HomeMy WebLinkAbout060-090-04804-2936
wimm RUST,
GREYBEARD LN, QRQ*H--L--
FGANI ELFcTRic
rUTURI� LOT EIEV
ELEC
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: wwwbuftecounty.netkdds
PERMIT NO.
BP042936
LICENSED CONTRACTORS 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
Issued Date: 10/12/2004 APN: 060-090-048-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number:
Site Address:
Date: Contractor:
Map Index:
Description: temp power pole to service well & futrue lot
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
devel
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which 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
Owner: WIMMER, HAROLD J. & PECK, GAYLE
signed statement that he or she is licensed pursuant to the provisions of
FRANCES
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
241 SILVER LAKE DRIVE
she is exempt therefrom and the basis for the alleged exemption. Any
CHICO, CA
violation of Section 7031.5 by any applicant for a permit subjects the
95973
applicant to a civil penalty of not more than five hundred dollars ($500).):
LI 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
Applicant: WIMMER, HAROLD J. & PECK, GAYLE
prbvided that such improvements are not intended or offered for
FRANCES
sale. If however. the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
41 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
13 1 am Exempt under Article 31 of the Business and Professions Co
Contractor: EAGAN ELECTRIC
.0—
PO BOX 7193
1.
Dat./-t%,IA Owner: ��. X
ZZ=;;Z I
CHICO, CA
WORKERS'COMPEN'SATIWDECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
530-345-7264
13 1 have and will maintain a certificate of consent to self -insure for
workers' compensation, as provided for by Section 3700 of the
621449
Labor Code, for the performance of the work for which this permit
License #:
is issued.
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
Architect:
insurance carder and policy number are:
Engineer:
Carrier:
Policy #:
'5� I certify that in the performance of the work for which this permit is
Total Square Ft: 0 S. F.
issued. I shall not employ any person in any manner so as to
Valuation: $0.00
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Q j�� . V q ',
Date: I "I
Applicant J A— IJJMAn�
4 _iIL1r(71n
WARNIN : Fa e'rure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and aftomey's fees.
CONSTRUCTION LENDING AGENCY
This permitis he eb is!u d under the applicable provisions of the BiMe County Code andlor
I hereby affirm that there is a construction lending agency for the
Resolutions to __�
ork indicated above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
t Z>
Name:
By:_ �Date:
PERMIT(X - C)S7
�IES ON:
Address:
_ (Date)
Q I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
Cl Attached are copies of the required E. P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the own er. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of n inty. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection pu e ,
&AL, J'. tAJ
Print Name: Signati ----
Date: / () - / _�L_ - 0 Z),
,JTOwner 13 Contractor 0 Agent for Owner L3 Agent for Contractor
%. V n �_�ke> .
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - C11ICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WLLL BE REQ UIRED A T TIME OF APPLICA TION
/07 6ft- /C -7—P **PIZASE PRINT CLEARLY"
k OWNER
Wt�,%Te 1(jj 0:�.:
lFirst Nam
Address
city OW/ a 0,
Stl��
ZI'95-? 93
Phone
Fax
E-mail 1�0 i /n /n e)- i7j& e—) *,eo, ce /n
APPLICANT NAME
CONTP,4CTOR
Name,
CRY
Address /3
Zipq
city
Fax
Stafi�',,,
Zip��9-27
Pho,!5�;o .7,;, ,4
Fax
__S�
E-mail
E-mail
Lic. #
Class
APPLICANT NAME
ARCHITECTIENGINEER
Name
CRY
Address
Zipq
city
Fax
State
Zip
Phone
I Page
Fax
E-mail
I Date Approved:
State License Number
APPLICANT NAME
Name 4�9Z e -it ?� 62)4Z Z,—' 6rc k—
Address
_:�)'7'1 ZRk r—
CRY
State,,,,
Zipq
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
For office use only:
Zoning
Prop Address
?�'_ I r e_ti b en rd
Flood Zone
SRA
No
Occ.
Toe Const
Subdivision Name
Map Book
I Page
Lot #
Planner
I Date Approved:
PERAUT
NO.
oog�?--2CI3�
BP
BIN #
LOCATION
AP# o(o�n9o-o4ff
Prop Address
?�'_ I r e_ti b en rd
L ri.
Cross Street U
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 ofpennit issuance.
LENDING AGENCY
Name
Address
Descripti rS lWork: I
-Few 1 ':�2 Qz'er q 1'0 - M 'Sn (/I e e
u et I t a L.6f QawelnoLnQ�
Sq. Footage . I
0 Structure Built V&Wt Permits
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION -OF APPLICATION
Applications for which a permit has not been issued will expire one
yezr after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
perrnit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
I I Received by.1F Amount -1 C-1 Bldg
C
Receipt AFA -2,1) '8 RA
Sheriff
SMIP
Date: Other
Total
®I
R
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS MLL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
n 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. Ato graph paperl
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 3. Engineered truss details and layouts in duplicate (if required). No faxes!
0 4. Energy ' compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
El 5. Statement of Intent for Non -heated an'd A/C for Non -Residential Buildings.
0 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down
or fnd plans, all in duplicate.
r_1 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be staMDed and wet -signed by the engineer.
11 8. Flood Elevation Cortificate, wet- ' stamped and signed, in duplicate (if required).
0 9. Site plan and business license approval from the City of Biggs.
0 10. Letter of intent for non-residential buildings.
0 11. Detached Accessory Building Form filled out by the owner (if required).
0 12. Hazardous Material Form (for Commercial Buildings only).
El 13. Sanitation and site plan approval from the Environmental Health Department.
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
El 1 . Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
El .2. Impact Fees.
0 3. California Department of Forestry plan approval (if required).
11 4. NPDES Form.
0 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
0 6. Contractor's license inform, ation. (Number, Name Style, Classification).
0 7. Workers Compensation Carder and Policy Number.
0 8. Owner -Builder Verification (if required).
0 9. Letter of Signature authorization (if required).
0 10. Recorded copy of Agricultural Acknowledgment Statement.
0 11. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner (for 433A's).
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
metunds can only be made upon w(itten request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
,heck fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICESrBUILD.ING.DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL NUMBE
Date: 4/
Proposed Building Use: Counter Technician 1-:i - /o/ -Al - 4
Items required in order to a0lily f6l"a-permit. All boxes MUST be checked OR marked NA in order to apply.
0 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans. .
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Letter from Engineer or Architect for truss design review.
0 6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
0 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the engineer.
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license approval from the City of Biggs
0 12. Letter of intent for non-residential buildings
0 13. Detached Accessory Building Form filled out by the owner
0 14. Hazardous Material Form
0 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 0 Oroville, as applicable.
0 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 18. Agricultural Buffer cIr and site plan apr from the Ag Commissioner Sent by_..
0 19. Soils Report and/or Engineered Foundation required ........................................... ........
0 20. Erosion Control Plan Required ........................................................................ ........
0 21. Fees as shown on the attached Schedule of Fees Due Sheet ..............................
0 22. City of Chico Plumbing permit ........................................................................
0 23. California Department of Foresiry plan approval 0 paid. Sent by: . .............
0 24. Planning approval (A) Use: -(B)Parking: _(C) Parcel Check: -
0 25. Contact Land Development about - Improvements, - Drainage ...........
0 26. NPDES Form
27. Encroachment Permit for driveway from the Public Works D
;F. ept ............... I ...........
L
28. Pre -Inspection for jZge44 t, required .......
0 29. Contractor's license information. (Number, Name Style', Classification) ...................
13 30. Worker's Compensation Carrier and Policy Number ......................................... *
0 31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) .....................
0 32. Letter of Signature authorization .................................... * ................................
0 33. Recorded copy of Agricultural Acknowledgment Statement .................................
0 34. Manufactured home utility clearance ...............................................................
0 '35. Existing violations and/or expired permits ................................................
0 36. Deed Restriction ...................................................................................
0 37. 0 Grant Deed, 0 M.H. Title/Statement of Facts, 0 Letter from Legal Owner, 0 Check to H.C.D. $
0 38. Other:.
0 39. Other:
When issued Telephone and hold for pickup.
I-) f- / , - L"
I have been informed of the above items and requirements for obtaining a building permit.
A __7 A A -
-� /0
Applicant:
1. Index peffnit aPlicatl. 6f Ae at36veitems numbered:
2. Additional 46s requ
Date: /,v 9 A
L
Plan Check Leder /
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by
Contractor, designer, owner, was advised of the above data by 0 phone, 0 mail, 0 counter, by
Plans reviewed by: Date: Plans approved by: _
Structural reviewed by: Date: Structural approved by:
Note transfer by: - Date:
Yellow: Building Division
Date:
Date:
Date
Date:
PRE -INSPECTION REPORT' -
OWNER: 1jj(_V'nW19r_ DATE: /I./) -
LOCATIE�4 rd Ln. AAe aja2,d(� A.P. # 6(co_6 �?6 441 S�'
RM4 \j I
CONTRACTOR: �"navl e_10(4 ZONING:
REASON FOR PRE -INSPECTION
d3nu J �6L /""j 01
y
DATE TO INSPECTOR:A0 - 21 PERNHT HISTORY (k,<ONE ( )SEEATTACHED
Building Description:
Commercial/Usage:
Residential # of Units:
Currently Occupied
Abandone(SP
Electric:
BUILDING INSPECTOR'S REPORT
( )Yes (10 No
Electric Currently On )Off
Condition of Electric do I
Mobile home # of Units: '
Gas:
Currently On )Off
Condition
Sanitation:
Plumbing Working Yes No
Obvious Sewage Problems Yes No
ACTION RECOMAHNDED: ISSUE (k)/fes No
Hold for permits or verify:
'Inspector: Date:
SKETCH -BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY.
T BUTTE COUNTY
0 0 DEPARTMENT OF DEVELOPMENT SERVICES
0 0 BUILDING PERMIT APPLICATION
0 0 AND SUBMITTAL REQUIREMENTS
0
0 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 - CIECO: (530) 891-2834
0 0 OFFICE#: (530) 53 8-7541
01A A FEE HILLL BE REO U12? ED A T TIME OF APPLICA TION
"PLEASE PRM CLEARLY"
!-4) /M M,5r_ - /c _j_1,,jS7-
k OWNER
as
L 't Name
lFirst Nameljiz�-
Address
city
StaL�
%5_�'23
Phone
3.i
Fax
E-mail
APPLICANT NAME
CONTRACTOR
Name, /t --/V e 7-p- c_
Address
'71q_3
City r"'I/ C 0
city
Statf�,,,
ZiP25917
Phony-,,
7,26,1
Fax,
E-mail
E-mfli
tic. #
Class
APPLICANT NAME
ARCHITECTIENGINEER
Name
Cly
Address
Zip
city
Fax
state
Zip
Phone
Map Book
Fax
E-mfli
II
State License Number
APPLICANT NAME
Name
Addres K,—"— 'Z.'9X f—
Cly
State
Zip
Phone
Fax
E-mail /7 1' dh
APPLICANT SIGNATURE
X
For office use only:
Zoning
Prop Address
i�; r e-ci b ect ral
FloodZone 1)(/
,* I
SRA
No
Occ.
Too Const.
Subdivision Name
Map Book
I Page
Address
II
Date Approved:
PERNnT
NO.
BIN #
LOCATION
(? (0 - C)
Prop Address
i�; r e-ci b ect ral
L ri.
Cross Street U
WORKER'S COMPENSAT101V
Policy Number
Carrier
If hiring anyone other than license contractors, a certiricate of worker's
compensation must be shown at the time ofpermit issuance.
LENDING AGENCY
Name
Address
Description or Scop'� "' Work: I
, P", i:� I:, E "Se ( (/f e e,
Lw,L
Sq. Footage
0 Structure Built vvithout Permits
0 Proposed Change of Occupancy
(Note previous use):
EXPTEPATION-OF APPLICATION
Applications for which a perinit has Dot been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and o1her department costs are n:)t
refimdabl&
I I Received by: -e- Amount _C__1 Bldg
C
RA
Receipt P Sheriff
SMIP
Date: //)--)7-0-,/7/ / / )r) - 4/9 Other
6
RECORDING REQUESTED BY
Mid Valley Title & Escrow Company
AND WHEN RECORDED MAIL TO:
The Wimmer-Peck Family Trust
241 Silver Lake Drive
Chico, CA 95973
A.P.N.: 060-090-048-000
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09.OMM 23-Sep-,21MI4
I REC FEE 10.00
I TAX 121.00
I Barbara
I Page I of 2
Space Above This Line fbr Recorder's Use Only
GRANT DEED
File No.: 0401-1608433 (TB)
The Undersigned Grantor(s) Declare(s): DOCUMENTARY TR . ANSFER TAX $121.00; CrrY TRANSFER TAX $0.00;
SURVEY MONUMENT FEE $
X ] computed on the consideration or full value of property conveyed, OR
] computed on the consfderatlon or full valueless value of liens andlor encumbrances remaining at Urne ofsale,
X ] unlneorporated area; t I Oty of Butte Meadow's, and
FOR A VALUABLE CONSIDERA170N, receipt of which is hereby acknowledged,, Thomas M. McGowan and
Shelly McGowan, husband and wife as joint tenants
hereby GRANTS to Harold J. Wimmer and Gayle Frances Peck, Co -Trustees of The Wimmer-Peck
Family Trust dated March 7,1994
the following described property In the Unincorporated area of Butte Meadows, County of Butte, State
of California:
LOT 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, --WADE SUBDIVISION-, W#frCH MAP,
WAS RECORDED IN THE OFFICE'OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON FEBRUARY 27,19S2, IN BOOK 19 OF MAPS, AT PAGE(S) 18 AND 19.
PARCEL HEREIN IS PURSUANT TO A MERGER APPROVED BYTHE COUNTY OF BUTTE,
RECORDED NOVEMBER 7,2002, UNDER BUTTE COUNTY RECORDEWS SERIAL NO. 2002-
60199.
Dated: 09121/2004
Thomas M. McGowan
F/A
1/wRow- 0144
Mail Tax Statements To: SAME AS ABOVE
!;; . .. X
A.P.N.: 060-090-048-000 Grant Deed - continued File No.:0401-1608433
US)
Date: 09/21/2004
STATE OF
)ss.
COUNTY OF
On
before
me, j- personally
appeared :TA'0'0-4 -S r'). 01/ -.:� 'Oe7-6c)q Y�
q. e
personally, known to me (or proved to me on the basis of satisfa6tory 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(les) and that 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 hand and official seal. 7771s area for offlicla)
notatial seal
My Commission Expires: 117lo6-
TAMI BARLOW
COMM. # 1289725
NOTARY PUBLIC-CAUFORNIA
COUNTY OF BUTTE
C011W.-. Npires Jan. 7, 2005
Notary Name: Notary Phone:
Notary Registration Number: County of Principal Place of Business:
C
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