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Home My WebLink About007-200-033� � . � � � ico CK 15 Mayfair Drive, Chico Co tr Contr: Johnson Construction Co, Chico 033 . .[FREDRI McKEE pair re, ni SCHARF, ROBERT� 15 MAYFAIR DR, CHICO INALE CHNG ROOF MNT HVAC . . " ` ° ' � . � . . . .�� - ° ' � cm 311-82B E .....,HERMIT NO. _. PERMIT EXPIRES 2/9`/83 OWNER 'FREDRICK'McKEE CONTR. Johnson -Construction Co, Chico ASSESSOR PARCEL 44-38-33 LOCATION 15 Mayfair Drive, Chico. Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Servi a Cal led PG& E JOB FINALED (D Signature = OK �-1 0 = Not OK - = Not Applicable MO-SILEROMES t MISCELLANEOUS = Not Ready , Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) U., except 4 _ 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc�us..res 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors, Card -BI Card -BI. Date 7. Utility Clearance Date Card -BI •Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date V POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4. Elec.; Receptacles and Lighting; Distances -GF) 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector' 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval- 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date ,J r itY � t J = OK O = Not OK - = Not App(icabll = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, zits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Lan g -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Ve s -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 1-11 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed -F . Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Pro tion -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing- bits 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date ar I' Date Card -BI Dae Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. &1 Stepr Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57- 58. - MVX9-0MUctor -FnFwaee Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 5Q -Be4Feem-Erhing 17. Shower Pan; Test, First Floor -Tub Access Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access pV MO. jpM a, Subparnes Gas Pipe; Size & Anchors 6 _ _19. 69. i4pleee e# Stove; Clearances -Hearth CIWElec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date nd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 cies at Kit. Counter Date ELECTRICAL Permit OK except H's6&_ge-Damper wing -Landing -Closer 20. Fixture & Transformer Clearance -Ins. Protection69learance-Comb. Air-Connector-P.R.V.- Inrage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & S tches at Doors E & Mecb. Equip. Listed for Location 22. Size Boxes & No. of onductors- in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed CI a to uds & C.J. 24. E p. j,round m ech. steners-Bond Gas &Water 7 73. sulation-Foam-Looked in Attic 9Y•es- 19amd-Raffs&'Deck Construction -Post Caps 25. pli c Ci in Kitchen Conductor Size 26. S f e Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7e Eda_Ueots-°_:awl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes , 27. Ya5ge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 74rive 115. ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucut), -Finish _ 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. ct-Clrnces-Brkr. & Cond. Size -115V Outlet _-_ 30. Clothes Closet Light -Shower Light 7 o .-Appliance-Firep1.-Clearance to Opngs. 7 nnect, Electrical, Plumbing Card B -I , Date / rd -BI Date 89. .. Receptacle -Underground out House Card B -I Date Card -BI Date -gam G4&&r•pr•aTeclion Date MECHANICAL (Permit) OK except N's:Fest 31. A.C. Ducts; Insulation & Support 84. _ Previous Inspections Bea Mete" Tagged; Gas -Electric 8 ew - 0 to Grade -HD Approval -__ 32_ Vent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI - - ---- _ Date -_ Card -BI Date Card -BI Date W and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Comments at Fin I: Date FRAMING Plans) OK except q's i ro er Mater' &Anchors *_-WfiIls; Studs -Nailing, Spacing & Braci - lates-So 38. Bearing Walls over Girders Floo aili g__ 39. Draft Stop in Walls (rat pro ) _ 40. Fire Stops; Furred Ceili airs -Chases ub 41. Header & Beam -Size & ing 42. Hanger Pos(Cap -A hors-_Conne rs v 43. Cing J is,_ies-Purlin-R erac.-Truss-Shthng.-Rfng. 44. F pl Type A Flue ireplace Throat 'Te 4- 45.Attic cSize & Rom_ex rotection-Draft Stop -Ins. Baffles 0, 46. Bdrm. indo_ws or_Exitin Hgt. & Dimensions 7. idarag Fire Protection Framing \ Vv (NOTE: An entry must be made each time you visit job site) &INSULATION 3851 MORROW LANE — CHI CO, CALIFORNIA 95926 — (916) 895-3900 s RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 15 Mayfair Drive, Chico, -CA .(location) BUILDING PERMIT N0. A.P. NO. tic - THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. N/A Fdn..Walls N/A Floors N/A Walls N/A Ceiling/Roof X Ducts N/A Circulating Pipes -N A APPROVED HEATER N/A APPROVED WTR.HTR. N A GLAZING: Single Glazed N/A Special (Insulated)' N/A CERT. & LABELED WDS. & SLIDING DRS; N/A WEATHERSTRIPPED DRS. N A BACK DAMPERED FANS N/A INTERMITTENT IGNITION DEVICES N/A CERT. APPLIANCES 'N/A I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name C & J Roofing and Insulation �"'�► (plea. -ie rant) Signature of , a ; Insulation Applicator ( Stafe�Contractors License No. 309245 General Contractor/Owner Name 4%1'1�e 6" Jr,� �r 50 Jr n 5 on lease print) Signature of General Contractor/Owne4,Z^ Date State Contractors License No. ?i �' °17� THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPAR'IME[T PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891'-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING ORP OPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, ,*/, need additional explanation, please contact this office immediately. �� Y7Inspector ��/ G" v Date L. COUNTY, OF BUTTE - DEPAR"`TIVIENT OF PUBLIC WORKS 7 County Center Drive - Orovil+le, California 95965 - Telephone 916/534-4541 APPLICATI0P AND. PERMIT EERMIT NO .A 2 l �. ASSESSOR P=C� �JUMBER (fQ ZONING BUILDING PERMIT O WNE G, TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONT T'SNAMI- IJELEPHONE CO OR'S MAI ING ADDRESS -'" t Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 71F,00 ARCHITECT OR ENGINEER 1-1.457A.1 97 LICENSE NO. Plan Checking Fee $ r Nf $ v ARCHIrECT OR ENGINEER'S MAILING ADDRESS Permit fee $ S p BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 L Q Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities Installation Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): g 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. 5/ -?q7 U Classification 13 ❑ 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 NON-RED,EWCOs R BRANCH CIRCUITS2.50 ea NEW CONSTR. POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BALO1 CO IXED APPLNS. OR EX. QCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ p Contractor MECHANICAL PERMIT Filing Fee 10.00 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 shal I be deemed revoked. 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabil' ies, judgments, osts, d expenses which may in any way accrue against i County in ns quen of the granting of this permi . ,QRZ_ Date U Signature of Applicant — Owner ❑ Contractor 52" Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures/over 3 stories in height. Mobile Home Installation Fee $ 'l TOTAL PERMIT FEE $ C/ occuP. GROUP I TYPE OF CONST. PARCEL PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC P LIC By 4r\ 1 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. (D�Dy E� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF DEV ELOPMEN SERVICES BUILDING PERMIT .24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ^. License Class : % C i �✓ License Number: i Date: 4(A - l a— Contractor: ,4�►2�1C %l i�2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: PERMIT NO. 1695 V Issued Date: 06/10/2004 APN: 007-200-033-000 Site Address: 15 MAYFAIR DR CHI Map Index: Description: CHANGE ROOF MOUNT HVAC UNIT Owner: SCHARF ROBERT A & SHANNON M 15 MAYFAIR DR CHICO, CA 95973-0706 Applicant: ARTIC AIRE OF CHICO INC 2350 PARK AVENUE CHICO, CA 95928 530-895-3330 t Contractor: ARTIC AIRE OF CHICO INC 2350 PARK AVENUE CHICO, CA 95928 530-895-3330 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 234913 ❑ 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 . �' issued. 2 insurance, � Architect: U G� I have and will maintain workers' compensation as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: +� / Carrier: /�e� "(��1v�)Z Policy#: Total +Square Ft: 0 S. F. Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Uel Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one i hundred thousand dollars ($100,000), in addition to the cost of k compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CCNSTRUCTICN LENDING AGENCY This pa iiEis hbreby`issued• uriderlhe'appftabie "provisions of the B"utte'Cnurrly Coda-2ntV0r I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: PERMIT EXPIRES ON: Address: td" I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: I1 �( ) l J1>y I P Signature: Date: G — / 0 — 13 Owner ❑ Contractor ❑ Agent for Owner lg Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP041695 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 06/10/2004 APN' 007-200-033-000 ' the Business and Professions Code, and my license is in full force and effect. tea, License Class: o V— Q,W License Number: )} Site Address: 15 MAYFAIR DR CHI Date: Contractor: Any)C Map Index: Description: CHANGE ROOF MOUNT HVAC UNIT p . OWNER -BUILDER f p DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: SCHARF ROBERT A & SHANNON M to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 15 MAYFAIR DR 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95973-0706 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 Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: ARTIC AIRE OF CHICO INC 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 2350 PARK AVENUE year of completion, the owner -builder will have the burden of CHICO, CA 95928 proving that he or she did not build or improve for the purpose of 530-895-3330 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: ARTIC AIRE OF CHICO INC pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code 2350 PARK AVENUE CHICO, CA 95928 Date: Owner: 530-895-3330 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 234913 ❑ 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 issued. ---,,Shave Architect: Q and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and/policy number are: Cartier: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: LAl %-r7 CAD Z X56 7 ❑ 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 Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: ✓ JA 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 permit is hereby issued under the applicable provisions of the Butte County Code. ?nrt/or I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: PERMIT EXPIRES ON: Address: Date I 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. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. `ii Print Name:(:7n I � _i7i).1 1 \ Signature: 9 G — ()— O-4 Date: / ❑ ❑ Agent for Owner Ig Agent for Contractor ❑ Owner Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER Name (:.L W i ), N - Address S� In/-,)` City c I,-) co State 04 ZIp Phone _ at✓ Fax E-mail APPLICANT NAME CONTRACTOR Name yrIV- city �) I Cc; Address n V)° city C'y,� co Fax &te, Zip Phone 3 Book Fax E-mail Planner # Ckss C APPLICANT NAME ARCHITECT/ENGINEER Name city �) I Cc; Address Z � city Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name AddreslZ-,,-., city �) I Cc; State�� Z � Phon�—,,S 33 ,51, Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BPS BIN # LOCATION AP# G,d�7. PropertyAddress is > (r► /JCA i Cross Street WORKER'S COMPENSATION Policy Number iW une.A&E -37 cXC If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: un ylm� Sq. Footage ❑ 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 riot refundable. Received by: J<�, -le— Amount: 55 • Bldg SRA Receipt#: Sheriff Date: (o/I o%¢ SMIP Other Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation: (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO 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 GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMSSdgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: L C- W I of ASSESSOR PARCEL NUMBER �%' z �6. -e> 3 Proposed Building Use: 1-f G 49 A C f,4-3 I jr Counter Technician: f �h ~ Date: Ga • 1 O • O of Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 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 must be stamped and wet -signed by the engineer. ❑ 10. 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........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ' ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ -35. Existing violations and/or expired permits......................................................... 0 36. De d Restriction......................................................................................... ❑ 37.Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter Date: Date: Date Date: RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No.: 04 -214265 -JH Locate No.: CAFNT0958-0958-0002-0000214265 Title No.: 04 -214265 -BD When Recorded Mail Document and Tax Statement To: Mr. Rob Lewin 15.Mayfair Drive Chico, CA 95973 20GD4-0028842 Recorded Official Records County Of BUTTE CANDACE J. SRUBBS Recorder ROSEMARY DICKSON Assistant 02:04PM 14 -May -2004 REC FEE 16.00 TAX 270.05 PCOR-PR 20.00 Mark Page 1 of 4 APN: 007-200-033 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED LaLddreondocurrsnt. mter- ?.. The undersigned grantor(s) declare(s) ±(�!oT a Documenta transfer tax is 270.05 � T I � Documentary $ mailing [ X ] computed on full value of property conveyed, or ,rrsnt.computed on full value less value of liens or encumbrances remainingalb; [ ] Unincorporated Area City of Chico, FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Robert A. Scharf and Shannon M. Scharf, husband and wife as community property hereby GRANT(S) to ... -Robert Lewin, a Married Itn as his sole aryl separate property the following described real property in the City of Chico, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: May 10, 2004 STATE OF CALIFORNIA COUNTY OF KErM ON M ek y 1before me, Hsi L% -Ta "h -YlviCa�)�ersonally appeared S ha o ilo n P1. Sc a r -'f personally k+aown t�proved to me on the basis of satisfactory evidence) to be the person(t) whose name(* is/_ subscribed to the within instrument and acknowledged to me that he/she/t" executed the same in /her/tir authorized capacity(), and that by bis/her/their signature(=sj on the instrument the personH, executed the instrument. Witness my hand nd official seal. Signature HSIU-TAI LIN Commission # 1397783 @,my Notary Public - CaliforniaKern County Comm. Expires Feb 2, 2007 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(3-04) STATE OF Ca COUNTY OF Butte On May 12, 2004 before me, Janet R. Herbert, A Notary Public (Name of Notary Public) personally appeared Robert A. Scharf personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. 60 91 V, CC9rn01 i'3513 gu I-V? C'0i'k0 � (notary)(07-02) (This area for notarial seal) - ._-..• ��.t Y�� .;�,r_r-mac-Tom---"""..,__. I" �pcane rvo.: CAFNT0958-0958-0002-0000214265 r Title No: 04-214265 BD EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: PARCEL I: A portion of Lots 13 and 14, as shown on that certain map entitled, "Hobart Subdivision of the,D°aniel Bidwell Rancho", which map was recorded in the Office of the Recorder of the County of Butte, State of California, on November 7, 1904, in Book 4 of Maps; at.Page(s) 24, and more particularly described as follows: Commencing at the most Easterly corner of said Lot 14 in the center line of Lassen Avenue; thence North 370 20' West, 650 feet along the Northeasterly line of said Lots 13 and 14 to the true point of beginning for the parcel herein described; thence from said true point of beginning, continuing North 371 20' West, 85 feet along the Northeasterly line of said Lot13 and 14; thence South 520 40' West, 165 feet parallel with the Northwesterly line of said Lot 14; thence South 370 20'E I ast, 85 feet parallel with the Northeasterly line of said Lots 13 and 14; thence North 521 40' East, 165 feet parallel with the Northwesterly line of said Lot 14 to the point of beginning. PARCEL II: An easement for roadway and public utility purposes, along with the right of use and maintenance for said purposes, described as follows: Commencing.at the most Easterly corner of Lot 14, as shown on that certain map entitled "Hobart Subdivision of the Daniel Bidwell Rancho", which map was recorded in the Office of the Recorder of the County of Butte, State of California, on November 7, 1904, in Book 4 of Maps, at Page(s) 24, in the center line of Lassen Avenue; thence North 370 20' West, 30.00 feet along the Northeasterly line of said Lot 14 to the Northwesterly line of Lassen Avenue; thence South 521 40' West, 97.00 feet along the Northwesterly line of said Lassen Avenue to the beginning of a 20 foot radius curve to the right and the true point of beginning for the easement herein described; thence from said true point of beginning, along the arc of said curve, through a central angle of 90° 00' an arc distance of 31.42 feet; thence North 370 20' West, 163.76 feet parallel with the Northeasterly line of said Lot 14 to the beginning of a 230 foot radius curve to the left; thence along the arc of said curve, through a central angle of 170 15' 14" an arc distance of 69.26 feet to the beginning of a 170 foot radius curve to the right; thence along the arc of said curve, through a central angle of 170 15" 14", an arc distance of 51.19 feet; thence North 370 20' West, 62.60 feet, parallel with the Northeasterly line of said Lot 14, thence South 520 43' West, 30.00 feet; thence North 370 20' West, 340.00 feet, parallel with the Northeasterly line of Lots 13 and 14, as shown on that certain map entitled, "Hobart Subdivision of the Daniel Bidwell Rancho", which Map was recorded in the Office of the Recorder of the County of Butte, State of California, on November 7, 1904, in Book 4 of Maps, at Page(s) 24; thence North' 520 40' East 30.00 feet; thence North 370 20' West, 70.01 feet, parallel to the Northeasterly line of said Lot 13 to the beginning of a 20 foot radius curve to the right; thence along the arc of said curve, through a central angle of 440 24' 55", an arc distance of 15.50 feet to the beginning of a 50 foot radius curve to the left; thence along the arc of said curve, through a central angle of 2680 49' 50", an arc distance of 234.60 feet to the beginning of a 20 foot radius curve to the right; thence along the arc of said curve, through a central angle of 440 24' 55", an arc distance of 15.50 feet; thence South 370 20' East, 478.61 feet, parallel with.the Northeasterly line of said Lots 13 and 14 to the beginning of a 230 foot Initials: r� f �,y,t.. . o „ .. an arc dicta . ce o of. . .. e le of 17 15 14 , a central an, . through a central angle said through , the arc of said curve, thence along the arc of said curve, le of eft "thence along to the right; 163.76 feet parallelwith the Nort h a centra] ang the I curve 20' East, e throng pp feet the are of said cury 0 40' East 100. inning of a 170 foot radius thence South 37 thence North 52 feet to the beg ht thence along 15' 141, an_arc distance of 51.19 feet the Northwesterly line of Lassen Avenue; 17 finning of a20 foot radius curve to the rig Dint of beginning Lot%14 to the,beg of 31.42 feetLassen Avenue to the p 90° 00' an arc distance line of said along the Northwesterly e" i i { Initials: