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Home My WebLink About042-010-120BUTTE 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: 4527 BELL RD Owner: Permit NO: B07-2709 APN: 042-010-120 HUMPHERYS, GREGORY Issued Date: 01/15/2009 By TMP Permit type: RESIDENTIAL PO BOX 2266 Subtype: SFD-Custom/Model CHICO, CA 95927 Expiration Date: 01/15/2010 Description: NSF(3262)GAR(912)COV(1054) (530) 899-1888 Occupancy: R-3 Zoning: A-10 Contractor Applicant: Square Footage: HUMPHERYS, GREGORY Building Garage Remdl/Addn PO BOX 2266 * 3,262 912 CHICO, CA 95927 Other Porch/Patio Total (530) 899-1888 1,054 5,228 FEE INFORMATION Ag Com Building Permit Clearan $32.50 DBSMIP Residential $25.08 CWIF SF $29269.89 CWIF SF $29411.06 CWIFAUD Impact Processing Audi $50.00 CWIFDDS Impact Processing Fee $50.00 DB R3 Dwelling -Custom, Model $19572.17 DB R3 Dwelling -Custom, Mode[ $2,358.26 DBEH Building Review Fee $75.70 Total Charged: $8,844.66 Fees Paid: $8,844.66 Balance Due: $0.00 Receipt No: B9405 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 Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 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 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 applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions is in full force and effect. of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the X 01/15/2009 alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): Contractors Signature Date I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: improves the property, provided that the improvements are not intended or offered for sale. If, ❑ I have andwill maintain a certificate of consent to self -insure for workers' however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or compensation, issued by the Director of Industrial Relations as provided for by Section improved for the purpose of sale.). 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. 1, as owner of the property, am exclusively contracting with licensed Contractors to ® ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 construct the project (Section 7044, Business and Professions Code: The Contractors' State t apply to an owner of property who builds or improves thereon, and who of the Labor Code, for the performance of the work for which this permit is issued. My workers'kLaw. ects with a licensed Contractor pursuant to the Contractors' State License Carrier: Policy Number. Exp. Date:nsu under a Contractors' State License Law for the following I certify he in the perfo ante o work for which this permit is issued, I shall not tnj emplo an pers in any anner` so as to become subject to the workers' co at n la s lifo ia, and ree that, if I should become subject to the coo co ®o37 0 Labor 41 01/15/2009 Owners Si atu Date pensatio visn of action of the Code, I shall forthwith comply with PERMI APPLICANT DECLARATION 01/15/2009 Signature Date WARNING: FAILURE T S WORKERS' COMPENSATION COVERAGE IS By my signature below, I certify to each of the following: I am U a California licensed contractor or U the property owner' or U authorized to UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES act on the property owners behalf". AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN I have read this construction permit application and the information I have provided is ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN correct. SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I ree to comply with all applicable city and county ordinances and state laws relating I uilding construction. I thorsentatives of this city or county to enter the above -identified property inposes. California Licensed Contractor, Property Owner' or Authorized CONSTRUCTION LENDING AGENCY DECLARATION 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 (Section 3097, Civil Code). O1 /15/2009 Lender's Name and Address US ittee [SIGN] -Print Date FILE COPY Lenders Name & Address City State Zip 0 IF BUTTE COUNTY pt" o DEPARTMENT OF DEVELOPMENT SERVICES C ° BUILDING PERMIT APPLICATION" ° O OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 ca+=.>_� o A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds COU . PLEASE PRINT CLEARLY PERMIT NO. �07� Z7C� BIN # "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. CONTRACTOR OWNER INFORMATION Last Name - City First Nam � JMr en Fax Mailing Address Z &fo City O State CA "'glri -1 a Phone 00 + %4� vg Fax SA V1,f_ E-mail CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name 006 Z e,-- &11 Address t_lag4, Ke k4 ZAn.e City , State Zip 9_5 -9, 7 3 "730 -3410-3033 Fax 5;4&L&_E-mail State G -A State License Number G- 9i g Z. A ,LIC NT GNATURE X PROJECT LOCATION Al C7" 2 -01O IZO _OoC7 P o erty Address aty I 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 ed 1 2Apk Address eA_ .00 led. DESCRIPTION OR SCOPE OF WORK: &I (s V%_4 -LJ /Z Sq FT- Living326ZGarage Z Open Cov I ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name 2�' JU Qeq Address City No State G -A Zip(?5,i -I I Phone O Fax E-mail A ,LIC NT GNATURE X PROJECT LOCATION Al C7" 2 -01O IZO _OoC7 P o erty Address aty I 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 ed 1 2Apk Address eA_ .00 led. DESCRIPTION OR SCOPE OF WORK: &I (s V%_4 -LJ /Z Sq FT- Living326ZGarage Z Open Cov I ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning -101 Flood Zone SRA I Yes No Occ. Type Const. h IFG on,Yrr e�10A R D BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-2709 Job Address: 0 BELL RD Contractor: Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Printed: 12/28/2007 11:53 am Fee Description Account Number Fee Amount Paid Date Pmt Amt Ag Com Building Permit Clearan CWIFLBRYF SF 1825-0-280-1011826 $240.89 CWIFLBRYM SF 1825-0-280-1011827 00104600014612200-1010 $32.50 12/28/2007 $32.50 CWIF SF 1840-0-280-1011841 $312.99 CWIFSHERFJL SF 090807 1800-0-280-1011811 CWIFFIREVE SF 1851-0-280-1011853 $707.16 $152.72 DBSMIP Residential CWIFPWRDS SF 1831-0-280-1011001 $1,337.55 CWIFFIREF SF 1851-0-280-1011852 $366.35 DB R3 Dwelling -Custom, Model DBF DWLNG CSTM/MDL N Permit F4 0010-440001-4210500-1010 $2,358.26 DBF DWLNG CSTM/MDL N Plan Rvv 0010-4400014210500-1010 $1,572.17 12/28/2007 $1,572.17 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 12/28/2007 $75.70 CWIF SF CWIFGGF SF 1808-0-280-101001 $664.81 CWIFGGVE SF 1810-0-280-101001 $306.61 CWIFLBRYF SF 1825-0-280-1011826 $240.89 CWIFLBRYM SF 1825-0-280-1011827 $162.04 CWIFLBRYV SF 1825-0-280-1011828 $4.83 CWIFSHERFF SF 1840-0-280-1011841 $312.99 CWIFSHERFJL SF 090807 1800-0-280-1011811 $425.00 CWIFSHERFVE SF 1840-0-280-1011842 $152.72 DBSMIP Residential 1001-0-280-1011298 $25.08 89744.66 $19680.37 Printed By: Tammie Powell Balance Due: $7,064.29 At the time of permit. These Signature:, advised the above fees are required prior to issuance of the he plan checking process. Date: 12/28/2007 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 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. I PERSONALLY O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. YES R NO) I VE VE 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: NSF 3262 SQ.FT.ATT G. 912 SQ.FT./COV.P. 1054 SQ.FT. Reference Number:^' """ Applicant Name: Owner's Name: Signature of Propert. AP #: 042-010-120 Date: Z Z— 6'1 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: fry 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/ "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: B07-2709 Date: 12/28/2007 Location: 0 BELL RD Parcel Number: 042-010-120 Owner Name: HUMPHERYS, GREGORY Phone: (530) 899-1888 Description: NSF 3262 SQ.FT.Ak G. 912 SQ.FT.LCOV.P. 1054 SQ.FT. Signature of Applicant: �/ —� )�4 /` �V Date: 12/28/2007 FILE 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: B07-2709 Date: 12/28/2007 Location: 0 BELL RD By: TMP Parcel Number: 042-010-120 Sub Type: SFD-Custom/Model Owner Name: HUMPHERYS, GREGORY Phone: (530) 899-1888 Description: NSF 3262 SO.FT.ATT G. 912 SO.FT./COV.P. 1054 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 0 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 E] ❑ City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 E] ❑ 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 Other: Other: "When filed, this application and all s information related to this applicationi� access. i, Signature of Property porting material becomes subject to the California Public Records Act. All public bject to publpection and will be posted on the County's website for electronic FILE Date: 12/28/2007 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS C:] ❑ 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 Agricultural Acknowledgment Statement- See Attached Instructions 0, El copy of ❑ E] City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: "When filed, this application and all s information related to this applicationi� access. i, Signature of Property porting material becomes subject to the California Public Records Act. All public bject to publpection and will be posted on the County's website for electronic FILE Date: 12/28/2007 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 O 0 1 O O 0 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: B07-2709 Date: 12/28/2007 Location: 0 BELL RD By: TMP Parcel Number: 042-010-120 Sub Type: SFD-Custom/Model Owner Name: HUMPHERYS, GREGORY Phone: (530) 899-1888 Description:. NSF 3262 SQ.FT.ATT G. 912 SQ.FT./COV.P. 1054 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: Title: jo U.) eA 4— FILE Date: 12/28/2007 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District _ Building Department No. Tax ate Area No. A.P. Number /��&0-�p�� Jurisdiction:. � City County Property Owner O Property Location/Address Subdivision Lot No. ........... _........._........................................................................... . Residential Development 0 Q ! Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # ° Cr. Demo - ( ) Li'(No foundation inspection) ` existing sq. ft. see attached ........................................................................ I ......................... Net total sq. ft. Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use. Facility document) Commercial/Industrial Q Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date District Identification No. 100 D School District certifies that f A Payor) C) -7 8efi- -Igg"r (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No: by payment of $ -9 representing square feet. FB 2926 $ FULL MITIGATION $ 3 � School District Representative ' 7 O Date Paid by Check # "v Remarks: Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the 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 district), Yellow (building department), Pink (applicant) feeform.xls (12i06)dmm BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) School District: Chico Unified School District Assessor's Parcel Number (s): 042-010-120 Property Owner (s): HUMPHERYS, GREGORY Building Permit Number: B07-2709 Tax Rate Area No: Qk � -.010 Jurisdiction: County Project Location/Address: BELL RD CHICO Type of Development Residential Development: 0 0 = = Sq. Footage: 3,262 No of Living Mobile Home Addition/ 'Supplemental to Cr. Demo - existing 0 Units Installation Conversion Permit # g *(No Foundation Inspection) sq. ft. Net total sq. ft. Deed Restricted Sq. Footage: 0 Attach signed copv of Deed Restriction and Notice of Limited Use Facilitv Document Commercial/Industrial: =New Addition Sq. Footage: Project Desc iption: NSF(3262)GAR(912)COV(1054) (InGudinp Exterior Roofed eas 12/24/2008 Building Depa ment Representa a Date District Indentification No. (Street Address) School District certifies that (City) has complied with the requirements of Resolution No. representing School District Representative Paid by Check # (Payor) (State) (Zip Code) by payment of $ square feet. AB 2926 $ FULL MITIGATION $ Remarks: Date (Phone Number) Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. subsequent o the School Districtepresen a ive signing this Butte County Schools Impact Fee Certification Yorm, the c o0 or— 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 District) Yellow (Building Department) Pink (Applicant) DDS–School Fee Form rev'd 3.10.08 o �yivoeo . blNVodnv3 'OOIHO 'QVOV 1139 SAZ13HdwnH EJ3vE) e n c ion : HoJ 30N30IS321 W00UG39 av �• `f � �i t'tt9 OVOW 11313. PLANNING DIVISION - BUILDING PLAN APPROVAL Use: 5! Date: AWOV ------------ Parking: Landscaping: (iFhor Y, Q ALL .6 2y \ J Vp. OS IN Vk'jl BEDROOM ItESIbENCE FOR GktG HUMPHERYS r_1 et:Ll- OdAb, CHICO, CALIFORNIA 2f=o•- PORE" L MM e��ew�e alr�i ee�iiiim 1 rmaKta vwMaaK�RU.�ie p17';=��`Y< VINLOAXIV:) '07IH: 'OVON 1139 g eae eW�ae.wwmamM SA1131jd nH 93=19 o pane eee� M 3 NOlv3H eia390a ptJ3UIS3a WOONO38 f' d E BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 0 _ Z ZONING 1317— OWNER', _ PHONE NO 6 39 -cFP OWNER'S ADDRES ` 0. , �4 , fl�% I C -eJ � LOCATION OF BUILDING - O 1 - I20 USE OF BUILDING !S�Puo* ssee-Le SIZE OF STRUCTURE 'X�'- � SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OFDING I ROO OVERITG FLOOR YPE e Me, ESTIMATED COST OF CONSTRUCTION —D $ 0 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRON1,.-JL/ tl SIDES VIPh REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated AG Building definition. If any change in use or occupancy of the buildin obtain any necessary permits, inspections, and approvals to complyw' occupancy. , Date �— ® Signature of Owner bout, and the purposed use confirms with the Is made, I will ci"the Building Division and the�puirem is in a ect at that time and before Permit Fee -$109.98 The above described AG Building is exempt from a building permit. //� F OD J�Lz P.D. ROOF ISSUE Receipt No.�'�`/�� 7 Manager Buildil Division Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant Greg Humpherys PO Box 2266 Chico Ca 95927 530-899-1888 March 28, 2006 Butte County Dept of Development Srvs 7 County Center Drive Oroville Ca 95965 f Re: Building Permit Number BP06-0526 The use of the building is for agriculture equipment storage and chemicals. If you need any additional information please feel free to contact me. Thank you Greg Humpherys CO NW APR 0 5 2006 DEVELOPMENT SERVICES Bute County Department of Development Services BUILDING DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile 3-15-06 Mr. Greg Humpherys P.O. Box 2266 Chico CA 95927 RE: Building Permit Number: BP06-0526 APN Number: 042-010-120 In order to continue processing and/or issue the above -referenced permit, we need the following information: ❑ Permit application signed and completed where indicated with all copies returned. ❑ Plot plans, 1/4 sets, signed by preparer of plans. ❑ Complete plans and calcs, 1/4 sets, signed by preparer of plans. ❑ Engineered plans and calcs, 1/4 sets, with wet signature on plans. ❑ Hazardous Material Form. ❑ Statement of Intent for Non -Heated and A/C Buildings. ❑ Engineered truss details and layout in duplicate. ❑ Mobile home data and manufacturer's installation instructions, 2 sets. ❑ Fees of payable to: Butte County Treasurer. ❑ Impact fees paid. ❑ California Department of Forestry plan approval/fees. ❑ FEMA National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. ❑ Sanitation and plot plan approval from Chico Environmental Health Department. ❑ City of Chico plumbing permit. ❑ Plot plan and business license approval from City of Biggs/Gridley. ❑ Planning approval for use and parcel check. ❑ Land Development (a) Improvements (b) Drainage. ❑ Contractor's license information (No. Name, Style, Class) or exemption statement. ` ❑ Owner -Builder Verification Form ❑ Recorded copy of Agricultural Acknowledgment Statement ❑ Letter of signature authorization ❑ Copy of recorded deed of parcel creation and 60' right of way to a public road ® Letter of intent on building use. ❑ Mobile home utility clearance ❑ Documentation of legal access.. ❑ Documentation of 50% subdivision developed of a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements ❑ Existing violations/expired permits resolved. ❑ Plan check list data and revisions. ❑ 10 set(s) of plans in accordance with changes marked in red. y' ❑ Copy of recorded 60' right of way to a public road. Should you have any questions concerning the above, please call (530) 538-7541 and ask for the Permit Center. Sincerely, Tammie Powell ,�QQ Permit Technician Butte County Department of Development Services BUILDING DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone 3-15-06 Mr. Greg Humpherys P.O. Box 2266 Chico CA 95927 (530) 538-7785 Facsimile RE: Building Permit Number: BP06-0526 APN Number: 042-010-120 In order to continue processing and/or issue the above -referenced permit, we need the following information: ❑ Permit application signed and completed where indicated with all copies returned. ❑ Plot plans, 3/4 sets, signed by preparer of plans. ❑ Complete plans and calcs, 1/4 sets, signed by preparer of plans. ❑ Engineered plans and calcs, 1/4 sets, with wet signature on plans. ❑ Hazardous Material Form. ❑ Statement of Intent for Non -Heated and A/C Buildings. ❑ Engineered truss details and layout in duplicate. ❑ Mobile home data and manufacturer's installation instructions, 2 sets. ❑ Fees of payable to: Butte County Treasurer. ❑ Impact fees paid. ❑ California Department of Forestry plan approval/fees. ❑ FEMA National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. ❑ Sanitation and plot plan approval from Chico Environmental Health Department. ❑ City of Chico plumbing permit. ❑ Plot plan and business license approval from City of Biggs/Gridley. ❑ Planning approval for use and parcel check. ❑ Land Development (a) Improvements (b) Drainage. ❑ Contractor's license information (No. Name, Style, Class) or exemption statement. ❑ Owner -Builder Verification Form ❑ Recorded copy of Agricultural Acknowledgment Statement ❑ Letter of signature authorization ❑ Copy of recorded deed of parcel creation and 60' right of way to a public road ® Letter of intent on building use. ❑ Mobile home utility clearance ❑ Documentation of legal access. ❑ Documentation of 50% subdivision developed of a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements ❑ Existing violations/expired permits resolved. ❑ Plan check list data and revisions. ❑ 10 set(s) of plans in accordance with changes marked in red. ❑ Copy of recorded 60' right of way to a public road. Should you have any questions concerning the above, please call (530) 538-7541 and ask for the Permit Center. Sincerely, Tammie Powell Permit Technician Department C o u n t s J. Michael Crump, Director Warner C. Phillips, Assistant Director October 23, 2002 James M. & Geraldine Paiva 13193 Carmen Avenue Chico, CA 95926 Re: Application -for Certificate of Merger AP 042=010 098 & 099 Dear Mr. & Mrs. Paiva: Public f B u t 2 8 2002 Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 On October 23, 2002, the Department of Public Works made the finding that the Certificate of Merger on the above referenced property is exempt from environmental review, and approved the project. This action will be final if an appeal is not filed with the Clerk of the Board of Supervisors'within ten (10) days of the date of this letter. You or any interested person must do so in writing, with the appeal .fee of $50.00, to the Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California 95965, prior to 4:00 p.m., November 4, 2002. If there are no appeals, we will submit the Certificate of Merger to the Butte County Recorder's office, for recording. We will return the original certificate to you after recording. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp cc: ,Environmental Health Department I/ Building Division Sierra West Surveying (S -216-A) Department C o u n t s J. Michael Crump, Director Warner C. Phillips, Assistant Director December 31, 2002 James M. & Geraldine Paiva 13193 Carmen Avenue Chico, CA 95926 Re: Certificate of Merger T AP 042-010-098 &-0-99J Dear Mr. & Mrs. Paiva: Public f 6 u t Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on November 6, 2002, under Serial Number 2002-0059972, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: Building Division Environmental Health Dept. Sierra West Surveying (S -216-A) AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 LANDS BEING MERGED: c€ )iaE—121GD59=372 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:36PM 010 -Nov -2@Z2 CERTIFICATE OF MERGER AP NUMBER(S) 042-010-098 & 099 SUBDIVISION / PARCEL MAP: REC FEE 22'.@0 Barbara Page i of 6 BOOK 118 PAGE 40-42 BLOCK LOT(s)2 & 3 of Paiva Berlyhili Subdivision BOOK PAGE BLOCK LOT(S) As of the date of recordation, those lands noted above are merged to create 2 parcel(s) of land as described in Exhibit(s) A & B attached hereto. //1S 02 ---4 &' MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER THE UNDERSIGNED, as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(s) A & B attached hereto. ALL SIGNATURES MUSTBENOTARIM.• AI—NATURE — JAMES M. PAIVA SIGNATURE — GERALDINE PAIVA SIGNA RE — MARYELLEN RYHILL, TRUSTEE DATE DATE DATE $ C } STATE OF CALIFORNIA }ss: COUNTY OF e } On -, , - csz , before me, ,,;�c-< <� �'r:c (f personally appeared 5 N-,, Qo;ks6, , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and d#i'ci seal. Signature Title of Document Date of Document Other signatures not acknowledged GI -5191 (This area for official notarial seal) No. of Pages DENISE M. PRICE Commission # 1341260 Notary Public - California Butte County My Comm. Expires Jan 24, 2006 3008 (1/94) (General) First American Title Insurance Company AMER, ,4� Z AMERI } STATE OF CALIFO}ss. COUNTY OF i 2 ' } On -7- (D , before me, �kc'e personally appeared ole i V� e- von , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and Signature Title of Document Date of Document Other signatures not acknowledged (This area for official notarial seal) No. of Pages DEMSEM PRIDE Commission # 1341260 y Notary Public - CAlomia Butte County *comm. Expires Jan 24,2W6 GI -5191 3008 (1194) (General) First American Title Insurance Company nwN IenOMIA Al it .ouRaesE ACKNOWLEDGMENT State of California County of s anisl au; / On 0:5 a D'o before me, DATE NAME, TITLE OF OFFICER - .G.,'JANE DOE, NOTA PUBLIC personally appeared NAME(S) OF SIGNER(S) personally known to me - OR - proved to me on the basis of satisfactoryevidence to be the person(s) whose name(s) is/are subscribed to the within instrument and ac- knowledged to me'that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) -on the instrument the person(s), or the entity upon behalf of which the OMM. 12377 1 acted, executed the instrument. c COMM. #1237741 � person(s) . p NOTARY PUBLIC - CAUFORNIA > *�• STANISLAUS COUNTY My Comm. Expires October 12, 2003 WITNESS my hand and official seal. SIGNATURE ARY OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER TITLE OR TYPE OF DO UMENT Tm.E(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER: SIGNER IS REPRESENTING: NAME OF PERSON(S) OR ENTTTYQES) NUMBER OF PAGES DATE OF DOCUMENT SIGNER(S) OTHER THAN NAMED ABOVE Exhibit `A " Parcel 1 All that certain real property situate in the County of Butte, State of California being a portion of that certain 12.57 acre parcel of land designated as Parcel 2 on that certain map of Paiva Berryhill Subdivision, filed in the Office of the Recorder of the'County of Butte, State of California in Book 118 of Maps at Pages 40 —42, described as follows: BEG/NN/NGat the Northwesterly corner of said Parcel 2; thence leaving said PO/NTOF BEG/NN/NG along the Northerly line of said. Parcel 2, North 89° 41' 30" East, 515.25 feet to a point on a line parallel with and distant 30.00 feet Westerly measured at right angles from the Easterly line of said Parcel 2; thence along said parallel line, South 00° 18' 30" East, 1139.46 feet toa point on the Southwesterly line of said Parcel 2; thence along said Southwesterly line, North 61° 10' 29" West, 589.87 feet to the Southwesterly corner of said Parcel 2; thence along the Westerly line of said Parcel 2; North 000 18' 30" West, 852.28 feet to the PO/NT OFBEG/NN/NG. Containing 11.78 acres of land more or less. �p A�� LAND G. ASF ICA , O No. 4 10 X CAO y. C:Desaiptions\5-216-APaiva.D-1 /Uj 4,4- Robert G. Agee, Jr., L.S. 4010 Registration Expires 6/30/04 Exhibit "B" Parc&2 All that certain real property situate in the County of Butte, State of California being a portion of land designated as Parcel 2 and all of Parcel 3 on that certain map of Paiva Berryhill Subdivision, filed in the Office of the Recorder of the County of Butte, State of California in Book 118 of Maps at Pages 40 —42, described as follows: BEG/NN/NG at the Northeasterly corner of said Parcel 3; thence leaving said PO/NT OF BEG/NN/NG along the Easterly line of said Parcel 3, South 040 45' 21" East, 557.08 feet to an angle point therein; thence South 450 33' 49" West, along the Southeasterly line of said Parcel 3, 1004.48 feet to the most Southerly corner of said Lot 3; thence along the Southwesterly line of said Lot 3 and its Northwesterly prolongation, North 610 10' 29" West, 236.89 feet to a point on a line parallel with and distant 30.00 feet Westerly measured at right angles from the Westerly line of said Lot 3; thence along said parallel line, North 000 18' 30" West, 1139.46 feet to a point on the Northerly line of that certain 12.57 acre parcel of land designated as Parcel 2 on said Map of Paiva Berryhill Subdivision; thence along said Northerly line of Parcel 2 and the Northerly line of said Parcel 3, North 890 41' 30" East 884.72feet to the PO/NTOFBEG/NN/NG. Containing 20.39 acres of land more or less. 0 OND SU`, %,.. ASF � �r d ✓ it . No. 4010 IN T V <)'�,• C: Desaiptions\5-216-APaiva.D-2 &I zLltj � Robert G. Agee, Jr. Z' L.S. 4010 Registration Expires 6/30/04 END OF DOCUMENT