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HomeMy WebLinkAbout035-223-012r , . 35-223-12 ;:r r " ,%ERWIN' BUSH t 970" Lincoln; Or'oville ---_ - } Y y: Permit#3660-82P;E(ut.il'' MH ELEC n GAS .+. - ' • .SUPPORT STRUCTURE-REQ COMPACTION TEST REQ0-1 T 035-223-012 03-3803, NORMANDIE LAND CO, _ 4970 LINCOLN BLVD, OROVILLE Cont: OWNER t REROOF,REPAIRS ETC.ETC_ . • . If 035-223-012- 05 i- .•_, y SHIER, CHARLES %..1` 4970 LINCOLN BLLVD, - • Cont:.OWNER NX REROOF,SBFLR,LVNRI\q;ETC... .. t r r, • ' � eft I , , 5 1 �, k i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHI(;O) OFFICE #: (530) 538-7541 PERMIT NO. BPO50648 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: 03/10/2005 APN: 035-223-012-000 the Business and Professions Code, and my license is in full force and effect. License Class; License Number: Site Address: 4970 LINCOLN BLVD ORO Date: Contractor: Map Index: Description: reroof, subfloor, liv room, wtr htr, mis ele,plumb 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 Owner: SHIER, CHARLES CRAID permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 4970 LINCOLN BLVD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the.alleged exemption. Any 530-533-1470 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).): Rt 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 Applicant: SHIER, CHARLES CRAID Code: The Contractors' State License Law does not apply to an 4970 LINCOLN BLVD owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees. OROVILLE, CA provided that such improvements are not intended or offered for 95966 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-533-1470 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: 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.). ❑ I am Exempt under Article 3 o e , iness and Professions Code Date.,? -10-D wner; License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as 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: Carder: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 0,,l 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' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: , WARNING: Failure to secure workers' compensation coverage is a 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. �j "G1` l�•' o CONSTRUCTION LENDING AGENCY This permi by iss ed under the applicable provisions of the Butte County Code and/or Resolution d o indicate above for which fees have been paid I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097,Civ.) Date: Name: BY N PERMIT EXPIRESN: Address: Date ❑ 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of y offi 'al form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo s. Print Name: Qom( GS ( t 9 /G✓ Signature: Date: 1&Qwner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Buildinq Permit ut-lb-uv pq i �VTr BUTTE COUNTY O " O DEPARTMENT OF DEVELOPMENT SERVICES o O BUILDING PERMIT APPLICATION O O AND SUBMITTAL REQUIREMENTS O '"dam. ' O 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OffO OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION u N Website: www.buttecounty.neUdds "PLEASE PRINT CLEARLY* APPLICANT NAME OWNER Last Name yL first Name Address 70 ;7 C jQ A fiUk" City Je D Vi r Staten (� Zip 9 Phone �j _ /7D Fax E-mail Lic. # APPLICANT NAME CONTRACTOR Name yL Address Tip City Fax State Zip Phone Page Fax E-mail Date Approved: Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Tip City Fax State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Tip Phone Fax E-mail PLICANT SIGNATURE X For office use only: Zoning Property Address S Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIRtMI=N 15 PERMIT NO. B�«� BIN # LOCATION AP# a3 _ 04.2 Property Address S City Cross Street SRA 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. Date: b LENDING AGENCY Name Address Description or Scope of Work: n _ I e-1 _ — I - - —r // Sq. Footage „' — • ' . „ b4 Structure buia wltnout vermas ❑ 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. K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 Received by: Amount: q3+ Bldg SRA Receipt #: Sheriff SMIP Date: b Other , Total �YJ K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 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 LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 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 Engineered 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. (Note: Not required for additions to mobile or modular homes.) ` ,I ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Cl 13. Sanitation and site plan approval from the Environmental Health Department. 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). ❑ 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). Cl 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's): If you have questions or would like additional information regarding this process, contact a Permit Application 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. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSMILDING F0RMS\13IdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 .0 _. l�rRT �UIrLD'E''IhCTION; .; `4'."' " S:hA,3:o1i:1:i11i: '4V'CSYt„rco ne�d'Ge':t !'v; �^r. 3:fRs, .. ... A'.. !.sr..9?li..... _ n.. _T.'�_sS W§ Attention Property Owner: 0 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[ X ] NO[ ]. 2. I HAVE [ g(] HAVE NOT [ ) signed an application for a building permit 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. I plan to provide portions -of the work, but I have hired the follow'ing!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:. DATE: 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 ADMINISTRATION' BUILDING' GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538.2140 Facsimile 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 Califomia 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 $200 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 govemment 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. 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 contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by 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 confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. N MicVael C. Vieirq, C.B.O. Ma ager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT�O� R9-3 ASSESSOR PARCEL NUMBER 015-221-019 ZONING 1 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS k106-197 DAVTI; C.A. 95616 CONTRACTOR'S NAME OWNFR TELEPHONE 1. L est 20 QQQ . QQ CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 207.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4970 LINCOLN BLVD. OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE _ 1227.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RF. RnnEh ­RF.PATR si1R FinnR RE$LA-CE dxgl-OCA'E UM )jjTM FT .F.(� SFTFFTRnrK Gas piping system 1 - 5 outlets 15.00 19.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ,•��S' WINDOWS ANDSIDING ELECTRICAL PERMIT Fling Fee 20.00 Main Service .OA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1131. 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) (r� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo ith c ply with those provisions. Date I� -A? ©3 nature of Applicant - ❑ Owner ❑ Contractor agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. of Main Service 200A TO 1000A 46.00NEW CONST. DWELIJNG OOCUP. SO OR ADDNS. 8 ACC. S.3.50FT. NON -R SID. RANCHO RCUT @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. ourLEr OR FocruREs SAL p 1. o Ex. Occup. oimEis AFM.Dea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23-0023.00 PERMIT FEE $ 43.00reason MECHANICAL PERMIT Fling Fee 1 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 320.00 HAZ. -- D. FEES ---- IMP -- FLOOD ---- CDF -- PARCEL ---- PD — HD -- ISSUE / This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have y PERMIT EXPIRES ON Ifi the applicable provisions Resolutions to do work been paid. Date ®� F Te ReceiptNo. 3341 77$3%(7 _ nn WHITE-D.D.S.-B.D. CANARY -ASSESSOR P NK -INSPECTOR GOLDENROD -APPLICANT . f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERn (Rev.12/96) APPLICATION AND PERMIT ' wwNc BUILDINGPERMIT ASSESSORPARCELNUMBEii T�MO]SO. FT. OCC. BUILDING VALUATION OWNERoww�sMAIUNcO//%S CONTRACTOR'S MAIUNG ADDRESS CONSTRUCMON(ENDER LENDERS MAILING ADDRESS ARCH EC:T OR ENGINEER ARCHrrECT OR ENGWEERT MALUNG ADDRESS win LOT NO. I suBOvosto sNAME USEOFSTRUCTURE SFN,k Duplex ❑ Mobilehome ❑ Other SPlCFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: A n Ad d7YA A A PERMIT FEE PAID $ �a SRA $ SHERIFF $ OTHER $ AMOUNT RECEIVED $ DATE RECEIVED 3c1 ql.2� NO. 20.00 ling Fee 20.00 7.00 23.00 15.00 15.00 /S, t 15.00 (7 15.00 @20.00 Ung Fee 20.00 23.00 46.00 SO 3.50 e7.50 Ex OCCu OurlET OR FDnVAES Total Valuation Is 10. Erin Fee $ Permit Fee $ Main Service 200A TO 100" Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ $ Use. Wirinq PERMIT FEE $ PLUMBING PERMIT Each Trap Soler or heat pump water heater Water piping Each gas water heater or vent U1v) _ Gas piping system 1 - 5 outlets Building sewer Mobile Home I S • G I W NO. 20.00 ling Fee 20.00 7.00 23.00 15.00 15.00 /S, t 15.00 (7 15.00 @20.00 Ung Fee 20.00 23.00 46.00 SO 3.50 e7.50 Ex OCCu OurlET OR FDnVAES PERMIT FEE $ ELECTRICAL PERMIT Main Service na on = Temporary Service Main Service 200A TO 100" NEW CONST. OWSUMG OC CUP. OR ADONS. d ACC. SDS. NO. 20.00 ling Fee 20.00 7.00 23.00 15.00 15.00 /S, t 15.00 (7 15.00 @20.00 Ung Fee 20.00 23.00 46.00 SO 3.50 e7.50 Ex OCCu OurlET OR FDnVAES snr. ` .50 Ex Oceu °EA 5.00 Temporary Service 23.00 Mobne Home Facilities 20.00 Use. Wirinq 23.00 03.00 PERMIT FEE S `f3•U MECHANICAL PERMIT Firing Fee 20.00 6.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ CONST' TYPE TOTAL FEE $ NAZ M FEES LMP —0 CDF PARCELM.- This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date 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: ASSESSOR PARCEL NUMBER G �3 S_ Proposed Building Use: Counter Technician: Date: 0 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order toapply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. z ❑ 8. _ Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in *- duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17.. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................:.. ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 38. Other: 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ��.�""'� "® Date: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural. approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter Date: Date: Date Date: ONVNlER-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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO ❑ I HAVE � HAVE NOT ❑ signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: 4 PHONE: CONTRACTOR'S LICENSE NO. . I plan to provide portions of this work, but I have hired the following person to coordinate, supervise; and provide the major work: , NAME: ADDRESS: CITY: PHONE: CONT'RACTOR'S LICENSE NO. 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: PROPERTYOWNER: O E ` DATE: NOTE. This Owner -Builder Verification is required by Section 19531 and 19532 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.- I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors 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 $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments 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 worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for.sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Irely, C. Vi ira, C.B.O. r, Building Inspection NOTE. This Owner-Builderinformation is required by Section 19830 of the California Health and Safety Code. OVER +12-10-2003 2:12PM FROM NORMANDIE GROUP 530 822 9056 facsimile transmittal To: . From: NORMANDYE LAND CO. 975 N: Geo. Washington Blvd. Yuba City, CA 95993 Fax: Date: , I?,, 110 103 Re: �� �u�y1L�1/� rJ�a Pages: 6 X For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle P. 1 ,12-10-2003 2:13PM FROM NORMANDIE GROUP 530 822 9056 1. 1 =,701 P. 2 2493425 0& Ry ov SECRETARY OF STATE Ke -vin Shelley, Secretary of- State of *the State of California, hereby certify: That the attached transcript of _J� page(s) has been compared with the record- on file- in t-h'is- offi-ce-, of- which- it purports- to be a copy, and- that it is fu- 1-1, true and correct. IN WITNESS WHEREOF, l_executethis certificate and affix the Great Sea) of 0 the -State -of Californiarnia this -day -0f 4 AN J -2 7 2003 w Secretary of State SOUSIM F01M CE -007 (w. 1/03) 0E -12-10-2003 2:13PM FROM NORMANDIE GROUP 530 822 9056 ARTICLES OF INCORPORATION OF NORMANDIE LAND CO. I The name of this corporation is Normandie Land Co. II P. 3 2493425 ENDORSED— FILED to the Office of the Secretary of State Of the State of Califotnia. JAN 2 7 2003 KEWN SHELLEY Secretary -of State The purpose of the corporation is to engage in any lawful act or activity for which a corporation may be organized under the General Corporation Law of ` California other than the'banking business; the trust company business -or the, practice of a profession permitted to be incorporated by the California Corporations Code. III The name and address in the State of California of this corporation's initial agent for service of process is: Embry L. Fantozzzi, 1411 W_ Covell Blvd., #106-157 Davis, CA 95616 IV This corporation is authorized to issue only one class of shares of stock; and the total number of shares which this corporatio.n.is authorized.. to.. issue is. One, Thousand (1,000). Dated: January .27, 2003 Embry -L. Fantozzi, Incor for •12-10-2003 2:14PM FROM NORMANDIE GROUP 530 822 9056 P.4 IIII!lIII!!IIlI11111111811l1ilI10 2jaw, 3---0ga 1 Recorded- Official Records I REC FEE- I TAX 13.80 66.00 RECORDING REQUESTED BY:- Count Of.., I a �� MID VALLEY TITLE & ESCROW �6Rt�BS I. ESCROW NUMBER.: 214462DT isROSMRY antDID Assistant I I Cheryl 89:81-16-0ct�883 I Page 1 of"3. WHEN RECORDED MAIL TO: NORMANDIE LAND C0: 1411 WEST CORVELL BLVD., #106-157 DAVIS, CA 95616 C +t / G. ; DOCUMENT ATTACHED INDIVIDUAL GRANT DEED • 12-10-2003 2:14PM FROM NORMANDIE GROUP 530 822 9056 RECORDING -REQUESTED BY North State Title Company escrow No. 03500905 Ordcr No. 214462 -DT AND WHEN RECORDED MAIL.TO. Name Normandie'J,and Co. Addrcss 1.411 West Covell .Blvd., #106457 City, State, & Zip Davis, CA 95616 srnt;b ABOVE -THIS LINE FOR INDIVIDUAL GRANT DEED A.P.N. 035-223-012;.000- The undersigned grantor(s) declare(s): Documentary transfer tax is $66.00. � City Transfer -Tax is $-0-:- 0 computed on full value of property conveyed, or 13. computed on tall value. less value. of liens and -encumbrances -remaining -at time of sale. ® Unincorporated area: ❑ City of, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged. Deborah 'Ford and Marilvn McKinney and ,Joseph Bush hereby GRANT(S)toNormandie.L.andC:o., A California Corporation the following described real property in the Unincorporated Area, County of BUTTE,. State of Califomia:. See Exhibit "A" Attached Hereto Dated: Sepe. t i STATE OF CAL ORN[A_ COUNTY OF 7-'t5� } SS On /10 &771$64,2-M1-bef0re me, the undersigned Notary Public, personally appeared Deborah. Ford, . Marilyn McVjuney,- &- .lost;pl1 Bush p(or proved to me on the basis of satisfactory evidenec) to be the person(s) whose name(s). A/are subscribed to the within instrument and acknowledged to me that helaix/they executed the same in hieftta/their authorized capaeity(ies), and that.by hesRtct+their signature(s) on the -instrument theperson(s), or the entity upon behalf of which the person(s) acted, executed the instrument Deborah Gard P. 5 E Joeph Bush "S VISlpn Fomf 90004rA Rev. 05110/08 JUDITH M. WILLIAMS� VCOMM. Q -s 0 1344684 _ NOTARY PUBLIC -CALIFORNIA n+ " W7TNES my a an soak. 2 BUTTE COUNTY n COMM. EXP. MARCH 23, 2006 Si�ature MAIL TA STATEN TS -.TO: AMF S.ABOv 1 NAME ADDRESS CITY, STATE & ZIP "S VISlpn Fomf 90004rA Rev. 05110/08 • 12=10-2003 2:14PM FROM NORMANDIE GROUP S30 822 9056 P_6 Order No.'BU-214462 DT Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 145, AS SHOWN ON THAT CERTAIN MAP ENTITLED; "MAP OF pAXTON SUBDIVISION IN THE SOUTHWEST QUARTER OF SECTION 20, TOWNSHIP 19 NORTH, RANGE 4 EAST, M.D.B: & M., BUTTE COUNTY, CALIFORNIA°; WHICH MAP -WAS RECORDED IN T 41C OFFICE, OF THE RECORDER OF Tim COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 4, 1923, IN BOOK 8.OF MAPS; AT PAGES) 50. EXCEPTING THEREFROM - THE* FOLLOWTNG- DESCRIBED PARCEL OF LAND: BEGINNING AT THE NORTHEAST CORNER OF SAID LOT 146; THENCE SOUTH 21 'DEG. 19' 02" EAST ALONG THE EASTERLY LINE OF SAID LOT, 107.13 FEET TO THE SOUTHEAST CORNER OF -*SAID -LOT; THENCE" SOUTH 89 DEG. 41 ' 58" WEST ALONG THE SOUTHERLY LINE OF SAID LOT, 21.14 FEET; THENCE NORTH 26° 28' 11" WEST,,_I 11.42. FEET TO THE NORTHERLY' EINE OF SAID LOT; THENCE NORTH 89 DEG. 41"'58". EAST ALONG THE NORTHERLY LINE OF SAID. LOT,. 32.14 FEET.TO..THE. POINT_ OF BEGINNING. AS CONVEYED TO THE COUNTY OF BUTTE BY GRANT DEED RECORDED DECEMBER 26, 1968; IN BOOK 1548, 'PAGE 144; OFFICIAL RECORDS. APN 035-223-01Z=060 Lease Agreement With Option To Purchase Real Estate This LEASE AGREEMENT WITH OPTION TO PURCHASE REAL ESTATE (hereinafter referred to as the Lease/Option) is made this 16th day of October, 2003, by and between the following parties: C. Craig Shier, located at P.O. Box 4296, Chico, CA 95.927 (hereinafter referred to as the Tenant/Buyer); and Normandie Land Co., located at 975 N. George Washington Blvd., Yuba City, CA 95993 (hereinafter referred to as the Landlord/Seller). In consideration of the mutual promises and covenants hereinafter stipulated, the parties hereby agree as follows: (1) DESCRIPTION: The Landlord/Seller agrees to lease, and, the Tenant/Buyer agrees to rent the real property and improvements, hereinafter called property; located at: 4970 Lincoln Boulevard, Oroville, CA 95966 as more fully described as follows: APN 035- 223-012 (see attached). (2) TERM: The term of this Lease/Option shall be: for a period of 12 months commencing on October 16, 2003, and ending on September 15, 2004. The term will not be automatically extended for periods of months, unless the Tenant/Buyer gives notice to the Landlord/Seller of its intent to terminate this Lease/Option by mailing a written notice to the last provided address of the Landlord/Seller. Liability for payment will not extend beyond notice to terminate this agreement. Possession shall be given to Tenant/Buyer on October 15, 2003. (3) RENT: Tenant/Buyer agrees to pay to the Landlord/Seller, the sum of Five Hundred Dollars ($500.00) per month, with the first. payment beginning October 16, 2003, as rent for the property, for the term of this Lease/Option, and during any extensions thereof. All rental payments shall be due and payable in advance on the 1 st day of each and every month. An amount equal to $ for each month in which rent was paid, shall be credited to the Tenant/Buyer and applied to the purchase price of the property in the event that the Tenant/Buyer exercises its option hereunder; otherwise, this credit shall be non-refundable and considered forfeited if the option is not exercised. (4) OPTION TO PURCHASE: The Tenant/Buyer, as part of the consideration herein, is hereby granted the exclusive right, option and privilege of purchasing the property at any time during the term of this Lease/Option Agreement or any extension thereof. The Tenant/Buyer shall notify the Landlord/Seller in writing of the exercise of this option at least ten (10) days prior to the expiration of the initial term of this Lease/Option or the expiration of any extension thereof, by mail to the last -provided address of Landlord/Seller. (5) COVENANTS OF TENANT/BUYER: Commencing with and during the term of this Agreement, including extensions, the Tenant/Buyer hereby covenants and agrees as follows: (A) That the Tenant/Buyer will pay all utility charges and bills, including, but not limited to, water, sewer, gas, oil, and electric, which may be assessed or charged against the property; (B) That the Tenant/Buyer will not use the property for any unlawful purpose; and that the Tenant/Buyer will conform to and obey all laws, ordinances, rules, regulations, requirements and orders of all Federal, State, and Local governmental authorities, agencies, departments, bureaus, boards or officials, respecting the use of the property; and (C) That the Tenant/Buyer will surrender and deliver up the property, at the end of the term or any extensions thereof, should the option herein not be exercised, in as good order and condition as the same now exists, reasonable use and natural wear and tear excepted. (D) That the Tenant/Buyer shall pay for and maintain fire and extended coverage insurance on said property in the minimum amount of $55,000.00. The Landlord/Seller shall be named as an additional insured or loss -payee on the insurance policy and copy of which shall be provided to Landlord/Seller. (6) COVENANTS OF LANDLORD/SELLER: The Landlord/Seller hereby covenants and agrees as follows: (A) That the Tenant/Buyer shall peaceably and quietly hold, occupy, use and enjoy the property, without any let, hindrance or molestation by Landlord/Seller or any person associated therewith. (7) BREACH BY TENANT/BUYER: If the Tenant/Buyer shall fail to keep and perform any of the covenants, agreements, or provisions of this Lease/Option, or if the Tenant/Buyer shall abandon the property; it shall be lawful for the Landlord/Seller to enter into said property and again have, repossess, and enjoy the same as if this Lease/Option had not been made, and thereupon this Lease/Option and everything herein contained on the part of the Landlord/Seller to be done and performed shall cease, determine and be utterly void, except as set forth in paragraph (8) below. The commencement of a proceeding or suit in forcible entry and detainer or in ejectment, or otherwise after any default by the Tenant/Buyer, shall be equivalent in every respect to actual entry by the Landlord/Seller. (8) COSTS OF IMPROVEMENTS: In the event the Tenant/Buyer exercises the option to purchase set forth in paragraph (4), above, and through no fault of the Tenant/Buyer, the Landlord/SelleF fails to convey said property to Tenant/Buyer in accordance with the terms of this Lease/Option, the Tenant/Buyer, in addition do any other rights which Tenant/Buyer may have in law or equity for the enforcement of Tenant/Buyer's option to purchase, shall be entitled to reimbursement for the cost of all repairs, maintenance and improvements. (9) FURTHER ENCUMBRANCES: The Landlord/Seller hereby warrants that the total of the leases, options, mortgages, liens, and any other encumbrances against the property, whether of public record or not, are as follows:. (A) A first mortgage in favor of Deborah Ford, Marilyn McKinney, and Joseph Bush in the amount of $54,000.00. (B) Current taxes for in the amount of $ due on (C) The Landlord/Seller agrees not to lease to another third party, nor to assign, sell, option, transfer, pledge or otherwise to convey any or all rights or interests had by Landlord/Seller in the property or in this Lease/Option Agreement, nor to further encumber the property nor allow the same to occur. All third parties are hereby put on notice that any leases, assignments by the Landlord/Seller, liens, options, mortgages or any other conveyances or transfers occurring subsequent to the date of this Lease/Option are hereby declared by the Landlbrd/Seller to be null and void and of no force and effect. The Landlord/Seller further agrees to keep all mortgages, liens, taxes or other encumbrances on the property, current and in good standing. Tenant/Buyer shall have the right to make payments on same in the event that Landlord/Seller becomes non-current or otherwise defaults thereon and said payments will be deducted from any equity due seller or recovered from future rent due seller. (10) RIGHT OF ASSIGNMENT: The Tenant/Buyer shall not have the unqualified right to sublet the property, and/or to assign, sell, transfer, pledge or otherwise convey any or all rights or interests which the Tenant/Buyer may have in the property or in this Lease/Option Agreement, except as noted in Paragraph 13(A). (11) MAINTENANCE AND REPAIRS: The Tenant/Buyer accepts the property "as is" on the date of execution of this Lease/Option except for items listed in paragraph (13). The Tenant/Buyer shall henceforth be responsible for all maintenance and repair upon said property, both interior and exterior. The Tenant/Buyer shall have the right to make such repairs, maintenance, and improvements as Tenant/Buyer shall deem necessary, proper or desirable. The Tenant/Buyer shall be solely liable for payment for said improvements and shall hold the Landlord/Seller nameless therefrom. (12) BINDING AGREEMENTS: The parties hereto agree that this Lease/Option comprises the entire agreement of the parties and that no other representation or agreements have been made or relied upon, and that this Lease/Option Agreement shall inure to the benefit of and shall be binding upon the parties, their heirs, executors, administrators, personal representatives, successors or assigns. (13) SPECIAL PROVISIONS: (A) The Landlord/Seller will complete the following by or this Lease/Option will become null and void and all monies disbursed by Tenant/Buyer will be immediately refunded by Landlord/Seller or, at Tenant/Buyers option, these items will be completed by Tenant/Buyer and the cost of same will be recovered as provided for in paragraph (11) in which case this lease will continue in force. Other provisions:_ Property is sold "As Is" with no warranties expressed or implied. It is understood and agreed that Tenant/Buyer shall have the option to sublet the premises only. (B) A TITLE SEARCH may be ordered imrrediately,by the Tenant/Buyer. This cost will be borne by the Tenant/Buyer unless it is discovered that Landlord/Seller has unmarketable title in which case the Landlord/Seller will reimburse Tenant/Buyer the cost of the search. If the title is unmarketable the Tenant/Buyer will then have the option to void this Agreement or proceed as agreed herewith. (C) A WOOD DESTROYING ORGANISM REPORT may be ordered by the Tenant/Buyer within days after execution of this Agreement. If live wood destroying organisms or rotten wood or damage exceeding $ is found, Landlord/Seller agrees to repair and have treated at his/her expense. If Landlord/Seller cannot or will not pay for the repairs and treatment, Tenant/Buyer may elect to do so or void this Agreement and receive a rebate for cost incurred. OPTION TO PURCHASE TERMS (14) PRICE AND TERMS: The Tenant/Buyer'agrees to pay for said property the sum of Fifty -Five Thousand Dollars ($55,000.00) plus a non-refundable deposit of Ten Thousand Dollars ($10,000.00) to be paid outside of escrow at signing of this Agreement, less any sums for which the Tenant/Buyer is entitled to claim reimbursement or offset in accordance with this Agreement. The net sum of Fifty -Five Thousand Dollars ($55,000.00) is to be paid in cash, certified check, or cashiers check at closing. (15) INCLUDED IN THE PURCHASE: The property shall also include all land, together with all improvements thereon, all appurtenant rights, privileges, easements, buildings, fixtures, heating, electrical, plumbing and air conditioning fixtures and facilities, window shades, blinds, awnings, curtain rods, screens, storm windows and doors, affixed mirrors, wall to wall carpeting, stair carpeting, built in kitchen appliances, bath -room fixtures, radio and television aerials, landscaping and shrubbery, water softeners, garage door openers and operating devices, and all utility or storage buildings or sheds, range and refrigerator. The property shall also include the following items: (16) TITLE: The Landlord/Seller shall convey marketable title to the property with the above described inclusions, by good and sufficient Grant Deed in fee simple absolute, on or before closing; said title to be free, clear, and unencumbered except existing mortgages restrictions and easements of record shown in paragraph (9). Title to be conveyed to the Tenant/Buyer and/or assigns. (17) CLOSING: The deed shall be delivered and the purchase money shall be paid at the lending institution's, or other office, of Tenant/Buyer's choice, no later than sixty (60) days after notification to the Landlord/Seller of the Tenant/Buyer's exercise of the option. (18) COSTS AND PRORATIONS: There shall be prorated between the Landlord/Seller and the Tenant/Buyer, as of date of closing, the following items: (a) All real estate taxes and assessments; (b) Interest on encumbrances assumed or taken over by Tenant/Buyer with the Tenant/Buyer having responsibility for such items as follows: Landlord/Seller will pay: Tenant/Buyer will pay: Recording fees, Transfer tax, Title insurances All other closing costs (19) INSURANCE: While this option shall remain executory up until the time of closing, the Tenant/Buyer shall maintain fire and extended coverage upon the property naming Landlord/Seller as Additional Insured and Loss Payee. Tenant/Buyer may elect to maintain additional insurance coverage for repairs and improvements in progress or completed. In the event of loss or destruction in whole or in part of said property, the Tenant/Buyer shall have the option to proceed with the closing and accept the additional insurance proceeds for said damage, or to declare this Lease/Option null and void, releasing both parties from any obligations hereunder, except for the return of reimbursable expenses previously paid by Tenant/Buyer which amounts shall become immediately due and payable from the insurance proceeds, should such coverage be in force. Upon closing, the Tenant/Buyer shall be responsible for fire and extended coverage from that date forward. (20) In the event this agreement is placed in the hands of an attorney for enforcement, the prevailing party shall be entitled to recover court costs and attorney fees. IN WITNESS WHEREOF: the parties hereto, have set their hands to this Lease/Option Agreement on this 20th day of October, 2003. WITNESS: Normandie Land Co. by Embry L. Fantozzi, Pres. C. Craig Shier Landl Seller Tenant/Buyer Landlord/Selle ' Ile PERMIT NO. 365.0-82P,E(ME PERMIT EXPIRES OWNER ERWIN BUSH CONTR. owner ASSESSOR PARCEL 35-223-12 LOCATION .4970 Lincoln Blvd,. Or&ville Ile Aj ;Y T /Power ole_ Called PG&E Temp. Elec. Service_ Called PG&E_ Temp. Gas Service _ Cal led PG&E JOB FINALED (Date) Signature I. v J•= OK 0 Not OK = Not Applicable . MOBILEHOMES o Not Ready 7 7 ,_ MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fall-C/0—Concrete 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. 'Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L" ft./ /"LPG _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors 7, Utility Clearance 7. Elec., Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements - Card -BI Date Date Card -BI Date POOLS (Plans) OK except p's 1.. Setbacks—Easements 2, Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3• Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances _ 4• Elec.; Receptacles and Lighting; Distances—GFI 5, Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6, Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected -C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8, Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes-Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date r V .= OK 0 = Not OK - NotApplicable RESIDENTIAL ,jSingl, and Duplex) = Not Ready , Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft .-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall-Fittings-Test72 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts _ 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric,,, Underground _ 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. Smoke Detector 14._ Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting _ 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails - - 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. 68. Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture &Transformer Clearance -Ins. Protection - _ 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. _- _-_ 23. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At -nsuate -_ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral r ---!Yes Y❑No eu Service -Riser Conductors & Ground -Main Disconnect 75. Followinginstld.: Drive ❑ Yes No; Walks Yes No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing _ _ Card B -I - _Date -_ -_ Card -BI -- Date -_- Card B -I Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. 32. 33. A.C. Ducts; Insulation & Support Vent Fan_ Exhaust above Insulation _ _Condensate Drain _& Overilow; Size & Grade 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates 34. Furnace-Ve_nt;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date _ Card -B l- Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material _& Anchors 37. Walls; Studs -Nailing, Spacing & Bracing-Plate_s_-Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: _ 41. 42. 43. 44. 45 46. 47. _Fire Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access Size & Romex Protect ion -Draft _Stop -Ins. Baffles Bdrm. Windows or Exiting Doors-_Sill_H_gt. & Dimensions_ Garage Fire Protection Framing _ (NOTE:Anentrymust be made each time youvisit jobsite) •J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS —j 7 County Center Drive - Ofoville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSES OR PARCEL NUMBER ^ — ZO 1V C ~ BUILDING PERMIT OWNER , U TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNE)4 MAILING ADD R SS I IUJ CONTRACTOR'S NAME _ TE EPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ . LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ^ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee. $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee •10.00 Each Trap 2:00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME _ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeB-111,Other SPECIFY Building sewer, 5.00 Mobile Home 10.00e ,p TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities Zj Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00_ Main service EA. ADD'L 100 AMP 2.50 2 XVII NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/z0sgft ONTRACTORS LICENSE LAW I declare under pen y of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y n License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intendedior offered for sale. (Sec. 7044) .E • ❑ I, as the owner, am exclusively contracting with licensed contract' ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLE NON.RESID. BRANCH CIRCT ITS 2,50 ea NEW CONSTR ( POWER APPARATUS & NON RES D. SINGLE OUTLET CIR. / 20@50e Ex. Occup(o XTS OR FIXTURES ggL@30 FIXEED APP LNS. OR Ex. OCCUp. OUTLETS (RF-SI'EA.) 2.00 Temporary'service 10.00 Mobile Home Facilities 15:00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 ORKMEN'S COMPENSATION INSURANCE' I declare and nalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. NJ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of t is permit. X �� ��—�Z ate Signature of Applicant — Owner . Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCE PD HD/ SSU Fy This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY _ � P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DatelyL�—���— -7—;LD 74 Receipt No. / W (/ WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT E 7 Telephone ' < 533.2000 North Burbank Public Utility District 1960 Elgin Street OROXILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND 78-82 VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte County Department of Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed'off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: ERWIN H. BUSH ( Jospeh Bush) 4970 Lincoln Blvd., Oroville Applicant Address: Applicant Phone No.: 533-4837 534-8273 4970 Lincoln Blvd. Property Location (s): Paxton Subdivision, Lot 145 A. P. No. (s): 035-22=3-012-0 Fees Paid: N . B P U D . Connection Fee of $250.00 and SC -OR Regio Fta. ility Charge of $900.00 DUE Application for service approved: North Burbank, December 13, 1982 Public Utility District Inspection(s) made and successful tests) observed: Location: Date: By: North Burbank Public Utility District release to close permit. Date: By: Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8:1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 82-3'071.. BUTTE W0UNTY - -,I {F _/Q7CORDS RE W. The property described herein is adjacent to land or included nFr '` , 2419? within an area zoned for agricultural purposes, and residents of ELEANOR N.8ECKER.C",,'- this'property may be subject to inconveniences or discomfort arising CLERK - RECORDER from the -use of agricultural chemicals, including, but not limited to herbicides, FEE - pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke,. noise, and odor. Butte County has established. agricul- tural.zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ryI z.X+O to\ %off 1cf5'� as S�owh oner4airx ynap enf=tt-d, p T i9 .4Z• �;� MSD.$• d- n'l'J Su,b dlvtsroh th the swy� of Sec row ao, duct e CauhJy, CdJI-fovv►ia wti, ti 1 -nap wa,s >~eco,,Gl�ct a w rtti e ©��-�C.e � ' the �ecolyder of t! e 0' F Btc.�.c, 5J&4e df CdbPONY, 1, 09 pr%i y, 1GZ3 Iook $ o� Maps, 56- Date: d' Date• 1 - I y -8 Z PROPERTY State of ole in; a) On this the 15 day of T)pr%pm}hor , 19 82 , SS. before me, the undersigned Notary Public, personally County of e ) appeared. ****ERWIN H. BUSH AND JUANITA T. BUSH**** OFFICIAL SEAL known to me to be the person(s) whose name(s) Ara yep°:hsubscribed to the within instrument and acknowledged a BETTY ANN SENTNER fob NOTARY PUBLIC - CALIFORNIA that They executed the same for the purposes BUTTE COUNTY therein contained. say comm. expires JAN 24_1986 IN WITNESS WHEREOF, I hereunto set my hand and official seal.' Present A.P. NO. I 2-- otary Public END OF DOCUMENT I I I i I I I 4 sM i NOTE: 'All Mdteri6ls•& Workmanship Shall Be in , " This set of plans and specifications MUST be Accordance with R cognized Good Practices and �/ 1/0 kept on the job at all times al d it is unlawful to of a quality prescrib or the Uniform Building, Plumbing & Mechanical Codes make any changes or alte ns on same with out written permission from the Department of ' and the National Electrical Code. Public Works, County of Butte. A setback o 5, ft. from the - o property i es and a setback z� of -50ft. fl o -the road ; centerline shall"be clear of. structures oequipment except- . f r a 2 ft. etve overhang. i 5.7 o r A 6,C [�/ _ TrA;1fr F - 44�r/./ I Ut,ity C-0—n-n-e-cl ,ons3`hall be wiin `f 4 ft. of the mobilehome, eithe , directly behind -or withinthe r rar I i` half of the roadsido"O'eft) of t mobilehome. _ A` twill be required for fi 1 ' eq the a in tallat on of the mobilehome. % r i 0 Q iAT 3S ^_­2a3l/L 3f�o-�2 BU1TE CUUNIi ftUILDING DEPARTME�, APPROVED ��I