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Home My WebLink About047-750-025-7 ,5-b - c).2 5- 4 � Roger L. Briggs 552-G Green Meadow Lane, Chico contr- Holiday Pools, Chico Permit #3277-81B,P E(new pr.'limm ing -)oo1-) i' 39 /e _ t i �15o•oz5 04/ - - . PERMIT#95-3086 ,SHELSKY, Jeanne 4336 Green Meadow Ln. ; Chic cI (� Gas S Pi e li / p / -&�9--A�25 v`l--j -7 o RMiT#.95-3098 - SHELSKY, Jean 4.336 Green' Meadow Ln. �, Chinc/o q (, Cont; Artic :Air,e HVAC/SF, r 07.7S� - P2 448-025 ' PERMIT#98-1534 SHELSKY, Jeanie 4336 Green Meadow Ln'., Chico 1�6 Cont: Four Seasons Roo 'n -/ ff/ Reroof/SF to �1 vu-7 C`�--0-2 S 94q -44e--025 03-2396 SHELSKY, JEANNE 4336 GREEN MEADOW, CHICO REPLACE POOL ELECT B08-0562 } 047-750-025 MISCELLANEOUSitoom Ad'dn-Multi Stry 2 -STORY ADDTN: RES 12 15', GAR 61 4336 GREEN'MEADOW LN MICHAEL REALE., 107 -++- 25 + PERMIT#96r35AG 44JI SHELSKYJ , eanne 4336 Green Meadow Ln., Chico LAg Exempt Permit -Greenhouse 1 1 5 'd' I � � � yes . DocuSign Envelope ID: 8C264BFE-FF85-4055-BE71-88DOE4735242 Butte County Department of Development Services PERMIT CENTER Butte County — ' - - 7 County Center Drive, Oroville, CA 95965 DFVEIOVMENI SERVICES Main Phone (530) 538-7601 Fax (530) 538-7785 " www.buttecounjy.net/dds REQUEST FOR PERMIT COPIES Permits cannot be researched without an Assessor's Parcel Number and/or Address. FORM NO INF -06 ** COPY FEE IS $ 25 FOR THE FIRST PAGE AND $ 06 FOR EACH ADDITIONAL PAGE. NOTE: Copies of building plans are not covered by this request but instead are under California Health and Safety Code Section 19851-19853 and require written authorization from the property owner and the Registered Design Professional (RDP) before being duplicated and a separate fee. 047-750-025-000 COUNTY ASSESSOR'S PARCEL NUMBER: JUN 2 7 201 4336 Green Meadow Ln Chico 95973 ADDRESS:- DEVET nn�,�— rT COPIES OF: o Permits o Other: xa Everything CONTACT INFORMATION Rob Haley Contact Name: Please email Mailing Address: Contact Number: 530.228.3482 robhaley@kw.com Contact Email Address: Fax Number: *******THIS AREA FOR OFFICE USE ONLY******* Completed by: Date Completed: Amount Due: Customer Notified by: ❑Mail ❑Email ❑Phone Date Contacted: Revised 7.20.2015 Page 1 of 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION(IVR)#: (530) 538-4365 OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4336 GREEN MEADOW LN Owner: Permit NO: B08-0562 APN: 047-750-025 MICHAEL REALE Issued Date: 5/20/2008 By GLB Permit type: MISCELLANEOUS PO BOX 941 Subtype: Room Addn-Multi Stry CHICO, CA 95927 Expiration Date: 5/20/2009 Description: 2 -STORY ADDTN: RES 1215', GAR 1 (530) 624-2272 Occupancy: Zoning: SRI 0 Contractor Applicant: Square Footage: MICHAEL REALE Building Garage Remdl/Addn PO BOX 941 1,215 617 297 CHICO, CA 95927 Other Porch/Patio Total (530) 624-2272 323 2,452 FEE INFORMATION DBEH Building Review Fee $78.90 DBF Room Addition - Multi Stor $627.10 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE Fire Inspection (SRA) $107.00 DBFIRE SRA Fire Plan Review (S $107.00 DBMSC Room Addition-Multi-Stor $940.64 DBOMSC Fire Safe Standards Rev $118.98 Total Charged: $2,094.52 Fees Paid: $2,094.52 DBSMIP Residential $7.90 Balance Due: $0.00 Receipt No: B7363 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 5/20/2008 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compansalion insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one a hundred dollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: 13 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers'X 5/20/2008 compensation provisions of Sectio 0 of the Labor Code, I shall forthwith comply with those Oknrs Signature Date provisi n X - 5/20/2008 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. CouWet toov ntid roperty for inspection purposes. I hereby certify that I am the propon the property owners behalf. 5/20/2008 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner E] Contractor OR. E]Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES PERMIT BUILDING PERMIT APPLICATION" NO. OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION 10, Website: www.buttecounty.net/dds BIN 06 PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name,�,4L� FM Name Mailing Address /• 0 90,X, 9y City G�� State C� Zip P e�D-�a5� �a7,Z Fax 3D-3y.� 9��8 E-mail M4/ %/ ✓AT/?7rl , CdM ARCHITECT/ENGINEER CONTRACTOR Name City I� Aad Address Zipfp 6f City Fax State Zip Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name B�fMli IVlCaIfT/n/hc� Address City I� Aad State0a Zipfp 6f Phone Fax E-mail State License Number APPLICANT INFORMATION Name M tri07t�5;i- fZFA-z-C Addressp_ 0 - 8 o x 19W City CH -7 c -;o Statee 4- Zip y�r9a Phone_30 'd-a-`7.dL- Fax -5-3a- E-mail Al rG f/74 -LC h�-TVA-, 7otJ. Gd,fq APPLICANT SIGNATURE X M PROJECT LOCATION API. 017-%,!�-0-Dam Property Address 433& la)erEN P1E7A-Dom LAl city alfi C4 CA- 9517 -7 3 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 d f A - Address l DESCRIPTION OR SCOPE OF WORK: ftt)iTiavJ dF a GI-ve_ 6^411-6c /-Db / i r 0,J 0 o2Q S1 o v��t nrr�/ e`krsGTi-�C nbfl�'LM�< - In/�yG row N'Azt ,rE��T�EI-c�,4-i'�e�r Sq FT- Living`Z J,5 � Open C ❑ Structure Built without Permits ❑ Proposed Change of Occupancy i (Note previous use): 1� For office us ly: Zoning Flood Zone SRA Yes No Occ. �SQ 1 Type Const. -Ob;), -1 a'_ CJS 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: B08-0562 Location: 4336 GREEN MEADOW LN Parcel Number: 047-750-025 Date: 4/1/2008 By: GLB Sub Type: Room Addn-Multi Sti Owner Name: MICHAEL REALE Phone: (530) 624-2272 Description: 2 -STORY ADDTN: RES 1215', GAR 617', REMODEL 297'; COV 32 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 SEWER DISTRICTS ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 PARKS & RECREATION DISTRICTS ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 ❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ E] City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ ❑ Other: 0 ❑ Other: "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. Signature of Applicant: Date: 4/1/2008 FILE J' SCHOOL DISTRICTS ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 17 ❑ Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 M ❑ Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER ❑ ❑ Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions ❑ E] City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ ❑ Other: 0 ❑ Other: "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. Signature of Applicant: Date: 4/1/2008 FILE J' Butte Cbunty 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 paTM� WA c �1.l5 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B08-0562 Location: 4336 GREEN MEADOW LN Parcel Number: 047-750-025 Date: 4/1/2008 By: GLB Sub Type: Room Addn-Multi Sti Owner Name: MICHAEL REALE Phone: (530) 624-2272 Description: 2 -STORY ADDTN: RES 1215', GAR 617', REMODEL 297'; COV 32 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: 1�4 Pit/ FILE Date: 4/1/2008 Reference Number: B08-0562 Location: Parcel Number Owner Name: Description: California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 4336 GREEN MEADOW LN 047-750-025 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Date: 4/1/2008 By: GLB Sub Type: Room Addn-Multi Sti MICHAEL REALE Phone: (530) 624-2272 2 -STORY ADDTN: RES 1215', GAR 617', REMODEL 297'; COV 32 To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and .site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6226, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 4/1/2008 Date Rev'd 5/7/07 Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Fireprevention/protplan/protiDlan.html FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B08-0562 Job Address: 4336 GREEN MEADOW LN Contractor: Fee Description Printed: 4/1/2008 9:51 am Account Number Fee Amount Paid Date Pmt Amt DBEH Building Review Fee 0021-540013-4614901-1010 $78.90 4/1/2008 $78.90 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $107.00 4/1/2008 $107.00 0100-450001-4617240-1010 $107.00 DBOMSC Fire Safe Standards Rev 0010-440001-4210500-1010 $118.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $107.00 4/1/2008 $107.00 DBMSC Room Addition-Multi-Stor 0010-440001-4210500-1010 $940.64 4/1/2008 $940.64 DBF Room Addition - Multi Stor 0010-440001-4210500-1010 $627.10 DBSMIP Residential 1001-0-280-1011298 $7.90 Printed By: Gwyn Benedict 29094.52 $19233.54 Balance Due: $860.98 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These feesa ange uring the plan checking process. e• Si natu / g >r . Date: 4/1/2008 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 NOTICE TO BUILDERS" Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: D Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY" Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications, if the permit has not issued, but not after 180 days from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/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: B08-0562 Location: 4336 GREEN MEADOW LN Parcel Number: 047-750-025 Date: 4/1/2008 Owner Name: MICHAEL REALE Phone: (530) 624-2272 Description: 2 -STORY ADDTN: RES 1215', GAR 617', REMODEL 297'; COV 32 Signature of Applicant: Date: 4/1/2008 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 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 PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR NO) 2.(HAV /HAVE NOT) SIGNED AN /APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO I< 136, IieTY�#W K -D 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 CI 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: 2 -STORY ADDTN: RES 1215', GAR 617', REMODEL 297'; COV 32 Reference Number: B08-0562 Applicant Name: MICHAEL REALE Owner's Name: MICHAEL REAL o AP # : 0�4/7-7 0-025 Signature of Property Owner: �� J/' Date: 7 /U COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 r �Ij NO. (Rev.12/96) 1. APPLICATION AND PERMIT V , s ASMSSORPARCELNUMBER 0 �1/ I —1 q /_11 'O —OZ ZONING BUILDINGPERMIT OWNER �r) n p SQ. FT. OCC. BUILDING VALUATION .OWNERS SS eye CONTRACT R's NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS D� ��n ree Vv Energy Plan Checking Fee $ $ G% L 73 PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther SPECIFY Soler or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherz Describe Work: 1 1, 10ca-� 12010 G Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 eoov O LEss Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages astheir 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 Main Service zoOA TO ,000A 46.00 NEW CONST. D ."NG OCCUP. OR ADONS. ( a ACC. sins. SO 3.5¢FT. NOµgESID T. MULTI. CIRCUITS -OUTLET @7.50 a SINGLE OUTLET CIR. R APPARATUS Ex. Occup. OUTLET OR FIXTURES SAL @': o UNS Ex. Occup. oFIXurLEEDTSA AEslo°Ek 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those Uv isions. X Date'91 Si ature of Applicant - ❑ Owner ❑ Cqqtractor ❑ Agent` A OSHA permit is required for excavationser 60" deep and demolition or constructionff of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate a ve for whic s h BY PERMIT EXPIRES ON01 I the applicable provisions Resolutions to do work e been paid. Iq ate Pate Receipt No. l -00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'Dec 17 02 11:38a w� p-2 I OWNER -BUILDER VEI.2IFICATION I 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 ❑ NOX 2. I HAVE; HAVE NOT 13 signed an application for a building permit for the proposed work I have contra` cted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAIVIE: 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 PHONE TYPE OF WORK SIGNED: ' � X M/, D. -_TE:' C/ • NOTE: Thu Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. Tlsis verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dec 17 02 .11 : 37a ,- - • -0. 1 <90 Dear Property Owner: An application for a building permit has been submitted in your name listing yourselr 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials 'and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are anemployer. 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. 0 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. 0 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. s 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 "'ownerbuilder" 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 conf nn that you are aware of these matters. The building permit will not be issued until the verification is returned Sin:rel , �• blichadnsp l C. Vieua, C.B.O. , ,, Manager. Building Iection' NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES i 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT P MIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed an 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. U �-- ZONING c�tf_ , •7 OWNER JS� PHONE NO. y OWNER'S ADDRESS Ir(�L LOCATION OF BUILDING Nor+k cA� corney" nF USE OF BUILDING �I r Jq0 LAS (5,7 SIZE OF STRUCTURE �� /� 2 ' x _ ' _ SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE E'STIMAtED COST OF CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: I - e FRONT SS:5 SIDES ltwv— REAR ',7-0 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date,3/�7& Signature of Owne Permit Fee - $60.00 The above describe AG Building is exempt from a buil per . Receipt No. Ill 13"6 FL7D I PA7 I ' P.D. ROO I I L76 I ISSU Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. 1., Goldenrod — Applicant ,ra... ,;:.! .4.-, ,4.�,F -y�1.i ar-r....i�a„„•.+..,:- �r*--n....i�4+-.-�..-. `�G...w...:�`rp. .y"}t.,fT�-l,.�r"Ai`n 4vwwr�,;:.,;......-ter .,..o wr .�:......,-•;•..•1-�.- - �`.rk h CbUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION i 7 COUNTY CENTER DRIVE - OROVELLE; CALIFORNIA95965 -TELEPHONE (916) 538-7541 l ` PERMIT APPLICATION DATA SHEET OWNER je-,&,� _S4e1Sr'C Proposed Building Use Building Inspector A. P. C, No. 7 yI Z,<- Date 3 7 i,6 At time off ,7it application, I was advised the following data must be submitted prior to permit processing and/or issuance: IDATE RECEIVED BY 1. All items have been submitted . ............... ''....................... 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $t ......................................... 11. Impact fees as•shown'.�.o'ri-atfached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year=flood) by California Engineer . ................. . 14. Sanitation and plot plan approv l Health Department . ............ 15. City of Chico plumbing permit . .......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . X19. Driveway permit (construction approval required prior to occupancy). .. .. .. . Pre4nspedion requeR w 2p Pre -inspection for required. .. to Bui�aing �nspedor (Date) 21' Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29.. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan checklist . ....................... ............................. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applica t Cft'Q Date 9 Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). ; 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _i phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works f� I i;- -- Lt - )3 047 -440-025- PERMIT#98-1534 SHELSKY-, Jbanie'' 4336 Green Meadow Ln., Chico Cont: Four Seasons'Roofing Reroof/SF ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ��' PERMIT NO. (Rev. 12/96) APPLICATIOMANO PERMIT�� ASSESSOR PARCEL NUMBER - 047—A40=025 ZONING BUILDIN PERMIT - OWNER TRANT TELEPHONE SQ. FT. OCC. BUILDING VALUATION 40 SQU RES 2400.00 ILIS - AES . OWNERS MANGDDR GREEN TI CHM-WO -1-41- CONTRACTOT,a SESONS RWnNG JRM18 CONTRACTOR5W A065SETRD. #10 CHICO CONSTRUCTION Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 21iiOQ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4336 GREEN MEADOW LN. Energy Plan Checking Fee $ $ CHIC O PERMIT FEE $ 4.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SFE] Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROO I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I@20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800V OR LE Main Service zo..ORLESS 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.POWER License Class ` 7 I Lic. No. G' 7j4 �. , �c 7 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEwNG occuP. OR ADDNS. ( a ACC. BLDS. so 3.50FT. p�IpT' MULTI -OUTLET @7.50 APPARATUS a SINGLE OUTLET CIR. EX. OCCU ourLET OR FDCTUREs 20 @ 1.00 BAL @ .50 EX. Occup. oun.ETsF'EO APPRESIDINS. . EOR0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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 ')VtAr, +mrd Policy Number -.71 - SSfc (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 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply.with those provisions. X !, /..�. _." /G7x:e1'/ _ Date Signature of Applicant ❑ Owner ❑ Contractor ❑ Agenf 11 An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date, PERMIT EXPIRES ON Q Dele ' Receipt No. 244237 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Calif2rnia 95965 • Telephone (530) 538-7541 PER NO. (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 047-440-099 ZONIN0 BUILDI PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 40 SQU RES 2400.00 . OWNERS MAIUNO ADDRESS 4336 GURN MRAWAT IN CHICO c"RACTOr0SEASONS ROOFING TELEPHONE -418 CONTRACTORS 49MA5ILI0NGADC9HASSET RD. #10 CHICO CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 2400. 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4336 GREEN MEADOW LN. Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ 74.00 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF f Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR UE:S Main Service .A a.. 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' "35 Lic. No. /n �%3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. ( 8 ACC. BLAS. SO 3.5¢FT; NEW CONST MULTI-OUTLETIT. @7,50 POWERLE APPARATUS 8 SING OllTLE7 CIR.ovrLETOR Ex. OCCU FIXTURES 20 Q'.0O BAL Q .50 Ex. Occup. oFuc"EE'A Aa oR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 worker'tcornpensation insurance carrier and policy number are: Carrier . V MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 1-71 —.39k (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 fo with comp, with those provisions. ,� , X G�2LK1' `^' " --- Date l3 i Signature of AppiWat - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.ey Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. p. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date- 71 /Z PERMIT EXPIRES ON Dete Receipt No. 244237 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �,ic'r�"'�l�•S7N'Rk+9,$o, _ _ �.-,�....r�---v--r--•r.:.. =zar .n.o.+nr.r,CLs,'¢vs+�,+,.v:. 00440-025V -PERMIT#95-3098 SHELSKY Jean 4336 Green Meadow Ln.,° Chico Cont; Artic ,. Aire HVAC/SF- ,t. q �1''1Y'"tN►��`'�t�+fw'l1ri`l! j;kk.'"T"+�'`!�'°nN�;wcwi+,r rc:�lr-r.s:yt.1::'4;1^t• i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CaUifornia 95965 - Telephone (916) 538-7541 PERMj,TNO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 047-4 ZONING SR1 BUILDING PE IT OWNER 7 _- JEAN SRELSKY TELEPHONE 891-8553 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME ARTIC AIRE TELEPHONE 845-3330 CONTRACTORS MAILING ADDRESS WAA My 39,rRTCO9 Fireplace CONSTRUCTION LENDER :UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4336 GREEN MEADOW LN PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFNEI Duplex ❑ Mobilehome ❑ Other SPEC FY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: —EW NHVAC SYSTM Mobile Home I S I GI W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 000V OR LESS 200 OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 G 4 / — -2 D Lic. No. ; 3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 NEW CONST. DWELLING OCCUP. \\ OR 8 ACC. BLDS. SD. FT 3.5¢ . NEW CONST. MULTI.OUTLET N NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. / EX. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 50 FIXED APPWS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION I.hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain 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 u JV ( C4 MECHANICAL PERMIT Filing Fee 20.00 9 Heating 20. Cooling 15.0( Hood 6.50 Ventilation PERMITFEE $ 55.0( Contractor Policy Number +$ / D / P3 (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 lawj�of California, and agree that if I should become subject to the workers' comp nsation provisions of section 3700 of the Labor Code, I shall forth ith comply: ith th a provisions. t r X t __ Date tF-!% 3 _ Signet re of App`licanf - d Owner ❑ Con'tractorAgent IP -An OSHA permit is required for excavations over 60" deep and demolition or construction of structures overstories in height. ` Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ �H.O( HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date �� PERMITEXPIRESON (Date) +3 Receipt No. r Q(�G� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENTOFIDR` ELOPMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 ER TO. APPLICATION AND PERMIT ZYITASSESSORPARCELNUMBER — — ZONING SRI BUILDING PE OWNER JFAN STARTSKY TELEPHONE 891-8553 SO. FT. OCC. B ILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE — 30 CONTRACTORS MAILING ADDRESS 9838 Fireplace CONSTRUCTION LENDER UN -OWN Total Valuation $ Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 4336 GREEN MEADOW LN PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF )p Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW HVAC SYSTEM Mobile Home I S I GI W I @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service000v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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 — oZO Lic. No. al 1 9 1 3 OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 209 1.00 BAL .50 Ex. Occup. OUTLETS(PPNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.0 PERMITFEE $ 43.0 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation. insurance carrier and policy number are: Carrier Ll /V f C41�9�--t7 Policy Number - (l / 6Z of --3 (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 pe on in any manner so as to become subject to workers' compensation la f California, and agree that if I should become subject to the workers' comp ation provisions of section 3700 of the Labor Code, I shall f ith comp ith tho a provisions. 11 X Date �d• -- �!%� _ Sign a of App (cant - ❑ Owner ❑ Contractor gent An HA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 20.0 Cooling 15.0 Hood 6.50 Ventilation PERMITFEE S 55.0 Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 98.0 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. /611u" � Date / BY & PERMITEXPIRESON 12-20-% I (Date) ReceiptNo. 17 n e&l WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r . ` .'�r-�- r.,,�,. ��".r�.; .....-..a *•,,..., Jr.w'iikti+..r.- r-.Jb--..+..,,,,..:.rti6. rw:.�.�..Y::.y,Y� �r/-...r�, ;`. .-.�,._� ,r._....�,.-�.w_,,.. .. -.. 9OUNTYOF BUTTE -DEPARTMENT OF` VIVEA�OPMENTSERVICES - BUILDING ? IVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-754, PERMIT APPLICATION DATA SHEET OWNER -TEA t/ SH cLSK f � A. P. No. 0 y % - � 16- y a-5_ Proposed Building Use S.F. W£LL_146 Building Inspector C16GOrs Date /2-Zo-pis At time o . permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer, of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ......................................... . 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . tiest 20. Pre -inspection for to Building Ins rec or p required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner Mail to owner . ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .. ................. ' 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road.\ ..... 27. Letter of intent on building use . ....................................`..... . 28. Mobilehome utility clearance . ..................................... �... . 29. Documentation of legal access . ..................... :.......... ....... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. .. & .......... 31. Existing violations/expired permits . ........................................ 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. M it to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date w Copy of Haz-Mat form sent Health Dept. Fire Dept. AiR Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date . By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works anoltnul�pN.P RTwmzf,4tz7,w�-v _ 1 It » +s•�--�� - ip; lr;vay.�;er-•e=`.pyo... ,�jia'^i7l®—u' '•--.' •- - 1 047-440-025 PERMIT#95-3086, SHELSKY, Jeanne i 4336 Green Meadow'Li Chico. " Gas Pipe/SF A �` .;2�: �, COUNTY OF BUTTE DEPARTMENT OF DEVEL-OPMENTSERVICES! BUILDING DIVISION . 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 j�r„� PERMIT No. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BU I L�IAG P ER M IT OWNER TELEI*IONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 46114A (TR71211 IA!EACHTCO I x f CONTRACTOR'S NAME - - TELEPHONE CONTRACTOR'S MAIUNG ADDRESS Fireplace CONSTRUCTION ENDER UNI(NOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS t } Penalty $ BUILDINGADDRESS 4336 GREEN WAMW LN PERMITFEE S PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEt4 MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE. SF )0 Duplex ❑ Mobilehome!❑ Other ; SPECIFY Each gas water.,heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 4 Describe Work'. Ifs GAS PIPE — � i Mobile Home S I G W @20.00 ` PERMITFEE $ Contractor •, ELECTRICAL PERMIT Filinq Fee 20:00 - i ... Main Servicee00V OR ESS ( 200A OR ESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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.EX. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( 8 ACC. ) 3.SQ FT. NEW CONST. MULTI.OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 WERus (aPs E NG )UTLETT CIR. ) Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL .50 Ex. Occup. ( OUTLEE°Ts RES D.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: - ❑ I have and will maintain a certificate of consent to self -insure for workers' COM; ensation, as provided for by section 3700 of the Labor Code, for the perfo pe of. a rk for which this permit is issued ❑ I hav ill maint n�►s' ation ins ranc asIrequired by Section 3700 of the Labor Code, for We p of work forwhich this permit is issued. �. �My ,workers' compensation insurance rrier, and policy number are: Carrier'V oil'y- -1 MECHANICAL PERMIT Filin Fee 20.00 g, _._ Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contract6r .- ,t; 0,;, Policy Number (rhe abovee��sections t be ifthe permit is for work of a valuation of ontrl9R c6gd dollars ($ ) Or less.) ❑ 1 certify that in the. Or nct of the work for which this permit is issued, I shall not employ any person rqWyl manner s0 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�� _ et_—_ Signature of Applicant-/+Owne lf��i e An OSHA permit is required for excavations over 5'0" deep d demolition or construction of structures over 3 stories in height. Mobile Home Installation 'Fee Is Energy f Inspection Feed /.} $ OCC CONST. TYP E E tTO,TAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under tale applicable provisions of the%Butte ;County Code,,and/oVResolutions to do work indicated above for which fees have been paid. /ry. By Date/ PERMIT EXPIRES ON ;' (Date) ReceiptNo. jt� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI 7 County Center Drive - Oroville,'_Califomia 95965 - Telephone (916) 538-754 PERMI APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 047-440-029 ZONING qpi BUILD G PERMIT OWNER TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4336 GRE CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20-00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESs 4336 GREEN MEADOW IN PERMITFEE _ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF A Duplex ❑ Mobilehome f] Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (&XW8 GAS PIPE Mobile Home I S I GI W @20.00 PERMITFEE S 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service / EOOV OR LESS 2ooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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, g ) and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.52 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 6AL .50 Ex. Occup. ouTLEEDTs (FE Is o.�eA ( ) 5.00 Temporary Service 23.00 M e Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE ; Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, 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 _ Date49— Si ture of Applicant - Owner ❑ C n actor ❑ ge An SHA permit is required for excavations o r 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HA2. 0. FEES IMP FLOOD COF PARCEL PD HD This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMITEXPIRESON /ITE•D.D.S.-B.D. (y�B� provisions to do work paid. Z 1/-% f rReceiptNo. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 pro erty improvement: YE 0, 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: CITY: PHONE: CONTRACTOR'S LICENSE NO. 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 PHONE TYPE OF WORK SIGNED: PROPERTY SOCIAL SECURITY DATE: 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 Dear Property Owner: O.B.- l; 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: 0 If you employ or. otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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. 0 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. 0 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 "ownerbuilder" 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. Si nc rel Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER t PERMIT NO. 3277-81B,P,E PERMIT EXPIRES OWNER Roger C-� Briggs CONTR. Holiday Pools, Chico ASSESSOR PARCEL 47-44-25 LOCATION 522-G Green Meadow Lane, Chicc V Temp. Power Pole Called PG&E Y Temp. Elec. Service Called PG&E Temp. Gas S4 vice Called PG&E JOB F ALED (Date) Al � 9� Signature V=OK 0 = Not OK – = Not Applicable MOBREHOMES MISCELLANEOUS 1-4 * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Reg( IY6—mments-Setbacks–Easements 1. Zoning Requirements–Setbacks–Easemenfs- 2. Soils; Special MH Support–Sketch 2. Footings; Size–Depth–Spacing–Connectors 3. Sewer; Location–Test–Fall-C/O–Concrete 3. Decks; Girders and/or Joists–Decking–Bracing–Stairs–Rails 4. Water; Location–Test–Easement Needed (Sketch) 4, Wood Awn.; Posts–Beams–Rftrs.–Con nec.–Shthg.–Rfg.–Bracing 5. Electricity; Location–Clearances–Grnd.–/ / Amp–Concrete 5. Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures 6. Gas; Location–Test–Wrap:/ /"L" ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows–Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -B1 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date POOLS (Plans) OK except #'s 1. Zoning Requirements–Setbacks–Easements AS–etbacks–Easements 2. Footings; Size–Spacing–Marriage Line 3. Gas; MH Test–Demand–Valve–Connector 4. Electricity; MH Test–Crossovers–Breakers–Clearances _ a_ &oils; Compaction–Structure Stability ooI Structure; Steel–Connections–Thickness–Dead Men–Lining lec.; Receptacles and yjgMing; D4taf<6s–GF1/ 5. Drain; MH Test–Fall–Flex Connector /p, rec.; PooVitfiting; 15 volts–GLL - 6. Water; MH Test–Regulator–Connector I Alk., Sec.; Enqlwdres; Cond it ries–Terriaa•1s--Liet� 7. Water and Sewer Connected–C/O to Grade–HD Approval p, lec.; $erf5ing; Meta–Circulatin rpment-14ester B. Gas and Electricity Tagged ;(�2� lec.; Gr ing; EquipjWAT' Circulating Equip.–Posh Boxes–Enclosures–Panel boards–Ins. to Main in Conduit 9. Exits; Insp.–Sketch 10. Cert. of Occupancy a Ith Department Approval 9-1,T lumb; eW. T–Welersdpp+q–'Pest Card B-1 Date Card -BI Date Card -BI Date Card -BI 6D Date Card B-1 Date Card -BI Date Card -BI Date iZ Card -BI Date m zg--y/ 0 6if" = Of( = Not OK = Not Applicable Not Ready RESIDENTIAL (Sin-gle and Duplex) = Date UNDERFLOOR Plans OK exce tb's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soilp-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Gara e--�rd Story, 2 exits Stairs; Width-Headroom-Rise-Run-Lanq ng -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access ` 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except k's 83. Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 31. A.C. Ducts; Insulation & Support _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - -- Card -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except M's 36, Sills; Proper Material & Anchors _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47, Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE .DEPARTMENT OF PUBLIC WORKS „t 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway. and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE <-- BUILDING OR PROPERAY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �o ef;'sLfG/ tbrxl f��c/�y K� i Inspector �.�_ 2 +� '�"'�^ Date RF. __�r-y HOLIDAY POOLS September 17, 1981 Butte County Department of Public Works, Building Division 7 Count.y.Center Drive Oroville, California 95965 Attention Mike Enclosed please find two copies of the revised blueprint and plot map for the Roger L. Briggs pool construction project at 522-G Greenmedow Lane, Chi.co. These are being sent now to show the new location of the ' swimming pool, inasmuch as the serotic tank was located where the previous pool had been authorized. The pool has now been excavated in this new location, and we've not found that we're near any of the septic system.. Two copi.es are.b.e.ing provi.ded so that one can be approved by Butte County in this new 'locati.on and returned" to us for posti.r..g at the job site. If thi.s i.s not the procedure you will be following, L.would appreciate your assuring that the inspector does not hold up our project,, because the pool is not located where shown on the approved plans now on the job. If you have any questions, please contact me. timely assistance in this matter. Sincerely,. Bi Horn II. General Manager BH:mpm Enclosures Thank you for your BILL HORN Licensed Contractor TELEPHONE License No. 209322-053 1170 EAST LASSEN AVENUE—CHICO, CALIFORNIA 95926 (916)343.8245 or" i COUNTY OF BUTTE - DEFIARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. A ASSESSOR PARCEL NUMBER 47-44-25-2, ;041NG BUILDING PERMIT OWNER Mr. Roger L. Briggs TELEPHONE 343-5521 SO. FT. OCC. BUILDING VALUATION 512$131000.00 OWNER'S MAILING ADDRESS y ' 522 G Greenm�low Ln,Chilco CONTRACTOR'S NAME HOLIDAY POOLS TELEPHONE 343-824 CONTRACTOR'S MAILING ADDRESS 1170 E. Lassen Ave. CHICO 9.59.26-08_99 Fireplace CONSTRUCTION LENDER UNKNOWN X Total Valuation $1:3 , 000. 00 - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 64, 00 ARCHITECT OR ENGINEER McCain Associates, Jim January LICENSE NO. C-23379 Plan Checking Fee mastered $ 10.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 492 Rio Lindo, Chico Permit fee $84.00. BUILDING ADDRESS 522 G . Greenm.(low Lrf- Chico PLUMBING PERMIT Filing Fee io.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping 5.00 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other pri.v'ate pool SPECIFY Building sewer Lawn sprinkler system 5.00 Circulator System 1 7.50. TYPE OF WORK New® Addition❑ Remodel F1 Utilities❑ Installation[] Other E:1 Describe work: Construct steel r i n fnrrer3�•,—�? a 'pool and install rl.ated ecluipmpnt 2nd deck psP Permit Fee $22.5 Contractor HOLIDAY ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST./ DWELLING OCCUP.EI� OR ADDNS. \ ACC. BLDGS. 2� sq ft " CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. n y License No. 09,9 Classification C-53 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI.OUTLET 2,50 ea • NON.RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS SJ NON -RES ID. SINGLE OUTLET CIR, 50 @ as Ex. Occup o DR FIXTURES BAL�10¢ IXED A IXED APP LHS. OR Ex. OCcup.(OUT LETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring ALL FOR POOL 7.50 7.50 Permit Fee $1.7. 5 Contractor Valley Electric MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said Count in consgquerof the granting of this permit. X�� I Y_�� Date 8%281.81 Signature of Applicant — Owner ❑ Contractor ® Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiciees in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE _$I,24.00 • OCCUP. GROUP I TYPE OF CONST. I PARCEL v PD N11/.1,SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS GG�� Date!' -3- Receipt No. �C Z 3o WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r7 COUNTY OF BUTTE — DEPARTMENTt.OF PUBLIC WORKS — BUILDING DIVISION s IN 7 County Center Drive — Oroville, Califo, tifnia 95965 — Telephone: 534-4541 r., rx,.-;: r;7 . , .t. 6' PERMIT APPLICATION DATA SHEET Permit No. OWNER Mr. Roger T,. 'riggs A.P. No. Proposed Building Use Private swimming pool Permit fee based upon: X Complete Contract Price DPW Valuation Other (explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate...................:........................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. L%0. Sanitation approval from Chico Health Dept.... 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to 16. Other bldg. -inspector (date) When you issue the permit, process as follows: Mail to owner X Mail'to contractor. Telephone ( and hold for pick-up at office. Deliver w/inspection. Other nit Applicant f��1s f1 Date August 28. 1981 Bill Horn II. General Nlana�yer Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: -(For required items not checked above at time of application, circle item.) / 1. Index permit for above Items No. )ea 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone r Mail Other By Date Plans checked by 61Date Plans approved by / Date OTHER: Copy/DPW To.- Building ,Depar.tment From: Environmental Health Subject: Sanitation Clearance <1'Lz te a, ? CT Gaeej, m p-ock, 1/0 `! `7 4 y - a,5 Owner LocaUon Plan approved for: sewage disposal. water supply Hold final for: water supply 5 - 611 DaFe 29 EXIMINO WELL - S89 -33'00"W IR -II 169.61 165.61 I G /PARCEL / PARCEL 2 I.. ACRES 1.18 ACRES EA NONEXCW VL/LIC -- EASEMENT FOR WGRESS AND EGRESS NO PUBLIC 6 e $R UT' UFF PURPOSES AS SHOWN��, 4 PARCEL RECORDED DED f�Q. 811 62 0 M PS A. PG l6, IS RESERVE IN DfE09 AND IS 9 RiNP HPRFBY OFFENED FOR DfmcATION TOTIE COUNTY OF BUTTE, SETBACK -- S 89-55,00-w (BASIS OF REARING) LEGEND •FD.3/4.1"" PIPE TAGGED LS 3336 O BET 3/4*IRON PI -E TAGGED R.C.E.1420$ ;t( FUTURE WELL LOCATION,UHLESSOTIERW1SENOTEO 497.00'IR-I I S B9^!l00"W II61,00' STATE OF CALIFORNIA) SS STATE OFCALIF NIA; SS "� `➢' R.;i `n o '— I616B• W 20.00 ON F.6—%*, M4 , BEFORE [ -1 UNOEgS GRED, A NOTARY PUBII'NC IN ATO W-I)sCO^04'41 S.9433'00,W 10.06 3p GN BEFORE YE. THE UNOEPSIGNED.A NOTARY PUBLIC IN AND FOR SAIDS E TO LEAN • T EXEC 4 NID VALLEY TITLE AND ESCROW COMPANY, TXE TXAT HEREON, THE (EOM, TO O BE TRE PENAME Y .11E. PEAW APPS ARED O➢VID MMLLW6..WN TO NE T. BE THE PERSON WHOSE NAME O HEREON AND ACNXOWLEWEO TO ME TN1T NE EXECOiED TME SAME. W1TNE55 .HAND WHO EF UT CEATWIC ON B THE CORPORATION ANO ESECOWL TND CERTIFICATE HEREON, O .ROOF EC TND ESAME..HEREIN N➢MED, ANO ACNNOWLEOED TO NE THAT SUCH CORPORATION EXECUTED THE SANE. WIlNE55 Nv i X4X0 AND OFFA q BGC. PARCEL 3 c A SIGNA — E E01 ueF±ciTl-cnL. ACRES C \LIB Wr.::.,�:a, :. a:,i c -ANY °° - 2UIST PARCEL MAP RECARD£R Sk F... 1N,�22mY pP BEING ALL OF PARCEL I PER PARCEL .�_, WBOM O�'PARREL A." Aru._1.s_ArfN Rf00FSlOF ---•• �- MAP. RECORDED IN BK. 62 OF MAPS AT WELL LIN ------J--- G R0 °s $ GREEN MEADOW 16561 1656E IF 1) 497.00 BASIS OF BEAR/NGS BAB. OF BEARING IS THE NORTH LINE OF - PARCEL 2 AS SHOWN ON THAT PARCEL x REGORGED IN BOON 49 OF MAPS AT PAGE 26 . 0`1 �' y NB. 17%J3 i7 �/ e I\ f �fll•IL / �> � cc. SURVEYOR'S CERT/F/CATS M/S YAP —S PREPAMD 81 ME OR UVORR MY O/REC_ AND WAS COA/HLEO FROM RECBN7 DADA ANO /S BASED — A F/CLO SWBVEY /N C6VfORMAAYE W/rM ME REOWREMEWTS OF w sUav1 /SIGN NAP ACT Al r➢F REO sr 0, OAV/O .ILIA.$ OM dO6OST ,/BTB./HEREBY sum THAT 1N£ PAPC£L MAP PAINEOWPES OF rMf LOCAL A6FNCY MAVE BEEN CTLVPLAM W/IN — —1 — PARCEL NIP Li7NFCl9Nf . rNE APPROVED TEMTIr MAP AMO 7NE CO 7A'VVS OF APPROVAL JMEREDF WHAR WERE RMOIREO TO BE FOLF/LLEO PR/OR Al ME F/LLM6 OF rNF PARCEL MAP. EVERO AMt CA/N C. E. /ARO! RECORD REFERENCES BOON 62, PARCEL MAPS, PAGE 36 ...... (R -I) BOON A9, RANCEL MAI., PAGE W'7. .'IA -21 LANE RAY PARCEL LOCAT/ON MAP SCALE- I'- IMILE OWNER'S CERi/F/CATE 1 DAVID M. WILLIAMS, AS OWNER OF THE LAND SHOWN NEREOH, AND MID VALLEY TITLE AND ESCROW COMPANY, A CORPORATION, AS TRUSTEE UNDER DEED OF TRUST FILED AUGUST 26.1971, W DOOR 2205, OF OFFICIAL RECORDS AT PAGE 56, DO HEREBY CERT FY THAT WE ARE THE ONLY FERSONS wWOGC CONSENT IS NECESSARY TO PASS CLEAN TITLE TO SAID LAND AXD WE CONSENT M THE PREPARATION AND RECORDATON OF SAID MAP AS SHOWN WITHIN THE BORDER LINES. ,I— MID VALLEY TITLE AND ESCROW COMPANY ACKNOWLEDGEMENT fmRPORAngv/ w�,wlaann�TnP ACKNOWLEDGEMENT uwolY/mAu It,t s c'P STATE OF CALIFORNIA) SS STATE OFCALIF NIA; SS "� `➢' R.;i `n o COUNTY OF ) COUNTY OF= ..�E�N ON F.6—%*, M4 , BEFORE [ -1 UNOEgS GRED, A NOTARY PUBII'NC IN ATO F FDR dAID STA T��PERSOrA�LY APPEAR ED SVALL I�RHCRO ONX 0 'OF' GN BEFORE YE. THE UNOEPSIGNED.A NOTARY PUBLIC IN AND FOR SAIDS E TO LEAN • T EXEC 4 NID VALLEY TITLE AND ESCROW COMPANY, TXE TXAT HEREON, THE (EOM, TO O BE TRE PENAME Y .11E. PEAW APPS ARED O➢VID MMLLW6..WN TO NE T. BE THE PERSON WHOSE NAME O HEREON AND ACNXOWLEWEO TO ME TN1T NE EXECOiED TME SAME. W1TNE55 .HAND WHO EF UT CEATWIC ON B THE CORPORATION ANO ESECOWL TND CERTIFICATE HEREON, O .ROOF EC TND ESAME..HEREIN N➢MED, ANO ACNNOWLEOED TO NE THAT SUCH CORPORATION EXECUTED THE SANE. WIlNE55 Nv M AN MY HAND AND OFFICIO SGL - X4X0 AND OFFA q BGC. owxn OFeurrc SIGx4TURE - X NE (PNNTEOI SIGNA — E E01 ueF±ciTl-cnL. ne.` �A - Wr.::.,�:a, :. a:,i c -ANY °° - PARCEL MAP RECARD£R Sk F... 1N,�22mY pP BEING ALL OF PARCEL I PER PARCEL .�_, WBOM O�'PARREL A." Aru._1.s_ArfN Rf00FSlOF ---•• �- MAP. RECORDED IN BK. 62 OF MAPS AT COUNTY SVRVEYORS CERT/F/GATE PG. 36, a BEING IN SEC. 29, T23 N, RIE, M.D.M., BUTTE COUNTY, CALIF THIS MAP LiSVFORYS W/)N rME RFOO/RENENTS OFF 1ME s"c" SION NAP ACJ ANO LORAL /S AH7FMCE. FE 6A NI"Is ' Us/VF EASEMExJ (VEERED FOR LIFO/GT/ON /s NOJ ALREPlfO AT M/S r/Mf. mwl RE[YWOER CpUNTY OF BUJJE OWNER- DAVID WILLIAMS 3-2E-71 CLAY ce AC A BY McCAIN ASSOCIATES (916).91-1869 CA E. /4EFA [OONIY SURVFI.OR OFM/IY 492 RIO 11111YENUE (NICO, ULIFORNIA 95926 owxn OFeurrc sEw.L ntl. /e Ego CONSULTING ENGINEERS -SURVEYORS SHEET I OF I KEEFER ROAD i `> a9>.00'497.007 ) /1 .15.00' M ♦ / : / W I W // - ga ` I c PARCEL 1 -a c PARCEL 2$ u PARCEL 3 '$ 8 PARCEL 4 g}� _ - .AC. e0 - LSa.0 3a9 .G. I O ^ SG 1 G nLl BLDG 1 O O^� . -SETBACK Y' LIxE IPPO W plpl : I ----m --.---- --_ --- .900' TcAEEN---------.` ---�M�AD6----- 'YAFaE--=-----------1w5�;O 60' NONEXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITY PURPOSES TO BE RESERVED IN OEEDS OWNER'S CERTIFICATE WE JOHNM MWTHEI B CHERYL A. NANTHEI, HUSBAND AND WIFE, AS OWNERS OF THE LAND AS SHOWN HEREON DO HEREBY CERTIFY THAT WE ARE THE ONLY PERSONS WHOSE CONSENT IS NECESSARY TO PASS CLEAR TITLE TO SAO LAND AND WE HEREBY CONSENT TO THE PREPARATION AND RECORDATION OF SAID MAP AS SHOWN WITHIN THE COLORED gDE. N /� AN HFI CH E.YL CJ°Al�j--p.NTH�EI COUNTY SURVEYORS CERTIFICATE THIS MAP CONFORMS WITH THE REQUIREMENTS OF THE SUBDIYISION MAP ACT AND LOCK ORDINANCE DATED //✓�//ri77 � � -- CLAY CAS LEBERRY .C.E.1.22. STATE OF CALIFORNIA) COUNTY OF BUTTE I ON TNISy/M DAY OF NTLI LY 19]7, BEFORE Ni_ A'A' F. CODtp NOTARY PUBLIC IN AND FOR THE COUNTY OF BUTTE, PERSONALLY APPEARED JOHN N. MANTHEI AND CHERYL A. MANTHEI KNOWN TO ME TO BE THE PERSONS WHOSE NAMES ARE SUBSCRIBED TO THE FOREGOING CERTIFICATE AND ACKNOWLEDGED TO ME THAT THEY EXECUTED THE SANE. `ND��C RECORDERS CERTIFICATE �p FILED THIS J -2 --DAY OF ABT%, ATZ-af. IN BOOK PAgtE PS T FAGE AT THE REQUEST OF Hti+C SERIAL NO. S4 w COUNTY RECORDER Cr ",30 RIGHT-OF-K'AY TO W BUTTE COUNTY PER Z P.M. ex 49 P0. 2B CC 169. O. R. 108 a u SURVEYORS CERTIFICATE THIS MAP WAS PREPARED BY ME OR UNDER MY DIRECTION AND IS BASED UPON A FIELD SURVEY IN CONFORMANCE WITH THE REQUIREMENTS OF THE S BDIVISON MAP ACT AT THE REOUEST OF JOHN MANTHEI IN JUNE 197 T, I HERE8 STATE NAT THE RARCEL MAP PROCEDURES OF THE LOCAL AGENCY NAVE SEEN N WIAND THAT THIS PARCEL MAP CONFORMN S TO E APPROVED TE -E 4N THE CTIONS Oi APPROVAL THEREOF WHICH WERE REpUJOED TO BE FULFI Ela TO THE FILING OF THE PARCEL MAP MAK ALBERT L.S. 3336 CPo� - -� A LEGEND 6 INDICATES FOUND 3/4*1.P. TAGGED L.S.3336 0IN OICATE9 SFT 3/4' I.P. TAGGED L.S. 3DB I INDICATES EXISTING WELL B 100 LEACH FREE AREA 6VJ INDICATES PROPOSED WELL B 100' LEACH FREE AREA NOTES THE BASIS OF BEARING L8 THE NWTH UNE OF PARCEL I GIYLN AS NB9° 33'00 E ON THAT CERTAIN MAP FILED IN BOOK 49 OF PARCEL MAPS AT PAGE U. PARCEL MAP BEING ALL OF PARCEL I PER PARCEL MAPS RECORDED BOOK 49 PAGE 28 BUTTE COUNTY CALIFORNIA LANDS OF, JOHN MANTHEI SCALE I" ° 2od' JUNE 1977 MAX L. ALBERT LAND SURVEYOR 1360 MANGROVE AYE.CHICO,CALIF. SHEET I OF I N ,COUNW ly?. (4) .APR 0 12008 DEVELopWNT SERVICES ,2&' 0" DI y 4,1 (6) 4&g. FA(f, -rm). 1 1, T I Lj.,i V_ALIFORNIATFT1,924 COPIPWAkIt' 50% of Mich.. Iffilbil.g. min., to bo high effirory. ent Ithund air from -It—Wilbli. minping Into unconditioned spume), mod IC mted (10 direct Confute W/" IM,) . :All bI&h.frkmij1lghiI.j mart be.wlfcficd 3CPeMtC[y from 101; •., "(11—jilghdiig. • I. ]lost, that am 13 wells or gmafse must be electronic, W/ an output r"utocy otno.less than 20kHZ dr rooms, and utllly roaw• - :boll ... y 'emsor.:, high M,.!y o,, commit d by m, ,mupu.i i—p,.6r Ml.g..deropphlit dimm- All mj,d"r lighlixill (mounted to b.:Idl.g)..h.Il be fiber blith M CCACY or'commlltd by o pboto,c!l / motion samor ccmblnaflon.'�. v 11 0 V'*- - I I II v- K A e. f, li 4 . I 'A" �jf ft 4 ..... . lei ........... ...... .. 0 le� L 16" 4W-LA,4F-fA—e- 4.4. i?-r-vA4vr, 1-41 (H) 5. "'. bv Pit, &0 N 11 -15W M i wb 0 6 to + I VA T 4--Ii�,,---Y r rh- L4 -Aie3- 1,.c, 11 e 7 U 17P Mill MOO W."4 X .� , . I t W Lj Nov 4.1 68 s A , (W).Ft,,o . . Ill : - �PTel X IZ- .4j9T ml Re 7 . 6W41 L f -i -, . ". - �J .4 db i &vj. W - IRT I-- . T ib -A /77 it t T. 7 -7. T f 'T. Y.. (14) L e, to 04 4f.: I -rtvs wA- -.LY O'e.'r-4. VPAL ala."_ -4. 04 4x(� - P. ST i ........... . ..... ... ....... 9 P. - 12." z9 0 P r H -7- llj 7 ff,1% v� WALAW5 x ;t Ware,, .2 4 W 07 6 Vie, 6TMIU= . wara�p ifff. 1.sw" 4 T,(r vj!:ruL.3 , -sHTff. 'sol - s04 PIZ /.OvI-rjdW&L- lwp�- REVISIONS BY M Vf O ca < U J 0. W 0 < U C) 0 onto Scale ss:(jSktj omwn AGN Shout I of g Show. ROMIS SOMME ,exterior locations water proof & wl glcl lf�ichcn, baltirilornsi and within 6' of sinks' 91c.l. garogd- g.r.c.[.@+ 41i. Inches bedrooms- are fouli circuit Interrupters. FI NST FANS 9MULE mItrk 'make model 'annog reinarits A DROAN LJOO I.I. Wilmer. a BROAN 150 1.3 wl If - C BROAN 20D Ls w/ it." D BROAN 25D (2.2to..) 2.1 .1 time, .9 BROAN 300 (2.9....) 2A wilb Oroav eleetromR 1.161,11.peed .-I P. -W.11 may beordend wilb while emimel steel irille, mlber than spod.rd kil, poly-isdil. ,COUNW ly?. (4) .APR 0 12008 DEVELopWNT SERVICES ,2&' 0" DI y 4,1 (6) 4&g. FA(f, -rm). 1 1, T I Lj.,i V_ALIFORNIATFT1,924 COPIPWAkIt' 50% of Mich.. Iffilbil.g. min., to bo high effirory. ent Ithund air from -It—Wilbli. minping Into unconditioned spume), mod IC mted (10 direct Confute W/" IM,) . :All bI&h.frkmij1lghiI.j mart be.wlfcficd 3CPeMtC[y from 101; •., "(11—jilghdiig. • I. ]lost, that am 13 wells or gmafse must be electronic, W/ an output r"utocy otno.less than 20kHZ dr rooms, and utllly roaw• - :boll ... y 'emsor.:, high M,.!y o,, commit d by m, ,mupu.i i—p,.6r Ml.g..deropphlit dimm- All mj,d"r lighlixill (mounted to b.:Idl.g)..h.Il be fiber blith M CCACY or'commlltd by o pboto,c!l / motion samor ccmblnaflon.'�. v 11 0 V'*- - I I II v- K A e. f, li 4 . I 'A" �jf ft 4 ..... . lei ........... ...... .. 0 le� L 16" 4W-LA,4F-fA—e- 4.4. i?-r-vA4vr, 1-41 (H) 5. "'. bv Pit, &0 N 11 -15W M i wb 0 6 to + I VA T 4--Ii�,,---Y r rh- L4 -Aie3- 1,.c, 11 e 7 U 17P Mill MOO W."4 X .� , . I t W Lj Nov 4.1 68 s A , (W).Ft,,o . . Ill : - �PTel X IZ- .4j9T ml Re 7 . 6W41 L f -i -, . ". - �J .4 db i &vj. W - IRT I-- . T ib -A /77 it t T. 7 -7. T f 'T. Y.. (14) L e, to 04 4f.: I -rtvs wA- -.LY O'e.'r-4. VPAL ala."_ -4. 04 4x(� - P. ST i ........... . ..... ... ....... 9 P. - 12." z9 0 P r H -7- llj 7 ff,1% v� WALAW5 x ;t Ware,, .2 4 W 07 6 Vie, 6TMIU= . wara�p ifff. 1.sw" 4 T,(r vj!:ruL.3 , -sHTff. 'sol - s04 PIZ /.OvI-rjdW&L- lwp�- REVISIONS BY M Vf O ca < U J 0. W 0 < U C) 0 onto Scale ss:(jSktj omwn AGN Shout I of g Show. &714 sure. COSY APS 0 1 X008 DEVZLOqT m �' 2�i,' ' lw �A,1f.1•I' ' M • PJD�'M• I I . '. ---� 144- FXo.� H M .. id'WwN1• SToKY a N•'L4b R. 5. CT -W ' I � �2'f',� � I .44 I I 0 q� � � �•OW ' � ' I oxnriuw '�. I sxwtyN't !N i 1T .9Ssp•. 1•+.4b" Z..10 L4 'M •mei + 9I - �Ey� y&s yfolF/il , :N' � _;,�:': ,'. 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