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HomeMy WebLinkAbout058-730-026Im `b07-0529 058-7330-026' MISCELLANEOUS Electric Panel,, TEMP PQy CR POLE 5 R J KOC" `A jj (f7 j 08-2518 058-730-026 1'd 11SCELLANEOUS Electric Panel EMP POWER FOR FUTURE LOT DE` DWTAN TRAIL OSKI, RODNEY •F t •F 4 `y �f. y'{ 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 FEE INFORMATION DBE Single Phase Service-Resid $59.00 LICENSE_ D 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 12/31/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I 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, Cartier: Policy Number. Exp. Date: MICERTIFY section nee not be competed if the permit is for one hundred dollars ($100) or less.) MI YI I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SUED, 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. KI 12/31/2008 bignature 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) , Lender's Address City State Zip 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 Contractor's 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 Contractor's 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 Professions Code: 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 Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: IX ��J x��A'C� 12/31/2008 I''f«J0 12/31/2008 Owner's Signature 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 to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro�en�can�er or am ayth�rized to act on the property owner's behalf. P.tA K OSK / 12/31/2008 Owner 1:1 Contractor OR; []Agent for Owner Agent for Contractor FILE COPY ' PROJECT INFORMATION Site Address: POWTAN TRAIL Owner: Permit NO: B08-2518 APN: 058-730-026 KOSKI, RODNEY Permit type: MISCELLANEOUS 3218 DYE RD Issued Date: 12/31/2008 By TMP Subtype: Electric Panel MARYSVILLE, CA 95901 Expiration Date: 12/31/2009 Description: TEMP, POWER FOR FUTURE LOT (530) 682-2814 Occupancy: Zoning: FR10 Contractor Applicant: Square Footage: KOSKI, RODNEY Building Garage Remdl/Addn 3218 DYE RD MARYSVILLE, CA 95901 Other Porch/Patio Total t (530)682-2814 FEE INFORMATION DBE Single Phase Service-Resid $59.00 LICENSE_ D 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 12/31/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I 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, Cartier: Policy Number. Exp. Date: MICERTIFY section nee not be competed if the permit is for one hundred dollars ($100) or less.) MI YI I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SUED, 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. KI 12/31/2008 bignature 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) , Lender's Address City State Zip 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 Contractor's 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 Contractor's 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 Professions Code: 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 Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: IX ��J x��A'C� 12/31/2008 I''f«J0 12/31/2008 Owner's Signature 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 to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro�en�can�er or am ayth�rized to act on the property owner's behalf. P.tA K OSK / 12/31/2008 Owner 1:1 Contractor OR; []Agent for Owner Agent for Contractor FILE COPY ' t= BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY. PERMIT NO. 908-219 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. APPLICANT INFORMATION OWNER INFORMATION Last Name �; First ame Mailing Address 3 -(f �Ro'� Fax State State �l � D Phone,5,,0 &gZ Z �� Fax E-mail State License Number APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PROJECT LOCATION API D5- '3 _ Property Address OW 2� % City 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 DESCRIPTION OR SCOPE OF WORK. .r�Jrn 00 CAJ-94 — Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. I utte 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 casts) 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 n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT (YE OR NO) 2. (9?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: ADDRESS PHONE CITY 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: ADDRESS CITY PHONE CONTRACTORS 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 Description: TEMP POWER FOR FUTURE LOT DEVELOPMENT Reference Number: B08-2518 Applicant Name: KOSKI, RODNEY Owner's Name: KOSKI, ROD % NEY\�Q� AP # :058-730-026 Signature of Property Owner: 1`,_Q Date: r Department C o u n t y J. Michael Crump, Director Shawn H. O'Brien, Assistant Director May 18, 2006 Henry T. Runge P.O. Box 2042 Oroville, CA 95965 Re: Notice of Compliance AP 058-730-026 Dear Mr. Runge: of Public Works o f B u t t e LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 1 Enclosed please find the Notice of Compliance that was issued by the Butte County Subdivision Committee and recorded on April 17, 2006, under Serial Number 2006-0019227, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: Environmental Health Department Auilding Department GIS, Attn: Larry AFTER RECORDING RETURN TO: Butte County Public Works Dept. LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 NOTICE OF COMPLIANCE Assessor's Parcel Number: 058-730-026 2006-0019227 Recorded I Official Records i County of ' Butte CRRDACE I GRUBBS County Clerk-Recorderl i i 01.1@151M, HEC FE= 13.0 %P Page 1 of 3 This Notice of Compliance is hereby issued by the County of Butte to certify that the condition(s) imposed on the Certificate of Compliance, recorded on July 22, 1974, in Book 1924 at page 680, under AP 062-460-026, have been fulfilled to the satisfaction of Butte County on property identified as: Issued to: Henry T. Runge, Jr., Trustee of the Henry T. Runge Jr. and Cynthia A. Runge Living Trust P.O. Box 2042, Oroville, CA 95965 Property Location: West end of Powtan Trail, approximately 1330 feet southwest from its intersection with Big Bend Road. Yankee Hill area. Description: All that certain property located in the County of Butte, State of California, more particularly described in attached EXHIBIT "A". This certificate relates only to issues of compliance or noncompliance with the .Subdivision Map Act and local ordinances enacted pursuant thereto. The parcel described herein may be sold, leased, -or financed without further compliance with the Subdivision Map Act or any local ordinance enacted pursuant thereto. Development of the parcel may require issuance of a permit or permits, or other grant or grants of approval. Issuance of this Notice of Compliance is pursuant to the Butte County.Code Chapter 20-167. State of California, County of Butte, on April 12, 2006 , before me, Thomas L. Blixt, Notary Public, personally appeared, Stuart Edell, personally known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. THOMAS L. BLIXT, NOTARY-PGBLIC rA00 T1iOCJ8El5 L. BLD:T ZtDommisslonS13 1740 Z Notary Public - California y Z 13uW County Comm. Ewes Aug 25, 2 County of Butte J4—,C,�a� STUART EDELL, DEPUTY COUNTY SURVEYOR r�° r NOTICE OF COMPLIANCE - Page 2 of 3 Henry T. Runge, Jr., Trustee of the Henry T. Runge Jr. and Cynthia A. Runge Living Trust AP 058-730-026 "EXHIBIT "A" All that certain real property situate in the County. of Butte, State of California, described as follows: Being a portion of the southwest quarter of Section 6, Township 21 North, Range 5 East, M.D.B. & M., and more particularly described as follows: COMMENCING at the southwest corner of said Section 6; THENCE along the south line of said southwest quarter North 891 02 48" East, 1208.56 feet; THENCE North 02° 45' 55" West, 575.13 feet to the beginning of a non -tangent curve concave to the northeast having a radius of 270.0 feet; THENCE along the arc of said curve, through a central angel of 541 57' 34" an arc distance of 258.99 feet; THENCE leaving said curve South 670 53' 41" West, 469.85 feet to a point on the westerly boundary line of a parcel of land as described in deed to Wayne Richard Weide, et. ux., recorded September 14, 1971, in book 1700, of Butte County Official Records, at page 410; THENCE South 221 29'48" East, along the westerly boundary line of said Weide parcel 165.0 feet to the TRUE POINT OF BEGINNING for the parcel of land herein described; . THENCE from said TRUE POINT OF BEGINNING, North 841 51'55" East, 300.94 feet; THENCE South 210 59' 51" West, 133.37 feet; THENCE South 100 06'40" East, 101.26 feet; THENCE South 620 55' 12" West, 172.59 feet to a point on the westerly boundary line of said Weide parcel; THENCE North 22° 29' 48" West along the westerly boundary line of said Weide parcel, 297.62 feet to the TRUE POINT OF BEGINNING. NOTICE OF COMPLIANCE - Page 3 of 3 Henry T. Runge, Jr., Trustee of the Henry T. Runge 3r. and Cynthia A. Runge Living Trust AP 058-730-026 EXCEPTING THEREFROM. all hydrocarbons and minerals now or at any time hereafter situate therein and thereunder and which may be produced therefrom together with the free and unlimited right to mine, drill bore, operate ad remove from beneath the surface of said land at any level or levels, 100 feet or more, below the surface of said land for the purpose of development or removal of all hydrocarbons and minerals situated therein or thereunder or producible therefrom. TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet on each side of the line described as follows: BEGINNING at a point which bears North 8911 02'48" East along the south line of said Section 6, a distance of 1208.56 feet and North 020 45' 55" West, 575.13 feet from the southwest corner of said Section 6; THENCE from said point of beginning, along the arc of a 270.00 foot radius curve concave to the northeast, whose tangent at this point bears North 77° 22' 25" West, through a central angle of 770 14'28" an arc distance of 363.99 feet;' THENCE along the tangent of said curve, North 000 07'57" East, 273.00 feet; THENCE South 740 07' 12" East, 47.20 feet; THENCE North 760 15'38" East, 362.40 feet; THENCE North 140 15' 49" East, 57.49 feet to a point in the southerly boundary line of Big Bend Road and the end of said line. TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described centerline: BEGINNING at the southeast corner of the above described parcel of land; THENCE North 100 06'40" West, 101.25 feet; THENCE North 210 59'51" East 133.37 feet; THENCE North 290 29'50" East, 90.0 feet-, THENCE North 440 59' 55" East, 159.20 feet to a point in the center of an existing road and to the end of said line. END OF DOCUMENT SITE PLAN REVIEW APPLICATION Date: ��"/ O AP# 055 -73 D - D 2 Cho 2, -t6c' v _ Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: �'� '� L- Owners Address: o� L 5 f� S / o Telephone No.: Site Address: T O w rq AJ ✓ / A'6 e 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 Lj Agricultural Exempt Building ❑ Other: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form Brief Explanation/Issue: Zone: ' 4—,10 GP: DEVELOPMENT SERVICES INFORMATION (For Staff Use) is Approved onditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date 1 2006 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract 6 Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: 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: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: 2 2006 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front] 1 Side Side Street Rear LO k1 Height Waterway N/A 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: 2 2006 Parcel Created By: 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: E] NoYes Comments: Ctla 5-2I 4840 ❑ 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 ❑ Subdivision Map/Parcel May: Map Date of Recording: Lot: Book: Page: 3 2006 AFTER, RECORDING RETURN TO: Butte County Public Works Dept. LAND DEVELOPMENT DMSION 7 County Center Drroe Oroville, CA 95965 NOTICE F COMPLIANCE Assessor's Parcel Number: 058-730-026 2006-0019227 Recorded I NEC FEE 13.08 Official RRecords 1 � But f 1 ONQl10E J. ON= I Caioty Cleric-Recorderl I I NP 91.IOPN 17 -AP- 086 1 Page 1 of 3 III{IIIIItiNtllalfliltlil�i� This Notice of Compliance is hereby rued by the County of Butte to certify that the condition(s) 3 Imposed on the Certificate of Compliance, recorded on 3uly 22, 1974, in Book 1924 at page 611, to under AP 062-460-026, have been fulfilled to the satisfaction of Butte County on property identified as: Issued to: Henry T. Runge, 7r., Trustee of the Henry T. Runge Jr. and Cynthia A. Runge Living Trust P.O. Box 2042, Oroville, CA 95965 Property Location: West end of Powtan Trail, approximately 1330 feet southwest from its Intersection with Big Bend Road. Yankee Hill area. Description: All that certain property located in the County of Butte, State of Cardbrnla, more particularly described in attached EXHIBIT W. This certificate relates only to issues of compliance or noncompliance with the Simon Map Act and local ordinances enacted pursuant thereto. The parcel described herein may be sold, leased, or financed wMxxit further ©owe with the Subdivision Map Act or any local once an cted pursuant tltereb0i. Development of the parcel may require issuance of a permit or permits, or other dant or grants of approval. iissiance of this Notice of Compliance is pursuant to the Butte County Code Chapter 20-167. State of California, County of Butte, on -- Md 1z bye >ne, Thorrias L BIK Notary personally appeared, Stuart Edell, personally known to me to be the person whose name is s bso6ed to the wftn instrwnent and admowledged to me that he ®aeotNed the sante In his autionzed cry, and that by his signature on the Instrument the Person, or the entity upon bel of which the Pe(s) acted, executed the Instrument. WITNESS my hand and offidal seal. THOMAS L BUXr, NOTAR C THOW1S L OU • 1371740 �� County of Butte NOTICE OF COMPLIANCE - Page 2 of 3 Henry T. Runge, 3r., Trustee of the Henry T. Runge 3r. and Cynthia A. Runge Living Trust AP 058-730-026 "EXHIBIT "A" r All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of the southwest quarter of Section 6, Township 21 North, Range 5 East, M.D.B. & M., and more particularly described as follows: i COMMENCING at the southwest comer of said Section 6; THENCE along the south line of said southwest quarter North 890 02 48" East, 1208.56 feet; THENCE North 020 45' 55" West, 575.13 feet to the beginning of a non -tangent curve concave to the northeast having a radius of 270.0 feet, THENCE along the arc of said curve, through a cental angel of 540 57' 34" an arc distance of 258.99 feet, THENCE leaving said curve South 670 53' 41" West, 469.85 .feet to a point on the westerly boundary line of a parcel of land as described in deed to Wayne Richard Welde, et ux., recorded September 14, 1971, in book 1700, of Butte County Official Records, at page 410; THENCE South' 220 29' 48" East, along the westerly boundary line of said Weide parcel 165.0 feet to the TRUE POINT OF BEGINNING for the parcel of land herein described; THENCE from said TRUE POINT OF BEGINNING, North 840 51'55" East; 300.94 feet; THENCE South 210 59' 51" West, 133.37 feet; THENCE South 100 06'40" East, 101.26 fleet; THENCE South 620 55' 12" West, 172.59 feet to a point on the westerly boundary line of said Weide parcel; THENCE North 220 29' 48" West along the westerly boundary line of said Weide parcel, 297.62 feet to the TRUE POINT OF BEGINNING. . NOTICE OF COMPLIANCE - Page 3 of 3 Henry T. Runge, 3r., Trustee of the Henry T. Runge Jr. and Cynthia A. Runge Living Trust AP 058-730-026 . EXCEPTING THEREFROM all hydrocarbons and minerals now or at any time hereafter situate therein and thereunder and which may be produced therefrom together with the free and unlimited right to mine, drill bore, operate ad remove from beneath the surface of said land at any level or levels, 100 feet or more, below the surface of said land for the purpose of development or removal of all hydrocarbons and minerals situated therein or thereunder or producible therefrom. TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet on each side of the line described as follows: BEGINNING at a point which bears North 890 02'48" East along the south line of said Section 6, a distance of 1208.56 feet and North 020 45' 55" West, 575.13 feet from the southwest comer of said Section 6; THENCE from said point of beginning, along the arc of a 270.00 foot radius curve concave to the northeast;, whose tangent at this point bears North 7710 22' 25" West; through a central angle of 770 14'28" an arc distance of 363.99 feet;' THENCE along the tangent of said curve, North 000 07' 57" East, 273.00 feet; THENCE South 740 07' 12" East; 47.20 feet; THENCE North 760 15'38" East, 362.40 feet; THENCE North 140 15'49" East, 57.49 feet to a point in the southerly boundary line of Big Send Road and the end of said line. TOGETHER WITH a right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described centerline: BEGINNING at the southeast comer of the above described parcel of land; THENCE North 10° 06'40" West; 101.25 feet, THENCE North 210 59'51" East 133.37 feet, THENCE North 290 29'50" East, 90.0 feet; THENCE North 440 59' 55" East, 159.20 feet to a point in the center of an existing road and to the end of said line. END OF DOCUMENT TURN TO: anning Dept. UFs:`ii;IP.L Fckt OriU5 CERTIFICATE OF COMPLIANCE :� :i.:c; ;.. ;:L aUf:'`- =L" SY Issued to: Elmer R. Raa.nes (j NTY OF BUTTE & Be lar G. Raane s �� � 1 04 P 24'4.6 Andover Dr. '� _.__ Union City, CA �� LOI11SE KLUEh10ER FEE CUU?a'�Y RL'CUf�UEfI �__,_ This Certificate of Compliance is hereby issued by -- the County of Butte to certify that the land division which created the parcel of property identified below complies with applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property Location Big Bend Rd.. northeast of Oroville 2. Assessor's Parcel Number 62-i!•6-26 3. Description: All that certain property located in the County of Butte, State of California, more particularly described as.follows: Being a portion of the SWI of Sec 6, T21N, RSE, IVIDB&M, and more par- ticularly described as follows: COMMENCING at the SW earner of said Sec 6; thence along the South line of said SWI, N 89 02' 4.8". E, 1208.56 ft.; thence N 02 4.5' 55" PI .575.13 ft. to the beginning of a non -tangent curve concave to the NE having a radius of 270.00 ft.- thence along the arc of said curve, through a central angle of 54 57' 34-" an arc distance of ?_..58.99 ft.; thence leaving said curve S 67° S3' 4.1" W,'469.85 ft. to a. point on the Westerly boundary line of a parcel of land as described in Deed to Wayne Richard Weide, et ux, recorded September 1L�, 1971 in Book 1700 of Butte County Official Records, at page 4.10; thence S 220 29' 481'E, along the Westerly boundary line of said Weide parcel 165.00 ft. to the true point of beginning .for the parcel of land herein described; thence from 0said true point"of. beginning N 84•° 51' S5" E, 300.g4 ft.; thence S 21. 59' 51" W, 133.37 ft-; thence S 10 06' 4.0" l:, 101.26 ft. thence S 620 55' 12" W, 172..59_. ft. to g `�Roint on the Westerly boundary line of said Weide parcel; thence N 22 29' Lb0" W, along the Westerly boundary line of said Weide parcel, 297.62 ft. to the true point of beginning, including all easements as recorded in the Office of -the Butte County Recorder in Book 1722 at page 539• Issuance of this certificate is conditional upon the following conditions which have been imposed pursuant to Butte ,County Code Chapter 20-48 and Business and Professions Code Section 115832.(.b) to protect the. public health and public. safety. 1. Verify deeded 60 ft. access and the right to use. 2. Provide traversable access. CU 0 0 Co County of Butte Subdivision Committee W GC By C END OF DOCUMENT i RECORDING REQUESTED BY. Oioville-Title: Company 84419 AND WHEN IIILCORDILD MAIL To I Mr. & Mrs'. Elmer R. Raanes 2446 Andover Drive Union City, California L J �.rl rU.P.11Ml1 b it .r ...-.. Same as • Above Eiw . 10 ... C.:9 M, grricmt FECOIIDS 1 9r+'1! COl'biT•Sslif f unu E' C h • •,'�b 29�AH � CO�::iT alC3i:Lia FEE 17423 SPACE ABOVE THIS LINE FOR RECORDER'S USE -� TAX fr11J — as follows: x J ' �..,. _. .' Ga c�.'• :U[ OF P.:--?CGTY.CONVbYt7 Od CL,:UE t6:S ttCla LU AI?6:E OF SALE Ile a through a central angle of 540 57' 34" an arc distance of 258.99 feet 53' 41' West. 469.85 feet to aLu Joint Tenancy Grant Deed i 1).T -T.! 3.65 ..._ ..... _ THIS roNM /uMmISMILD DT TITLK INSU11ANCIL AND TRUST C"FANT FOR A VALUABLE CONSIDERATION, receipt of Which is hereby acknowledged. joHN S. REYNl71.DS and THERESE M. REYNOLDS, his wife hereby GRANT(S) to E):MER R. RAANES and PILAR G. RAMES, his wife, AS JOINT TENANTS. the rel propery in the State of.California. dewibed n: County of Butte Being a portion of the Southwest quarter of Section 6, Township M.D.B.'& i3., and More particularly described 21 North, Range 5 East, as follows: x J COi•SIENCIP:G at the. Southwest corner of said Section 6; thence along the South line of said Southwest quarter, North 890 02' 48" Fast, 575.13 feet'to the LU 1208.56 feet; thence North 02o 45' 55" West, to the Northeast having beginning of a non -tangent curve concave radius of 270.0 feet; thence along the are of said curve, a through a central angle of 540 57' 34" an arc distance of 258.99 feet 53' 41' West. 469.85 feet to aLu thence leaving said curve South 670 :Jesterly boundary line of a parcel of land as described point on'the in Deed to [Jayne P3chard 1Jeide, et ux, recorded September 14. .1971 Official Records t at in Book 1700 of Butte County page 410; line thence South 220 29' 48" East, along the Westerly boundary true of beginning for the of said Weide parcel 165.0 feet to the point parcel of land herein described; thence from said true point of beginning North 840 51' 55" East, 300.94 feet; thence South2126 South 100 06' 40" East, 59' 51" tJest, 133.37 feet; thence feet; thence South 620 55' 12;1 gest, 172.59 feet to a point on the Westerly oun ary ne of-saTE Te3ae parcel; thence North 220 29' Weide parcel, 4.t" West, along the Westerly boundary line of said 297.62 feet to the trte point of beginning. C^ U - LU Z . w • : to s 0 1-� N N CJ1 G3- EXCEPTIKIG i}•L"•.Mr OM zll hydrocarbons and minerals now or at any time - hereafter situate therein and thereunder and ver may be produced there- from, together ui.th the.free and unlimited right to nine, drill, bore, operate and remove frog beneath the surface, of said land at any level or levels, 100 feet or more, below the sur�ace of. said land for the purpose of Development or removal of all hydrocarbons and minerals situated therein or thereunder or producible therefrom. TOGM R WITH a right of way for road and public utility purposes over a strip of land 60 feet in width, lying 30 feet on each side oA-'00 .line described• as ..follows.: T___�.._. __..... ,... .._ ... . BEGINNING at a point which bears North 890 021 48"..East, along the South line of said Section 6, a distanceof 1208.56 feet and North . 020 451 5511 Ifest, 575.13 feet from the Soutln•Test corner of said Section 6; thence from said 'point of beginning,, along the are of a 270.00'foot radius curve concave to the Northeast,. whose tangent at 'this point bears North 770 221 2511 West;. through a central azole of 770 141 2811 an arc distance of 363.99 feet; thence along the tangent of said curve, North 000 071 57" East, 273.00 feet; thence South 740.071 1211 Fast, 47.20 feet; thence North 760 151 3811 East, 362.40 feet; thence North 140 151 4911 East, 57.49 feet to a point in the Southerly boundary line of Big Bend Road and the end of said line, ALSO TOGETHM 1111TH a right of way for road and public utility .purposes over a strip of land 60 feet in width, lying 30 feet on each side of the following described centerline: BEGIMUNG at the Southeast corner of the above described parcel of land; thence North loo 06' 40t1 West, 101.25 feet; thence North 210 591 5111 :ast, 133.37 feet; thence North 290 291 5011 East, 90.0 feet; thence North 440 591 5511 Mast, 159.20 feet to a point in the center of an existing road and to the end of said line. lot Ualnd:_. ___ October .11, _1971 %KU -1,11." I.ANirl. IA. 1.._— _._.?i_._. Corru)l0 ON'1u11 VAIVE Of r.ON.rI CO -11t,. Or CO.:rV110 ON 1Yll v IYl IISI I./NS ANO — L4Ck""ANCl3 .E.MINING A/. IME OF SAIL r SLI :T /(ZZC N d+... S. �T�TI: OF :1cn)n.Ir'N.l:T.l" NI ..�7Z,4 ,rrrr.— ..mnej.}1 l. hc.I`.h. r nmL•I. ��►.r�7ltYr[,,/C:�!_L�f.yj� —. gq.rm.d ThereseM. Reynol $ I.. Ir Ihr L•r..,n� .rin..r mm�.�+ �[� ri1N.1 br Ihr r�ilhin in -u w'.•m and erin..w lydFrd 1hm._ .rrubd Ih: ..mr. WITN1:.S< m} 1-4 .n.1 .46.1 .r.1. 'OFFICIAL SIAL . F F'GGY M BOWEN • Y P401 -k' .IIBI._-CA lIEC1RNIA I AIAA•IhA CCN1N71t Mr Can.:uim EAI'... Mn:A 71 1974 Tilly Ordrr N ..... .... _ A AAA. _ . .. f:a rrrr .rr L.'.n No'. Gn//n/fo.(�O,e/� NCAIL TAX STATEMENTS AS DIRECTED ABOVE 1>fO 9 ►.; BUTTE 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 P O:TECT INFORMATION Site Address: pw 0.tn l `I 0.� 1 Vne PerM, 0 -0529 4N: 058-730-026 OSKIy Issued Date: 0371'9/2001"%>By GLB Expiration Date: *no Permit type: MISCELLANEOUS Subtype: Electric Panel HY ROAD MAntYS- LE, CA 95901 Description: TEMP�POWER POLE (530)2 4 Occupancy: FR10 Contractor Applicant: Square Footage: R J KOSKI Building Garage Remdl/Addn 1194 MURPHY ROAD MARYSVILLE, CA 95901 Other Porch/Patio Total C � (530)682-2814 FEE INFORMATION DBE Single Phase Service-Resid $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No. 82223 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, , also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 03/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier: Policy Number: Exp. Date: (This section need not a completed if the permit is for one hundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. 8 P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' 03/19/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X03/19/2007 I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and,�Pte laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, i demnify, and hold harmless Butte County, its officers, agents and employees from any and all ciaims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising outy0flo n�y way connected with the issuance of this permit. 1 hereby acknowledge that issuance of thisnn t does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. use occupancy of any sidewalk, street, or subsidewalk. I hereby authori represerilatives of Butte C - my l9 enter the above mentioned property for inspection purposes. I hereby certify%that I am the Prop o er ora uthori d to act on the property owners behalf. Fe 03/1,912_00• J7> 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) Nameo {P0rrt1[, a SL1GN] Print Date rt J Owner t adl(r OR: Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive i+ Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTIL.L THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT YES R NO) 0 1 VE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: 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: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: TEMP POWER POLE Reference Number: B07-0529 Applicant Name: R J KOSKI Owner's Name: R J KOSKI AP # : 058-730-026 Signature of Property Owner:�e Date: — % T rFBUTTE COUNTY ,cs 0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 0 A FEE WILL BE REQUIRED AT TIME OF.APPLICATION Website: www.buttecounty.net/dds OV N� "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name o First Name j Mailing Address j Y� �C City, air ��� tate Q Zip Phones D & $ z _ zg/l Faxd E-mai APPLICANT INFORMATION - + Name OW i Addiess I City State Zip Phone I Fax i E-mail APPLICANTSIGNATURE E CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION - + Name OW i Addiess I City State Zip Phone I Fax i E-mail APPLICANTSIGNATURE E ARCH/TECTIENGINE.ER Name Address City State Zip Phone Fax E-mail State License Number I APPLICANT INFORMATION - + Name OW i Addiess I City State Zip Phone I Fax i E-mail APPLICANTSIGNATURE E X PERMIT NO. C BIN # PROJECT LOCATION AP# c63 -7 -o2-,o Property Address lo to / a�o-7-7;Sul City, 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: i~ .. C?^,,- -- Garage Ope-1—.--_ �y -- I ^i `-i ; -tl:re Built w?[„out Perm'11s= 1 nnt,cori r.hnnno of Ormn..nry HT1! l 11W(tv�.� previous use): I For office_uso only: ,_.oning - f=lood Zone -RA t. -Oc`---...-.--------` Type ;'ons Yes f- L «i ��• � wl+ � �h � E C4 r S 011 wig VX CoI SITE PIAN '< '.q.'.y''� Jy Yh .. _ .. ... 7--"'7-"-': ... _ ....... .. _............ .. .. ...... ..... .. — -- •• — --...... .. .............. ... .. .. .. .. .. .. .. .... .. .. .. ... .. .. .. .. .. ... .. .. ............ .. ... .. .. .. .. ............. .................. .. .. .. .. .. .. .. .. ... .. ................. .. .. .. ... ... ... ............ .. . ...... .. .. .. ...;... :. .. ... ............ _ _. .. ............. .. .. ...... ... ............ .. .. .. .. .. .. .. .. .. .. .. .. .. ....Y.. ............ ._ .. .. .. .. .. .. ............. .. .. .. .......... ..SI.Sc...._• .. .. .. �.. ................. ......................... ...................................... .. .. ... .. .. .. .. .. .. .. .. ._ ._ ...... .. .. .. .. .. .. _. .. .. .. .. -. .. ..................................................:� :... - .. .. .. .. .. .. ... .. .. .. .. .. .. .. ............................... .. ............................................... . ... 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"� . .. .. .. .. .. .. .. _ • J _ _ – !:. .. .. .. ... 1l. ..4 .. .. .......................... .. ... .. .. . -. s vs e `�.. 1. u o� �.a e D :e s P� :ti .n OH d- b"l d _ N Jail N .. ... _. .. _. .. `ONS: d •V S .. .. ... .. t r.. .T. .............�..:..... .. .... .............. `.......................................... .. .... .. .................. ..._ .. _..... ... .. .. .. -•t - ..... ........... .. .. :....:_...r...... :. ...... ... .��....--- ..... . . . . . . . . . .... ..: : : : : : : Assessors Parcel Number 2 0 — ® 0 ❑D — © ® Q Scale: 1" = 'S� � Omer -Name .-_ LA v - L- A D v✓A- 419 S Address / Phone No. .AL� �—� �-s i . �,L Y'( :S— 57 71 A �`E C� . j� rL' l/ �p C Site Location O.Pi= i tJ o L,,-) --,-A Contact Name 8�L-A2-- CY^'S TRQc'17,,,J.Phone 3 V—z`ro 00tobw 4 MM FOR OFFICE USE ONLY PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Desig: ZONING: Size, Acres GEN PLAID: 4.0(rUSES: 14 i n