HomeMy WebLinkAbout017-190-087-94-' -,�,=04-1 PERMIT#94-3087
NEALIS, KEN & JUDITH
SKYWAY, PARADISE � �
NEW WELL RESERVOIR
1 CARRAD
01-1336
WRAY, BOB
CONTR: SKYWAY,�E !fes/
(vl
LOT DEVELOPMENT �
i
- • 0'1"1576
WRAY, BOB
"" SKYWAY PARADISE
CO T:'OWNER
MH INSTALLATION
\ - - 01-15.75
WRAY, BOB
SKYWAYPARADISE
8017 CONT: OWNER
MH UTILITIES
LECTRIC Ao 6 73'
GAS� ,5/ i
COMPACTION TEST REQ_S,:�VO
SUPPORT:STUCTURE REQ_
LAND DEVELOPMENT SHEET
ENCLOSED
01-7 -IqO -087
APPLICATION FOR CERTIFICATE
OF MERGER
APN# o/ 7 —!`I o -- o V/
NOTES
RESIDENTIAL
1�-
U C 1:L4U-U41
WRAY, BOB
4 (j :� SKYWAY PARADISE
CONT: OWNER
MH UTILITIES
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
{ USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED
Signature
r
OFFICE COPY
Addrel
I /
GAS
Meter By
D�ej I QZ •!
ELECTRIC
Meter By
Date
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
{ USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED
Signature
r
;= OK
0 = Not OK
- = Not Applicable MOBILE HOMES
= Not Ready
Date MOBI E HOME UTILITIES (Plans) OK except #'s
1
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3/
4r
�ewer; Location -Test -Fall -C/O -Concrete
)Nater; Location -Test -Easement Needed (Sketch)
51
le "tricity; location-Clearances-Grnd-/ /Amr
3.
as; Location-Test-Wrap;-/�5v" L'ft.
/ /'Nat. or/ ; /"L"jt./ PLPG
EZYell
Clearance & D sconnect
7.
Utility Clearance / .
Date
Card BUZ Date Card B-1
Date
Card 6-1 Date Card B-1
Date MOBILE H ME INSTALLATION (Plans) OK except #'s
1.
Kning Requirements -Setbacks -Easements
.
F tings; Size -Spacing -Marriage Line
3.
, MH Test -Demand -Valve -Connector
le tr'city; MH Test -Crossovers -Breakers -Clearances
r n; MH Test -Fall -Flex Connector
ater; MH Test -Regulator -Connector
7.
W41er and Sewer Connected -C/O to Grade -HD Approval
8.
as and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Frmg.; Sills-Anchors-Studs-Rhrs-Trusses
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
A
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rhrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofirig
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card.B-1
A
✓ = OK
0 = Not OK
=Not Applicable
_= Not Re4dy
Card B-1 Date Card B-1
RESIDENTIAL (�
Date
Date
Underfloor (Plans) OK except #'s
40.
1.
Zoning -Setbacks -Easements -Flood -Slope
Walls Studs -Nailing Spacing & Braces -Plates -Sound
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
43.
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Sfeel- Bloc kouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
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
90.
Card B-1 Date Card B-1
Date
91.
Card B-1 Date Card B-1
Date
92.
Card B-1 Date Card B-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
Date
19
D.W.V.; Test Fittings & Anchor -Nail Protection
Date
20.
Shower Pan; Test, First Floor -Tub Access
Date
21.
Test Tub & Shower, Second Floor -Tub Access
Comments at Final:
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subleed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 17 Yes O No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Dingle & Duplex)
Date
72.
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties- Purlin-Rolf Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
89.
Glass Protection
Date
90.
Card B-1 Date Card B-1
Date
91.
Card B-1 Date Card B-1
Date
92.
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Date
66.
Bedroom Exiting
Date
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
Date
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
Comments at Final:
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
7,
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.
6
�i
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is r'
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
REV 10192
INTER—DEPARTMENTAL MEMORANDUM
TO: BUILDING DIVISION,O�ROVILLE
FROM: rVj J. o C �. a.;� 16 , ENVIR. HEALTH, CHICO
DATE: Z 1 O
RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR:
OWNER NAME: GaJ i/ SEPTIC: WELL:
AP#: ('1 ADDRESS/LOCATION:
Comments:
GL/memos/releasehold
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California "95965 • Telephone (530) 538-754PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT � -Z5 25
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
011-240-041
S H -
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
WRAY BOB
518-3071
OWNER'S MAILING ADDRESS
110 -TOM POLK CIR. CHICO CA 95973
CONTRACTOR'S NAME
TELEPHONE
OWNER
CONTRACTOR'S MAUNG ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
Plan Checking Fee $
23.00
BUILDING ADDRESS
Energy Plan Checking Fee $
;411 K
$
PERMIT FEE $
2.3.00
LOT No.SUBDNIS
IONS NAME
RAP SAP
PLUMBING PERMIT
Fling Fee 1 20.00
Each Trap
7.00
USEOFSTRUCTURE
Solar or heat pump water heater
23.00
SF ❑ Duplex ❑ Mobilehome JI Other
+ Water piping
15.00
SPECIFY
"_ Each heater
15.00
TYPE OF WORK
gas water or vent
I Gas piping system 1- 5 outlets
15.00
New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑
Building sewer
15.00
I Mobile Home I SA9,1Q20.00
60.00
Describe Work: MH UTILITIES
I
PERMIT FEE $
80.00
1 ELECTRICAL PERMIT
Fling Feel 20.00
MaEO
Main Service 200ADV OR OR LESSSS
23.00
Main Service 200A TO 1000A
46.00NEW
LICENSED CONTRACTOR'S DECLARATION
CONST. DWELLING UP.
SO
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I OR ADONS. ( s ACC. BLDS.
r3.50FT;
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
NoµR61D. MULTI -OUTLET
@7.50
and my license is in full force and effect.i
o �TCIR.
License Class Lic. No.
aps NOEPLE
20 1.00
OWNER -BUILDER DECLARATION
I Ex. Occup. OUTLET OR FDRURES
BAL .50
hereby affirm under penalty of perjury that I am exempt from the Contractors License
FIXI
Ex. Occup.DUTLFTS REESID.OEA
5.00
Law for the following reason:
' Temporary Service
23.00
❑ I, as owner of the property, or my employees with wages as their sole compensation,
Mobile Home Facilities
20.00.20.00
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
I Misc. Wiring
23.00
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
PERMIT FEE _
/�Q, QQ
reason
WORKERS' COMPENSATION DECLARATION
MECHANICAL PERMIT
Fling Fee 20.00
1 hereby affirm under penalty of perjury one of the following declarations:
Heating
❑ 1 have and will maintain a certificate of consent to self -insure for workers'—Cooling
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Hood
6.50
❑ I have and will maintain workers' compensation insurance, as required by Section
Ventilation
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
PERMIT FEt $
Policy Number
Mobile Home Installation Fee $
(The above sections need not be completed if the permit is for work of a valuation
Energy Inspection Fee $
of one hundred dollars ($100) or less.)
QJ I certify that in the performance of the work for which this permit is issued, I shall
occ CONST. TYPE
TOTAL FEE $
0
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
HAZ. D. FEES IMP FLOODS CDF
1/� V ICD
uE
PARCEL PD
1/1
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
This permit is hereby Issued under the applicable provisions
of the Butte County ode and/or Resolutions
to do work
�/"J,/�
X «ti.�/ /`�" Date V �'i7��
indi a bo for w ick fees have been
paid.
Signature of Applicant ��Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
/ �R of
of structures over 3 stories in height.
By Date
Receipt No. iq3iob
PERMIT EXPIRES ON /0
dZ
WHITE-D.D.S.-B.D. CAN Y -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
a
• 4 keN
COUNTY�OF BUTTE -'DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
�' 7 COUNTY CENTER DRIVE - OROVILLE, Cr�L ORNIA,95965 - TELEPHONE (530) 538-7541 --
PERMIT APPLICATION DATA SHEET
1114
OWNER: ASSESSOR PARC ER:y �'' L%jG/ 6_ C–/—T-
Proposed
T -
Proposed Building Use: Building Inspect r C" � 4 Date: (42-7L!:) -(� I
At time of permit application, I was advised the following data must be s b fitted prior to permit processing and/or issuance:
Date Received By
ly.l. All items have been submitted--------------------------------------------------------------------------------------
Pi'ot plans, 3/4 sets, signed by the preparer of plans. --------------------------- '--------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6.Energy Design Compliance and supporting documentation. ----------------------------------------------------
07. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. ------------------------------------------------------- ----------------------------------
9. Manufactured Home data and installation instructions including Tie Down Specifications.------------------
. Fees of $ -------------------------------------------------------------------------------------
❑ Impact fees as shown on the attached schedule.-----------------------------------------------------------
alifornia Department of Forestry plan approval/fees. t - -- - -------------------------------- X--27-61'
3 . Flood elevation certificate. ------- ----------------------------------------------------------------------------
\C4 -'Sanitation and plot plan approv Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: C?� V— (B) Parking:
8. Contact Land Development about ❑ Improvements, ❑ Drainagegal Parcel.
9. Encroachment Permit for driveway (construction approval prior to occupancy). ----
0 20. Pre -inspection for
required Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). }
022. Workers' Compensation carrier and policy number.------------------------
023.
---------=-----------
❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -
E124. Letter of signature authorization. ------------------------------
r
425. Recorded copy of Agricultural Acknowledgment Statement.
026. Letter of intent on building use. ------------------------------------------
027.
-----------------------------------------❑27. Manufactured Home utility clearance. -----------------------------------
❑ 28. Existing violations and/or expired permits. -----------------------------
029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
❑30. Other:
---------------
(Date)
When you issue_th�/rg'cess a$ follows ❑ Mail to owneraiil',vo�Ztror.
Telephone S �V� -�� ( and hold for pickup a V _!Ore. ❑ Deliver with inspector.
Applicant: Date: /
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division/counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building 'vision counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
E.H. USE ONLY
Plot Plan Attached
Floor Plan Attached
Sant to B.D
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
OwnerLocation AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well ek-
Clearance for 1,h dwelling. Other A46,k-g,
Hof final for: 54n6-c� rule, %,
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
i
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
' - 200 1 —0028478
Recorded
Official Records
CoBPE f
CANDACE J. GRABS
Recorder
ROSEMARY DICKSON
Assistant
03:02PM 02 -Jul -2001
.I REC FEE 10.00
I COPIES 1.50
I
I
I
I Kristy
I Page 1 of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the butte County Code require this acknowledgment to be recorded prior to issuance of a building permit. The
property 4.escr bed herein is adjacent to land or included within- an area zoned for agricultural purposes, and residents of.this.
property may ae subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to
herbicides, pesticides, and- fertilizers; and from-. the p,_:m it, of . agricultural operations: including, -but not limited to plowing;
s_rr4yv_Q, pruning, and harvesting which occasionally- enerate oust, smoke, .noise; and order: Butts County has established or
discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of Califomia, described as follows: '
SEE fi7AC.'HED LEGAL DESCRII170N `
Jat ;7" �`— `� / PROPERTY OWNERS:
X
state of Calif'��
County of j
Robert J. ray
personally appeared - R.iaf AQ�r 'A . 1 . personally
known to be (or proved to me on the basis of satisfactory evicenme) to be the person(s) whose name(s) Is/are subscribed to
the within instrument and acknowledged to me thAt h/sh lthey executed the same In i i.4/her/their authorized
capacity(ies), and that by his/her/heir signature(s) on the Instrument, the person(s) or the entity upon behalf of which the
persons) acted, executed the instrument.
WITNESS my hand and official seal
Signature Ste; .wN M. SUSAN GLATZ
COMM.! 1280664
m NOTARY PUBLIC -CALIFORNIA
A.P. # 011-0240-041 Expr a OF BU i
Comm.
ORDER NO. BU -175577 LN
DESCRIPTION
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
PARCEL 5, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARCEL MAP, BEING
A PORTIOrT OF THE EAST HALF OF THE EAST HALF OF SECTION 30, TOWNSHIP
22 NORTH, rJUN E 3 WXT, MOUNT DIABLO BASE AND MERIDIAN", WHICH MAP
_ WAS FILED IN THE _.OFFICE OF THE _RECORDER OF THE COUNTY -OF---BL TE,
STATE OF CALIFOl&iA, JA14UARY 26, 1970, IN BOOK 37 OF MAPS, AT PAGE
12.
EXCEPTING THEREFROM THAT, PORTION. LYING WITHIN, THE BOUNDARIES OF THE
SKYWAY AND THS' RAILROAD RIGHT OF . ;IAY.
To: _LAR RY.-PAr.I�i.:ER EHE
From: CHIC O ENW11EALTH I
i 0 -APPROVED ONDITIONALLY APPROVED r ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL
PERMIT CLEARANCE
armlt #:
Genera/Inio�mab%on
Owners Name:'..'—:..
Owners Address:
Building Site Address:
fMeffft IMOrmat/on
Permit Type: ❑Agriculture Building ❑ Commercial ❑ Industrial1`��P,i. ❑ Residential Accessory
❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel Septic Well 11 "Other
Zone District: U �" 1� Date of Zoning Ordinance:
General Plan: A — e Development Agreement:
Date: a �i(_:� _(7 /
AP#: Oc c —c5?jw — o
Parcel Acreage: 20 �D A
Use Permit: Variance:
Parcel Is In: Land Conservation Agreement X No ❑ Yes, check use Minimum Acreage:
Nitrate Action Plan
*No
❑ Yes
Violation Area
No
❑ Yes
Specific Plan
No
❑ Yes ❑ Chico ❑ D2N
Enterprise Zone
No
❑ Yes, check use
No
❑ Yes
Floodplain
Zone:
No
Yes
❑
Watershed Protection Zone
3O
Proposed Use Comolies With: 16 General Plan. Iff Zoning
Proposed Use Requires: ❑ Use Permit ❑ Minor Use Permit
❑ Administrative Permit
Commercial/IndusWal/Multi-Family Uses:
Parking: ❑ Parking Requirements are OK as Shown ❑ Other
Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other
Road and Drainage Improvements Required: ❑ No ❑ Yes
Applicable Setbacks:
❑ Cohasset
Panel Number:
❑ Accessory Building Use
Zoning Code
Skggt&Highways
FIELEEVgntion
Subdivision Ma
Front
S L
Side
v
Side street
Rear
3O
Height
Environmental Health Issues:
Septic Permit Review:
Well Permit Review:
Land Development Review:
Parcel Created by:
❑ Deeds
Z Map
Date of Creation: Legal Acoess Provided:
Deed Reference: Legal Access Required:
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation: ❑ No ❑ Yes
Comments:
Date of Recording:
Lot:
Block: Book: 3- Page ) 2
Conditions That Must be Met Prior to Issuance of Permit:
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed
❑ Comply with condition no. of conditions of approval for the
❑ Obtain a Certificate of Compliance (See Planning Division for application). .
❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment).
❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23).
❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements.
❑ Other
General Comments:
1
• •,le
'
Agriculture Affldavlt Required ❑ No ❑YesoZ
Well Site ❑ No ❑Yes
oDesignated
Tc
0
zrUJ
Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yesz
aJ
o
a
Date of Creation: Legal Acoess Provided:
Deed Reference: Legal Access Required:
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with County Standards for Deed Creation: ❑ No ❑ Yes
Comments:
Date of Recording:
Lot:
Block: Book: 3- Page ) 2
Conditions That Must be Met Prior to Issuance of Permit:
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed
❑ Comply with condition no. of conditions of approval for the
❑ Obtain a Certificate of Compliance (See Planning Division for application). .
❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment).
❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23).
❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements.
❑ Other
General Comments:
1
AP
l/-ZYo.- oyj
OWNE
G �
PERMIT
MH UTIL.CLEARANCE DATE
INSPECTOR '
ELECTRICGAS SupportCompactio
Service Other Pipe Struc. Test Reg.
Size YLoad T e Site Length YES NO YES NO
Z� ° 3 ��ll «� %y 2� �
-COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754b l I/cC5 PE NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCELNLIMBER
011-240-0 1
ZONING
SH -
BUILDING PERMIT
OWNER
93AY, BOB
TELEPHONE
518-3071
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
11Q TOM POIR CT -R- CHIM, CA 95973
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
SKWAY PARADISE, CA
Energy Plan Checking Fee
$
$
PERMIT FEE
$2-3.00
LOT NO.
SUBDNISIONSNAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ s ❑ Installat�ion❑ O/Fk'enr ❑
/
Describe Work: .� _-'`' � 6 /{peI-! ' C/� 1,
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
(9)20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2�oaR oa'Ss
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
1, 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
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(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 those provisions.
/of
�
X ��i Date /') `_ p / _
Signature of Applicant - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLIND OCCUP.
OR ADDNS. ( a ACC. BLDS.
s0
3.5¢FT.
NON.Ralp MULTI.OLmFT1. @7,50
a SIN o= SIR. R.
PSTN.20
O 1'00
Ex. Occup. OR FIXTURES BAL @ .50
FIXI
Ex. Occup..OUT ETS(REESID) OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEI= $
Mobile Home Installation Fee $ 100.00
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 143,00
HAZ
D FE IMP
FLo
CDf PARC
V/
HD
Issu
This permit is hereby issued under
the Butte County Code and/or
indicated a for which fees have
By
PERMIT EXPIRES ON 2
the applicable provisions
Resolutions to do work
been paid.
Z 02
Date 2
U �3
eT
Receipt No. 34R51 1q3,,�
WHITE-D.D.S.-B.D. CANAMY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
C061VTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, C .IFORNIA 95965 - TELEPHONE (530) 538-7541
a
PERMIT APPLICATION DATA SHE T
?f
OWNER: ASSESSOR PARC ER: ` L/�
Proposed Building Use: Building Inspector: Date:
At time of permit application, I was advised the following data mus be s witted prior to permit processing and/or issuance:
/ Date Received By
❑ 1. All items have been submitted .---------------------- X -----------------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------
❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
El 6. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----
❑ 8f�Man
Hazardous Material Form ----------------------------------
ufactured bm an - installation instructions mclu
ees of $ --------------------------------
mpact fees as shown on the attached schedule. ------------
❑ 12. California Department of Forestry plan approval/fees. ----
❑ 13. Flood elevation certificate. ---------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit. ------------------------------ ---------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainag gal Parcel. ------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy) - ----------------------
❑20. Pre -inspection for required Request to Building Inspector on
❑21. Contractor's license information: (Number, Name Style, Classification). ------------------------------
❑22. Workers' Compensation carrier and policy number.
023. Owner -Budder Verification (Given to owner ❑, Mailed to owner ❑). ----
rr
AV4.Letter of signature authorization. -------------------------------`---------------Recorded copy of Agricultural Acknowledgment Statement. ------------------
6.Letter of intent on building use. ---------------------------------------------------
7. Manufactured Home utility clearance. -------------------------------------------
028. Existing violations and/or expired permits. --------------------------------------
0 29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
M` 1,019
E
6-'L9- 0 7
(Date)
f/l� `ice
en you issueA5 t, ro llows ❑ Mail to 77*66neowner, c tr ctr!ir� ��� and hold for pickup at bice. ❑ Deliver with inspector.
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departure t, ❑Air Pol teen Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department the ate: By:
1. Index permit application for the above items numbered: r ❑ Plan Check List
2. Additional items r aired:
Contractor, design owner was advised of the above required y phone, ❑ mail, ❑ Bui ing Division counter, by ,Date:
Contractor, designer, er, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Di i n counter, by D te:
Plans reviewed by: Date: Plans approved by: Date: d
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
6 -:,2G -p
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
- SCHEDULE OF FEES DUE �// G/�G/� r., ✓/ /� ! J
OWNERrwi— A.P. #
PROPOSED BUILDING USE zr� DATE
1
BUILDING PERMIT FEES
--Balance Due ........................................................ $
--Additional Fees Due ............................................ $
--Additional Fees Due .............. ............................ $
--Revised Plan Checking Fee ........................I.....: $
2. SCHOOL DISTRICT FEES'
/ (paid at District Office)
v 3. SHERIFF FEES (paid at Building Division)
Residential ....................................
Units
x $360.00 =
Commercial (sq. ft.) ...................... x $0.03 = $
Sq. ft.
4. URBAN AREA FEES
Residential ............................ x = $
# Units Amt.
Commercial (Sq. ft.) ............. x =$
Sq. ft. Amt.
5. RECREATION DISTRICT FEES
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
SRA FIRE INSPECTION AND PLAN CHECK 1-7&1A I
$89.00 (paid at Building Division) L�
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees
may be changed during the plan checking process.
01
APPLICANT DATE
Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been
imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned
items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a).
Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner — (Rev. 6/00)
RECEIPT # DATE REC.
3g3Ig? ��
e
BUTTE COUNTY SCHOOLS IMPACT+FEE CERTIFICATION FORM
(One form per Building)
Zi —, )
School District -
A.P. Number
Property Owner
n Ir -
Buil12
g De a men No. ( �
al/ 2 JV: % ,� � city �� s County 6
Jurisdiction: Ci
Property Location/Address
Subdivision
Lot No.
.........................................
Residential Development Sq. Footage�j�.
No of Living Mobile Home Addition/ 'Supplemental to (Group R)
Units Installation Conversion Permit #
'(No foundation inspection):
Commercial/Industrial
Building Department Represe
0
New Addition
rians reviewea oy acnooi uistnct versonnei
Sq. Footage
(Including Exterior
Roofed Areas)
Date
`District Identification No.
School District certifies that
(Applicant]
(Street Address) (Phone Number)
r,Xw <�7 �l 7 -3
(City) (State) (Zip Code)
has complied with the requirements of Resolution No.
representing lq'7 O square feet.
WAMAAW
School District Representative
Paid by Check # 5-3 / Remarks:
by payment of $ 172 ? , cam(,/
AB 2926 $
FULL MITIGATION $
2 /---o Z
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm
7
ENCROACHMENT PERMIT
COUNTY Of BOTTE ♦ 1110AR MfNT Of FUSLIC WORKS
7 County Center Drive ♦ Oroville, CA 95965 ♦ Phone: (530) 538-7681 ♦ Fax: (530) 538-4356"
Download Forms: vwvw.bUttecounty.net/publicworks
NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONEPermit Number District
Phone: (530) 538-7339 101099ena
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
highways, all in accordance with County ordinances and general laws. All information except signature must be typed or leglaplated.
t. Applicants Name:
r �
2. Address: 9 (a
I.
Phone: 4. Assessors Parcel Number. 0/1 — 240
5. Location of Work to be Done: 41 S r o x. 0 M i me 5
6. ApQ6rares SignewrW.
CONTRACTORS INFORMATION
8. Contractor's Name:
v
9. Address: U .6
10. Phone: 3 -L 11. Fax: S C
12 Contractor's Number. !J—Jr'" 3 13. Certificate of Insurance: Y No
14. Contractor's Signature:
15. Authorized Agent
TYPE O WORK 'to BE DONE
1s. Please chem Curb: ❑ Gutter. ❑ Sidewalk:
17, Driveway (List Type): 18. other. G�
PERMIT GRANTED
In compliance with the above request, and subject to all terms, conditions (including those printed on the back of this forms and special conditions
written below, permission is hereby ranted.
19. Conditions
--T-0 13 r c v 0 sT R- v c- i '=" D p >= 2
Underground Sendoe Alert U.S.A must be notified two working days prior to any excavation. 800.227-2600
20. O All work shall conform to accompanying: Detail O Plans 0 Special Conditions ❑
21. Dab bsued: 6491.Z ' Z 1 22. Expiration Date:0 .2 , Q , 23. Surety Yes Q No O
Mike Crump, Director of Public Works By:
"Note: If permits are faxed to any number besides (530)538-4356, they can be delayed up to one week.
Page 1 ort
General Condidous - See Page 2 �.-
i
L
i
�:.� dlVfifi`."!�""`r"�a ..yam.• �YY_'el7'^rFYY�'l�Y�'.' WYs 17M/.':t'_AC"-dr�v,+.•++vr .r..i .. [+�
i.V
f� . ,
f�-i
,..
L
40 -041Y, BOB01-1336
R SKYWAY, PARADISE
EVELOPMENT
5
m
O FICE COPY
Address D//—c�(-iO Oy/
GAS
eter y Date
ELECTRIC
Meter By Date?/2J-7, I
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF*DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Orovil!e, Califonc.ia 95965 • Telephone (530) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
OWNER i.
OWNERS MATT �DDflESS�
CONTRACTOR'S NAME
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAIUNG ADDRESS
ZONING
J!
TELEPHONE
J
ARCHITECT OR ENGINEER LICENSE NO.
ARCHITECT OR ENGINEERS MAILING ADDRESS
BUILDING ADDRESS
H,•d
IDT NO. SUBDNISIONSNAME IPARCEL MAP
USEOFSTRUCTURE
SF ❑ Duplex Mobilehome ❑ Other
TYPE OF WORK
New ❑ Addition- ❑ Remodel ❑ Utilities ❑ Installation ❑ Other,O'�
Describe Work: l �� ale vC/L"'.. u '(""'
LICENSED CONTRACTOR'S 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 the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
EI 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
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
C'1 1 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 withthose
provisions.
X t71. i"t�1� �l Date
SignatGre of -App - Ci Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Receipt No. .j 1 `/ `) } ` 7(,.r.0 t )
WHITE-D.D.S.-B. D. IiAR A ESSOR PI
BUILDING PERMIT
SO. FT. I OCC. I BUILDING VALUATION
Fireplace
PERMIT FEE
S
Total Valuation $
Filing Fee 20.00
Main Service
Filin Fee
$
20.00
Permit Fee
$
NEW CONST.
OR ADDNS. (
Plan Checking Fee
$
NEW CONST'
O /
NON•RESID. 1
Energy Plan Checking Fee
$
$
PERMIT FEE
$
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W T
020.00
EX. OCCU . OUTLET OR FIXTURESur
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service
aoov OR LESS
. , oR LEss
23.00 2
Main Service
200A TO I000A
46.00
NEW CONST.
OR ADDNS. (
DWEWUP. NG OCC
b ACC. BLDS.
3.5Q SO.
FT.
NEW CONST'
O /
NON•RESID. 1
on UT�•OUTLET )
@7.50
EX. OCCU . OUTLET OR FIXTURESur
''w
BAL .SO
Ex. Occup., o� °S R ,DUNS °E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring4E
3.00
23.00E
PERMIT FEE $ 6 Z
MECHANICAL PERMIT Filing Fee 1 20.00
Hood
Ventilation
6.50
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC CONST. TYPE TOTAL FEE $ & a
HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE
- - J
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON f
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
r
OWNER / PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address an4 should be corrected. Please notice this office when correction of work is
completed. If yo have any questions pertaining to this matter, or need additional explanation,
please contaclAhis office immediately.
Date Inspector =
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965_ • Telephone (530) 538-7541PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT D % -133fo
ASSESSOR PARCEL NUMBER / r ^ — I ./ /
L ` I
ZONING
BUILDING PERMIT
OWNER
�
TELEPHONE
0
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIU @DQ ss
/U L.
CONTRACTOR'S NAME
.-----------�
TELEPHONE
('
CONTRACTORS MAILING ADDRESS
1
CONSTRUCTION LENDER
1
LENDER'S MAIUNG ADDRESS
I
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filin Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
�
Energy Plan Checking Fee
$
$
/A
/ ►/k�f =
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
l/ _
SF ❑ Duplex ❑ Mobilehome ❑ Other '"G( — l f/�vfit//
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilitiiees% ❑ Installation ❑ Other
Describe Work: (_cv—
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
Q20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
R LESS
Main Service zoOAOOOY 0. R
OR LESS
23.00 2
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
I hereby affirm under penalty of perjury that I am exempt from the Contractors License[Temporary
Law for the following reason:
�( I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(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
forthwithAmply ith those provi 'ons.
7./
X Date .(� L�
Sign ure of Applicant -, Owner— ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5' "deep and demolition or cons ction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DW EWNG OCCUP. S°
OR ADDNS. ( a ACC. S.3.50 Fr.
No..EESID MULTI.OUTLET 97,50
PSO
'MAP=
8 S NGLE APPARATUS
OUTLET S
20 @ 1.00
Ex. Occup. OlJT1.Ef OR FIXTURES SAL o •50
Ex. Occup.. °uTLEEDTSA AEsio.°ea 5.00
Service 23.00
i
Mobile Home Facilities 20.00
Misc. Wiring 23.00 3
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE O-)
TOTAL FEE $
MAZ. D. FEES IMP FLOOD COF pgpOEL pp HD ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
,f
Date
Receipt No. 5,3 C414.Q Q
WHITE-D.D.S.-B.D. CANARY -A ESSOR K -INSPECTOR GOLDENRO 2=PLICANT
I
OWNER -BUILDER VERIFICATION I
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 : Y". NO 0
2. I HAVE R1 HAVE NOT 0. signed an application for a building permit for the proposed work.
3. I have
eccontracted with the following person. (firm) tQ.prQviCJQ the,.proposed construction:
NAME:
ADDRESS: CITY:_ .
PHONE:
CONTRACTOR'S 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:
NAME: -
ADDRESS: CITY.--
PHONE:
ITY:PHONE: CONTRACTOR'S LICENSE NO. F
5. I will provide some of the work*but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
PROPERTYOWNER:
SOCIAL SECURITY NUMBER: <:C 12— 6 6 —!k ?
DATE: �Z—O,r
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to Issue the permit.
OVER
OWNER BUILDER INFORMATION - I
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such
a permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors aro required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply. ;
Ifyod pled to dayour own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire.project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
♦ If you aro an employer, you must register with the State and Federal Governments as an employer and you am
subject to several obligations including state and federal income tax withholding, federal social security. taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned.
rely,
�Cu�1
Mic el C. Vi ira, C.B.O.
Ma ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the Calijornla Health and Safety Coda
OVER
oA, Department of Public Works
° C o u n t y o f B u t t e
O
O J. Michael Crump, Director LAND DEVELOPMENT DIVISION
O 7 County Center Drive
Oroville, CA 95965
530 538 7266
@CIC WORD (FAX) 538-7171
September 29, 2004
Robert 1. Wray
110 Tom Polk Circle
Chico, CA 95973
Re: Application for Certificate of Merger
AP 011-240-007 & 041 j
Dear Mr. Wray:
BUTTE
COUNTY
OCT 0 12004
DEVELOrMENT
SERVICES
At the regular meeting of the Butte County Board of Supervisors held September 28, 2004, the
Board of Supervisors approved your appeal and approved your Application for Certificate of
Merger, subject to the following conditions:
Provide a common driveway connection and easement to serve both parcels from the
Skyway.
2. Relinquish, to the County of Butte, abutters rights to the Skyway except at the approved
driveway location.
The conditions of approval must be met within twenty-four (24) months from the date of approval
by the Board of Supervisors or the approval will be considered null and void.
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: Board of Supervisors
Clerk of the Board
Mike Crump, Director of Public Works
✓Yvonne Christopher, Director of Development Services
Feeney Engineering
/ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Czlifornip 95965 - Telephone (916) 538-7541 PERMIT No.
APPLICATION AND PERMIT �—
ASSESSOR PARCEL NUMBER N-2.,10- D'a I
ZONING v
BUILDING PERMIT
OWNER T-ISPHONE ra /
i -F n/ v o ; r A/6A � I,S LI A✓C PlIfL. ' N (i - 313
SQ, FT, OCC. BUILDING VALUATION
{ j
v • O
.�/I,/9
• v
OWNER'S MAILING ADDRESS
QDx 60'7 5,0`191 7-P,64 5R! 7'I i soman 4111. �sJ, ✓(O.) 2nA:)
CONTRACTOR'S NAME
TELEPHONE
GDA�E PN[tP5 7 7 2I1 Fl xaW Q A1;4.n7 V S�"` 72Z`I'D
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 10 7-,qO
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
It
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
61-50
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE
,
- ------ r5 � � // k/^
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
A-11i�Q15�.
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO. SUBDIVISION'S NAME
pAq EL AP
J^' I2
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Cl Duplex O Mobilehome ❑ Other frd.LL RF_SFsQ Vol -I
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New/Addition O Remodel O Utilities O Installation O Other O
Describe Work:
PERMIT FEE g
:35-
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main ServiceBoOV OR LESS
( 200A OR LESS
23.00
Main Service ( 200A TO 1000A '
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( a ACL. BLOS. '
So,
3.5C FT.
NEW CONST. MULr1-OUTLET
-NON-RESID. ( BRANCH CIRCUITS /
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O 1 am a licensed underrovisions of Chapter 9, Division 3 of the Business and
P P
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
APPARATUS )
( POWEREU
6 SINGLOTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES'
20 @ 1.00
BAL. so
FIXED APPLNS. OR
Ex. Occup' ( OUTLETS IRESID.I EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $ 100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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
County in consequence of the granting of this permit.
X Date
Signature of Applicant - Cl Owner O Contractor O 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 ee $
ocC
CONsr. TypE
TOTAL FEE $ '7-62--70
HAZ.
O. FEES IMP FLOOD CDF PARCEL I pD
HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have been
BY
PERMIT EXPIRES ON
!Date/
applicable provisions
to do work
paid.
Date
Receipt No.
WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COQNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
r
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER kEIj i Jvo,ow /VE*AL.is A. P. No. I I- 2N -H
Proposed Building Use I-JQA*u.4d RC4ERV0tR Building Inspector G Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted . ........................................
OF 2. Plot plans,/4 sets, signed by preparer of plans . .... :.....................
3. Complete plans, 3/4 sets, signed by preparer of plans. ......................
✓4. Engineered plans and calces. �s 4 sets, with wet signature on plans . .............
5. Hazardous Material Form. .... ........................................ .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer...................
14. Sanitation and plot plan approval CHI La Health Department. .
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
Fre-Inspection reque�s
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
X. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization. .- .......................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . ..........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to cawoer- Mail to contractor.
Telephone a and hold for pickup at office. Deliver with inspector.
7ther II FAIAIJ-t It' .04 . - I
Applicant
Date //'
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to per it issuance: (�ir�!g new item not checked above).
1. Index permit for above items No. l `t
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet PP folder
j�t) W it
Copy - Department of Public Works gd-W 4-9 )OC Rr L, 110`&In5 CVY7V__ Ll i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, C,alifornla 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 2`7
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ClRemodel ❑ Utilities CIInstallation 1:1Other ❑
Describe Work:
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 211 0V OR LESS )
20OA OR LESS
23.00
Main Service ( 200A To IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS. )
3.50 FTS0..
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
alicensed under provisions of Chapter 9, Division 3 of the Business and
;J�'Paofessions 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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ t.0o
BAL. .50
Ex. Occu FIXED APPWS. OR
p' (OUTLETS (RESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
A, I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hreby authorize representatives of the County of Butte to
enter upon the above menti ned property for inspection purposes.
1 also agree to save, inde nify and keep harmless the County of Butte against all
i iti s, judgments, c nd expenses which may in any way accrue against said
County in consequence of t e g nting of this permit.
Date —
Sig aur of App an - ❑ Ownel ❑ 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
CON"' TYPE
TOTAL FEE $
HAZ.
D. FEES
IMP
FLOOD
COF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
Date
PERMIT EXPIRES ON
Ma tel
Receipt No. ' 7037 t8,By
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
o& Department of Public Works
° C o u n t y o f B u t t e
J. Michael Crump, Director
O LAND DEVELOPMENT DIVISION
O 7 County Center Drive
Oroville, CA 95965
))
y (530) 538-7266
�eLIc WO�� (FAX) 538-7171
February 1, 2005
Robert J. Wray
110 Tom Polk Circle
Chico, CA 95973
Re: Application for Certificate of Merger
wags -AP 011-240-007 & 041
�VokJ— nr7•-/gv-ov�T�/�-igo—v5r�
Dear Mr. Wray:
Enclosed please find the Certificate of Merger that was issued by the Butte County
Department of Public Works and recorded on January 10, 2005, under Serial Number
2005-0001756, 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,
BUTTE
l COUNTY
` i•
Stuart Edell FEB -
12005
Manager, Land Development Division DEVELOPMENT
g , P SERVICES
SE/kp
Enclosure
cc: ' Building Division
Environmental Health Dept.
Feeney Engineering
RECORDING REQUESTED BY and
AFTER RECORDING RETURN TO:
Butte County Public Works
LAND DEVELOPMENT DIVISION
7 County Center Drive
Oroville, CA 95965
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
02:09PM 10 -Jan -2005'
REC FEE 25.00
Barbara
Page 1 of 7
LANDS BEING MERGED:
CERTIFICATE OF MERGER
I f 7
AP NUMBERS) (W Od-7
NUMBER OF EXISTING PARCELS: "
EXISTING PARCELS C EATED BY:
El PATENT idGRANT DEED ❑ GIFT DEEDPARCEL MAP ❑ SUBDIVSION MAP ❑ OTHER
RECORDING DATA: YEAR 7 0
BOOK / PAGE OR SERIAL NUMBER: Ek 14W-
SUBDIVISION/ PARCEL- MAP: BLOCK LOT(S) '5 -
As of the date of recordation, those lands noted above are merged to create _ parud(s) of land as
described in. Exhibit(s) A I attached hereto.
1�.�. JANUARY 5, 2005
MIKE CRUMP DATE
Director of Public Works
OWNERS'. CONSENT TO MERGER
THE UNDERSIGNED, as owners of all that real property to be merged, do hEXel y consent and agree to the
merger of such lands into that / those parcel(s) as described in Exhibit(s) t* attached
hereto.
OWNER S SIGNATURES MUST BE NOTARIZED - Print name and title (if applzab/e) below signature fine
Sign dp int na title Date
rte- to
Sign and print name.& title Date
AME RI.
$ C
0
}
STATE OF CALIFORNIA 6k }ss.
COUNTY OF Ct }
JAY, J wkliOn �� Z��� before me, ,
personally appeared
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that 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.
Signature
(This area for official notarial seal)
Title of Document
Date of Document No. of Pages
Other signatures not acknowledged
GI -5191 3008 (1/94) (General)
First American Title Insurance Company
`'.
JENNIFER MACKALL
Commission# 1327115
Notary Public - California
Butte County
(This area for official notarial seal)
Title of Document
Date of Document No. of Pages
Other signatures not acknowledged
GI -5191 3008 (1/94) (General)
First American Title Insurance Company
12/17/2004
BOUNDARY MERGER
PARCEL 1
EXHIBIT "A"
(WRAY)
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
A PORTION OF THE NORTHWEST QUARTER OF SECTION 29, TOWNSHIP 22 NORTH,
RANGE 3 EAST, M.D.B. & M., BEING ALSO A PORTION OF THE EAST HALF OF THE
EAST HALF OF SECTION 30, TOWNSHIP 22 NORTH, RANGE 3 EAST, M.D.B. & M,
BEING ALSO A PORTION OF PARCEL 5, AS SAID PARCEL IS SHOWN ON THAT
CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 26, 1970, IN BOOK 37 OF
MAPS, AT PAGE 12, BEING ALSO A PORTION OF THE PARCEL RESERVED IN DEED
RSN: 2000-49747, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE MOST SOUTHERLY CORNER OF SAID PARCEL 5, SAID POINT
BEING ALSO ON THE NORTHWESTERLY RIGHT OF WAY LINE OF THE SKYWAY,
AND THE BEGINNING OF A 960.00 FOOT RADIUS CURVE TO THE LEFT, THROUGH
WHICH POINT A RADIAL LINE BEARS SOUTH 01033'14" WEST;
THENCE NORTHWESTERLY ALONG SAID RIGHT OF WAY LINE, ALONG THE ARC
OF SAID CURVE TO THE LEFT, THROUGH A CENTRAL ANGLE OF 50°46'00", A
DISTANCE OF 850.60 FEET,-
THENCE
EET;THENCE CONTINUING ALONG SAID RIGHT OF WAY LINE, NORTH 43-37'11" EAST, A
DISTANCE OF 393.21 FEET;
THENCE LEAVING SAID RIGHT OF WAY LINE, NORTH 46°22'49" WEST, A DISTANCE
OF 290.24 FEET;
THENCE NORTH 45028'57" EAST, PARALLEL WITH AND 30.00 FEET
SOUTHEASTERLY FROM THE NORTHWESTERLY LINE.OF SAID PARCEL 5, A.
DISTANCE OF 820.38 FEET;
THENCE NORTH 01°27' 10" EAST, PARALLEL WITH AND 30.00 FEET
SOUTHEASTERLY FROM THE NORTHWESTERLY LINE OF SAID PARCEL 5, SAID
LINE BEING ALSO THE WESTERLY LINE OF SAID SECTION 29, A DISTANCE OF
508.41 FEET;
THENCE NORTH 69037'17" EAST, A DISTANCE OF 489.73 FEET, TO THE EASTERLY
LINE OF THAT PARCEL DESCRIBED IN THAT DEED TO ROBERT J. WRAY
RECORDED AS INSTRUMENT NUMBER 2000-49747, OFFICIAL RECORDS OF BUTTE
COUNTY;
THENCE ALONG SAID EASTERLY LINE, NORTH 44-17'19" WEST, A DISTANCE OF
676.64 FEET, TO THE MOST NORTHERLY CORNER OF SAID WRAY PARCEL, SAID
CORNER BEING ALSO ON THE EASTERLY LINE OF SAID SECTION 30 AND
WESTERLY LINE OF SAID SECTION 29;
PAGE 1 OF 2
12/17/2004
THENCE ALONG SAID SECTION LINE, SOUTH 01.27' 10" WEST, A DISTANCE OF
1150.63 FEET, TO THE MOST NORTHERLY CORNER OF SAID PARCEL 5;
THENCE LEAVING SAID SECTION LINE, ALONG THE NORTHWESTERLY LINE OF
SAID PARCEL 5, SOUTH 45°28'57" WEST, A DISTANCE OF 709.18 FEET;
THENCE SOUTH 89019'03" WEST, A DISTANCE OF 855.87 FEET;
THENCE SOUTH 01033'14" WEST, ALONG THE SOUTHWESTERLY LINE OF SAID
PARCEL 5, A DISTANCE OF 860.78 FEET, TO THE TRUE POINT OF BEGINNING.
CONTAINING 20.00 ACRES, MORE OR LESS.
APN: 011-240-041
TOGETHER WITH A 60.00 FOOT WIDE EASEMENT FOR INGRESS AND EGRESS OVER
A PORTION OF SAID PARCEL 5, 30.00 FEET ON EITHER SIDE OF THE FOLLOWING
DESCRIBED CENTERLINE:
COMMENCING AT THE MOST SOUTHERLY CORNER OF THE ABOVE DESCRIBED
PARCEL 1, SAID POINT BEING ALSO ON THE NORTHWESTERLY RIGHT OF WAY
LINE OF THE SKYWAY, AND THE BEGINNING OF A 960.00 FOOT RADIUS CURVE TO
THE LEFT, THROUGH WHICH POINT A RADIAL LINE BEARS SOUTH 01-33'14"
WEST;
THENCE NORTHWESTERLY ALONG SAID RIGHT OF WAY LINE, ALONG THE ARC
OF SAID CURVE TO THE LEFT, THROUGH A CENTRAL ANGLE OF 50°46'00", A
DISTANCE OF 850.60 FEET;
THENCE CONTINUING ALONG SAID RIGHT OF WAY LINE, NORTH 43-37'11" EAST, A
DISTANCE OF 494.55 FEET TO THE TRUE POINT OF BEGINNING OF THE HEREIN
DESCRIBED CENTERLINE;
THENCE LEAVING SAID RIGHT OF WAY LINE, NORTH 46022'49" WEST, A DISTANCE
OF 25.30 FEET, TO THE BEGINNING OF A TANGENT 50.00 FOOT RADIUS CURVE TO
THE LEFT;
THENCE ALONG THE ARC OF SAID CURVE TO THE LEFT, THROUGH A CENTRAL
ANGLE OF 90000'00", A DISTANCE OF 78.54 FEET;
THENCE SOUTH 43037'11" WEST, A DISTANCE OF 51.34 FEET TO A POINT ON THE
NORTHEASTERLY LINE OF SAID PARCEL 1;
EASEMENT CONTAINING 0.21 ACRES, MORE OR LESS
APN 011-240-007 (PORTION)
PAGE 2 OF 2
12/17/2004
BOUNDARY MERGER
PARCEL 2
EXHIBIT "A"
(WRAY)
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
A PORTION OF THE NORTHWEST QUARTER OF SECTION 29, TOWNSHIP 22 NORTH,
RANGE 3 EAST, M.D.B. & M., BEING ALSO A PORTION OF THE EAST HALF OF THE
EAST HALF OF SECTION 30, TOWNSHIP 22 NORTH, RANGE 3 EAST, M.D.B. & M,
BEING ALSO A PORTION OF PARCEL 5, AS SAID PARCEL IS SHOWN ON THAT
CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JANUARY 26, 1970, IN BOOK 37 OF
MAPS, AT PAGE 12, BEING ALSO A PORTION OF THE PARCEL RESERVED IN DEED
RSN: 2000-49747, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST SOUTHERLY CORNER OF SAID PARCEL 5, SAID POINT
BEING ALSO ON THE NORTHWESTERLY RIGHT OF WAY LINE OF THE SKYWAY
AND THE BEGINNING OF A 960.00 FOOT RADIUS CURVE TO THE LEFT, THROUGH
WHICH POINT A RADIAL LINE BEARS SOUTH 01033'14" WEST;
THENCE NORTHEASTERLY ALONG SAID RIGHT OF WAY LINE, ALONG THE ARC OF
SAID CURVE TO THE LEFT, THROUGH A CENTRAL ANGLE OF 50046'00", A
DISTANCE OF 850.60 FEET;
THENCE CONTINUING ALONG SAID RIGHT OF WAY, NORTH 43-37'11" EAST A
DISTANCE OF 393.21 FEET, TO THE TRUE POINT OF BEGINNING;
THENCE LEAVING SAID RIGHT OF WAY LINE, NORTH 46022'49" WEST, A DISTANCE
OF 290.24 FEET;
THENCE NORTH 45028'57" EAST, PARALLEL WITH AND 30.00 FEET
SOUTHEASTERLY FROM THE NORTHWESTERLY LINE OF SAID PARCEL 5, A
DISTANCE OF 820.38 FEET;
THENCE NORTH 01027'10" EAST, PARALLEL WITH AND 30.00 FEET
SOUTHEASTERLY FROM THE NORTHWESTERLY LINE OF SAID PARCEL 5, SAID
LINE BEING ALSO THE WESTERLY LINE OF SAID SECTION 29, A DISTANCE OF
508.41 FEET;
THENCE NORTH 69037'17" EAST, A DISTANCE OF 489.73 FEET, TO THE EASTERLY
LINE OF THAT PARCEL DESCRIBED IN THAT DEED TO ROBERT J. WRAY
RECORDED AS INSTRUMENT NUMBER 2000-49747, OFFICIAL RECORDS OF BUTTE
COUNTY;
THENCE ALONG SAID EASTERLY LINE, SOUTH 44-17'19" EAST, A DISTANCE OF
388.44 FEET, TO A POINT ON SAID NORTHWESTERLY RIGHT OF WAY LINE OF THE
SKYWAY;
THENCE SOUTH 43°31' 10" WEST, ALONG SAID RIGHT OF WAY LINE, A DISTANCE
OF 1138.53 FEET TO THE SOUTHEAST CORNER OF SAID PARCEL 5, SAID POINT
BEING ALSO ON THE EASTERLY LINE OF SAID SECTION 30 AND WESTERLY LINE
OF SAID SECTION 29;
PAGE 1 OF 2
12/17/2004
BOUNDARY MERGER
PARCEL 2 .
THENCE LEAVING SAID SECTION LINE, CONTINUING ALONG SAID RIGHT OF WAY
LINE, SOUTH 43037'11" WEST, A DISTANCE OF 484.24 FEET TO THE TRUE POINT OF
BEGINNING;
CONTAINING 13.91 ACRES, MORE OR LESS.
APN: 011-240-007
RESERVING THEREFROM A 60.00 FOOT WIDE EASEMENT FOR INGRESS AND
EGRESS OVER A PORTION OF THE ABOVE DESCRIBED PARCEL 2, 30.00 FEET ON
EITHER SIDE OF THE FOLLOWING DESCRIBED CENTERLINE:
COMMENCING AT THE MOST SOUTHERLY CORNER OF SAID PARCEL 5, SAID POINT
BEING ALSO ON THE NORTHWESTERLY RIGHT OF WAY LINE OF THE SKYWAY
AND THE BEGINNING OF A 960.00 FOOT RADIUS CURVE TO THE LEFT, THROUGH
WHICH POINT A RADIAL LINE BEARS SOUTH 01033'14" WEST;
THENCE NORTHWESTERLY ALONG SAID RIGHT OF WAY LINE, ALONG THE ARC
OF SAID CURVE TO THE LEFT, THROUGH A CENTRAL ANGLE OF 50046'00", A
DISTANCE OF 850.60 FEET;
THENCE CONTINUING ALONG SAID RIGHT OF WAY LINE, NORTH 43-37'11" EAST, A
DISTANCE OF 494.55 FEET TO THE TRUE POINT OF BEGINNING OF THE HEREIN
DESCRIBED CENTERLINE;
THENCE LEAVING SAID RIGHT OF WAY LINE, NORTH 46°22'49" WEST, A DISTANCE
OF 25.30 FEET, TO THE BEGINNING OF A TANGENT 50.00 FOOT RADIUS CURVE TO
THE LEFT;
THENCE ALONG THE ARC OF SAID CURVE TO THE LEFT, THROUGH A CENTRAL
ANGLE OF 90000'00", A DISTANCE OF 78.54 FEET;
THENCE SOUTH 43037'11" WEST, A DISTANCE OF 51.34 FEET.
EASEMENT CONTAINING 0.21 ACRES, MORE OR LESS
APN 011-240-007 (PORTION)
PAGE 2 OF 2
VICINITY MAP
NTS
LEGEND:
BOUNDARY -
PROPOSED BOUNDARY -
EXISTING BOUNDARY -
CENTERLINE -
TRUE P❑INT OF BEGINNING
P❑INT OF BEGINNING
T.P.O.B.
P.O.B.
P❑INT OF COMMENCEMENT P.O.C. 04,
ACCESS EASEMENT noo�
RELINQUISH ACCESS RIGHTS
w
03'/ �4G 2 �' ✓
S% :9 i PROPOSED PROPERTY UNE 2g0
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PARCEL 1ti/
iA 20.00 AC
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P.O.B. PARCEL 1
P.O.C. PARCEL 2_/ i
ACCESS EASEMENT i
2004\1175
EXHIBIT "B"
SCALE: 1"=300'
EXISTING `g _
PROPERTY
LINE r /
60.00 / \
`
/60.0 - 1
I
11
u
n�, a
4
DETAIL
.P.O.B.
ACCESS EASEMENT ACCESS EASEMENT
PARCEL 2
END OF DOCUMENT
SCALE 1"=30'
BOUNDARY MERGER
AND
RELINQUSHMENT OF
. ACCESS RIGHTS
FOR
ROBERT WRAY
110 TOM POLK CIRCLE
CHICO, CA 95973
BY
THE ENGINEERING GROUP
1250 EAST AVENUE, SUITE 10
CHICO, CA 95926
PH: (530) 899-0409
FX: (530) 899-0943
DECEMBER 17, 2004 1SHEET 1 OF 1
SITE
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SCALE: 1"=1000'
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UILDING SETB
LEGEND
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PROPERTY LINES
LEACH FIELD SETBACK —
— — —
_ 500
_�_
_
FLOWLINE --
--
I
_
FOGLINE — -
- - - - —
- - - - - - - -
- - — -
- - —
-
- - - - -- -
I
EXISTING CULVERT
W E
S T B
0
U N D
S K
Y
W
A Y
EXISTING ENTRY TO BE IMPROVED
APPROVED BY
DATE
BUTTE CO DEPT OF PUBLIC WORKS
ESIGNED PFK PPROVED
oeT. FEENEY RCE 22x7
RAwty PFKAlt
OWNER
ROBERT WRAY
APN
37-120-041
SITE PLAN
FEENEY ENGINEERING
T NO.
1
k2
ECKED RF JANUARY. 2001
389-C CONNORS COURT
CHICO. GA 95926 (530) 899-0409
O.
-01-00