ►`/►,/�/ . DATE I 1 7/0711 - JAMES 0JAMES ALVIN RAY A M E I C GA STATE .OF CALIF IA }ss. COUNTY OF } On \\\�\� ,beforeme, perso known to me (or proved to me on the basis of satisfactory evidence) to be the persons) 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 persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signat (This area for official notarial seal) ANGELA D. MA3TELOTTO y Commission #1381124 V Notary Public -Califomia Butte County 745M . My Comm. 00 ' "` Title of Document T Date of Document \\\\q\d No. of Pages Other signatures not acknowledged EXHIBIT "A" LEGAL DESCRIPTION LotsA, 2, 3, 4, 5 and 6, in Block 10 of The Town of Palermo, according to the Official Map thereof filed in the Office of the Recorder of the County of Butte, State of California, on February 17, 1891, in Book 5, at Page 4, merged into one parcel. .r 2PA�po L LL.a�N+9O •N 9 SG '9M O; i< No. 4085 (P�''' 06/30/04 ' ��� - OF CAO�Q� Job #02-037 APN 026-172-001 11-14-02 END OF DOCUMENT ii iI .................. 6utte coun, d BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES �i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 PROOF OF SERVICE FAX: (916) 538-2140 April 2, 1996 Juginder Pal Chumber 501iMorrison Avenue Sacramento, CA 95838 II - Dear Mr. Chumber: This is a formal warning notice notifying you that the following violation exists at the above referenced location. Failure to maintain the building in a safe and hazard free condition in violation of the 1991 Uniform Building Code as adopted by Section 26-1 of the Butte County Code as follows: t ! (a) Section 203 --Unsafe Building I The above violation shall be corrected or abated by demolition or removal by obtaining permits to do the required work. After permit issuance, the work must be completed and approved by this office within I the specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten`, TOr d -e ys - from the date -of' this letter, enforcement shall' -.156- pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation' shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation -shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. �I MCV:dms .I r Sincerely, AeF 1, � EL� R-- -1 �-(—! Scott Rutherford Supervisor, Building Inspection N IN lr-k �47 'S' 9t� SSO I s ►Tri i/�.1'il^.�t�f•� y�l,!f(.� �f �•� rt�: MNL in •i Apt I El M- �Md =' _ } -t ✓ I �` •'}iy���(l ,gip^' �,y syr _ 71� w ,,�F...�_.',y./, iiC�• A 4 ' r f , 1 v. y' �f 4- • r , k ` z /y, A 4 ' r r 1 ' f , 1 r 1 ' v. y' �f 4- • r , ' . . . ' ' './. �.��' . � - � . ` ^ , PD008 � ' COUNTY OF BUTTE 03/07/96' ' PROPERTY SYSTEM 10:56:16.5 ASSESSOR JNQUIRY' FEE PARCEL ' PARCEL:~P026 172 001 000STATUS: A 00/00/b0 CREATED: 84R2940646 00/00/00 SEC TRA: 098000 KILLED: DESC: 7513 LINCOLN BLVD ZONING: U ASSMT: 026 172 001 000 STATUS: A 00/00/00 CREATED: 84R2940646 00/00/00 TRA: ^ 092000 TAX CD: 000 'BASE: 00/00 KILLED: ' . ~ CUR DOC: 88R42412 12/15/88 DESC: 7513 LINCOLN BLVDBONDS: N - CH � BER JOGINDER PAL ROLL ASSESSEE: N ' RETAINED OWNER: Y 7051 DOLING DR #80 ACRES- 0.00 SACRAMENTO , CA 95823 ET AL OWNERS: N SUPL CNT: ' COMMENT:'2617200100 CONVERTED 09/08/88 SITUS:' 7513 LINCOLN BL ' PAL OFTION:___ mXT OWN PCL SIT EXP TAX PRE RET MEN PHY VHS (F8vSUMMARY) SC2 ATT USE APR HON VAL HOX HLP NOT SAL N/C ' VIOLATION CHECK LIST A.Y. # ��"®�j Address Owner Owner's Afddi6ss S`b CSC- Owner's Phone No. Supervisoral District Tenant's Name - Phone -No. Type of Violation in Detail with Code Section Priority No. Specific Plot Plan with C/V Noted des no -Penalties Required lst. Notice Sent 2nd. Notice Sent ate Date Comments and/or Determination Disposition U,• For Citation Citation r Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing (A.P. #026-17-2-001) Building Division Department of Development. Services 7 County Center Drive Oroville, CA 95965 VIOLATION LETTER by enclosing a'true copy in a sealed envelope and depositing said envelope in the United States nail with postage prepaid on 2ND. OF APRIL, 1996 and addressed as follows: JOGINDER PAL CHUMBER 501 MORRISON AVENUE SACRAMENTO CA 95838 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 4/2/96 Et OROVILLE California. / �M: of ACZ Iffe Donna Sperling Office Assistant III PROOF OF SERVICE Joginder Pal Chumber 7051 Boling Drive, #80 Sacramento, CA 95823 RE: Building,Code Violation 7513 Lincoln Blvd., Oroville Dear Mr. Chumber: 6,atte Count -,j BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 14, 1995 A.P.#026-17-2-001 This is a .formal warning notice notifying you that the following violation exists at the above referenced location. Failure to maintain the building in a safe and hazard free condition in violation of the 1991 Uniform Building code as adopted by Section 26-1 of the Butte County Code as follows: (a) Section 2037 -Unsafe Building The; above violation shall be corrected or abated by demolition or removal by obtaining permits to do the required work. After permit issuance, the work- must be completed and approved by this office within the specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in. court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns,.a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. MCV:dms Sincerely, A, A/,ac, is ae ieira, . Manaeer, Building Inspection COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965-3397, = /"'" ■ �O r L YQ S �� CR lallTm G)� o n 2 Z, BUILDINr DEPT oyU, � o NOV 20 1995 9➢0 mx ® iN Op Ir pr L „ r ■ MR JOGINDER¢PtA L%CHWMBE 7051 BOLINGVI-TIVE #80 SACRAMENTO %-,195823 PLEASE MAI EARLY FOF CHRISTMA: :�vr�..aywry,3d:X•r�.�'Wv:JtX::yy'...Sy 4 LE PM 4 u, !4 NOV /995 o� ® Ir pr L „ MR JOGINDER¢PtA L%CHWMBE 7051 BOLINGVI-TIVE #80 SACRAMENTO %-,195823 PLEASE MAI EARLY FOF CHRISTMA: :�vr�..aywry,3d:X•r�.�'Wv:JtX::yy'...Sy 4 J )�/ Post-It'"routing requestuest pad 7664 � �ROUTING - REQUEST PleaseREAD To�� ❑ HANDLE ❑ APPROV� j�'Q) 11?/ID R R -15o and ❑ FORWARD ❑ RETURN ❑ KEEP OR DISCARD I ❑ REVIEW WITH ME Date From i J, FNS...:... :( PROOF OF SERVICE Joginder Pal Chumber 7051 Boling Drive, #80 Sacramento, CA 95823 RE: Building Code Violation 7513 Lincoln Blvd., Oroville Dear Mr. Chumber: LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 November 14, 1995 A.P.#026-17-2-001 This is a formal warning notice notifying you that the following violation exists at the above referenced location. Failure to maintain the building in a safe and hazard free condition in violation of the 1991 Uniform Building code as adopted by Section 26-1 of the Butte County Code as follows: (a) Section 203--Unsafe.Building The above violation shall be corrected or abated by demolition or removal by obtaining permits to do the required work. After permit issuance, the stork must be completed and approved by this office within the specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation. (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply, with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. S' cerely, MCV:dms isae ieira, . Man ter, Building Inspection •_ 1 2 3'' 4 5 8 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 PROOF OF SERVICE BY MAIL T am over the age :of 18 and not a party to this cause. I am a 'resident of -.and employed in the county where the. mailing occurred. My business address is: Building Division Department of Development Services 7 County Center Drive Oroville, �CA-'95965 I served the.foregoing _____ _ VIOLATION LETTER (A: P. X026-17-.2-001) by ' enclosing a true copy in a sealed .envelope .and depositing said envelope in 'the United States mail.with postage fully prepaid oniGrh f NnvPmhar 19 9S and addressed as follows: ;.Joginder Pal Ch»mbPr 7051 Boling Drive Sacramento.- CA 95823 I declare under penalty of perjury under the laws of the State of California. that the foregoing is true and correct and that this declaration was executed on 11/14/95 at OROVI -LE California. �z Mich el C. ieira, C.B.O. Manager, Buildino`:Inspection Division, a 1 ` "aq �-/Ala Y- p - Ij Go OF p 0efNCS oE�- 30 O b ,9gg 1 2 3'' 4 a 6 7 a 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 28 PROOF OF SERVICE BY MAIL T am over the age :of 18 and not a party to this cause. I am a resident of'.and employed in the county where the mailing occurred. My business address is: Building Division Department of Development Services 7 County Center Drive Oroville, �CA•'95965 I served the.foregoing _ _.._ VIOLATION LETTER ( A . P #026-17..-.2-001) by" enclosing a true copy in a sealed .envelope and depositing said envelope in the United States mail with postage fully prepaid onl4rh of TVnvPmhPr 19and addressed.as follows: .Joginder Pal Ch>>mber 7051 Boling Drive Sacramento,- CA 95823 . I declare under penalty of perjury under the laws of the State of, California that the foregoing is true and correct and that this declaration was executed on 11/14/95 at OROVIL_T•E California. *Micael. Viaira, C.B.O. Manager, Buildifio"Inspection Division 5 OWNER: ,16C r A)DC-R. cm et2 uu �S13. ,LItilCo�.0 t,3c.Y1a LOCATION: L -e k CONTRACTOR: DATE TO INSPECTOR: u ,r �p TYPE OF OCCUPANCY: %5'/ 13oU�1G ��e• 9440 sA-Td, �4 95823 DATE: A.P.#: T ZONING: 0 PERMIT HISTORY:'[ ]NONE [ ]AS FOLLOWS: ate valuation of amaged Aor• Date• � i f .s BUILDING INSPECTOR'S REPORT Building Description: [ J Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. Electric:,;! [ ] Yes [ ] No Electric is currently : [ ] On [ ] Off t Condition of electrical? as: ► Natural[ ] Propane[ ] None[ ] Currently On[ ] Off-[ ] Obvious problems: I Sanitation: E Plumbing working Yes[ ] No[ ] F� Well:; Yes[ ] No[ ] Potable water: Yes[. ] No[ J 4 Obvious Sewage Problems: escription of Damaged Area: h1 e Q.t., I / ate valuation of amaged Aor• Date• � i f .s DAMAGE: SORES WT.. DOZ - CREW AA AT HC SAVED: OTHER EQUIP; MEDICS L_ PAGE S OF � : CDP % BCFD DAILY INCIDENT LOG IJY AfiE kR M ,$, A/M 42K b y DATE T f X00@@6r� @@@L6@@@6 @@@@@@@@@@@O@@@@@@@@@@@@@@@ @ WO FRO NAME TYPE •-. - . REPORTTIME ART JIME CONTROL TIME L0 ATION: ! BAT:. CAUSE: ENGINES: CDP BCFD CON OFFICER: bAMAGE: SQ/RES WT DOZ CREW AA AT HC IOG�s K,y, SAVED: OTHER EQUIP: MEDICS LAND USE:. ACRE/TYPE TOTAL INTI n OWAR/TENANT WRA 6X /� DAMAGE: SORES WT.. DOZ - CREW AA AT HC SAVED: OTHER EQUIP; MEDICS L_ _ "=tib` vJ `J=\, �"t. �..:•�..: f +��-,«ti! U`�� ��-_' _L... 1 � ' � t 't li • r 4 I i f jt s, 'I •ti • g�'�,.",L.tti:`.� � �� `�t�i��y�`,�}vii.� L����;�+� rS �`�'`. y�,�. �, ty . .4 1 it i _ "=tib` vJ `J=\, �"t. �..:•�..: f +��-,«ti! U`�� ��-_' _L... 1 � ' � t 't li • r 4 I i f jt s, t i t� it i , COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: COMPLAINA.MT : SyA N IT A ADDRESS: PRONE NUMBER: CAUTION REASON: ZONING HISTORY: OTHER COMMENTS: ICOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION"AND PERMIT P E/R,M7I T NO. YJ Z) — 8� ASSESSO PARCEL NUMBE —/72 — 20NING BUILDING PERMIT O WNE p AJ �,,,///JJJS;I/_�Zg �(.,�yS�i��y�1!C L_fH SO. FT. BUILDING VALS/U�ATION 70 �F�/$$/o��L/,1I/jam O WN�/ ✓O LIN��V (/ /TV l.� • aw /••� /JOCC. CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2 0.0'� Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ '50-0,0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S BUILDING ADDRESS 7.7 / 3 & A & /V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 /� A P4LC1e1V0 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water.heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURES SF ❑ Duplex ❑ Mobi lehome ❑ Other 729 VLe',tv/ SPECIFY Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK New ❑ Addition [B/Re odel ❑ I�ities ❑ Installation ❑ Other ❑ Describe work: �/A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. / 2h0Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification S�f L,ep I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUT LET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR POWER APPARATUS &) NON-RESID, ( SINGLE OUTLET CIR. 20es0C XTs OR FIXTURES Ex. Occup SALO 30 FIXEDD APP LNS, OR Ex. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Co my in consequen a of the granting of this permit. X Date a°� g Signature of Applicant — ner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- in2height. ion of structures over 3 stories1? Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 55,0_0 OCCUP. GROUP I TYPE OF CONST, I PARCEL PD 1 HD 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ZPA3, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 0E- PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL„E, CAG- FORNIA 95965 - TELEPHONE: 916/534-4541 OWNER ALPEV 'FO Proposed B u i.l.d i ng U -PERMI AP_-,P:LICATION DATA SHEET &)W '1.- /-0 f- %1, q Permit No. A. P. No. 7-6, / % Z — / Permit Fee Based Upon,,n / Complete Contract Price l/ DPW Valuation V_ftw_ ceOther (Explain) ' / Building Inspector Date '3� �g �8`'� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . r� 2 Plot plans in dupl� //triplicate. . . . . 3. Complete plans in du-p-l•i,cate-/tr-i•p-li-cate 4- 41tP., fR.f 4. Complete engineered plans and calcs. . P 9 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. '�� Telephone 533'11 2 and h� for pickup at office: Deliver w/inspector. Other Applicant ������ Date 3 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2I 3 2. Additional items required: (Contractor, Designer, 0 ne was advised of above required da Telephone Mail Other By Date`3�d Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - DEPAR.T44-Eha OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534.4541 APPLICATION AND PERMIT PERMIT NO. `?//,)- & ASSESSO F; PAR7 NU=BEyI/ . L�j-1/O Z OWNE �C-ACAJPc bZ3-,jvZf ZONING ' ~���� BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OWN/ ✓ A LING PRE AUE• V/L�l� O CONTRACTOR'S NAME TELEPHONE D ���j O 3o CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ YV o'" LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee 1,f $ 10.00 Permit Fee Plan Checking Fee $ rytj $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS ^�---Ilt `Of.� Al ^� ruJ b. Penalty Permit fee $ S PLUMBING PERMIT Flli Fee 10.00 ng Each Trap 2.00 Solar Water Heater 20.00 /� F4LC-6MO Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 55,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTUREI/ ,/ SF ❑ Duplex ❑ Mobi lehome ❑ / Other q V v SPECIFY Building sewer 5.00 Mobile Home I S I G 1W 0.00 e , TYPE OF WORK New ❑ Addition VReT odel ❑ itie ❑ Installation ❑ Other ❑ Describe work: EA77TY Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1OOV OR 00 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am 'exclusively contracting with licensed' contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. g\ 21/20sgft - NEW CONSTR I. u LET NON.RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR. / POWER APPARATUS &') %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES DALA o` FIXED APPLN3.OR Ex. Occup. OUTLETS (RESID.)EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit Is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. fiy T71 I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cc my in consequenV of the granting of this permit. X11 3 , Date Signature of Applicant — ner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. ' Mobile Home Installation Fee $ TOTAL PERMIT FEE $oa- OCCUP. GROUP TYPE OF CONST, I PARCEL Po ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date pin� Receipt No. ZDJ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT '�i ,026-172-001' PERMIT#96-1,089.'. �CHUMBER, Joginder Pal ,7513 Lincoln Blvd., Palermo Demo/Bar A7 kV IT IT COUNTY OF BUTTE - DEPARTM ENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Orovilld, Califo-nia 95965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT ASSESSORPARC�F--L7L7Nulla M Uat f.J _ �t_ @01 zDNING BUILDING PERMIT OWNER JOGINDER PAL CHMER TELEPHONE SQ. FT. OCC. BUILDING VALUATION MWIM F LOW OWNEA'S,,M011GT 95838 �J�JSON AVENUE, SAM, 95338 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ aUILDIN'MpFySsj LINCOLN REVD, BALERMO 11 PERMITFEE $ nD• 00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP ,Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY I Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑:1t1 DEMOLISH BAR Describe Work: — , j Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 � Main Service ( 500v OR LESS ) 200A OR ESS 23.00 Main Service ( 200A To 1000A ) 46.00 y LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: a 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 NEW CONST. DWELLING OCCUP. OR ( d ACC. BLDS. ) SO. 3.50 FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ER ( &Ps NG E OUTLETT CIIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 6AL Q .50 EX. Occup. (oFIXEEDrs (RESID.) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor; Code, I shall forthwith comply -with th se provisions. •- Iv l C� / X k>-�,= . —� � ''� _ Date I' �(C' .� r 1(C Signature of Applicant -;�I Owner ❑ Contractor ❑ Agent ' An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 65.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL pD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicat d bove for which fees have B il'i}�J ,,+/� PERMITEXPIRESON I the applicable provisions Resolutions to do work beg,6 paid. i Date (Date) Receipt No. N 01 � 15~ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS 7 .County Center Drive - Oroville, CalifornW 95965 - Telephone (916) 538-7 — PERMIT NO. APPLICATION AND PERMIT z XC_ ASSESSQQ�CELfIlJ),IB i 001 �JJ[O,GIlND/ERL ZONING BU DING PERMIT OWNER PAL CHUMBER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS!rAffRJSI SON AVENUE, SACTO 95838 �( CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 45. 00 ARCHITECT OR. ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BURRING ADDRESS 7513 LINCOLN BLVD, PALERMO PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑XX Describe Work: DEMOLISH BAR Mobile Home ISI G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service800V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: J 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) O. 3.50 For NEW CONST.LTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .SO EX. Occup. (oFFIXE ELETS PLMS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ` I certify that in the performance of the work for which this permit is issued, I shall / not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wcrkers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp ith th se provisions. • J — X ____ Date Signature of Applicant -�l Owner ❑ Contractor ❑ Agent ) An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 65.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I rssuE. This permit is hereby issued under the of the Butte County Code and/or indicate ova for which fees have B PERMITEXPIRESON applicable provisions Resolutions to do work a paid. Da a <S Yb /�LP / S �0 (Date) Receipt No. � / 60 1 S WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition Permits Asbestos Notification §tatement Date 5-// 6 AP# O - / q J -OU/ Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue -demolition permits as to any building or structure except upon the.receipt from the permit applicant of --a copy of each written asbestos notification regarding the building that as been required to be submitted to the United -States Environmental Protection Agency or.to a designated state agency, or both, purduant to Part 61 of Title 40 of the Code of Fe deral=Regulations, -or the successor to that part. The.permit may be issued without the applicant _..submitting a copy of the written notification if the.applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Jigndi:ure vi n i iii aii'% OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant 2/19/91 Sent by: LOTUS INTERMODAL 9169226413 05/16/96 11:15 Job 212 Page 1/1 ... . . . ........................................ ...... . . . 3 /W August 8, 1996 Joginder Pal Chumber 501 Morrison Avenue Sacramento, CA 95838 I RE: 7513 Lincoln Blvd., Palermo, CA APN: 026-172-001 B E A U T Y •--•r,•••"Tv - yr✓cv GLvrmuY1 JtISVIGtS 7 COUNTY CENTER DRIVE - ✓ OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 Dear I Mr. Chumber, A f6rlmal warning notice was sent to you on April 2, 1996 regarding an unsafe structure at the above referenced location. The unsafe condition is the result of a previous fire. The building is located such that it creates an attractive nuisance for children and transients. Although a permit to demolish the structure was issued on May 16, 1996, no measures have been taken to secure the demolition site from children or transients. The remaining structure is unsafe and must be°secured immediately during the demolition process, or immediately demolished. Please be advised that a citation (ordering you to appear in court) can still be issued for the outstanding violation and unsafe condition. Contact this office upon receipt of this letter and secure or demolish the structure on this site :immediately. I Sincerely, Mic el C. eira, C.B.O. Man ger, Building Division cc: Gary Brown, Code Enforcement Phil Nelson, Environmental Health File \Chumber 4 1�1 0 Inter-Depart 0 emorandum u 0% TO: FROM: SUBJECT: tAW 2-- C/o DATE: CAL L dA4-k� Z;7 TZ 30 P 01, ;!,ED 18-B County Center Drive 44 Oroville, CA 95965 .. (916) 538-7282 ` ' 'FAX (916) 538-2165 C3 1469 Humboldt Road Chico, CA 95928 (916) 891-2727 FAX (916) 895-6512 1995 L-A ND OF ..NAT:URAt` EA BEA DEPARTMENT OF PUBLIC .� HEALTH DMSION .OF ENVIRONMENTAL :HEALTH 7 County Center Drive 747 Elliott Road Oroville, CA 95965 Paradise, CA 95969 (916) 538-7281 (916) 872-6308 FAX (916) 538-2140 Edward A. and Betty J. White 2075 Palermo Road Oroville, CA 95968 'Palermo Inn - AP# 026-172-010 •Dear Mr. -and Mrs. White: This letter is a follow-up to.my recent inspection of Inn. I -'m sorry to note that the Palermo Inn has had - and'is now abandoned. the Palermo fire damage As you probably know the fire damage was fairly wide spread and to the extent and condition as to cause a nuisance. Access to the interior is readily available through the missing doors and windows to this building. In 'my view, this building is an attractive nuisance which may prove detrimental to children, inquisitive minors and the public. },rt This is -in violation of California Health and Safety Code 17920.3 and Butte County Codes. _ You have thirty (30) days to present an acceptable plan for ' abatement or corrective action to be taken by you to mitigate the nuisance. If you have any questions regarding this letter, please contact me at the above listed address or telephone number between 8:00 - 10:00 a.m. Monday through Thursday, closed on Fridays. Sincerely, Jerome.C.-Tarmann, R.-E.H.S. II Division -of Environmental Health u JCT/sg/a:white - A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW -51 Y Q;� Zii C3 1469 Humboldt Road Chico, CA 95928 (916) 891-2727 FAX (916) 895-6512 1995 L-A ND OF ..NAT:URAt` EA BEA DEPARTMENT OF PUBLIC .� HEALTH DMSION .OF ENVIRONMENTAL :HEALTH 7 County Center Drive 747 Elliott Road Oroville, CA 95965 Paradise, CA 95969 (916) 538-7281 (916) 872-6308 FAX (916) 538-2140 Edward A. and Betty J. White 2075 Palermo Road Oroville, CA 95968 'Palermo Inn - AP# 026-172-010 •Dear Mr. -and Mrs. White: This letter is a follow-up to.my recent inspection of Inn. I -'m sorry to note that the Palermo Inn has had - and'is now abandoned. the Palermo fire damage As you probably know the fire damage was fairly wide spread and to the extent and condition as to cause a nuisance. Access to the interior is readily available through the missing doors and windows to this building. In 'my view, this building is an attractive nuisance which may prove detrimental to children, inquisitive minors and the public. },rt This is -in violation of California Health and Safety Code 17920.3 and Butte County Codes. _ You have thirty (30) days to present an acceptable plan for ' abatement or corrective action to be taken by you to mitigate the nuisance. If you have any questions regarding this letter, please contact me at the above listed address or telephone number between 8:00 - 10:00 a.m. Monday through Thursday, closed on Fridays. Sincerely, Jerome.C.-Tarmann, R.-E.H.S. II Division -of Environmental Health u JCT/sg/a:white - A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW Su ne, (0, LAN D OF NA TU RA'_ W �1_,;'_ T H A N D B EA U 18-B County Center Drive 0 1469 Humboldt Road Oroville, CA 95965 Chico, CA 95928 (916) 538-7282 (916) 891-2727 FAX (916) 538-2165 FAX (916) 895-6512 June 20, 1995 Edward A. and Betty J. White 2075 Palermo Road Palermo, CA 95968 DEPARTMENT OF PUBLIC HEALTH DMSION OF ENVIRONMENTAL HEALTH 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 CERTIFIED MAIL - RETURN RECEIPT REQUESTED RE: Palermo Inn, AP# 026-172-0.10 Dear Mr. and Mrs. White C] 747 Elliott Road Paradise, CA 95969 (916) 872-6308 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated June 20, 1995- notifying you that you are in violation of .the BCC at the above -referenced location. -As of this date, the following violations still exist. The.fire damage building is an attractive nuisance which may prove detrimental to children, inquisitive minors and the public. (See enclosed letter dated April 12, 1995.) This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within, ten (10) days from the receipt of this letter, enforcement shall`be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply,with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). If you have any questions regarding this letter, please contact me at the above listed address or telephone number between 8:00 — 10:00 a.m. Monday through Thursday. Sincerely, me ..C.. Tarmann,nEE.H.S. II 1t . i o.n o_f Env i rAoCLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!! ! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public!!!!!!! (2) KAFORMS\Complaint Form revl.doc Received: e/ 8/96; 12:00; 916 538 2140 v> LOTUS INTERMODAL; #1 May -08-,96 01:OOP Butte County 916-538-2140 P.01 A izt� �o�� L` h i -f /,Ver Attention Property Owner: An "owner -builder" buildinY permit has been applied for in your name and baring your signature, pig complete and return this iauformadon at your earliest opportunity to avoid unnecessary delay its processing and issuing your building permit. No building permit wiff be issued fantail this verification is received. 1: I personally plan to provide the major labor and materials for construction of the proposed property improve inent : YESW NO[ �. 2: I HAVE[ j HAVE NOTWI signed an application for a building perzi it for the proposed work. 3. T have contracted with the, following person (firm) to provide the proposed construction: � D ,�— NANIE:�� ADDRESS: r, --- MY: PRONE: CONTI"CiORIS LICENSE NO. 4, I plan to provide portions of this work, but I have hired the following person to coordinate,, supervise, and provide the major work: IN AIVIZ: ADDRESS: CITY: PHON`E: CONTRACT'OR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the folio os ng persons to provide -the work indicated-, Na1IEADDRESS PHOtiE TYPE OF WORD 4 FA -o SIGNIED:,A PR PERTY OWNER: C2 /V, SOCIA, SECTRM NUMER: 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 "d returned to our o[rce before we are permitted to issue the pe rs.it: OVFR 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ ] NO[ ]. 2. I HAVE[ ] HAVE 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: NAN E ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide potions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: N U E• ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NXIME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: a NOTE: Al r tw.Aka..s�trr. 9�. J� 5019/ro!/1 e Irl rrJi l P This owner -Builder Verification is required by Section 19331 and 19332 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. OVER her PDO07 COUNTY OF BUTTE 04/0::/36 PROPERTY SYSTEM 8:03:28.1 ASSESSOR INQUIRY FEE PARCEL PARCEL: 026 172 001 000 STATUS: A 00/00/00 CREATED: 84R2940646 00/00/00 SEC TRA: 09 000 KILLED: DESC: 7513 LINCOLN BLVD ZONING: U ASSMT. 0426 17 001 000 STATUS: A 00/00/00 CREATED: 84R2940646 00/00/00 TRA: 092000 TAX CD: 000 BASE: 00/00 KILLED: CUR DOC: 88R4:41' 12/15/88 DESC: 7513 LINCOLN BLVD BONDS: CHUMBER JOGINDER PAL ROLL ASSESSEE: N - �D � �IDRR��d7J 14UE RETAINED OWNER: Y - ACRES: 0.00 SACRAMENTO CA -35 � 3 * ET AL OWNERS: N 900 SUPL CNT: COMMENT: 2617200100 :00100 CONVERTED 09/08/88 SITUS: 7513 LINCOLN BL PAL OPTION: -__ NXT OWN PCL SIT EXP TAX PRE RET SC':: ATT HON APR MEN HLP PHY # # # # THIS PARCEL IS IN DEFAULT* ## # AS10 (S) SECURED TAX ROLL - ASMT INOUIRY 04/02/96 ASMT: 0.-'.G 172 001 000. ESC YR: FEE ASMT: 026 172 001 000 STATUS: ORIGINAL BILL BILL DT: 09 18 95 BASE ASMT: 026 17' 001 000 ASSESS: ACTION: COMPLETED OWNER: CHUMBER JOGINDER PAL CODE AREA: 094' 0100 ADDRESS: SUPL CNT: 0 NOTES: YES 7051 BOLING DR #80 EVENT DT: SACRAMENTO CA 95823 IST:; 153.04 12/11/95 DUE SND: 144.59 04/10/96 DUE CORTAC # CUSTOMER: TOTAL DUE: 303.63 SR CITIZEN N BNKRUPT: N MEMO TOTAL -TEES INCLUDED: 0.00 SIT 1/2: 7513 LINCOLN BLVD PALERMO RC # CHGE DATE ID R&T DESCRIPTION BILL TYPE XREF DFLT DATE: 06 29 90 DFLT #: 000612 NOTICE DATE: 08 16 95 REDEEMED: 00 00 00 F1=FEE IDX F'=REDMP F3=PRINT F4=VALUES F5=TAX DATA F7=MENU F8=NAME/ASMT F9=NAME IDX PAI=NEXT PA2=PRIOR F10=NOTES Fll=FEES F12=PART PYMTS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397 TELEPHONE: (916),538-7541 FAX: (916) 538-2140 PROOF OF SERVICE November 14, 1995 Joginder Pal Chumber 7051 Boling Drive, #80 Sacramento, CA 95823 RE: Building Code Violation. A.P.#026-17-2-001 7513 Lincoln Blvd., Oroville Dear Mr. Chumber: This is a formal warning notice notifying you that the following violation exists at the above referenced location. Failure to maintain the building in a safe and hazard free condition in violation of the 1991 Uniform Building code as adopted by Section 26-1 of the Butte County Code as follows: (a) Section 203 --Unsafe Building The above violation shall be corrected or abated by demolition or removal by obtaining permits to do the required work. After permit issuance. the 1.1ork must be completed and approved by this office within the specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation_ (ordering you to appear in. court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns,_a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. MCV:dms Sincerely, 0'u zax' is ae ieira, . Manager, Building Inspection 6 ........... 0. Mommawaffloommm 01,� own= 2 3 ..... .. . .. .. .... 6' 7 .9 .9 ....... .. . ...... .. ........ 12 12' 16 Z a . .... ........ . . ..... ...... H. ....... . oil= . . . . ... :4 ............................. . . . . . . . . . . . . . . . . . . . . . . . ....... . . . . . . . . . . . . . . . . . . . . .... 23 Is ...24 I M., M 19 25 26 Wo 27 0 21 22 .32 2s 26 .......... i7 J 77 30,' 40 31 4 32 . . . . . . . . 33 i . . . . . . . . . . . . . . . . . . . . . . PLANN I'NG DATA MAINTENANCE, 4 4., 36 _qTaTl ICZ - ar.TTUP TPa2 09'1016) F'TTV--i`,�" Q 37,_ 49 38 30 S c CODE VIOLATION. C TATION-. ACRAMENTO'. C4 95823 -CURR DEED/DT-. -BBR42412 -881215 421, 56 nl=Qr - Twrnl KI P1 Of) .... . ....... 43 57 59 0, 45 60 46 '1 MP PLAN' -AREA.- CENSUS:. TR- 32 'ENV DOC. 000.,�, 6 ,IQ, .1*5 47 62- .0 0 BOTAN.-� AR'CH,-.. ASBI-. CLCA.- H 0 E -X MCAg 48 rnMMPKlTq- 64 49 so 66 low 67 51, 68 53 71 54 NIP K11 I - Ci I —nqr,, TKIn iY?—PH\/ fPaR -C)A�TRa ivio T KI C)'7 -TPA T Kin- 'Cih-Pll IR WV -.-'q I C)-FNtJ Hi -r, 72 5� 73 0 56 57 . . . . . . . . . . . . . . . . . . . . . . . . . . 10 591 15 60 Jl -� . �� � � j . ,= �� _ >_ EXISTING C DROP INLET FLOW LINE 44 Cob TELEPHONE POLE 3010 PROPOS D GARAGE CULVERT mg. PROPERTY LINE EXISTING HOUSE BUILDING PAVEMENT,,,_ LIVING AREA SETBACK LINE v EDGE OF EXISTING � PAVEMENT -H � � | o . u) � ^' 026-172-001 C-1. �v` ^ U | 713 ||WCOLN BLVD | JOINT POLE �D »0!52 ACRES — ' P^''OPOSEPROPOSEDUSE: RES|D | | > | BUILDING | SETBACK UNE - | ^ TREE TREE ^ U | | EISTING FLpW LINE PROPERTY UNE FENCE UNE - A, . 150'± PROPERTY LINE AND FENCE UNE EXISTING ROAD P. V. dux Y60 UKV VILLt, UAL. Ph. (530)533-8844 03-045