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047-250-204
047-250-204 02-132 136NIGNO. Marc INALED I alon Drive, Chico Z6� N? inglc Family 047-250-204 03-1995 BL-NIGNO, MARK 77 TALON DRIVE, CHICO Cont: BOWEN POOLS NEW SWIMMING POOL 6 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 11 -Jul -2002 2002-0035774 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property.described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: a Date -% -/� 02 PROPERTY OWNERS: i4/� tiio � i evE ylc��-C7 State of California ) County of On _7/J - 0 -2 before me, personally appeared /i'Il�r�L� .�,e.1; --r,"0 q� e 1 -117.1- +*4o kRQw*4e-we (or proved tome on the basis of satisfactory evidence) to be the personl whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/t� executed the same in his/her/their authorized capacityiLesl and that by his/her/their signatureig on the instrument, the person(sjor the entity upon behalf of which the person Usacted, executed the instrument. WITNESS my hand and official seal. ", JERI L. CERRATQ t Signature Seal: U COMM, * 1355113 ; O - NOTARY PUBUC-CAUfORMA l) de COMM, piCOUNTY MAY 4.2006 n A.P.# ()y'% -.2190 -.2,041 ORDER NO.: 00201315-002 - KM SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL A: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 17, 1999 IN BOOK 148 OF MAPS, AT PAGE(S) 97,98 AND 99. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AS SHOWN ON SAID MAP. ALSO RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT OVER THE ENTIRE NORTHERLY 10 FEET OF SAID PARCEL 3, FOR THE RIGHT OF ACCESS, BY FOOT ONLY, TO ROCK CREEK AND PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 17, 1999 IN BOOK 148 OF MAPS, AT PAGE(S) 97, 98.AND 99. SAID EASEMENT IS TO BE FOR THE BENEFIT OF AND APPURTENANT TO THE PROPERTY SHOWN IN SCHEDULE C ATTACHED HERETO AND MADE A PART HEREOF. SAID EASEMENT IS SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS: THE EASEMENT IS NOT ASSIGNABLE BY RICHARD SHAFFER OR BARBARA SHAFFER, THE GRANTORS HEREIN, BUT IS ONLY FOR THE BENEFIT OF THEM, THEIR FAMILY AND INVITEE'S, BUT SHALL BE BINDING UPON TRANSFEREES OR SUCCESSORS IN INTEREST TO THE OWNERSHIP OF SAID PARCEL 3 DESCRIBED ABOVE. THE EASEMENT SHALL TERMINATE UPON THE CONVEYANCE BY RICHARD SHAFFER AND BARBARA SHAFFER OF ALL THEIR RIGHT, TITLE AND INTEREST IN THE REAL PROPERTY DESCRIBED IN SCHEDULE C ATTACHED HERETO AND MADE A PART HEREOF. AP NO. 047-250-204 PARCEL B: A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES: A PORTION OF THE EAST ONE HALF OF SECTION 29, TOWNSHIP 23 NORTH, RANGE 1 EAST, M. D. B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS: PRELIM LJD8M INSULAMM COL. MC.:. tNSUTATM CERTIFICATE DESC PTION OF HOSTALLATION 1. ROOF mawall stow Name Tfddmess fued,es) Thmnal Resisl0me (RVawe) 2. CEILING Batt cr 8Ws*d Type �� HMS 8[atal Mame Johns ale Tmckr ss (Indees) 13.0 TIS R (R Vater) 12 3R Lwin FIl Type Braced Name Johns ddarn is Caa dmodo ft mim beam ed welgf M f q. 0.l0l 5 e5, mbdm In Iftlomm 15 y inch. tbfa�dadc,aer's bmbW weight per square foot to add m'tfrmaf Ria (R Vdw) ie 38 & EXTERIOR WAIL MahoW Ehimlom Bab WmkneSs a. RAISED FLOOR uawol �� � Tfdckno s (bedew) 5. SLAB FLOOR / PERIMETER Material Thi *new Poduneter hadation Dep* (Irwhes) & FOUNDATION WALL mat+ww Thi *nm 1 DECLARATION 1 hereby mtiy that the ebw w th�j m* %_W Brined Name jotm Modle Thood Resistance (Ra►aweL 2 e ormw Name Jdum mamma Them w Recce (R 1 ) Thonvil Rhe (R Vawe) brand Name Th meal Reswunoe (R Value). LOERKE WSULATION CO.. INC. (Ca ) OrO,owl .�. t�cif: .rt �: t. vl.• i� � _1(( �� �1. iilu --�--- r () Or FABU20 AV^CA IM ORDER NO.: 00201315-002 - KM SCHEDULE C (CONTINUED) A SIXTY FOOT EASEMENT, THE CENTERLINE OF WHICH IS DESCRIBED AS FOLLOWS; ALSO INCLUDING A FIFTY FOOT RADIUS CUL-DE-SAC: COMMENCING AT THE NORTHEAST CORNER OF PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 28, 1978, IN BOOK 70 OF MAPS, AT PAGE(S) 7; THENCE SOUTH 0° 15' 44" WEST 653.33 FEET TO THE SOUTHEAST CORNER OF SAID PARCEL 1; THENCE ALONG THE SOUTH LINE OF SAID PARCEL 1 SOUTH 820 37' 50" WEST 626.05 FEET TO THE TRUE POINT OF BEGINNING FOR THIS EASEMENT; THENCE FROM SAID TRUE POINT OF BEGINNING NORTH 586.23 FEET TO THE POINT OF BEGINNING OF A CURVE TO THE RIGHT HAVING A 150.00 FOOT RADIUS AND A CENTRAL ANGLE OF 900 00' 00" AND ALONG SAID CURVE 235.62 FEET TO A POINT OF REVERSE CURVATURE FOR A RADIUS OF 150.00, AND A CENTRAL ANGLE OF 700 00' 00"; THENCE ALONG SAID CURVE 183.26 FEET TO THE POINT OF REVERSE CURVATURE FOR A CURVE WITH A 150 FOOT RADIUS AND A CENTRAL ANGLE OF 700 00' 00"; THENCE ALONG SAID ARC 183.26 FEET TO THE CENTER OF A 50.00 FOOT CUL-DE-SAC WITH 20.00 FOOT RETURNS AND THE END OF THIS EASEMENT. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN PARCEL A AS DESCRIBED ABOVE PARCEL C: BEING AN EASEMENT FOR THE INSTALLATION, MAINTENANCE, REPAIR AND REPLACEMENT OF A WATER WELL, A WATERLINE, APPURTENANCES THERETO, AND INGRESS AND EGRESS TO FACILITATE THE ABOVE, IN OVER, ACROSS AND UNDER A PORTION OF MARCEL 1 AS SHOWN ON THAT CERTAIN MAP FILED FOR RECORD_ SEPTEMBER 10, 1999 IN MAP BOOK 148 AT PAGES 41-43 IN THE BUTTE COUNTY RECORDER'S OFFICE AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWESTERLY CORNER OF SAID PARCEL I; THENCE SOUTH 000 24' 11" EAST, 143.00 FEET ALONG THE WESTERLY LINE OF SAID PARCEL 1 TO THE TRUE POINT OF BEGINNING: THENCE LEAVING SAID LINE NORTH 890 35' 49" EAST, 60.18 FEET; THENCE NORTH 000 24' 11" WEST 4.00 FEET; THENCE NORTH 890 35' 49" EAST, 20.00 FEET; THENCE SOUTH 000 24' 11" EAST, 20.00 FEET; THENCE SOUTH 890 35' 49" WEST, 20.00 FEET; PRELIM .a ORDER NO.: 002.01315-002 - KM SCHEDULE C (CONTINUED) THENCE NORTH 000 24'11" WEST, 4.00 FEET; THENCE SOUTH 890 35'49" WEST, 60.18 FEET TO THE WESTERLY LINE OF SAID PARCEL 1; THENCE ALONG SAID WESTERLY LINE NORTH 000 24' 11 "WEST, 12.00 FEET TO THE POINT OF BEGINNING. THE BASIS OF BEARINGS FOR THIS DESCRIPTION IS THE WESTERLY LINE OF SAID PARCEL 1: BEARING OF SAID LINE BEING SOUTH 000 24' 11" EAST PER SAID MAP. PRELIM COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI 7 County Center Drive • Oroville, raliforn'ia 95965 • Telephone (530) 5 -754 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT 3' 1991"S ASSESSOR PARCEL NUMBER 047-250-204 ZONING SR -1' BUILD G PERMIT OWNER Mark Beni no 899-1952 TELEPHONE SO, Fr. OCC. 1, BUILDING VALUATION .OWNERS MAILING ADDRESS 77 Talon Drive Chico CA 95973 est 21 000.00 CONTRACTORS NAME Bowen Pool 345-2503 TELEPHONE CONTRACTORS MAILING ADDRESS 05 Filbert Ave Chico CA 95926 CONSTRUCTION LENDER LENDERS MAULING ADDRESS Fireplace Total Valuation $ 21,00 .00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 216.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS ve C77 � Energy Plan Checking Fee $ PERMIT FEE $ 259.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.0015,00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Pool Master #508-01 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "OOV OR LESS 2OOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class c-S-3C-Lic. No. 3 % q WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: pf I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurancecaier and policy number are: I' Carrier S:7 -A � t- Ai 0 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLns. SO 3.5¢FT: "NOON-AESID. MULTI -OUTLET BRANCH OUITS @7,50 POWER APPARATUS 8 BINDLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. ouTlETs Ra.) En 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE t50, Q� MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 6, -- ' $-® (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X at7 /r` �8,3 U1e--- Date 7--7-()3 Signature of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 344.00 HAZ. D. FEES IMP _ FLOOD _ CIF PARCEL ^- PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON / the applicable provisions Resolutions to do work been paid. 07a;417/t/0-3 Date ReceiptNo. 3 3 b WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY Piot Plan Anachad Roos Plan Anachad Sana to S.D. —3 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance -77 '-7_-, / Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for 4welling. Other z>a o Hold final for: Final clearance O.K. for: NOTE: - �* l /r. Environmen ealth Specialist Date !�'t""�j'N`'-��e,ir�--e-7.•rn-��e-� ;_ ,, �►•y�"�,'F"'w�y+'�I ;r�s�,r*�r''�t COUNTY O)= BUTTE -DEPARTMENT F�1 E ,'OPMEkT SER 7 County Center Drive, Oroville, CA 9$-965 Phone (530)538-7541 Fax (530)5 i8- h46 PERMIT APPLI&TION DATA SHEET �A it. ��- SESSOR PARCEL NUMBER S C Proposed Building Use: /d7� / /Z1 4:57r -e A 51Z.Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checke OR marked NA in or" er to apply. ❑ L. Plot plans, 3 or 4 sets, signedXy the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ; s� Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ '8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings.....................................................:.. ❑i 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ r ❑ 13. Other { Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ` ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: -, ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. t- I have been informed of the above items and requirements for obtaining a building permit. Y., �o �-. {- G�i1 � C.�"t__ -7-7-6-3 Applicant: Date: 1. Index permit application for the above items numbered:"• Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: ' ` Date: Plans approved by: ate: Structural reviewed by: Date:' *• ..` 'Structural approved by: Date: Note transfer by: Date: ` Yellow: Building Division _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center. Drive • Oroville, California 95965 • Telephone (530) 538-753 / PE c 1y96) APPLICATION AND PERMIT J .SWMR PAR= MJ10FA y7 2S0 - O LO"R1°s _ BUILDINGPERMIT e' /i o0 "� 11,51_SQ. FT. OCC. BUILDING VALUATION 0 0 S �ADDA�SO a C �, �� 6A Tc -573 L l :AXE OS MUUTA AD , /d /✓� �. C Grp c� crr �l� 26 Wt�� Fire lace 09mMAtUNG ADDR°Ss Total Valuation S L `, c.J >.IIEct OR EMMUM LICENSE NM Firm Fee 5 2 D. 0 0 Permit Fee s 21 74rE= bR Q1Ou1W" MMJNG ADDRESS Plan Checkin Fee S' J - oowcAODREss f Energy Plan Checking Fee S / C PERMIT FEE s 25 - !r. . suaDlvs loxs MWE PAwoE� MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap USEOFSTRUCTURE D Duplex ❑ Niobushome D- Other 79 Cps=" / °Ps=" Solar or heat pump water heater 23.00 Water piping t 5.00 157,04 Each gas water heater or vent 15.00 TYPE OF WORK Sew ❑ Add'16m D Remodel D U ffias ❑ hnstak*- D M9, 13 � /�S Pte_ )ascribe Work //��� � �`'� Gas piping sydam t - 5 outlets 15.00 BuilThg sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE ELECTRICAL PERMIT Firma Fee 20.00 Malt Service ' oma t 23.0D L/ 6 0 0 7C D 31 D.�> Stem ;X: SIR lk SuerHeating / / e 7 on,_ • Main service zow to +o00A 46.00 NEW cost: DwEUJI+o ogr 3.5C OR ADons. s ,gee, stile. MN4=mm ML 1. MuuwIRCI @7.50 PONvm APP/taATUs s sam.E cR m e Er- Occup. ovn.Er OR FXTLB= say ®.so . OR a Occup. ovnE F=M.) F& S.DD Temporary Service 23.00 Mobile Home Fealities 20.00 V=. Wring 23.DD . PERMIT FEE S O MECHANICAL PERMIT Fang Fee 2D.D0 Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee >D Energy Inspection Fee S ` =D=c CDN".TYPE TOTAL FEE $ 3yy , 00 N�Z. D. FcEs IAIP Cpf ARC PDQ Nt�� amu.+ter This permit is hereby issued under the applicable provisions of the Butle County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 3o RUNE 25, 2003 BA C H M A N & ASSOCIATES COUNTY OF BUTTE Department of Building 7 County Center D6ve Oroville, CA 95965 RE: BOB BOWEN POOLS ATTN: DAVE, WASNEY Dear Dave: I have reviewed the plans for .130 Vv Prjols. Since the pool plans are identizal h�to.tne app ro,!ec set of plans I would ask that nbthing be done at this time. If I can be of further assistance in this matu'r, please do not hesitate to let me know. Very truly yours, C. W.BACHMAN RCE #16803 �41 Se W XB'qQ- `may v p C co Q' 6-34 � V 16 3 2 m A W ADDRESS L'-' 13647 GARNER I-4;AE CHICO, CA 95973 Civil. OF CA. ENGINEERING SURVEYING PLANNING DESIGNING 3012 The Esplanade, Chico, California 95926 Telephone: (916) 342-4136 'F (W GONG. \ PATIO V 4R o Po IR•� � IbR 6R / 4'R 4 16 \ i \ 4'R Ib 3O' -o - V/ Z-0. GRUoJIF.P Slow TYP. 0 0 4V I� 4- 50• BILDING . - 3 NOTES � r RESIDENTIAL ol 1 047-250-204 02-1326 `. P IT NO. ; BENIGNO, Marc / 6/p ,nl �j'C.t ,�� ��„rC ' '77 Talon Drive, Chico p New Single Family 1 .'t y SPECIAL CONDITIONS f CHECKED_ BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address 77 �� (. �os., GAS Meter ByD ateAo�r 1" ELECTRIC Meter By Date f JOB FINALED (Date) o-03 Signature 0 I I f SPECIAL CONDITIONS f CHECKED_ BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY Address 77 �� (. �os., GAS Meter ByD ateAo�r 1" ELECTRIC Meter By Date f JOB FINALED (Date) o-03 Signature 0 I 0 = Not OK = Not Applicable = Not Readv V r_r�c_ 61C '. %,4 n • RESIDENTIAL (Single & Duplex) Date UndeMlSor (Plans) OK except #'s J. Lj0,-Tain; Soils-ElecLg+tIT,'-/1&/" Ftg. DepthY2?a'y r 3. Ftg., CAapafe; Soils-Steel-Elec. Grnd.-/ /" Ftp. Depth & Decks; Soils -Steel-/ /" Ftg. Depth garage; Steel -Blackouts -Wrapped 6a!Rold Downs and Special Anchors 'f 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel .V.; Fall -Fitting -T ay C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underaround 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 36" -Vent Fan, Exhaust above insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 7 Water Htr. iVaent qjesrCombustion Air Baffle 18. Water Pipe T' & Anchor -Nail Protection 9 21. W D..V. est zings & Anchor -Nail Protection ower Pan; Test, First Floor -Tub Access Test Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors Date /L)• /�if -O�, Card B-1 V Date Card B-1 Date Card B-1 Date Card B-1 Date E RICAL (Permit) OK except #'s Fixtu Tfansformer Clearance -Ins. Protection Iec. F aGeptacles Spacing -Lights & Switches at Doors & No. of Conductors 26`$erfl" tailed Close to Edge of Studs & C.J. N—fquip—ground made up w/Mech Fasteners -B d Gas & er 24-2`9ppliance Circuits in Kitchen & Conductor Size GFI 2 . i Cu or AI 30. Range C' cle,tt"a Cu or AI -Oven Circ. / / ga Cu or Al Al_Lpeta ate NeO Yes O No 3 vice -Riser Conductors & Ground Main Disconnect 3 ip. Clearances Panels-Motors-Mech. Equip. 33. CI s Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-111 Date Card B-1 Date Card B- Date Card B-1 Date CHANICAL (Permit) OK except #'s 35. A. cts Insulation & Support ) 36" -Vent Fan, Exhaust above insulation 37 Condensate Dr ' &Overflow, Size Grad e33 Furna nt Access -Comb. Air -Return Air Ven 115 outlet 9 Attic Access & latform Furnace in Attic Date b'�J-aZ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ^ FRAMING (Permit) OK except #'s ' (r37_Walls(Stf$s1Nailina Spacino & Braces -Plates -Sound Nai Draft Stop in Walls (rat proof) �+ F' tops, Furred Ceilings -Stair -C s- ubs eaders & Beams -Size ee Date FRAMING ( effinued) / 46. Hanae -ost s- -Connectors 4 re ies or Type Vie -Fireplace Throat Clearance Atti ess; Size & Romex Prote on- D ro Stop- I .Baffles Bdrm. Windows or Exiting , rs-Sil . & Di nsions -4451. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits us; Width -Headroom -Rise -Run -Landing -Fire Protection 50/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ,4U /0— Ej- 02, GI Area -Glass Protection -Skylights -Plastic t Shear Walls; Nailing -Bolts ()t3 - 60. race Interior/Exterior Wall Panels /1,71 . Insulation -Walls -Ceilings - 62. Infiltration -Walls -Windows Date /Q• -(X Card B-1 f/ Date Card B-1 Date O - 2 3 -a 2. Card B- Date Card B-1 Date L (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings ef Smoke Detector 6 rnace V s -clearance -Comb, Air -Connector - In rage; Above Floor-Ducts-Mech. Protection edoom Exiting . G.F.I. & Bath Fixtures ub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels' 71!Elec. Outlets at Wood'Mn-el, Int. & Ext. Clearance 7_'U/Elec. Outlets & ReceptaVes at Kit. Counter 76-A'C. Duct in Garage -Damper 7 . tr.; Vents -Clearance -Co it Conne r-P.R.V. in G rage; Above Floor-Mech. Protection 7 Ib., Elec. & Mech. Equip. Listed for Location 7 ec. Receptacles in Garage (F.F.I.)-Romex Protection 7 nsulation-Foam-Looked in Attic 80: and Rails & Deak Co ction-Post Caps 81. Fdn. VBee40r_Crav6HoIe Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 2. jollowing Instld./Drive Q Yes Q No/Walks 0 Yes 0 No/Planters J Yes Ql No . Stucco Brown -Finish 8 Unit Disco ct, Electrical -Plumbing 85 ants Above Roof, PI liance-Fireplace-Clearance to Openings Ater Well, DisconnectlflectncaPlumbing 87 xterior Elec. Trim, G.F.I. Receptacle -Underground ntilati Throughout House 8 ass Protection 9Q,�arWtions from Previous Inspections 9 as Test -Meters Tagged, Gas -Electric j_12Cr ;4Ot'ir) 9 pjkSewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates 94. Address Posted Date --7-03 Card 8•tU Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: = OK 0 =Not OK = Not Applicable Not Ready MOBILE DOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements . 1. Zoning Requirements-Setbacks-Easements 3. 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 3. Sewer; Location-Test-Fall-C/O-Concrete 6. 4. Water; Location-Test-Easement Needed (Sketch) MOBILE HOME INSTALLATION (Plans) OK except #'s 5. Electricity; Location-Clearances-Grnd-/ /Amp-Concrete Zoning Requirements -Setbacks -Easements 6. Gas; Location-Test-Wrap;-/ /" L'ft. / P Nat. or / /"L"tt./ PLPG Footings; Size -Spacing -Marriage Line 7. Well Clearance & Disconnect 4� 8. Utility Clearance 1. Zoning Requirements -Setbacks -Easements . a 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing Card B-1 Date Card B-1 +� Date 6. Card B-1 Date Card B-1 .l Date MOBILE HOME INSTALLATION (Plans) OK except #'s - 1. Zoning Requirements -Setbacks -Easements Siding; Nailing -Veneer -Stucco -Mesh 2. Footings; Size -Spacing -Marriage Line 11. 3. Gas; MH Test -Demand -Valve -Connector Braced Wall Panels 4. Electricity; MH Test -Crossovers -Breakers -Clearances Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 5. Drain; MH Test -Fall -Flex Connector Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 6. Water; MH Test -Regulator -Connector ' 7. Water and Sewer Connected -C/O to Grade -HD Approval Plumb.; Cir. Test -Water Supply Test 8. Gas and Electricity Tagged Light Niche 9. Tie Downs -Type -Installation Cert. i 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Card B-1 Date Card B-1 12. Permanent Foundation Only; License Decal Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4� Date MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements . a 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric ` 8. Frmg.; Sills-Anchors-Studs-Rhrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements .. 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t IMPORTANT MESSAGE Time—Date g j Take y For From r /� Telephone elephoned ❑ Wants to see you 1 ❑ Returned your call. i ❑ Was here to see you t t ease call ❑ Will call again ` ❑ URGENT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Rt ; OWNER PERMIT NO. h A routine inspection indicates that the following violations of butte county Ordinances exist at the '? above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, r� W���1���� Dainspector— REV nspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above ad�rs and should be corrected. Please notice this office when correction of work is coes mpleted. If you have any questions pertaining to this matter, or need additional explanation, plea e,contacl this office immediately. i `Nr !'�r —i '„ "n . ,O' j,6 _ )iil ' lir ,rM f J%/�8 _ MS i Date � ' -� � Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is complete . If you have any questions pertaining to this matter, or need additional explanation, please c ntact this office immediately'. fk aJSC- C 4.4 .J ') r q e:;, /^' /2> L-.xh"y,4Le- T ,Bit Ale,01( �- p� )-7 TO r' �.> e L..X -P - 03 ghovf oe Date ' Inspector REV 10/92 f COUNTY OF BUTTE—_ _ BUILDING DIVISION r, DEPARTMENT OF DEVELOPMENT SERVICES ,f. 41.1 Main Street • Chico, CA • (530) 891-2751 7 County Center' Drive.• Oroville, CA • (530) 538-7541 r CORRECTION NOTICE {: OWNER' PERMIT NO. ` r;r '- A routine inspection indicates -the following violations of butte county Ordinances exist at the . 'above address and be corrected. Please notice this office when correction- of work is ? completed. If y ave any questions pertaining to this matter, or need additional explanation, ' please co this office immediately. -e cot w .t - n s. _ 44i, vInP A-t� P - ,Kiwi C�/( � oven (A� I S, a No ?�: 1 f • J r '�• ,Date - Inspector , REV 10/92 t -��ws ^-+—s-•....ti.ri �:...cy'yf�rcgen ,K•.'-,� fj ' COUNTY OF BUTTE BUILDING DIVISION, , . . DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 Ey, 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE x. OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above.addr ss and should be corrected. Please notice this office when correction of work is r complete. If you have any questions pertaining to this matter, or need additional explanation, please ntact this office immediately. `Zi�1J�-CQP }rYlp� � DA r' C✓ [7U�/i►� !/K_.QArt/?�rl�i,, &&n 1jPJK1VIAAA t. ^ t(�{lo. - /� F /lrcnn l U wo It A., t+ fr` (l -d a -ed t 10 tit \ L q - *'DOWSPA- jam'. i%A back b5\ *- f �}. -gyp.-- n •r Date �6 oZ 02- Inspector V REV 10/92 - COUNTY OF BUTTE f BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE OWNER i PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address an should be corrected. Please notice this office when correction of work is completed. If have any questions pertaining to this matter, or need additional explanation, please act this office immediately. �n -h, 0 e i4` 6F- ';./ - a r 1 Date � 'Z Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE�MI N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 047-250-204 ZONING SR1 BUILDING PERMIT OWNER Marc Beni no TELEPHONE 899-1952 SO. FT. OCC. BUILDING VALUATION - 2696 R1 OWNERS MAILING ADDRESS 14 Blan ueta Ct. Chico CA 95928 1053 U - CONTRACTOR'S NAME Owner TELEPHONE 4 99 COV 6,497-00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $171.025.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 891.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUIL INGADDRESS ,r alon Drive Chir -n CA Energy Plan Checking Fee 23.00 $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap L31 7.00 91.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFYEach Solar or heat pump water heater 23.00 Water piping 15.00 L5.00 gas water heater or vent 15.00 5. 00 TYPE OF WORK New h Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF Gas piping system 1 - 5 outlets '0015-00 Building sewer 15.00 15 00 Mobile Home I S I G I W 920.00 PERMIT FEE $171.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service z*.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class C— g Lic. No. y 9a 7 7 2 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 2Z2J 7J r' -)-.yl &2 Policy Number I (The above sections need not a competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ' c;omAwith those provisions. / X Date J O Z- Sign re of ppl' an - Owner Contractor 11 Agent An SHA per ' ' re Ired for excavation ver 5'0" deep and demolition r co�sUuc of structures over 3 stories 'n height. Main Service zooA To L000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADDNS. ( a ACC. Bens. 3.5¢x: 131 -2 T. NOµRESID. M.%T., OUTLET @7,50 OWER APPARATUS 8 SINGLE OUTLET CIR. 20 Dn Ex. Occup. OUTLET OR FURES BAL Q I. 0 Ex. Occup. oFUT,Er°rsAP�Ra oEw 5.00 Temporary Service 23.00 23, Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $197.22 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation LPG Fireplace PERMIT FEE $ R9 50 Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE $1981 70 HAZ. D. ESCD AALEE p HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have T EXPIRES ON f the applicable provisions Resolutions to do work been paid. Date Date Receipt No. a'WIL WHITE-D.D.S.-B.D. CANARY -AS SS R PINK -INSPECTOR L ENROD-APPLICANT 1' E.H. USE ONLY Plot Plan Anmchod P l r as Plan A chadEY S.2 to S.D. i r u TO: Building Department y , FROM: Environmental Health SUBJECT: Sanitation Clearance Loll .3 ;ci4vz 7-2 SD — 26 O ner Location AP# Plan Approved for: Sewage .Disposal x Water Supply: Public Private Well X � Clearance for fig. Other ✓rr! aye Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION r 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: P ^ r ASSESSOR PARCEL NUMBER (/ -' z5o +0 o Proposed Building Use: �' ' Counter Technician: o �- �' Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ot plans, 3 or 4 sets, signed by the preparer of the plans. A'2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. V Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. l"O.,. Engineered truss details and layouts in duplicate. No faxes! � 5. Energy compliance design and supporting documentation in duplicate. 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items r quired for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be i d and returned to the plan review line-up when required items are received. Date Received By Flood Elevation Certificate, wet -stamped and signed, in duplicate................................ x - 9. Plot plan and business license approval from the City of Biggs .................................... ;;f.❑ { 10. Letter of intent for non-residential buildings............................................:............ ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................. ..:.............. ❑ 13. Other aining items needed to issue the permit. (May require additional plan review upon receipt of the -following items.) .. oar L:.y.... ees as shown on the attached Schedule of Fees Due Sheet. ............... ... .4. Statement of Intent for Non -heated and A/C Buildings......................................� . CSanitation and plot plan approval from the Environmental Health 41DIepmen❑ City of Chico Plumbing permit .......................... . ........... elk California Department of Forestry plan approval paid. Sent br................ ❑ 19. Planning approval for (A) Use: 0 K (B)Parking: eck: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ Contractor's license information. (N erg -fern St le, Classification) ...................... Worker's Compensation CarriexCnd Polic Number ............................................ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ _,_ !Letter of Signature authorization�.................................................. Recorded copy of Agricultural Acknowledgment Statement .................................... �-/ '7 - 8. Manufactured home utility clearance................................................................ ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed f the nve items and requirements for obtaining a builing permit. Applicant: Date: —R S-/.11 1. Index permit applicat o or the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phot ❑ mail, ❑ counter, by Date: `` Contractor, designe caner, as advised of the above data by f� o' ne, � mail, ❑ c ntpr, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved y: Date: Note transfer by: Date: . lSZ- Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER LSPY1 (' v J i PROPOSED BUILDING USE ✓ 22 1. BUILDING PERMIT FEES (� Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee .............$ 2. SCHOOL DISTRICT FEES 1 C 1 `� (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential...................... Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. A.P. # O °"I DATE / � Z_ RECEIPT # DATE REC. Commercial (sq. ft.) ............ x = $ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES �t`' 1 C °`� �' VC�� • 190 (paid at District Office) (Available after Plan Check), ' 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7 SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) J7— -343%1 5.Z3.vz 8. WATER TENDER FEES (Battalion # ) / $200.00 (paid at Building Division) V — 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE2:� 3X 7, { Pursuant to Government Co ze90 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. Yodays from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) Tp �4 BUTTE COUNTY PARRS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RE��C//REATION AND PARK DSI%STRICT Assessor Parcel Number(s) ©"T 7 Property Owner `Jc—/U C Al 0 Project Location/Address / T�wN Subdivision Lot Number(s) Residential Development: (check one) /New Development Alteration/Addition C Total Number of Dwelling Units / nt: Mobilehome(s) _Non -Residential to Residential Building Department Representative D to *�r*,t**�r�r�r,�,t�r�r�r�rrr�r�rvr�r,��r�r�r,rw*�rtirvrrr,rx�r,�vr**�r�r�r,��r�r,r�r�r�r�r�r�r*x•�r�r*�r�r*,u*�r�r�rvrrr�rrr*�r**x�r Chico Area Recreation -and Park District(CARD).certifies that 91r2__ (Applicant Name) (Phone Number) Street Address.) (City) (State)_ (Zip -.Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for dwelling units @ $1,189 for total payment of $ CARD Representa ive PAID BY CHECK NO. �, REMARKS: BANK NO. C1 O " LI PAID BY CASH: RECEIPT NO. Distribution: White --Applicant Pink= -CARD park.fec (forme:revised 11/90) Date Yellow --Butte Co. Building Dept. Q7/GMWP_denrod�-C tyFlbf Ch °coQBuilding$JDpptg •ya •lu } ^: BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 0111 e, 0 Building Department No. A.P. Number Oq7opJurisdiction: City County Property Owner/? &7-116AM, , l'///J' ve Property Location/Address / 0 "" r at C7,- / . (,, (1 Subdivision Lot No. .................................. :................................... ............................................ . �� 16 Residential Development € Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # *(No foundation inspection): r - r, 0 New Addition r ••Buildidg_Department Representative 41 runs reviewea ov bcnooi uistnct District Identification No. D" �� School District certifies that J � Sq. Footage (Including Exterior " Roofed Areas) /t"/ 7 o Date (Applicant) (Street Address) (Phone Number) (City) (State) (Zip Code) / /) has complied with the requirements of Resolution No. (� CJ by payment of $ 55 C26 representing �U/ / square feet. School District Representative Paid by Check # Remarks: AB 2926 $ FULL MITIGATION $ -711 G.2, Date I< 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(x), 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'lmpact 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 (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing. your building permit. No building permit will be issued until this verification'is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO ❑ 2. I HAVE 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: C%. CITY: 01101 o PHONE: CONTRACTOR'S LICENSE NO. <192 ? 7 'Z- 4. I plan to provide portions of this work, ,but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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 I PHONE • TYPE OF WORK SIGNED: PROPERTYOWNER: �X4 SOCIAL SECURITY NUMBER: DATE:����d� NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must. be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of 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 S300 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 Governments 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 for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract 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 their own employees, without a licensed contractor or subcontractor, only under -limited conditions. A frequent practice of unlicensed persons professing to be contractors 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 contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. qrely, el C. Vi ira, C.B.O.ger, BJuilding Inspection NOTE: This Owner -Builder Information is required by Section 198.10 of dre California Health and Safety Code - OVER ADD ji�. RAL SPECIFtCAT3f01S SWIPE -'. Gz s X P E, TtmplA T COPING COPING L161 Pum MOTOR r"H.P. At FILTER rA� FILTER," Aft _ ]Fl Vkbw� k - `,&"-SKIM ER, 0 ON, MAN 001 'Z�" '�_4 SK"MME 0 ,z,,.W/RO E&FLOATS ROMRINGS - ih-t , DECK TREES,' tr& 166k 60i"Tt-7-1 RAISED BOND ,,!,-YES U ING"-",POOL p OOL ............... ADD ji�. RAL SPECIFtCAT3f01S SWIPE -'. Gz s X P E, TtmplA T COPING COPING L161 Pum MOTOR r"H.P. At FILTER rA� FILTER," Aft _ ]Fl Vkbw� k - `,&"-SKIM ER, 0 ON, MAN 001 'Z�" '�_4 SK"MME 0 ,z,,.W/RO E&FLOATS ROMRINGS - ih-t , DECK TREES,' tr& 166k 60i"Tt-7-1 RAISED BOND ,,!,-YES U ING"-",POOL