HomeMy WebLinkAbout024-080-108.
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COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive * Oroville, CA * (530) 538-7541
CORRECTION NOTICE
(11� _0C)y3
OWNER
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
Date Inspector 6 L., le .1\
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive Oroville, CA (530) 538-7541
CORRECTION NOTICE
06 -
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
X"
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WOM
6-c r--, A V e .1
Date Inspector
REV 4/05 Phone# 76
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
...,.,...COUNTY OF BUTTE.. -
BUILDING DIVISION
DEPARTMENT OF -DEVELOPMENT SERVICES
7 County Center Drive e Oroville, CA * (530) 538-7541
CORRECTION NOTICE
'� (:) Iff, Z - Do Li -3
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
V
Se I nAl I' trN
Date Inspector 114,11,
REV 4/05 Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
4
-4
—COUNTY OF BUTTE--'
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive 9 Oroville, CA 9 (530) 538-7541
CORRECTION NOTICE
OWNER
— U/_/-71_ f
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. It you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
7
Date] lnspectorg,-4��/z
REV 4/05 Phone# 5�? t5_ 15�_1�7
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drives Oroville, CA e (530) 538-7541 %t4 . ; . 19
A. -
CORRECTION NOTICE
rol
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County 0 dinances exist at
the above address and should be corrected. Please call for re -inspection hen correction of
s m tt /'
or
work is completed. If you have any questions pertaining to this matte , or need additional
explanation, please contact the Building Inspector as indicated bel /
ow.
6 _7
IZWI_l
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Date Inspector A 4
REV 4/05 Phone#
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
. :"JA
'AN
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERIVHT NO.
BP060043
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
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: 02/13/2006 APN: 024-080-108-000
the Business and Professions Code, and my license is in full force and
effect.
License Class License Number:
Site Address: 432 WINTERS CT. GRI
Date: Contractor:
Map Index:
Description: NSF(2700)GAR(798)COV(520)
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
Owner: COLE, RICHARD
to its issuance. also requires the applicant for such permit to file a
1623 STARR DRIVE STE 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
YUBA CITY CA
7000) of Division 3 of the Business and Professions Code) or that he or
95993
she is exempt therefrom and the basis for the alleged exemption. Any
(530) 671-4478 FAX (530) 671-4034
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).):
COLE0934@COMCAST.NET
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 (Sec. 7044, Business and Professions
does to
Applicant: RICHARD COLE
Code: The Contractors' State License Liw not apply an
owner of property who builds or improves thereon, and who does
1623 STARR DRIVE STE A
such work himself o.r herself or through his or her own employees,
YUBA CITY CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
95993
year of completion. the owner -builder will have the burden of
(530) 671-4478 (530) 671-4034
proving that he or she did not build or improve for the purpose of
COLE0934@COMCAST.NET
sale.).
0 1, 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,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State Licen� Law.).
0 lam Exempt under Article 3 of the u ness and Professions Code
Date--,91113�a Owne..
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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
Architect:
is issued.
0 1 have and will maintain workers' compensation insurance, as
Engineer
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:—
Total Square Ft: 4018 S.F.
Policy M
Valuation: $202,972.00
I certify that . in the performance of the work for which this per ' mit.is
Census Code:
issued, I shall not employ any person in any manner so at 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 pr9visions.
12-19
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage 'is
to and one
unlawful, and shall subject an employer criminal penalties
hundred thousand dollars ($100,000), in addition to the cost
11
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
�_�4 6. �)
CONSTRUCTION LENDING AGENCY
This permit il hereo issued under the applicable provisions of the Butte County Code apd/or
I hereby affirm that there is a construction lending agency for the
Resoluti b for which fees h - ave been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Dt.. 5 �6L,
Name:—
Bv:
0- 1
PERMIT EXPIRES N.
Address:
(Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 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 d?l� a horized agent of the owner. I agree to comply with
eorm
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any offiV, or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes
- : C-0 i- Signatu
Print Name: 2 re: :4--(,
Date: 3. 17—eck
Wrier 0 Contractor 0 Agent for Owner 0 Agent for Contractor
ts. L,. buiiaing rermn ui-io-u-i py i
CERTIWATION OF INSULATION
ADDRESS OR TRACT
SACRAMENTO BUILDING CONTRACTORS
f rl��u
1309 MELODY ROAD, MARYSVILLE, CA 95901 LIC#202026
1-4 V
8924 AIRPORT ROAD, REDDING, CA 96002 LIC #202026
500 SEQUOIA PACIFIC BLVD., SACRAMENTO, CA 95814 LIC#202026
DATE INSULATION COMPLETED
square feet)
square feet)
square feet)
TYPE OF INSULATION
TYPE OF INSULATION
TYPE OF INSULATION
MATERIAL
MATERIAL
MATERIAL
FIBERGLASS
FIBERGLASS
FIBERGLASS
FORM BA17S
FORM
BATTS & BLOW
FORM BA17S
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER'S PRODUCT I.D.
MANUFACTURER
MANUFACTURER
MANUFACTURER
CT
OCF
/j��N
CT
OCF
KN
CT
OCF
KN
BAGS
R -VALUE
APPLIED
R -VALUE
w
APPLIED
MIN.:NSTALLED
WE GHT PER
R -VALUE
APPLIED
INSTALLED
THICKNESS
INSTALLED
THICKNESS
SQUAREFOOT
INSTALLED
THICKNESS
KNEE WALLS IF R -VALUE IS OTHER
THAN WALLS ABOVE
MATERIAL
FORM
R -VALUE
MANUFACT ER
FIBERGLASS
BATTS
CT OCIF
KN
AIR INFILTRATION SEALANT
MATERIAL
MANUFACTURER
FOAM
HILTI
HANDYFOAM
THIS IS TO CERTIFY THAT INSULATION AND/OR
SEALANT HAS BEEN INSTALLED IN CONFORMANCE WITH APPLICABLE CODES,
MATERIAL STANDARDS AND REGULATIONS
11 INS
AjrnmM �'
'D
M, '" M
DATE
SIGNATURE - GEN�RAL NTRACTOR
finly
DATE
REMARKS
WHITE - Builder Copy, GREEN - Builder Copy, YELLOW - Customer Copy, PINK - Attic Copy, GOLD - File Copy
FL
Butte County Department of Development Services.
7 County Center Drive, Oroville, CA 95965
NOTES
(530) 538-7601 www.bqtte!:ou.nty neVoos
0
R E S I D E N T I A L
APN-. Permit No.
Owner. ��024�-080-10�8 06�00-43
I CQ L E W 1�\Tr
Site Address: FERS Ur. GRIDLEY
j C(Ant. RfCIIARD TALLE
Contractor —' N SF/G A R/CO \1 P
Type of Permit:
OFFICE COPY
Address
.1s ELECTRIC
z Meter
-tl I By Dat4f&- &
0V\
,-/ C_ L- 0I-- LA-0�
SPECIACCONDITIONS
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
15ATE JOB FINALED:
jSj
,qNATURE:
CHECKED BY
, = OK
0 = Not OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE=—" PERMANENT FOUNDATION SOFT -SET
I Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FalUCIO-Concrete
4 Wtr; Loctn-Test-Easement Needed-Re§ulator
5 Elec Loctn-Clrncs-Grnd — Amp -Concrete
6 Yard Gas; Loctn-Test-W.p Nat 0 or LPF
Inch Sz — Ft Lngth
7 BIckng; Sz-Spacing-Marriage Line
8 Gas; MH Test -Demand -Valve -C n nctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Cirnr-s
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ID Foundation
14 Exits
15 Cert of Occupancy
16 HUD Label/insignia Numbers Serial Numbers
DATE IDECRS-COVERS*CARPORTS-GARAGES
I Zoning -Setbacks -Easements
2 Ftgs; S oils -Sz-Dpth-S pacing -Cn nctrs -Stee I
3 Decks, Girders/Joists-Dcking-Brcing
Stairs -G ua rd/Handrai Is
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg
Frmg-Breng
5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; S il Is -An chrs -Studs -Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnls
DATE JPOOLS
I Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men-Llnin�
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; IS volts-GFI
6 Elec EncIsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w1S' CrcItng Eqp-Pool Ightg
Bokes-Encisrs-prilboards-Insultri to Main Conduit
9 Health Dept Apprvl
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr; Fencing -Alarms
113 Bonding, Diving board or Slide
Pool Drawing
. t .- � vl� - .
, = OK
0 = Not OK
RESIDENTIAL (SIngle & Duplex)
DATE U N RFLOOR DATE
4.,�n in g -S etba cks-Eas e men ts -Flood -Slope 53 �W�tr; Vent-Acc-Cmbstn Air Baffle
:-2� g Main; Soils-Elec Grnd Ftg Dpth est & Anchr-Nail Prtctn
7/Ft' g Garage; Soils -Steel-Elec Grnd f Ftg Dpth. 58'UWV; Test Fittings & Anchr Nail Prtctn
4 F Porches/Decks; Soils -Steel Ftg Dpth 16Z?.(�6 ona_ RCS hy Jub Acc
Test, First flr
?H �te, s Main;, Steel-Blockouts-W _.pped 5-p;re-st Tub & Shwr, 2nd flr - Tub Acc
temwaIls.G
t:� zi`r'age; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs
owns
ns and Special Anchrs 5; Fire Sprinkler-, Test
'Fj�ow
*G, Steel Wrapped 60 Yard Gas Piping
0 (r, /Z I, iers-Frpic Ftg-Steel
9 DWY; Fall -Fitting -Test -2 -way CIO -Sewer Test
PP -6C Uklf, Gas Pipe; Sz Anchrs-Sz Test ME
1:1 Wtr Pipe; Test-Anchrs-Rgitr-Service Test
12 Elec Undrgrnd DATE IM E C H A_U��
13 Plenums & Ducts; Cirnc-Material-Support-Insultn 3upport
u
14 Girders-Sills-Anchr Bolts,)oists-Vnts-Cripples 67 , �Rlha.st tv Insultn
15 Acc & Vntltn 6 o sate Drain & OvrfIw, Sz & Grade
16. Insulati e Puurnace-Vent Acc-Comb Air Rtrn[Vent 115 Outlet
ic Acc & Pltfrm if Furnace in attic
DATE F ING
-6 S," oper Materials & Anchrs DATE IFINAL
U*W- Studs -Nailing Spacing & Braces -Plates -Sound 66 Ex��teps-Door & SideLt Prtctn-Landings
�e�-� alls over Girders & fir Nailing 6X -,!5m -oke Detector
26-U St . n Walls (rat proof) 68 Furnace Vnts-CIrnc-Comb, Air-Cnnctr
t ps I.Furred Cei I in gs-Stairs-Chasers -Tubs In Garage; abv-fir-Ducts-Mech Prtctn
0
s
p
eHea.Ea eams�Sz &Bearing 69ITe—droom Exiting
2 gers-�P.E t Caps-Anchrs-Cnnctns 70,Gfl '&Bth Ftrs & Tub Acc-Sp.
g
C C gj
eifling Jo' ftr ries -Purl in -Roof Brac-Truss-Shthq 74-15n Arc Fau It
25 Frp �2=:P -
.1r, ��ype A Flue-Frpic Throat Clmc 7TEre—cTrim & Subpril, Breaker Sts & Labels
01(4- kcE;_�Rmx Prtctn-DraftStop4ns Baffles 73 Stairs, Guard/Handrails
11ir-4
tndws or Exiting Doors -Sill Ht ensions 74 Frplc or Stove, Clrnc-Hearth
ra�geFire.Prtctn Framing-RC�Ctlannel 7�5�lee-Gutlets at Wood Prill, Int & Ext
29 P ine Firewall & Opngs 76_Ktch$,Extr_-& Appinc; Grnd-Air-Gap-Cooking Clrnc
I
3:2 �Doors-One 3' -Check Garage 3rd Story, 2 Exits 77,5!< utle & Rcptcls at Ktchn Counter
c-0 tle
31 S s; Width-Hdrm-Rise-Run-Landing-Fire Prtctn arage Fire Door; Swing-Lainding-Closure
�;w
3z`P -c n Roof Ovrhng-Aftic Vnts 79 AC Duct in Garage -Damper
jpmd -Rftr Outrgrs
39!Siding-Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv Rr
34 Stucco th-Weep Screed-Fnditn� Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House X* drain
35 G ng Area -Glass P>Wtn-SkyLts -Plastic 8),P4rKI5"Elec & Mech Eqp Listed for Loctn
hear Walls; N -Bolts 82 Rcptcls in Garage (GFI) Romex Ortctn
37 Brace Z. I-,, rgr Is §.1..kfs u Itn -Foarn -Looked in Attic
38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws 8?Ynd*n Vnts & Crawl Hole Door Drnge & Wood -Earth
861 Clrnc Drnge Planters OYes DNo
4�� 87,5Wco Brown -Finish
6Lvi 8V.AC LIDit Dscnnct, Elec-Plmb
89-VTes—abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
DATE E L gA--rR [__Q-A L 90 Wtr Well, Dscnnct, Elec, Plmb
46�`Fx rnsfrmr Clmc-Ins Prtctn 9&Xztr9lec Trim, GF1 Rcptcl-Undrgrnd
4 2� �Iecj�s �cl Spacing-Lts & Switches at Doors .92 fhru House
o Of Cndctrs Stapled aglat rtctn
erd'61ose to Edge of Studs & CJ 9 orrections from previous Inspctns
e up w/Mech Fstnrs 9S Gas T t-N-leters Tagged, Gas-Elec
rn lectrode Bond Gas & Wtr 96 W Sewer Cnnctd-C10 to grade -HD ApprvI
ppinc Circs in Ktchn & Cndctr Sz GFI E"nef Cmp Inc Cert -Other Certs
47 Subfeed Wire Sz 93 CU or DAL 9��dclress Posted
AC Wire Sz 93 CU or D AL 99 Fire Sprinkler
42
43 m 51afl
sW
m s
44 � �jd rpd
, 0
r
4 lect,
45..?�;
j8 Range Circ ga DCU or DAL
Oven Circ !,.Ej CU or [__1 AL
Insulated Neutral [:]Yes DNo 4—N
4e
4i9 oServi e -Riser Cndctrs & Grnd Main Dsr-nnct
so q - pnls-Motors-Mech Eqp
hes Closet Lt-Shwr U -Spa U
Zfp'<�
Smoke Detector
0
PLAN REVISION/RETURN
Owner's Name:
BP#:
Date: 2 6 - 0 4,
Contact Person & Phone Number:
AP#: (D LL
1. - QScD —
Received By:
Time:
PURPOSE OF RE -SUBMITTAL OR REVISION
0 Permit Application Data Sheet Item
0 *Engineering
0 *Plan Revision
*Requested by Puilding Inspector's Correction Notice — Inspector's Name: e-
0 Requested by Plan's Examiner — Plan Examiner's Name:
0 Other:
*If revising a plan which has already been issued, submit two (2) drawings reflecting the revision
for plan review along with your approved plans. If engineering is involved in this revision, the
engineer must put his requirements on these drawings and wet stamp and sign two sets of
engineered drawings. Revised drawings must clearly show changes proposed and locations
involved.
WHEN APPROVED, PROCESS AS FOLLOWS:
0 Mail to Owner/Contractor at this address:
0 Call and hold for pick-up.
[I Deliver with next inspection.
Minimum revised plan check fee to be collected at time of submission of revision, plans
examiner will determine if additional plan checking fees are needed:
0 Minimum $54.99 Receipt#:
0 Fee not required for revisions requested by plans examiner prior to issuance of permit.
q
Additional Fee Amount: Receipt #:
Revised 2/04
...COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive *.,Oroville, CA * (530) 538-7541
CORRECTION.NOTICE -
(D
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
I/jo 'P W—'
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CC'
Date Inspec"tor
REV 4/05 Phone #
/ 1-1 .1 _'. t-,/, -
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
2006-0007563
AND WHEN 116COAD MAIL TO:
Recorded I REC FEE N. N
BUTTE COUNTY'BUILDING DIVISION Official Records 1
7 COUNTY CENTER DRIVE County of I UPIES 2.50
OROVILLE, CA 95965 Butte I LVWOWO DJPY I. N
UWACE J. 614M I
County Clerk-Recorderl
I
I DD
02: 16M 13-feb-M I Page I of 2
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
0 7-
(,A/) 14
Date PROPERTY OWNERS:
State of California
AA r,
County of 'B,-ww
On-:S�'CN, V3 QLbMQ before me,�4AMAJ' Gcakov-', s3afkv��\;c
personally appeared 11Z 0r\C:XK-& 1:� - C OL� 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.
WI �"E nd and offfificial seal.
T
tu A A A a A A
Signature Seal:
LYNETTE GARTON
COMM # 1,41ZI 22V
NOTARY PUBLIC -CALIFORNIA
Countyof Butte
Comm. Expires April 17, 2006
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL 3 AS SHOWN ON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 28,
1981 IN BOOK 82 OF MAPS, AT PAGES 60 AND 61.
TOGETHER WITH AND RESERVING THEREFROM AN EASEMENT FOR INGRESS AND
EGRESS AND PUBLIC UTILITIES AS SHOWN ON THAT CERTAIN PARCEL MAP FILED
IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON APRIL 28,1981 IN BOOK 82 OF MAPS, AT PAGES 60 AND 61.
SAID EASEMENT TO BE FOR THE BENEFIT OF AND APPURTENANT TO THE
REMAINING LAND OF THE GRANTOR HEREIN AND SHALL INURE TO THE BENEFIT
OF AND MAY BE USED BY ALL PERSONS WHO MAY HEREAFTER BECOME THE
OWNERS OF ANY PARTS OR PORTIONS OF SAID APPURTENANT LAND.
AP NO. 024-080-108
SITE PLAN REVIEW APPLICATION
D ate: (_0 AP#
Permit Number (if applicable) Bin Number
APPLICANTINFORMA
Owners Name: L.
Owners Address:
Telephone No.:
1�1 Site Address:
Proposed Use:
Lo a
`�3
Residential
F1 New Single Fa m*ily Residential
Single Family Addition
Ej Single Family Remodel
Mobile Home
F] Residential Accessory'
Permanent Second Dwelling
Temporary Mobile Home (Aunt Minnie)
Temporary Travel Trailer
F] Multi -family
Non-residential -
F� New Commercial
F� Commercial Addition
New Industrial
n Industrial Addition
Other
[2 septic
F1 Agricultural Exempt Building
El Other:— I
Brief Explanation/Issue:
Parcel Size:
El Commercial Remodel
El Industrial Remodel
Well
Agricultural Buffer Form
DEVELOPMENTSERVICESEWORMATION (For Staff Use)
a Approved' E] Conditionally Approved
By d,:62�'
Zone: A -
L=
GP:
El Resolve Problems Prior to Approval
F] Resolved
Date _9L_
r,
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
Williamson Act Ml�irnum Acreage: Residence can be'built per contract
Watershed Protection Overlay Zone
E] SRA - (CDF to detennine specific requirements)
F] 100 -Year Flood Plain:
Flood Zone:
Flood Pane*1 No.: Index Date:
Sacramento River Reclamation District (Approval must be obtained from the California Reclamation'Board)
El Feather River Reclamation D* istrict (Approval must be obtained from the California Reclamation Board)
Fj North Chico Spdcific Plan
El Chapman/Mulberry
n Cohasset Area
Use Requires:
F-1
'Use Permit
Streets & Highways
Variance
Subdivision Map
Agricultural Worker Affidavit
0/0
Admini trative Permit
Minor Use Permit
El
Minor Variance
Zoning:
Applicable Building Setbacks:
General Plan:
M Setbacks identifi6d on site Pl' F
an. —1 CDF approval needed for encroachments into S
RA setbacks.
Fj Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
0/0
Side
Side Street
Rear
Height
Waterway
N/A
N/A --FN—/A
M Setbacks identifi6d on site Pl' F
an. —1 CDF approval needed for encroachments into S
RA setbacks.
Fj Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
Parcel Created By:
EI.Deeds-
Date of Creation: Legal Access Provided: 0 No El Yes
Deed of Reference: Legal Access Required FI No El Yes
Parcel Frontage on Publicly Maintained Road: El No El Yes, Road Name:
Complies with County Standards for Deed Creation:F] No n Yes
Comments:
n Parcel Deemed to be legal
F] Verify Legal Parcel 0 Verify Legal Access Provide Deed of Creation
F] Obtain a Certificate of Compliance
E] Obtain a Merger n Obtain a Lot Line Adjustment
F1 Construct road to: n Meet Parcel size required by zone
F] Meet current Environmental Health Department requirements
IS Subdivision Map/Parcel Mal):
Map Date of Recording:
Lot:
10M
Book: GA& Page:
STATE OF 'ALIFORNIA
C
COUNTY OF
On "'W6Y *v . 19L, 'b far. me, Ill. -d—Igred, a Notary Zbllc 1. and far
County, . I .
sold Slate and p:mmaliy applo,ed "Obl"' C- W'22 "' V" Oe -
Winters knew, to me to be the persons hose name, are ubwtbed
to the .11hin Instrument and OCAM111deed to me that they ... .,ad Ill.
X
�� DI
STA TE OF CALIFORNIA
COUNTY OF 8Q717X
Ol,APRI, 14 .19JU,bfw,m,,Ih
y : um! 'k AV;y Puflc, In and for
,Old St.'. and County, N-11 cipp. red 'FL
*.a- to Me 1. be he person executing he Ifhih Instrument an behalf Of
roff& company , 0 corporation, and acknowledged to me that sold corp—liOn
etoc—cl be so-.
IMRAB
4296
r"2 - ('e 0 r�
SURVEYOWS CERTIFICATE
Th. —..so Map was prepared by .. Or under my ckacli- and I. based
.Pa. . field —y In ca.fO'..h,O Win Ill. recut ...... at Ill. S.bd),I.I-
Map All at Me request .1 ROD-" -I--"
ICL 8 -111-by 1*11 1111 he jo,oc,dure,
or '�t
or
complied with and rhal this Parcel M cont.—
to :er OPPI-ed rental;'& map and the condition Of app—al thereof hkh
wf,.d a be fulfilled prior to Ill. filing Of the P-1 map.
'John W. Hamby es 28,;3
U
OF rwol
SURVEYOR'S CERTIFICATE
This map comorms ilh Ill. redfulehhul, of Ill. SbdIW11.n Map All and
loco I ordinance. The 60' easement offered far dedication is net accepted
.1 this time
Opted: 41'4'ISI ,
.-'y "u-....
CI., Covl.b�*,�,C RCE 14224
RECORPER'S. GERTIEICATE
Filed this city of
1 .1 pligns, a,
zZZ!=
FA:�- �81—j�" 7 &
OWNEWS CERTIFICATE
O'T- WL
is the map, and 0 1'- Till- U"
as —fee undar Da A of Trust recorded
March 3. 1980 in Sea, Z492 of Official Record, at P099 219
do harcit, —Iff, 'he' We Or.
the only persons 10
d and ewhose consent 11 necessary to Pall clecr fills
said to. , comler, . r—rd.II.. .?
as .he_ , h:hh
.aid map thin c—, border Th. 60'—mehl
as -h— an aid man 1. h—by Offered far dedication for Public UH,
and road
Poow C. Winters Vi,o Dean wimets
Or -ill. Till. Company by
PARCEL MAP
FOR
ROBERT WINTERS
'PARCEL 3 OF PARCEL 14AP FILED IN BOOK 75139
A PORTION OF LOT 36 GRIDLEY COLONY NO. 2
T17N R3E M.D. B. 8 M
BUTTE COUNTY CALIFORNIA
JOHN W. HAMBY LICENSED LAND SURVEYOR
Paradisc, California Petrillo, Cc if ... 1.
P.O. Sox H.H. P.O. Box B42
She., I of 2 (916) 877-6253 (B16) 632-3571
4F.".DS
PM 61123
PARCEL. PARGEL 2 RARGEL 3 P IRCE-L 4
INTER� 659.14 COURT
N e9- 41'54'W 5oDoo 1:159.14 I,f 36
IQ -Qv .1 203,78 131.66 131.79 co—, o. g
263.76
2�778
131.66
............ .... .............. . .............
................ . .... ..
C) ...... -------
PARCEL PARCEL -2 PACEL 3 PARCEL' 4
Z. "A -' AC. q
2.00 AC. 1. 00 C. /.Oo
._--1.06 AC.
Z
CC
2 6 3.2 8 2o 3. 2 8 131.79
6o.00 131.90 13
N 89- 43'06" W 658.97
J':'A,R:C E L 4 P.M.- 75 / 3 9
F—d 112: Capped r of LS 28 43 Per PM 75139
F -rd 112 ppd b., LS 2843 per PM 81123
F—d I" p,. pip, Per AS 56118
0 S 1 112- Capped ;ebM LS 2843
& F: _d h .;, rd Ip L S 2843 per PM 81123
BASIS OF BEARING
The —I llreofwc.11 3 8 4 r— - NOO'31'18'E
.h $be 0-1 ..P filed III B.0 75 0 M.P, .? ftge 39
B.ff. Cp..Iy Record,.
sc.l. I' - 50'
PARCEL MAP
FOR
ROBERT WINTERS
PARCEL 3 OF PARCEL MAP FILED IN BOOK 75
AT PAGE 39
A PORTION OF LOT 36 GRIDLEY COLONY NO. 2
T17N R3E M. D.B 8 M
BUTTE COUNTY CALIFORNIA
HAMBY SURVEYING INC.
L)CEN ED LAND SURVEYORS
J014N W. HAMBY GORDON L. SHIELDS
LS 284 LS 3346
PORTOLA CALIF. PARA OISE CALIF.
FEBRUARY 1981
SHEET 2 OF 2
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060043
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
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: 02/13/2006 APN: 024-080-108-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 432 WINTERS CT. GRI
Date: Contractor:
Map Index: -
Description: NSF(2700)GAR(798)COV(520)
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
Owner: COLE, RICHARD
to its issuance, also requires the applicant for such permit to file a
1623 STARR DRIVE STE 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
YUBA CITY CA
7000) of Division 3 of the Business and Professions Code) or that he or
95993
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
(530) 671-4478 FAX (530) 671-4034
applicant to a civil penalty of not more than five hundred dollars ($500).):
COLE0934@COMCAST.NET
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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: RICHARD COLE
owner of property who builds or improves thereon, and who does
1623 STARR DRIVE STE A
such work himself or herself or through his or her own employees,
YUBA CITY CA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
95993
year of completion, the owner -builder will have the burden of
(530) 671-4478 (530) 671-4034
proving that he or she did not build or improve for the purpose of
sale.).
COLE0934@COMCAST.NET
Q 1, 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,
Contractor:
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' W.).
1 am Exempt under Article 3 ssions Code.
�13a Owner:
Date2l ql�:
License #:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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
Architect:
is issued.
El I have and will maintain workers' compensation insurance, as
Engineer:'
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 4018 S.F.
Policy
Valuation: $202,972.00
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 p visions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage 'is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
W -t
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit i4 herethissued under the applicable provisions of the Butte County C d a d/or
I hereby affirm that there is a construction lending agency for the
Resolutio 91*ork indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
�P 6
Name:
By: Date: 1)
Address:
PERMIT EXPIRES
(Date)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 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 d�ly a�horized 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 ffic� , orm or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: *1A -4L lb C& i_ Signature:_
Date: 92:-11.-
Awner 0 Contractor 0 Agent for Owner 0 Agent for Contractor
B. C. Building Permit 01-16-04 pq 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834
OFFICE 9: (530) 538-7541
A FEE WILL BE REQUIRED A T TIME OFAPPLICA TION
0-3 "PLEASE PRINT . CLEARLY"
I / - "
OWNER
Last [Jame
City V -yr
, LASA C, I t
'irst ame
r
Address 7-3
e t>Atv4-7 :-'-rfA
City 6A C,
State
Stat
Phone
Phon !OP -,6'71
Fax
Fax 7
E-mail C'0-L_&4_dPCj 'EC
ARCHITECTIENGINEER
CONTRACTOR
Name
City V -yr
, LASA C, I t
Address
50'?3
City
Fax
State
Zip
Phone
1 Type Const. IJQ
Fax
E-mail
Map Bo
Lic. #
Class
ARCHITECTIENGINEER
Name -ifP - —
t -+A A
Address
-57-) 7h4,*' &Z
City V -yr
, LASA C, I t
State(,,,+ :np
50'?3
Phonee
Fax
E-mail
State License Number
APPLICANT NAME
Name
Address
City
State -Tz-ip
�,e_ I.
Phone
Fax
E-mail
A��ANTSIGNATURE
X
For office use only:
ioM ORrX-Co 0
Zoning
C . t
Flood Zone I
�,e_ I.
SRA
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
Occ.
LENDING AGENCY
1 Type Const. IJQ
Subdivision Name
Map Bo
age
Lot #
Planner
Date Approved:
PERMIT
NO.
k 6.61yo
P
LOCATION
AP# 4969 / o 8
ro 0 ddress
C . t
Cross Streeg,_) c(A
WORKER'S COMPENSATION
Policy Number
Carrier
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
111ro
-Address
Description or Scope of Work:
AU,'W All-, r I
Sq. Footage
OVER FOR SUBMITTAL REQUIREMENTS I L,
KWORMSWILDING FORMS\BldgAppiSubRqmts.doc Page 1 of 2
Li 6tructure wit witnout fermits
0 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 ca ' n 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 fo k h?�ked a%ad th d rcrsts are not
refundable.
- 7 AD /'/
0
Received by Amount: z :114
Receipt#: /-),// 3 16-s- Sheriff
N// IL
SMIP
Date: Other
& //hO �2 Total
REV 6-16-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLtAND IN INK.
0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans'. No graph paper!
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) QR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 3. Engineered truss details and layouts in duplicate (if required). No faxes! 1-.-'
El 4. Energy compliance design and supporting documentation in duplicate.
0 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLIC ATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 8-12-05
all in duplicate
0
7.
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.
0
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
0
9.
Site plan and business license approval from the City of Biggs.
0
10.
Letter of intent for non-residential buildings.
0
11.
Building Permit Application Without Required Clearances Form
11
12.
Hazardous Material Form (for Commercial Buildings only).
Remaining
items needed to issue the permit. Additional items may be required after Plan Check and Planning
review'(May
require additional plan review upon receipt of the following items.)
0
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
0
2.
Impact Fees.
0
3.
California Department of Forestry plan approval (if required).
0
4.
NPIDES Form.
El
5.
. Encroachment Permit for driveway from the Public Work's Dept. (construction approval prior to occupancy).
171
6.
Contractor's license information. (Number, Name Style, Classification).
El
7.
Worker's Compensation Carder and Policy Number.
r_1
8;
Owner -Builder Verification (if required).
El
9.
Letter of Signature authorization (if required).
11
10.
Recorded copy of Agricultural Acknowledgment Statement.
0
11.
0 Legal description from current recorded grant deed, 0 Copy of M.H. Title, Title transfer, or MCO.
El
.12.
Sanitation'and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538-7541.
EXPIRATION OF APPLIC ATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2 REV 8-12-05
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: r,-, 1P, ASSESSOR PARCEL NUMBER 6M -1A /7r ,
T '060
Proposed Building Use: kk�r Permit Technician: 72, -Date: /Z911
Itorns 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 faxesl
El 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.
0 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Frid 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 enginee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate.
0 11. Hazardous Material Form
0 12. Acknowledgement of building permit application without required clearances.
El 13. Other
ReWining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
X 14. San ' itation and site plan approval from the Environmental Health Department in 0 Chico 0-6roville, as applicable
0 15. Fire Sprinklers ............................................................................................
0 16. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by-..
0 17. Soils Report and/or Engineered Foundation required ...........................................
0 1 rosion Control Plan Required ........................................................................
ees as shown on the attached Schedule of Fees Due Sheet ..............................
0 City of Chico Plumbing permit ........................................................................
0 21. -Site plan and business license approval from the City of Biggs ..............................
0 22. California Department of Forestry plan approval 0 paid. Sent by: .............
g23. Planning approval for (A) Use: ----Mparking: -f-It 0
) Parcel Check: .........
24. Contact Land Development about - Improvements, - Drainage ........................
0 25. Fire Marshall Review (commercial projects only). Sent by: . ...................... .
��26. NPDES Form .............................................................................................
V
V, 27. Encroachment Permit for driveway from the Public Works Dept ...........................
0 28. Contractor's license information. (Number, Name Style, Classification) ...................
0 .29. Worker's Compensation Carrier and Policy Number ................................
30. Owner -Builder Verification (eGiven to owner, -Mailed to owner) .................
0 31. Letter of Signature authorization ........................................................... * * ......
91r 32. Recorded copy of Agricultural Acknowledgment Statement .................................
0 33. Existing violations and/or expired permits .......................................................
0 34. Deed Restriction .......................................................................................
0 35. 0 Legal description, 0 M.H. Title, title search, registration or MCO .........................
0 36. Other:
El 37. Other:
When issued Telephone
I have been info
hold for pickup.
above items and requirements for obtaining a building permit.
Applicant: ZZ L��_ � Date: //D/ _/0
1. Index permit arplication for the item bered- Plan Check Letter
I . I 'r
2. Additional items re W" 13m;ft . 2242 -/-
by,,Ef pforie, 0 mail, 0 counter, by Date:
Contractor design owne - was advise of 66 abbve datdl
r
Contractor: designe C, er, was advised of the above data by 0 phone, 0 mail, 0 counter, by Date:
Contractor, designer, owner, wa� advised of the abo%h- d abZ phone, Omail, Ocounterby Date:
Plans reviewed by: - f!n Date: In Z) Plans approved by: -Date:. th >16z,
Structural reviewed by: Date: Structural approved by: Date:
Note �ransfer by: -Date:
Yellow: Building Division
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
Plot Plan Att
Floor Plan A=
Sent to BD/DS
TO:. Building Division — Development Services
I
FROM: Environmental Health
,5-U,BJECT: Sanitation Clearance
Owner Location -AP#
Plan Approved for: Sewage Disposal:
Clearance for dwelling. Other
Hold final for:
Final clearance 0.
NOTE:
for:
Environmental Health S
Building Clearance 9/2005
r Supply. Public Private Well
Date
BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
1 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965
www.buftecounty.net/dds PHONE (530) 538-7541 FAX 538-2140
RECEIPT OF FEES SCHEDULE - RESIDENTIAL
Owner RICK COLE APN No: 024-080-108
Application Date 1/10/2006 Permit No: BP 06-0043 Permit Type: NEW SINGLE FAMILY RESIDENCE
1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $3,311.03
Plan Check portion of Permit Fee $1,324.41 $1,986.62 Balance of Building Permit Fee
2 FEMA RYes Flood Elevation Review $109.98 0
3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 $204.98
(State Responsibility Area) Building Inspection $109.98 0 1
IMUN-Kr-r-UNDABLE portion of fees due at application $1,324.41 RECEIPT DATE Tech/Asst
=FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,324.41 . 443405 — 1/10/06
FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT
maiance or tsuiiaing t-ermit t-ees (Trom No. i aoove)
SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system)
Additional Plan Check Fees (NON-REFUNDABLE)
$1,986.62
$20.30
$4,196.87
KhL;hlPl UATI: Tech/Asst
At the time of permit application, I was advi the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan
checking process.
Applicant: 1— -A Date:
m 6�
Pursuant to Govern et- 'de ection 466vOi2O, you c*e hereby notified those Items followed by an "" may have been imposed on your project. You have 90 days
from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are
specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205
$13 TT,�-
.Butte Count -De velopin en t Scrw'ces 0 Ull.. 0
Y Deparim ent of W...
0 0
0
7 County Center Drive
Droville, CA 95965
b,
(530) 538-7601 Telephone 0 14-1
(530) 538-7785 Facsimile
BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEAAANCES
request and authorize the Building Division to process this building permit application through the plans
examination process WIT IOUT first obtaining all necessary, related permits and clearances from other
regulatory entities, including but not limited to, Planning, Environmental Health, Land Development,
County Fire, and Agriculture.
I hereby'acknowledgd:
need to submit applications for septic andlor well to Butte County Environmental Health
immediately.
I ant required to bring the approved Enviro tint ental Health site plan and approved sanitation
clearance to the Bu'llding Division as soon as clearance is obtained. r ssing of the
I am responsible for -notifying Development Services, in writing, to Stop P Oce
application and to arrange for* disposition ofplans.
The Building Division will process the application throug . h the plans examination process, as submitted,
without input from other regulatory entities that could prohibit issuance of the bu Llding_permit or r�quire
submission of amended building plans to the Building Division. Once the plans examination process
begins, there will be no refund of plans examination fees. Any changes requiring submission of amended
plans to the Building Division will incur additional fees.
Within one year from the date of application for a building permit, all other required permits and clearances
from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances
will void the application.
TypicallY other required pernuits/clearances include, but are not limite�d to, verification the parcel was
legally created, adherence tb. all mitigations and conditions implosed on the parcel at time of creation, as well
gri e
as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, a
buffer zones, and habitat/species).
Please print:
Applicant Name: 'A- CC L -,F— APN:
Building site address: Permit No.:
1 have read, understood and acrept the terms and conditions as expressed herein as indicated by my
submission of th ove-referenced building permit application and my signature below:
DATE
SIGNATURE OF APPLICANT
A F., 1%
:1 0-- of Public Works
�'�Z'�- Department
0 B u t...t e
C 0 U n t Y
LAND DEVELOPMENT DNISION
J. Michael Crump, Director Storm Water M nagernent Rocrarn
k
7 c6unty Center DOve
Ocoville, CA 95965
0 (530) 538-7-266
Lt. L (FA -X) 538-7171
System (NPDES) Phase
National Poll.utanL Dischtirge Elimination Ilution Prevention
Construction Storm Water Permit and Storm Water P'0
Plan (sWPPP) Acknowledgement LLESS THAN I AgRE
474"'
Project Description:
Project Location andlor Parcel Number: 107-# COO -
By sigiainar be -low, L the project ownei/owner's agent, cextifY that this Project , NOT DISTURB
L thtr�,fore, do not nee� to apply for a Construction StormW ater P ermit
acre or mort of land and that ol Board. Phased projects thaf contain
fiora the State, of Califo-i W e Quality Contr
.nia Regional at r
multiple site build -outs Of less than one acrebut when combined with subsequent phases total more
than one acre of disturbed soil Yrill require a Construction Storm Water Permit from �ae State of
California Regional Water Quality Control Board -
am aWale that SUbmjttinc, false and/or inaccurate information Or failure to apply for a Constmction
Storm Water permit from the State of California Regional Water Quality Control Board for a projtct.
that disturbs one acre or more of land may result in revocation of grading and/or othtr permits or other
sanctions proyide;d by law.
Si ped:
Title:
Date:
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied f6r 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. 1 personally plan to provide the major labor and material for construction of this proposed
property improvement: YES [A NO
2. 1 HAVE HAVE NOT signed an application for a building perm it for the proposed
work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
4. 1 plan to provide portions of the work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS:
PHONE:
CONTRACTOR'S LICENSE NO:
5. 1 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
SIGNED:
PROPERTY OWNER:
DATE: ecy) t — /Z) — 426_��
NOTE: This Owner-Bui * Ider 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.
Rev'd 11/4/2004
Butte County Department ofDevelopment Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
OWNER -BUILDER INFORMATION
Dear Property Owner:
1 -14
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner-buildee' you are the responsible party of record on such a
penrdt. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on all pen -nits for which they apply.
If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should b . e
aware of the following infon-nation for your benefit and protection:
• If you employ or otherwise engage any persons other than your immediate fairdly, and the work (including materials
and other costs) is $200 or more ' for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
• If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal social security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation contributions.
• There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
• For more specific information about your obligations under federal law, contact 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 duough their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractor 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 contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can conflinn that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford U
Chief Building Inspector
NOTE: This Owner -Builder Information is required by Section 19830 of the Califomia Health and Safety Code.
9"",
SITE PLAN REVIEW APPLICATION
'1V
Date: L
A -P#
Permit Number (if app Bin Number
APPLICANT INFORMA TION Parcel Size:
Owners Name: " I&C C 6 /,.1 P_
Owners Address: /* ;3 _57At�(_ /� t�
Telephone No.: X7
Site Address:
Proposed Use: Zone:
Resid I GP:
=ew Single Family Residential
E] Single Family Addition
E] Single Family Remodel
Mobile Home
F] Residential Accessory
F] Permanent Second Dwelling
Temporary Mobile Home (Aunt Minnie)
Temporary Travel Trailer
Multi -family
Non-residential
New Commercial
n Commercial Addition Commercial Remodel
New Industrial
Industrial Addition F] Industrial Remodel
Other
Septic Well
Agricultural Exempt Building F] Agricultural Buffer Form
Other:
Brief Explanation/Issue:
DE VEL OPMENT SER VICES INFORMA TION (For Staff Use)
b"Approved El Conditionally Approved El Resolve Problems Prior to Approval
Resolved
By to"Za j4,ML Date
ALL ITEMS CHECKED APPLY TO THE PROPERTY
Parcel Is In:
El Williamson Act Minimum Acreage: F1 Residence can be built per contract
F] Watershed Protection Overlay Zone
El SRA - (CDF to determine specific requirements)
100 -Year Flood Plain:
Flood Zone:
Flood Panel No.: Index Date:
F] Sacramento River Reclamation District (Approval–must be obtained from th—e California Reclamation Board)
Feather River Reclamation District (Approval must be obtained from the California Reclamation Board)
North Chico Specific Plan
Chapman/Mulberry
F] Cohasset Area
Use Requires:
F�
Use Permit
Streets & Highways
Variance
Subdivision Map
Agricultural Worker Affidavit
M
Administrative Permit
El
Minor Use Permit
F]
Minor Variance
Zoning:
Applicable Building Setbacks:
General Plan:
R Setbacks identified on site Plan. E] CDF approval needed for encroachments into SRA setbacks.
F� Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2
Zoning Code
Streets & Highways
Fire Prevention
Subdivision Map
Front
Side
Side Street
Rear
Height
Waterway
N/A
N/A
N/A
R Setbacks identified on site Plan. E] CDF approval needed for encroachments into SRA setbacks.
F� Use Permit/Minor Use Permit
Permit Number:
Date of Approval:
2
Parcel Created By:
Deeds:
Date of Creation: Legal Access Provided: El No n Yes
Deed of Reference: Legal Access Required No 0 Yes
Parcel Frontage on Publicly Maintained Road: El No n Yes, Road Name:
Complies with County Standards for Deed Creatiown No n Yes
Comments:
El Parcel Deemed to be legal
0 Verify Legal Parcel � El Verify Legal Access El Provide Deed of Creation
El Obtain a Certificate of Compliance
El Obtain a Merger , E] Obtain a Lot Line Adjustment
n Construct road to: El Meet Parcel size required by zone
El Meet current Enviromental Health Department requirements
Subdivision Map/Parcel Map:
Map Date of Recording:
Lot:
4
Book:
3
Page:
X
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
COPY of Document Recorded
13 -Feb -2006 2006-0007563
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
A-'�> -a- o;_2,f - oej - / 00
tq/ — '��) — 2
Date
State of California
I X C�
County of '&-mN
PROPERTY OWNERS:
14
V3 a b0Q before me, ��Aolkt, (30-410VII cio'lf'�—Oic�\
7Zpersonally appeared -7, (�r\ C:' K--& C e—, 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.
WI E and and official seal.
- NE and a!
T
tu Seal- 4AAAAAAA"AAAa6�
Signature A A A A
—tZriz Y" LYNETTE GART01
Comm. # 135137V
NOTARY PUBLIC -CALIFORNIA
A.P. # C)&L� - County of Butte
Comm. Expires April 17, 2006 W
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL 3 AS SHOWN ON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF
THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 28,
1981 IN BOOK 82 OF MAPS, AT PAGES 60 AND 61.
TOGETHER WITH AND RESERVING THEREFROM AN EASEMENT FOR INGRESS AND
EGRESS AND PUBLIC UTILITIES AS SHOWN ON THAT CERTAIN PARCEL MAP FILED
IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON APRIL 28,1981 IN BOOK 82 OF MAPS, AT PAGES 60 AND 61.
SAID EASEMENT TO BE FOR THE BENEFIT OF AND APPURTENANT TO THE
REMAINING LAND OF THE GRANTOR HEREIN AND SHALL INURE TO THE BENEFIT
OF AND MAY BE USED BY ALL PERSONS WHO MAY HEREAFTER BECOME THE
OWNERS OF ANY PARTS OR PORTIONS OF SAID APPURTENANT LAND.
AP NO. 024-080-108
Feb 13 06 10:17a
BUTTE COUNTY SC"OOLS IMPACT FEE CERTIFICATION FORM
(Or* form per Building)
School District Bulldng Department No.
A.P. Number 0 iR) — /046jurisdiction: City [:���Cclunty
Property Owner 4��170 6 67—
/,�-p
Lo6 oo -v3
Property Location/Address V�152_
Subdivision Lot No.
2-700
Residential Development
Footage
Sq
No of �ing Mobile Home Addition/ *Supplem=ental to (Group R)
Units Installation
Conversion Permit #
... ....... ...... . ......... ..... in nj.
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notioe of Limited Use Facility document,)
Commercial/industrial Sq. Footage
New AdditIon (including Exterior
Roofed Areas)
Ful—lon-g 60—artment Representative Date
Diltrict Identification No.
School District certifies that
f (Applicant)
- I �p D, t) C I v e -
(Street Address)
(Phone Number)
:2.)
(City) (State) (Zip Code)
.4 1 . , ,
has complied with L�e' requirements of Resolution No. by payment of $
representing A —10 square feet. $
$
School DiNrict Representative 0 Date
Paid by Check # Remarks:
Nodce: You may PrOtW the trnpositlon of ft feers Identaled above by subinittino * written P1 ofts to VW 01mck in cohmpnerne with
G-IvernrnentCoft Section 66020(a), MOM go days from tN date fe" am paid. FaJW*to*ubrnk&tI"�4YwftWPlot96 williprohlbit
You from challenging the imposition of the ffts In any court acdon.
N, subsecrtwnt to ON Schod District Reprftentative Signing "$"Butte Cmd" Sch*ds lff4md Fee Certification Fam Ow 8&.00l District Is
notified by the appliceAs Local Planning Agency that eft project is being rw*W*od Under &4 CoNfornla EnvIronmentat Quality Act (CEGA),
Ws profect may be subfed to addidonal school ton !P-FUI!Y ftftata Its InVed on the tchool dW&Ws achWa.
ng clepartment), i�link
feefonn.xle (YDS)dftn
5GALE: 1 20'
* N
101
ONE-5TORY 5FV
4-BEPROOM5,3-13ATH5
FARGEL
2100 50. FT. GOMSPAGE
cn 0
CUD,
GOV. PATIO
'ORGH r 3 -GAR
- -------------- -- --
-------- ----------
----- ZdO'e
PROPOSED PqELL--,,,
-------------- --------- ------
DRIVE
NINTERS C.,0URT
1313LI,
32'
1.00 AG.'
bRi6iNAL LEACH AREA 4 100 %
REPLACEMENT AREA,
bo'/13EPROOM-.200 LIN. FT. OF
LEAGH AREA - 2-LINE5 OF 100 LIN. FT.
�I� ACED 'o lo' GENTER5.
5,%5
M75_�r OTHER5 FIELbVERIFY
LOGATION.
Q1
NOTE- LOCATION OF
HOUSE TO BE VERIFIED
I -VOMER IN iHE FIELD
15,00 6AL
'SEPTIG TANK
--------------
2100 50. FT. GOMSPAGE
cn 0
CUD,
GOV. PATIO
'ORGH r 3 -GAR
- -------------- -- --
-------- ----------
----- ZdO'e
PROPOSED PqELL--,,,
-------------- --------- ------
DRIVE
NINTERS C.,0URT
1313LI,
32'