HomeMy WebLinkAbout025-310-011025-310-011 06-0634
PASTORA, JOSE
6038 POWER HOUSE HILL RD,
PALERMO
Cont: OWNER
ELEC SERV C/O
11
I.
PANASCO, Frank ? 5717B ---
4379P
_-4379P '
5 6
f
w/s Powerhouse Hill Rd .:3/4 mi . so . al.e-
Rd., Oroville 1
"
( e single family)
.15
I A 1.
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT Bp060634
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
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: 03/22/2006 APN: 025-310-011-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address: 6038 POWER HOUSE HILL RD PAL
Date: Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: REPLACE ELECTRICAL SERVICE PANEL
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: PASTORA, JOSE E. & BERTHA A.
to its issuance, also requires the applicant for such permit to file a
signed statement that he or she is licensed pursuant lc• the provisions of
the Contractor's State License law (Chapter 9 commencing with Section
6038 POWER HOUSE HILL RD
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
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
95965-9610
applicant to a civil penalty of not more than five hundred dollars ($500).):
(530)534-3108
I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: PASTORA, JOSE E. & BERTHA A.
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
6038 POWER HOUSE HILL RD
year of completion, the owner -builder will have the burden of
OROVILLE,
proving that he or she did not build or improve for the purpose of
CA
sale.).
95965-9610
❑ 1, as owner of the property, am exclusively contracting with
(530)534-3108
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor:
❑ 1 am Exempt under Article 3 the Business rofosions Code
Date:/_Z?'_Q&Owner: Z
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
License #:
Labor Code, for the performance of the work for which this permit
is issued.
❑ I have and will maintain workers' compensation insurance, .as
required by Section 3700 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Engineer:
Carrier:
Policy #:
❑ I certify that in the performance of the work for which this permit.is
Total Square Ft: 0 S. F.
issued, I shall not employ any person in any manner so as to
Valuation: $0.00
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
r r,C1
V
Date:
v\((��
Applicant:
WARNING: Failure to secure workers' compensation coverage is
3 - 22 • U1
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
- "
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to do work irldicaVbove for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
- (f
By: Date: L`
Name:
_
/��/
PERMIT EXPIRES ON: 3'Z� (l' /
Address:
(Date)
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the cyler or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to upon the above mentioned property for inspection pJ poses...
yenter
��5� �2� Signature:
Print Name: T ' r
Date:
l�Owrier ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
B. C. Building Permit 01-16-04 pg 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 #: (530) 538-7541
A FEE WILL BE REQ UIREDAT TIME OFAPPLICATION.
Website: www.buttecounty.netldds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
list Name . 04
[First Name
Address /_ SE 4rLL Rib
city
OP-0 III
state
lip
Phone
2S
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name
CRY . Q (Z6 0 L I,
Address
Zp S
City
Fax
State
Zip
Phone '
Page
Fax
E-mail '
Name -
Uc. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
CRY . Q (Z6 0 L I,
Address
Zp S
CRY
Fax
State
Zip
Phone
Page
Fax
E-mail
Name -
State license Number
APPLICANT INFORMATION
Name
E— ArSi�/2�
Addras (G)3s, GtJ�r2 push j-} iLL ��
CRY . Q (Z6 0 L I,
State G�
Zp S
Phone ;
Fax
E-mail
APP
LICANT SIGNATURE
or office use only:
Zoning
Property Address
Flood Zone
SRA
Yes
No
0�
Type Const
Subdivision Name
Map Book .
Page
Lot #
Planner Date Approved:
PERMIT
N0. (�
Bim' ' I
Bi;N #
PROJECT LOCATION
APP
1
Property Address
ity
Cross Street
i
WORKER'S COMPENSATION... -
Policy Number
Carrier
If hiring anyone ofher than license confracfors, a cerifficate of worker's
compensation must be shown of Me time ofpermit Issuance.
LENDING -AGENCY
Name -
Address
Description or Scope of Work:
Re 1- dct Q etp r- .e ar)e
Sq - Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which ja 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
Refs nds 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 depardnent costs are not
refimdable.
I I Received b)r K Amount—05 00
BldgI
C.
Receipt tji %91
-3 Z2-(O(�
SRA
Sheriff
SMIP
t3D Other
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 BELEGIBLE AND IN INK.
❑ 1. Site plans, 3 or sets, signed by the preparer of the plans. No graph paper!
❑ .2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineefed plans, 3 or 4 sets, with wet signature on plans AND 2 sets.of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 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.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 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.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required). -
0
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑-
7.
Worker's Compensation Carrier and Policy Number,
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed; ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
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 APPLICATION
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. Fling fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide.the major labor and material for construction of this proposed
property improvement: YES t NO [ ].
2. I HAVE HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS:
PHONE: CONTRACTOR'S LICENSE NO:
4. I 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. 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
SIGNED:
PROPERTY OWNER: 7&i5C E �A/SVP_k
DATE:-
NOTE:
ATE:
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County Department of Development
Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
Dear Property Owner:
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 your plan to subcontract, you should be
aware of the following information for your benefit and. protection:
o 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.
o 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.
o 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. 1
o 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 through 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"lluilding
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's
automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Scott Rutherford
Manager, Building Diviion
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
RECORDING REQUESTED BY
Fidelity Title
AND WHEN RECORDED MAIL TO:
Jose E. Pastora
Bertha A. Pastora
6038 Power House HILI Road
Orovllle, CA 95965
APN: 025-310-011
Escrow No: 25560645-ST1
space
GRANT DEED
2005-0079162
Recorded I ITEC FEE 10.88
Official yRecords I TAX 33LOD
Counuttte f i NOMlFHi PRM 10.88
mom J. EM I
County Clerk-Recarderl
1
INP
02:04PM 38 -Der -M I Page 1 of 2
use
THE UNDERSIGNED GRANTOR(S) DECLARES)
DOCUMENTARY TRANSFER TAXIS $330.00, CITY TAX $ 0.00
® computed on full value of property conveyed, OR
0 computed on full value less value of liens or encumbrances remaining at time of sale
unincorporated area 0 city of _ , AND
,FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged,
.Pete Cortez and Martha Cortez, husband and wife, as joint tenants
hereby GRANT(S) to
lose E. Pastora and Bertha A. Pastora, husband and wife, as joint tenants
the following described real property in the'city of Oroville 0 unincorporated area of, County of Butte, .
State of California: �{ £4;614_
Commonly known as: 6038 Power House Hill Road, Oroviile, CA 95965
Dated: Decgmber 28. 2095
i
Pete Cortez C7 Martha Cortezi
STATE OF CALL e l
COUNTY OF J SS:
befo� .tg tr'nr ersignedA" K"; A 1nQanc ;Oteeid County and State, personally appeared \
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same
In his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s),
or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Trde No. 05 -411207 -A -CH
Locate No. CAFNT0958-0958-0051-0000411207
LEGAL DESCRIPTION
. � EXHIBIT "A"
THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE,
STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS:
The South half of the Southeast quarter of the Southeast quarter of Section 11, Township 18 North, Range 3
East, M. D. B. & M.
APN: 025-310-011