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HomeMy WebLinkAbout041-080-118�u y AP 41-08 8 41-08-40 l 18 Paul Lacitinola NIS Circle J Rd.,app.8/10 mi.W.of ' E Clark Rd., Oroville ; contr: Western Sierra Const., Chico T Permit #1 73r81B,P,E,M(ne single' family) 041=080=118 `vAj PERMIT#96=1808 RANDALL,-'µ:Bob ..; C'e ;1 _. _. 3839,,Circl'e J"Rd. , Oro,vill '} Cont: -6" _Roofing.::Co Reroof/SF' ✓�,�_ ,,� J 4. ;,�B07-1719 < ` 041-080-118 MISCELLANEOUS Room Addn=First Stry' ;` ADD,ITION,636.SQ:FT.�,W%GARAGE'6(, E "'3839,.CIRCLE') RDt` �rRANDALL, AILEEN B REVOCABLE I'� ii ,��i`t'f'rr B07-2493 ; A.sJ ,4 �� j;`r041-080 118'- ' ;Y}MISCELLANEOUS i,', f Re -Roof RE ROOF :COMP 24wS6'S rte'rY`f t; *3839 CIRCLE•J RD!t,a w: 0 C I 10. y + •rye f+. a U i FAII- T : : V BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds FEE INFORMATION DBMSC Re -Roofing $144.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GREENE & SON ROOFING 275057 / C-39 / 05/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7 ) of Division 3 of the Business and Professions Code, and my license is in fullA�aff:;d X 12/10/2007 Contractor's Signature Date I 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 Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: STATE FUND Policy Number: 1753692 Exp. Date:10/01/2007 (This section need not be competed if the permit is lot one huRred dollars ($100) or ess. F -1I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n X������� 12/10/2007 Signature �Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $144.50 Fees Paid: $144.50 Balance Due: $0.00 Receipt No: B5560 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this LX 12/10/2007 —1I Owner's Signature Date I I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the aboft mentioned property for inspection purposes. I hereby certify that I am the property ow r o m a horized to act on the property rs b"If. —i9�Fo /-_,iVA1aW10/2007 ❑ Owner ractor OR: E]Agent for Owner ❑Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 3839 CIRCLE J RD Owner: Permit No: B07-2493 APN: . 041-080-118 RANDALL, DAVID Permit type: MISCELLANEOUS 1801 ESPLANADE Issued Date: 12/10/2007 By TMP Subtype: Re -Roof CHICO, CA 95926 Expiration Date: 12/09/2008 Description: RE -ROOF COMP 24 SQ.'S (530) 345-7246 Occupancy: Zoning: U 00 Contractor Applicant: Square Footage: GREENE & SON ROOFING GREENE & SON ROOFING Building Garage Remdl/Addn P O BOX 2467 P O BOX 2467 PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530)873-3940 (530)873-3940 FEE INFORMATION DBMSC Re -Roofing $144.50 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires GREENE & SON ROOFING 275057 / C-39 / 05/31/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7 ) of Division 3 of the Business and Professions Code, and my license is in fullA�aff:;d X 12/10/2007 Contractor's Signature Date I 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 Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: STATE FUND Policy Number: 1753692 Exp. Date:10/01/2007 (This section need not be competed if the permit is lot one huRred dollars ($100) or ess. F -1I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n X������� 12/10/2007 Signature �Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Total Charged: $144.50 Fees Paid: $144.50 Balance Due: $0.00 Receipt No: B5560 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this LX 12/10/2007 —1I Owner's Signature Date I I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the aboft mentioned property for inspection purposes. I hereby certify that I am the property ow r o m a horized to act on the property rs b"If. —i9�Fo /-_,iVA1aW10/2007 ❑ Owner ractor OR: E]Agent for Owner ❑Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Naaq 1ijj;3eIj Mailing Address 2a City S 1 stat Z Phone 3- 72 VFax E-mail E-mail CONTRACTOR Name Address — 41D 7 City PA -Y3.4 -4 -Y3'4 r Stat Z Phone 13 39 o Fax E-mail Lic. # Class z _3 APP (CANT SIGNATURE X PERMIT NO. $07-Zyg3 BIN # PROJECT LOCA TION AP# D `l / ��_' P a Property Ad es D 1 City M WORKER'S COMPENSATION Policy Number ""r 5_3 L 92 Carrier S164 IL E" d 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 OR SCOPE OF WORK: o % o �'- Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name G �y Address State Zip City No State Zip Phone Fax E-mail State License Number APP (CANT SIGNATURE X PERMIT NO. $07-Zyg3 BIN # PROJECT LOCA TION AP# D `l / ��_' P a Property Ad es D 1 City M WORKER'S COMPENSATION Policy Number ""r 5_3 L 92 Carrier S164 IL E" d 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 OR SCOPE OF WORK: o % o �'- Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name G �y Address City State Zip Ea No Fax nst. APP (CANT SIGNATURE X PERMIT NO. $07-Zyg3 BIN # PROJECT LOCA TION AP# D `l / ��_' P a Property Ad es D 1 City M WORKER'S COMPENSATION Policy Number ""r 5_3 L 92 Carrier S164 IL E" d 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 OR SCOPE OF WORK: o % o �'- Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZonLType SRA Yes No Occ. nst. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 3839 CIRCLE J RD Owner:' Pennit NO: B07-1719 APN: 041-080-118 RANDALL, DAVID M. & ALICI Issued Date: 10/05/2007 By TMP Permit type: MISCELLANEOUS 3839 CIRCLE J RD Subtype: Room Addn-First Stry BUTTE VALLEY, CA 95965 Expiration Date: 10/04/2008 Description: ADDITION 636 SQ.FT. W/GARAGE (530) 345-7246 Occupancy: Zoning: U 00 Contractor Applicant: Square Footage: RIDGE CONSTRUCTION CO. RIDGE CONSTRUCTION CO Building Garage Remdl/Addn P O BOX 2215 P O BOX 2215 636 600 PARADISE, CA 95967 PARADISE, CA 95967 Other Porch/Patio Total (530)521-7696 (530)521-7696 1,236 FEE INFORMATION DBEH Building Review Fee $75.70 DBF Room Addition - First Stor $373.14 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE Fire Inspection (SRA) $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Room Add -1st Story 250sf $559.70 DBOMSCF Fire Safe Standards Re $115.98 Total Charged: $1,433.12' Fees Paid: $1,433.12 DBSMIP Residential $0.50 Balance Due: $0.00 Receipt No: B4883 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License RIDGE CONSTRUCTION CO C577135 / B / 09/30/2007 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X 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 10/05/2007 [$500]; Please check one of the following: Contractors Signature Date -11, 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE AND WILL the work himself or herself or through his or her own employees, provided that such improvements ❑I MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by FIZZ -1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED LP ZONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; - thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis or ons aui— nd�llars ($100) or less. ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/05/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 10/05/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death,�and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that 1 am the pr erty owner am au�'t4�ppr-iized t on the props owner's behalf. �V t� UVB , � 17Lt� 10/05/2007 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR; DAgent for Owner1-1 Agent for Contractor FILE COPY Lenders Address City State Zip BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1719 Job Address: 3839 CIRCLE J RD Contractor: RIDGE CONSTRUCTION CO P O BOX 2215 PARADISE, CA 95967 Printed: 10/05/2007 2:49 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 08/10/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 08/10/2007 $102.70 0100-450001-4617240-1010 $102.70 10/05/2007 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 10/05/2007 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 08/10/2007 $102.70 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $559.70 10/05/2007 $559.70 DBF Room Addition - First Stor 0010-440001-4210500-1010 $373.14 08/10/2007 $373.14 DBSMIP Residential 1001-0-280-1011298 $0.50 10/05/2007 $0.50 Printed By: Tammie Powell 1,433.12 $1,433.12 Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 10/05/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 . Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1719 Job Address: 3839 CIRCLE J RD Contractor: RIDGE CONSTRUCTION CO P O BOX 2215 PARADISE, CA 95967 Printed: 08/10/2007 3:07 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 08/10/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 0100-450001-4617240-1010 $102.70 08/10/2007 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 08/10/2007 $102.70 DBMSC Room Add -1st Story 250sf 0010-440001-4210500-1010 $559.70 DBF Room Addition - First Stor 0010-440001-4210500-1010 $373.14 08/10/2007 $373.14 DBSMIP Residential 1001-0-280-1011298 $0.50 Printed By: Tammie Powell 1,433.12 $654.24 Balance Due: $778.88 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fey ch a during the plan checking process. Signature: Date: 08/10/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1719 Date: 08/10/2007 Location: 3839 CIRCLE J RD By: TMP Parcel Number: 041-080-118 Sub Type: Room Addn-First Str Owner Name: RANDALL, AILEEN B REVOCABLE I Phone: (530) 245-7246 Description: ADDITION 636 SOFT. W/GARAGE 600 SOFT. The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ■ ■ SIM - El ■ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Slown City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696.Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: Other: Signature of Property Owner: Date: 08/10/2007 FILE Oct 04 07 08:51a BUTTE COUNTY DEVELOPMENT FLEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) Property Owner (s Building Permit Number 80y_ I ! 1q p.2 Project Location /Address Subdivision Name New Development Alteration/ dditio "s) Assessable Sq. Ftge G3 Type of Residential Development (check one) Single Family -Detached Non -Residential to Residential Mobile home Mobile home replacement Demo Permit (date issued ) Comments: Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department 0 FRRPD 0 CARD 0 PRPD ff DRPD certifies that: �0� (7r)-) - Applicant Name Pone Number Cacl )ct le�, Mailing Address City IState Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling 'Units @ $ per unit for a total of $ Co 3 G Square Feet @ $ 1,1Y Iper sq foot for a total of $ q , Remarks: Paid by Check No: Paid by Cash. Receipt No: d oo' and Park District Representative '- Date Oct 04 07 08:51a P,3 BUTTE COUNTY SCHOOLS IMPACT FEE CER'T'IFICATION FORM (One form per Building) School District D a 1 am Building Department No: l�O� Tax to Area No. A.P. Number 1q Jurisdiction: City . County Property Owner Property LocatioNAddress 7 0A � ir(1�(t I A, a ` a (6 : l Subdivision Lot No. Residential Development= Q �- ^ _ W Sq. Footage CASCO No of Living Mobile Home ro *Supplemental to (Group R) Units Installation Conversion Permit # Cr. Demo - ( ) *(No foundation inspection} existing sq. ft see attached ....................... Net total sq- ft- Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) CommerciaVlndustrial Q New Addition District Identification No. Co Sq. Footage (Including Exterior Roofed Areas) Date i Da 4� &7 r i UN/ /%U� L) School District certifies that ID -A (Payor) 3�1le (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. by payment of $� representing l0 3 l0 square feet 2926 $ ULL MITIGATION $ School District Representative Paid by Check # Remarks: 16-5-07 Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the Distric%-In-compliance with Government Code Section 660=(a), within 90 days from the date fees are paid. Failure to submit a timelywrltten protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school district's schools. ,White (school .clstrict),_Yellow (building department), -Pink -(applicant) - -- feeform:xls-(12106)dmiW Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked.for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. O Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at h_ptt://municiDalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1719 Location: 3839 CIRCLE J RD Parcel Number: 041-080-118 Date: 08/10/2007 Owner Name: RANDALL, AILEEN B REVOCABLE I Phone: (530) 245-7246 Description: ADDITION 636 SQ.FT. W/GARAGE 600 SQ.FT. Signature of Property Owner. Date: 08/10/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1719 Date: 08/10/2007 Location: 3839 CIRCLE J RD By: TMP - Parcel Number: 041-080-118 Sub Type: Room Addn-First Str Owner Name: RANDALL, AILEEN B REVOCABLE I Phone: (530) 245-7246 . Description: ADDITION 636 SQ.FT. W/GARAGE 600 SQ.FT. By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed; 00-0e�otl�wl� Title: FILE Date: 08/10/2007 California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1719 Date: 08/10/2007 Location: 3839 CIRCLE J RD By: TMP Parcel Number: 041-080-118 Sub Type: Room Addn-First Str. Owner Name: RANDALL, AILEEN B REVOCABLE I Phone: (530) 245-7246 Description: ADDITION 636 SOFT. W/GARAGE 600 SOFT. To meet the requirements of Government Code section 51182 and Public Resource Code. 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 08/10/2007 Date Sign ture All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Firei)revention/protplan/protplan.html Rev'd 5/7/07 FILE RECORDING REQUESTED BYr Carl B. Leverenz Leverenz & Ferris Attorneys at Law AND WHEN RECORDED MAIL TO: Aileen B. Randall, Trustee and David M. Randall & Alicia T. Randall c/o Law Offices of Leverenz & Ferris 515 Wall Street Chico, CA 95928 A.P. No.041-080-118-0 e 00 7— 0 0 2 3 6 0 8 Recorded I FEC FEE 111.611 Official Records 1 Butre f 1 CNIM J. 611= 1 County Clerk-Recorderl I LY 494M 16-Nay,2tll,7 I Page 1 of P The undersigned Grantors Declare that Documentary Transfer Tax is $0.00. This is a transfer under R&T Code Section 63.1 (Transfer between parent and child). ide.g • _ R_&T 11911 � �� - -.-- -------------- - - - --- . - __ . GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is acknowledged, AILEEN B. RANDALL, TRUSTEE OF THE AILEEN B. RANDALL REVOCABLE INTER VIVOS TRUST DATED FEBRUARY 23, 2000, hereby grants to AILEEN B. RANDALL, TRUSTEE OF THS AILEEN B. RANDALL REVOCABLE INTER VIVOS TRUST DATED FEBRUARY 23, 2000, as to an undivided one-half (%) interest, and DAVID M. RANDALL and ALICIA T. RANDALL, husband and wife, as to an undivided one-half (M) interest, all as Joint Tenants', the following real property in the County of Butte, State of California, described as follows: SHE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Dated: May 3, 2007. 4��7 Z' &&a ILEEN B. RANDALL, Trustee STATE OF CALIFORNIA ) SS: COUNTY OF BUTTE ) On May 3, 2007, before me, PATRICIA J. PERKINS, a Notary Public, personally appeared AILEEN B. RANDALL, personally known to me OR proved to me on the basis of satisfactory evidence to be, the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument, the person, or the entity upon behalf of which the person acted, executed the instrument. WI ESS my hand and official seal. .► ' %] A. NOTARY PUBLI PATRICIA J. PERKM COMMbdon # 1422161 Notary PuIft - Ca9tonla Butte COurdy My Comm. Ekpkes Ad 1.2007 l MAIL TAX STATEMENTS TO: AILEEN B. RANDALL, Trustee, and DAVID M. RANDALL and ALICIA T. RANDALL 1801 Esplanade, Chico, CA 95926 a �L'_ EXHIBIT "A" Real property commonly known as 3839 Circle J Road, Oroville, California, 95965, Assessor's Parcel No. 041-08-0-118-0, more particularly described as: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL ONE: Being a portion of the West half of Section 10, Township 21 North, Range 3 East, M.D.B.&M., and more particularly described as follows: Parcel 2, as shown on that certain Parcel Map recorded in the Office of the Recorder of the County of Butte, State of California, on November 4, 1982, --inrBac89�'f-PaicerM*,-afft-6-18. PARCEL TWO: A nonexclusive easement for road purposes and public utility purposes ov6t a strip of land 60.00 feet in width, lying 30.00 feet on either side of a line beginning at a point on the North Iine of the Southwest quarter of Section 3, Township 21 North, Range 3 East, M.D.B.& M., which point bears North 89° 34'57" East, 1102.02 feet from the Northwest corner thereof; thence from said point of beginning, along the following courses and distances: South 19° 04' 33" West, 110.65 feet, South 2701 T 33" West, 406.79 feet, South 34° 17'55" West, 577.16 feet, South 33° 52'53" West, 335.85 feet, South 36° 02'47" East, 329.37 feet, South 2'• 14'48" West, 795.78 feet, South 24° 33' 55" West, 577.24 feet, South 11 ° 2T 15" West, 386.85 feet, South 4° 53' 45" East, 391126 feet, South 130 48' 15" East, 229.95 feet, South 4° 41'00" West, 404.29 feet, South 100 17 52" East, 204.30 feet, South 9° 15'23" West, 133.38 feet, South 20° 12'2211 East, 97.05 feet, North 250 12'3 1 " East, 161.59 feet, North 36° IT 38" East, 388.88 feet, North 140 48'41 " East 180.57 feet, North 70° 59' 11" East, 98.63 feet, North 260 34' 34" east, 92.33 feet, North 140 50' 57" East, 126.88 feet, North 810 43' 52" East, 70.95 feet, South 56° 21' 46" East, 115.05 feet, South 12° 58' 54" East,198.12 feet, South 38° 41' 24" East, -449.55 -feet; South • -- 58- 55' 39" East, 158.89 feet; thence South 65° 19'31" East, 213.60 feet, South 370 32'01" East, 214.79 feet; thence South 590 34'41" East, 233.61 feet; South 38° 12' 11" East, 265.53 feet, South 75° 24' 06" East, 422.94 feet, North 89°,45' 07" East, 680.36 feet, South 720 55'57" East, 471.70 feet, South 9° 37'43" West, 102.57 feet, South 440 19'08" West, 147.67 feet, South 2° 47'56" West, 167.37 feet, South 69° 17 54" East, 167.91 feet, and South 54° 36'54" East, 391.61 feet to the Westerly line of Clark Road. EXCEPTING THEREFROM all that portion lying within Parcel One above described. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT -APPLICATION . OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: w. rw.buttecounty.net/dds **PLEASE PRINT CLEARLY** CONTRACTOR OWNER INFORMATION Last Name, Address Firste City e S6. . Vt Mailing Address Fax E-mail \ Irr 4 City Class State Zi a a G Phone _ E-mail CONTRACTOR Name c Z , Address Address City e S6. . Zi X 67 Phones.2 _ 7 Fax E-mail Lic. # S7 • 3 5 Class APPL ANT SIGNATURE X PROJECT LOCATION AP# Property Address City Q rrto-i 6 (rl re)(IJlA) PERMIT NO. r%/q BIN #A .� ( ]� WOR ER'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: 2Q,e t �a �� A t Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name SRA Address No City Type Const. U State Zip Phone Fax E-mail State License Number APPL ANT SIGNATURE X PROJECT LOCATION AP# Property Address City Q rrto-i 6 (rl re)(IJlA) PERMIT NO. r%/q BIN #A .� ( ]� WOR ER'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: 2Q,e t �a �� A t Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name' SRA Address No City Type Const. U State Zip Phone Fax E-mail APPL ANT SIGNATURE X PROJECT LOCATION AP# Property Address City Q rrto-i 6 (rl re)(IJlA) PERMIT NO. r%/q BIN #A .� ( ]� WOR ER'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: 2Q,e t �a �� A t Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA es No Occ. Type Const. U A� Un► e,d Colo�e �t 4 PERMIT NO. 1573-81B.P.E.M Y PERMIT EXPIRES- OWNER XPIRES OWNER Paul Lacitinola Western Sierra Const., Chico CONTR. ASSESSOR PARCEL 41-08-98 LOCATION NIS Circle -J Rd.,app.8/10 mi.W.of Clark Rd., Oroville so-, t7 fi. h �• Temp. Power Pole F Called PG&E •A Temp. Elec. Service A � IJP Y Called PG&E -5-�-X// �15- W114 g �,c Temp. Gas Service Cal le/D(Date) r'. JOB FINA ✓/ �/ V Signature OK 0 = Not OK - = Not Applicable = Not Ready i RESIDENTIAL (Single and Duplex) Date UN PE11_001R Plans OK except #'s Date FRAMIN Continued on!requirements-Setback - ements 4 ro ty Line Firewall & Openings 2. Main; Soils- el- nd.- / J,5-/" Ftg. Depth 49 xjDoors-One 3' -Check Garage -3rd story, 2 exits 3. tg., Garage; Soils- eel- / /" Ftg. Depth 50. tai ; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 lywood on Roof Overhang -Attic Vents -Rafter Outriggers to w , Main; St - ockouts-Wrapped-Slab 5 iding-Nailing-Veneer 6 walls, Garage; S el-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access iers-Fireplace Ftg.-Steel 54 azing Area -Glass Protection -Skylights -Plastic .W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 1 er Pipe; Test-Anch s-Regul - ervice Test 11. Electric; Underground 12 lenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date j Card -BI Date Card -BT Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dat ;_� in Card -BI Date Date FINAL dans) OK except #'s Carr Date ' Card -BI Date Date PLUMBING (Permit) OK except #'s 5 xis -Door & Sidelight Protection -Landings � moke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. byW ,, Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 1 Water Pipe; Test & Anchors -Nail Protection 1 .W.V.; Test-Fttngs & Anchors -Nail Protection 5 edr000 Exiting 17. Shower Pan; Test, First Floor -Tub Access 6GG9 F.I. & Bath Fixtures & Tub Access 1 -Test 19. Tub &Shower, 2nd Floor -Tub Access Gas Pipe; Size &Anchors 61. ec. Trim & Subpanel; Breaker Sizes -Labels 62. tairs & ails 62 lace or Stove; Clearances -Hearth 6 Elec. Outlets at Wood Panel; Int. & Ext. Card -BI ate Card -BI Date 65. tt. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. 111ec..2utlets & Receptacles at Kit. Counter Date ELEC RICAL Permit OK except #'s 67. a age Fire Door; Swing -Landing -Closer '6 A.C. Duct in Gara a -Dam er Fixture & Transformer Clearance -Ins. Protection 69. r.; Vents -Clearance -Comb. Air-Connector-P.R.V.- IrLaarage; Above Floor-Mech. Protection lec. Receptacles Spacing -Lights &Switches at Doors ize Boxes & No. of Conductors -Stapled 7(�,' Plb. Elec. & Mech. Equip. Listed for Location ex Installed Close to Edge of Studs & C.J. 71, lec. Receptacles in Garage; (G.F.I.)-Romex Protec. E.uip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. nsWation-Foam-Looked in Attic 0Yes73Rails 2 26. 2 Appliance Circuits in Kitchen &Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At & Deck Construction -Post Caps 7 dn. Vents & Crawl Hole D Drainage & Wood -Earth Clearance ' Looked under Floor es 2P --'Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 7 ollowing instid.: Dr' Yes ❑ No; Walks ❑Yes o; Planters .:❑Yes` f�INo 28. S vice -Riser Conductors & Ground -Main Disconnect .gf&"n-Finish Equip. Clearances; Panels-Motors-Mech. Equip. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 7t Vu!s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 meter Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date rl VW ntilation throughout House Card B -I Date Card -BI Date • 8 �s Protection Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts;'Insulation & Support 32. Vent Fan; Exhaust above Insulation j Corrections from Previous Inspectiot d' 802 r Test -Meters Tagged; Gas -Electric M ftleer& Sewer Connected-C/O'to Grade -HD Approval nergy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date and -BI Date Card -BI _- _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: _ Silts; Proper Material &Anchors Is: Studs -Nailing, Spacing & Bracing -Plates -Sound 38' Be , ng Walls over Girders & Floor Nailing 39.C_ ft Stop in Walls (rat proof) _40. a Sto s; Furred Ceilings -Stairs -Chases -Tub _ _ _41.��H Bader &Beam -_Size &Bearing _ 42!1' Hers -Post Caps=Anchors=Connectors Joist-_Rftr. Ti_es -Puiriy Roof Brac.-Truss-Shthnp.-Rfnp. _ 44. Fire lace Ties or Type A Flue -Fireplace Throat Access; Size-' Romex, Protect i on -Draft Stop -Ins. Baffles 46. B m. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. arage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) = OK = Not OK - = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch I-qW oning Requirements -Setbacks -Easements ootings; svo-6}g}y,-Sp -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date7 _7O rEj-/Card-BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date M, County of Butte �RTME��N-T OF PUBLIC WORKS 0421/- .2 27S Chico — 848 41244, Emi, iLO 7 County Center Dr., Oroville — 534-=14�1� Skyway and Elliott Rd Paradise — 47-�� ,P7.7 - 4 V/./, cx-r f COINDURECTION NOTICE ....................................................................................................................... Building or Property Address 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. ............................................................................................................. I .......... Date.............................. Inspector .................. ....................................... Do Not Remove, This Tog (400-4) .7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial �Vay, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUIrJAING OR PROPERTY ADDRESS 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 nnW_Wditional explanation, 'please contact this office immediately. RIES MEW TAI. !MERCY CONSERVATION STANDARDS CONSTRUCTION COMPLTANCR CERTTFICATE THIS IS TO CElCrII'Y THAT EHL•'RCY CONSERVATION. UEQUIREMENTS J1AVF. BELN THSTALLIJ) IN CON>•'omj\-NC6 WITH CURRF:Nr I:NFiZGY CONSERVATION RiCU1.ATIONS AT Circle J Rd Oroville (location)^ UUn.DINC PERMIT N0, y �— Of Cji� A.P. NO. THr FOLLOWNG. HAVE BEEN INSTALLFD AS PFR APPROVED P[.A?•IS : TNSIR.AT ION: CLA7 THC : Slah Edge m Sinrle C112ed �. rdll. Walls .k t/ :;pccial (Lisulatcd) )j Flogs NA CEI(T.; & LABI-J. r) WI)S, 14:1131 s -R-13 1100 0 & SLIDINC DRS. !% C.`ilinE/Roof -; � WL••AT1iL-:RS'rl(1I'1'1:U •lll(S. y . gay- BACK DAl•tvriu:1 TANS yes Circulating Pipcs AA lel INTP1U1IT'r1:NT ICNITION DEVICLS APPROVED IIFATER M VCLR'P.,AP1'LIAJtCCS Ij7-7121— ,kni'mri) 1rrI1.lrrR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ADOVE 11AVE 'DEEN .INSTALLFD -1N ACCOW)ANCE W l'fll THE ENERGY CONSERVATION RF.QU IRLTIENI'S �ANQ �ACKEE 1'0 'rill.: CO,II'LF'TENESS OF THIS C1:RTIFICATF AS SUBMIWED, ^� Insulation Applicator N1me Signature o[...; (-p_l,ca-e p In!,ulatlon Applicator G� State Contractors ,,// License No. 378407 Cencral Contrnctor/(hnicr Nene G�/�5�e�� <r�,o� Si�,nmhitc of (PIC -ISO prilit) C, n. r.il 'Coll tvac tor/(Xnicr Date Z z2 a'Y Stal'c Contractors ).icrnrc No. -77- TATS CF.RTiTICATF 1•RJST TC ON FILE WITH THE BUII.DINC DEPARTMENT PRIOR 'f0 Rl:i,t)f:S't'It;G FTNAL 1N-Sl1FCTION ANI) SIIAL), BE I'OS'rF:D IN A CONSPICUOUS LOCATION ►JI'CIIIJI 'fllF; U14I:I.1ANC. , -/ ` COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Orovllle, California 95965 - Telephone 916/534-4 APPLICATION AND PERMIT , ASSES O PARCEL—NUMB R ZON/NG / , BUILDING PERMIT . R I o a TELEPHONE SQ. FT. OCC. BUILDING VALUATION NER'S MAILI G D RESS 5ON F RA O SNA E 1,01 4 S r TELEPHONE 3 3 _ CONTRACTOR'S (LING ADDRESS Z Fireplace too0 CO T UCTIO LEND UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS OI Permit Fee. $ ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 'Permit fee $ BUILDI G ADDRE PLUMBING PERMIT Filing Fee 10.00 10 � J Each Trap 2.00 ,CO Repair drainage or vent piping 5.00 • r r Water piping fir' lop LOT NO. SUBDIVISION NAME PARCEL MAP Each etas water heater or vent 5.00 Gas piping system 1 - 5 outlets -, USE OF STRUCTURE SF EP Duplex❑ Mobilehome❑ Other ' SPECIFY Building sewer, 1 Lawn sprinkler system 5.00 _ TYPE OF WORK New �dition ❑ Remodel ❑ Utilities ❑ . Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 001 OR Main service 100 AMP ORSLESS 5.00 �^ Main -service EA. ADD'L 100 AMP 2;5'50 NEW CONST. (DWELI�1'Irl 51� 20sgft ^• OR ADDNS. ACC. �j/.p CONTRACTORS LICENSE LAW • i I declar under penalty of perjury (check one):. 1 am licensed under provisions of Chapt. 91 Div. 3 of the Business and Profession a and my license is in full a and effect. �j License No: "� ��J ,3 Classification ❑ I, as the owner, or my employees with wages as eir sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am� exclusively contracting with licensed contract- ors. (Sec. 7044) t ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CON5TR I -OU L T NON-RESID BRA CH CIRC TS 2.50 ea t NEW CONSTR. ( POWER APPARATUS 61 NON-RESID. (SINGLE OUTLET CIR, I 50@250 Ex. OCCUp OUTLETS OR FIXTURES BAL@1 00 FIXED APPLNS. OR Ex. Occup. �O UTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n /fhe 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 shal I be deemed revoked. Heating AA Colt) Cooling Hood 3.00 Ventilation Permit Fee 3 Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, Iudgm nts, costs, d expenses which may in any way accrue against sa' Coun consequen of the granting of this permit. '/ X to 1 � T 47/ Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'O" deep and demolition or construct- ion of structures over 3 stories in height' Mobile Home Installation Fee $ TOTAL. PERMIT FEE $ . occuP. GROUP ._,Z TYPE OF ONST. � T PAR CyL V/ PD NO 1 This permit is -hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P LIC WORKS By "- Date PERMIT EXPIRES Date --- Receipt No. — WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • 1 ,W a s� " tcwg f�We OWER � 7" ?4, .10 A RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) Ueo-' ihWo. A. GENERAL Zoning requirements (sideyards and parking). -2. Valuation. - Signature by R.C.E: or Architect (if required 3— B. PLOT PLAN Complete parcel size and dimensions. VSetbackV, sideyards, easements, etc. r: ther buildings or structures. - Grading, fills; drainage. Bldg. Permit # It's 71 R-/ A.P. # 4I-69-qg C. -FLQOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). !�Required.windows for second exit (Sec. 1404).. Allowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). 6�Required room sizes, ceiling heights (Sec. 14.07). J� G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Li fixtures, switches, receptacles, and exterior receptacles for maintenance of echanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas / equipment, and plumbing fixtures. 1.0. Garage firewall, door size, and closer (Sec. 503(d)(4)). 1�/ 1 - 3'0" exterior exit door (Sec. 3303d). 12': iplace location. 1 Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS �+ Foundation plan complete enough to construct building. eloor construction details complete enough to construct building. levations and wall construction details complete enough to construct building. ''Roof construction details complete enough to construct building. ;: Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR / CCX plywood on exposed locations and overhangs. 2:/Stairway details (Sec. 3305). ;. Guardrail details (Sec. 1716). A/�rick or stone veneer (Chapter 30). 50.0, xterior plaster - weep screeds (Sec. 4706 & 4708). . "roper roof pitch for roof covering (Chapter 32). d! Rafter ties or bearing ridge beam. ±eb ror orc =-A racinh header sizes. ..`` Living area over garage - complete 1 -hour separation required including supporting alls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). Order No. Escrow No. 57231 SH Loan No. WHEN.RECORDED MAIL TO: Paul A. Lacitinola, et al 4/1 Santos Way Chico,CA 95926 RECORDS RE,Z,; .� . r) a DVALLEY TITLE' AND LSCR0' �(X1dPArV Jun ?B 11 CLARK ,r. NELSON, / CLERK-RECORutj2 ! 2 w"77 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX $ ..............30:.80 ................... X.. Computed on the consideration or value.of property conveyed; OR as above ...... Computed on the consideration or value less liens or encumbrances . remainit ti of.sale. Signature of Declarant or Agent determining tax - Firm Name MID VALLEY_TITLE AND ESCROW CO. CORPORATION GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, CONCORDE FINANCIAL, INC., A California corporation. a corporation organized under the laws of the State of does hereby . GRANTto ANGELO PAUL LACITINOLA and RUBY D. LACITINOLA, husband.and wife,. and PAUL A. LACITINOLA, their son, a married man as'his separate property, each to an undivided 2 interest the real property in the CX;lC c. unincorporated area County of Butte State of California, described as per Exhibit A attached hereto and made a part hereof .as though fully set out hereon, being comprised of (2) pages. I AP# 41-08-98. Dated June 11, 1980 TRANSFER TAX PAID Ch St of own %d ( ,0fornent ner. Cooe) L. r„� NOT oddr,e' -n► fo R T ss on docunroi/�n9 CONCORDE FINANCIAL, INC., a £-aliform, a corporatiory .STATE OF CALIFORNIA ' 1 I \ /J j '• , ��. ,..,^,j• ,.;,:f COUNTY OF. I ss By .97 Ony112� �6, Z before me, the-undersi ned, a Notary Public in and for said.:. State, personally appeared �� �• R c /i _ _ S'fi� -i-By known to me to be the President, and ,� � � 2d �. � , . aaneaaasaaaaiaaaaaaaaaaasaoaaaea9aaeaaaanuinulle}� ; known tome to be the Secretary of O f .) C 3 A L SEA L the corporation that executed the within instrument, and known �� p; ?,NCY GETCHE�L aa-+ti�r+•� } to me to be the persons who executed the within instrument on r.:_;;: raor410 cRr vusuc _ tntrr6 RM behalf of the corporation therein named, and acknowledged to me ' I'p.rtitlo.�t orFlce IN Taf that such corporation executed the within instrument pursuant to y `• coutm of; Burt( its by-laws or a resolution of its board of directors. �� Comma. Exp. Auy► 3:9!!1 r orawa� Haa�eaax>eesaaaaeeawainaa WITNESS my hand and official seal. Signature (This area for official notarial seal) F �/ MAIL TAX STATEMENTS AS DIRECTED ABOVE 1144(10/69) 1. DESCRIPTION: EXHIBIT "A" (page, one of two pages) All that certain real property situate in the County of Butte, .State of California, described as follows: Being a portion of the Vest half of Section 10, Township 21 North, Range 3 East, M. D. B. and N.I. , and more particularly described as follows: Beginning at the Southwest corner of the North half of the Southwest quarter of said Section 10; thence along the Vest line thereof, North 0° 18' 43" East, 1092. 52 feet; thence leaving said line, North 89° 07' 32" East, 1688. 42 feet; thence along the Centerline of a 60. 00 foot road easement, North 70 11' 26" East, 490. 82 feet; thence North 31 12' 59" East, 258.15 feet to the Centerline of an intersecting. 60. 00 foot road easement; thence along said center- line. North 371 32' 01" Vv est, 214. 79 feet; thence North 65° 19' 31" ' e.st, 213. 60 feet; thence North 15° 41' 46" East, 178.69 feet; thence North 27° 49' 21" West, 409. 10 feet; thence leavina said Centerline, North 89° 32' 02" East, 1369. 69 feet to the Southeast corner.of the Northeast quarter of the Northwest quarter of said Section 10; thence South 5° 54' 58" Viest,* 2643. 51 feet to a point on the South line of the North half of the Southwest quarter of said Section 10;; thence along said South line, South 89° 07' 32" West, 2400. 67 feet to the point of beginning, EXCEPTING THEREFROM that portion lying Southerly of the following described line: BEGINNING at a.point on the East line of the above described parcel . which point bears North 5° 5'V 58" East 1400.00 feet from the Southeast corner of said parcel; thence from said point of beginning North 750 24' 06" West 422.94 feet; thence North 381 12' ll West 265.53 feet; -thence North 590 34' 41" West 233.'61 -feet to the Westerly line of said parcel and the 'end of said line.. Together with a non-exclusive easement for road purposes and public utility purposes over a strip of land 30. 00 feet in width, lying contiguous to and Westerly from a line beginning at a point on the North line of said parcel, which point bears South 89° 32' 02" Viest, 1369. 69 feet from the Northeast corner of said parcel;thence along the "Westerly line of said parcel, South 270 49' 21" East, 409. 10 feet; thence South 15° 41' 46" Viest, 178. 69 feet; thence South 65° 19' 31" East; 213. 60 feet; thence South 37° 32' 01" East, 214. 79 feet; thence South 3° 12' 59" Vi" est, 258. 15 feet; thence South 7° 11' 26" West, 490. 82 feet, t A_1soTogether -with a non-exclusive easement for road, purposes and public utility purposes over a strip of land 60. 00 feet in width, lying 30. 00 feet on either side of a line beginning at a point on the North line o£ the Southwest quarter -of Section 3, Township 21 North, Range'3 East, . M. D. B. and M1. , which point bears North 89° 34' 57" East, 1102.. 02 feet from the Northwest . corner thereof; thence from said point of beginning, along the following courses and distances: South 19° 04' 33" West, 110. 65 feet; South 27° 12' 33" Vi est, 446. 79 feet; South 34° 17' 55" West, 577. 16 feet; South 33° 52' 53" Viest, 335. 85 feet; South 366 02' 47" East, 329. 37 feet; South 2° 14' 48" Uest, 795. 78 feet; South 241 33' 55" 'West, 577, 24 feet; South 11° 27' 15" West. 386. 85 feet;. South 4° 53' 45" East, 391. 26 feet; South 13° 48' 15" East, 229.95 feet; South 4° 41' 00" 1� est, 404. 29 feet; South 10° 17' 52" East, •204. 30 feet; South 9° 15' 23" Viest, 133. 38 feet; South 20° 12" 22" East, F" (continued) r. . ........ EXHIBIT "A" (page twooftwo-pages) 9-1. 05 feet; North 25* 121 3111 Fast, 161.59 feet; North 360-17" 3811 East, 388.88 feet; North 14* 481 4111 East, 180. 57 feet;. North 706 591 K" East, 98'. 63 feet; . North 26' 341 34" East, 92. 33 feet; North 140 50' 57". Fast, 126. 88 feet; North 810 431 5211 East, 70. 95 feet; South 560 ZV 461, East, '115. 05 feet; South th 12". 58, .54*11 East, 198.12,feet; South 381 411 Z411 East, 449. 55 feet; South 58* 5511 3911 Fast, 158. 89 feet; thence South 65" 19' 311, East, 213. 60 feet; South 37* .32' 0111 East; 214.79 feet; thence South- 59* 341 4111 East, 233. 61 feet; South 38*. 14' lilt East, 265. ' 53 feet; South 75* 24' 0611 East, 422. 94 feet; North 89.0,45, 07" East, 680. 36 feet-, South 721 551 5711 East, 471.70 feet; South 9* .371 431, Vest, 102. 57. feet; South 44* 191 08" West, 147i67 feet; South 2" 471 5611 'West, 167. 37 feet; South 690 171 5411 East, 167. 91 feet; and South 54* 361 5411 East, 391. 61 feet to the *esterly line of Clark Road, EXCEPTING FROM said easement any portion thereof lying within the bounds of the parcel first described above. C=r i.G Fn EPO OF OUCUIAENJ F77. JWM7 Attachment cc Planning Department w/o attachment He�a hDepartment w/o attachment P]llllding Department w/o attachment Ron L. Zigan, 1909 Hemlock Street, Chico, CA .95926 w/o attachment Mr. John R. Clark AP 41-08-98 1180 Palmetto Avenue Application fore. Chico, CA. 95926 Determination Dear Mr. Clark: At the regular meeting of the Butte County Subdivision Violation " Committee held July 11, 1979, the Committee issued a Certificate of Compliance Por.AP 41-08-98 with no conditions. There is a fifteen (15) day appeal, period before this Certificate . of Compliance can be recorded, unless you si&u and return the attached.waiver waiving your -right to.appeal the Committee's decision. If you have any questions.regazding this.matter, please contact this office. Very truly yours, Clay Castleberry Director of Public .Works Original sinned by JOHN MENDONSA John Mendonsa Assistant Director JWM7 Attachment cc Planning Department w/o attachment He�a hDepartment w/o attachment P]llllding Department w/o attachment Ron L. Zigan, 1909 Hemlock Street, Chico, CA .95926 w/o attachment • ' � � #� � r 1 . � _ `�; eK. .. t � � � �'�„ - ..�� -•4 { ti t_ � . ,. j . � � � . =, �.., .� . � t ... � � L •^I COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 -.County Center_ Drive - Oroville, Calirrnia,95965'--•Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ` 18o ASSESSOR PARCEL NUMBER0141 1,5 u ZONING BUILDING PERMIT OWNER ,f t � do dot TELEPHONE / • ~ SIS i J SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS l `��f cONTRACTOR NA ME eo TELEPHONE ' CONTRACTOR'SMAILING 1,- SS } –7 (,�• Fireplace CONSTRUCTION LENDE \ UNKNOWN - Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ (jU ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING DRESS Penalty $ SUILDINGADDRESS PERMITFEE $ }} J' PLUMBING PERMIT ->v Each rTrap: 0-..y. Filing Fee 20.00 7700: 4) r � �- ,.�. ,r . �. ?; . -f' . Yt•`¢�// LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE i SF 111 Duplex ❑ Mobilehome ❑ Other i i \ SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.0 TYPE OF WORK + New ❑ Addition ❑ Remodel ❑ Utilities ❑0 Installation ❑ Othe!r Describe,,Work: �.I t Qi1.-ff� "` ' Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service ,r zooORLESS ) 23.00 Main Service 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisi ns of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 7 License Class fl. 3 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. ( Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR NS. s ACC. ) SO . 3.5{t FT. NEW CONST. MULTI.OUTLETLET C NON-RESID. BRANCH CIRCUITS ) 97.50 POWER APPARATUS a SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) aAL � 150 Ex. Occup. (OFIXETS(RESD.OEA. ) 5.00 Temporary Service s', 3.00 Mobile Home Facilities 20.00 Misc. Wiring t 23.00 `> _ PERMITFEE $ Contractor _ _.. 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. El I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers+ comper)sationoinsurance carrier and policy umber are: Carrier%tf f .-'�'r"td � J- �- MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation " PERMITFEE $ Contractor a� r Policy Number 2-2)_- 17 Q (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person .in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation, provisions of section 3700 of the Labor Code, I shall forthwith comply -with those provisions.••' 1 l / X �•/ , AL _ Date �/ r% Signature of Applicant - ❑ Owner ❑ Contractor 13 Agegt An OSHA permit is required for excavations over 5'0" d ep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP FLOOD CDF PgRCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ! Date o ,. By ILS �l P ERMfTEXP ON b��v-� y� v I 11ho e) ReceiptNo: ��`%�.��j � WHITE-D.D.S.-3'— CANARY=ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 .County Center Drive - Oroville, Calliornia 95965 - Telephone (916) 538-7541 /PERMIT NO. APPLICATION AND PERMIT L ASSESSOR PARCEL NUMBER ^Ogo�pv ZONING BUILDINGPERMIT OWNER "�3� SQ. FT. OCC. BUILDING VALUATION OWNER'S r,, 70RESS LJ CONTRAC ONAME T 4—J-3% CONTRACT1 ADDRESS /y J�!r_ 7 Fireplace CONSTRU TIONLENDE UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23,UD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADRESS Penalty $ BUILDING ADDRESS PERMITFEE $ CJ L PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe W k: r Mobile Home I S J GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMITFilin Fee 20:00 Main Service OOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I( affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full f ce and effect. License Class L — Lic. No. WNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Bisiness and Professions Code for this reason NEW CONST. DWELLING OCCUR\ OR ADONS. ( &ACC. / SO. 3.5Q FT. NEW CONST. MULTI -OUTLET T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 aAL .s0 Ex. Occup. (ouTLEEDTs PLNS..OE0.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 i issued. My worker mp do i urance car oer and policy ppmber are: Carrier 5 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort ith comply wi h th a provisions. p / D to o ��/ Signa ure of Applica - ❑ Owner ❑ Contractor Age An OSHA permit is required for excavations over 50" dee nd demolition or constructionL of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 3 OD HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD HD I ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have y applicable provisions Resolutions to do work been paid. p'D�tyo L 0 (Date) Receipt No.C;�01�2455PERMITEXPIRESON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M1101 PON RON 9#1 'f0? wet, I v Q VrO ""I, i044 10tTO M on got �,4 W� 1§1114 BENI 111uh. lot T"Iff Im son % 1 L I ,r 4 , , VN, . if 4 i -o- A v now K"M eh IA � , not v7ov you sit WAY, wo ell .1 in joy ......... .......... . 4L, LIV tA -BUTTE cou q.UjLt)jNG 1)5PARTMvq-1 FPK V­ yj o all Not oil I T1 I [!1011 —1 Imp 11 -7-- V 11'4 1 7,-111 j., ir I, KA4 -04w* liA PAN OWN ! 1311 'lawk], 'M MET ME' 151j,"Liffik JILU "IMUT, I -tL[ 4 1A V or ym 'ji Nit v A, -41 V4 v" c IT' �A It It `VZ, A 3, irO� 16, 4, e + Ni VY Z. I iii Y1 it IItA, t, 41 itAIio 17 f, T ­ to TAW lei Ir V7 7�4 0 r )�Tv r f 2 x iToo NJ4 PIP - .. ........... 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