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041-080-163
ti 11i Owen Petersen t' `V I W/S pri.rd.,1200 S.pri.rd.;1800'W.of • '- Clark Rd., 1000'N-.-of Clear Creek D F ! Ranh, Paradise 4�O Permit ��2419-77B ,PEM( new sngle ` family) •, Permit#4084-77 ,P,E(new single r" B07-0135 - x tMISCEL'LANEOUS ;:Private Garage/Shop a, j t DETACHED,,GARAGE/STORAGE BLD , ' �310k1 LE J LN + PETERSEN, FAMILY TRUST w ' ekpstrn` Grour-N�our Sntior 5} wit } Orov B1101 Qifg6 —J• laln�: all� it jy 1 1 M, I d� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION , Site Address: 3701 CIRCLE J LN Owner: Permit NO: B08-2118 APN: 041-080-099 PETERSEN FAMILY TRUST Issued Date: 10/27/2008 By TMP Permit type: MISCELLANEOUS 3701 CIRCLE J LN Subtype: Phtovtaic Sys Grnd OROVILLE, CA 95965 Expiration Date: 10/27/2009, Description: GROUND -MOUNT SOLAR (530) 343-7569 Occupancy: Zoning: FR -5 Contractor Applicant: - Square Footage: PETERSEN, OWEN B ' Building Garage Remdl/Addn 3701 CIRCLE J LN OROVILLE, CA 95965 Other Porch/Patio Total (530)343-7569 FEE INFORMATION DBEH Building Review Fee $78.90 DBMSC Photovoltaic System $421.93 Total Charged: $500.83 Fees Paid: $500.83 Balance Due: $0.00 Receipt No: B8878 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 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 basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/27/2008 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date 1_\J I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions 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 ' rise Law.). Carrier: Policy Number: Exp. Date: (This section need not be completed if the permitis or onedollars ($100) or less. ❑ I XEMP under❑ Sedi 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' 10/27/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those nes Signature Date provisions. X 10/27/2008 I hereby certify that I have read this application and slate 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 injury, including death, and property damage caused arising out of, in any way connected with HUNDRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION, ( 1 the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street bsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter bove mentioned ope for inspection purposes. I hereby certify that I am the property ow ora authorized to don p party owner's behalf. CONSTRUCTION LENDING AGENCY 10/27/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name BrPermittee [S Print Date the performance of the work for which this permit is issued. (3097 civ. code) Contractor OR Agent for Owner ❑Agent for Contractor ® Owner El FILE COPY Lender's Address City State Zip BUTTE COUNTY o�vTrF0 DEPARTMENT OF DEVELOPMENT SERVICES O ° BUILDING PERMIT APPLICATION* _ 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds OV H� PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. 01 V . OWNER INFORMATION Last Name 1 First Nam Name D zip, J-97-3 7 � e Mailing Address %Z0,1 01r e e City e �U, State Zip Z� C� Phone� , 30 F iS� Fax SQ Apye E-mail ©A)e Q 01 V . A RC,H1_TEC TIENGINEER CONTRACTOR Name city «D Address zip, J-97-3 City Fax �p� _ 7 [ T 7 State Zip Phone Fax E-mail Lic. # Class A RC,H1_TEC TIENGINEER Name /C -" i✓c i — Address city «D State zip, J-97-3 Phone G 3 Fax �p� _ 7 [ T 7 E-mail eC C,/!� State LicenseNumber V otee `TI c , Ca`Yt PROJECT LOCATION AP# 6Zj/ •—ogo _099 Property Addresso2a/ 01'1--c-le \ 4u,,o2 e. city 3 a Quo vc Ile V/ WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. io a l/2 0 0 Sq FT- Living Garage Open Cov t ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name P v� Address SRA City No State Zip Phone Fax E-mail PROJECT LOCATION AP# 6Zj/ •—ogo _099 Property Addresso2a/ 01'1--c-le \ 4u,,o2 e. city 3 a Quo vc Ile V/ WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed 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. io a l/2 0 0 Sq FT- Living Garage Open Cov t ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. 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 OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. R NO) 2. I AV HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS 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 Description: GROUND -MOUNT SOLAR Reference Number: B08-2118 Applicant Name: PETER'. Owner's Name: PETERS Signature of Property Owner: AP # : 041-080-099 )ate: /�—/Z11)1--U5 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: B08-2118 Location: 3701 CIRCLE J IN Parcel Number: 041-080-099 Owner Name: PETERSEN FAMILY TRUST Description: GROUND -MOUNT SOLAR Date: 10/17/2008 By: KCG Sub Type: Phtovtaic Svs Grnd Phone: (530) 343-7569 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. 11 Signed: Title: FYLE Date: 10/17/2008 Butte County Department of Del/efopment 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. 0 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, if the permit has not issued, but not after 180 days 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 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 http://municipalcodes.lexisnexis.com/codesibutteco/ "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B08-2118 Date: 10/17/2008 Location: 3701 CIRCLE J LN Parcel Number: 041-080-099 Owner Name: PETERSEN FAMILY TRUST Phone: (530) 343-7569 Description: GROUND -MO SOLAR.,, -1 Signature of Applicant: / Date: 10/17/2008 FILE # r Butte County Department of Development SetRi TIM SNELLINGS,.DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR ®CT 2 2 `��� 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buftecounty.net/dds PLAN CHANGE ❑ Owner's Name: tftn017 .oen BP#: Date: DE $EBBS .4� r RECHECK 0 AP#: Oy1-020' 0 Received By: 1�contact Person & Phone Number:/ "/ .� �' �//,9 PURPOSE OF PLAN CHANGE ORRECHECK ❑ Response to Inspecfor'.s Correction Notice — Inspector's Name: q Request Car I � dson ❑ Response to Plan Check better —Plans Examiner's Name: *Submit two (2) drawings reflecting the,`revision for plan review along with your approved plans. If engineering is involved in this revision,!the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered^drawings. Drawings must clearly show changes proposed and locations involved. WHEN APPROVED: ❑ Mail to ❑ Call and hold for.pick-up. ❑ Deliver with Next Inspection ( for 8 1/2X 11 only) Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: ❑ Minimum $118.98 paid. ❑ Additional Fee Amount: Receipt #: Revised 2/08 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: 3701 CIRCLE J LN Owner: Permit NO: B07-0135 APN: 041-080-099 PETERSEN, FAMILY TRUST Issued Date: 02/07/2007 By GLB Permit type: MISCELLANEOUS 3701 CIRCLE J LN Subtype: Private Garage/Shop OROVILLE, CA 95965 Expiration Date: 02/07/2008 Description: DETACHED GARAGE/STORAGE B (530) 343-7569 Occupancy: Zoning: U Contractor Applicant: Square Footage: OWEN PETERSEN Building Garage RemdUAddn 3701 CIRCLE J LANE 900 OROVILLE, CA 95965 Other Porch/Patio Total (530)343-7569 900 FEE INFORMATION DB SRA Fire Plan Check Fee $109.98 DBEH Building Review Fee $75.70 DBF GARAGE -Wood Frame Plan Che $219.96 DBFIRE Fire Inspection (SRA) R $102.70 DBFIRE SRA Fire Plan Review (S $102.70 DBMSC Garage Wood Frame f $329.94 DBSMIP Residential $2.16 Total Charged: $943.14 Fees Paid: $943.14 Balance Due: $0.00 Receipt No: B1761 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 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 Contractofs 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 of not more than five hundred dollars 02/07/2007 penalty [$500]; Please check one of the following: Contractors Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE ® COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR 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 MAINTAIN the work himself or herself or through his or her own employees, provided that such improvements ❑I 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 Section 3700 Labor ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: of the Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; 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 Contractor's License Law.). Cartier. Policy Number: Exp. Date: (This section need not be competed if the permit is for one hundred dollars ($100) or less.) 7 IAM Mlunder Sectio B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I sh of employ a n in any manner so as to become subject to the Workers' Compensat' n I ws of Califo ia, and gree that if I should become subject to the workers' U2/U7/2007 compens t on ovisions of ection 3 00 of the Labor Code, I shall forthwith comply with those )""I'sSignature Date provi S. X `0/2007 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 Sig ure Date RNING: 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, it ,ce,s, 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 (E100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, includ' d ath, and property caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND wl the issuan oft is permit. I hereb ackn wledge that issuance of this permit does not authorize the u%orof any sidewal , slree or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. Cabovemen ' ned op y for inspection purposes. I hereby certify that I am the amauthori dto c� EP9behalf. CONSTRUCTION LENDING AGENCY 02/07/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for a 6T Permiftee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ZlOwner ❑ Contractor OR; ElAgent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P 'TFPROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMEN . YE NO) 2. (57�IAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: 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 Description: DETACHED GARAGE/STORAGE BLDG (900) Reference Number: B07-0135 Applicant Name: Owner's Name: Signature of Propert AP # : 041-080-0 9 Date: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" --- _ APPLICANT INFORMATION OWNER INFORMATION Last Name City irst Name Zip S Fax Mailing Add ess Zip Phone City Fax State Zip Phone - Fax E-mail --- _ APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Planner Fax E-mail Lic. # Class --- _ APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Planner Fax - E -mail State License Number --- _ APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail For office use only: Zoning I FR -5 I Flood ZoneSRA�Yes tdo Occ. Type Const, Subdivision Name Map Boolc Page. Lit # Planner Date Approved: PERMIT NO. BIN # . • PROJECTLOCATION AP# el- 1 e �� 67-?/? eAdd2<�s� y <� Cross SSttre t L/ 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 Wo k: i Q O 2 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. File:g fees, play check fees for work plan checked and other departrneni costs are not refundable. Received by: 6. Amount: q —Bldg ( I �j'. 5.40 SRA Receipt #: e 1 P3 St :ri;f � �V21 n Date: ` Z�- O 1�.J_�.�other M 5d I 0 Total BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 75965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-0135 Job Address: 3701 CIRCLE J LN Contractor: Fee Description Account Number Fee Amount Printed: 01/24/2007 10:17 am Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 01/24/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $102.70 01/24/2007 $102.70 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 01/24/2007 $102.70 DB SRA Fire Plan Check Fee 0010-440001-4210500-1010 $109.98 DBMSC Garage Wood Frame 0010-440001-4210500-1010 $329.94 DBF GARAGE -Wood Frame Plan Che 0010-440001-4210500-1010 $219.96 01/24/2007 $219.96 DBSMIP Residential 1001-0-280-1011298 $2.16 Printed By: Kourtni Graham 943.14 $501.06 Balance Due: $442.08 At the time of pZappl* I was vised heabove fees are required prior to issuance of the permit. These fees may change during the plan checking proces Signature: Dater 01/24/2007 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 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations unders state law, contact the Department of Benerit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT OR NO) 2. I (GAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS 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 Description: DETACHED GARAGE/STORAGE BLDG (900) Reference Number: B07-01 Applicant Name: OWE Signature of Property Owner 4PETS NN Date: Butte County Department of Development Services TIM SKLIINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 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: D Make sure your application is complete. 0 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 http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-0135 Location: 3701 CIRCLE J LN Parcel Number: 041-080-099 Owner Name: PETERSEN, FAMILY TRUST Description: DETACHED GARAGE/STOR, Signature of Property Owner. FILE Date: 01/24/2007 Phone: (530) 343-7569 Date: 01/24/2007 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 75965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds ((C pR'�E11/T t.rC wow . 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: B07-0135 Date: 01/24/2007 Location: 3701 CIRCLE J LN By: KCG Parcel Number: 041-080-099 Sub Type: Private Garaee/Shop Owner Name: PETERSEN, FAMILY TRUST Phone: (530) 343-7569 Description: DETACHED GARAGE/STORAGE BLDG (900) 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 Title: FILE Date: 01/24/2007 t PERMIT NO. 4084-77B,P,E ' PERMIT EXPIRES OWNER Owen Petersen CONTR. owner o} (f LOCATION (A.P. 41-08-99 � W/S pri.rd.,1200'S.of pri.rd., 1800'W.of Clark Rd., 1000'N.of Clear Creek Ranch, Paradise 4 �N • I' Temp. Power Pole ' Called PG&E Temp. Elec. Serv. % - Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED _ l.9 COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD i BUILDING BUILDING (Cont'd) Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows _ 3rd Floor PLUMBING Slab ,/ Roof Sheathing Water Pi in Piers Roofing f Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped' Conformance of ex. = structure "—� Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footinos Fnntlnn 9=1 RPTO ei Steel T RINKLERS Mesh MECHANI AL Grd. Fault Prot. Scratch Heatin Service Brown_ 1, Cooling Temb. Pole Interior Lath - Ventilation Permanent Door Closer 1. Final Final MOBILEHOIMEUTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MO§16EWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE —REMARKS OR CORRECTIONS 22 OP �. � �/fir � �C:X�✓ ct„�Q �P.U-fl-�� ri��yi„c.r (NOTE: An entry must be made on this form each time you visit the job site.) 2 PERMIT NO. PERMIT EXPIRES OWNER Owen Petersen CONTR. owner LOCATION (A.P. 41-08-99 W/S pri.rd.,1200'S.of pri.rd.,1800'W./Clark Rd., I" 1000'N.of Clear Creek Ranch, Baradise ..mac- U4. 2419-77B,E.P.M 1*1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E v JOB FINALED- 114111V (Date) (Signature) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 4 Water Piping Sewer Gas Piping �ILE�QME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS fo H�" lvke �5-92kam eCzJY, Ct#/� '3�6 (NOTE: An entry must be made on this form each time you vislt the job site.) U3 171 cp . 'I'v"r 1�Svi'7'�cr�� DVC TT VWV TAT ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALL E IN CO WCU ENT ENERGY CONSERVATION REGULATIONS AT- (location) T(1 c tion) BUILDING PERMIT NO. 77 THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls Ceiling/Roof Z11— Ducts d---- Circulating /Circulating Pipes APPROVED HEATER APPROVED WTR:HTR. GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS.y WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEV ICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name (please print) Signature of Insulation Applicator State Contractors L'N General ContractQ Own ameI !7 - Signature of 4L�a ase print) General Contractor/ Date --6 State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF°•&UTTE., — DEPARTMENT OF PUBLIC WORKS F 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .�Yfzl 1 7 'OoPn ter, -1—I UI r IV �Uunty UI ouue to enter upon the above- nti ed prop ty for nspection purposes. Date,? Signature of P/ermiteeoor Agent ( Receipt No. % le 7 ! � 7 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 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 DIRECTOR OF U LIC WORKS L By to F—A - 77 B ' ding permit expires Date 9—,6 — 7F BUILDING Owner e� i��� `( SQ. FT. OCC. BUILDING VALUATION s z r- Mailing Address �px a / a ele hone o. Fireplace^ - Contractor �� j� b��-- Total Valuation��— Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. a Permit Fee $ -- Building Address Z f PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 (0 2 & L4fL 1(_ 1 Each Trap 1.50 rNp 0 f �� �� fv e `� Repair drainage or vent piping 1.50 PAVLoq tOc 5 G7"ning V9rl cat' a nI Water piping 1.50 % Each gas water heater or vent 1.50 _ A. P. No. , A- ' WSW Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Sa i on Fire Dept. Fire Zone / Use Permit EQA Parking Parcel Ma 60' R/W Im ro ments PI D ar'ti P P Bldg. a. Recd or el Plans Approval Building sewer 5.00 Lawn sprinkler system • 2.00 Permit Fee ,$ $ [:] NEW ADDITION ❑ UTILITIES ❑ OTHERPERMIT ELECTRICAL No. @ FEE FILING FEE $3.00 r Main service io00V OR o AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ R 600V 0 00E Main service 1EAMP OR LESS 25.00, Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING C & OR ADDNS. ACC. BLDGSI 22sgft NEW CONSTR. MULTI.OU T NON.RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTPOWER APPARATUS & NON- R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) NSC BAL@1 Ex. Occup.( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 v Heating Cooling Ventilation Hood 2.00 Permit'Fee $ $ 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 s relatin�y�}y�� building construction, and hereby +k.. .. ..!_s .— Ltdod bu Pity, pZ TOTAL PERMIT FEE ter, -1—I UI r IV �Uunty UI ouue to enter upon the above- nti ed prop ty for nspection purposes. Date,? Signature of P/ermiteeoor Agent ( Receipt No. % le 7 ! � 7 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant 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 DIRECTOR OF U LIC WORKS L By to F—A - 77 B ' ding permit expires Date 9—,6 — 7F COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive - Orovi Ile, Cal itornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT 97 7 authorizesentat(ves t e County of Butte to enter upon the above -m do ed propert for ' spection purposes. Date Signatures of Permitee or Agent 6 ✓ Receipt No. �/syLI' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 aid. DIRECTOR 0 UBLIC WORKS By Building permit expires Date e/ BUILDING Owner OW E^/ SO. FT. OCC. BUILDING VALUATION 1/0 (3 � 0O Mai I i ng Address a 2 7 C, /.2,4:2 - T_ S 8 Tele hone No. y 0 0 Fireplace 0 - Contractor w N - Total Valuation q 3313 (o Ili - Mailing Address Permit Fee - Plan Checking Fee &/or Penalty Telephone No. Permit Fee - Building Address° w S ' f �� S %� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ° L /9 tt l- ZoQ0 e A/ .50 Each Trap 3 1LEFA)Z 109561e letap) ca, Repair drainage or vent piping 1.50 Water piping 1.50 ii( "d /.S Zoning Verification C)nl,, Each gas water heater or vent 1.50 A. P. No. U - - ® Z oning I Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ��_ JJ VIYC. Sri) ioo Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovents P m Lawn sprinkler system 2.00 Bldg. PIbRf"'Rec'darc rov PI s Approval Permit Fee $ pCY NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 \ NEW CONS. OR ADDNST (ACCLBLDGS CUP _ 1 20sgft 210 ZJ NEW CONSTR. MULTI -OU T NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @254 BAL@109 Ex. Occu P• FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7Y MY WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. California. MECHANICAL No. @ FEE PERMIT FILING FEE $3:00 �^- Heating 0 Cooling T_ '] Ventilation - Hood 1 2.0012,— .00Z,— Permit Fee $ $ � I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby' /� Of S_ TOTAL PERMIT FEE -2 �- authorizesentat(ves t e County of Butte to enter upon the above -m do ed propert for ' spection purposes. Date Signatures of Permitee or Agent 6 ✓ Receipt No. �/syLI' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 aid. DIRECTOR 0 UBLIC WORKS By Building permit expires Date e/ .Subdivision Committee c/o Mac. Parker , J.F.- blander APr �4i`=08=53 tJune 7, 1977 " Attach'ed is a tree of the meththeod bf, division of subject. parcel S'wtich`,tshould be'reviewed for'possble'subdivisioa'violations. I have' a`►permit aoplicat'ion"on AP'f'41-08-99 on which I� have•'requested 'thec'omplete deed for 60' ft': R/W bLnc i have no evidee at this time r, fo'cause`'me to 'refuse permiflti'ss"tdhce. Should you have any quesfi:dns 'concerning this; please' 'contactme. t J.F. Glander, JFG:dd -Attachment . • r ,•r 11 W_ FILE NO. { BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. '(For Information/) Director Dep. Dir, Sec. ' Rd. & Br. Mtce. Shop Equip. 8, Yards Ref. Disp. Bldgs. 8 Grds. Bldg. Insp. Admin D & C/Traffic Const. Rd. Des. ' Br. Des. Sur. $, Loc. ' Mapping - D41 rng: /Perm r ` its". Sub. Checking ` Right of Way r ` \.y Order Nc,._.83 4329 p- Psnended A1soTonether %pith a non-e:cclusive e cement £or road purposes and public utility pu_pos L over a strip of land 60. 00 feet in width, lying 30. 00 fejt on eith 0 - side of a line bc.7irinin� 4t a poi,,,-- on the North line of the Southwest quarter oi Section 3, To,.:nsn o 21 North, Range 3 East, \L1. D. B. and ..i. , which oo at bears \ort ► S9°• 3 -' 57" East, 1102. 02 feet from .the I`�orth�: est corner then of; t::c cc fro:: said point of beginning, along the following tourscs and cist':n.ccs: South 19°. 04' 33" WQst, 110.65 feet; South 27° 1L' 33" 1'i est, 6. 79 .fcct; South :3,,° 17' 55" V,c t, 577. 16 feet; South 33° 52' 53" ViteSt,33)5. 85 feet; South 36° 02' 47" East, 329. 37.fect; South 2° 14-' -IS" '.•est, 7 95. 73 feet; South 24' 33' 55" 'Nest, 577. 24 feet; South 11° 27' ','c L t, 335. S5 fcct; South. '�l° 53' -±•5" East, 391. 26 feet; South 130 43' 15" East, 229. c, feet;. South =10 41' 00" lVest, 4.04.29 feet; South 100.•17' 52" T-ast, 20^_•.:;0 *ect; South 9° 15' 23" 'Vie st, 13.3. 38 feet; South 200 12' 22" .E,ast, 97.'05 fact;. forth 25° 12' 31" East, 161.59 feet; I�Torth 36° 17' 38" East, 352. 88 feet; north 1, 8' 41" East, 180.57 feet; North 70° 59' 11" East, 98,63 feet; North 26° 34' .33,-"' East, 92. 33 feet; North 14° 50' 57" East,_ 126.8° feet; North 810 43' 52" East, 70. 95 fee,;- .South 56° 21' S6" East,' 115. 05 feet; . South'121 50' 5r•" East, 19S. 12 feet; South 380 SIV 24•" East,' -'449. 55 feet; Soul, 5S° 55' 39" East, 158.89 feet; thence South 65° 19' 31" East, •213. 60 feet; South 3711 32' 01" East, 214.79 feet; ti-,ence South 59° 34' -41111 East, 233: 61 feet; South 38° 12' 1111. East,. •265. 53 feet; South 75° 24'.06" East, 422. 94.feet; No_ rth 89° 45' 07'' .East, 600. 36 feet; South 720 55' 57" East, 471. 70 feet; South 90 '37' 43" V; e-st, 102, 57 feet; South •1�•° 19' 031" Vr est; 147.67 feet; South 2° 47' 56" Iy est, 167. 37 feet; South 69.0 17' 5'•" East, 167. 91 feet; and South 54° 36' 54" East, 391. 61 feet to :._r- Vesterly line of Clark Road. .D:' -,S',-- I UPT IO:'I : i All that certain real orooerty situate in the County of Butte, State U= Califon nia, dcscriocd as follows: Bcinv a portion of the V.est half of Section 10, Township'21 Forth, Range 3 E' ,s t, .'vi. D. B. end ;;i, , and more particularly described as follows: 1- 3, ginnin at the Southwest corner of the North half of the Southwest quarter Boit sn d Section�l0; thence along the "A'est line thereof, North 0° 18' •1.3" Ea- 1092. 52 f::Ct; thence leaven; said line, North 890 071 3211 East, 688. -Z sect; t -_'ncc along the Centerline of a 60.00 ioat road easement, 'i'�'orth 11 ll' 26" . ' st, 490. S2 feet; thence North 39 12' 5911. East, .258. 15 feet to the Centerline of an int.e.rsecting 60. 00 foot road easement;, thence along said center- line, North 37° 32' 011' Viest, 21'.79 feet; .thence North 65° 19' 31" Vgest, 213. 60 feet; thence North 150 �1' 6" East, 178.69 felt; thence North 27° 49' 21" West, 409. 10 feet; thence leavzng. said Centerline, North 89° 32' 0211 East, 1369. 69 feet to the Southeast corner of the Northeast quarter of the Northwest. -quarter of said Section 10;. t,-i.eace South 5° 54' 58" I- est, 2643. 51 feet to a point on .the South. .ane of tl-ie-North haL*' ol the Southwest quarter of said Section 10; thence alonc, said South line, South 89° 07' 32" West, 2400..67 feet to the point of beginning,: Reserving therefrori a non-exclusive easement for roadpurposes and public utility purposes over a strip.of land 30. 00 feet in width, lying coatiotious _ to and Easterly from a line beginning at a point on the North line of said parcel, _. . c:hicn point bears, South 891 32' 02" ti: est, 1369. 69 feet from the Northeast corner of said parcel; thence along the. V.-esterly line of said parcel, South 270 491.21" East,_.09. 10 feet; .thence South 151 41' 46" V est, 178. 69 feet; thence South 650 19' 31" East, 213. 60 feet; thence South 37° 32' 01" .East, 214. 79 feet; thence South 31 12.' 59" Vest, 258. 15 feet;' thence South 7.° 11' 2.6 Vest, 490. 82 feet. Also reserving therefrom 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 sine of a line beginning at a point on the East line of the above described parcel, which point bears North 5° 54' 58" East, 1400. 00 feet from the Southeast corner of said parcel; thence from said point of beryinning,. North 75° 241 06" �- est, 422.94 feet; thence North 38° X12' 11" Vi.est, 265.53 feet; thence North 59° 3V 41" West, 233. 61 feet to the Westerfy line of said parcel. 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 b'{ esterly from a line beginning at a *point on the North line of said parcel, which point bears South 89° 32' 02" V est, 1369. 69 feet from the Northeast corner of said parcel; thence along the V esterly line of said parcel. South 271 49' 21" Last, 409. 10 feet; thence South 15° 41' 46" Vest, 178. 69 feet; thence South 65°. 19' 31" East, 213. 60 feet; thence South 37° 32' 01" East, 214. 79 feet; thence South 31 12' 59" U*est, 258'.15 feet; thence South 7° 11' 2611 Wast, 490. 82 feet. rn �l i OWNER U '1 P �� s RESIDENT IAL PLAN CHECKING GUIDE (S.F.. DUPLEX, & MISC. ONLY) Bldg. Permit # 7-7 A.P. # _q�-o__STS A. GENERAL I. Zoning requirements (sideyards and parking). 2. Valuation. 3. Signature by R.C.E. or Architect (if required). B. PLOT PLAN 1. Complete parcel size and dimensions. 2. Setbackq, sideyards, easements, etc. 3. Other buildings or structures. 4. Grading, fills, drainage. C. FLOOR PLAN Complete to scale plan with dimensions. ✓2. Required windows for light and ventilation (Sec. 1405). .✓3. Required windows for second exit (Sec. 1404). ✓4. Allowable glazing for energy requirements (207. max. per State law). j5. Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). 7. G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). 8. Light fixtures, switches, recepttacl�s„ rio and ext r receptacles for maintenance of mechanical equipment. �►� --9: Locations of water heater,heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. ✓10. Garage firewall, door size, and closer (Sec. 503(d)(4)). ✓11. 1 - 3'0" exterior exit door (Sec. 3303d). ✓12. Fireplace location. e'13. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. V2. Floor construction details complete enough to construct building. r3. Elevations and wall construction details complete enough to construct building. 0"'4. Roof construction details complete enough to construct building. 5. Fireplace construction details and calcs if over one-story in height. 6. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1. CCX plywood on exposed locations and overhangs. 2. Stairway details (Sec. 3305). ✓3 Guardrail details (Sec. 1716). 4. Brick or stone veneer (Chapter 30). 5. Exterior plaster - weep screeds (Sec. 4706 & 4708). ✓6. Proper roof pitch for roof covering (Chapter 32). 7.. Rafter ties or bearing ridge beam. . 8. Garage door or porch header sizes. -� '►r'� 1/9. Adequate bracing. 10. Living area over garage - co pl e 1 -hour separation required including supporting walls and posts, etc. ry.4- 11. Two (2) exits on three-story .dwellings (Sec. 3302). COUNTY`OF BUTTE - DEPARTMENT OF 7' County Center Drive, Oroville, PUBLIC WORKS California 95965 PHONE: 916-534-4541 DATE RE: _ -77 With reference to the'above subject: Attached.is: Application for permit Typical Plan Sheet Building Plans Mobile Home.Sheet Engr. Calcs. List of'Codes Enforced OTHER We need the following information: Permit application signed and completed 'where indicated with all copies returned. Fees of $ Certificate of Workmen's Compensation Insurance, or check exemption statement. Contractors License Law information, or check exemption statement. Letter authorizing signature of Complete plans,.in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details in duplicate. Complete plans, in duplicate, prepared by registered civil engineer or architect. Engr, calcs. Two (2) sets of plans in accordance -with changes marked in red. Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chic.n Planning approval, i.e., use permit, variance, Planning Dept., 7 County Center Dr., Oroville. Improvement Plans. Parcel declaration recording data. Verification of access or right of way by deed. '—`Verification of legally created parcel by deed. Deed for right of way. Parcel map recorded. OTHER 7 County Center Dr., Oroville. Skyway & Elliott Rd.,Paradise rezoning, etc., from Butte County (Recorded copy) (Recorded copy) As soon as we receive the above data, we will process your application; or, should you have any.questions concerning the above, please contact this office. Yours very truly, Clay Castleberry Director of Public Works J.F. Glander JFG:dd AsDirector Inter-Depart'�... s era®r®ndum e UN TO: Chico Env. -Health, Planning Dept. Building.Dept: FROM: Public Works Dept. SU 9J ECT:. AP 41--08-99 DATE: Aun st 129 1977 The Butte County Subdivision Violation Committee on August 109.1977 determined. that AP 41°08°99 is not in violation of the Butte County Code.. Any permits maybe issued at this time. Clay Castleberry ' Director of Public Works McLaren Parker Assistant Director .MP/ddb J } Count k LAND' OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 H. W. McDONALD Deputy Director thM1l�t1 �• � ta�cl�t �ot�a �= a� �.� X91 Ott.3= 427 0 C#aionDCA 9592 Dear H r. +acrd gra. Petonimi P10WO be d that the fttte CCUAW NbdiVisi= VUUtOft Go=dtteo OwLU be rsv1&v1m AP 41-0for M Pp1rdblo vloU .ton as the Butt* CaunW Gode wd 1`,7ubdLviabm,Hxp Act ou 44y,13,0 IM, The me4ns %LU oaa*aft at 1 .sme In W4 �s T a �r ROMA. 1 COMO Gw3:Y*, € iva, C tarn". t� bave qAV ftgar4rt Me VatUr Orr trujo ego Mw (Astlebav Mftotor ai PubUe Works 040w eigned b7 McLaren Parker r DECLARATION REGARDING LOTS OR PARCELS I certify that as owner of the property acquired by deed in Volume Page Official Records of Butte County, (AP# I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of,the additional living unit isj and that further. I shall not change this proposed use of the additional living unit. unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §llS3S et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further,.this statement shall be properly acknowledged and recorded at the request of the County of Butte. 0FriiC0.IL R, E r,19 In- ;F. -5 U-412ULAL Alf, IM NOT COMPARED WYM- 8736 ORIGINAL DOCUMENT STATE OF C W FORNIA ) ss COUNTY OF bw-rTe ) 7 Add ess x`_77 Date On this day o 197-2'. before me, 7wt U^1 J)2S/ G—Sv c -=J a Notary Public in and for the County of State of C,& fornia,ding therein, duly commis- sione and sworn, personally appeared W f Xt `f e -r c' 2 S x/ known to me to be the person whose name subscribed to the within instrument and acknowledged to me'thatS he executed the same. IN WITNESS W�OF I have hereunto set my hand and affixed my, official seal in the County of �,-rr6 the day and.year in this certificate first above written. . S96-1275 -' OP OFFIGgAL• SBAL V E!LEEN LR31 m ' ST• NOTARY PUBLIC • CALIF0I3NIA ,•(VAI;.IrY �P my comm, Exl i�wz PIiF17 Ld, 9E E1 _ Notary Public I ----- --------------- . . .. .- - - - - - - - - ..................... .......... ....._....•. •......._.:.....:...... ...... :..._.:............. e-/ L I, fav-/ ................... _.................. .................. .....-...... ........... _............ ...... ................. - _ ------- Assessor's Parcel Number: © � 0 _ o a a m u 0 Scale: 9" off_ Owner Nann® C, Site Locator i:^► -t Conteet Name C,)lt-)j,. ��_� ���- kt Phone 63G C: FOR OFFICE USK ONLY Zoning: w Gemmel Pia. 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