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055-290-087
. T BUILDING CODE VIOLATION: 3/7/,:� 055 • A9O — O L37 10 a 1 055-290-087 LAND DEVELOPMENT SHEET r a _�AL' --z --k�"� r?� COMPLAINT TO INSPECTOR 055-290-087 PERMITl197-1035 _ NOVAK, Edwin & Kathleen - - 1 J — -L +W0 Blue Balaton Ln., Paradise a �� � 'Ri' New Single Family BUILDING CODE VIOLATION I� I 30 DAY LETTER: SENT: k A A " ,p' /CAaAr► Permit X63464 7 B E(tnove-in pri% , storagebldg)tpf Permit ##4591-79B(lst 3464-78) 055-290-087 02-1065 COUGSWELL,FAYE r 9. 4980 BLUE BA/LATON LN., PARADISE SIDING CB ';. N. 055-290-08702-1511 087NIEMI, MA 4980 BLUE L, PARADISE �}! t;, NEW ELECTRIC SERVICE PANEL INALED 055-29-087 NIEMION{/sRK 7 ZS -03 03-0316 r " & 4980 BLUE BALA N, P ISE tea` -fir TO HOBBY ROOM/ A B07-2702 055-290-087 ~ RESIDENTIAL SFD-Custom/Model NSF -2.799 SQ.FT./ATT.GARAGE 1187 5 r 4980 BLUE BALATON LN NIEMI, MARK SCct-tib , - r; I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds PROJECT INFORMATION - Site Address: 4980 BLUE BALATON LN Owner: Permit No: BO7-2702 APN: 055-290-087 NIEMI, MARK Issued Date: 12/19/2008 By GLB Permit type: RESIDENTIAL 4980 BLUE BALATON LN Subtype: SFD-Custom/Model PARADISE, CA 95969 Expiration Date: 12/19/2009 Description: NSF(2799)GAR(1187)COV(1324) (530) 877-1698 Occupancy: R-3 Zoning: AR -1 Contractor Applicant: Square Footage: NIEMI, MARK NIEMI, MARK Building Garage Remdl/Addn 4980 BLUE BALATON LN 4980 BLUE BALATON LN 2,799 1,187 PARADISE, CA 95969 PARADISE, CA 95969 (530)877-1698 (530)877-1698 Other Porch/Patio Total 1,324 5,310 FEE INFORMATION CWIF SF $2,411.06 DBFIRE Fire Inspection (SRA) $102.70 CWIF SF $2,269.89 DBFIRE SRA Fire Plan Review (S $102.70 CWIFAUD Impact Processing Audi $50.00 DBOMSCF Fire Safe Standards Re $115.98 CWIFDDS Impact Processing Fee $50.00 DBSMIP Residential $23.16 DB R3 Dwelling -Custom, Model $1,436.18 DB R3 Dwelling -Custom, Model $2,154.26 DBEH Building Review Fee $75.70 DBFIRE Fire Inspection (SRA), $102.70 Total Charged: $8,894.33 g $8,894.33 Fees Paid: Balance Due: $0.00 Receipt No: B9383 LICENSED CONTRACTOR'S DECLARATION OWNER /BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires NIEMI, MARK / / 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, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect, of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil five 12/19/2008 penalty of not more than hundred dollars [$500j; 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 OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does ❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: Policy Number: Exp. Date: Contractor's License Law.). ple (This section need not be comted if the permit is or one hundred doIIars($100)o-r1—ess-T— I AM EXEMPT under Section B. & P.C. for this reason: EPI CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' X 12/19/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date rovisions. , X 12/19/2008 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 Ignature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte _County to enter the above mentioned property for inspection purposes. I hereby certify that I am the owner or am auth ct on4he property owners behalf. _ � 12/19/2008 CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) N e of Permittee [SIGN] Print Date nOwner ❑ Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. .F 07.2 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application 'is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last77 Name First A 2 K,MailingA%ddre�g `7 City s State ,� Zip Phones3,_ g77-16 9$ Fax S/4pn 9- E -mail ARCHITECT/ENGINEER CONTRACTOR Name C�GcJ,v 2 p U 1 z D Address State City Phony 30 — 6 9z-2�7co State Zip Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name AddresSol-1 city all) C State Zigsz� 7,3 Phony 30 — 6 9z-2�7co FaxOS�z- E-p ail ,4124 A�5'13C_64o State License umb r APPL/CA T INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PROJECT LOCATION API Property Address w &6w— I WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than licensed contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address V. DESCRIPTION OR SCOPE OF WORK: --SF Sq FT- Living Garage $.,7Open Cov Z ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning .4 I Flood Zone SRA 11es1 No Occ. Type Const. Oto,Ilsp, 1-6, rh to/( �adise 0.4Ied Butte County, Department of Development Services TIM,SNELLINGS, DIRECTOR i PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds "PERMIT APPLICATION DATA SHEET" Reference Number: B07-2702 Location: 4980 BLUE BALATON LN Parcel Number: Owner Name: 055-290-087 NIEMI, MARK Date: 12/28/2007 By: TMP Sub Type: SFD-Custom/Model Phone: (530) 877-1698 Description: NSF 2799 SO.FT./ATT.GARAGE 1187 SO.FT./COV.P 1324 SOFT. The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS E Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 1:1 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, PO Box 3420, 411 Main Street, Chico CA 95927 - (530) 879-6700 ❑ E] PARKS & RECREATION DISTRICTS ❑ 1--] Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 1:1 ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 0 ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: "*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 Property Owner: Date: 12/28/2007 FILE 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 ❑ E] Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 ❑ ❑ Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 ❑ ❑ Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: "*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 Property Owner: Date: 12/28/2007 FILE Butte County. Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530)538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds 0 0 O 0' 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-2702 Location: 4980 BLUE BALATON LN Parcel Number: Owner Name 055-290-087 NIEMI, MARK Date: 12/28/2007 By: TMP Sub Type: SFD-Custom/Model Phone: (530) 877-1698 Description: NSF 2799 SQ.FT./ATT.GARAGE 1187 SQ.FT./COV.P 1324 SQ.FT. By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed:00011 Title: FILE Date: 12/28/2007 California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-2702 Date: 12/28/2007 Location: 4980 BLUE BALATON LN Parcel Number: 055-290-087 Owner Name: NIEML MARK By: TMP Sub Type: SFD-Custom/Model Phone: (530) 877-1698 Description: NSF 2799 SO.FT./ATT.GARAGE 1187 SOFT./COV.P 1324 SOFT. To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. 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. 12/28/2007 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/Firei)revention/protplan/protDIan.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: B07-2702 Job Address: 4980 BLUE BALATON LN Contractor: NIEMI, MARK 4980 BLUE BALATON LN PARADISE, CA 95969 Printed: 12/28/2007 10:50 am Fee Description Account Number Fee Amount Paid Date Pmt Amt CWIF SF CWIFFIREF SF 1851-0-280-1011852 $366.35 CWIFFIREVE SF 1851-0-280-1011853 $707.16 CWIFPWRDS SF 1831-0-280-1011001 $1,337.55 DB R3 Dwelling -Custom, Model DBF DWLNG CSTM/MDL N Plan Rvv 0010-440001-4210500-1010 $1,436.18 12/28/2007 $1,436.18 DBF DWLNG CSTM/MDL N Permit Ft 0010-4400014210500-1010 $2,154.26 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 12/28/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 12/28/2007 $102.70 0100-450001-4617240-1010 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-4500014617240-1010 $102.70 12/28/2007 $102.70 CWIFAUD Impact Processing Audi 0010-0504617998-101001 $50.00 CWIFDDS Impact Processing Fee 00104400014617999-1010 $50.00 CWIF SF CWIFSHERFVE SF .1840-0-280-1011842 $152.72 CWIFGGF SF 1808-0-280-101001 $664.81 CWIFGGVE SF 1810-0-280-101001 $306.61 CWIFLBRYF SF 1825-0-280-1011826 $240.89 CWIFLBRYM SF 1825-0-280-1011827 $162.04 CWIFLBRYV SF 1825-0-280-1011828 $4.83 CWIFSHERFF SF 1840-0-280-1011841 $312.99 CWIFSHERFJL SF 090807 1800-0-280-1011811 $425.00 DBSMIP Residential 1001-0-280-1011298 $23.16 Printed By: Tammie Powell 89894.33 $19717.28 Balance Due: $7,177.05 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: �� �/,�jc �� e Date: 12/28/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a).. ' Al A, Ict"K lac-w--Ot"6- i/ J k 9 rf �. ��Qso,�,,� bESk -ra Dvt P PrP? wo(Zt� u s � 1 > KLg'e-s-I vP FFA- l,JofiYLtNG 6� PftoPti2e( NOT- Used -�oR L.tyrN� o(Z CrsiMtnEee►P,'Z- �S�, ao BUTTE COUNT' DEVELOPMENT FEE 6uTrl� CERTIFICATION FORM Paradise Recreation & Park District .covN. Assessor's Parcel Number (s): 055-290-087 Building Permit Number: B07-2702 Property Owner (s): NIEMI, MARK Project Location/Address: 4980 BLUE BALATON LN PARADISE Project Description: NSF(2799)GAR(1187)COV(1324) Type of Residential Development Permit Type: RESIDENTIAL Permit Subtype: SFD-Custom/Model Building Type: New Single Family Dwelling New/Additional Sq Ftg: 2,799 Certificate of Existing Square Footage Existing Sq Ftg: 0 MH Replacement: Existing Construction Type: Residential - Conventional Home Demo Permit Issued?: Demo Permit Issued Date: Verified by Building Records: Comments: �W!A-AP!14 t -61\ Building Department presentative Verified by Assessment Records: 12/09/2008 Date ❑ FRRPD ❑ CARD 5L-fkPD ❑ DRPD certifies .that: a -r- !- / Vi 2 vYr t Applicant N/alme Phone Number Mailing Address City c State/Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ per unit for a total of $ 121 7 ( ` Square Feet @ $ per sq foot for a total of $ /, 3 % 9 • 5 Remarks: Paid by Check No: Paid by Cash: Receipt No: /z Recreation anb Park District Representative Date BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM (One form per Building) School District: Paradise Unified School District Building Permit Number: B07-2702 Assessor's Parcel Number (s): 055-290-087 Tax Rate Area No: oQ �-O 23 Jurisdiction: County Property Owner (s): NIEMI, MARK Project Location/Address: 4980 BLUE BALATON LN PARADISE Type of Development Residential Development: 0 S Footage: Q = q• 2,799 No of Living Mobile Home Addition/ *Supplemental to Cr. Demo - eXlStm Q units Installation Conversion Permit N g "o Foundation Inspection) sq. ft. Net total sq. ft. Commercial/Industrial: =New Addition Project Description: NSF(2799)GAR(1187)COV(1324) Building bepartment Rep sentative District Indentification No. Address) Deed Restricted Sq. Footage: 0 Attach sipped coov of Deed Restriction and Notice of Limite se act itv ocument Sq. Footage: (Including Exterior Roofed Areas7 12/09/2008 Date School District certifies thatmar—L (Payor) (City) (State) (Zip has complied with the requirements of Resolution No. by payment of $ representing a square feet. r AB 2926 $ FULL MITIGATION $ Scho 1 District Representative Paid by Check # Remarks: (Phone Number) Ao ?- Date Notice: You may protest the imposition of the fees identified above by sumitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. subsequent o the School Districtepresen a ive signing this Butte County Schools Impact Fee Certification Form, the c o0 District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (School District) Yellow (Building Department) Pink (Applicant) DDS—School Fee Form rev'd 3.10.08 xv 7762- AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 cjSS•a�o•b8� r�2 rn I') mC./ /L Ve�orG(.cGP � 5�t�a''Q�1� 06PY of Document Recorded 19 -Dec -2@@8 2008-0046107 Has not been compared with original Burft CuarY REWRDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property; may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: 5ez- &Wi6/ 1 o,--J;E k p,v OS�5--2F70 -0 8'r? Date --1 Z — 19 — O State of California County of On PROPERTY OWNERS: before me, personally appeared known to me (or proved to me on the basis of satisfactory to the within instrument and acknowledged to me that capacity(ies), and that by his/her/their signature(s) onthe the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature A.P. # bS'T' Z 96 -6g-�-- Seal: dice) to be the person(s) whose name(s) is/are subscribed he/they executed the same in his/her/their authorized iment, the person(s) or the entity upon behalf of which See A4i�,che� CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT STATE OF CALjFORN1A ) COUNTY OF ) 4 On gaGl � ll ` before me, - DATE INSERT personally appeared, OF OFFICER - E.G.., "JANE bq,� a NOTARY PUBLIC who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/herAtheir signature(s) on the instrument the person(s), or the entity upon behalf of whieh the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. U . �• • STEPHENS RYAN SCOTT 1802119 COMM. # 1802119 (� y NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY Q M` COMM. EXPIRES JUNE 17, 2012 .NOTARY PUBLIC SIGNATURE (SEAL) 0/ 0 OPTIONAL INFORMATION / THIS OPTIONAL INFORMATION SECTION IS NOT REQUIRED BY1 LAW BUT MAY BE BENEFICIAL To PERSONS RELYINGIIN ONS R�YG ON THIS NOTARUM DOCUMENT. TITLE OR TYPE OF DOCUMENT WAR cos [Cc AC + o c RziL mk�a C�Q DATE OF DOCUMENT 1�p ` (� NUMBER OF PAGES 2— SIGNERS(S) OTHER THAN NAMED ABOVE SIGNER'S NAME /v\ CLC k . SIGNER'S NAME ` y�C� �� t •Q�f V� RIGHT RIGHT THUMBPRBJT To order supplies, please contact McGlone Insurance Services, Inc. at (916) 484 0804. When recorded return to:' County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 (rev.5/04) Owner Name: NIEMI, MARK and Darla Building Permit No: B07-2702 2008-0046108 kecorCeG i kK iEE isfficial Recerds I County of I Butte I C'ANNL'E J. RUM, I County Clerk—Recorderl I I A H 12-n6prl 191—Dec—?0@8 I Have i of o Space above for Recorder's Use DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY ,33. N I: WHEREAS, on this 10Th day of December, 2008, NIEMI, MARK and L9 Darla, Joint Tenanants, hereinafter referred to as owner(s), is the record owner of the following real property: 4980 BLUE BALATON LN, PARADISE,CA 95969 (APN055-290-087), and as further set * forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and If. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on. behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject.property described above; and IV. WHEREAS, Building Permit No.B07-2702 was applied for on 12/28/2007 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No.B07-2702 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the real property described herein. 1 Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. B07-2702 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No.1307-2702 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: sleeping, cooking and livin . Additionally, the space will not be heated and or cooled, unfinished spaces shall not be occupied until permits are obtained, inspections completed, and approval granted for occupancy. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Scott Rutherford Building Manager, DDS Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No.B07-2702. DATE: % Z — -1 20 O g Owner Signature: 222 Print or Type Name of Above Owner Signature: } Print or Type Name of Above Scott Rutherford Building Manager, DDS _L�� ' •' STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On `a I I g I O O before me, �a n �)Cok ' J P��C1S , Notary Public, personally appeared rar16 Oo ICA i P / / / / who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Sig ture Scott Rutherford Building Manager, DDS � ll! ° . RYAN SCOTT STEPHENS U COMM. # 1802119 NOTARY PUBLIC - CALIFORNIA 0 BUTTE COUNTY n op ` COMM. EXPIRES JUNE 17, 2012 (Seal) 7 CM!, ., r This is to certify that the Deed Restriction set forth above is hereby 'acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: 1 i{I vy 7 - Scott RutheWord, Manager Building Division STATE OF CALIFORNIA SS. COUNTY OF BUTTE ) On-:T)1FGE a EQ 16, .x on6 before me, M = M L L-411--1 Notary Public, personally appeared Smarr Pun -+CQ oa�Z> who proved to me on the basis of satisfactory evidence to be the person(i4 whose named is/atesubscribed to the within instrument and, acknowledged to me that he/sloe/they executed the same in his/}ger/their authorized capacity(iW, and that by his/jier/their signatureW on the instrument the person;(.', or the entity upon behalf of which the persori�#acted, executed the instrument. certify under PENALTY OF PERJURY under the -laws of the State of California that the foregoing paragraph is true and correct. ' WITNESS my hand and official seal re 0 04 MCM AN _Commkston # 1567051mlNotary Public - Calttoa Butte county 61MV Comm. Expires Apr 6,200' (Seal) EXHIBIT A Parcel A: Parcel 3, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on August 13, 1991, in Book 123 of Maps, at Page(s) 90 and 91. RESERVING a drainage easement, as shown of said Parcel Map. ALSO RESERVING therefrom a non-exclusive easement for road and public utility purposes, as shown on said map. Parcel B: Being an easement for road and public utility purposes over a portion of the Northwest quarter of Section 31 and a portion of the Southwest quarter of Section 30, Township 22 North, Range 4 East, M.D,B. & M., said easement being 60.00 feet in width, lying 30.00 feet on each side of the following described centerline: COMMENCING at the Northwest corner of said Section 31; thence along the North line thereof, North 88° 21' 45" East, 6 99.8 2 feet to the true point of beginning for the centerline herein described; thence from said true point of beginning and continuing along the North line of said Section 31, North 880 21'45" East, 400.00 feet to the Westerly right of way line of the Pentz-Magalia Highway. EXCEPTING THEREFROM the Westerly 200 feet, as abandoned in Quitclaim deeds recorded April 15, 1991, Instrument No. 91-14418, of Official Records of Butte County. Parcel C: A non-exclusive easement for road and public utility purposes and drainage easements, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on August 13, 1991, in Book 123 of Maps, at Page(s) 90 and 91. Assessor's Parcel No: 055-290-087 s j ! ( NEW 2 BEDROOM RESIDENCE FOR: " 4 MARK 8 DARLA NIEMI` c m Aq=zvr aw 4980 BLUE BALATON LN., PARADISE, CALIFORNIA t GARY HAWKINS ARCHITECT Oct. 21, 2008 Butte County Building Division 7 County Center Drive Oroville, Ca..95965-3397 RE: Mark Niemi 4980 Blue Balaton Lane Paradise, Ca. 95969 Plan Check No.B07-2702 AP # 055-290-087 Summary of itemized corrections: 1M 3045 Ceres Avenue, Suite 135. Chico,CA 95973 (530) 892-2700 Fax (530) 893-0532 garyarch@sbcglobal.net 1. Comment noted about the Deed Restriction. 2. See Plumbing notes on sheet 1 for note to provide Request to use PEX Water Pipe. 3. See revised plans for stairs to exit second floor. 4. See attached drawings from firmconstructing spiral stairs. 5. See revised roof_ framing plan on sheet 8 for A-35 clip requirements at lines 4:5;49 and 55. Comment noted. 6. Attached are two sets of revised plans. If you have any questions regarding this item, please do not hesitate to call this office. birely, : r y Hawkins Architect COUNTY OF BUTTE—' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 RETURN SERVICE REQUESTED D C6��dE 11 F-i—MAR 1 2 2002 D BUTTE COUNTY 71 311,4 ik1NII.EDJ'WE STAND�I EDWIN & KATHLEEN NW e� .4 GD P.O. BOX 2371 c pG PARADISE, ,CA 95967 ©� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 RETURN SERVICE REQUESTED 4402 GA V 1 WL 14^9 8 ii•'° ` - -023.8 PBMETEac U.S. POSTAGE >1>I577a8 sn EDWIN J. AND KATIATL-EEN NOVAK P.O. BOX 2371° as roti o PARADISE, CA 95967 8^ BEpp�R X Cl A,n ^9's �o /17qg/'fie- 6;� ' �c-C_ COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 RETURN SERVICE REQUESTED 4402 QpmU10�--� �r PB . 11$774$ U.8. POSTAGE 66nL . `./ Edwin and Kath1'een::'Novak P.O. Box 2371:3;''` Paradise, CA95'967 ' n pETUq�,. TO A7-rempPTE D• .'..;ii��l���l�f�l��(049��t�1„il�i���1►��111���1���11��11�1��� •_ ,: _ ' NOTES RESIDENTIAL 055-290-087 V03-0316 PERMIT NO:` NIEMI, MARK 4980 BLUE BALATON, PARADISE E US I 0, HOBBY ROOM / A SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature J=oK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Footings; Soils -Size -Depth -Spacing -Connectors -Steel 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 3. Sewer; Location -Test -Fall -C/O -Concrete Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 4. Water; Location -Test -Easement Needed (Sketch) Carports; Windows -Doors 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 8. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 9. 7. Well Clearance & Disconnect 10. 8. Utility Clearance 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test T. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 ..Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel & Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. P' s -Fire lace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test '12. Elec 'c Underground 13. Yenums & Ducts; Clearance -Material -Support -Ins. . Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date /J'3 Card B-1 Date Card B-1 Date + T Card B Date Card B-1 Date PLUMBING (Permit) OK except #'s Fireplace Ties or Type A Flue -Fireplace Throat Clearance at r Htr.; Vent -Access -Combustion Air Baffle Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles i e; Test & Anchor -Nail Protection 52. W.V.; Test Fittings & Anchor -Nail Protection 53. Property Line Firewall & Openings 20. Shower Pan; Test, First Floor -Tub Access Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 21. Test Tub & Shower, Second Floor -Tub Access Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 22. Gas Pipe; Sixe & Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 23. Fire Sprinkler; Test Siding -Nailing Veneer 58. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN tans) OK except #'s Jr Ext.y§teps-Door & Sidelight Protection -Landings moke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bed.22m Exiting I. & Bath Fixtures & Tub Access -Spa lec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor Cl Yes 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 94. Ener Compliance Certificate -Other Certificates ddress Posted 96. Fire Sprinkler Date - and J555;`] Date Card B-1 Date Card -1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION !"I 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 (Re�.12/96)19 APPLICATION AND PERMIT Orb. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER :TT T MARK TELEPHONE SO. FT. OCC. BUILDING VALUATION 361 U -R 11 913.00 . OWNER'S MAILING ADDRESS 3472 DEER 1-.ZIDGE LN. 0710V_7LL1E1 Q.4 959fiG CONTRACTOR'S NAME ;I , .l HONE CONTRACTORS MAIUNG_ADDRESS' Tti CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 119 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 135.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS _ CT 49,90 E RATATKIN IN- Energy Plan Checking Fee $ $ PERMIT FEE $ 249-79 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0021,00 Solar or heat pump water heater 23.00 Water piping 15.0019-00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition P.,Remodel ❑ Utilities ❑ Installation ❑ Other ❑ OBBY ROOM �J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 56,00 ELECTRICAL PERMIT Fling Fee 20.00 OOOV LESS Main Service 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWEPPARATUS License Class Lic. No. 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 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 (rhe above sections need not be completed if 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith corn ly with those provisions. X GGt/� _ Date Z——�� _ Signature. of Applicant - ® Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DwELUNG occuP. sG OR ADDNS. ( a "Cc. BLns. 3.5¢FT: NOµgeSID. MULTI.IRCUITS OUTLET @7.50 8 SINGLER AOUTLET CIR. OUTLET OR FORURES Ex. Occup.B"u 20 Q I'50 @ .so Ex. Occup. oFlxuTe A� oR� 5.00 4' Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 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 $ 298.75 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code nd/or Resolutions indicated above for which es have been By Date PERMIT EXPIRES ON I kbat;)f provisions to do work paid. / Receipt No. 369994 M I'M- 60 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Fir OF Tom"` �*�.,�;.t^�,��+.�r.?��^�'w":i��i��� >*sa�'�;F�►�:� �*�:�q�,,,I���,�;�'�+�w��'a"«�"'�"� • y -.'t � .'5 .,�....�. s. �"rt 2'Yi' S.c. .i`n.l t.,. .'�; ay '1'.. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �1 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 _,. PERMIT APPLICATION DATA SHEET OWNER / / I//J� ���Yh ( a I' ASSESSOR PARCEL NUMBER �•� 'Proposed pBucildin Use: g �G��i/ X�()�QM S*1FC6M Counter Technician: ,(� Date: Items required in order to appmit. ly for a perAll boxes MUST be checked OR marked NA in order to apply. r ❑ 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans. ` 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information;'(C:)Mloor Plan, (D) Tie down or foundation plans, all in duplicate. ) ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation'%views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b t�gineer.��.$ Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8.' Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ _ 9. P plan and business license approval from the City of Biggs .................................... 4Letter of intent for non-residential buildings......'................................................ Detached Accessory Building Form filled out by the owner ................................... 12. Hazardous Material Form............................................................................... _ ❑ 13. Other -x Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) Vees as shown on the attached Schedule of Fees Due Sheet.. ......................... tatement of Intent for Non -heated and A/C Buildings................................anitation and plot plan approval from the Environmental Health Department iity of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... gPRlYI9. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: , x- I ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ . ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 254". Worker's Compensation Carrier and Policy Number ..............:.............................. . Owner -Builder Verification (Viven to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility ±clearance ............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to C.D. $ 1. Other: When issued Telgp one G { CCG/% and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ��1-� Date ' x 1. Index permit application for the above items numbered: Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data bytesphone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: *" Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: —Date: Structural approved by: Date: Note transfer by: Date: ' Yellow: Buildine Division ` ,; - E.H. USE ONLY Mal Plan Attachad Flow Plan Attschod TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A rl� A,.1 LYE AL f12 9 Ali' 62 - S-)- ►o Owner Location AP# Plan Approved for: Sewage�Duisosal,/1/VaterSupply: Public P ivate 1A/ell Clearance for dwel q. Hola final for: Final clearance O.K. for: NOTE: Environ 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER 0 1 -) PROP ED BUILDING USE q(, 1. BUILDING PERMIT FEES Balance Due ....................... Additional Fees Due ................. $ Additional Fees Due ................. $ 4 i Revised Plan Checking Fee .... $ 2. SCHOOL DISTRICT FEES (paid at at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... x $360.00 = $ Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... x = $ # Units Amt. Commercial (sq. ft.) ............ -x_=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. #�°•y v DATE RECEIPT # DATE REC. At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE ' �^ Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner ' (Rev. 6/00) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM ol (One form per Building) School DistrictV A.P. Number V O� Jurisdiction: City Property�Owner Property Location/A( i Subdivision Building Department No. County K Building Di�stncctt % � 0 New Addition liientification No. ..r.,y I _ .. . Sq. Footage (Including Exterior Roofed Areas) Date Irioor runs reviewea try scnooi uistnct rersonneu ~' 0 515)�_ School District certifies that (Applicant) , r (Street Address) (Phone Number) (City) has complied with the requirements.of Resolution No. _'representing / square feet. A } O r School District Representative (State) Paid by Check It Remarks: C X46 (Zip Code) by payment of $ IAB 2926 $ FULL MITIGATION $ -03 Date 'Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (School district) feeform.x)s (10/98)dmm 3. a Residential Development No 'of Living Mobile Home Units Installation K Building Di�stncctt % � 0 New Addition liientification No. ..r.,y I _ .. . Sq. Footage (Including Exterior Roofed Areas) Date Irioor runs reviewea try scnooi uistnct rersonneu ~' 0 515)�_ School District certifies that (Applicant) , r (Street Address) (Phone Number) (City) has complied with the requirements.of Resolution No. _'representing / square feet. A } O r School District Representative (State) Paid by Check It Remarks: C X46 (Zip Code) by payment of $ IAB 2926 $ FULL MITIGATION $ -03 Date 'Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (School district) feeform.x)s (10/98)dmm 3. a Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 s (530) 538-7541 (530) 538-2140 FAX DETACHED ACCESSORY BUILDING OWNER'S STATEMENT OF USE Plan review will not be started until this form is completed, signed by the property owner, and returned to the Butte County Building Division. Attached Accessory Buildings and Additions will be checked for residential use. Exception: Garages and Carports. 5 S'/ 74 Owner: tylPvp.K Phone: 9S' Mailing Address 397Z- ' DE -O2 &a4- CA Site Address: 9 A tj{{�-s-J L N - PAQ-A-> , s (2A Assessor's Parcel Number: 6.55 - 290 - a 9 Zone: Please answer questions 1-16, and explain any yes answers for questions 2-14 in the space provided on page 2 of this form. GENERAL INFORMATION: 1. Is there a primary dwelling on the property? Yes ❑ No 2. Is the structure already built, under construction, or under notice of code violation? Yes © No 3. Will items produced in this building be offered for sale? Yes ❑ No 4. Will the public have access to this building? Yes ❑ No 5. Will any advertising, on or off site, be associated with the use of this building? Yes ❑ No SITE CONDITIONS: 6. Is the structure foundation within 5' of septic tank or 10' of leach lines? Yes ❑ No 7. Is any portion of the structure located closer than 20' to your front property line? Yes ❑ No 8. Do you plan to add a driveway or modify existing access to a county maintained road? Yes ❑ No 9. Will the proposed structure encroach within any recorded easement? Yes ❑ No 0 CONSTRUCTION FEATURES: 10. Will this building have insulated floor, walls, or ceiling? Yes ® No ❑ 11. Will this building be heated or cooled? Yes ❑ No 12. Will this building have a water closet/toilet? ' Yes No ❑ 13. Will this building have a sink? Yes No ❑ 14. Will this building have a water heater? Yesx❑ No ❑ 15. What type of floor covering will the building have?= / / LL a- �40 J3 F. rzt 16. What type of wall covering will the building have? OVER 1 of 2 PROPOSED USE: (check only one boa) 1. ❑ Residential Storage Shed — I will be storing in this building and it will not be used for any other purpose (no bathroom and no heating or cooling). 2. ❑ Private Garage — "A building or a portion of a building not more that 1,000 square feet (3,000 by exception) in area in which only motor vehicles used by tenants of the building or buildings on the premises are stored or kept" A garage door is reouired. 3. ❑ Residential Carport — A covered structure intended for parking of vehicles. Two or more sides must be entirely open. 4. 0 Residential Occupancy — Structures meant to be occupied, as opposed to a storage shed, garage, or carport. If you checked #4, please check the uses below which best fit this building. ❑ GuestHouse ❑ Pool House ❑ Studio Apartment ❑ In-law quarters Q Recreation Room ❑ Game Room ❑ Study ❑ Library ❑ Bonus Room ❑ Playroom ❑ Den ❑ Studio ❑ Artist Studio Hobby Room ❑ Craft Room ❑ Sewing Room ❑ Canning Kitchen Music Room ❑ Family RoomElSun Room ElPrivate Office ElWorkshop ElHome Occupancy2 ❑ Other — Use = Describe type of Workshop Nhut be approved by the Bune cowry planning Division. Explanations: This area is for explanation of any "yes" answers on questions 2-14. Please indicate the question // im Le—T . S//t..J K S/�9W ��— Additional Information: Plan review will not be started until this form is completed and received. A Plans Examiner will contact the owner with specific requirements per the use indicated. I hearty affirm under penalty of perjury that the above information is true and correct. I understand that any changes to the use, or character of use, of this building will require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when the property is offered for sale. 0wner's Name: Please Print M �/2 l� � / �� 1 Owner's Signature: c2Z Date: S C) 2 of 2 RECORDING REQUESTED BY:. Fidelity National Title Company of California Escrow No: 303426 -WC Title order No. 00303426 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Mark Niemi 3219 Trevor Road Oroville, CA 95965 GRANT DEED rii��Z���-� �J Recorded OfficialRecords Count BUTTOf E CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:OOAMi 21 -May -2012 SPACt A REC FEE 10.00 TRX 47.30 Fay Page 1 of 2 FOR RECORDER'S USE The undersigned grantor(s) declare(s) - Documentary transfer tax is $47.30 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of Unincorporated FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Fay E. Cogswell, Trustee of the Cogswell Family Trust dated September 24, 1982 hereby GRANT(S) to Mark Niemi and Darla Niemi, husband and wife as Joint Tenants. the following described real property in the City of Unincorporated County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: May 17, 2002 STATE OF CALIFORNIA COUNTY OF 'Butte ON Maar 17, 2002 before me, A. Biwcharnnot--ary personally appeared Fay ECogswell personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument• the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my ha Ind offic' spa . Signature Fay E. Cogswell, Trustee of the Cogswell Family Trust dated September 24, 1982 B• Fay E. Cogsw�,Tr�ustee •�e"��`'"�. A. BURCHAM 0: Comm. #1281413 0NOTARY PUBLIC CALIFORNIA 0 P BUTTE COUNTY 1 My Commission Expires Oct 22, 2004 6 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED n ^ Order No. 303426 - A EXHIBIT "ONE" Parcel A: Parcel 3, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on August 13, 1991, in Book 123 of Maps, at Page(s) 90 and 91. RESERVING a drainage easement, as shown of said Parcel Map. ALSO RESERVING therefrom a non-exclusive easement for road and public' utility purposes, as shown on said map. Parcel B: Being an easement for road and public utility purposes over a portion of the Northwest quarter of Section 31 and a portion of the Southwest quarter of Section 30, Township 22 North, Range 4 East, M.D,,B. & M., said easement being 60.00 feet in width, lying 30.00 feet on each side of the following described centerline: COMMENCING at the Northwest corner of said Section 31; thence along the North line thereof, North 88° 21' 45" East, 699.82 feet to the true point of beginning for the centerline herein. described; thence from said true point of beginning and continuing along the North line of said Section 31, North 880 21' 45" East, 400.00 feet to the Westerly right of way line of the Pentz-Magalia Highway. EXCEPTING THEREFROM the Westerly 200 feet, as abandoned in Quitclaim deeds recorded April 15, 1991, Instrument No. 91-14418, of Official Records of Butte County. Parcel C: A non-exclusive easement for road and public utility purposes and drainage easements, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on August 13, 1991, in Book 123 of Maps, at Page(s) 90 and 91. Assessor's Parcel No: 055-290-087 O.B.-1 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES V NO ❑ 2. I HAVE t6 HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person firm) to rovide the proposed construction: .NAME: SQL ADDRESS: y990 A)Lu 8A A-r-oA_-;1 CITY: P,49 S g PHONE: 53 Y - W 79 CONTRACTOR'S LICENSE NO. 4. 1 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. 1 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: PROPERTYOWNER: SOCIAL SECURITY NUMBER: _ - DATE:_ 'Z— ly -03 NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION Dear Property Owner: O.B.-1. An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is '$300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. +rely,Vi ira, C.B.O. ,uilding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER l H9 J l.�IV -�p-(Z �I tt l f `1i 19 uU1 t-"o1N G- 0,,j y98o QLvg �Qrt_�1�-ad�-� 1. N, tS �2 ��RR�.�� �cRt�o� iiR6ft7 t)E k YRP� �oA.ti fo�Rso J a. USE Qom;- p-cor-\ 1R) %,LL -e, -i . oP A4� Wo(iktNG ao%j peare-Q-ey Lira ir�t°Ro r.t � KOT Vs �`�o R L, t ✓r N o (Z C�rr►�.8tt� t PrL V S �. I' r? - ,ff AQ r.JA�c.S a2� ZX`{ j6., Oe, %Z" S H E& -t ROCK Z is�1 QO-rreM PL.ATcCSJAJGc.rl 2-14'< rb P PI.Al-E QZ Pt si-r�j qO 67'7 V) J 055-290-087 02-1511 NIEMI, MARK 4980 BLUE BAtATON LN., PARADISE NEW ELECTRIC SERVICE PANEL LELEOFFICE Copy' Address GASAddress' GA Meter ;13y S C ELECTRO Date MeterMeter ey r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �i� - PERMIT NQ. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 055-290-087 ZONING BUILDING PERMIT OWNER Mork 10 emlv TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 4980 Blue Balaton- 1AnA ParAdi go rA CONTRACTOR'S NAME OWner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MFJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 4980 Blue Balaton Lane Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP i PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ 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: NEw Se vice Panel Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".A OR LESS 23.00 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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: 10 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 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. ) t /\/ X .' ! / "�'. / �_ f - Date �� Z Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service To 46.00so WEE200A NEW CONST. DWELLING OCC P. SG CC OR ( a ACC. BLDS. 3.5Q FT. CNS. NON-R61p MULTI -OUTLET RANCH CIRCUITS 97,50 POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occu an0°'; o POLED APPLNS. OR Ex. Occup. 5.00 ourLETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66 HAZ. D. 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. / FJ By Date 12f / Z PERMIT EXPIRES ON J Dem ReceiptNo. E ) �/i WHITE-D.D.S.-B.D. CANARY -ASSESSOR `' PINK -INSPECTOR GOLDENROD -APPLICANT �+ r `"- COUNTY OF BUTTE s z BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530),538-7541 CORRECTION NOTICE �e4 OW R PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the t- above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, f- please contact this office immediately. Date a 0 % Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PER1IT N (Rev. 12/96) APPLICATION AND PERMIT bo,�_/fi% ASSESSOR PARCEL NUMBER 055-290-087 ZONING BUILDING PERMIT OWNER Mark Niemi TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTORS NAME owner TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS 4980 Blue Balaton Lane Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ 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: New Service Panel Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service Zp.A OR CESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 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 11' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 Main Service zooA TO ,000A 46.00 NEw CONST. DW ( ,EZNG OCCUP. 3.5QF0 OR ADDNS.NEW CONST. MUL�TICO11 U�TLS. C.IDC.}RESID, C @7.50 POWER APPARATUS 8 BINDLE OUTL.Ei CIR. Ex. Occu OUTLET OR Fo(ruREs en0 p ,: o Ex. Occup. DUTLEDTS RHES D) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00123,00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comp) it'pQh those provisions. t �� O.Z X _ _ Date ��� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I 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. V11 By //++D to2 PERMIT EXPIRES ON b Gi 0 De ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR P -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder building permit has been applied for in your name and bearing your sigfattR+e. Please complete and return this information at your earliest opportunity to avoid unaeoessayMay in processing and issuing your building permit. No building permit will be issued unW this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES'P NO 13 I HAVE 0 HAVE NOT E3 signed an application for a building permit for the proposed Walt. I have contracted with the following person (firm) to provide the proposed eonst:uetion: NAIiE: ADDRESS: PHONE: CITY: CONTR--kCTOR'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: N. -MME: V#1ZT* CM. PHONE: CON'TRACTOR'S LICENSE NO. 5. [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'P: ,RO PE RTYO WNER. SO NOTE: This Owner -Builder Verification is required by Section 198.31 and 19831 oVdw California Health and Safety Code. This verification mutt be eanp/eW and returned to our office before we are permitted to issue the permit Lei"� OWNER BUILDER INFORMATION Cel: P70Ce:?V An application for a building permit has been submitted in your name ('sting yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible patty of record on such a permit. Building permits are not required to be signed by proper, 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 pomble liability if that person applies for the proper pernzit 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 Ucetse 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 wort (including materials and other costs) is S.300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ I; you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may to financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if You wish, the U.S. Small Business Administration). For more specific information about your obligations under Sate 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 perforin their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Streer, 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. I!�N,Jic rely, el C. Vi Ira, C.B.O. ger, Building Inspection NOTE: Tris Owner -Builder Information is required by Section 19810 ojrhe CaUjornla Health and Safety code' OVER to -//-49 rn o.n elec-i cel Sery ce. A � 2 o�r�. e -�r h � v i`n q �`n �on g �J o w Pte(' . n� I i I�-�--5 i�n 0, r-01 �-- ands � -jpor rn�K�� P w an� meed' w�- e nes "Or IA) e-�� w OftI of o w`� e r-5 = O� , 'S i n� a ne�S '�` FOP 2 r -h� u ��o w� -hD �'L` r P P J Gk e- v eia Pe. m en t LA-) wQr� t 5e �r� Power -�� LA-) � e� per hno w 50 OL L -k P to, C-e- Wi l I e J01, ri . 055-2,90-087 / zv )n� w .,PERMIT NO. 3464-78B.E f PERMIT EXPIRES 9/5/79 ( OWNER BARNEY BARNETT CONTR. OWner LOCATION (A.P, 55-29-24 WS Pentz Rd, directly across From Basque Norte Restaurant, Par �f V/00000 e' It f ai fi t 1 • k i A f r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E - JOB FINALED (Date) u (Signature) V w .,PERMIT NO. 3464-78B.E f PERMIT EXPIRES 9/5/79 ( OWNER BARNEY BARNETT CONTR. OWner LOCATION (A.P, 55-29-24 WS Pentz Rd, directly across From Basque Norte Restaurant, Par �f V/00000 e' It f ai fi t 1 • k i A f r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E - JOB FINALED (Date) u (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t a BUILDING INSPECTION RECORD I ' BUILDING BUILDING (Cont'd) Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage fFootin s j Stemwall Slab Carport Footings Slab ' Patio Footinas Firewall Parapets Restroom Finish Windows Sidin Roof Sheathing _ Roofing Fdn. Vents Garage Vents Insulation Prov. for physically handica ed Conformance of ex. T FIREPLACE INKLE RS PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICAL jz stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent EI Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec- Pedestal Water Piping Sewer Gas Piping '` OBILEHOME INSTALLAT�O�-------------- Support Elec. Continuity Water Piping Drainage Gas Piping I' DATE REMARKS OR CORRECTIONS I i (NOTE: An entry must be made on this form each time you visit the job si-te.) i _ COUNTY OF BUTTE — 4EPAHTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephwey534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �il/I,oe� Dat -1 y79 ignatur Permitee or Agent Receipt No. /7 7 s, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date B ilding permit expires Date BUILDING OwnerY SQ. FT. OCC.. BUILDING VALUATION 712 I OU Mailing Address ®fie Tele hone o. i l` Contractor Mailing Address Fireplace Total Valuation J 0 &T, 0 Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee S PLUMBING No.1 @ FEE _ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. S'S— a9 .-*�LonI ' g Water piping 1.50 7 Each gas water heater or vent 1.50 F Se t'I on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I ParcMap 60' R/W mel Improves additional outlet .30 Building sewer 5-00 Bldg.LP ans Recd Parc A PIs provol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ ELECTRICAL No. @ FEE i PERMIT FILING FEE $3.00 O Man service 600V OR LESS ii 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Ln Main service EA. ADD•L 100 AMP 2.50 V `S r Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DW IQO OR ADDNST CtfftS.CC UP. Til 20sq It )00 ! lJ ,CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIR T NON-RESID � BRANCH CIRCUITS) 2:50ea NEWCONSTR./POWER APPARATUS 9 NON -RESID, `SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIRES BALet Ex. QCCU FIXED APP LNS. OR P•(OUTLETS (RESID,) EAY 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $11,00$ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL INo. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X �il/I,oe� Dat -1 y79 ignatur Permitee or Agent Receipt No. /7 7 s, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date B ilding permit expires Date COUNTY OF BUTTi — PEPARTMENT OF PUBLIC WORKS 7 Codfity Center Drive - ' Oroville, California 95965 Tel ephpn� 534-4541 APPLICATION AND PERMIT u59/ 7 9 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signatur f Permittee or A ant Receipt No.��� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of thpAMte County Code and/or resolutions to do work indicated ve or which fees have been paid. I EC'TOR OF PUBLIC WORKS By vDate 7- Z7. 9-16--g0 Building permit expires Date BUILDING Owner BA J j -- r SQ. FT. OCC. BUILDING VALUATION Mailing Address 5 5 Gj PE&)"r_-?_- P -D r "RA PL(A D I S F GR 95 I`W7 9'ftn-e07 41 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee , Building Address f,� S ��f N�� 1TG�r�s,s' Plant ng Fee&/or Penalty Fee Permit Fee SOS Flec)A % PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �/�}/llR9 D1,E Repair drainage or vent piping 1.50 A. P. No. J �''-G'7' Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 13187 -plans Kec 4 Parcel Ap,proval Plans Approval Lawn sprinkler system 2.00 F1 ADDITION F] UTILITIES ❑ OTHER Permit Fee $ $ /NEW !ST. a 0ic ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others � ��� Main service OVER O 25.00 100 AMPP OR LESS Main service EA. ADD•L 100 AMP 1.00NEW OR ADDNST %ACCLBLDGSCCUP. N� 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CI T NON.RESID (MULTI BRANCH CIRCUITS/ 2.50ea NEW CONSTR POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. 25 Ex. OCCUD(OUTLETS OR FIXTIiRES 5 L 0 ICO FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑' I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.i @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $rj aC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signatur f Permittee or A ant Receipt No.��� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of thpAMte County Code and/or resolutions to do work indicated ve or which fees have been paid. I EC'TOR OF PUBLIC WORKS By vDate 7- Z7. 9-16--g0 Building permit expires Date 9 COUNTY OF BUTTE -DEPARTMENT OF DEVEL_OMMENTSERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754� EBMIT NO• (Rev. 12/96) APPLICATION AND PERMIT �- % ASSESSOR PARCEL NUMBER 055-29-0-087 ZONING ARMH-1 BUILDINGPERMIT O OWNER EDWIN J AND KATHLEEN NOVAK TELEPHONE 876-9765 SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS P 0 BOX 2371, PARADISE CA 95967 84 R 58 536.00 192 C 2,496.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'SMAILING ADDRESS ' Fireplace "A" 1,500.00 Total Valuation $ 62 532.00 , ARCHITECT OR ENGINEER NONE UCENSE NO. Filing Fee $ 20.00 Pefmlt Fee $ 473.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 307.45 BUILDING ADDRESS BLUE BALATON LANE, PARADISE Energy Plan Checking Fee $ 23.00 ' $ PERMIT FEE $ $23.45 LOT NO. 3 SUBDIVISION'S NAME PAR AP -90 PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF YJ( Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 4 7.00 28.00 Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New )i Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1 BEDROOM Gas piping system 1 - 5 outlets 15.00 19.00 Building sewer 15.00 15-00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS a00Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class 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: s owner of the property, or my employees with wages as their sole compensation, l do the work, and the structure is not intended or offered for sale. VF:s owner of the property, am exclusively contracting w4th licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ( 200A TO I000A 46.00 NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BLDS. 3 5¢SO. FT. NEW CONST. MULTI.OUTLET _NON-RESID.BRANCHcu s CIRCUIT. @7.50 OWER APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL @ I.50 LNS Ex. Occup. ouxTLEErs AES,6.) FRa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 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 Policy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I one that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ith comp with those provisions. �w X _ DVat Z -` Sig ture of pplican ❑ Owner ❑ Contractor Agent An OSHA 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 GAS EURNACE Cooling Hood 6.50 650 Ventilation PERMIT FEE $ 41.50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE HAZ. D. FEES TOTAL FEE $ IMP FLOOD CDF PARCEy PD HD ISS ✓ v ✓ This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have ' By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. D e p 2 2 Dele ReceiptNo. 222072222072 410.45PC����- 6R9 -4n WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 7 r r 1 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION '7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 • r PERMIT APPLICATION DATA SHEET OWNER: x, fel PF4/:Building ASSESSOR PARCEL NUMBER: - Q� Proposed Building Use: Inspector: 6jA Date: At time of 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 the preparer of plans. ---------------------------------------------------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ' 118. Hazardous Material Form. Manufactured Home data and installation instructions including Tie Down Specifications. 0 -Fees of $ ��9 . �} ------------------------------ ------------------------------- 1. Impact fees as shown on the attached schedule. ------------------------- ----- - --- California Department of Forestry plan appro al/fees. �" - - ----- - --e ❑ 13 Flood elevation certificate.-------------------------------------------------------�--j - 4. Sanitation and plot plan approval ep Health Department. --- L �--- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: -- Cl 118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. VLt 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- ❑20. Pre -inspection for ------------- ------------ •------------ �r required Request to Building Inspector on (Date) E121 - Contractor's license information. (Number, Name Style, Classification). ------------------------------------- ❑22. Workers' Compensation carrier and policy number- ----------------------------------------------------------- Owner -Builder Verification (Given to owner 13, Mailed to ownerk� ------------------------------------- 6_4 f % _ 4 Letter of signature authorization.----------------------------------------------------------------------------- -- Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- V E126. --------------------------------------------- --- ❑26. Letter of intent on building use. E,127.'Manufactured Home utility clearance.--------------------------------------------------------------------------- _ ❑28. sting violations and/or expired permits.---------------------------------------------------------------------- _ . ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- _ 0. Other: i�/ Q f ��------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail tgontractor. i1 Telephoned 1 (, ° �1 �' ��� and hold for pickup at Qt%9 v I L office. ❑ Deliver with inspector. 14 Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air CTA-0ans•sent ❑ Health Department, ❑ Fire Departmentr, ❑ Oth r: I' Index permit application for the above items numbered: , V a 0k*C - S C D n QItiCI- Date: Pollutio Date:— By: Date: By: 2. Additional items required: Contractor, designer owner was advised of the above required data byone, ❑fir 0 ❑ (jal &kn counter, by f�M Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Contractor, designer, owng, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Plans reviewed by: Date: v2 Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. PI Check List Date: Ap Date: Date: Date: TO: Building Department FROM: Environmental Health E.H. USE ONLY Plot Plan Attached Floor Plan Attached Sent to B.D. S• ba. Si / i SUBJECT: Sanitation Clearance 7-3- �.. DIr"Vo, kI o ss- a s o - 04!5� Owner / Location / AP# Plan Approved for- �,cS,ewage Disposal ✓ Water Supply: Public �/ Private Well Clearance for 'Idwelling. Other final forN'r Fitse_`arance O.K. for: (VOTE: .. C, - - Aq�. I � /R--R,:g_-s Environments alth Specialist 8/96 Date f +s-. ,,•--••-,,,L � _"r,+"`�si^""'r.`"}y'°"vc",.s..`"'i-Via*'+-'»..:.�rr.:�•«.,.E,�. ,�� .__-...,.' .. „ ..— _. ... .r COUNTY OF BUTTE. DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 al SCHEDULE OF FEES DUE OWNER 4) ; ri !t..F rl //) t%G lC A.P. # PROPOSED BUILDING USE"" 6) S //— DATE O 92 REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ............... $ -- Additional Fees Due ......... $ -- Additional Fees Due ........... $ / -- Revised Plan Checking Fee ....... $ J� 2. SCHOOL DISTRICT FEES I "Gt rod l� S T— (paid at District Office) SHERIFF FEES (paid at Building Division) Residential ........ I x $360.00 = $ Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. ' 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 1 6. THERMALITO DRAINAGE DISTRICT FEES ,/$425.00 (paid at Building Division) FIRE INSPECTION AND PLAN CHECK _ 9.0 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) I 9. CSA 87 TRAFFIC FEE, $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT Original -Owner Copy -Building Div. r DATE (Rev. 12/96) :4 .` tia f'Y.,(��� i�7.,.r,�--'+7-•t'.�..iy*ti.^r a.1-.�,,.�y:i,..-.S"q,��. .�Yt;:1'FI r,...,,•; ;r ,-...:'s7ir`"r� :�Xr.',-.,`,'...r`.7- .: -.N'•.: l;. ..� : 1..., . r '�. t .+. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM f (One form per Bullding) School District. fio, lir C, Building Department No. A.P. Number �SS �l� /Q 0 Jurisdiction:/ City County Property Owner t�Cf (,(� / /7 KCS to 406I'1 A0 VCt k Property Location/Address �' % /f Q �Cf �C{ rl `- N�! {� C1 /r.S Subdivision Lot No. Residential Development Q Sq. Footage /OF No of Living Mobile Home Addition (Group R) 1 1 Units ; Installation Commercial/Industrial New Addition Building Department Representative Sq. Footage (Including Exterior Roofed Areas) .�/�o%,�) Date tmoor runs revieweo oy.acnooi uistnct rersonnen District Identification No. School District certifies that .S • N sI t ,''(Applicant) t i-4 (Street Address) _ (Phone Number) -56 (City) (State) (Zip Code) `} has complied with the requirements of Resolution No. representing / v square feet. J / k�l School District Representative by payment of $ 46 / • 1 B 2926 $ ULL MITIGATION $ ate Paid by Check # Remarks: 'a Notice: You may protest the imposition of the fees. identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days'from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this. Butte County Schools Impact'Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school, µdistrict) . feeform.xls (2/97)dmrrr I S And when recorded mail to: Building Division #7 County Center Drive Oroville,.Ca. 95965 97-022694', Rec Fee I IHF Recorded I COP Official Records I Check County of I Butte 1 Candace J. Grubbs I Recorder I 12:56pm 23 -Jun -97 I PUBL 14. 00 2.00 4.50 20.50 XX 4 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit: The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including. but not limited to herbicides. pesticides, and fertilizers: and from the pursuit of agricultural operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise. and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept, such inconvenienceor discomfort from normal. necessary farm operations. All that real property situate in the County of Butte. State of California, described as follows: Date:' --z147 PROPERTY OWNERS: w,. V\_0 V im, IG State of California ) County of ) On �i"'�1��%-7 before me, J /i77Zf6_UA personally appeared ED"!/JJOS EP/•f /U0 L" is XfO�P_ / C-7 1 V tl i l q personally known tome (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are—subscribed to the within instrument and acknowledged to me that hefshalthey executed the same in hWher4their authorized capacity(ies), and that by hisiher/their signature(s) on the instrument, the persons) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and'official seal. fie PAYMM IL CORN. COWA. 01023413 Notay AMC — Ccdf "M Si riafurc Seal: *Cornu ft&wJUlZM"8 RECORDER'S MEMO: QUALITY RORIDNALDDUE TO DOCUMENT RECORDER'S MEMO: POOR RHCDRD IS DUE TO %UIY OFOV7 ANAL DOCUMENT DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I—A: PARCEL 2, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 13, 1991, IN BOOK 123 OF MAPS, AT PAGE(S) 90 AND 91. 'RESERVING A DRAINAGE EASEMENT, AS SHOWN ON SAID PARCEL MAP. AI:SO RESERVING THEREFROM A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY'PURPOSES, AS SHOWN ON SAID PARCEL MAP. PARCEL I—D: BEING AN EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES OVZR A PORTION OF THE NORTHWEST QUARTER OF SECTION 31, AND A PORTION OF TIIE SOUTHWEST QUARTER OF SECTION 30, TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M., SAID EASEMENT BEING 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT THE NORTHWEST CORNER OF SAID SECTION 31; THENCE ALONG TIIE NORTH LINE THEREOF, NORTH 88 DEG. 21' 45" EAST, 699.82 FEET TO TIIE TRUE POINT OF BECINNING FOR THE CENTERLINE HEREIN DESCRIBED; TIiENCE FROM SAID TRUE POINT OF BEGINNING AND CONTINUING ALONG THE NORTH LINE OF SAID SECTION 31, NORTH 88 DEG. 21' 45" EAST, 400.00 FEET TO TIIE WESTERLY RIGHT OF WAY LINE OF THE PENTZ—MAGALIA HIGHWAY. EXCEPTING THEREFROM THE WES'T'ERLY 200 FEET, AS ABANDONED IN QUITCLAIM DEEDS RECORDED APRIL 15, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL'NOS. 91-14417 AND 91-14418.• ALSO EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE -BOUNDS OF PARCEL I—A, DESCRIBED HEREIN. PXBCFL I—C. A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON THAT CERTAIN PARCEL -MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 13, 1991, --IN BOOK 123 OF MAPS; AT PAGES) 90 AND 91. EXCEPTING. THEREFROM ALL' THAT PORTION PARCEL*I—A; DESCRIBED HEREIN. -- �` 5• sem. - LYING WITHIN THE .:BOUNDS OF RECORDER'S MEMO: POOR RECORD IS DUE TO 01 lAl ITY OF ORIGINAL DOCUMENT DESCRIPTION - CONTINUED PARCEL ID- A DRAINAGE EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 13, 1991, IN BOOK 123 OF MAPS, AT PACE(S) 90 AND 91. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I -A, DESCRIBED HEREIN. PARCEL 11-h: PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF TIME RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 13, 1991, IN BOOK 123 OF MAPS, AT PAGE(S) 90 AND 91. RESERVING A DRAINAGE EASEMENT, AS SHOWN ON SAID PARCEL MAP. ALSO RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON SAID PARCEL MAP. PARCEL II -D• BEING AN EASEMENT FOR ROAD AND PUDLIC UTILITY PURPOSES OVER A PORTION OF THE NORTHWEST QUARTER•OF SECTION 31, AND A PORTION OF THE SOUTHWEST QUARTER OF SECTION 30, TOWNSHIP 22 NORTH, RANGE 4 EAST, M.D.B. & M., SAID EASEMENT BEING 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EACH SIDE OF THE FOLLOWING DESCRIBED CENTERLINE: COMMENCING AT.TIIE NORTHWEST CORNER OF SAID SECTION 31; THENCE ALONG THE NORTH LINE THEREOF, NORTH 88 DEC. 21' 45" EAST, 699.62 FEET TO THE TRUE POINT OF BEGINNING FOR THE CENTERLINE HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF BEGINNING AND CONTINUING ALONG THE NORTH LINE OF SAID SECTION 31, NORTH 08 DEG. 21' 45" EAST, 400.00 FEET TO THE WESTERLY RICHT OF WAY LINE OF THE PENT2-MAGALIA HIGHWAY. EXCEPTING THEREFROM THE WESTERLY 200 FEET, AS ABANDONED IN QUITCLAIM DEEDS RECORDED APRIL 15, 1991, UNDER BUTTE COUNTY RECORDER'S SERIAL NOS. 91-14417 AND 91-14410. RECORDER'S MEMO: POOR RECORD IS DUE TO QUALITY OF ORIGINAL DOCUMENT DESCRIPTION — CONTINUED PAI2CFL II—C A NON—EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY PURPOSES, AS SHOWN ON TIIAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE Rr.CORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST is , 1991, IN BOOK 123 OF MAPS, AT PAGE(S) 90 AND 91. EXCEPTING TIiEIti!FROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL II -A, DESCRIBED HEREIN. PARCEL II—D• A DRAINAGE EASEMENT, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE TTE, STATE OF CALIFORNIA OFFICE ON AUG ST 13,RECORDER IN BOOK 133TY OF OF MAPS, AT AT PAGES) 90 AND 91. EXCEPTING TIiEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL II—A, DESCRIBED HEREIN. • LAND DEVELOPMENT BUILDING�Vl 11J�VIRONI�QENTAL HEALTH - PERMIT CLEARANCE erdid/ng permit No. 0,4 �70jE.0f{ Ld j'��R Address: 4� ,�jACl����U' �"� T3 Parent/Previous AP: )V II )) NAME: A 014— NUMBER: /NT tABT NAME AR{ . COUNTY ZONINGltl, .ij.,`�.�-,�. DESIGNATION: "``�%�'t'r'1 FLOOD ZONE FLOOD MAP: APPROVED: CONDITIONALLY APPROVED: RESOLVE PR08LEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO �3 COMMENTS/CONDITIONS: MAP INFORMATION: . •. DATE OF 1. RECORDING Lf� LOT 2 -3 BOOK q —PAGE COMPLIANCE WITH OLD SUBDIVYISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a 20 ft.building setback from right-of-way/oenterline of CU L- — V90 S^r— _ 3. Comply with Zoning code for building setback from road. _ 4. Maintain a 100 ft. leachfield setback from all eAsting wells. X5. Maintain a ft. leachfield setback from (-A\/ A Af2-EAS 6. Pay water tender fees in the amount of. $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game fon vegetation removal. Contact Fish & Game at 916-355-7010. 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Pl.ynnw to bo numb to drs PAwwAirg DA skn 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. •Mobile homes shall be constructed on.a permanent foundation. system which complies with the Seismic Zone_ _ requirements'of the Uniform Building Code. 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte County Code. _ X19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 20. If any cultural resources are encountered during -ground disturbing activities.. all work shall cease in the area of the find pending examination of the site by a professional' archaeologist. This person would then be able to assess the site significance -and suggest appropriate mitigation measures...... <21. 5E:6 123M9 =o►, -L Lvc"Do tJ Md 22. 5a YJ PZA I N SSM r e'5r(.'0/V G S V20 F. L (N C- 23. 24. 25. 26. 'AIO 1NNIa012QO ONV1 3.L' f19 ;r; 4Nf100 L651 L 0 AVW ciat 3322 LD 7/96 C,Vw I 4 K%M0( A".0 A 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 1 bor and materials for construction of the roe improvement: : YES a NO ' proposed P rtY �. P [ I J• .2...1 HAVE[ VI . 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- NAMM: 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: NAM E ADDRESS PHONE TYPE OF WORK Pb 3o�c x-%5'3 aw 691-520 SIGNED: PROPERTY OWNE SOCIAL SECURITY NUMBER:(V 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. 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: I _ 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and :rich 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 contnbutions. 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 loyees, without a licensed contractor or subcontractor, only perform their work personally or through their own emp under limited conditions. A frequent practice of unlicensed persons professirig 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. be obtained by contracting the Contractors State License Information about licensed contractors may Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "towner Builder Verification" on the reverse side of this form so that we can confirm that you are a,.N re of these matters. The building permit will not be issued until the verification is returned. Sin8e reI ` Michadl C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. I OVER _..` - s: • .r couni L� 1 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 EDWIN & KATHLEEN NOVAK P.O. BOX 2371 PARADISE,, CA 95967 Re: B.P. #97-1035 A.P.# 55-290-087 With reference to the above subject, attached is: [ x] Plan Check List [ ] Red Marked Calculations [ ] Red Marked Plans ' [ ] Other Action Required: [ x] Comply with Plan Check List [ ] Resubmit Plans. with Revisions As Required i [ ] Return All Original Materials and Revised Plans to the Building Department [ ] Other E f Shouldou have any y questions, please contact this office at the address or phone number listed above. Sincerely, f 1 LINDA SEXTON I PERMIT APPLICANT NOVAK ASSESSOR PARCEL NO. 55-290-087 PERMIT N0. 97=1035 DATE 5/27/97 The above referenced building plans were reviewed by this office. Provide additional information and/or make appropriate revisions to plans, specifications, and calculations as follows: PLEASE SHOW THE ORIENTATION OF THE HOUSE ON THE LOT. SHOW LOCATION OF THE WOODSTOVE. i3-' SHOW LOCATION OF THE FURNACE. GOOF FRAMING DETAILS OR TRUSS ENGINEERING FOR EXISTING PORTION. L& --'PROVIDE 10% NATURAL LIGHT AND 5% NATURAL VENTILATION IN ALL PORTIONS OF .THE HOUSE. C" PLEASE SHOW EXTERIOR HEADER SIZES. 7. PROVIDE NEW ENERGY CALCS WITH NEW WINDOW AREAS. (PER #5 ABOVE) ,c8✓ SHOW YOUR BRACED WALL PANELS (INTERIOR AND EXTERIOR) FOR ENTIRE STRUCTURE. FOUNDATION PLAN FOR EXISTING ALSO. ,1.0' SECTION THROUGH EXISTING (SHOW SIDING, HEADERS, & TYPE OF CONSTRUCTION. YOU YOU HAVE SOME RESTRICTIONS ON THE SIDES OF THE HOUSE WHICH ARE CLOSER THAN 30' TO THE PROPERTY LINES. A PLAN CHECK HAS NOT BEEN DONE. � --11-F 7 If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:60p.m. and 4:00 p.m., Monday through Thursday. LINDA SEXTON oi® RESIDENTIAL PLAN CHECKING GUIDE SINGLE FAMILY, DUPLEX AND MISCELLANEOUS ONLY OWNER: C1�Q�1,�% BUIL DINGP . ER: /O PLAN CHECKER: z� 5-a7 A P. NUMBER: - -r--) L ' c� Zoning requirements: (side yards and number of permitted living units). Valuation Plans signed by designer. Proper description of work on application. Existing violations on property. Items on data sheet, (Impact Fees, EnvironmentalHealth, Developer Fees, etc.). Recorded notice of violation. Complete parcel size and dimensions. Setbacks, side yards, easements, etc. Other buildings or structures. Grading, fills and/or drainage. Flood hazard. Special conditions on creation map (Noise, S.R.A., Fire Sprinklers, Water Tender, Trees, etc.). F.A.U. & F.A.S. road setback. Building or utilities across lot lines (Record form). Complete to scale plan with dimensions. Required windows for light and ventilation (Section 1203). Required windows for second exit (Section 310.4). Skylights (Section 2409 & 2603.7). Glazing in Hazardous Locations (Section 2406). Required room sizes, ceiling heights (Section 310.6). G.F.C.I. in baths, garage, kitchen, wet bar and exterior outlets (N.E.C. 210). Lights, switches, receptacles xterior receptacles for maintenance of mechanical equipment. Location of water heater , eating d cooling equipment, other electrical or gas equipment. Garage firewall, door size c oser (Section 302.4). Minimum of one TO" exterior door (Section 1004.6). Fireplace and wood stove location, alcoves and clearance. Smoke detectors (Section 310.9.1). Plumbing fixtures, water closet clearances and shower size. Conventional Construction - Unusually Shaped Buildings (Section 2326.5.4). Standard bracing or engineered design (Section 2326.11.3). Clerestory requiring balloon framing and/or engineering. Three story building requiring engineered calculations and plans. Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Rafter ties or bearing ridge beam. Fireplace construction details and calc. if necessary. Garage door and/or porch header sizes. Stud heights. Adobe soils - special foundation design. Retaining walls requiring design. Special Inspection requirements. Header size. Sheetrock nailing inspection required? July 1996 3.2 Stairway details: landings, rise and run, head clearance, handrails (Section 1006). Guardrail details (Section 509). Brick or stone veneer (Section 1403). Exterior plaster - weep screeds (Section 2506). Proper roof pitch foi roof covering (Section 1501). Roof covering type - (fire hazard). Foam insulation - protection. 36" halls and stairways. Living area over garage - complete I -hour separation required on garage side including supporting walls and posts. Two exits on three - story dwellings (Section 1003). Underfloor access and ventilation (Section 2317.7). Attic access and ventilation (Section 1505). Combustion air for fuel burning appliances - L.P.G. requirements. Noise requirements on duplexes. Energy design. Flashing at all exterior openings. C.D.F. responsible area requirements. O WY� -77 S��s� July 1996 3.3 RESIDENT L S jq 090-087 _ _PERMIT#97-1035 PERMIT I _ � /�r( G` � � 55 NOVAK, Edwin &Kathleen t�1 Ir' ( J``'� r1."3 'kV P E R M I T lqq?0 Blue Balaton Ln. , Paradise New Single -Family -`_ �. J� _- - /I_O[ a p t OWNER ��spl��,��5 ( e� AIvJd^ - 'L"( (r /J Oro V L � ; -5, (0. o �_ Z 67' �f CONTR. ,',-ASSESSOR PARCEL — I' LOCATION ' LAL t ,oast P; S��aY� � an �t c�i ►.s det,r.� F�f i 3 .r Temp. Pow Called it Temp. Elec Called Temp. Gas Called I JOB FINALED (Date) Signature V=OK O = Not OK Not "=NotRepadY MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / rLYL / /Nat or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect . 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Siwe -Spacing -Marriage Line 3. Gas; MH Tes DemarKWaKre-Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6.. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, AGES Tans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Dep"pacing-ConrtectorsSteel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.;Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns-ConnectionsSpfice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sits-AnchorsStuds-Rftrs-Trusses 9. Siding; NaiGng-VeneerStuxo-Mesh 10. Roof; Sh ft -Roofing 11. ExL; Steps -Doors -Landings 12. Braced Wall Panals Date Card B-1 Date Card B-1 Date Card -B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pod Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Vofts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Paneiboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 be = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /` Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ C Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test 2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size/ . / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip.'Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdnn. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic .59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration Wallsurindows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mach. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: _ .•...� ..ti.. r:, 'tr F .. .. .. . r.. e'o •�.1 n ,. `T."•^Eyt,i .:tiwYerJt,'+t .. - , '--- _ .. 'COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION v W& 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev.12/96) , -A APPLICATION AND PERMIT T7 - ASSESSOR PARCEL NUMB ER 055-29;-0-087 ZONING ARMH-1 BUILDING PERMIT OWNER -' S::' EDWIN J ANn' ATHLEEN NOVAK TELEPHONE 876-9765 FT. OCC. BUILDING VALUATION � nSpO. 1084 R 58.536.00 OWNER'S MAILING ADDRESS*,; P 0 BOX 23710 PARADISE CA 95967 192 C 2,496.W CONTT�R(ACCTOORR''S� NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace "Art 1,500.00 LENDER'S MAILING ADDRESS Total Valuation Is 6L532.00'. ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 473.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 307.45 BUILDINGADDRESS 44BLUE BALATON LANE, PARADISE Energy Plan Checking Fee $ 23. Q0 PERMIT FEE S 823.45 LOT NO. 3 SUBDIVISION'S NAME PARCEL iMAP 1L�-9Q PLUMBING PERMIT Fling Fee 20.00 r USEOFSTRUCTURE SF;;bX-Duplex r0 Mobilehome ❑ Other SPECIFY Each Trap 41 7.00 16.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.W Each gas water, heater or vent 115.0.0 1 15. 00 . TYPE OF WORK NewAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: • 1 BEDROOM Gaspipings stern �r b outlets /' 1 5 60'- •5j 00 Building sewer ` 15.00 .15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ 108.00 ELECTRICAL PERMIT Filing Fee 20.00 - Main" Service z. n oa LEss 23.00 73 no 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.6 License Class Lic. No. r OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: t ❑ - Vas owner of the property, or my employees with wages as their sole compensation, /will /will do the work, and the structure is not intended or offered for sale. as owner of the property, am exclusively contracting with licensed contractors to construct the project. ! i ❑ 1 am exempt under Sec. Business and Professions Code for this reason 200AJTO Main Service 46.00 i NEW CONST. DWELLING OCCUP. SO WEE CCU OR ADDNS. ( & ACC. BLDS. 3.5,T. 37.90 NEW NON-RESrID. ANCST.I CI,TCUI 97.50 POWER APPARATUS SINGLE OUTLET CIR. OUTLET OR FURORE 20 Q 1.00 Ex. Occup.BAL. p .50 Ex. Occup. OUT EIETSPREIPI.NsDOEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin6 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 'I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier- MECHANICAL PERMIT Fling Fee 20.00 Heating GAR FURNACE Cooling p - Hood 6.50 i Ventilation PERMIT FEE $ 41 • Policy Number (The above sections need not be completed if the permit is for work of a valuation 9/`of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall. forthwith comp ly,with,those provisions. , >• '' �-- XAM, A AA J___ Dai _��=( / _ Signature of pplican �d ❑ Owner ❑Contractor ®`Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ AQ - HAZ. ;� D. FEE IMP Y FLOOD, \ / CDF pARCEy = ✓ H HO ; ISSUE This permit is hereby issued under:the applicable provisions of �iiie Butte `County Code and/or Resolutions to do work indicated above for which fees have been paid. By rZ%Z�_ Date PERMIT EXPIRES ON / Date' ReceiptNo. V .43ruii 222465 •- 689.40 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 Mar 05 02 09:26a (Rev. 12/96) P. COUNTY OF BUTTE- DEPARTMENT OF DEV! BUILDING DIVISION ` • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 IT N APPLICATION AND PERMIT y '7" /M! 8087 ZARMH-1 BUILDING PERMIT O TELEPNONE SO. FT, I OCC. I LDING VALUATION ASSESSOR PARCEL NUM 055 -29 -0 - $ OWNER EDWIN J AND KATHLEEN NOVAK 876 9765 OWNER'S MAILING ADDRESS P O BOX 2371, PARADISE CA 95967 CONTRACTOR'S NAME \ OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NU. NONE 23.00 ARCHTECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS 49,go BLUE BALATON LANE, PARADISE PLUMBING PERMIT LOT NO. 3 SUBDNISION'S NAME PARF,lllgp90 (�3 USEOFSTRUCTURE SF X3( Duplex ❑ Mobilehome ❑ Other SPECIFY TYPE OF WORK New )a Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 1 BEDROOM 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 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: ❑ s 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. IV I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. , ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 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. ❑ 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 he above sections need not be completed if 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall to ith comp with those provisions, r X ��— DIF Sig Lure of pplican ❑ Owner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0` deep and demolition or construction of structures over 3 stories in height, - Fireplace I "All 1 1,500.00 Total Valuation Is 69 . 517 - nn Filing Fee $ 20.0C Permit Fee $ 473.00 Plan Checking Fee $ 307.45 Energy Plan Checking Fee $ 23.00 Temporary $ 23.00 PERMIT FEE $ 823.45 PLUMBING PERMIT Fling Fee 20.00 Each Trap 41 7.00 28.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I _WT- @20,00 PERMIT FEE S ELECTRICAL PERMIT I Filing Feel 20.00 Main Service ( °00voR Lf zaoA oR lEss _�_ .. _ _�-,00023_ -Main Service ( 200A To ID00A NON•RESID. t RRA @7,50 POWER APPARATUS d SINGLE OUTLET CIR. EX. Occup. OUTLET OR FWTURES 20 Q I'00 BAL (y .SO Ex. Occup.FIxED APPWS. OR ( OUTLETS RES16. E" 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ t5u. Vu MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling ITVs Hood e, 50 Ventilation PERMIT FEE S 41 .5U Mobile Home Installation Fee $ Energy Inspection Fee $ .0 OCC CONST. TYPE TOTAL FEE $ 110 1 Ogg qs HAZ. 10. FEES IMP _ FLOOD COF PMC D H �J % 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 ii Date_[ INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: ZOAl , ENVIR. HEALTH, CHICO DATE: � 6 D� dco RELEASE ENV. HEALTH HOLD ON BUILDING FIN FOR: OWNER NAME: /V oV3K SEPTIC:. WELL: AP#: OSS'-o?90 - 697 ADDRESS/LOCATION: Comments:, 64J GL/memos/releasehold kl, 055-290-087 02-1065 COUGSWELL, FAYE 4980 BLUE BALATON LN., PARADISE SIDING I 1 . I i 1 j a . n r ft 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) APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - rAYE TELEPHONE SO. FT. OCC. BUILDING VALUATION /►/� m R, OWNER'S MAILING ADD SSEST 390 I?AWTN 1.T. V T� TTC CA C(5NTRACTOR'S NAME owm TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS I 49RO RIVE R. PARADISE Energy Plan Checking Fee $ $ t PERMIT FEE $ 00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other 1I �'Jj�' Bj,1Y: 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: SIDING ID KWE RiRl.,t3T . WFA'I(1~IRIMTF i Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 60VI OR LE Main Service .10)A OR LESS 23.00 CONTRACTOR'S DECLARATION I I hereby affirm under penalty of perjury that I am licensed under provision's 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: Eq I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 if the permit is for work of a valuation of one hundred dollars ($100) or less.) .; O' 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,/ X 1 �i��f/i�ifi Date �� -� el Z _ `Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 200ALICENSED CCU000A NEW CONST. DWELLHJG OCCUP. SO DWELLING OR ADDNS. ( a ACC. SLOS. 3.5QFT: OUTLET CIRCUITS @7,50 NON-REOSID. T. MULTI. TUS PSOWERINGLE APPARAOUTLET CIR. 6 EX. Occup. OUTLET OR FIXTURESBAL Q 1.50 IXED Ex. Occup. OUTTLETSA R� .D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD I CDF 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. r /� . !/'� By i Date qkbjV PERMIT EXPIRES ON V ate Receipt No. WHITE-D.D.S.-B.D.-CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � � . �� � �® *• , COUNTY OF BUTTE BUILDING DIVISION \ DEPARTMENT OF DEVELOPMENT SERVICES \ 411 MainmRk-ChB$ CA -(53)891-2751 -- ,$ 7 County CeMe Drive -O o mG CA -$3)538-7541 < A � . a CORR (ION NOTICE .ƒ � Ow§EB ` PERMIT NO. Aroutine inspection indicates that �hfollowing vB�toegbutte county Ordinances exist k the\ above address and should be corrected. Please notice this office when »m««,Gwork & ƒ completed. If you haveanyquestions pertaining to this matter, r need kmknm e@_@«,z\ please contact mmoffea_d2e¥ � • � . ya . \ƒ .. , .$ . : \ ' . . . � Dat LIZ— Inspector A I. . . REV 1OJ 2 �� 7 Cs I .... _ .. , , ,,COUNTY OF BUTTE, t t:........ ! BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE c� C rnmoI ,4- cI- IO.3S OWNER r PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the a above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 4 Date r Inspector REV 101% 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) APPLICATION AND PERMIT tea. - /0 p ASSESSOR PARCEL NUMBER 055-290-087 ZONING BUILDING PERMIT OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADD ESS 1Q0 _PA N WAY, PARQ19E, Q4 95969 CONTRACTOR'S NAME TELEPHONE OWNIM CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 19-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 4980 BIDE BATAIDN LANE, P4RADISE Energy Plan Checking Fee $ PERMIT FEE $ c LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PRI SIG BLDG 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: SIDING TO MAKE BUILDING WEA.=TTTF Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 V R LE Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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 Main Service 200A TO I000A 46.00 NEW CONST. DW .ELI NG OCCUp. OR ADDNS. ( &ACC. BLDS. SO 3.50 FT. RAID T.MULTI-OUTLET CIRCUITS @7,50 APpARATus 8 SINGLE 0 Er CIA. Ex. OCCu OUTLET OR FDmJRES 20 @''00 SAL @ .SO Ex. Occup. oFlx TS .ES, DRQ 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. ❑ 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 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.) cif 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 I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^� Date � (°j -- 0 !i J�nature of plicant - O ner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD CDF pgRCEL pp HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatedabove for which fees have been paid. B D to �of PERMIT EXPIRES ON OD3 Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT M LIZ c v 055-290-087 CA Mr. Edwin J. Novak Mrs. Kathleen Novak P.O. Box 2371 Paradise, CA 95967 'eutte count, LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION r DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 k; TELEPHONE: (530) 538-7541 FAX: (530)538-2140 i RE: Building Code Violation Address: 4980 Blue Balaton7Lane .Paradise CA 95967 - AP`9-055-290-087 ' Dear Mr. & Mrs. Novak: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required inspections and final approvals from this office for the construction of a new single family dwelling. Since permits and inspections are required for the above work, please apply for the required Permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved: It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice 'of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. i Sincerely, Scott Rutherford Chief, Building Inspector SR:th cc: Assessor 1 PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in the County of Butte; I am, 2 and was at the time of the service hereinafter mentioned, over the age of eighteen years 3 and not a party to the within action. My business address is Department of 4 Development Services, Building Division, 7 County Center Drive, Oroville, California 5 95965. 1 am readily familiar with the County's practice for collection and processing of 6 correspondence/documents for mailing with the United States Postal Service and that 7 said correspondence/documents are deposited with the United States Postal Service in 8 the ordinary..course of business -on the same day. 9 On March 7, 2002, 1 served the foregoing 10 -Day Letter on the person(s) named 10 below by placing a true copy thereof in a sealed envelope, with first class postage 11 thereon fully paid, addressed as indicated below, and by placing said envelope 12 In the appropriate place within the Department of Development Services 13 where mail is collected for mailing with the United States Postal Services 14 on the same day. 15 X In the United States Postal Service Mail in Oroville, California. 16 Lamb & Carlson Partnership 17 c/o Landscape Maintenance Co 18 1826 Nord Ave., Chico CA 95926 AP # 043-190-025 19 20 21 I declare under penalty of perjury under the laws of the State of California on March 7, 22 2002 at Oroville, California. 23 Mrs. Tammy Holt 24 25 26 27 28 March 20, 2002 Cogswell Family Trust: 390 Rankin Way Paradise, CA 95969 B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 RE: Building Code Violation Address: 4980 Blue Balaton Lane, Paradise, CA 95967 AP # 055-290-087 Dear Cogswell Family Trust: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required inspections and final approvals from this office for the construction of a new single family dwelling. Since permits and inspections are required for the above work, please apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, Scott Rutherford Chief, Building Inspector SR:th cc:. Assessor ow List of Materials for Blue Balaton Lot 4 pounds of nails - .89 X 4 4X8 Exterior Siding 16 Sheets Liquid Nails 30 LB felt paper, 3 Rolls. Total oss Is $3.56 $200.00 $15.00 $15.00 $233.00 �(Fi4/0.8/2002 13:07 FAX 530 872 9089 7 REAL ESTATE PROFESSIONAL ° o essionaCs FACSIMILE COVER SHEET Q001/004 205 Pearson Road Paradise, CA 95969 Pauline Hohenthaner Realtor -Associate Office: (530) 872-1600 Pager: (530) 540-7147 Fax: (530) 872-9089 Toll Free: (000) 815-2428 Direct/VM: (530) 876.3306 Dale: To: -�'U�'C�\-- r r Time: s m Company: Fax No.: V. From: PA ULINE HOHENTHANER Sub sect: OdAPa, T06id No. o Pa es including Cover Sheet: _ Phone No.: (530) 872-1600 Fax No.: (530) 872-9089 205 PEARSON ROAD, PARADISE, CA 95969 TELEPHONE (530) 872-1600 FAX (530) 872-9089 (800) 815-2428 ADDRESS— MISCELLANEOUS BUILDING RECORD DESCRIPT/ON OF BUILDINGS MEET = OF _SN£Efia �o Roof Second Story Year 1W'Toh Bldg. Structure Site Found. Wall 8 Exterior Type over Floor 8 Interior Detail or Loft Built Life Yr. No c Y zo X zo ce,u L n2 — Sacco l� ... 3 [�dv� is �'T o Gok/O •vG — liur 10 Unit Cosl y. o R. C. unit osl _ % R.C. N Cost ood N D. Un+t Cost Cos l •.6 Good C• L. N. n f Cost osl C CC.. 0 n - -- FSA T iso d rrLra•r -yoa o 7- �0 7G 3060 Z ► - 0 C3''' - �/� COMPUTATION Appraiser -Dole //_19' G%_ �"�'� SWA9 Sr y 7 S 19,30 3R C'aw– "'y3 1 3 [�dv� is �'T o 19,9V B�dq, Aroo ' Unit Cosl y. o R. C. unit osl _ % R.C. N Cost ood N D. Un+t Cost Cos l •.6 Good C• L. N. n f Cost osl % Good CC.. - -- FSA T iso d rrLra•r -yoa o 7- �0 7G 3060 Z ► - 94— C3''' - 0 � o kCo 3 C,SoF u-IrU ?� ,�O��O SODO .�+.�, OOo Total Appraiser- Dole 3 � 1 vt 19,19 /9 I9 •/• 19 AC. N R Sid Area Un+l Cosf Cost % G. Uni f Cost �/• Un+l Cost % R C• N. Un/l Cost a 1000 --- - - -- • o 0 ro 0 0 All 531•H 9'46 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. a, personally plan to provide the major labor and materials for construction of the proposed property improvement :'YES; NO 0 I HAVE` HAVE NOT 0 signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAINIE: 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: PHOrT: CITY: CONTRACTOR'S LICENSE NO. 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: PROPERTYOWNER: SQ DATE: Ll- 3e-�, NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 oftete California Health and Safety Code. This verification must be comp1ded and returned to our office before we are permitted to issue the permit. Cs3��D OWNER BUILDER INFORMATION Dear Property Owner An application for a building permit has been submitted in your name luting yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by properly 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 5300 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 emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department. of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Screet, 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. I!�,J rely, el C. Vi Ua, C.B.O. ger, Building Inspection NOTE: Tit is Owner -Builder Information is required by Section 19810 of the Californla Health and Safety Code - OVER CERTIFICATE OF COMPLIANCE: Residential Page 1 CF -1R Project Title: NOVAK-GUEST Run: 020 13 -Jun -97 Project Address`: BLUE BALATON GUEST PARADISE,CA., BUTTE CO. Building Title: GUEST Building Permit # Document Author: SCOTT JACKSON Telephone: Plan Check / Date Compliance Method: CALRES2 1.31a Field Check / Date Climate Zone: 11 GENERAL INFORMATION Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Floor Construction Type: BUILDING SHELL INSULATION 1084 ft2 SFD Single Family Detached 270 deg (West) 1.00 Slab on grade Component Insul Assembly Type --------------- R -value -------- U -value Location/Comments Door 0 -------- 0.330 ---------------------------------------- Outside Wall 18 0.059 Outside Wall 24 0.045 Outside Wall 18 0.054 Outside Wall 19 0.065 Outside Ceiling 49 0.019 Attic Floor 0. 0.295 Grade Slab Perimeter 0 0.900 Outside Slab Perimeter 0 0.720 Outside FENESTRATION THERMAL MASS Type Exposed? --------- -------- Wall No Floor No HVAC SYSTEMS Area Thick (ft2) (in) Location/Comments ----- ----- ---------------------------------------- 641.7 4.0 Outside 1084 3.5 Grade TypeEfficiency ---------------------- Furnace 0.78 AFUE Air Gond. -- central split 10.00 SEER Duct Lq,- Att-,R-4.2 Attic R-4.2 -Area U- -Interior Exterior Overhang Frame Orientation ----------------- (ft2) ----- value ----- Panes ----- Shading ---------- Shading and Fins Type Window East 8.0 0.870 2 Std Drape ---------- Bug Screen -------- Over -------- Vinyl Window West 100.5 0.870 2 OpWht Roll Wve SnScrn Overhang Wood Window West 20.0 0.870 2 OpWht Roll Wve SnScrn Overhang Metal THERMAL MASS Type Exposed? --------- -------- Wall No Floor No HVAC SYSTEMS Area Thick (ft2) (in) Location/Comments ----- ----- ---------------------------------------- 641.7 4.0 Outside 1084 3.5 Grade TypeEfficiency ---------------------- Furnace 0.78 AFUE Air Gond. -- central split 10.00 SEER Duct Lq,- Att-,R-4.2 Attic R-4.2 CERTIFICATE OF COMPLIANCE: Residential Page 2 CF -1R Project Title: NOVAK-GUEST Run: 020 13 -Jun -97 WATER HEATING SYSTEMS Distrib Water Water I# of Energy Volume Wrap System Name Type -------------------- Heater Name ------------ Heater Type Htrs Factor (gal).R-val Standard—Gas Standard StandardGas ----------------- Storage gas ---- 1 ------ 0.53 ------ 50 ----- 0 WATER HEATING SYSTEMS MISC System Name ------------ Standard—Gas Solar savings fraction ------------- WATER HEATER/BOILER DETAILS Solar system type ------------ Wood stove Wood stove boiler? boiler pump? No No Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ StandardGas 76% -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS System/Name Type Number -------------- ------------- ------ None SPECIAL FEATURES, REMARKS, AND NOTES None Pipe Pipe run (ft) diam (in) ----------------- Insul Insul thck (in) R -value --------- ------- COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with the Energy Standards in Title 24, Parts 1 and 6, of the California Code of Regulations, and the Administrative regulations to implement them. This certificate has been signed by the individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features, Remarks, and Notes section. CERTIFICATE OF COMPLIANCE: Residential Page 3 CF -1R Project Title: NOVAK-GUEST Run: 020 13 -Jun -97 DESIGNER OR OWNER SCOTT JACKSON EVERGREEN DEVELOPMENT 389A CONNORS CT CHICO,CA.,95926 916-894-5590 Cert'fication #: Signed ate ENFORCEMENT AGENCY Name: Title: Agency: _ Telephone: Signe Date DOCUMENTATION AUTHOR SCOTT JACKSON 9 Signed Date 0 COMPUTER METHOD SUMMARY Page 1 C -2R Project Title: NOVAK-GUEST Run: 020 13 -Jun -97 Project Address: BLUE BALATON GUEST PARADISE,CA., BUTTE CO. Building Title: GUEST Building Permit # Document Author: SCOTT JACKSON Telephone: Plan Check / Date Compliance Method: CALRES2 1.31a Field Check I Date Climate Zone: 11 -------------------------------------------------------------------------------- ENERGY USE SUMMARY (kBtu/ft2-yr) .Energy Use Standard Design Space Heating 17.96 Space Cooling 12.57 Water Heating 17.77 Total 48.29 GENERAL INFORMATION Proposed Design --------------- 19.69 8.67 19.73 -------- Complies 48.09 Yes Conditioned Floor Area: 1084 ft2 Building Type: SFD Single Family Detached Building Front Orientation: 270 deg (West) Number of Dwelling Units: 1.00 Number of Stories:' 1 Floor Construction Type: Slab on.grade' Number of Conditioned Zones: 1 Total Conditioned Volume: 8672 ft3. Conditioned Footprint Area: 1084 ft2 Ground Floor Area: 1084 ft2 BUILDING ZONE INFORMATION JUN 16 1997 BUTTE COUNTY BUILDING DIVISION .Floor Vent Vent Zone Area Volume Thermostat Height Area Name (ft2) (ft3) Type Type (ft) (ft2) ---------------------------------------------------- ------ ------ HOUSE 1084 8672 Conditioned CEC Standard 210" 14.9 OPAQUE SURFACES Surface Area Type (ft2) Zone = HOUSE CEC_30-Wood Door 20.0 Door 18.1 Wall 172.0 Wall 220.0 Wall 141.9 Wall 32.0 Wall 160.0 Wall 119.8 U- Insl Tru Slr Construction value Rval Azm Tlt Gns Type Location/Comments - ------------------------ 0.330 0 180 90 Yes CEC_30-Wood Outside 0.330 0 90 90 Yes 28METAL Outside 0.059 18 180 90 Yes W19.2X4.16ST Outside 0.045 24 90 90 Yes W23B2X6F16 Outside 0.054 18 90 90 Yes W18B2X4.16 Outside 0.065 19 0 90 Yes W19.2x6.16 Outside 0.054 18 0 90 Yes W18B2X4.16 Outside 0.054 18 270 90 Yes W18B2X4.16 Outside COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: NOVAK-GUEST ------------------------------- Run: 020 13 -Jun -97 OPAQUE SURFACES continued Surface Area U- Insl Tru Slr Construction R-val Type (ft2) value Rval Azm Tlt Gns Type Location/Comments ---------- Wall ------ 147.7 ----- 0.065 ---- 19 --- --- 270 90 --- Yes ------------ W19.2x6.16 -------------------------- Outside Ceiling 1084.0 0.019 49 -- 0 Yes R49.2x4.16 Attic Floor 1084.0 -- 0 -- 180 No Slab140C Grade PERIMETER LOSSES Perimeter Length F2 I.nsul Type ----------- (ft) Factor R-val Zone = HOUSE -------- ------ ----- Exposed 20'6" 0.900 0 Covered 119'6" 0.720 0 FENESTRATION SURFACES Fenestration Name Zone = HOUSE RG1 LG1 LG2 LG3 LG4 LG5 LG6 Insul Depth (in) Location/Comments ----------------------- ------------------ 0 Outside 0 Outside GLAZING CHARACTERISTICS Glazing 21011 Charactr Glazing Glazing Type --------- Area Tru DBL_OPQ Open Frame Charactr Type ---- (ft2) ----- Azm --- TIt --- Type ------- Type -------- Name Comments ------------ ---------------- Wind 8.0 90 90 Slider Vinyl Double Wind 20.1 270 90 Hinged Wood DBL _OPQ Wind 20.1 270 90 Fixed Wood DBL_OPQ Wind 20.1.1.270' 90 Hinged Wood DBL_OPQ Wind 20..1:270 90 Fixed Wood DBL _OPQ Wind- 20.1 270 90 Hinged Wood DBL_OPQ Wind 20.0 270 90 Slider Metal DBL_OPQ GLAZING CHARACTERISTICS Glazing 21011 Charactr Glazing Name ------------ Type --------- Double Clear DBL_OPQ Clear OVERHANGS Fenestration # of U_ Panes value 2 0.870 2 0.870 Name Height Width RG1 4'0" 21011 LG1 618" 310" LG2 618" 310" LG3 6'8" 310" SC GIs Interior SC Int Only Shade Type Shade 0.880 Std Drape 0.780 0.880 OpWht Roll 0.400 Above Depth Glazing ------ --------- 210" 1,v,4" 2'0" 1'4" 21011 1'4" 2,0" 1'4" Exterior SC Ext Shade Type Shade Bug Screen 0.870 Wve SnScrn 0.340 Left Right . Extension Extension --------- --------- 18'3" 9'9" 81011 101011 0'0" 11,01, 710" 5,0" 22'0" COMPUTER METHOD SUMMARY Page 3 C -2R Project Title: NOVAK-GUEST Run: 020 13 -Jun -97 OVERHANGS continued Fenestration ------------------------- Name Height Width LG4 618" 310" LG5 618" 310" LG6 410" 510" Above Left Right Depth Glazing Extension Extension ------ --------- --------- --------- 2'0" 114„ 81011 19'0" 210" 114" 11'0" 16'0" 210" 114" 2010" 5'0" FINS Left Fin Right Fin Fenestration Exten Dist Exten Dist -------------------------- Fin Fin above to Fin Fin above to Name Height Width Depth Height glzng glzing Depth Height glzng glzing ------------ ------ ------ ------ ------ ----- ------ ------ ------ ----- ------ None THERMAL MASS SOLAR GAIN DISTRIBUTION Fenestration Name ------------ None HVAC SYSTEMS System Name -------------- Zone = HOUSE GasFurn.78 ACsplit10 Winter Summer Targetted Fraction Fraction Thermal Mass Comments Duct Location System Type Efficiency and R -value -------------------------- ---------- ------------- Furnace 0.78 AFUE. Attic R-4.2 Air cond. -- central split 10.00 SEER Attic R-4.2 Vol Cond- Area Thck Heat duct- Construction Insd Mass Name -------------- (ft2) ----- (in) ---- Cap ---- ivity Type Rval Location/Comments Zone = HOUSE ----- ------------ ---- ------------------------- RWALLI 220.0 4.0 23 0.42 W23B2X6F16 20.1 Outside RWALL2 141.9 4.0 23 0.42 W18B2X4.16 16.1 Outside BWALL2" 160.0 4.0 23 0.42 W18B2X4.16 16.1 Outside LWALLI 119.8 4.0 23 0.42 W18B2X4.16 16.1 Outside SLAB 1084 3.5 28 0.98 S1ab140C 2.00 Grade SOLAR GAIN DISTRIBUTION Fenestration Name ------------ None HVAC SYSTEMS System Name -------------- Zone = HOUSE GasFurn.78 ACsplit10 Winter Summer Targetted Fraction Fraction Thermal Mass Comments Duct Location System Type Efficiency and R -value -------------------------- ---------- ------------- Furnace 0.78 AFUE. Attic R-4.2 Air cond. -- central split 10.00 SEER Attic R-4.2 C• COMPUTER METHOD SUMMARY Page 4 C -2R Project Title: NOVAK-GUEST Run: 020 13 -Jun -97 WATER HEATING SYSTEMS Distrib Water Water # of Energy Volume Wrap System Name Type Heater Name Heater Type Htrs Factor (gal) R-val ----------------------------------------------- ---- ------ ------ ----- Standard—Gas Standard StandardGas Storage gas 1 0.53 50 0 WATER HEATING SYSTEMS MISC Solar savings Solar system Wood stove Wood stove System Name fraction type boiler? boiler pump? ------------------------------------------------------------- Standard—Gas -- -- No No WATER HEATER/BOILER DETAILS Rated Pilot Water Recovery Input Standby Tank Light Heater Name Efficiency AFUE (kBtuh) Loss R -value (Btuh) ---------------------- ------------------------- ------ StandardGas 760 -- 36.00 -- -- -- HYDRONIC DISTRIBUTION AND TERMINALS Pipe Pipe Insul Insul System/Name Type Number run (ft) diam (in) thck (in) R -value -------------- ------------- ------ -------- --------- --------- ------- None SPECIAL FEATURES, REMARKS, AND NOTES None -------------------------------------------------------------------------------- RPpROVF-D Butt® County environmental k pate Signa#ur • 55 B � � � � • � or rZ �Y000S`�J QQt-22c•h ��,�.n �, o C� Qp' au��.o�.tG�sc.�t.l... (t'�;.•. I..._ L -L)j l000 Caki_ ;2 Lit T�?uk /��j :,i'` s� _Zc� r 0 b-7 kanY /t�ropo5� a� `p Edi LJ-` (� uesT Nis 10 10 11 y �hSCT, �� ^ V AGA r. - - - - l L y� S 1 Ioc All (v 1 1 eCD FrZo+� Cc- ►rGPu��. o� E`'^'•r Environmental Health ' G.� L vE $r. L.�►�'`3 . MAY 2 0 1997 Chico, California T�/S.' S r,/E�T vEP/CT.3 AOO�T�o.✓.aL �PEQ c! iMEN " E 1� RGREEN El_OPIOEN QEC.�V 2GD AS Pr CO,�D�rio../S pF A�P2oVAL B5� P.O. BOX '453 r7 r- C o"^'- ; ,4 o v -� ..ey A e. c., -c V o Fotest Ranch, CA 95942 (916) 894-5590 4JCC-C-- gE2 z SCE,.� ^4 C ..i : i c • �' 55 - Z9- o8(_ BED oo t7v C 2Sv Leec1�L�',�e w� t Soo G��L ept►c, _. -�Rnk...... J o' s �,� th a�� _�� �crs��� fzGc?,rrrrGD l �. 7v S'— t r — /17� L �v i7 P ( �p Rte' r'� 5 r ���T �1�I 30' '�' APPROVED Butte County Environmental Health .� 2'-�., 5- ate � Signature j,4 a. LZa 0-1 � tco Ft=a.n Gttc.��' 7Ac ?rGNro/ kJ A Y TO o F QG nt r Z 4o• of 0 r Environmental, Health p u ',ecv Frr MAY 2 0 1997 E�Mi Chico, California LASE E�6G,91!:,-LOPMEFN C P.O. Box 453 Tib/ 5 S r/E�T OEPi C T.3 A 47,02 •✓ •a L .2E Q L/ , L' E M EN T'S roFest Ranch, CA 95942 2EG? V i 2CD f'+S PE.e CONv�r�a..is of APRRO VAI- e'l (9 16) 894-5590 '-C,'t Bu77� Cou..�rY �APv��o.e'S/ AGE.�c ✓ o•/ �EGG� $E.2 Environmental Health APR Z 9 1997 Chico, California a N APPROVED Butte County Environmental Fell /--/-Ipat a 1 r 3%Q Gi�nc-�^ �l NQS GUEs7 Hoc.tee onR 2L)q �Pr-)-R f . 1 . i EVERGREEN DEVELOPMENT P.O. Box 453 Fomt Ranch, CA 95842 (916) 894-5590 k '1 r Iti a ° ih5e1 �i �tfk S tj5 a t s .y,< �, k , ,.'�•t t t `{ & xkF k, tt li !!'JI 1 ,.�y!t , ♦' l t5 �w;� `{{,, i k IY s (�� 1 y;Y 1 �,t 1 ;tiff �. ', r't �•' �. r:a 4 1 "a #Sil}1',�,1t�1'� .. ;h!A'Ifi'K 'fit }i {'t„l 1 t. Y I't# k} , S}'1 I! 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