Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
039-410-076
39-41-56 BERNEDO, PAtrick S: &2426-90E Jill �Polk`Stree[, Chico lot 17 (elec/well) . 039-41-0- I aERNEDO, 92-0 CONTR . ATR I CK 245 ., POLK gTOWNER WELL CHICO ELEC 039-41-0-0,W BERNEDO, PATRICK 93-240E POLK ST, CHICO ELEC SERV FOR WELL up �_---- o39 -y10- 07, l 0397410-076 INALEp STAR, DOUG K W - ANDA NDA OLD CHICO WY, CHI NSF (4BR) W/GARAGE 039-410-076 05-2236 KOENIG, ROBERT 3 76 OLD CHICO WAY, CHICO CONT: POOL BUILDERS POOL b • t9•ol. 039-410-076 OG -0757 KOENIG, ROBERT ,9 76 OLD CHICO WAYCHICOIZ� Cont: UNKNOWN GAR CONWREMODEL t�1 Im • I P, u, 039-410-076 � 06-0787 IN 0 T E,S I 7 ( KOENIG, ROBERT 76 OLD CHICO WAY, CHICON+ !S' Cont: UNKNOWN GAR CONY/REMODEL. APN: Permit No. Owner. G a AQ Site Address: ` "7, O ` ` 1 Contractor. O— •`��� Type of Permit o5-27,36 -7 1 A W �'✓� J ,' f � • t 1 ' 4 F� SPECIAL CONDITIONS+ CHECKED BY ❑ SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY Q USE PERMIT CONDITIONS ❑ SUBSTANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE i` 4 .. C) _ p � FlCZ 1 vk (4 t DATE JOB FINALED: ^ �� SIGNATURE: �� = OK o = Not OK MANUFACTURED HOMES MIS-CELLANEOUS PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaIIIC/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line F 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -DIrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C10 to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancys` 16 HUD LabeUlnsignia Numbers Serial Numbers D E C K S'C O V E R S`C A R P O R T S 'GARAGE SGATE 1 Zoning -Setbacks -Easements 2 Ftgs; Soils -Sz-Dpth-Spacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg , Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps-Doors-l-andings 12 Braced Wall pnls a a` °'o 4. ° DATE TFOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec RcptclslLting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal wW-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs=pnlboards-lnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide r s o`' � � o` a Pool Drawing 3 OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR 1 DATE PLUMJ%ING 1 Z_o/ning-Setbacks-Easements-Flood-Slope aain; Soils Flet Grnd —}�- Ftg Dpth 1'Ftg Garage; Soils -Steel -Flet Grnd Ftg Opth• 4 Ftg Porches/Decks; Soils -Steel —� Ftg Dpth A N n 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Ste alts Garage; Steel-Blockouts-Wrapped 6 0l owns and Special Anchrs ab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test i t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation �C DATE IFRAMING ;?* Proper Materials & Anchrs 1#oValls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire ps, Furred Ceilings -Stairs -Chasers Tubs eade & BeamsSz & Bearing 23 H gets Post Caps-Anchrs Cnnctns ening Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 oors-One X -Check Garage 3rd Story, 2 Exits tai idth-Hdrm-Rise-Run-Landing-Fire Prtctn d o Roof Ovrhng-Attic Vnts-Rffr Outrgrs 33 ' in Nailing Veneer t co Lath -Weep Screed-Fndtn Vnts-Undrflr Acc zing Area -Glass Prtctn-SkyLts-Plastic e Walls; Na 9;00itr B C II Is %� % UIG�b1e (� nsultn-Walls-Ceitings l 39 Infi I tration-Walls-W ndws s` DATE JELECTRICAL 40 F & Tmsfrmr Clmc4ns Prtctn c Rcptcls Spacing-Lts & Switches at Doors �Eqpp.Grnd oxes & No Of Cndctrs Stapled :x Installed Close to Edge of Studs & CJ made up w/Mech Fstnrs yAp dng Electrode Bond Gas & Wtr pinc Cires in Kichn & Cndctr Sz GFI feed Wire Sz ga QCU orAL AC Wire Sz ga ❑ CU or AL 7nsulated ge Circ ga ❑ CU or DAL n Circ ga ❑ CU or ❑AL Neutral MYes ❑No ice -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnls-Motors-Mech Eqp 517 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector U+ - Y`..i `. }+` — > r v�llern ..a,.wC>1.� �....� — • rr--.r... r � - .. Sd'9Vtr r; Vent-Acc-Cmbstn Air Baffle 5 tr pe; Test & Anchr-Nail Prtctn Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub. Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 0 � 0 DATE IFINA eeDetector & SideLt Prtctn-Landings Detector Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedr m Exiting 7 & Bath Fxtrs & Tub Acc-Spa 71 GFI Fault lee Trim & Subpnl, Breaker Sxs & Labels Stairs, Guard/Handrails 74EK. or Stove, Clmc-Hearth Outlets at Wood Pnl, Int & Ext Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc. it Ele utlets & Rcptcls at Ktchn Counter Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 c & Mech Eqp Listed for Loctn 8 c Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84� Guard ails & Deck Cnstrctn-Post Caps V Bs-9reBn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrn Drnge Planters oYes ONO Jni cnnct, Elec-Plmb Roof, Plmb-Appinc-Frplc-Clrnc to Opngs ,Well, Dscnnct, Elec, Plmb Elec Trim, GFI Rcptcl-Undrgrnd In thru House ss Prtctn 9Aorrecti ns from previous Inspctns 95 Ga st-Meters Tagged, Gas-Elec tr & Sewer Cnnctd-C/O to grade -HD Apprvl rgy Cmpinc Cert -Other Certs Address Posted 99 Fire Sprinkler 11` 0 COUNTY OF'BUTTE BUILDING DIVISION r DEPARTMENT OF DEVELOPMENT SERVICES r" ^` 7 County Center Drive • Oroville, CA • (530) 538-7541 t CORRECTION NOTICE 1' E �OWNR PERMIT NO. ?4- A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of }^ work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 7- C Mfr /i (2,qN cc } _7 c��, Pili 7 K -r� 7�� a y WHILE IN USE "Y7F RrniZ yl! S f� I� r to^. Date 5- `' _ _ Inspector Dc�3a0w N C.91eFc�v�� REV 4/05 Phone #�— FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 ........COUNTY OF BUTTE ..... . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Kok- !; OWNER PERMIT NO. t A routine insoection indicates that the following violations'of Butte County Ordinances exist at• a f the above address and should be corrected. Please call 'for re -inspection when correction of work, is comoleted. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 't"' I l _i/.�1'Gl,7C /7/Gt/r`/tG /7`7 /flJ 6__1 F;- , ' 6)/i l ,ill/./�L�' A/y-U SVf 1,1—nA// e •. r F 7Y } C 2 Date(!� ?�/ !�� Inspector '���T��� ��/�'G�'-� t REV 4/05. Phone ti _. FOR RE -INSPECTION, CALL; 538-7636 OR 891-2834 . , . COUNTY OF BUTTE • BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed! If you have any questions pertaining to this matter, or need additional explanation, 1please contact the Building Inspector as indicated below. Date O�2 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 !Jl li Lr Date O�2 Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 _A% COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �4 OWNER PERMIT NO. '.. -"1- A routine inspection. indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. 10 Aos For a YYt dd b r F Date '✓' �" Inspector V REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 <_ x COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541' CORRECTION NOTICE cue. �,•�, (� (, - �� b 7`= OWNER v PERMIT NO. 4. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional ` explanation, please contact the Building Inspector as indicated below.- j�; 1 =•Y •?Q �t i Date "Inspector�— REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 s 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. BP060787 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: 06/14/2006 APN: 039-410-076-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 76 OLD CHICO WAY CHI Map Index: Date: Contractor: Description: GAR CONVERSION (762) GAR (1220) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the 168 BREEZEWAY ( ) STORAGE ABOVE NEW Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a GARAGE (550) 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 Owner: KOENIG ROBERT K & KAREN the Contractor's State License Law (Chapter 9 commencing with Section 76 OLD CHICO WAY 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 CHICO, CA violation of Section 7031.5 by any applicant for a permit subjects the 95928-7901 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, Applicant: KOENIG ROBERT K & KAREN. provided that such improvements are not intended or offered for 76 OLD CHICO WAY sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA proving that he or she did not build or improve for the purpose of 95928-7901 sale.). lY I, ,as owner of the property, am exclusively contracting with Q 9 licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not appy to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: HENNING CONSTRUCTION 79 FAIRWAY DR ❑ I am Exempt under Article 3 of the Business and Professions Code CHICO, CA Date: wner: r. LIC# 661299 95928 530-894-3651 WORKERS' COMPENSAT N 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 License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Policy #: Total Square Ft: 1770 S.F. I certify that in the performance of the work for which this permit is Valuation: .$42,480.00 issued, I shall not employ any person in any manner so as to Census Code: 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: Fail a to secure workers' compensate coverage is unlawful, and shall subject an employer to criminal penalties and ne in to the cost 4r ' hundred thousand dollars ($100,000), addition compensation, damages as provided for in Section 3706 of the Labor fees. code, interest, and attorney's CONSTRUCTION LENDING -AGENCY — This permit is he , byA ued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutions t4id indicatea'ab Xe forwhich fees have beer. paid := - performance By Date: Name: , 0 PERMIT EXPIRES ON. Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have, read this application, that the above information is correct, and that I am the 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 official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. n + Print Name: �� I,� l� l`�-4 �< t' Signature: Dale: 1 I L7 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 CERTIFICATE OF FIELD VERIFICATION & DIAGNOSTIC TESTING (Page 1 of 1) CF4R Project Address I Henning, Martin 1 Duct Pressurization Test Results (CFM @ 25 Pa) Builder / Installer 76 Old Chico Way / Chico / CA / 95928 1 Park Sheet Metal Builder / Installer Contact Telephone Plan Number / Permit Number Fritz Lugendeel 5308933618 6— O 7 9 HERS Rater Telephone Sample Group Number Mike Croman - CJHJEJEJRJS® ID #CCNMC630582 5308922125 1 Compliance Method (Prescriptive) 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct _153 System Alteration and/or Equipment Change -Out. ! I Climate Zone 11 Certifying Signature ate Sample House Number Firm 8 Enter New Duct System - Pass if Leakage Percentage < 61/6 [ 100 x [ Line #5 / Line #2 ] ] HERS Provider Comfort Air & Electric 9 CJHJEJEJRJS® Address '' ✓ Pass 13 Fail City/State/Zip 14286 State Hwy 99 N. Chico /CA /95973 Copies to: BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT HERS RATER COMPLIANCE STATEMENT This house was: ✓ Tested As the HERS rater providing diagnostic testing and field verificatioi tested compliance requirements as checked on this form. The HERS correct tape is used before a CF4R may be released on every tested and signed CF -6R has been received for the sample andlested build ✓ The installer has provided a copy of CF -6R (Installation Cen 4 ✓ New Ducts are fully ducted (i.e., does not use building ca 'ti ✓ New ducts with cloth back ed, ribber adhesive duct tape, is i adhesive duct tape to seal leaks at duct connections. { tify that the house identified on this form complies with the diagnostic I check and verify that the new distribution system is fully ducted and ag:;The HERS rater must not release the CF4R until a properly completed denums orlatform return's in lieu of ducts). mastic'and draw ba`nnds armee used in combination with cloth backed, rubber ✓ MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT l Procedures for field verification and diagnostic testing of air distribution systems are available in RA CM, Appendix RC4.3. Duct Diagnostic Leakage Testing Results System # 1 1 NEW CONSTRUCTION: Duct Pressurization Test Results (CFM @ 25 Pa) Measured Values 1 Enter Tested Leakage Flow in CFM 2 Fan Flow: Calculated (Nominal: ✓ Cooling ❑ Heating ❑ Measured) ,` Enter Total Fan Flow in CFM: 2000 3 Pass if Leakage Percentage < 6% [ 100 x [ Line #1 / Line #2 ] ] ❑ Pass ❑ Fail ALTERATIONS: Duct System and/or HVAC Equipment Change -Out j a i l� 4 Enter Tested Leakage Flow in CFM from CF -6R: Pre -Test of Existing Duct System Prior to Duct System Alteration and/or Equipment Change -Out. - 5 Enter Tested Leakage Flow in CFM: Final Test of New Duct System or Altered Duct System for Duct _153 System Alteration and/or Equipment Change -Out. ! I 6 Enter Reduction in Leakage for Altered Duct System [ Line #4 Minus Line#5] (Only if Applicable). _l 7 Enter Tested Leakage Flow in CFM to Outside (Only if Applicable). i i 8 Enter New Duct System - Pass if Leakage Percentage < 61/6 [ 100 x [ Line #5 / Line #2 ] ] ❑ Pass ❑ Fail TEST OR VERIFICATION STANDARDS: For Altered Duct System and/or HVAC Equipment Change -Out Use one of the following four Test or Verification Standards for Compliance 9 Pass if Leakage Percentage < 15% [ 100 x [ Line #5 / Line #2 ] ] 7.65 ✓ Pass 13 Fail 10 Pass if Leakage to Outside Percentage < 10% [ 100 x [ Line #7 / Line #2 ] ] ❑ Pass ❑ Fail 11 Pass if Leakage Reduction Percentage > 60% [ 100 x [ Line #6 / Line #4 ] ] and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail 12 Pass if Sealing of all Accessible Leaks and Verification by Smoke Test and Visual Inspection ❑ Pass ❑ Fail Pass if One of Lines #9 through #12 Pass V Pass ❑ Fail Residential Compliance Fonns Generated by CJHJEJEJNS® http://www.CBEERS.org December 2005 INSTALLATION CERTIFICATE age 3 of 12) CF -6R Site Address Permit Number An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(a). HVAC SYSTEMS:�� e ," 2oe �, Heating Equipment �Q /7 �� Vo NtEta f��u 1/0, Equip Type (pkg. heat um CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency� (AFUE, etc.) 2CF-1Rvalue) Duct Location attic, etc. Duct or Piping R -value Heating Load Heating Capacity Btu/hr - 7TlCro Cooling Equipment Equip Type (pkg. heat tun CEC Certified Mfr. Name and Model Number # of Identical Systems Efficiency1 (SEER or EER) zCF-1R value) Duct Location attic, etc. Duct R -value Cooling Load Cooling Capacity tu/hr 1.,> symbol reads greater than or equal to what is indicated on the CF -IR value. ' Include both SEER and EER if compliance credit for high EER air conditioner is claimed. ✓ 011, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner 10-412 Jk T /t'1 jF T A L Signature: O~ Date: a� Copies to: BUILDING DEPARTMENT, HERS RATER (IF APPLICABLE) BUILDING OWNER AT OCCUPANCY Residential Compliance Forms April 2005 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. BP060787 B. C. Building Permit 01-16-04 pg 1 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: 06/14/2006 APN: 039-410-076-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 76 OLD CHICO WAY CHI Map Index: Date: Contractor: Description: GAR CONVERSION (762) GAR (1220) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the 168 BREEZEWAY ( ) STORAGE ABOVE NEW Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a GARAGE (550) 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 Owner: KOENIG ROBERT K & KAREN 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 76 OLD CHICO WAY she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA violation of Section 7031.5 by any applicant for a permit subjects the 95928-7901 applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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, Applicant: KOENIG ROBERT K & KAREN provided that such improvements are not intended or offered for 76 OLD CHICO WAY sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of CHICO, CA proving that he or she did not build or improve for the purpose of 95928-7901 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.). Contractor: HENNING CONSTRUCTION ❑ I am Exempt under Article 3 of the Business and Professions Code 79 FAIRWAY DR CHICO, CA Date: wrier. t7 LIC# 661299 95928 530-894-3651 WORKERS' COMPENSAT N 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 License #: 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 Architect: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Engineer: insurance carder and policy number are: Carrier: Total Square Ft: 1770 S.F. Policy#: I certify that in the performance of the work for which this permit is Valuation: $42,480.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of Califomia, 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:Li 14 Applicant: WARNING: Fail a to secure workers' compensali coveragedne unlawful, and shall subject an employer to criminal penalties and in to the J) 1 I ✓�(! ( hundred thousand dollars ($100,000), addition cost`�j' J compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. q1 �„('>� �l `mi_t CONSTRUCTION LENDING AGENCY This peerr ils"h1e by) ued under, the applicable provisions of the Butie County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions t d indicated ab ve for which fees have been paid. L performance of the work for which this permit is issued (Sec 3097 Civ.) Date: - / 10 7' Name: B y PERMIT EXPIRES ON. , V 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 cedify 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 any official form or document of Butte County. I hereby authorize representatives of Butte County to upon the above mentioned property for inspection purposes. tyennter i Print Name: A i2 1- A CI 14-6 1 1 C 4 Signature: Date: Pill 4. C9 4 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 s o - o 0 88 u = ea c. 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 Last Name G Name Firs//��t n%5� Address !p 04 /J e /v�"D /f / City StateeA_ State Phone Sys -3D Fax E-mail 7� "t J ARCHITECTIENGIINEER Ukmir CONTRACTOR Name City n Address Zp City Fax State Zip ,2 Phonerr 7� "t J Fax E-mail e Lic #06 6 i Clas ARCHITECTIENGIINEER NameS� ,)t? 1�1e_lwl-"A' Addresstl, A;le— City n Stat tA Zp Phone 3 ss 4/ / / Fax E-mail State License Number APPLICANT INFORMATION Name zk�Oehl ,�Bl�GTip Address l0 Cross Street L A/'?011/0 A ZE City C /I/ev Policy Number State,, Zjp 7 Phone 3/�i/� "S30 Y Book Fax E-mail Planner PPLICANT SIGNATURE X For office use 41v/ Icr Zoning AP# 14� '1" ��U2) Flood Zone I X ISRAIYes Cross Street L A/'?011/0 A ZE WORKER'S COMPENSATION. Policy Number Occ. Type Const. Subdivision ,lame Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. 6(9• BP-: BIN 1 (.2 PROJECT LOCATION . AP# 14� '1" ��U2) Property Address D). D C/4/GQ City elf/LD Cross Street L A/'?011/0 A ZE WORKER'S COMPENSATION. Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: /I/e w S.(71 �/^u �pndc.srbr ibis �� �scc2c.v,6f/ 1/17 c 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 renewlaction 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 departinent costs are not refundable. Receiv , b : Amount: �/ Bldg SRA Receipt #: Sherrff C) a SMIP r„ x Date: Other �Y V 3 5 Total M 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. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A). Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form . ❑ 12. Hazardous Material Form (for Commercial Buildings only). • ' Remaining items needed to issue the permit. Additional items may be required after. Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 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). El 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 UFORNISWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OI` 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 SKEET OWNER:C 1 �1 ASSESSOR PARCEL NUMBER _ ) ' ` (6, U� " Proposed Building Use CJIJ&WC�J� �4� ermit Technician: Date: Items required in order to apply for a per it. All boxes MU8T be che�,ked OR marked NA in order to apply. t7 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Z Complete plans, 3 or 4 sets, signed by the preparer of the plans. 0 1 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 .D 5. Letter from Engineer or Architect for truss design review. f0 6. Energy compliance design and supporting documentation in duplicate. ❑ T. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ & Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ a 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. ❑ lil. Hazardous Material Form 1Q. Acknowledgement of building permit application without required clearances. ❑ 113. Other I ta�iinq 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 applicabley17/1) j(,6 y❑ 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 ........................................... ❑ j 18. Erosion Control Plan Required......................................::............................... C' ees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 'ff. City of Chico Plumbing permit.......:................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 412. California Department of Forestry plan approval ❑ paid. Sent by: ............. 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ o 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 ........................... X Contractor's license information. (Number, Name Style, Classification) ................... 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 33 Existing violations and/or expired permits......................................................... Deed Restriction.......................................................................................... ❑ ❑ ❑'ILegal description, ❑ M.H. Title, title search, registration or MCO ....................... 36. Other: G Y\ E01.Other: J When issued Telephone T-� J�'� O� �� and hold for pickup. I have been informed of.t a above items and requirements for obtaining a building permit. Applicant: Date: D 1. Index permit application four e a v item n m red: Plan Check Letter 2. Additional items required 1� Contractor, design , er, as advised of Ke abo data y Zjxphy, b mail, ❑ cou er, Date: D Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor: designer, owner, as advised of the abo a dat by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviEwed by: Date: Plans approved by: Ii Date: Structural reviewed by: Date: Structural approved by: Date: Note tra&er by: ' Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 TO: ' Building Division = Development Services { FROM: Environmental Health ,SUBJECT: Sanitation Clearance E. Plot Plan Attached _ Fbor PIan,Attaohed Q Sent to SD/DS / o '14 "cov r �� i� s 0 Owneo Location AP# Plan Approved for: Sewage Disposal: 's Water Supply: Public Private Well Clearance for dwelling. Other Gcn✓c,CA, e I,/C'' Ar, E Iz Z // Vii. Hold final for: Final clearance O.K. for: ' NOTE: G. ►� � >•' ,p, l�l� ice, i,��/s ��t-�--�� Environmental Health Specialist Date Building Clearance 9/2005 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buftecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner KOENIG, ROBERT APN No: 39-410-076 Application Date 4/6/2006 Permit No: BP 06-0787 Permit Type: GAR CONV/NEW GAR/BREEZEWA' 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $934.83 Plan Check portion of Permit Fee $373.93 $560.90 Balance of Building Permit Fee 2 FEMA Yes Flood Elevation Review $109.98 RYes 0 3 SRA* Fire Plan Check - Non -Refundable $95.00 0 :� - $204.98 (State Responsibility Area) Building Inspection $109.98 0 NON-REFUNDABLE portion of fees due at application $373.93 RECEIPT. DAIE Tech/Asst FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION _ q(� FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT $565.151-:3 4 Balance of Building Permit Fees (from No. 1 above) $560.90 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) $4.25 11 �L"J 6 Additional Plan Check Fees (NON-REFUNDABLE) 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* jPer Dwelling Per Dwelling Per Dwelling Applications After 2114/05 ,r SFD MFD ,r MH County 4096.87 3071.14 3117.43 Chico Urban Area 5372.09 3995.45 4889.56 El Medio Fire District 3128.31 2297.77 2326.36 North Chico Specific Plan SR -1, SR -3, SR-1/PD 7938.53 6757.0-81 7633.49 �c R-1 8031.53 6850.08 7726.49 X00 R-2 7541.531 6360.081 7236.49 R-3 6780.531 5599.081 6475.49 RECEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 0 $100.00 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200,00 KOURni DRAINAGE FEES* 10 ICHICO STORM DRAINAGE MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 770 Butte Creek 771 Comanche Creek 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch $6,070 RECEIPT DATE Tech/Asst $8,603 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO K is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* L Chico Unified School-Districtb62 12a RECREATION DISTRICT FEES* C Chico_ OF PERMIT. Forms will be prepared after plan check At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Goverrfment code 8ectiW66020, you are hereby notified those Items followed by an "*" may have been impos on our project. You have 90 days from the date of approval of the pori ct or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Secti n 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 0& \\ Department of Public Works oQ C o u n t y o f B u t t e O �1 J. Michael Crump, LAND DEVELOPMENT DIVISION o / Storm Water Management Program Director 7 County Center brive Oroville r -A 95965 *`u4;74 r 5 ' IC WOP� (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan .(SWPPP) Acknowledgement. (LESS THAN 1 ACRE] Project Description: �� cd 6' , Q P Project Location and/or Parcel Number: CO �1 1�3 OX -4 C �( By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 Butte County Department ofDevelopinent Sci-vices 0 %31 r a 7 County Center Drive 4 ° Oroville, CA •95965 O _! O fGY' (530) 538-7601 Telephone (530) 538-7785 Facsimile c0U N�-{ )BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit application through the plans examination process WITHOUT first obtaining all' necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: v I need to submit applications for septic and/or well to Butte County Environmental Health immediately. • I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained a I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or r M uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to, all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: Fo Ze- IrL AO e t' APN: 0 Building site address: ?& Old eLio "', eo 4S�d�' Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: D SIGNATURYOF APPLICANT DA E K: FormcBldQPermitwithoutClearances 020705 �1 BUILDING iDESIGN - ff J SERVICE `aa �eeassamae STEVE MCWHIRTER 345-5541 11'3B West M Avenue Chico, CA 95926 Project: 0,7,,jJ I have reviewed the truss submittal for the above project and all loading design criteria have been meet. Steve McWhirter Designer �w 1 rid* BUTTE COUNTY SCHOOLS IMPACT_.FEE CERTIFICATION FORM (One form per Building) r �� (�� n���S+n� r� School Districi Building Depa ant No. A.P. Number "� Jurisdiction: City County Property Owner KOMI %J Property Location/Address C16 O Wam r Subdivision Lot No. Residential Development Q Q Q . Sq. Footage 2 No of Living Mobile Home ditio. 'Supplemental to (Group. R) Units InstallationConversio Permit # :'(No foundation inspection) �C- /� �cw ............................................................................... Deed Restricted Sq. Footage 5 50 1'� (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) CommercialAndustrial 0 Q Sq. Footage New Addition (Including Exterior Roofed Areas) r) rA :- Building Department epre Ttative Date District Identification No. (0(0n("7 78 s eve n School District certifies that (Street Address) 1 (City) (State) (Applicant) y.5 -'S30 (Phone Number) (Zip Code) has complied with the requirements of Resolution No. 7 by payment of $4 representing square feet. B 2926 s PULL MITIGATION $ School District Representative Date Paid by Ched: # / / Remarks: Notice: You may protest the Imposition of the tees Identified above by submitting a written protest -to On District, In compliance with Governmeit Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fess In any court action. t N, subsequent to *a School District Representative signing tills Butte County Schools Impact Fee Certification Foran, the School District Is notified by the aWIable Local Planning Agency that this project Is be ft reviewed under the California Emrkonmental Quality Act (CEQA), this Drolect may Cre sublect to additional school fees to finis addants Its Impact on the school disMcCs'schools. White (school district), Yellow (building department), Pink (applicant). f alb miff (31+05* m '0 i When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 20- 06- 0*29774 Rec-order I FEC FEE 31i. L`_3 .afficial Record,s I County of i Butte I C c DiAJCE j. 6RUBB-5 I County Clerk—Recorderl I I K @12. 1F'r 10'_—sun-HFUS I Pace 1 of 3 Space above for Recorder's Use Owner Name: Robert K. Koenig and Karen Koenig Building Permit No: 06-0787 — Attic / Storage above Garage DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 28th day of April, 2006, Robert K. Koenig and Karen. Koenig, hereinafter referred to as owner(s), are the record owners of the following real property: 76 Old Chico Way. Chico, Ca. 95928, and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and Ill. WHEREAS, the owner applied to. the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-0787 was applied for on 04/06/06 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-0787 has been reviewed and approved for only the, limited purposes set forth below; and 1. VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a new application for a different use has been approved; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-0787 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-0787 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited. use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: the attic Istorage is not to be used for living and sleeping.. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This --ed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited Use. Facility in -.he Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County De,Dartment of Development Services, Building Division prior to the issuance of Building Permit No. 06-0787. DATE: r! y' P , 20 Owner Signature: �1 i b C-. Print or Type Name of Above Owner Signature: Print r Type Name o V Above 0 r I y NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) 0n 4e; Z -Do before me, � �:tac -"� - ,Notary Public, personally appeared ._�►� a -e. , pa�P&efla4y-k-Fr3wft te-me, (or proved to me on the basis of salisfactory evidence) to be the person(s) whose name(s) vis are subscribed to the within instrument and acknowledged to me that h4/&h---/they executed the same in 4Whw/their authorized capacity(ies), and that by �is/44?,r/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WIT.NE,PSmy a d and official seal. 41"m Signpture STATE OF CALIFORNIA ) SS. (Seal) COUNTY OF BUTTE ) On before me, , Notary Public, personally appeared E , personally known to me (or pIoved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) �u. ROBERT J. STOFA U COMM. # 1637237 n+ pj <. NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY O 1 COMM. EXPIRES JAN. 15, 2010 (Seal) COUNTY OF BUTTE ) On before me, , Notary Public, personally appeared E , personally known to me (or pIoved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) This is to certify that the Deed Restriction set forth above is hereby ,acknowledged by the Director of the Department of Development Services and that 3utte County consents to its recordation thereof. Dated: Scott Rutherfor"anager . Building Division STATE OF CALIFORNIA ) a ) SS. COUNTY OF BUTTE ) On ' 't 6► ��� before me, r� �d�-� ,Notary Public, personally appeared personally known to me .(ar-proved-#G-me-on-the--basis-of--satisfactory- -v�-der-ice) to be the persori,(s)'whose name.(s) is/a.Fe-subscribed to the within instrument and acknowledged to me that he/sheAh,ey-executed the same in'hisjhaf/tk�,eir authorized capacityce%�, and that by his/biritheir-signature.*on the instrument the person�M-, or the entity upon behalf of which the person(-%� acted, *executed the instrument. M-MCMUM WITNESS my hand and official seal. C=M9=0 1109051 suft C - ig ature (Seal) I zIDIZIa E�858 RECORDING REQUESTED BY Recorded I REC FEE 16.00 MID VALLEY TITLE AND ESCROW CO. Official Records l TAX 408.10 AND 1i'fIEN RECORDED MAIL TO: a. County Of I Robert K. Koenig TA)k S7-/V2F4fS � CANDACEUTTE J. GRUBBS . I Karen Koenig Recorder I --11a Old d; Order No. BU -203156 DP Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: BEING LOTS 16, 17 AND 18 AND . A PORTION OF POLK STREET, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COt7NTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNEROF SAID GLEND 'TALE ADDITION TO CHICO NO. 1; THENCE ALONG THE WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1, SOUTH A DISTANCE OF 176.00 FEET; THENCE EAST A DISTANCE OF 443.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE SOUTH A DISTANCE OF 160.00 FEET; THENCE EAST A DISTANCE OF 198.00 FEET; THENCE NORTH A DISTANCE OF 160.00 FEET; THENCE WEST A DISTANCE OF 198.00 FEET TO THE TRUE POINT OF BEGINNING. ALSO THAT PORTION OF THE 16 FOOT ALLEY WAY DING SOUTHERLY OF AND ADJACENT TO THE SOUTH LINE OF LOTS 16,17 AND 18, AS .ABANDONED IN DOCUMENT RECORDED MARCH 17, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL No. 2000-09679. RESERVING THEREFROM AN EASEMENT FOR ROAD ANIS UTILITY PURPOSES, THE NORTHERLY 30 FEET .OF SAID LAND, AS SHOWN ON THE ABOVE DESCRIBED MAP AS POLK STREET (ABANDONED). THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORIbER'S SERIAL NO. 98-26116, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFE4T AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTAN - E OF TRIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLAATION. SUBJECT TO THAT CERTAIN ROAD MAINTENANCE AGREEMENT RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL, NO. 98-26116. APN 039-410-076-000 CONTINUED Order No. BU -203156 DP DESCRIPTION - CONTINUED PARCEL II: AN EASEMENT FOR ROAD AND UTILITY PURPOSES, DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWESTERLY CORNER OF CERTAIN MAP ENTITLED, ."GLENDALE ADDITION TO CHICO NO. 1 ", . WHICH MAP WAS RECORDiD IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF, CALIFORNIA, ON APRIL 11, 190'1, IN BOOK 6 OF MAPS, AT PAGE(S) 45; THENCE ALONG THE; WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO.1 NORTH, A DISTANCE OF 206.00 FEET; THENCE EAST, A DISTANCE OF 838.00 FEET; THENCE .NORTH .A -DISTANCE OF 146.00 FEET TO THE NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 EAST, A DISTANCE OF 38.80 FEET TO THE EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE EASTERLY LINE OF SAID GLENDALE :ADDITION TO CHICO NO. 1 SOUTH 400 00' 58" EAST, A DISTANCE OF 32.97 FEET; THENCE SOUTH A DISTANCE OF 326.75 FEET TO THE SOUTHERLY LINE OF SAID GLENDALE 'ADDITION TO CHICO NO. 1; THENCE ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 WEST, A DISTANCE OF 60.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET; THENCE WEST A DISTANCE OF 791.00 FEET; THENCE SOUTH A DISTANCE OF 146.00 FEET TO THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICONO. 1; THENCE ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. I WEST, A DISTANCE OF 47.00 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN) THE BOUNDS OF PARCEL I, DESCRIBED THEREIN. PARCEL III: A NON-EXCLUSIVE EASEMENT TO BE USED IN COMMON WITH OTHERS FOR ROAD AND PUBLIC UTILITY PURPOSES, WITH THE RIGHT OF C014STRUCTION, REPAIR AND MAINTENANCE OF SAID PURPOSES AND OTHER INCIDENTAL PURPOSES OVER THE SOUTHERLY 15 FEET OF LOT 6 AND THE NORTHERLY 45 FEET OF LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF STANLEY PARK", WHICH MAP WAS RECORDED . IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1906, IN BOOK 6 OF MAPS, AT PAGE(S) 105. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER THE WESTERLY 60 FEET OF THE FOLLOWING DESCRIBED LAND: CONTINUED Order.No. BU -203156 DP PARCEL IV: CONTINUED ALL THAT PORTION OF LOT 10, LYING SOUTH OF A LINE DRAWN DUE WEST FROM THE NORTHERLY PORTION OF LOT 14 TO THE WEST LINE OF SAID LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP SHOWING SUBDIVISIONS OF THE MCINTOSH TRACT, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF.CALIFORNA. ON OCTOBER 27,1900,12-4: BOOK 2 OF MAPS, AT PAGE(S) 164. ' EXCEPTING THEREFROM LOTS 1 THROUGH 28, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1 ", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45. 4 When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 2006-0029774 .frj0'0fj. Recorded 1 REC FEE 31.00 Official Records I County of I But I CANDACE J. 6RUBBS I County Clerk—Recorderl I Mz 012:41PM 12—Jun—M I Page 1 of 9 Space above for Recorder's Use Owner Name: Robert K. Koenig and Karen Koenig Building Permit No: 06-0787 — Attic / Storage above Garage a 3 q J16,-- O 74 DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 28th day of April, 2006, Robert K. Koenig and Karen Koenig, hereinafter referred to as ' owner(s), are the record owners of the following real property: 76 Old Chico Way. Chico, Ca. 95928, and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and ' III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-0787 was applied for on 04/06/06 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-0787 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a new application for a different use has been approved; and q �v VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-0787 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-0787 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: the attic /storage is not to be used for living and sleeping.. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, :s or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Owner agrees to record this Deed Restriction and Notice of Limited` Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date 'of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 06-0787. DATE:/�d( 120 Owner Signature: �- 1 �'Q � Print or Type Name of Abov,e Owner Signature: 1/,o,2t, ed!2 Print br Type Name o Above U '-Z� NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA 1 SS. COUNTY OF BUTTE On ..9�r.e i `a o0 before me, "-k 0be--r`C- , Notary Public, personally appeared �4 o6e- "t K Koe,v-.kq kQrev. KoP-V\V1 4 khawfl' (or proved to me on the basis of sa isfactory evidence) to be the persons) whose name(s) ts,/are subscribed to the within instrument and acknowledged to me that Wsha/they executed the same in 4ig/Iw/their authorized capacity(ies), an'd that by ,lair;/#ar/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNE ASS my a d and official seal. Sign ture j U 0 STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) r ROBERT J. STFA COMM: # 1637237 NOTARYPUBLIC -CALIFORNIA BUTTE COUNTY n. COMM. EXPIRES JAN. 15,20J01 (Seal) s On before me, Notary Public, personally appeared i .personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s).whose name(s) is/are subscribed to the within instrument and acknowledged tome that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. , r WITNESS my hand and official seal. Signature (Seal) 4' This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: Scott Ruthe anager Building Division STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On t1" t �, �p®� before me, +� M����-� , Notary Public, personally appeared personally known to me .(GHafeve44o-mne-or. the-bassis-ef-s-at+sfac-to)(-euider4ce) to be the personks-'whose name.(." is/awsubscribed to the within instrument and acknowledged to me that he/sWlbey-executed the same in histbei44idr authorized capacity(i.e�, and that by his/be-dtheir-signature.*on the instrument the person, s), or the entity upon behalf of which the personjs�acted, executed the instrument. MUMM WITNESS my hand and official seal. 1;;Zo�COMM 01it$6705, �a�+on►Nao•a�ro«,,a � &mea * 61MV;"M�.8M,W► 6,24 io ature 11� (Seal) 21�tlml�—sm�66858 RECORDING REQUESTED BY Recorded I REC FEE 16.00 MID VALLEY TITLE AND ESCROW CO. OfficialRecords I TAX 408.10 AND WHENEN RECORDED MAIL TO: al. County Of • BUTTE Robert K. Koenig rgjk ST7�M�rS CANDACE J. GRUBBS 1 Karen Koenig Recorder I -1(,p p Id (,�I t L O UD" ROSEMARY DICKSON I Ckj f (b t Gi4 ';S92-9 Assistant I: Kathy 02:00PM 06 -Dec -2002 I Page 1 of 4 ' Space Above This Line for Recorder's Use Only A.P.N.: 039-410-076-000 Order No.: 203156dp Escrow No.: 203156DP GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $408.10 X ] computed on full value of propperty conveyed, or computed on full value less va]ue of liens or encumbrances remaining at time of sale, unincorporated area; [ X ] City of _Unincorporated Area , and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, . Douglas S. Starr and Wanda E. Starr, HUSBAND AND WIFE AS JOINT TENANTS hereby GRANT(S) to Robert K. Koenig and Karen Koenig, HUSBAND AND WIFE the following described property in , County of BUTTE State of California; See legal,description attached hereto and made a part hereof. AK Dt:ruj1_as,sMtarr WZE. Star Document Date: December 3, 2002 STATE OF CALIFORNIA )SS BY DOUGLAS S. STARR AS HER ATTORNBY IN FACT COUNTY OF &� ,// �//{� I� _t(^� Ort' p�- U—C� before me. tCAAAt +ti y -i -Y bC4 j personally appeared_rap S. gt-a ji personally known to me (or pro ed to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or die entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. =tK5��A zl, Signature ' This area for official notarial seal. OFFICIAL SEAM. KRISTIN ABBOTT E NOTARY PUBLIC -CALIFORNIA M BUTTL'COUNTY /-. r•., -;may A Order No. BU -203156 DP Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: PARCEL I: BEING LOTS 16, 17 AND 18 AND A PORTION OF POLK STREET, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE CObNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1, SOUTH A DISTANCE OF 176.00 FEET; THENCE EAST A DISTANCE OF 443.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE SOUTH A DISTANCE OF 160.00 FEET; THENCE EAST A DISTANCE OF 198.00 FEET; THENCE NORTH A DISTANCE OF 160.00 FEET; THENCE WEST A DISTANCE OF 198.00 FEET TO THE TRUE POINT OF BEGINNING. .ALSO THAT PORTION OF THE 16 FOOT ALLEY WAY LING SOUTHERLY OF AND ADJACENT TO THE SOUTH LINE OF LOTS 16,17 AND 18, AS ABANDONED IN DOCUMENT RECORDED MARCH 17, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-09679. RESERVING THEREFROM AN EASEMENT FOR ROAD AND UTILITY PURPOSES, THE NORTHERLY 30 FEET OF SAID LAND, AS SHOWN ON THE 4OVE DESCRIBED MAP AS POLK STREET (ABANDONED). THIS, DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26116, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE CORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFE AS THOUGH FULLY SET FORTH HEREIN AT. LENGTH AND GRANTEES BY ACCEPTAN , E OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLA$ATION. SUBJECT TO THAT CERTAIN ROAD MAINTENANCE AGREEMENT RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26116. APN 039-410-076-000 CONTINUED Order No. BU -203156 DP DESCRIPTION - CONTINUED PARCEL II: AN EASEMENT FOR ROAD AND UTILITY PURPOSES, DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWESTERLY CORNER OF CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. I", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45; THENCE ALONG THE; WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO.1 NORTH, A DISTANCE OF 206.00 FEET; THENCE EAST, A DISTANCE. OF 838.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET TO THE NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 EAST, A DISTANCE OF 38.80 FEET TO THE EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE EASTERLY LINE OF SAID GLENDALE :ADDITION TO CHICO NO. 1 SOUTH 400 00' 58" EAST, A DISTANCE OF 32.97 FEET, THENCE SOUTH A DISTANCE OF 326.75 FEET TO THE SOUTHERLY LINE OF SAID GLENDALEADDITION TO CHICO NO. 1; THENCE ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 WEST, A DISTANCE OF 60.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET; THENCE WEST A DISTANCE OF 791.00 FEET; THENCE SOUTH A DISTANCE OF 146.00 FEET TO THE SOUTHERLY LINE OF. SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO X10. 1 WEST, A DISTANCE OF 47.00 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHINI THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE EASEMENT TO BE USED IN COMMON WITH OTHERS FOR ROAD AND PUBLIC UTILITY PURPOSES, WT£H THE RIGHT OF C014STRUCTION, REPAIR AND MAINTENANCE OF SAID PURPOSES AND OTHER INCIDENTAL PURPOSES OVER THE SOUTHERLY 15 FEET OF LOT 6 AND THE NORTHERLY 45 FEET OF LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF STANLEY PARK", WHICH MAP WAS RECORDED. IN THE OFFICE OF THE RECORDER OF TETE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1906, IN BOOK 6 OF MAPS, AT PAGE(S) 105. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND J'UBLIC UTILITY PURPOSES OVER THE WESTERLY 60 FEET OF THE FOLLOWING DESCRIBED LAND: CONTINUED Order No. BU -203156 'DP PARCEL IV: CONTINUED ALL THAT PORTION OF LOT 10, LYING SOUTH OF A LINE DRAWN DUE WEST FROM THE NORTHERLY PORTION OF LOT 14 TO THE WEST LINE OF SAID LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP SHOWING SUBDIVISIONS OF THE MCINTOSH TRACT, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFOR1 1A, ON OCTOBER 27, 1900, IN� BOOK 2 OF MAPS, AT PAGE(S) 164. i EXCEPTING THEREFROM LOTS 1 THROUGH 28, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GLENDALE. ADDITION TO CHICO NO. V, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45. i . NOT9S RESIDENTIAL PERMIT NO. et 6L6 To C- �IN039-410-076 m - _�.• - _ 'ILEeCC-SS Ta UE2t FS/ ' KOENIG, ROBERT 05-2236 AI5 ��Q R�6L. �i�1cto5ce/Z� _ LE�-T 76 OLD CHICO WAY, CHICO CONT: POOL BUILDERS INC POOL W tt t TG -rAc, Q�s� s , t �j ,1 i f. j f CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER �I s OFP AAY7oAl R 10 OFF prA/YIoti�O (t . r, i v JOB FINALED (Date) Vl l \ _®Q '; Signature SIMM/_. _ J=OK 0 = Not OK - = Not Applicable . =Not Ready m ®'BILE HOMES ® E S -g� Date MOBILE HOME UTILITIES (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftJ P LPG 7. Well Clearance 8, Disconnect 8. Utility Clearance teo!Egic.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1/ Date Card B-1 2. Footings; Size -Spacing -Marriage Line q -�(p Card B-1 , Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connectot 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports•, Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date P (Plans) OK except #'s Setbacks -Easements 2. Sets; Compaction -Stricture Stability Pool Structure; Steel -Connections -Thickness Dead 'ning E4. eptacles and Lighting, Distance-GFI Seeec.; Pool Lighting; 15 Vo -GFI 6. Elec.; Enclosures; C40difid Entries -Terminals -Listed 7. Elec ; Metal w/5' -Circulating Equip. -Heater teo!Egic.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Department Approval 14. P b.; Cir. Test -Water Supply Test IZ,l3,0$ i T, 1 iche 1,1I closure; Fencing -AI Date Card B-1/ Date Card B-1 Date (cp'-) q -�(p Card B-1 , Date Card B-1 I = OK s 1 =Not OK = Not otRea Applicable =Nat Ready RESIDENTIAL (Single & Duplex) . :)ate UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8=1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection Date 19. D.W.V.; Test Fittings & Anchor -Nail Protection Date 20. Shower Pan; Test, First Floor -Tub Access Date 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fre Sprinkler, Test 38. Condensate Drain & Overflow, Size & Grade Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Date 24. Fixture & Transformer Clearance -Ins. Protection Date 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Date 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Date 30. Subfeed Wire Size/ /ga. Cu or Al-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No Date 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Date 43. Bearing Walls over Girders & Floor Nailing Date 44. Draft Stop in Walls (rat proof) Date 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting: Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following tnstldJDrive 0 Yes 0 No/Walks O Yes 0 Nolft-tiers 0 Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/0 to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fre Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: .71 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES '411 Main Street e Chico, CA - (530) 891-2751 7County Center Drive * Oroville, CA - (530) 538-7541 CORRECTION NOTICE 7 2 OWNER j PERMIT NO. A routine inspe--tion indicates that the following violations of butte cou54L.Ordinances exist at the above address and should be corrected. Please notice this offig4hen borrection of work is completed. If you have any questions pertaining tothis Zmatte r need additional explanation, please contact this office immediately. CN Date j Inspector REV 10/92 Is • `. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT ° 24 HOUR -INSPECTION #: (536) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) o OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE; tNww.buttecounty.netldds PERMIT NO. BP052236 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: O9I I?/2QO5. ,APN: 039.-41.0-076.000.... •...•••• ..... • -the Business.and Professjgns;CQde, and my license is in full force and . ........: :.....•.. , � . , .. - effect. °. License Class : � T' �3 - . License Number: .. ,. .: ,....... _. .. :.:. Site Address: 76'OLD CHICO WAY CHI LE Map Index: Date: Contractor. > V fN� 'Description:. POOL MASTER 01-516 OWNER -BUILDER DECLARATION I hereby affirm •under..Pe Y• perjury nalt of.that. I am exemp t from the . 'Sfate Contractors' License.'Law'for the following reason (Sec. 7031.5 Business,.and Professions Code: Any, city or county which requires a Owner: KOENIG ROBERT K & KAREN permit to construct, alter, improve, demolish, or repair any structure, prior to its, issuance, also requires the applicant for such permit to file a 76 -OLD CHICO. WAY signed"stafement.ttiat•he or she is licensed pursuant to,the.provisions of CHICO, CA '.= ` the Contractor's State License Law (Chapter 9 commencing with Section 85928-7901 7000.) of Division' -3 of. the Business and Professions Code) or that he or she: is exempt.therefrom and the basis for the alleged exemption. Any - violation of Section 7031.5 by any applicant for a permit.. subjects the applicant.to a.Civil penalty of not more than five hundred dollars ($500).): ❑ I, as owoerof the property,. or my employees with wages as their sole compensation, will do the work, and the structure is not intended orfte„re'dfpssale_(Sec:Io44, @usines$•and f?rofessions :v , .,........ _•,,,,,,,,,,,,,,,,,App.IICaOt:..P..O.OL..BUILDERS• .,,.......:..:..... w .... Code: The Contfactors'-§tate License Law does .not apply to an .,;.gyvner;of,propgrty,who.builds or improves thereon, and who does such work himself or. herself.or through his oiher`own'eniployees, 3080 THORNTREE423 ... provided that such improvements are..not intended, or offered for, .., CHICO, CA 95973 sale: ;l(`howeveF•the building orimprovements are`sold within one . _ year of completion, the owner -builder will have the burden or 0-899=8988 •. • - .. . proving that he or she did not build or improve for :the purpose of SKIMMERRCH@AOL.COM sale.). ❑ ..I, as ckwner, of,,,►he.,property, am exclusively,, contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: POOL BUILDERS'. 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.). 3080 THORNTREE #23 ❑.-_.I;am hKempt under Article 3 of the Business.and Professions Code . CHICO, CQ, 95973 =. 530-899-8988 Date:"''•''• owner SKIMMERRCH@AOL'.COM License #: 83.3994" , , WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to'self-insure for _..... . .... . .. workers' compensation, as .provided for by Section .3700 of the Architect: Labor Code,:for the performance of the for which this permit is, issued. .:- , . - • . - "�I ' . have 'and willmaintain workers' compensation insurance, as Engineer:.............. _. _..... � .:...: _........,.............. .. ,.... ,. ~' .,required by. Section 3700,the. Labor Code, for. the performance of .the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:. Carrier:• c5-FA'TI-G00- e —ry) /4S Cc*,PAio Total Square Ft: Valuation: $0.00 Census Code: Policy #: -11 t 3 -- ©1 7_0 (e C''J ❑ . I..aertify 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: -.> Applicants — ,L . ' ation WARNING:' ailusecure workers' compen coverage is . 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 attomey's fees, )Way.7 CONSTRUCTION LENDING AGENCY'.' This permit is hereby issued under the.applicable.provisions of the Bette Cnunty Cody ?nrVor I hereby affirm that there is a construction lending agency for the Resolutions t do work indicate ve for which fees have been paid. performance'of the work for which this permit is issued (Sec 3097 Civ.) / _� i 9:11:? Name: BY Date: 4!.)_C PERMIT EXPIRES ON: Address; Date O I,hereby certify,that the use of this facility shall comply.with Seclions,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. ❑ Aiiacfied 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 any official 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: r !` l FA -R-A - �:. l' �irzph 0--N Signature: ❑•Owner: Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE CQUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BP052236 BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891=2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE:• www.ouuecounty.netiuus LICENSED CONTRACTORS DECLARATION I hereby -affirm ••under •penalty<of-perjury - that. l ,licensed-, under. provisions of Chapter 9 (commencing,with Section 700000 ) of Division 3 of •. Issued Date: 09/12/2005 •-APN: 039-410-076-000> » •• •••• -the Business,and Professions Code, and my license is in full force and effect.' License Class: �'� 53 License Number: _ �" Sife'Address: 76 OLD CHICO WAY CHI' D p� t Date: Contractor: TGXi t_py i IdEfS r C" • Map Index: -Description:. POOL MASTER 01-516 - OWNER -BUILDER DECLARATION -1 '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: KOENIG ROBERT K & KAREN' permit to construct, alter, improve, demolish, or repair any structure, prior to its„issuance,•also requires the applicant for such permit to file a 76 -OLD CHICO. WAY��- signed"statenient.t hat he or she is licensed pursuant to th'e:provisions of + -CHICO, CA the Contractor's State License Law Chapter 9 commencinSection ( )with 7000.)'of Division B of the Business and Professions Code) or that he or - 95928-7901 • ' • •- - she,i$ exempt. therefrom and the basis for the alleged exemption. Any Z , violation,of Section 7031.5 by any applicant for a permit, subjects the applicant, a civil penalty of not more than five hundred dollars ($500).): O I, asowrier Iofthe property, or my employees with wages as their ^ ..>. Yp >-,.• .„ ..~4 sole compensation, will do the work, and the structure is not ,,,)ntended or otggredfpf.sale (Sec,7p. 4 .p sineska•Vd Professions , ,^ -,, Applicant:.P_O.OL-BUILDERS• •••-- •••.- ••.• ..-... ^ �_ .. , ...•....; Code: The Contractors' -State -License Law does not apply to an Qwner,.of propttrty•who.�tiuilds or improves thereon, .and who does ; such work himself of Herself or through his of her'own employees, •3080 THORNTREE• #23 -.... < y provided that, such improvements are,not intended or offered for, sale: If however,'the building or improvements are'sold within one CHICO, CA 95973 year of completion, the owner -builder will have the burden of 530-899=8988 proving that he or she did not build or improve for the purpose of SKIMMERRCH@AOL.COM sale.). as_owner• o(.ahe„ property, am" exclusively. contracting with licensed contractors to construct the project (Sec. 7044, Business .and Professions Code. -The Contractors' State License Law does Contractor: POOL BUILDERS -.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.). 3080 THORNTREE #23 ❑ ,•,'1 am;EKempt under Article 3 of the Business and Professions Code . , .CHICO, CA. 95973 = 530-899=8988 Date:`'''' owner: SKIMMERRCH@AOL.COM License #: 833994 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and,will maintain a certificate of consent to self -insure for . •, z workers' compensation, as provided for by Section 3700 of the Labor_Code, ,for the performance of.the .work for which this permit Architect: sissued -, -„ - . _ ., _, , ; . L., I 'have and will maintain workers' compensation insurance, as .....Engineer:.................. . _.-._•.._ ..._ _ .., required by,Section 3700•the.Labor Code, for -the performance of .the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: r'STATIE ' U_. 9 'k_I`) A•uS Com Q Total Square Ft: 0 S. F. ; Policy k- i 1 3 — 0012-0 C) Valuation: $0.00 Census Code: ❑ 1 certify that in the performance of the work for which this permit is issued, f 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' :compensationprovisions of.Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date:-, h s% os . Applicant: , WARN1146" ailure to secure workers' compensation coverage is . unlawfulpano shall, subject an employer to criminal penalties and one hundred' thousand 'dollars ($100,000), in' addition 16 the cost of compensation, damages as provided for in .Section 3706 of the Labor code, interest, and attorney's fees. -35 y Z CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County CodA ?ndlor I hereby affirm that there is.a construction lending agency for the Resolutions t do work indicate ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , 9-1,-7-6S Name: By: Date: PERMIT EXPIRESON: vS Address, Date l] I.heSeby certify,thaftfie 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. ❑ _.Atiactied are copies of the required E.P.A. notification forms. a 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 any official form or document of Butte County. I hereby aufhoriie'represeniati�ves of Butte County topenter above mentioned property for inspection purposes. ruu%pon'Ithe i Print Name: aFCi C_+FA-R..A - ai_w, f_N'r Signature: t Date; I & Log; ❑•Owner, }FjS Contractor ❑ Agent for Owner ❑ Agent for Contractor tA- /OTrF : BUTTE COUNTY o _ 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 o AND SUBMITTAL REQUIREMENTS o ��.� _ p 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 p- =-` -=a p OFFICE #: (530) 538-7541 e1 .1 A FEE WILL BE REO UIRED AT TIME OF A PPLICA TION 0iV Website:—www.buttecounty.net/dds **PLEASE PRINT CLEARLY** APPLICANTNAME OWNER Name Last Name Address First e oe ef?-r Address 6 01 dt Lo L04,1 City I G0 State ., C_ 4 C,D Zip �559 29 Phone 99,1-1008 , 1 OO Fax Fax g E mail E-mail APPLICANTNAME CONTRACTOR Name Name Address Zip . 3 City Fax State Address �"ree S tv City C_ 4 C,D State A Zipq 5 9 }3 Phone a g g Fax g _ yg E-mail Lic. # Igg 3 CI s s3 APPLICANTNAME ARCHITECT/ENGINEER Name City tj ("State Address Zip . 3 City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANTNAME Name Cr�vl�QefS L Address City tj ("State Cross Street e S '3*()re Zip . 3 Phone� _ 3 Fax E-mail APPLICANT SIGNATURE r X �4"L_ W For office use only: Zoning Pro erty Address rr` a 0� LO W A Flood Zone Cross Street e S '3*()re 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 NO. BIN # LOCATION AP# 03q - 44 o —0-7 Pro erty Address rr` a 0� LO W A CitVl K , �%�t 1 C� Cross Street e S '3*()re WORKER'S COMPENSATION Policy Number 13- 00 r a® -0 Carrier If hiring anyone other than license contractors, a certificate of w rker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or S e of Work: J a Sq. Footage 00 p ❑ 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. Page 1 of 2 Received by: Amount: Receipt #: C;� � �,5�i Date: tx I L66 �06_7i' C-0—Bldg SRA Sheriff SMIP Other Z ::7) Total REV 2-24-05 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. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. El 6. Manufactured homes: (A) 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). 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 KAFORMSWILDING FORMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Piot Plan Attached P/ Fleur Plan Anachad Sent to B.D. / W77-4 f FF9'F K Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public c Private Well Clearance for dwelling. Other Holo final for: Final clearance O.K. for: NOTE: Environmental Health Specialist 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CAS' 95965 Phone`(530)538-754f .Fax•(530)538-2140 PERMIT APPLICATION DATA SHEET �p OWNER: �R�In l `)01, ASSESSOR 1PARCEL NUMBER `"'v 01 gProposed Building Use: �� �Qf �� Permit Technician: Date: (q 05 Items.required in order to apply for a permit. All boxes MUST be checked OR marked NA in ord to apply. i5 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 or4 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 AIC 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 -sinned by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining hems needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................. D 17. - Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ ❑ 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. C�- 23. California Department of Forestry plan approval ❑ paid. Sent by: jjl. 24. Planning approval for (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. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, fitle search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone O \ "1 . -1 b and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. f Applicant. 7)rop Y-\, Q4v Date: ` a 1. Index permit applicatiorkfor the above items nu bared: Plan Check Letter 2. Additional items required Pe ontra designer, owner, was advised of the above data by, phone, ❑ mail, ❑ counter, by Date: _ I'Y1CQi SPG(' mr'4 ac or, 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, . 0 counter, by Date: Plans reviewed by: ' Date: Plans approved by' Date: r Structural reviewed by: Date: --Structural approved bye Date:. Note transfer by: Date: Yellow: Building Division Department C o u n t y, J. Michael Crump, Director of Public Works o f B u t t.e LAND DEVELOPMENT DIVISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN 1 ACRE. Project Description: Project Location and/or Parcel Number: a6 LO ro By signing below, L the project ownerlowner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply'for a Construction Storm Water Permit frgm the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a .Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: _ Date: L,ss than 1 Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 NOTES i RESIDENTIAL J P� 039-410-076 - 02-0730 STAR, DOUG & WANDA OLD CHICO WY, CHICO NSF (413R) W/GARAGE K lot t ,kY 1 SPECIAL CONDITIONS ;t SRA 4 t FLOOD CERTIFICATE'REQ. � - FIRE SPRINKLERS -REQ. SPECIAL INSPECTION ITEMS VERIFY _ USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address GAS Meter By Date ELECTRI Meter By Date r JOB FINALED (Date) ' Signature t • -CHECKED BY / = OK 0 = Not OK - = Not Applicable • =Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements 4. 2. Soils; Special MH Support Sketch Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 3. Sewer; Location -Test -Fall -C/O -Concrete 7. 4. Water; Location -Test -Easement Needed (Sketch) Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 10. 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / /'Nat. or/ /"L"ft./ /'LPG Ext.; Steps -Doors -Landings 7. Well Clearance & Disconnect 10. Plumb.; Cir. Test -Water Supply Test 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line ' 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances • 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 11 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric ti 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater ' 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK = Not Applicable = Not Ready Date Underfloor (Plans) OK except ��� Zoning -Setbacks -Easements -Flood -Slope 3455 S g., Main; Soils-Elec. Grnd.-/1,2 /" Ftg. Depth g., Garage; Soils-Steel-Elec. Grnd.-/ tom' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' Fig. Depth IV temwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel-Blockouts-Wrapped If IIY'V Hold Downs and Special Anchors Slab, Steel -Wrapped / Piers -Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test LAW 0"UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access (� 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subteed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 RESIDENTIAL (Single & Duplex) #'s I Date Date Card B-1 Date Card B-1 Date NyEEHANICAL (Permit) OK except #'s Ducts Insulation & Support Ve n, Exhaust above insulation o to Drain & Overflow, Size & Grade 3 nace-Vent Access -Comb. Air -Return Air Vent 115 outlet Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date ) Card B-1 Date Card B-1 Date AMING (Permit) OK except #'s Soper Materials & Anchors Studs -Nailing Spacing & Braces -Plates -Sound B ..wing Walls over Girders & Floor Nailing D Stop in Walls (rat proof) Fire ps, Furred Ceilings -Stairs -Chasers -Tubs j5. eaders & Beams -Size & Bearing FRAMING (Continued) ngers-Post Caps -Anchors -Connectors 9 Joist-Rttr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. place Ties or Type A Flue -Fireplace Throat Clearance F Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Ht. & Dimensions rage Fire Protection Framing �perty Line Firewall & Openings Doors -One 3' -Check Garage 3rd Story, 2 Exits firs; Width -Headroom -Rise -Run -Landing -Fire Protection <ood on Roof Overhang -Attic Vents -Rafter Outriggers ing-Nailing Veneer tcco M h -Drip Screed -Fd. Vents-Underflr. Access a ' Area -Glass Protection -Skylights -Plastic ear Walls; Nailing -Bolts ce.ifiterior/Exterior Wall Panels / / I . 62!Inf#ation-Walls-Windows Date " rd'R-1 Date Card B-1 Date erd B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63( Stens-Door & Sidelioht Protection- Land inas 64,/Sm Detector urnace Vents -clearance -Comb. Air -Connector - In arage; Above Floor-Ducts-Mech. Protection Bed om Exiting 6 F.I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels s & Rails fireplace or Stove, Clearance -Hearth �/f✓ Elec. Outlets at Wood Panel, Int. & Ext. % Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 7�ec. Outlets & Receptacles at Kit. Counter rage Fire Door; Swing -Landing -Closure fyrC. Duct in Garage -Damper Wtr. Hir.; Vents -Clearance -Comb. Air Connector-P.R.V. i arage; Above Floor-Mech. Protection 7 P0., Elec. & Mech. Equip. Listed for Location 7 c. Receptacles in Garage (F.F.I.)-Romex Protection I sulation-Foam-Looked in Attic uard Rails & Deck Construction -Post Caps dn. VBent Crawl Hole Door Drainage & Wood -Earth Cleara a Looked under Floor O Yes 2. Fo wing Inslld./Drive J Yes D No/Walks J Yes J No/Planters J Yes J No ,2, St co Brown -Finish 8 A.C. Unit Disconnect, Electrical -Plumbing 8 Vents Above Roof, Pibg-Appliance-Fireplace-Clearance to Openings ater Well, Disconnect, Electrical, Plumbing terior Elec. Trim, G.F.I. Receptacle -Underground Ventilation Throughout House 8 . Glass Protecfon 9 . Correcti from Previous Inspections 91. G est -Meters Tagged, Gas -Electric 9 . W ter & Sewer Connected -C/O to Grade -HD Approval _ 9 E ergy Compliance Certificate -Other Certificates Address Posted Date zl Card B-1 Date V-2 * Card B - Date Z Card B.. Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: THIS IS FIBER GLASS FTC FACT SHEET GLOWING WOOL- INSULATION CLIMATE PROF BLOWING WOOL INSULATION Bag Weight 25 lbs. Nominal (Minimum Net Weight of Insulation in this Package is 23 lbs.) R -VALUE MINIMUM THICKNESS BAGS PER 1000 SQ. Fr. MAXIMUM NET COVERAGE MINIMUM WEIGHT PER SQ. FT. To obtain an Installed The number of bags Contents of The weight per insulation insulation per 1000 sq. ft. of this bag should sq. ft. of installed resistance should not net area should not not cover insulation should (R) of be less than: be less than: more than: not be less than: 11 5% in. 7.0 142 sq.'ft. 0.176 lbs. 19 8% in. 12.5 79.9 sq. ft. 0.313 lbs. 22 10 in. 14.6 68.4 sq. ft. 0.365 lbs. 26 11X in. -.17.2 58.0 sq. ft. 0.431 lbs. 30 13 in. 20.0 50.0 sq. ft. 0.500 lbs. 38 16Y4 in. 26.3 - 38.0 sq. ft. 0.659 lbs. 44 18% in. 30.5 32.8 sq. ft.. 0.763'ibs. 50 20X in. 35.5 28.2 sq. ft. 0.886 lbs. 60 23% in. 43.0 23.2 sq. ft. 1.076 lbs. Read This Before You Buy What You Should Know About R -Values. The chart shows the R -value of this insulation. "R" means resistance to heat flow. The higher the R value, the greater the insulation power. Compare insulation R -values before you buy. There are other factors to consider. The amount of insulation you need depends mainly on the climate you live in. Also, your fuel savings from insulation will depend upon the climate, the type and size of your house, the amount of insulation already in your house, and your fuel use patterns and family size. If you buy too much insulation, it will cost you more than what you'll save .on fuel. To get the marked R value, it is essential that this insulation be installed properly with pneumatic equipment. Johns Manville Johns Manville Corporation Insulation Group P.O. Box 5108 Denver, CO 80217-5108 t Internet: http://www.jm.com BIC -194 7197 0 1997 Johns Manville Corporation t owe *} IS l0 CLIMATE PRO® FIBER GLASS BLOWING :WOOL r Your home has been professionally insulated to provide a guaranteed thermal resistance. HOMEO6iNER'S NAME(, ADDRESS C/7T STATE ZIP RECORD OF INSTALLATION BLOWING WOOL bt NEW CONSTRUCTION IF RETROFIT: ❑ RETROFIT DEPTH OF PREVIOUS INSULATION NUMBER OF BAGS USED INCHES AREA INSULATED 1-..2 ESTIMATED R -VALUE OF SO. FT' PREVIOUS INSULATION 1 THICKNESS OF INSULATION TYPE(S) OF PREVIOUS INCHES INSULATION IN ATTIC R -VALUE OF INSULATION SS BATTS AND ROLLS R -VALUE THICKNESS AREAINSULATED CEILINGS � 0 12— IN. ' Z -U SQ. FT. IN. SQ. FT. WALLS 1 35 IN. SQ. FT. IN. SQ. FT. FLOORS IN. SQ. FT. - IN. SQ. FT. CLIMATE PRO. RAG WEIGHT - 25 LR. NOMINAL R -VALUE MINIMUM THICKNESS BAGS PER 1000 SQ. Fr. MAXIMUM NET COVERAGE MINIMUM WEIGHT PER SQ. FT. To obtain an Installed The number of bags Contents of The weight pei insulation insulation per 1000 sq. ft. of this bag should sq. t. of installed resistance should not net area should not not cover insulation should (R) of be less than: be less than: more than: not be less than: 11 5/< in. 7.0 142 sq. ft. 0.176 lbs. 19 8% in. 12.5 79.9 sq. ft. 0.313 lbs. 22 10 in. 14.6 68.4 sq. ft. 0.365 lbs. 26 11% in. 17.2 58.0 sq. ft. 0.431 lbs. 30 13 in. 20.0 50.0 sq. ft. 0.500 lbs. 38 16% in. 26.3 38.0 sq. ft. 0.659 lbs. 44 18% in. 30.5 32.8 sq. ft. 0.763 lbs. 50 20% in. 35.5 28.2 sq. ft. 0.886 lbs. 60 23% in. 43.0 23.2 sq. ft. 1.076 lbs. INSULATION• • • •- ► •DATE?COMPANY 0JA2ACQ Avlaj ADDRESS PHONE '! • I HOME BUILDER SIGNAiURE DATE COMPANY >: � � ' johnsManville BIC -194 7/97 0 1997.1ohns Manville Corporation ,.aw- Johns Manville Corporation, P.O. Box 5108, Denver, CO 80217-5108, Internet: http://www.im.com. For more information call 1-800-654-3103. 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUI NG DIVISION • 7 County Center Drive - Oroville, California? 95965 - Telephone (5 ) 538-7541 MI N (Rev. 12/96) APPLICATION AND PERMIT M ASSESSOR PARCEL NUMBER 039-410-076 ZONING ® BUILDING PERMIT OWNER DOUG & WANDA S TAR TELEP14ONE Sp, OCC. BUILDING VALUATION 1 R3 136 674.00 . OWNERS MAILING ADDRESS 2880 CHICO RIVER RD. CHIGO CA 95928 804 U 14 472.00 CONTRACTOR'S NAMED .� TELEPHONE 383 C 4,979.00 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $156 125.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 839.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 545.35 BUILDING ADDRESS OLD MIC0 WAY. CHICO Energy Plan Checking Fee $ 23,00 Master $ 2 PERMIT FEE $ 1450.35 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 91.00 USEOFSTRUCTURE SF [A Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 1 9 -on TYPE OF WORK New 0[ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAIRY 4br 3bath WIGARAGE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 171.00 ._� ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A 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 JplI force and effect. i \��� License Class Lic. No. /�1 S (,� OWNER -BUILDER DECLAR TION 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' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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' compensa ' n provisions of section 3700 of -the Labor Code, I shall forthw' comply w' those ro ions. ., j X Date �h__ / � W& Signature Applic wner ontractor ❑ Agent. An OSHA permit is required or excavations over 5'0" d ep and demolitio or construction of structures over 3 stories in h ht. Main Service TO lOCU00A 46.00so NEW CONST. DWEWNG OCCUP. SO Wf 3.5¢:116.75 OR ADDNS. ( a AcG. S. COT. muLTi NONRES D. RANCHO CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Occup. BA20 @ 1.00 oLlrLET OR FDCTUREs Ex. Occup. Gums FIXED Ao °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 159-79 MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling Hood 6.50 Ventilation 4.50 gas PERMIT FEE $ Q Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ R3 CONST. TYPE VN TOYAL FEE $ HAz �.- D FEES cOF � PARC f PD D SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated a for which fees have been paid. ' By - Date PERMIT EXPIRES ON -q-. A.te Receipt No. .q WHITE-D.D.S.-B.D. CANARY-ASSIESOH PINK -F ECTOR Gck7!F4 ROD-APPLICA T • 1 ,,. 4 COUNTY OF BUTTE-DEPARTMEN,T,,O4DEVELOPMENT SERVIC Ai 7 County Center Drive, Oroville, CQ 9569;6.5-11frdhe (530)538-7541 PERMIT APPLICATION DATA SHE 5 ILDING DIVISION (530)538-2140 OWNER: `""`"'r1 S� ASSESSOR PARCEL NU BER 03 I v O -Wo P7�`oposed Building Use: � � � Counter Technician: U� Date: )[tems e-juired in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 910010 lo: plans, 3 or 4 sets, signed by the preparer of the plans. ❑ omplete plans, 3 or 4 sets, signed by the preparer of the plans. 119 3 —L ei eered plans, 3 or 4�sets, with wet signature on plans AND 2 sets of stamped and signed calculations, &'45gineered truss details and layouts in duplicate. No faxes! ❑A5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (a) Tie down or foundation plans, all in duplicate. 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. •I,I . (D) Floor plans in triplicate. All of these must be stamped and wet -signed b the he en ineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be (, indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form ................................................. :............................. ❑ 13. Other Remaining items needed to issue the permit: (May require additional plan review upon receipt of the following items.) 14. Fe:s as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ Statement of Intent for Non -heated and A/C Buildings ..................................... `..... 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit.............:.........:................................................. ❑ 18. Cadifotnia Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: Z>l<_(B)Parking: (C) Parcel Check: L4 -5-02 ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. =` ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Le:ter of Signature authorization .................................. ............. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement..�!`�=:......................... ❑ 28. Manufactured home utility clearance ................................................. :.............. ❑ 29. Existing violations and/or expired permits............................:.........:.................. 0. ❑ Grant eed ❑ M.H.-Title/Statement of Facts, 0 Letter from Legal Owner, ❑ Check to H.C,D. $ 31. Other: / en issued Telephone ti .4+• I have been informed,( Applicant: /the aabov items and and hold for pickup. is for obtaining a building permit. WANW4M •t7'C` Iu�--Z�r i 1. Index p:rmit application for the above items numbere : w Plan Check Letter 2. Additional items required - Contractor, designer, owner, was advised of the above data ❑ phone, LNA counter, by Date: Contractor, designer, owne , was advised of the above data by ❑ phone, ❑ mail, ❑ co r, by Date: Plans reviewed by: �- Date: oZ//.o Plans approved by: Date: Structural reviewed by: 9> Date: Structural approved by: Date: S' O Note transfer by: �— Date: ' Yellow'' Building Division I TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance i — E.H. USE GAILY Plot Plan Attachad ¢'lana Plan At9sch d C 4za ` � Owner Loca on AP# Plan Approved for: Sewage Disposal v-' Water Supply: Public Private Well Clearance for dwelling. Other final for: Final clearance O.K. for: NOTE: .i Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER. PROPOSED BUILDING USE I. BU ING PERMIT FEES t -Balance Due ........................................................ $ ,. --Additional Fees Due ................. :.......................... $ --Additional Fees Due ............................................ $ - evised Plan Checking Fee .................................. $ 2. SCHOOL DISTRICT FEES I� l d at District Office) / 3. SHERIFF FEES (paid at Building Division) ��� `� Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential' ............................ x = $ # Units Amt. C mmercial (Sq. ft.) ............. x = $ .LiL/ Sq. ft. • Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES < $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P.43/^ 410 ( ?6 DATE --a �69)- RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the p n checkin process. APPLICANT DATE Pursuant to Government Code S 90ion 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items curing which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original- Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) " BUTTE COUNTY SCHO IMPACT' / OLS FEE CERTIFICATION FORM --� (One fornv per'Buf ding) School Distrct S Building Department No.r �_r o �,� A.P. Number 'Jurisdiction: � 0' city County Property CMner f/ AA % Property Location/Address Subdivision ` Lot No. f y s Residential) Development T/ .............................:................................................................. Sq. Footage J 3 No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection): /. • Commercial/Industrial Building Department Re' 0 New Addition (I-ioor Plans reviewed by School L District Identification No. �9 7 • -TT VT School District certifies that (Street Address) I 1 (City) has compted with the requirements of Resolution No. representing square feet. School Di -strict Representative _f Paid by Check 11 Remarks:' , t E, AP Personnel) Sq. Footage (Including Exterior Roofed Areas) Date (Applicant) R9 OV/ 2 If_**' (Phone Number) (State) (Zip Code) by payment of $ �1he, AB 2926 $ �L FULL MITIGATION $ ' Date + Notice: You may protest the imposition of the fees identified above'by submitting a written protest to the District, in compliance with +.< :.Government Code Section 660201a), within 90 days from thedate fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by tie applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (app icant), Yellow (building department), Pink (school district) feeform.xis 110/98)dmm BUTTE COUNTY PARKS DEVELOPMENT FSS CERTIFICATION FORM CHICO AREA �RiE}CREATION AND PARK DISTRICT Assessor Parcel Number(s) ✓�� /�j f Property OwnerQ%y C/ Project Location/Address Subdivision Lot Number(s) Residential Development: (check one) . New Development _Alteration/Addition _Mobilehome(s) r / Total Number of Dwelling Units 1 Comment: 1 � di g Department Repr sentative U _Non -Residential to Residential Date Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) - (Phone Number) " 62 919k6 (Street Address) (City) (State) (Zip Code) hag compli d ree-uirementstte solution No. 90-140 by -,"- y 5th payment for dwella.ng units @ $1, 189 for total payment of $ 1 O /, CARD Represent ive, Date PAID BY CHECK NO. REMARKS: BANK NO.-q,)U� I) PAID BY CASH RECEIPT NO. 05/28/02 49322 8:24AM X;c�'MTRI. $1189.00 Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. park.fec (form revised 11/90) I PLANNING DDJV�SION• BUILDING APPROVAL Use: ►� Date: Parking:--^ GREGORY A. PEITZ ARCHITECT 1907 MANGROVE, SUITE "E", CHICO CA' 95926 (916) 894-5719 PROJECT: %w v c 25 3 I have reviewed the truss submittal for the above project and all loading design criteria have been met. GregoryA. Peitz Architect �L� 4-r&'r f �WAJ 6MICO WAY . ... ...... ................. -* mEr w wj '�-s Ow VO 94 0 W, Fes Fcav A,531 6,41 HOVS.F APPROVED no ate 6*"*eO -WO. - o7(,7 —000 041 Lewd u (00 f 7G� 3Q.� j 60 4 f -d i Environmental Health APR - 2 2002 Chico, California ovG OKI 11!::!� 7*4. M/ WKW4 6 rA4x 9 y 90 C/V/co 41 U - � W- CA'41 6 0 CA '?✓�q'a $44;-04 7S AlCd�W?,' IF VL CORDS a REOIIESTED `SY-•-M:t'0 vAm- TITLE AND WIM RECORDED TO: 90 Nt 3 c�-13k' BUTTE COUNTY BUILDING DMSION Recorded I REC FEE 19.0® 7COUNTY CENTER DRIVE Official Records i CONFORM .00 OROVILLE,CA95%5v County Of BUTTE CANDACE J. GRUBBS I Recorder O ROSEMARY DICKSON I Assistant I Kathy \ 09:G M 22 -Mar -2002 I Page 1 of 5 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 0 � q - 416 - N2 6M -416 - oqfo Date ?:ZOl02 PROPER 1soystas/6. St0,-, ,r State of Caligornia County of � On 3 —Zed —t7Z before me, personally appeared -ts to t > g �A � S. S -E--a M -y' personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Seal; OFFICIAL SEAL 2 '' KRISTIN ABBOTT W ° ' NOTARY PUBLIC - CALIFORNIA .'# p a] �.,L(t �. . c7 >2 BUTTE COUNTY Z AQP _ 'x 1266679 Mq Comm. f . dna 8.2W DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: BEING LOTS 4, 5 AND 6 AND A PORTION OF POLK STREET, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON. APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE'NORTHWEST CORNER OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1, SOUTH A DISTANCE OF 176.00 FEET; THENCE EAST A DISTANCE OF 443.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE NORTH A DISTANCE OF 160.00 FEET; THENCE EAST A DISTANCE OF 198.00 FEET; THENCE SOUTH A DISTANCE OF 160.00 FEET; THENCE WEST A DISTANCE OF 198 FEET TO THE TRUE POINT OF BEGINNING. ALSO THAT PORTION OF THE 16 FOOT ALLEY WAY LYING NORTHERLY OF AND ADJACENT TO THE NORTH LINE OF SAID LOTS 4, 5 AND 6, AS ABANDONED IN DOCUMENT RECORDED MARCH 17, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-09679. RESERVING THEREFROM AN EASEMENT FOR ROAD AND UTILITY PURPOSES, THE SOUTHERLY 30 FEET OF SAID LAND, AS SHOWN ON THE ABOVE DESCRIBED MAP AS POLK STREET (ABANDONED). THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS,. CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26116, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. SUBJECT TO THAT CERTAIN ROAD MAINTENANCE AGREEMENT RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26116. APN 039-410-072-000 PARCEL II: AN EASEMENT FOR ROAD AND UTILITY PURPOSES, DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWESTERLY CORNER OF CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, CONTINUED PARCEL II: CONTINUED ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45; THENCE ALONG THE WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 NORTH, A DISTANCE OF 206.00 FEET; THENCE EAST, A DISTANCE OF 838.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET TO THE NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 EAST, A DISTANCE OF 38.80 FEET TO THE EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 SOUTH 400 00' 58" EAST, A DISTANCE OF 32.97 FEET; THENCE SOUTH A DISTANCE OF 326.75 FEET TO THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 WEST, A DISTANCE OF 60.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET; THENCE WEST A DISTANCE OF 791.00 FEET; THENCE SOUTH A DISTANCE OF 146.00 FEET TO THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 WEST, A DISTANCE OF 47.00 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL THAT - PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE EASEMENT TO BE USED IN COMMON WITH OTHERS FOR ROAD AND PUBLIC UTILITY PURPOSES, WITH THE RIGHT OF CONSTRUCTION, REPAIR AND MAINTENANCE OF SAID PURPOSES AND OTHER INCIDENTAL PURPOSES OVER THE SOUTHERLY 15 FEET OF LOT 6 AND THE NORTHERLY 45 FEET OF LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF STANLEY PARK", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1906, IN BOOK 6 OF MAPS, AT PAGE(S) 105. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER THE WESTERLY 60 FEET OF THE FOLLOWING DESCRIBED LAND: ALL THAT PORTION OF LOT 10, LYING SOUTH OF A LINE DRAWN DUE WEST FROM THE NORTHERLY PORTION OF LOT 14 TO THE WEST LINE OF SAID LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP SHOWING SUBDIVISIONS OF THE MCINTOSH TRACT, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1900, IN BOOK 2 OF MAPS, AT PAGE(S) 164. EXCEPTING THEREFROM LOTS 1 THROUGH 28, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGES) 45. DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I: BEING LOTS 16, 17 AND 18 AND A PORTION OF POLK STREET, AS.SHOWN ON THAT CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45, AND MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1, SOUTH A DISTANCE OF 176.00 FEET; THENCE EAST A DISTANCE OF 443.00 FEET TO THE TRUE POINT OF BEGINNING; THENCE SOUTH A DISTANCE OF 160.00 FEET; THENCE EAST A DISTANCE OF 198.00 FEET; THENCE NORTH A DISTANCE OF 160.00 FEET; THENCE WEST A DISTANCE OF 198.00 FEET TO THE TRUE POINT OF -BEGINNING. ALSO THAT PORTION OF THE 16 FOOT ALLEY WAY LYING SOUTHERLY OF AND ADJACENT TO THE SOUTH LINE OF LOTS•16, 17 AND 18, AS ABANDONED IN DOCUMENT RECORDED MARCH 17, 2000, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 2000-09679. RESERVING THEREFROM AN EASEMENT FOR ROAD AND UTILITY PURPOSES, THE NORTHERLY 30 FEET OF SAID LAND, AS SHOWN ON THE ABOVE DESCRIBED MAP AS POLK STREET (ABANDONED). THIS DEED IS MADE AND ACCEPTED UPON THE COVENANTS, CONDITIONS AND RESTRICTIONS AS SET FORTH IN THAT CERTAIN DECLARATION OF RESTRICTIONS RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26116, BUTTE COUNTY, CALIFORNIA; ALL OF WHICH ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH THE SAME FORCE AND EFFECT AS THOUGH FULLY SET FORTH HEREIN AT LENGTH AND GRANTEES BY ACCEPTANCE OF THIS DEED APPROVE, ADOPT, RATIFY AND AGREE TO THE TERMS OF SAID DECLARATION. SUBJECT TO THAT CERTAIN ROAD MAINTENANCE AGREEMENT RECORDED JUNE 24, 1998, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 98-26116. APN 039-410-076-000 PARCEL II: AN EASEMENT FOR ROAD AND UTILITY PURPOSES, DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWESTERLY CORNER OF CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, CONTINUED PARCEL II: CONTINUED ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45; THENCE ALONG THE WESTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 NORTH, A DISTANCE OF 206.00 FEET; THENCE EAST, A DISTANCE OF 838.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET TO THE NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE NORTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 EAST, A DISTANCE OF 38.80 FEET TO THE EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE -EASTERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 SOUTH 40° 00' 58" EAST, A DISTANCE OF 32.97 FEET; THENCE SOUTH A DISTANCE OF 326.75 FEET TO THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 WEST, A DISTANCE OF 60.00 FEET; THENCE NORTH A DISTANCE OF 146.00 FEET; THENCE WEST A DISTANCE OF 791.00 FEET; THENCE SOUTH A DISTANCE'OF 146.00 FEET TO THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1; THENCE ALONG THE SOUTHERLY LINE OF SAID GLENDALE ADDITION TO CHICO NO. 1 WEST, A DISTANCE OF 47.00 FEET TO THE POINT OF BEGINNING. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. PARCEL III: A NON-EXCLUSIVE EASEMENT TO BE USED IN COMMON WITH OTHERS FOR ROAD AND PUBLIC UTILITY PURPOSES, WITH THE RIGHT OF CONSTRUCTION, REPAIR AND MAINTENANCE OF SAID PURPOSES AND OTHER INCIDENTAL PURPOSES OVER THE SOUTHERLY 15 FEET OF LOT 6 AND THE NORTHERLY 45 FEET OF LOT 7, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF STANLEY PARK", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 7, 1906, IN BOOK 6 OF MAPS, AT PAGE (S) 105. PARCEL IV: A NON-EXCLUSIVE EASEMENT FOR INGRESS, EGRESS AND PUBLIC UTILITY PURPOSES OVER THE WESTERLY 60 FEET OF THE FOLLOWING DESCRIBED LAND: ALL THAT PORTION OF LOT 10, LYING SOUTH OF A LINE DRAWN DUE WEST FROM THE NORTHERLY PORTION OF LOT 14 TO THE WEST LINE OF SAID LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP SHOWING SUBDIVISIONS OF THE McINTOSH TRACT, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 27, 1900, IN BOOK 2 OF MAPS, AT PAGE(S) 164. EXCEPTING THEREFROM LOTS 1 THROUGH 28, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "GLENDALE ADDITION TO CHICO NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 11, 1907, IN BOOK 6 OF MAPS, AT PAGE(S) 45. fv' SITE PLAN REVIEW APPLICATION rate: 3-- O 2 Permit Number (if applicable) p2.— 013 Q APPLICANT INFORMATION owners Name Owners Address: Telephone No.: Situs "Address: Proposed Use: AP# — q / 6 — 0-7 Parcel Size: i`?3 A e— S J R fz bD U 6- w 44_rl) D A QD ' C ? �a S928 Residential ® New Single Family Residential ❑ Single Family Addition ❑ . Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel Other ❑ Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 11 ❑ Approved ditionally Approved b 1 1 ❑ Site Plan Stamped Approved By !2e- Date 3-29-82 Page 1 of 5 t t l ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: 9( 9 • Flood Panel No.: 3 SOS r^ _ Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance -------------------------------------------------------------------------------------------------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: A -20 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front L_ Side 2� Side Street Rear 2 S Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 f, Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other Subdivision Map Special Fees. ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By Q Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: 'Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: 'T_' _T2. Lr 12E12 IN Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements .,Page 3 of 5 ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: Book: ❑ Use Permit/ivlinor Use Permit Permit Number: Date of Approval: a Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 30%. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services. Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 N Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc . Page 5 of 5 � I l I �Y li h ' 1 � • ` ?tip,"': 'Y�'' ' �!:a.r�r. ."ii#+y-.i, ,�T .i.•x�r �• ?.L� s.�7. ys.. -.v,- y{' -ii:.' .. - •-> . r:. t .a' ... .: F � p5 5 T 93-240E 1 «: 039 a A s� BERNEDO, PATRICK POLK ST-, CHICON `F ELEC SERV ,FOR WELL E ,7 .4 L {~ r`r �f,,,...` �,1-�'�,, / y,�r-,,���r,�fy�v+•�� I � �- . � if�>�"�t,•yl, •y�, t�'+y COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS +I �PERMIj NO. F. 71Co6nty Center Drive - Oroville„California 95965 - Telephone:.916/538.75,41 ( APPLICATION AND PERMIT Z �1 ' —+ F „ \ ' i+tf.._� ASSESSOR PARCEL NUMBER 039-410-056 ZONING A20 1 IWILDING PERMIT OWNER ATRICK BERNEDO TELEPHONE 345--4562 SO. FT. 'OC BUILDING VALUATION OWNER'S MAILING ADDRESS 4691 CABLE BRIDGE DR CHICO 95926 i ti , CONTRACTOR'S NAME �R TELEPHONE _ CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS i' - Filing Fee $ jrj•QQ Permit Fee $ ARCHITECT OR ENGINEER - +' LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Penalty % $ BUILDING ADDRESS y- - ` POLK ST CHICIO _ Permit fee ; $ ' — PLUMBING PERMIT Filing Fee 15.00 Each Trap ” 1 5.00 �- Solar or heat pump water heater 120.00 LOT NO, 17 SUBDIVitION NAMEi, t^1.M.ATv n N M CRT PARCEL MAP Water piping 7.00 - Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other- —YOU ELECTRIC 'I • SPECIFY ; _ Gas piping system 1 - 5 outlets 5.00 Building'sewer 15.00 ` Mobile Home,,_ S G W @ 15.00 j TYPE OF WORK New ❑� Addition ❑ Remodel ❑ Utilities ❑ r Installation ❑ Othe F❑ Describe work: SERVICE FOR 144 — PRE INSPECTION ON _ BP#92-245 'r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 ( Main service 200A OR LESS 18.50 • �� CONTRACTORS LICENSE LAW 'y I declare under penalty of perjury p y p l y (Check One.): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and 'Professions Code and my license is in full force and effect. ( 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 intended or offered for sale..(Sec. 7044) �• E:1I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec.—. Business and'Profession s Code for this reason i Main service 200A TO 1000AI 37,50 NEW CONST. DWELLING OCCUP.&) 3.64sq.ft. OR ADDNS. ACC, BLDGS. NEW CONSTR. ULTI.OUTL T NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLES. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 = Permit Fee $ /A WORKMEN'S COMPENSATION INSURANCE r ' I declare under penalty of perjury (check one): i Z ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate ofWorkmen's Compensation Insurance or a Certificate of Consent to Self -Insure. -t-. I I shall not employ any person in any manneriso 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor 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 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 sa'i'd ounty in consequence of the granting of this permit. X �T 7/ . cil 1�.�..• V •Date Signature of Applicant — Owner Contractor ❑ Agent Elsions An OSHA permit is required for excavations over 5'0" deep and demolition or lonstruct- ion of structures over 3 stories in height.. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 48.50 HAz I DFEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi of the Butte County f/de and/or resolutions to do work indicateeaboCe which fees have been paid. DIVE a' F PUBLIC WORKS By Date—,7'13 PERMIT EXPIRES Date — — 13522G— 8.50 Receipt No. WHITE-D.P.W„ YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ;R � 'r^ 1✓'yz� w,��. �r. ar .Y?Rr v.,,'^y{m,+�r.j.. �•,i►+Z1�N''aN.r».aii:.iTA�7iY3"`i=P�lr'Kdvf.J,`y'ar^N.,.,.T.(�''.3.4�77'`r' a' '4... � i} y _�+`'�.._J�`^1°�''�...,-. ,. . >: ♦, ., , � J � K'—oma, ' b 4►`�l' W � '[ _ 'r\ 92=0245 . . t 039-41.-0-056 ¢ . BERNEDO; PATRICK_ , CONTR: OWNER POLK ST, CH I CO r WELL.ELEC F J j F wlrut . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center DrGve - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-41-56 ZONING , p_20 BUILDING PERMIT OWNER Patrick PAr eda TELEPHONE 345-456l SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 4691 CFtbl P Dr., Chico CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ., LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 S} Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 17 SUBDIVISION NAME Glendale Additon to Chico PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other FT411,11 R1PCtrir- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK r�fl New Addition [I Remodel❑ UtilitiesEN installation[] Other EJ Describe work: Well Electric for Pole Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 1 18-50118 Main service 200A TO IOOOA) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 intended or offered for sale. (Sec. 7044) E:1 1, 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 CONST. DWELLING OCCUP.& DR ACDNS. (ACC. BLDGS. _37.50 3.64sq.ft. NEW CONSTR. MULTI -OUTLET NO N•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 @ 76 FIXED ALINIS Ex. OCCUp. OUTLETS P(RESID )REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bvirin g 1 15.00 15w�4 Pre -Ins action 1 20.04 20.00 Permit Fee $ 68.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty 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. ® 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation penult Fee $ Contractor 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 relating to building construction, and hereby authorize representatives of the County of 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 CCounjy in co equence o. the granting of this per It. +t / we Date / 7-f F 2- Signature of Applicant — OwnerContractor ElAgent ❑ 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 $ Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $58.54 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE j This permit is hereby issued under the sions of the Butte County Code and/or work indicat - above which fees /' IR OF PUBLIC By w'-' PER I EXPIRES Date r applicable provi- resolutions to do have been paid. WORKS f ate 41 3 97 or Receipt No. 103486 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'INTER -DEPARTMENTAL MEMORANDUM TO: Mike Huerta�/;Frieda White FROM: Tom Reid l �. SUBJECT: Bernedo Agreement DATE: August 25, 1997 Attached is a copy of the Bernedo agreement. For the permit issuance process please: 1. Verify that the lots combined to create single lots as shown on the plot plan are as per the agreement (pg. 3). 2. Verify Stu Edell has provided clearance for legal lots. e.g. The merger for the combined lots is complete. 3. The County accepted the original application fees for septic tank permits. There will be no additional fees for the nine permits. Bernedo may (if he hasn't) file a claim for an excess payment of $342.00. 4. Note on page 5 there will be a storm drainage trench location to be considered. 5. Note on page 7 the existing well must be destroyed prior to issuance of permits on . new lot 7 and new lot 8: 6. Please read and be familiar with the agreement. TR/mlf cc: Mike Vieira bernedo.tr8/25/97 V/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC UB IC WORKS 7 County Center Drive - Oroviller,, Celifoka 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 039-410-056 ZONING A20 BUILDING PERMIT OWNER PATRICK BERNEDO TELEPHONE 345-4562 so' FT. occ. BUILDING VALUATION OWNER'S MAILING ADDRESS 4691 CABLE BRIDGE DR CHICO 95926 CONTRACTOR'SNAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 155.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS POLK ST CHICO Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ADDITION TO QHTrQ PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other WELL ELECTRIC SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W= @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other] Describe work: SERVICE FOR WELL — PRE INSPECTION ON _ BP#92-245 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOR0V OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �j Ilal i, as the owner, or my employees with wages as their SOIe COmpen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUP.81 OR ADONS. 1 ACC. BLDGS. 3.64 sq.ft. NEW CONSTR. MULTI -OUTLET NON BRANCH CRC., RC ITS @ 5.00 (POWER APPARATUS e� SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLES. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 15.00 L_ I Permit Fee $ 42 50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty 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. hnl I shall not employ any person in any manner so as to become subject L'l 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation - Penult Fee $ Contractor 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 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 againsMsounty in co equence o the granting of this permit. X Date .2 Signature of Applicant — Owner K Controctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion o structures over 3 stories in height. s Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.50 HAz 1 0FEES I IMP I FLOOD I COF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Count ode and/or resolutions to do t work indicab r which fees have been paid. OF PUBLIC WORKS By Dat` PER IT EXPIRES Date Receipt No. 135220-48.50 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . ,,. ''• T' -i.. F. 3y�.1�'^�y. .. � ��.. .7-. .- ' �i'L✓i '.�, ,-+"ti_,�y SKa !'f•"` .:.v�r^..'r•-- -.- ti ,,�� `. � ti - E _= COU.NTYOF BUTTE -DEPARTMENT Of QUVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 / PERMIT APPLICATION DATA SHEET OWNER 4A. P. No. 3g - k4 Proposed Building Use fn Building Inspector Date 2 -1-r3 At time of permit application, I was advised the following data must -be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . .................. 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . .............. ........................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... 20. Pre -inspection for Pnanspe�onrequ� required. . . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .......... * ............ . 23. Owner -Builder Verification (Given to owner , Mail to owner ........... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. 'Letter of intent on building use . ......................................... 28, Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. .34. When you issue the permit, process as follows: v Mail to owner. Mail to contractor. Telephone and hold for pick office. Deliver with inspector. Other L Parcel Creation>_ ? Acreage Applicant v Date 4 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An ''•'owner -builder" building permit has been applied for in' your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing And issuing your building permit. No building permit w be issued until this verification is received.. 1. personally plan to provide the major labor and materials for construction of t e proposed property improvement (yes or no) 2. (have/have not) Gvve signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have.hire.d the following, person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security Number % Date 2- g 3 NOTE: This Owner -Builder Verification is sent to you as required by.Sections 19831 and 19832 of the.California Health,and Safety.Code. This verification must be completed and returned to our office before we are per- mitted to issue -the permit. 1.lir. r br�9tc•1 's+T 1_ COUNTY OF BUTTE 'DEPAR;TMENOF PUBLIC WORKS 7 County Cenfer.Drlve !,IIle. CallfornIa 955 - Telephone: 916.'538-7541 ;:"APPLICATION AND CRMIT ASSESSOR PARCEL NUMBER. - -.:ZONING. . PERMIT NO. '20. Rt_4�. _ ::`_ ;�' "� r°%<t'+ >'w i:e'l�7/1- BUILDING PERMIT I Patl4 e -k gellfjC d6Y OWNER'SMAILING ADDRESS.--, 4691 Cab1® BiYi$ge Dr.. CONTRACTORS-NAME�- f1,matr CONTRACTOR, -,S. -MAILING -ADDRESS • r r 1 �'•TELEPHONE NWN t Lit M z4• r.� �. ..w,:m+..... ENDER S,MAI LING=ADDRESSNT -1""L 3'*y3''' S N'i'k' e� ,�•}yl•,^�+ t.: S ` .,. 3 w.'t+ ''� " t, .� t e J rxa..•p.;l `S ia.Sn�r-,Y Y `{ R_CHITECT OR KENGINE Eaa R`S+� ,,- �,g7�,cy.�, �, � .�' .LICENSE NO , ii". +Zs `'., . I . r'e1;7z.f )✓ tJ� s y' �y" Y a �`'" 01, 11 „ � N RCHITECT OR EGINEER'S MAILING AODR�EtSSY'T: F'r`y N.fC- ['NONE, y UILOING ADDRESS r ^L .'C'6• t..m v��s swat.,, "�'....,,..+.� a i. F USE OF STRUCTU EI iF ❑ Duplex ❑ Mobi lehome❑ Other WID SPECIFY TYPE OF WORK New ❑ Addition ❑ Remoddel ❑ Utilities ❑ Installation ❑ Other Describe work: _�SP�III c FUf t�X� t — � 1st�peCf/, t�v1 v - Z3 • o' Ll 57' CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 intended or offered for sale. ;Sec. 704.4) ❑ 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 WORKMEN'S COMPENSATION INSURANCE declare under penalty 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. ❑ 1 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 Drovisions or this permit shall be deemed revoked. SO. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home S I G I W $ 15.00 a S I Permit Fee $ ■ Contractor T ELECTRICAL PERMITFiling Fee 15.00 Main service 200AORLESS 18.50 1 3.001 Temporary service 15.00 /8,SV Main service 200A TO 1000A1 37.50 15.60 / S NEW CONST. DWELLING OCCUP.8 ( 3.64 OR ADONS. ACC. SLOGS. sq.ft. NEW CONSTR.. UL 1 -OUTLET ` NON-RESID. SRANr-14 rlp[•I IiT¢/ ^ I ` 5.001 POWER APPARATUS a, SINGLE OUTLET CIR. Ex. OCCUp\OUTLETS OR FIXTURES 20 @ 76d Ex. Occup. OUTLETS P(RESIO ORA.) 1 3.001 Temporary service 15.00 Mobile Home Facilities' 15.00 Misc. Wiring 15.60 / S Permit Fee $, Contractor MECHANICAL PERMIT Filing Fee 15.00 Heati no Cooling Hood 6.50 Ventilation Penult Fee $ certify that I have read this application and state that the above information Mobile Home installation Fee S s correct. I agree to comply to all County Ordinances and State Laws relating 'o building construction, and hereby authorize representatives of the Countyot Energy Inspection Fee $ 3utte to enter upon the above-mentioned property for inspection purposes. occ CONST TYPE TOTAL FEE $ yl�- also agree to save, indemnify and keep harmless the County of Butte against III liabilities, judgments, costs, and expenses which may in any way accrue HAz 1 0FEES I IMP I FLOOD 'COf I PARCEL I PO against said County in consequence of the granting of this permit. KI This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- work indicated above for which fees have been paid. ,on of structures over 3 stories in height. DIRECTOR OF PUBLIC WORKS Receipt No. 135'a10 2J5'a1O BY Date MNITt•O. P. w., YELLOW-ASetSSa R, PINR•INSPECTOR, GOLD ENROD•APPLICANT PERMIT EXPIRES Date VIOLATION CHECK LIST A.P. :#,� /—'/7(-/— S-6 AddressC�/�t/✓u1- Owner Owner's Address Owner's Z i- Xpervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. f� / Specific Plot Plan with C/V Noted _yes no Penalties Required lst'. Notice Sent �-� . �/ 2nd. Notice Sent ate Date Comments and/or Determination Disposition For Citation Citation (Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS V 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 39-41-56 ZONING A-20 ♦ r BUILDING PERMI OWNER Bernprin TELEPHONEPatrick 345-4562 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4691 'Ah-dge Dr., Chico CONTRACTOR'SNAME TELEPHONE CONTRACTOR S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Polk St Each Trap 5.00 , Solar or heat pump water heater 20.00 LOT NO. 17 SUBDIVISION NAME Glendale Additon to Chico PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Weja Fj ectr-ic SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer —7—F15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation[] Other ❑ Describe work: _ WP11 Elertrir for Polp Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service SS 200A OR 00V OR LESS 18.50 18.50 Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Lice-ise No. Classification ® I, as the owner, or my employees with wages as their sole compen- saticn, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 DWELLING OCCUP.&\ NEW CONST.OR ADDNS, l / ACC. SLOGS. I/ 3.64 sq.ft. NEW CON5TR ULT' -OUTLET NO N.R ESID BRANCH CIRC ITS I @ 5.00 POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OEx. Occup. OUTLETS ((RESID )REA.) 1 .3.00 Temporary service 1 15.00 Mobile Home Facilities 1 15.00 Misc. Wiring g -15.001 5:00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I hare 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. 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor 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 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 pid Gounjjy in co equence o the granting of this per it. X zy, Date I _f 2 Signature of A licant - Owner ❑ ❑ 9 FP EA Contractor Agent An OSHA perm t is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE$08.50 HAz 1 0FEES IMP I FLOOD I COF I PARCEL I PD I HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indica a6pv5119r which fees I v�OF PUBLIC By �jDate PER 1 EXPIRES Date applicable provi resolutions to do have been paid. i WORKS 46�y 3 Receipt No. 103486 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r• COUNTY OF BUTTE - DEPARTMFIN'T-OF PUBLIC \TE KS - BUILDING DIVISION `7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965EPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET _ Permit No. ` OWNER Iii/G�f _ A P No.;� Proposed Building Use_�9"'�/ S� Building Inspector j ` Date ��.. � i f At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW riveway permit (const=tion a proval required prior to occupancy) :QE20 re -Inspection for requiredPre-Inspe°. request to ' ' Building Inspector (Date) 21. Contractors license information (No., Name Style, Classifications .. . 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. TeWh n you Issue thq— er i process as follows: Mail to owner. —Mail to contractor. Iephoin .a+�d hold for pickup a / office. Deliver w/inspector. Other f , Applicant 0. ( .Date —2V Copy of H.az-Mat form sent Health Dept. Fire Dept. ----A' Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must b . s i =LUed prior to permit issuance: (Circle 1. Index permit for above items No. 2. Addit;onal�items required: Contractor, designer, owner, was advised of above required data by—phone—mail counter by _date Contractor, designer, owner, was advised of above required data by—phone —ma il—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date above). N COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT A OR PAR UMBE^r / ZONING -2,0 BUILDING PERMIT owNE,fb Qin/' 16 3eo7eo`o TELEPHONE 3yd'-ys; z S0. FT. OCC. BUILDING VALUATION OWNER'S MA IN OD ESS 469/ rj'C1 e de CONTRACTOR'SNAME.1 lv TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER /VA UNKNOWN Total Valuation $ LENDER'SM I ING ADDRESS N Filing Fee $ 15,00 Permit Fee $ ARCHITECT ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ ht'CQ C %i PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. �� SUBDIVISION NAME NN 161e,7,�� A69? Vt/ / 0 PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE 1�Gas SF EJDuplex ❑ Mobi lehome ❑ Other `//� _04�� SPECI FY piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S G W 615.00 TYPE OF WORK New❑ Addition Remodel❑ Utilities Instal lation❑ Other ❑ Describe work: �� .� �r G �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 200A TO I000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 CONST. DWELLING OCCUPM OR ADONS. ACC. BLDGS. 3.60sq.ft. NEW CONSTR. M ULT'.OUTLET NON.RESID BRANCH CIRC ITS 5.00 POWER APPARATUS e SINGLE OUTLET c'R. t2,O0I Ex. OCCUp(OUTLETS OR FIXTURES 6d Ex. Occup. OUTLETS (PRESID )FIXED ARLNS.REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 9 S —215.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. ❑ 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. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor 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 relating to building construction, and hereby authorize representatives of the County of 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 this permit. X Date 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 S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $, S HAz I DFEES I IMP I FLOOD CDF I PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. COUNTY OF BUTTE - Deoartment of Public Works 7 County Center Drive, Oroville," CA .95965 Phone: 916-51-8_i541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) Ve s- 2. 2. I (have/have not) hQ U.0- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: �� Name. Address City Phone Contractors License No. 4. I plan oto provide portions of, this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Namet4la Address Phone Type of Work Signed: Property Owner Social Secur 'ty Number Date J oZ`% NOTE: This Owner -Builder 'Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. r This verification must be completed and returned to our office before we are per- mitted to issue the permit. PRE -INSPECTION ER : ilq-mDATEOWN` - LOCATION:bT '�-1 I / A. P. ; �� '� �l 5Z CONTRACTOR: [,C� ��/ �i ZONING PRE -INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: VACAor OCCUPIED HAS ELECTRIC HAS GAS Q HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: FXP(R6 loegm r r 2 il2lo - 9Q Fa V1/�Go 22 EC.TIai✓ Fat Ec.fzG r2 1 G �}iQ-Zigi2r� OF ,/1��1�%/1? � l'A C.6 (C —T $(te,A- 1�t�iP 'AALf- LA1i��C Q•/� G/L���tl� ��RN\ �C��Ct(tr[' Pd (,� T6 wEu ACTION RECOMMENDED: - - ISSUE © HOLD FOR 4 ff Rz,1,4 L r VEre,� AWAtzg_ a gestAu t)f Crr/GArto•✓ • T/aKrc�W6 ��AKr�n� MA� R�s�2��r r�rs P&�.M�r HEr•yG /sSkeb OTHER: Tlf(.S f6lZn1 tT t4 f p(F-)l tz5 8 F 7-Q LoCA r'f- /4 !��✓ �a L� et-(Sr(NG r.✓E�� - BY DATE c Z ,.S 40 k -fu isski PRE -INSPECTION OWNER: ! /��6G-�2N'D� DATE -2- I b .— �-o LOCATION: l60 LKA. . P . # y - �1 C) O S 6 CONTRACTOR: 1"11,JEa r ZONING ^ �� PRE -INSPECTION FOR: l�� l/ e eC04iC DATE TO INSPECTOR ------------- PERMIT HISTORY: IS NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: \ % C At„ J r 1,A, j TENNANT : Q A Z. i a., -j stS , [� OCCUPIED HAS ELECTRIC HAS GAS Q HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED g p OTHER COMMENTS: S ACTION RECOMMENDED: . • ISSUE HOLD FOR eo�� �,F LA e, u6 or J twt S ci r I� 1�tCA_ -/14-1 ER: _ o 0-e c e J BY /j�,� DATE '7 L I � o Patrick S. & Jill Bernedo 4691 ;'Cable Bridge Road Chico, CA 95928 RE:jh ;Code Violation J Lot 17, Polk St, Chico Dear''Mr. & Mrs. Bernedo: We'sent you a warning letter you, are in violation of the tion:k As of this date, the January 16, 1992 A.P. #39-41-56 dated December 16, 1991 notifying you that Butte County Code at the above referenced loca- following violations still exist. . �Failure to correct the electric hazard of non-metalic sheathed cable laying on the ground and supplying electric current from the power pole to the well in violation of the 1987 Uniform Administrative Code Il�Provisions, the National Electric Code adopted- by Section 27-1 of the Butte County Code as follows: (a) Section 102(d) Electrical Systems and Equipment Must be Maintained j in a Safe and Hazard Free Condition (b) Section 202 Unsafe Electrical Systems and\ Equipment Must be Abated The above violation shall be corrected or abated by obtaining an electrical permit, elemination of the electric hazards and obtaining inspection approval from this office within thirty (30) days of the date of ttifstletter. Unless the violation(s) is (are) so corrected or abated, a citation shall be Tissued to you to appear in court for said violation(s) and for failing toi!comply with this notice. Upon conviction of said- violation(s) or for failing to comply with this notice, penalties shall be imposed and a Notice of;rViolation recorded in accordance with Section 41-7 of the Butte County Code: Should you have any questions concerning this matter, please contact Rod "aylor or Jim Glander of this office at (916).538-7541. 'I Yours very truly, J� William Cheff Director of Public Works JFG:dms J.F. Glander Manager, Building Inspection cc- Building Inspector ll rile NO. BUTTE COUNTY (For Action 1, 2, 3, - Public Works Dept. (For Information t/ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drhg. /S.I. Sub. & Pcl. Maps Permits Addr. ,0` . I. .. x � ti I r 1 2 3 4 5 8 8' 9 10 11 12 13 14 15 16 17 II' 18 19 20 21 22 23 24 25 26 PROOF OF SERVICE BY MAIL I am over the age of 18 and not a party to this cause. I am a resident of and employed in the county where the mailing occurred. My business address is Butte County Department of Public Works 17 County Center Drive California.' Oroville, CA 9.5965 I served the foregoing �n_Tlavy;tier� hgtt® by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage fully prepaid on 16th. of January 19 92, and addressed as follows: Patrick S. & Jill Bernedo 4691 Cable Bridge Road Chico, CA 95928 I'declare under penalty.of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 1/16/92 at,, Oroville California. o Patrick S. Bernedo 568 E. 5th. Street Chico, CA 95926 December 16, 1991 FE: Electrical Permit #2425-90 A.P. #: 39-41-56 °Lot 17, Polk St., Chico Lear Mr. Bernedo: This is a warning letter to notify you that you are in violation of the Putt e County Code at the above referenced location as follows: Failure to correct electric hazard -of non-metalic sheathed cable laying ;on the ground and supplying electric current from the power pole to ,the well. Since this violation is a hazard, you are directed to remove the un -approved 'w-iring or disconnect the power pole and request an inspection to verify compliance within ten (10) days of the date of this letter. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not cbta ned. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your ;cooperation ;in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Rod Taylor or Jim Glander of this office. �y LCL kC �g� Yours very truly, G �n William Cheff y Director of Public Works 50L v TGot-4 Cv ,T(k'� v` F'G:dms f—��L���M J.F. Glander �4•. Manager, Building Inspection cc: ,Assessor Building Inspector 4 jj a, File No. BUTTE COUNTY (For Act 1"i '2,, 3) Action Public Works Dept. (For Information If Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Tronsp. Land Dev. Drng. /S.I. Sub.& PcI. Maps Permiti Addr. 39-41-56 0UTS� i BERNEDO, PAtrick S- 426-90E & ��Polk Street i (elec/Well) r..- , Chico lot 17 -91 EL-ru c T-0 viCLL, o`(F /k5 i4 EC- _-a(,IF)e CA`%/n!G A To U 4 S-/'rr W � , r2rn I T-' e0 M �� '¢",7—rt �4�/j> f NS rf,-C,L 1w r T* is : 1`; to E-• 44--- I•S 4 �4.. W) cc: • oYv Co/+nPc,�� 7-4lS (PRoJ'IF YF 1�IC50Lmriav 'C%o1lu'vi� fgL //i%rl���'i�' ✓� -- mPvRAR`1 roLf,.- 1-25-9a 2-zs-gz- .' IiaW��li(� Na . �W l�uLii v•tz ��iyr,J�C:.. 0r 14A zAt2b ELaCCRic df AS 6jtEji i -JAJ � 4t .iIJ f 'Y'• L l �- � •� BOUNTY OF BUTTE -DEPARTMENT OF10 A Bhir WORKS • PERMIT Na _ 7 bounty Center Drive - Orovitle, California.95965 - Telepho e. 9-16/5`iB-7„341 .' APPLICATIONAND PERMIT 1" ASSESSOR PARCEL NUMBER 39-410- 6 zONING _ (� BUILDING PERMIT OWNER i 1 e Petrick S. & Jill Ber e TELEPHONE 345-4562 SQ. FT. ,:OCC..' BUILDING VALUATION OWNER'S MAILING ADDRESS 368 F.a t 5 h S , c 6 CONTRACTOR'S NAME Ot4nor TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ ' Filing Fee -' $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Polk t^ I Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 171 SUBDIVISION NAME Glendale Addn. #1 PARCEL MAP.,, 4-y j Water piping 5.00 Each qas water heater or vent 5.00 -% USE OF STRUCTURE SF [IDuplex❑ Mobilehome❑ Other Well/ 5ubdiv SPECIFY i?, -• Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e / TYPE OF WORK New ❑ Addition❑ Remodel❑ Utilities❑ InstallationOtherg] Describe work: Well Electric _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 } 6 Main service 600V OR LESS 100 AMP OR LESS 1 10.00 10 Main service EA. ADD'L 100 AMP 1 2,50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Codeandand my license Is In full force and effect. Vol;83 6r IeWe-. License No. Q Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, 'as the owner, am exclusively contracting with I i cen sedl contract- ors. (Sec. 7044), ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&oR ADDNS. ACC. BLDGS. ) 2.50 NEW CONSTR.ULTI-OUTLET NON-RESID BRANCH CIRC ITS ea 2,50 ea /POWER APPARATUS e \SINGLE OUTLET CIR. EX, OCCU OUTLETS OR FIXTURES p( 20050e SALO 30 F ED APPLNS. OR Ex. Occup. OUTLETS ((RES,.., EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 1 15.00 15.00 Pre -Inspection 11115.00115.00 Permit Fee $ 52.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty 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. • , , A f 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I,have read this application and state that the above information is correct: l' agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Buttelto enter upon the above-mentioned property for inspection purposes. I also agree,to save, indemnify and keep harmless the County of Butte against al 11 liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons quence oof�/t'he granting of this �per m't./ P/�/ v , .. / �(9 %� �{ Date Signature of Applicant — Owner ® Contractor X 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 $ Energy Inspection Fee $ Dcc CONST TYPE 1 TOTAL FEE $ 52.50 HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By _ PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. p WORKS Date7-/ / �j+l f"' Receipt No. 66485 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t COUNTY OF BUTTE 4' DEPARTMENT OF PUBLIC WORKS- 196 Memorial Way, Chico — Phone: 891-27;_51 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 2yzs-90 OWNER PERMIT NO. 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 matterr, or need additional explanation, please contact this office immediately. J6 SyhTU O r ELrC r fl- kc HAZA R1j dl= miErL( Ir- SHCAQr-1 NAS n( 2,-Ln.o� AT T41S TI/)I Date 1 - 0 Q �Y Inspector x.1.1..-r✓� W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICKTIDN AND PERMIT PERMIT NO,.' ASSESSOR PARCEL NUMBER 39-4 - ZONING _ BUILDING PERMIT OWNER Patrick TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 368 East 5th St., CHicin 95926 CONTRACTOR'S NAME Ownpr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Pian Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 17 SUBDIVISION NAME Glendale Addn. #1 PARCEL MAP (p -EJ S Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Well/ Subdiv SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ® Describe work: _ Well Electric Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR SLESS 1 10.00 10.00 Main service EA. ADD'L 100 AMP 1 2.50 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® I am licensed under provisions of Chapt. 9, Div. 3 of the BuslnesS and Professions CO a and my license Is In f ll force and a ect. 6e 1, 94`+ /f/� License No. y6L� 3 Classification , " ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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 CONST. DWELLING OCCUP.& NEW , 2/z ¢sq ft CONSTR.(A ULTOUTLET NON-RESID ITS BRANCH CIRC 2.50 ea POWER APPARATUS (SINGLE OUTLET CIR.e Ex. Occup(OUTLETS OR FIXTURES 0050 e2AL030 FIXED ANS. Ex. OCCUp. OUTLETS P(RESID )REA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 1 15.00 Pre -Inspection 11 115.00. 15.00 Permit Fee $ 52.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty 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. 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor 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 relating to building construction, and hereby authorize representatives of the County of 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 d oun y in cons quence of a granting of this permit. againKal X (2 v 7170 Date Signature of Applicant — Owner X Contractor X 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 2, 50 HAz CUA PARK SCHL FLD PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 2-1 - - 7-1 / — Receipt No. 66485 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT W COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DR14- OROVS.ILR CALJFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET _ Permit No. OWNER �✓��A. P. No. Proposed Building Use [ L-� Building Inspector Date /, S7-4 At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of $ 11. Chico Urban Area fees paid. 12. Park fees paid. 13. School District fees paid. 14. Sanitation approval from Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land. Development Section of DPW. 114. Driveway permit (construction approval required prior to occupancy). --G 20. Pre -Inspection for 1671- L� C - required. 21. Contractor's license information (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑). 24. Recorded copy of Agricultural Acknowledgment Statement. 25. Letter of signature authorization. 26. 27. When you issue, the permit, process as follows: Mail to ner. _ telephone 3,4S -40r6 Z and hold for pickup at office. Other Mail to contractor. —Deliver w./inspector. Applicant / �� �1) Date Z14 2/0 GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico. . . . 196 Memorial Way Chico. . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Orovi l le . . . 7 County Center.Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. _ 10:00 a.m. Paradise. . . 747 Elliott Road Paradise. . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT —.7 County Center Drive, Oroville — Phone: 538-7601 — Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant •-,: COUNTY,,OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION • ;"7 COUNTY CENTiR;bRIVI`_'-�OROVj LkpARIIFORNIA 95965, --TELEPHONE: 916/538-7541 PERMIT APPLICATION.D,ATA-SHEET y Permit No. OWNER i�`��/l��C.%C7 :�'. ' A. P. No. —411 -7 - Proposed Building Use_®, �^y %r L�iC...� 'Building Inspector � Date -:774 C At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by prepares. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Haiardous Material Form .......................................... , 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ................ 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.................................................... I 10. Fees of $ ..... °..... . . 11. Chico Urban1Area fees paid .... .......to ..€,�.A.................. `12. Park feestpaid .. f�................................................ ~x~1-3. School District fees paid ....... 14. Sanitation approval from Health Department 15. G,ity/of Chico plumbing permit ..................................... 16. Plot plantiand business license approval from City of (see Cityfor other requirements) 17:- Planning approval for (A) Use: (B) Parking: ...... 18. Imprbvements may be required. Contact Land Development Section DPW 1 Driveway ermit'(constWction approval required prior to•occupancy) 1_ Pre-Inspec. request to 20 `Pre-InsPectiori for.'Z Nf( required ... Building Inspector 9!� Coate 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Wo tk`mans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27.' When you issue the permit,.process as follows: —Mai l to w er. Mai'I to9�contractor. __4_,--T-e I e phone 3VI-yS'6 Z and hold for pickup at G office. 1 tn eliver w./inspector. Other i - /`-/ '� Applicant a- � �Ie.Date_7, Z16 he Copy of Haz-Mat form sent . � Health Dept. - Fire Dept. _Air Pollution Date -Copy of plans sent,.:- Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---inaiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder j Copy—DPW "G COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER 0309 tDSt'o ZO ING 2.0 BUILDING PERMIT OWNER/ /¢77Z/C-/& �r /^/f E��� i�U TELEPHONE Syr- yr6 L SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS 368 EAST s �'' s77ez� r Ch,"co- CA CON..�ACTOR'S NAME /,4 S"• E2v� D d TELEPHONE aur-ys6 L CONTRACTOR'S MAILING ADDRESS Fireplace CONSTR_UCT�N LENDER _ Al UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER All RCT LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ E OR ENGINEER'S MAILING ADDRESS ARCHI Penalty $ BUILDING ADDRESS Ile -57X -6r_/ Permit fee $ PLUMBING PERMIT Filing Fee 10.00 �7-(� `� Each Trap .. -. . . 1 2.00 _ ____ Solar or heat pump water heater 20.00 LOT NO. 7 SUBDIVISION NAME { G/EA) A �i ICl11/ PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE/. SF ❑ Duplex❑ Mobilehome❑ Other ��`� Syliy�!/ SPECIFY Gas piping system 1 -5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK NewFA Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 00 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C d(fQ, and my license is in full force and ,, effect. /V/�C/ 6j Ej�/6"l 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 intended or offered for sale. (Sec. 7044) ❑ 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 CONST. DWELLING OR AODNS. ( ACC. BLDGS. / OCCUP.a` , 2dsgft NEW CONSTR ULT'.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS a (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FI%TURES 2AL@30 eALoso Ex. QCCUp. OUTLETS FIXED PLINIS R RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 0 % Permit Fee $ p Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty 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. ® 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 s idEounty in cconsequ nce of th granting of this permit. t. X �'�', X �y `� Date 71161 %Q Signature of Applicant - Owner © Contractor 3 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA PARK I SCHL I ILD I PAR PD HD ISSUE This permit is Hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions,to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YE11OW-A$9E3SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT (s ton fe r ox 'ro c calendar year 1988 and return it to ffice within thirty (30) days. This emissions and determine the fees to the enclosed form, please contact this for your cooperation. COUNTY OF BUTTE d DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico --Phone: 891-2751 7 County Center Drive, Orovill'e — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE 8 q?4_ qo OWNER PERMIT NO. 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. .Tob STR-Tvk4 0 F F—( -CC 1-R.Ic µ/ ZP, K1� dr 14 N mCT-A(,c {� SH I- ft -1- I+rc � CA 2 C -C HAS No. lbCrinl I\e-MO4IL� P T Fl� \s T-1 /V1 k Date `— 0 —11 Inspector 4 1/ 62 OL �J Patrick S. Bernedo 363 E. 5th. Street Chico, CA +5926 PE: Electrical Permit ;`2425-90 lot 17, Polk St., Chico Dear `!r. rernedo: December 16, 199.1 A.P. ',`: 39-41-56 This is a warninS letter to notify you that you are in violation of the Butte County Code at the above referoncea location as follows: failure to correct electric h, -z --r('. of _.on-!met^lic sheathed cable laying on the ground and su_nplyinU electric c�4ric?nt from the power pole to the well. Since t17i s violation is .._ ...uzard, you to rcmove the 'gin -approved wiri or disconnect t C Sow r p)olo an -al r'.quest ain i:i.spection to verify co.mrlnclae / 0` a` r ,_ .} •Y�t:�1_P_ t?;h \ 1{Jl .. -1r •7 �_ t.Lr l.e...... F? o i L _ tt=r. Please )e --bare t'::at 7utta County 1was eh_tore:? _l -,-,to a �"odte Enforcement. Program that sec!cs voluntary comiplionce --di t7-1 t';;e "'.•ute ^ounty or but provides an effective means of enforce ent ,- suc'._1 cwnpliance is not obtained. if voluntary coChpliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Viol --tion. Your cooperation in resolving this matter would':.',? appreciated. Should you have any questions concerning this matter, please contact 7.od Taylor or Jim Glander of this office. JFG:dms cc: Assessor Building Inspector Yours very truly, TJilliam Chef Director of Public Works �:. �•. ii.in�rta:.r J.F. Glander Manager, Building Inspection T 2/N. R. /E. _ 496.90 S4 a OB ; GLENDALE ADDITION NO. I 'M.O.R. Bk. 6 Pg. 45 WINTOSH TRACT M O. R. Sk. 2 Pg. /64 S 7'A NL E Y PARK M. O. R. Sk. 6 P9. 105 1 o 3-9-41 �A. X 7_31�> 5.5 A c_r 77 w / - 4 00 fo.5 AC ^ a � a n w is m v Z 06 06 AC. t t. S. B. E 8 72- 4 - /5E-13 Assessor's Map No. 39-41 County of Butte, Calif. _ --------------------------- too son WAS., its , .. k E t !' AJ.F �J .G4 G i omit! //atJLb Gl.tr, GLIRI n k l um4al11,11r41019 n1't U 9V "Cil, ffaxnaalro 3080 Thorntree, #2a Chico, California 90973 OYfice: <a30> 899-8988 Cell: <030> 624-3639 License #: 833994 D l- D (, N- I c o W A� APPROVED I 33 ,ltd 6�41 ecv Alh-�i fhd -4/0-07,6 car LE a I = ao r PLANNING DIVISION - BUILDING PLAN APPROVAL Use: %�'L ° Date; { ✓ �_f s Parkin: Landscaping: Other: Signature:. i 0 10 20 30 40 50 BU E CO GRAPHIC SCALE t�.i ORIGINAL SCALE: 1" = 30' BUILDING DIVISION APPROVED Assessor's Parcel Number: 0 © 0 - 0 Q Q - Q Q © Size (Acres) Owner Name /Address / Phone No. bt8E12T a k0goI 76 OLS � eco �uA4 C�iCO -j21-��� Site Location 14 dLlb Cusco atemb Zoning General Plan Contact: NamePhone r okca Fla1p D ELLIS A&E SUPPLIES SPA GENERAL SPECIFICATIONS SPA TYPE: MDL N DIMENSION: DEPTH: COLOR TOTAL GALLONS SPA JETS TILE HEATER: PUMP & MOTOR: AIR BLOWER: GAS LINE: PLUMBING FOR SPA: ELECTRICAL: CLOCK: EXCAVATION: DECKING MISCELLANEOUS: SOLAR GENERAL SPECIFICATIONS SO. FT. POOL SO. FT. PANEL PANEL TYPE PANEL SIZE NUMBER PANELS PLUMB RUN AUTOMATIC MANUAL THERMOMETERS BOOSTER PUMP SINGLE 0 DOUBLE 0 ELECTRIC BY: JOB NO. MAP BOOK NO. LEGAL DESCRIPTION O76 LOT NO. TRACT NO. BOOK PAGE —BLOCK - ESCROW CLOSE TENTATIVE DIG DATE PERMIT orrieE MGR. SALESMAN C oeme ni-S OWNER: TO DETERMINE APPROXIMATE ELEVATION OF POOL ON DAY OF EXCAVATION POOL AREA TO BE FENCED, BY OWNER PER COUNTY OR CITY ORDINANCE. GATES TO BE SELF CLOSING AND SELF LATCHING. DO NOT TURN ON POOL LIGHT WHEN POOL IS EMPTY POOL OR SPA NAME E2fi 2Epa OC, ADDRESS Ic WA 0A I co I CA (459 Ala CROSS STREETS +osK RES. PHONE BUS. PHONE