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HomeMy WebLinkAbout055-350-035BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds FEE INFORMATION DBE Single Phase Service-Resid $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 5/10/2007 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one hundre dollars ($100) or less. 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' ompensation laws of California, and agree that if I should become subject to the workers' compensali�o previsi9ns of Section 3790 of the Labor Code, I shall forthwith comply with those 5/10/2007 stgnatum Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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) Lenders Address City State Zip $55.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Law does not apply to an owner of the property, who builds or improves thereon, and who does 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 year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors 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 Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: r IX -,J( fSAA ,� �X 5/10/2007 Owners lgnature Date 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County tomer the above m@ntioned property for inspection purposes. I hereby certify that I am the Prooertu diner or am author d In act on the oronerty owners hehalf Lo FkF , J -r 5/10/2007 gowner Contractor OR; Agent for Owner ❑Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 3345 HAMLIN CANYON CT Owner: Permit No: B07-1024 APN: 055-350-035 HUNT, PHILO Permit type: MISCELLANEOUS 2382 RITCHIE CIR Issued Date: 5/10/2007 By GLB Subtype: Electric Panel CHICO, CA 95926 Expiration Date: 5/9/2008 Description: ELECTRICAL PANEL (530) 538-2130 Occupancy: Zoning: U 00 Contractor Applicant: Square Footage: HUNT, PHILO Building Garage Remdl/Addn 2382 RITCHIE CIR CHICO, CA 95926 Other Porch/Patio Total (530)538-2130 FEE INFORMATION DBE Single Phase Service-Resid $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 5/10/2007 Contractor's Signature Date I WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is for one hundre dollars ($100) or less. 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' ompensation laws of California, and agree that if I should become subject to the workers' compensali�o previsi9ns of Section 3790 of the Labor Code, I shall forthwith comply with those 5/10/2007 stgnatum Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. 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) Lenders Address City State Zip $55.00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 Law does not apply to an owner of the property, who builds or improves thereon, and who does 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 year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors 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 Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: r IX -,J( fSAA ,� �X 5/10/2007 Owners lgnature Date 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 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County tomer the above m@ntioned property for inspection purposes. I hereby certify that I am the Prooertu diner or am author d In act on the oronerty owners hehalf Lo FkF , J -r 5/10/2007 gowner Contractor OR; Agent for Owner ❑Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name /V 'UN r First Name P91L0 Mailing Address 2 3 82 %Z/ T -C9105 Ci'/, City C lC 0 State C,4 I Zip Sc7z(o Phone 53 8 _ 0/3C9 Fax / E-mail h/ lo 17 vti- C&S'bG o �t /, n e t PPLICA T SIGNATURE X PERMIT NO. a BIN # PROJECT LOCATION AP# 05,5`350-035— Property Address JS -350-03J— PropertyAddress 3345 14,4A 'UN 04AIYov Cr City �Ile A'0/ sLS, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: //V,5'7-.4 Lc. 10 © AM)> SEY2V/lam .4 9-G. 1-/61+rS ON 10)(17- 'Ur45 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of.Occupancy (Note previous use): 1� For office use onl . Zoning "�/ FloodZone SRA Ye Occ. Type Const. CONTRACTOR Name SA—ivlz A S' ® IA//V,679 Address _ City State Zip Phone Fax E-mail Lic. # Class PPLICA T SIGNATURE X PERMIT NO. a BIN # PROJECT LOCATION AP# 05,5`350-035— Property Address JS -350-03J— PropertyAddress 3345 14,4A 'UN 04AIYov Cr City �Ile A'0/ sLS, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: //V,5'7-.4 Lc. 10 © AM)> SEY2V/lam .4 9-G. 1-/61+rS ON 10)(17- 'Ur45 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of.Occupancy (Note previous use): 1� For office use onl . Zoning "�/ FloodZone SRA Ye Occ. Type Const. ART/ENGINEER Name SA—ivlz A S' ® IA//V,679 Address _ City State Zip Phone Fax E-mail State License Z 12umb rr 4 ZZ 3 . s PPLICA T SIGNATURE X PERMIT NO. a BIN # PROJECT LOCATION AP# 05,5`350-035— Property Address JS -350-03J— PropertyAddress 3345 14,4A 'UN 04AIYov Cr City �Ile A'0/ sLS, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: //V,5'7-.4 Lc. 10 © AM)> SEY2V/lam .4 9-G. 1-/61+rS ON 10)(17- 'Ur45 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of.Occupancy (Note previous use): 1� For office use onl . Zoning "�/ FloodZone SRA Ye Occ. Type Const. APPLICANT INFORMATION Name S ,4 M 6E- As o w" ek Address City State Zip Phone Fax E-mail PPLICA T SIGNATURE X PERMIT NO. a BIN # PROJECT LOCATION AP# 05,5`350-035— Property Address JS -350-03J— PropertyAddress 3345 14,4A 'UN 04AIYov Cr City �Ile A'0/ sLS, WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: //V,5'7-.4 Lc. 10 © AM)> SEY2V/lam .4 9-G. 1-/61+rS ON 10)(17- 'Ur45 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of.Occupancy (Note previous use): 1� For office use onl . Zoning "�/ FloodZone SRA Ye Occ. Type Const. Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ' ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. n If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal 13 income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE. AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. i i i ,r 1 PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY PROVEMENT. (YES OR NO) `r 27 l (HAVEMAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS Cl PHONE CONTRACTORS LICENSE NO, 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ELECTRICAL PANEL Reference Number: B07-1024 Applicant Name: HUNT, PHILO Owner's Name: HUNT, PHI AP # : 055-350-035 _ _M�, . ,0 I0 7 Signature_of.Property, Owner: Date: S f / ... .- _ ... - Y.w.,r+...�.-•'^-`--•--�....-.�+�,-,+�•,...-�w�.r..��.,� � . « r.... -.tit- "' .- .... ..-,._-. _. .� -. .- _.. .._, .. .... BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. /:5 1,-o G o 7o/ Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. 057S"-350-035 ZONING oc/z-/0 OWNER I'f// L O� i�✓��r�cy /�vn/r PHONE NO: 538 30 OWNER'S ADDRESS 2-302_ /e1 7-cH/C 0/RCLC •CH/Cbi CA g5q,2& LOCATION OF BUILDING ff.9n�i.iN C/t�/Y"caN Cwu�'�r wA OSI'- 3SU-035 USE OF BUILDING Horses 8AfZd SIZE OF STRUCTURE SO. FT. 2 1> N A S oGS TYPE OF CONSTRUCTION: WOOD FRAME STEEL -X CONCRETE f OTHER (Specify) TYPE OF SIDING %AJOnO ROOF COVERING META L FLOOR TYPE C on/C /?CT4' JPr!IP4W4 ESTIMATED COST OF CONSTRUCTION $ /Z ; OOO AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: , m n " FRONT ' `111f�U SIDES ;^�ml�jm�rREAR AG Buildingv-- full be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in u3e or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date t -;z e fI 0 frSignature of Owner f --- Permit Fee -$109.98 The above described AG Building is exempt from a building permit. /t/9 76 6 FLOOD PARCEL P.D. F Receipt No. 6J Ls 12 R X �X Manager Building Division ° B /(.rfr / la I TJ I .J'eV Y Date White — DPW, Yellow —Assessor, Pink — B. I., Goldenrod —Applicant . BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. %3%o l 070/ Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. C257,9-- 350 -- 03 S' ZONING )=/;z — /0 OWNER L ® J ep,-4 r3 e -le I U jV 7- PHONE NO: OWNER'S ADDRESS 2 3 0 2 /z / Tc Hi E- 4-1 CL E C° 14 0 CA 12 � LOCATION OF BUILDING /4,4nvtt,/A/ (fAly oN Counar S osS- 3SO-03g- USE OF BUILDING Hag -S 8A -/z ni SIZE OF STRUCTURE A Oul [. T- /M ` 0 , &0 2 ¢00 X = SO. FT. :2 P14A SES TYPE OF CONSTRUCTION: WOOD FRAME _—X— STEEL CONCRETE --2�- OTHER (Specify) TYPE OF SIDING Woo& ROOF COVERING META L FLOOR TYPE C 0A/C /?,�T 6/Z4VEL ESTIMATED COST OF CONSTRUCTION $ /;2 / 000 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: SIDES IOt /��/� FRONTSIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date s I2 l� Signature of Owner Permit Fee -$109.98 The above described AG Building is exempt from a building permit. p �/r 9 %/ FLO D PARCEL P.D. ROOFING ISSUE Receipt No. % i l (� S 2 ✓ y� Manager Building Division By Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant ..� � .r-. l SITE PLAN -REVIEW APPLICATION Date: AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: 74:f Owners Name: V ee,&C& Owners Address: Telephone No.: 09 V— 36a2/ Site Address:6" , Proposed Use: Residential ❑. New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel Well Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) INApproved, ❑ Conditionally Approved By V Zone: (0 GP: ❑ Resolve Problems Prior to Approval ❑ Resolved Date (� • U �� UE ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act 1Vliriimum Acreage: ❑ Residence can be built per contract ❑. Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: • Flood Zone: X • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑, Cohasset Area Use Requires: ❑ 'Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: 4Z - 10.General Plan: Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side l p , 76), Side Street Rear 0 Height Waterway N/A j N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: I Parcel Created By: ❑ . Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements U Subdivision Map/Parcel Map: Map Date of Recording: Lot: Z Book: 03 Page: 62 OWNER'S CERTIFICATE !1Il RY! June M wno($) of the land or loons on Ina onnued map, end Honh.aslarn Till. astampanr of 8.11. Coum, , a, rruuoe undo. One Of T1o11 Ieroreae December 13. 1977 In Baet 2279 o/ the Official Raccoon of Buire Cdwlr, Cal/br,la al peps 4D .soF,v rP� Seta-s,"s, A6—*I ' s Iru)I..(.1 under Beed of True, recaraed M.r2cN Z5. 19,91 1. bee Z407 Of rhe Official Records of Bull. C ... IV. California at Pala /JC land 1. do 11,11, """' l... (Il foal on Me anis PerIOn UJ WA... a. ... A, h ........y to Pau Clear flue ,a .old lana and ill I..) w w as Ibe p,.o0,.nan and reaPddlle, of soldmap esanon, within rhe near, boldo (lees. We also hereby offer for dediCOlion to Me Cwnly o, Suitor old do so dsdiw It for p.bOc sea, that partial of PlaistowLena and Namlln Conlan Cwt do .he...IMin said land. Nwlhnat¢rn Till, Campos, of Butt¢ Count, • Lbden E. Mar• /1r Gip ,ti gpL.Id.I YK! ttllOt✓T a 1eG ACKNOWLEDGMENT (INDIVIDUAL) STATE OF CALIFORNIA 133 COUNTY OF BUTTE 1 0.1107 11, 1961 before ... to. uedenlpned, It Notary Pabllc In and for said Stere, p.nene/l, appeared Linden E. Mover and Juna M. Morar .:aero rb me t. ea 1M on'.. in) one.. n mete! it (011) .ubserlbed ra hereon and aG ono. 1. coed to ern /Ael the, nleureit 1.. .a WITNESS mr haM mid of 1111.1 ..at. / J.A Ha••i•e s±an ^,,yy,yY Siena Nnl R�:: Name f Printed) frhil real. -I) ACKNOWLEDGMENT (INOIVIDUAL) STATE OF CALIFORNIA 135. COUNTY OF__ 1 On , before ... the und... 1pned, a Natal, Platt. In Old for .aid Stare, personally appeared anown l0 m. Ie a. Ile penonh) .hon namehl 1s feed subscribed to borson and aCsnowiecoe0 l0 me that .e. fed In. ,am.. , WITNESS my hand and officio! seal. Slanahre Nam. (Printed) ACKNOWLEDGMENT (COIFPORArm) STArc or (.•Aa/PORNIA IBB• COYNIr OI BUTTE 1 Dn t/a w 6� , nR1_.wfen �+! ha we.ngq.e, • M.Iecy P /Ila In ded lar ION 9nh, p•vpMlly awwrN �1✓iaFP AYsaogAeu; /ober lone r• a roe net I,2fffOlG,II' d M, ..no.w.ro Till• Campdn, of 9u/ta Count. ,be C•n•rofh. that .■/•.IN IM Cofflfifan hone., aw.n b m• b be. IN PhraM .M .....Iad the 01rI11baN haraarl as behalf of IM OMporal im, horde nomad, ate •eaw.tedpad Io me Mal snNl CorParotlan McL.the the rose. WITNESS my none chi Official nal. ��,,,,����1GLA0.a t"LANOhI[0il vBB9IBu�.h.�a,Wr'—�� 1 �Jvv� mom' m N .,. pa.m:�,a on.tL•a,s ::J.IF31 /e 121 �.� L Q � d alssis.l me Ie trot. •red b, owl 1. ACKNOWLEDGMENT ICORPORATIONi STATE OP LI/ORNIA ISy COUNTY OI 1 198L, bola• me, 1M vAd.1.10M0. a N.rary Ella 1. aN fou said Staler PosaMlly appealed use ro m. n a IM o/ to Fi,✓w✓erne `ce ✓ally IM C,rpardN. that • ...led the Co Nllaole Mn•e, A—.—.to M b ea IM pence Who mauled the C.ftffltah hands, an bawl of NM Carperellon, bereft, ..sed, dN etlsowlpN a me /hal such Corporation one.heW . sew. WITNB3B my h0.6 oM off alai awl. . OFFICIAL FF.AI, ..... 1 r mTrut. .PU9bIC CALfY. i. �� y`' ;,1 xAnifi�'70 C?OMtY r 1 Thi. arae tar ewll Nome f Plm hal SURVEYOR'S CERTIFICATE The omWend who M propco by m. w suer mr dlrecllan and Is based upon a field wrre, In wA/OrmaAM With the rpulrinenr. of the S.bdlriNen Mop ACI ane ar Me npuesl of Linde E mayor - during April IDBj-,. I nano, elate /nal this porael mop •Wflo.11ai/t Gon/ores to the opproy.d or MadillOAolly apple end fostatiea nap. If only. /� y"7 Gary T. ]OP] ... 11 3634 '•_',� COUNTY SURVEYOR'S CERTIFICATE This map Canferma with loo naulnme.l. of the subdivision NOPACI and load/ ort/.ane. this 83 9 bar of J 1941.1— TMt portion of Prospect Iano arM ;I a an Co'" food for ded1COMA honch is not areopted of ML lima CI Castle rr, RCC 14224 Count, S.f, yer RECORDER'S CERTIFICATE F,I.d 1hie .�do, o/ L/ In BoasPorNl Maps or al IM npuol of 4o -a= 1 Send Me. R/-as/x 7n /C3919,M, ��,,.61 A.�pQ�ISAr ' t1cn A. Nalson Co..fy Clark IRecords, PARCEL MAP FOR LINDEN E. MAYER Being Porcel 3 of 53-P/M-50, a portion of the NW 1/4 of Section 33 T. 22 N. — R.3 E.,M.Q8./ M. In the Unincorporated area of Butte County, California April 1981 THIEL E. LIPPINCOTT GARYUS 3634 NCOTT L. S. 2780 L /PP/NCOTT SURVEY/NG. "K: 1007 MLLE .040 ".0.8011 671 If1.AOISE, CA s ..9 "A."-- Sheet I at 2_Sheets Job No. 8016 AP !F )1 N %G SEC. N 89'21.41'[1321.Y0 i 60 NOR•£2LLUsw ROAD CASCMCN7 AS PER S3 • PIM- SO �� r33�okc ra� ie oc•.,71t2b•eR� p� l L•19.19 T 'AM \ 1042.70 - Ln t... R•7a' c• 279ZOf $. 1 BASIS OF BEARIN4 IS rNC NDRfN A%O L • 47.11 E Oo)Ll7Iq' J.I LINE Of /of 3 ON PARECL MAP rILEO IN PARCEL86, $� WEu 6.825 Ac. e�Gs'zz•31' 06,03, s8� t I + 93.43 8 p R+ 119. Dy L • 13G.7J �/ ✓/ , e - 3T04 49' A- 100.00 •3p• / t • GY.72 � (oo No./¢XLLu9/r6 f'uBu< E}..S• FOA: /./caa.'l3 Awa fu Cc35 �— ,,oma a1 1 1C n./a c i�cAcao�v < �� R•!o' •lG S 3} 1489'2I'4/'E / 27G,9Y / n j � L � � _' rN32C /3 d0 6r.0Aw/cc T. 'ivr ® �srnc P ^t N 89'ZI'41"E 609.54 �a'2O• �� a _ PARCEL IF \ 5.992 Ac. / Witt PARCEL 4 / 4. N0.04,11,w y L • 36.70 NS2'19•Sz'C ( p'L / r I NO'04•}9 N 36.70 t 40. 04,11,w N 89'IIYI'f '7i36.70 I �� 1.10 \ I LqS Scale 1"-100• LEGEND a p sfr;y'raoN v,vf fAddED Ls suv Q rOUND t%'IRON PIPf TA66EO Ls 2693 AS PER S3•P%M-10 —ARIA Of fofAl PARLLL 13 39./Y7 AL. I tog z -}ss v/n so� 2" PARCEL MAP PARCEL 3 ; FOR 2/. 18/ Ac. ` o LINDEN E. MAYER 0 a Being Parcel 3 of 53-P/M-50, o portion of the NW 1/4 of Section 33 -T. 22 N. R.3 E-M.QB.(M. /009evne :3 v�rer 3aTBACL L ��/E FX?O.n � No ✓arm c...c o / In the Unincorporoted prep of Butte County, California N/ / April 1981 5tc 32 , se.. 33 7N1EL E. OOTT GARY L.S.T.634 3COT7 N8B'29'o4'E 1325.86 L. g. Z 3 . c.'bc Sec. 33 L/PP/NT9D COTT SURVEYING W %y CoA. w. 1007 MLLE ROAD RQ BOX18871 PARADISE, u 95969 Shett 2 of 2 Sheets PA 9/67f9300 Jb Na aR®vra / 5./49 Ac. / BASIS OF BEARIN4 IS rNC NDRfN LINE Of /of 3 ON PARECL MAP rILEO IN $� WEu BOOR S3 A/ rA40 So AND SOA 81-IN4 Ne9'zl'VYL ' �• / , 1C C'•c ��t: \SafealK 2 / n j � L � � _' rN32C /3 d0 6r.0Aw/cc T. 'ivr ® �srnc P ^t � -' / � I I i W r6A.' /3 FUA/LA9L6 O O / I tog z -}ss v/n so� 2" PARCEL MAP PARCEL 3 ; FOR 2/. 18/ Ac. ` o LINDEN E. MAYER 0 a Being Parcel 3 of 53-P/M-50, o portion of the NW 1/4 of Section 33 -T. 22 N. R.3 E-M.QB.(M. /009evne :3 v�rer 3aTBACL L ��/E FX?O.n � No ✓arm c...c o / In the Unincorporoted prep of Butte County, California N/ / April 1981 5tc 32 , se.. 33 7N1EL E. OOTT GARY L.S.T.634 3COT7 N8B'29'o4'E 1325.86 L. g. 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Assessor's Parcel Number 0 5E] - 9HE - HINE Scale: l"= I 0C) Owner Name / L_ 0 Iq U/,/ 7 - Address/ Phone No. 2 38 CtR, Ct4IC040A 759,,Z(.2 I 074-3&2_ Site . e Location j4AA41_i1V C.A/v"L"O/v Cou�'7- .Contact ..:Name a 0 FOR OFFICE USE ONLY Zoning: - — = /___' - / 0 General Plan Desig: Size, Acres 7&. A cis 4.0(r PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: