HomeMy WebLinkAbout039-380-00371M - IF
AP 39-38-03
JOHN PLANK 'r 03
1120 Marion Ave., Chico r
Permit#.L,O 5 -75B,P,E,M(repa fire
damage) i°yJ�/ vZaA%�
39-38-3
WHITSELL +
1120 Marian Avenue, Chico�' -_
+ BUILDING WAREHOUSE W/O PERMITS =.
abs li, .8`O'= 6 y 03-3681
t COMCAST COMM, -
SEE ATTACHED, CHICO r
Cont: WESTCOAST COMM
PLACE CATV POWER SUPP ,
039-380-003 06-1970
EDWARDS, ANNE
1120 MARIAN AVE, CHICO `
Cont: TONY ASHLOCK
ELEC(100 AMP) W -" V
F
039-380-003NEOUS Re-Roof7 SQ COMP
AN AVELER, (DEC -D) FAMILY TRUS
r
1
- r
BUTTE 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
PROJECTINFORMATION
Site Address: 1120 MARIAN AVE
Owner:
Permit NO: B07-0270
APN: 039-380-003
KITZLER, (DEC'D) FAMILY TR
Issued Date: 02/13/2007 By GLB
Pettnit type: MISCELLANEOUS
1680 PARK VISTA DR
Subtype: Re -Roof
CHICO, CA 95928
Expiration Date: 02/13/2008
Description: RE -ROOF 17 SQ COMP
Occupancy: Zoning: SRI
Contractor
Applicant:
Square Footage:
C & C ROOFING INC
C & C
ROOFING INC
Building Garage Remdl/Addn
P 0 BOX 337
P 0 BOX 337
PARADISE, CA 95967
PARADISE, CA 95967
Other Porch/Patio Total
(530)873-0744
(530)873-0744
FEE INFORMATION
DBMSC Re -Roofing $110.00
Total Charged: $110.00 Fees Paid: $110.00
Balance Due: $0.00 Receipt No: B1830
LICENSED CONTRACTOR'S DECLARATION
OWNER/ BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
C & C ROOFING INC 650850 / C39 / 04/30/2008
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
I HEREBY AFFIR DER PENALTY PERJURY that I am licensed under provisions of Chapter 9
(cing wit Se i n 7000) f Di si 3 of a Business and Professions Code, and my license
is Commin full force a d efj
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
X 02/13/2007
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
Contractors Signature Date
❑ 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
WORKERS' COMPENSATION DECLARATION
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
• I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compansation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
002041 01/01/2007
State Fund 285-0Exp. Date:
Cartier: Policy Number:
Contractor's License Law.).
(This section need not be completed if the permit is orone hundred ($100) or less.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
02/13/2007
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws %California, and agree that if I should become subject to the workers'
compensation provisfio s of Section 370PIf the Labor Codel shall•forthWith comply with those
X
Owners Signature Date
provisions.
X 02/13/2007
I hereby certify that I have read this application and state that the above information is cored. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
County, its officers, agents and
Butte Court ye s from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
a
injury, including death, and property da g used by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
ermit. I hereby a edge tha suance of this permit does not authorize the
the issuance ofJilpan
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupan y side alk, s e or subsid Ik. I hereby authorize representatives of Butte
ATTORNEY S FEES.
County to ent .above m do roperty for' purposes. I hereby certify that I am the
property own roramauth t a arty owner's behalf.
,/� 02/13/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of eermittee [SI Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner Tactor OR; Agent for Owner Agent for Contractor
FILE COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name �(_.'1
First Nam
Mailing Address 1-7 Ltc'C-C Zk A -U e
City
State
Zip
Phone 0 _ : W Fax
E-mail
iWA1
Name
-Address
CONTRACT
Name
City
State
Address
LD
Fax
CityC"Cj
"�
State Zip
Phone
�/
Fax
E-mail
❑ • Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
l
Lic. #
�a'Cc
Class C`5
Name
-Address
ARCHITECT/ENGINEER
City
City
State
Zip
Phone
Fax
Fax
E-mail
State License Number
1/
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
PERMIT
NO.
BIN #
PROJECT LOCATION
AP#
Property Addresst lu
City (' Q_ 0 j Vl \
WORKER'S COMPENSATION
Policy Number
Carrier 1� C t�
If hiring anyone other than license contractors, a certificate of worker s
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
00
Q tMl7d Ir�7d
170
SRA
ves
No
Occ.
I Type Const.
Sq FT- Living Garage
Open Cov
❑ • Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
l
For office use only:
Zoning
Flood Zone
SRA
ves
No
Occ.
I Type Const.
U
r.'
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061970
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 T(commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and Issued Date: 08/18/2006 APN: 039-380-003-000
effect.
License Class : License Number: Site Address: 1120 MARIAN AVE CHI
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that 1 am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
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 State 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 (8500).):
❑ 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
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
year of completion, the owner -builder will have the burden of
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
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.).
❑ 1 am F,xempt under Artikle 3 of the Busine an Professions Code
It
Date: L)w
WORKERS' COMPE SATION DECLARATION
I hereby affirm under penalty of p rjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
❑ 1 have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
�Policy #:
(� 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' 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 cgmply,with those provisions.
Date:
WARNING: -allure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars (8100,000), 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
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.)
Name:
Map Index:
Description: ELECTRICAL SERVICE
PANEL(REPLACEMENT)
Owner: LOUISE ANNE EDWARDS
P.O. BOX 424
GRIDLEY CA
95948
(530) 870-2300
Applicant: LOUISE ANNE EDWARDS
Contractor: EFFICIENT ENERGY CONCEPTS
7 THREE SEVENS LANE
CHICO CA
95973
(530) 879-3030
License #: 694655
Architect:
Engineer:
otal Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
This pepirid is he by issued under the
Resolutions to dVwork indicated apoyA
By: 1/• "•
PERMIT EXPIRES ON:
-
provisions of the Butte County Code and/or
fPws have been i .
Address:
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. ro ect.
Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this.p j
Attached are copies of the required E.P.A. notification forms.
I ereby certify that 1 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 any offic'al form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: Signature:
Date:
Owner
❑ 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 REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY*
OWNER INFORMATION
aie S � 5e
i t Nam
ne-
Address / / D M412 AIJ
City ( l
Ste
Zip
�i,D
e�r� 6
Fax
-mail
CONTRACTOR
e �"
do �L
Addres 5
City S
Zi
Phone G --j Fax
0
Oqt/b
E-mail #
Class
i
oor
ARCHITECT/ENGINEER
Name
Address
Address
S
L-17
City
Phone _a3/?
State
Zip
Phone
Type Const.
Fax
E-mail
Map Book
State License Number
APPLIC T INFORMATION
Name
S
Address
City/I
S
L-17
Zip Sgo
f
Phone _a3/?
Fax
E-mail
-APPLICANT SIGNATURE
For office use onI
PROJECT LOCATION
Zoning
_�0,
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
NV'
I/q7
BP
BIN #
Page 1 of 2
Desc' ion or Scope Work:
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:
Receipt #:e1a& /
C01// �U
Bldg
SRA
Sheriff
SMIP
Other
Total
REV 8-12-05
Z
PROJECT LOCATION
AP#
_�0,
Property Adr ss
Cit
Cross Street
Tz
WORKER'S COMPENSATION
Policy Number
Carrier s
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
Page 1 of 2
Desc' ion or Scope Work:
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:
Receipt #:e1a& /
C01// �U
Bldg
SRA
Sheriff
SMIP
Other
Total
REV 8-12-05
Z
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 detaHs 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 A/C 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).
❑
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. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSIBUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
ri f -`-.
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 (J(Q
76.
OWNER: ASSESSOR PARCEL NUMBER
Proposed Building Use: 01�0eCSply Permit Technician: - Date: D M ZL
Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxesl
❑ 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.
❑ 8. Manufactured homes: (A) Installation manual, including 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. Hazardous Material Form
❑ 12. Acknowledgement of building permit application without required clearances.
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable
❑ 15. Fire Sprinklers............................................................................................
❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 17. Soils Report and/or Engineered Foundation required ...................... :..........
..........
❑ 18. Erosion Control Plan Required........................................................................
❑ 19. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
❑ 20. City of Chico Plumbing permit........................................................................
El 21. Site plan and business license approval from the City of Biggs ..............................
❑ 22. California Department of Forestry plan approval ❑ paid. Sent by:
❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............
❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................
❑ 25. Fire Marshall Review (commercial projects only). Sent by: ......................
❑ 26. NPDES Form.............................................................................................
❑ 27. Encroachment Permit for driveway from the Public Works Dept ...........................
❑ 28. Contractor's license information. (Number, Name Style, Classification) ............ I......
❑ .29. Worker's Compensation Carrier and Policy Number ..........................................
wner-Builder Verification (_ Given to owner, _Mailed to owner) .....................
31. tter of Signature authorization....................................................................
❑ �Or�. Recorded copy of Agricultural Acknowledgment Statement .................................
❑ 33. Existing violations and/or expired permits.........................................................
❑ 34. Deed Restriction..........................................................................................
❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .........................
❑ 36. Other:
❑ 37. Other:
When issued Telephone 776- l_�o and hold for pickup.
I have been informed of th above items and requirements for obtaining a building permit.
Applicant: Date: /m, &
1. Index permit ap lication for the above item umbered: , Plan Check Leder'
2. Additional items required
Contractor, designer, owner, was advised of a above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05
� Oe�cinu
. RECORDING REQUESTED BY:
J
WHEN RECORDED RETURN TO:
,Z_0"15e e4VN,&
Tax Statements - Same as Above
Recorded I REC FEE 7, fdlD
Official Records i
County of I
Butte I
CANDACE J. 6RUBBS i
County Clerk—Recorderl
I
I CP
09:@2AN 14—Jun-2006 I page i of 1
APN: 039-380-003 I SPACE ABOVE FOR RECORDER'S USE .ONLY
GIFT DEED
The undersigned grantor(s) declare(s):
Documentary transfer tax is $ -0- R&T Code 1193411 11930
( ) Computed on full value of property conveyed, or
( ) Computed on full value less value of liens and encumbrances remaining at time of sale,
Unincorporated area ( ) City of
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
LUELLA SANDERS, Trustee of THE KITZLER FAMILY TRUST dated 2/8/91
hereby GRANT(S) to
LOUISE ANNE EDWARDS, all that real property located in the unincorporated area of the County
of Butte, State of California, more particularly described as Lot 13, according to that certain map
entitled, "Sunset Park Subdivision, a portion of Lots 64, 65 and 66 of Stanley Park", which map
was filed in the Office of the Recorder of the County of Butte, State of California, in Book 18 of
Maps, at page 5. April 19, 1950.
This is a bona fide gift and there are no encumbrances on. the property.
DATED: May F , 2006.
Luella Sanders,7Trustee
STATE OF CALIFORNIA 1
. ) ss.
COUNTY OF BUTTE )
On May P, 2006, before me, Danielle LeClerc-Klein, Notary Public, personally appeared Luella
Sanders, [ J ] personally known to me, or [ ) proved to me on the basis of satisfactory evidence, to be the
person whose name is subscribed to the within instrument and acknowledged to me that she executed the
same in her authorized capacity, and that by her signature on the instrument the person, or the entity on
behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal.
=,DDANIELLEERC-KLEIN61607 a CAUFORNIA nUNTY rCH 19, 2009
ito
Danielle LeClerc-Klein, Nota ublic
Commission Expires March 19, 2009
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext.'70
7 County Center Drive, Oroville — Phone 534-4541 �.
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
PORUC "SOW
BUILDING•OR'PROPERTY ADDRESS
c
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Io D Pb /Q ,4 F --r, 4 . ,ezflt--
amid 0,8L41 t
/Oct eta F!
® 0-1 A--
,r
N
Inspector
4y0 OV -75
t
PERMIT N0. GO05-75BiP.M
P
E• ,
i
M
IMH UTIL.
PERMIT NO.
PERMIT EXPIRES
,OWNER John Plank
CONTR.
LOCATION (A.P. 39-38-03 4 )
1120 Marion Ave., Chico
j� t
j
f
• � . Fir. ,. p � F t '
Temp. Power Pole
.`.,/ Called PG&E
Temp. Elea Serv.''' rA
Called PG&E
I Temp /Gas Serv.
'/FINA
iled PG&E
�t
' LED
if t (Date)
�y
C
(Sig ature)
1.
I ,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
-- Firewall —� '
Soil Piping
Forms
Parapets --------
1st Floor '
Main Bldg.
Restroom Finish r—
2nd. Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing �,
Sewer �1
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
• Stemwal l
Prov. for physically
Heaters
Slab
handicapped
Appliances
Carport
Conformance of ex.
Gas Piping & Test
Footings
structure �—"�
Temp. Gas
Slab
Final `�.
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
1z Final
Fixtures
Bond Beam
FIRE SPR! KLERS
Motors
Framing
Test
Water Htr.
Stucco
Final.
Subpanels — z
Mesh
VIECHANICAL
Grd. Fault Prot. `--�
Scratch
Heatina
Service
Brown
Cooling
Temp. Pole
Finish
jDucts
Underground
bq4"thS-p*,0)—?0CJ(:Z-
5'746—Z Ventilation
Permanent
Door Closer
Final
Final
�
DATE , —
z o ' % REMARKS OR CORRECTIONS
® 15�
-V6 5/-/ y o e1 C
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W R
7 County Center Drive — broville; California 95965
'Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
etNo.
ture of Permitee or Agent
Re13 ���
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable prov,isrons of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
5;" �Zlding permit expires Date
BUILDING
Owner ,µ AJ f`Ail I
SQ. FT. OCC. BUILDING VALUATION
0 a a p7a 4
Mailing Address ' 'Tp—1 0,1 4u e .
"JP_ G, o rn f
l� Ie�
Telephone No.
3-O6�S
Fireplace
Contractor N C(Q
Total Valuation
Mailing Address
Permit Fee (o
Plan Checking Fee &/orPenalty
Telephone.No.
Permit Fee
b
Building Address 19 ,0 Ai21 Qd} � 0c •
PLUMBING
No. @
FEE
PERMIT FILING FEE $3.00
V 14 1106
Each Trap 1.50
Repair drainage or vent piping
1.50
J S --
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 3 ^ 0
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
5=
Each additional outlet .30
Fee's
W;Cr
Sa •
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
ParcelLawn
Declaration
Parcel Map
60' R/W
Improvements
sprinkler system 2.00
+Pl'ans
Bldg. Plt s Rec'd
Parce�Approval
Plans Approval
Permit Fee
$
ELECTRICAL
No. @
FEE
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER (g]
PERMIT FILING FEE $3.00 3 -
C>041 fZ (F 0;4
Main service incl. 1 meter —
Additional meters, each
1.00
Sub -panel (12 or less) (more4rff5`12) cZ
_
Single FamilyLP Duplex ❑ Mobil Home 1:1Others 1:1Range,
Cook -top or Oven 1.00
Water Heater, or Space Heater
1.00
0025
Light fixturesj b I 310 S�
swi s &.fix o�p is $ x�
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex.42'6 or F.A. Furn. Motor 1.00 /
Evap, cooler, gar, disp. or D.W. 1.00
Air qky•Lprj—P or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
Misc. wiring
License No. Classification
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee i
$
$ �3
MECHANICAL
No.l., @
FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1ZI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
1 certify ,that in the performance of the work for which this
permit .is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE
J$3.00
�3 0
Heating. fJ Qo>7 , 0 Q
Cooling 7 .!
Ventilation
^
Hood 2.00
Permit Fee $
I 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 relatina to buildina construction, and herebv
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
etNo.
ture of Permitee or Agent
Re13 ���
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable prov,isrons of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
5;" �Zlding permit expires Date
47-/
b C) Crn u 1-1 -7—
V
VV'\
vi
fic
Since 1852.
WELLS FAR G O BAN K
NATIONAL ASSOCIATION
CHICO OFFICE August 8, 1975
355 MEMORIAL WAY
CHICO. CALIFORNIA 95926
1
Butte County Assessors Office
Oroville, California 95965
RE: John A. Plank
1120 Marin Avenue
AB No. 039-38-0-003-0
Gentlemen:
On May ll,., 1975, our bank appraised the above
mentioned property for the purpose of a refinance.
Our appraiser estimated fair market value of
existing improvements to be in excess of $25,000..
Sincerely,
-x2rD. Det j ens
Loan Officer
dpd :.vb
FORMERLY WELLS FARGO BANK AMERICAN TRUST COMPANY
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 03 _3 6221
ASSESSOR PARCEL NUMBER
SEE ATTACHED
ZONING
BUILDING PERMIT
OWNER
COMCAST COMMUNICATIONS
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
. OWNERS 7§4G ADDRESS
4350 PELL DR SACRAMENTO CA 95838,
CONTR,,1E
TELEPHONE
141-9471
CONTRACTORS MAILING ADDRESS
1140.MEMS ST CHIM CA
_919998
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
suILDINEs�TTACHED
J�
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBONISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex• ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: PLACE CATV POWER SUPPLIES
Gas piping system 1 - 5 outlets
15.00
Building sewer
v 15.00
Mobile Home I s I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT `'
Fling Fee 20.00
Main Service 200,,OR LESS
8 23.00 184.00
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. �P
WNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the, Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this,permit is issued.
My workers' compenirtion i suranca carrier and policy number are:
Carrier % k l
Policy Number rAux- 12255 O
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
worker ' ompens provisions of section 3700 of the Labor Code, I shall
fo h om I ose provisions. /
_F - `,��
X Date Q
Signature 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.
Main Service 200A TO ,000A
46.00
NEW CONST. DWELLINGOCCUP. SO
OR ADONIS.( a ACC. IES. 3.5¢R'
T.
rNioµa°ESIo. MULCTI.OUTCr,LET @7.50
P°W°' APPAR"T"S
&SINGLE OUTLET S
OUTLET OR FDRURES 2° @
Ex. Occup. BAL @ .50
FOGiD APPLNS. OR 5.00
Ex. Occup. ou LETS RESID. EA
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
E__
PERMIT FEE $ 204.00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 204.00
HAZ. I D FEES IMP FLOOD CDF PARCEL PD HD ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
IJP �wwlwVW_
By ttt--- vvv���
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been aid.
Date 2*60
(Oita)
Receipt No.t-14
WHITE-D.D.S.-B.D. CANARY -ASSES R PINK -INSPECTOR GOLDENROD -APPLICANT
IM
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
Owner:
Address: -Z
Tenant:—
Building Location:
Type of Inspection requested:
1. Housing / / 2. Financing
4. Other (specify)
151,
A. P. #
Date of.Inspection l%
Inspecto
3.'Change of Occupancy to
Present use of building: "
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:_
5. Hot and cold water to fixtures:
6. Heating facilities:
7. -Natural light and ventilation:
8. Room and space requirements:
•9. Bedroom window or door for second exit:,
10. Infestation.of insects,,vermin, or rodents:
11. Connection to -sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. • Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and•ground:
.2. Receptacles: :•�
S. Fusing:
,4. • Comments.
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments
(continued on back)
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:
5. Exits•
6. Improvements:
7. Zoning:
8. Comments•
G. Field Problems or Violations I-
1.
1. Problem or violation (give complete description): Amw .
2.
3.
XA.Information only - file.
/ / B. Hold for ten (10) days, then write letter.
" C. Write letter.
7 D. Other•
1165 | v/LORCHARD WAY
|
MARIAN AVE
CO
1321 025:
bh
117
1164 1170
i 1150
1144
tn
APN: 039-1380-003
t 112 MARIAN AVE
1175
1133
1155 k 11-61
11-21
STANLEY AvE
NONE
,j, PROPOSED CATV 6-23-03
ru comcast communications APPROVED BY:
REOOKq OFFKX. 4&50 PELL DIL SAM-AIEW0. CA 9%W POLE MOUNTED' POWER SUPPLY
1641
1165 | v/LORCHARD WAY
|
MARIAN AVE
CO
1321 025:
bh
117
1164 1170
i 1150
1144
tn
APN: 039-1380-003
t 112 MARIAN AVE
1175
1133
1155 k 11-61
11-21
STANLEY AvE
NONE
,j, PROPOSED CATV 6-23-03
ru comcast communications APPROVED BY:
REOOKq OFFKX. 4&50 PELL DIL SAM-AIEW0. CA 9%W POLE MOUNTED' POWER SUPPLY