The URL can be used to link to this page

Home My WebLink About024-160-035BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds County Impact - SFD Dwelling - Custom, Model Dwelling - Custom, Model EH Building Review Fee Fire Inspection (SRA) -Fire -Res Fire Plan Review (SRA) -Fire -Re Impact Processing Auditor Impact Processing DDS FEE INFORMATION $2,244.02 $1,908.27 $1,272.18 $70.00 $95.00 $95.00 $50.00 $50.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires OWNER BUILDER / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 05/01/2007 Contractor's Signature Date I ' - WORKERS' COMPENSATION DECLARATION I 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; KI Carrier: Policy Number. Exp. Date: (This section need not be competed if the permit is oror one hundred dollars ($100)_ or I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensate ws of California, and agree that if I should become subject to the workers' compen,ATion pr visions of Section 3700 of the Labor Code, I shall forthwith comply with those 1/2007 SIgffature U 4-1 Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) , Lender's Address City State Zip Ping Appl Fee (SRA) -Bldg $109.98 Res Impact Fees - SFD $2,005.09 SMIP - Residential $17.36 Total Charged: $7,916.90 Fees Paid: $7,916.5 Balance Due: $0.00 Receipt No: B28E OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 1�1AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE 6OMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this �1 1/2007 owners Signatere Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the is3pdRp of this permit. I hereby acknowledge that issuance of this permit does not authorize the Fe o ancy of any sidew k, street, or subsidewalk. I hereby authorize representatives of Butte C my to nth/ a ova m tionpb pro any for inspection purposelSl I hereby certify that I am the dpa w r or aultl zed ac 010"MWerty. owneris beh; f. i 44g& ///Q�1' _ o�J��7 Al/2007/2007 Nam�f Permitte [SIGN] Pri t�atePermitte [SIGN] Pri tate Owner [J Contractor OR. Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: TBD Owner: Permit No: B06-2885 APN: 024-160-035 VALADEZ, PERFECTO ETAL Permit type: RESIDENTIAL PO BOX 571 Issued Date: 05/01/2007 By KEJ Subtype: SFD-Custom/Model LIVE OAK, CA 95953 Expiration Date: 04/30/2008 Description: NSF(2432)GAR(528)COV(178) (530) 695-3316 Occupancy: R-3 Zoning: A40 0 Contractor Applicant: Square Footage: OWNER BUILDER VALADEZ, PERFECTO ETAL Building Garage RemdUAddn PO BOX 124 2,432 528 LIVE OAK, CA 95953 Other Porch/Patio Total (530) 695-3316 1 �0 , „o County Impact - SFD Dwelling - Custom, Model Dwelling - Custom, Model EH Building Review Fee Fire Inspection (SRA) -Fire -Res Fire Plan Review (SRA) -Fire -Re Impact Processing Auditor Impact Processing DDS FEE INFORMATION $2,244.02 $1,908.27 $1,272.18 $70.00 $95.00 $95.00 $50.00 $50.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires OWNER BUILDER / / I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 05/01/2007 Contractor's Signature Date I ' - WORKERS' COMPENSATION DECLARATION I 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; KI Carrier: Policy Number. Exp. Date: (This section need not be competed if the permit is oror one hundred dollars ($100)_ or I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensate ws of California, and agree that if I should become subject to the workers' compen,ATion pr visions of Section 3700 of the Labor Code, I shall forthwith comply with those 1/2007 SIgffature U 4-1 Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) , Lender's Address City State Zip Ping Appl Fee (SRA) -Bldg $109.98 Res Impact Fees - SFD $2,005.09 SMIP - Residential $17.36 Total Charged: $7,916.90 Fees Paid: $7,916.5 Balance Due: $0.00 Receipt No: B28E OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 1�1AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE 6OMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this �1 1/2007 owners Signatere Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the is3pdRp of this permit. I hereby acknowledge that issuance of this permit does not authorize the Fe o ancy of any sidew k, street, or subsidewalk. I hereby authorize representatives of Butte C my to nth/ a ova m tionpb pro any for inspection purposelSl I hereby certify that I am the dpa w r or aultl zed ac 010"MWerty. owneris beh; f. i 44g& ///Q�1' _ o�J��7 Al/2007/2007 Nam�f Permitte [SIGN] Pri t�atePermitte [SIGN] Pri tate Owner [J Contractor OR. Agent for Owner Agent for Contractor FILE COPY Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B06-2885 Date: 12/26/2006 Location: By: AAM Parcel Number: 024-160-035 Sub Type: SFD-Custom/Model Owner Name: VALADEZ, PERFECTO ETAL Phone: (530) 695-3316 Description: NSF(2432)GAR(528)COV(178) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ ■ ■ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Given % owntr Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 G Nth .6 OWi1e'r' Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property FILE Date: 12/26/2006 1. BUTTE COUNTY FEE SUMMARY Printed: 12/26/2006 7 County Center Drive 11:59 am Oroville, CA 75965 Permit Number: B06-2885 Job Address: Contractor: Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Fee Description Account Number Fee Amount Paid Date Pmt Amt County Impact - SFD SF - Public Works - Veh/Egp 1851-0-280-1011853 $658.17 SF - Public Works - Roads 1831-0-280-1011001 $1,244.88 SF - Public Works - Facility 1851-0-280-1011852 $340.97 Dwelling - Custom, Model N - Plan Review Fee 0010-440001-4210500-1010 $1,272.18 12/26/2006 $1,272.18 N - Permit Fee 0010-440001-4210500-1010 $1,908.27 EH Building Review Fee 0021-540013-4614901-1010 $70.00 12/26/2006 $70.00 Fire Inspection (SRA) -Fire -Res 0100-450001-4617240-1010 $95.00 12/26/2006 $95.00 Fire Plan Review (SRA) -Fire -Re 0100-450001-4617240-1010 $95.00 12/26/2006 $95.00 Ping Appl Fee (SRA) -Bldg 0010-440001-4210500-1010 $109.98 Impact Processing Auditor 0010-050-4617998-101001 $50.00 Impact Processing DDS 0010-440001-4617999-1010 $50.00 Res Impact Fees - SFD SF - Sheriff Facility 1840-0-280-1011841 $291.31 SF - Sheriff - Jail 1800-0-280-1011811 $288.00 SF - Library Vehicles 1825-0-280-1011828 $4.50 SF - Library Materials 1825-0-280-1011827 $150.82 SF - Library Facility 1825-0-280-1011826 $224.20 SF - Gen Govt - Facility 1808-0-280-101001 $618.75 SF - Sheriff Veh/Egp 1840-0-280-1011842 $142.14 SF - Gen Govt - Veh/Egp 1810-0-280-101001 $285.37 SMIP - Residential 1001-0-280-1011298 $17.36 79916.90 $19532.18 Printed By: Alice Mefford At the time of permit ap n, I was advised the above fees are required prior to issuance of the permit. checking process. Signature: Balance Due: $6,384.72 These fees may change during the plan Date: 12/26/2006 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B06-2885 Date: 12/26/2006 Location: By: AAM Parcel Number: 024-160-035 Sub Type: SFD-Custom/Model Owner Name: VALADEZ, PERFECTO ETAL Phone: (530) 695-3316 Description: NSF(2432)GAR(528)COV(178) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre.but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: 1'(„)h, e - FILE Date: 12/26/2006 Butte ,County Department of Development Services TIM SNELLINGS, DIRECTOR ( PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B06-2885 Location: Parcel Number Owner Name: Description: 024-160-035 VALADEZ, PERFECTO ETAL Signature of Property 178) FILE Date: 12/26/2006 Phone: (530) 695-3316 Date: 12/26/2006 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION 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 -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 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 to 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 unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing 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 requir3ed 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's automated telephone information system at 1-800-321 PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PLM TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. 01D3 OR NO) 02. (g�I/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 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 Description: NSF(2432)GAR(528)COV(178) Reference Number: B06-2885 Applicant Name: VALADEZ ERF TO ETAL / Signature of Property Owner: Date: _% --2 � — 0!/ BUTTE 9OUNTY DEVELOPMENT FEE CERTIFICATION FORM NO FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) y -((n0" O Building Permit Number(�� Property Owner (s) Project Location /Address �Uhi1'er kw- Gr"31Q4 Subdivision Name Assessable Sq. Ftge 2�3� New Development Alteration/Addition(s) T f Residential Development (check one) ingle Family -Detached Single Family -Attached Non -Residential to Residential Mobile home Mobile home replacement Demo Permit (date issued ) Comments Building 4' Date Multi -Family Dwelling verified by Assessor Department verified by Building Department OTRRPD D CARD ❑ PRPD D DRPD certifies that: Applicant Name Phone Number P- c). 1a-� L -i uQ 0A k Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of. A O iD Remarks: Paid by Check ark Dwelling Units @ $ Square Feet @ $ Paid'�Y Cash: per unit for a total of $ 1 1a=,' 00 per sq foot for a total of $ Receipt No: Date 1.YY ...rs � � ♦. _. _.-�. .. _ yam'. _. s — a f �, —^ � >�...._ ..- .t :h..•.�+w...,+ti...,l..�k.. -. ....4",.r.-�r.._✓tisr. .b�..� �a. $.,;,, a :w•.w�,.... � BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM 1" (One form per Building) School District 07V APu l(�OI �1�,1 r)� 1 Building Department No. Bocp -n District Identification No. School District certifies that < V" (RX Tax Rate Area No. n,7,2 -Oog A.P. Number (� �.y.. ��1 1 �� Jurisdiction: City EN/County Property Owner V/i k4? T)Pr�ecto Property Location/Address Th ynFr Ave 6 CA Subdivision Lot No. Residential DevelopmentQ JKiv]ing _....................................................................:........... Sq. Footage G No!-; Mobile Home Addition/ 'Supplemental to , (Group R) Units Installation Conversion Permit # Cr. Demo - ( ) € "(No foundation inspection) ..... ............ . existing sq. ft. see attached Net total sq. ft. 9-wM- Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) a nim O —25-4 Buildinglgepartment Rei re entative Date' (Street Address) (City) O` (Zip Code) . (Phone Number) has complied with the requirements of Resolution No. )l I . r) h n L by payment of $ representing square feet. B 2926 $ FULL MITIGATION $ School District Paid by Check # � Remarks: 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 (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 (WY of Docn>.ent Recorded 1 -May -2007 2007-0021055 Has not been conpared with original BUTTE COUMTY 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: Date � State of California County of `r �s- On L before me, . personally appeared — " ory evidence) to be the person(s) w e name(s) is/are subscribed known to me (or proved to me on the basis of satis act 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. WITN hand and official seal. Signature Seal: LYNETTE GARTON ' Comm. # 1652890 NOTARY PUBLC CALIFORNIA Comm. Exxppirres Aprl�l 117, 2010 A.P. # Order No. 00207165-004 3 EXHIBIT A 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: PARCELS 1 AND 2 AS SHOWN ON THAT CERTAIN MAP FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA ON AUGUST 13,1986 IN BOOK 103 OF MAPS, AT PAGES 68 AND 69. AP NO. 024-160-034 024-160-035 BUT'T'E COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name . [it Name Mailing Address city . St zip 3 Pho e n S _ i �l Fax E-mail APPLICANT INFORMATION CONTRACTOR Name W 2f e Address Zip City Fax State Zip Phone Planner Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name city Address Zip City Fax State Zip Phone Planner Fax E-mail State License Number APPLICANT INFORMATION Name Address city State Zip Phone Fax E-mail For office use only: Zoning Flood Zone SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. y � 1 BIN PR,O/�JECT LOCATION Y� Z API IVB Property Address Agipry C V City Cross Street WORKER'S COMPENSATION Policy Number Carrier Nhiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: �243a i t Sq FT- Living, Garage Open Cov; ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff Other] Date: Othe Total SITE FLAN r .. .. .. �< -�.. .. .. .. .. _ .. .... ..... ...... ..... ..... ...... ............ ...... ...... ...... ..... ------ . : . . . . ... . . .. .. ........................ .. ....................................... ..........................._. ...........................:. ....................:.........................:..•• , :...:....:....:...:....:....:.. ..:....:.. . . .. I '��•.. ...... .. .. ............ .. •S • ►: I �1 .. - - 'a ... ...... i... .. .. .. .. .. .. .. 1 i .� ._...... ............. .. , ... 6 a tom.. k'3 i 11 a? t .V pp Q 5.: 1 d .. .. i.. .. .. _.. _.. _.. _.. _ ........... ........:......:.. i�> Al ............. . .. .. .. "-r ............. .. .. .. ...... ... .. .. .. .. .. .. .. (�, i.. '55 i.. .i• i . Y' 9` `C .. ..... ..... .... ..... ..... t :.....' .. .. D: C -:_ .. 4 :.... 1...... .. . '• - O,v I• ..,Y. n :.9......,• .. ................ :Y ..-J. , .. .. .. � ^fes• y R L _ .. .. .. .......... .. ............ .. .. .. .. .. .. .. .. .. .. .h ...Q. �,.: -- I ....... . . . . . . . . . . . . ..:..:..:.................:......:.. :.. o- :.... :........... e� s `- Lj: .. .. .. - �> »................... w .. .. .. .. .. .j.. :.... .... ..:.. .... ... . .... ..... ... . j. 4..................... .. .. ........................ .. .. .. .. .. .. .. ............ .. .. .. .. .. ............. .. 1 • +_.. .. .. ... .. .. .. .......... .. .. ... .. .. .. .. .. .. O............................. .. .. .j.. .. .. .. .. ....i.. ..}. .. .. .. .. .. .. .. .. .. .. '� .. .. .. .. .. .. .. ............................... .. .. .. .. .. ... .. .. .. ............. .. .. ........................ .. :.t ....:............: o-..:• •: v.- _-.....: .. .. .. .. ....:...mid t®.•.I. .. ..t+.':.. [j i.. .. .. .......... .. .,..i_. __ .. .. .. _. .. .. ...................... .__....i. .. .. .. -- • �• ....... _....... F ... _........... Or . _. r ..........................................................................._....._.... _....._........................................_................................................. ...._ Assessors Parcel Number ® E] ® — 0/ ®®- a a ® Scale: 1" _ D Owner Name PC d. ( T. Address / Phone No. e. Site Location Contact: Name IL ci. FOR OFFICE USE ONLY PROVIDE FOR ALL 13UTTE COUN YADJACENT PARCELS Zoning:ZE General Plan Desig: BUILDING IVIS1 � ONING,� Size, Acres APPR, Q'JF0 GEN PLAN: 16.4-15-- 339 r-1 1-o - Aff -:�� I USES: Phone o 4 M,=3 . �' SITE PLAN ........... ...._............ .._. .. .. .... .. _... _.. _.. .. .................... ..........: ...... . r......,.... }.. ,_.. ...... .. .... ........ ...._. .... ...... .._..:. _...... �. >�.. .... .... ........................ . /S v /:e ..... ....... .. .. .. i!.... .. .. .. .. .. .. .j. .. .. .. .. .. .. .. .. f... ........ .. ......... ..:: ......... ....::: : .. ... .. .. .. .. .. . .. .. .. .. .. ........: .. .. .. .. .. .. .. .. .. .. .. .. _.. .. .. ...... .. .. ..:.. ..:.. ..:.. / .. r :��•h ................... /J�f4 _4vj _f} .. t.. .. j_ .. .....................{}............ .. .. .. .. .. . .. �.. .. .. .. .. .. .. ...................... •..... ..........{.... . ...i...... .......... .................. ..... .. ...... .. .. .. . s , .. j... ............ .. .. .. _ .. .. _ .. .. ...... .. .. . . . . . . . . . . . . . : . . . . . . . . .. .. .. .. .. .. .. .. .. .. .. .. .....:............_.................. _......._ ...............:...... ......:..... {...... g......a.....{............a.....{......;......}.....{......g......}..... r......,............:............ r.............s ....{......g......T..... ;...... g......i..... i...... j. .... j.... .!. .j.. l _ _ •t .. .. .. .. .. .. .. .. .. .. .. ........�:......: .. .. .. .. .. .. .. .. .. .. .. .. .. ............. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. .. .. ../.. v /7 :....:.. ..:.. i .......................... .. ... j......: ................. �o C '•/ •.. .. ....... . . . . . . . . . . . . . . . . . . . . : , . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. .. .. . .... , ..... r......•.....: ..... •...... •.....:..... •..I...•....._.....r......g......}.....e......g......}.....?......g......T.....+•......g......}.....r,......g......T..... r .......................... .. .. .. ....:..... {...... g......s.......................................... .. l .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ......._ .. .. _ ......... .. .. ........... .. .. ....................... .. .. .. .. .. .......... .. .. .............. .. .. ............ I.. .. .. .. .. .. .. .. .. .. .. .. .. .. .......... .. .. .. .......... .. .. .. .. .. .. .. .. j......; .. .. . . . . . . . . . . . . . . . . . . . . . . . . . .............. .. .. .. .. .. . .. ............. .......... ... .. . . . . . . . . . . . . . : . . . . . . . . . . . : .. .. _ .......... .. .. .. .. .. .. .. .. .......... .. [ .. .. g .....{ .............r..... s......,......r.....,...... ...... ..... s......g......}............ g......• ........?......g......T..... {......g...... s.....r...... ...... _..........._....._..... ......_................... T.....+,..... .g...... .. .. .. .. .. .. ... .. ( r� �. •5 .. .. _ .. .. .. .. .�. .. .. ............ .. ................... .. .. .. .. .. .. .. .. ...... .. .. ......... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. ........... .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. i�...i .. .. ............ .. .......... .. .. .. .. .. .. .. .. .. .. .............. .. .. ... .. ............... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .......... .. .. .. ...: .. .. .. ........... .. .. .. .. .. ............. .. .. .. .. .. .. .. _ ... .. .......... .. .. .. .. ............ .. .. ............ .. ............ .. .. .. .. .. .. .. ............. ............ . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. .. .. .. .. ........ Assessor's Parcel Number. D ®FO - Q Q - a a Scale: 1" _ Owner Name Address / Phone No. Site Location Contact: Name "e- a Ll 4, 5T. Phone Odd= = 2M . FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.0(r ' PROVIDE FOR ALL ' ADJACENT PARCELS SIZE (AC): ZONING;: GEN PLAN: USES: