HomeMy WebLinkAbout060-110-032NOTES
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PERMIT RENEWAL
DATE: q-'-ZO-06
BP# 05-0/3S
`wxpms: q-27-07
FEOOD-CERTIFICATE'REQ—*
VFIRE SPRINKLERS REQ.
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COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
` 7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
Date Inspector _/ - &&X�4w
REV 4/05 Phone #- �Co7
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE - �••,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
r
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
ER
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please contact the Building Inspector as indicated below.
Al l o Mir DAA/ S'/1C
y
f.:
r
Date Inspector. - �A �►YI,�����5
REV 4/05 �, .iS �rn Phone #
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
��le`. bS- a ►-3�
OWNER PERMIT NO.
e.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected! Please call for re -inspection when correction of
work is completed. If you have any questions pertaining to this matter, or need additional
explanation, please`contact the Building Inspector as indicated below.
a
Y».� t• c) t? -- 1 't7 �' � o '' .S k"�n �l .o •. �► .r Ic. o r "�,
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Date U f j _� Inspector L )ac
REV 4105, , Phone #
,
FOR RE -INSPECTION CALL: 538-7636 OR 891-2834
4' ' ,COUNTY -OF BUTTE! ;
tom. ..
. 'bbl -DING DIVISION
�- DEPARTMENT OF DEVELOPMENT SERVICES -.•-R
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
FI NI`Ckl
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected;:.. Please notice this office when correction of work is
completed. If you have any questions "pertaining to this matter, or need additional explanation,
please contact this office immediate fy:;- —. ' <.
Date - /Z - d_S" inspector t ryYN(itJ -j
REV 10192 -
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Date - /Z - d_S" inspector t ryYN(itJ -j
REV 10192 -
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (630) 638-7541 -
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that 1 am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Dale: Contractor:
OWNER•BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Slate 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
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Slate 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 penally of not more than five hundred dollars ($500).):
❑ 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' Slate License Law does not apply to an
owner of properly who builds or improves thereon, and who does
such 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 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.).
1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors'.Stole 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 Conlraclors' Slate License Law.).
❑ I am Exempt under Article3 f Ih Busln nd Proles ode
,2 7 0_�
Dale: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as
required by Section 3700 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
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'
compensation provisidns of Section 3700 of the Labor Code, I shall
forthwith comply with [hose provisions.
Date:
PERMIT NO.
BP050135
Issued Date: 04/27/2005 APN: 060-110-032-000
Site Address: 7450 VALERIE PL BMD
Map Index:
Description: NSF(2148) ATTIC(780) COV(1752)
Owner: FINLEY DAVID C & LOLA M
PO BOX 522
FOREST RANCH, CA
95942-0522
6`73 -- 386-7
Applicant: FINLEY DAVID C & LOLA M
PO BOX 522
FOREST RANCH, CA
95942-0522
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 4680 S.F.
Valuation: $218,352.00
Census Code:
Applicant:
WARNING: Fallushall s t, secure workers' compensation coverage Is
subject an employer to criminal penalties and one
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unlawful, and shall
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
Interest, and attorney's fees.��
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code,
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CONSTRUCTION LENDING AGENCY
This permit Is heryby Issued under th� pp
Resolutions towork Indicated ab 4e fpr
able provisions of the Butte County/Clo(d/e and/or
hich fees have been pald.
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
�2
Name:
By. /
f%.,%l_.
PERMIT EXPIRES ON:,
Address: I r"efei
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safely Code Is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that thabove Information Is correct, and that.[ am the owner or a my authorized agent of the owner. I agree to comply with
e
all county and stale laws relating to building construction. I acknowledge It Is unlawful to alter the substance any 9fficial formor cumenl of Butte Coyauy--Mreby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpos �j�
Print Name:/%y/� C� AJ L Signature
Date:
X -Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
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Ph. (930) 89 M6 Fax(93o)899-1102
11
October 14, 2005
RE: Finley Cabin, 7450 Valerie Place, Butte Meadows, CA 95942
APN: 060-110-032
To Whom it May Concern:
The MSTA32 strap that is called out on the "low beam" on the Roof Framing plan
may be omitted if the beam is connected and "locked" into the wall. A suitable
connection would be a fastener that is capable of withstanding a lateral force of 200
lbs, (16d common toe nails would be sufficient).
Sincerely, 1�®�
Mike Hubley € �� €�o. 3 4732�
�`f 9 Exp 6/30106
S. E. W
CT
OF CAS
5303431124
Oct 20 05 04:54p Western Woods Ewp,IRick 5303431124 10.1
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APA=Vff%X
Certificate ®f Conformance
r
Certificate 054100
THIS IS TO CERTIFY that the glued laminated ,timber products identified with a collective mark of
Engineered Wood Systems (EWS) were manufactured in accordance with the applicable standards
and associated specifications indicated below:
ANSI Standard A190.1-1992, For Wood Products — Structural Glued
Laminated Timber
NER-486 Glued Laminated Timber Combinations And "GAP"
Computer Program For Determining Design Stresses
AITC 117-93 — Manufacturing — Standard Specifications For Structural
Glued Laminated Timber Of Softwood Species
IT 1S HEREBY CERTIFIED that the APA EWS trademarked structural glued laminated timber members
were produced in a manufacturing facility subject to regular audits in accordance with the Engineered
Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the
manufacturing process and evaluation of the in -plant OA program with adequate sampling to verify
conformance to industry standards for lumber grade and glueline bond quality.
S x
Y -M ' Z`�1 �Z� Z�H 2I 6 2/ �3
®®�aaeeaieoeB
5_(
( I , 2Yr1Y ALSEAL
by
Thomas G. Williamson
o j• Executive Vice President
°000q�SH
ENGINEERED WOOD SYSTEMS is a reiateo corporation or APA — THE ENGINEERED WOOD ASSOCIATION -
7011 South 191h Street - P.C. Box 11700 - Tacoma, WA 9841, 1 -0700
Telephone: (253) 565-6600 • Fax Number: (253) 565-7265
J=OK
0 = Not OK
:-NotReadyab'e
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test-Wrap;-/ P' L'ft.
/ P Nat. or/ P' L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum: Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Panel boards -Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
= OK
= Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date UND FLOOR (Plans) OK except #'s
ing-Setbacks-Easements-Flood-Slope
tg., Main; Soils-Elec. Grnd.-1 Ftg. Depth
fit§, Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Porches & Decks; Soils -Steel -/tri" Ftg. Depth
Stemwalls, Main; Steel -Blockouts-Wrapped
mwalls, Garage; Steel -Blockouts-Wra ed
Hold Downs and Special Anchors
t�-- Slab, Steel -Wrapped
8. iers-Fireplace Ftg.-Steel
91W.V; Fall -Fitting -Test -2 Way C/O -Sewer Test
.X -1Y OF Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. W r Pipe; Test -Anchors -Regulator -Service Test
3oE-ectric Underqround
.SL1W' Plenums & Ducts: Clearance -Material -Support -Ins.
1W. -Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
1fie<ccess & Ventilation
X16. Insulation
Date t Card B-1 I Date Card B-1
Date4 // Card B-1 Date Card B-1
Date PLU ING (Permit) OK except #'s
1 r Htr; Vent -Access -Combustion Air Baffle
` 1 ater Pipe; Test & Anchor -Nail Protection
D.W.V.; Test Fittings & Anchor -Nail Protectior�
V1L6 S• Shower Pan; Test, First Floor -Tub Access
21. st Tub & Shower, Second Floor -Tub Access
. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date lililfltr
Card B-1/ Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELE RICAL (Permit) OK except #'s
xture & Transformer Clearance -Ins. Protection
2V Elec. Receptacles Spacing -Lights & Switches at Doors
CfRg. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
26o.' iz oxes & No. of Conductors Stapled
4�.
50.
2 mex Installed Close to Edge of Studs & C.J.
uip. Ground made up w/Mech Fasteners -Bond Gas & Water
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
2 ppliance Circuits in Kitchen & Conductor Size GFI
52.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes 0 No
Property Line Firewall & Openings
2 ervice-Riser Conductors & Ground Main Disconnect
54..
ui . Clearances Panels-Motors-Mech. Equip.
clothes Closet Light -Shower Light -Spa Light
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
W. Smoke Detector
CAZrM
Date /a(4
-r I? os vis
Card B-1 Date Card B-1
Date
Card B-1 Date . Card B-1
Date MECHANICAL (Permit) OK except #'s
36. A . Ducts Insulation & Support
Q.Tyent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date 1' p/'jj C5 -Card B-1 Date Card B-1
Dater '- Card B-1 Date Card B-1
Date FR ING Permit) OK except #'s
S' Proper Materials & Anchors
4 alts Studs -Nailing Spacing & Braces -Plates -Sound
. Bearing Walls over Girders & Floor Nailing
�braft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.: Headers & Beams -Size& Bearing
8,%e,l�.C. Unit Disconnect, Electrical -Plumbing
8 n s Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87 ater Well, Disconnect, Electrical, Plumbing
88 ter' � Elec. Trim, G.F.I. Receptacle -Underground
8 entgWion Throughout House
91_,,e6rrs from Previous Inspections
924o'Gas Te t -Meters Tagged, Gas -Electric
93. at & Sewer Connected -C/O to Grade -HD Approval
. Ener Compliance Certificate -Other Certificates
ddress Posted
'• 9 e Sprinkler
Date -,9-0 e> Card B-1 U� Date Card B-1
Date %-I(p -O(O Card B-1 rat �` _ Date Card B-1
Date.. Card B-1 Date Card B-1
Comments at Final:
Date
FRA G (Continued)
an ers-Post Caps -Anchors -Connectors
.
CfRg. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
4�.
50.
ireplace Ties or Type A Flue -Fireplace Throat Clearance
jAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54..
Doors -One 3' -Check Garage 3rd Story, 2 Exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
cco Mesh -Drip Screed -Fd. Vents-Underflr. Access
azing Area -Glass Protection -Skylights -Plastic
%V
61.
Shear Walls; Nailing -Bolts
Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date v
/
Card B-1 7_ Date Card B-1
Date
Card Date Card B-1
Date
FI
(Plans) OK except #'s
4.
E . teps-Door & Sidelight Protection -Landings
6 _ .
S" Detector
E16-'P,rn
Vents -clearance -Comb, Air-Connector-
arage; Above Floor-Ducts-Mech. Protection
&r_liel-room
Exiting
..I. & Bath Fixtures & Tub Access -Spa
E . Trim & Subpanel, Breaker Sizes & Labels
Ar
9tairs & Rails
F' ace or Stove, Clearance -Hearth
7 .
Elqg-Outlets at Wood Panel, Int. & Ext.
7
it. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
ec. Outlets & Receptacles at Kit. Counter
7
ure
76/A.0
ct in Garage -Damper
7
tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in e; Above Floor-Mech. Protection
, ec. & Mech. Equip. Listed for Location
7
EI eceptacles in Garage (FF.I.)-Romex Protection
89-.'-1
ation-Foam-Looked in Attic
Gq,aM-Rails & Deck Construction -Post Caps
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
_
83-ro-Ilo-wiagInstld./Drive
O Yes 0 No/Walks D Yes O No/Planters O Yes 0 No
8
ucco Brown -Finish
8,%e,l�.C. Unit Disconnect, Electrical -Plumbing
8 n s Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87 ater Well, Disconnect, Electrical, Plumbing
88 ter' � Elec. Trim, G.F.I. Receptacle -Underground
8 entgWion Throughout House
91_,,e6rrs from Previous Inspections
924o'Gas Te t -Meters Tagged, Gas -Electric
93. at & Sewer Connected -C/O to Grade -HD Approval
. Ener Compliance Certificate -Other Certificates
ddress Posted
'• 9 e Sprinkler
Date -,9-0 e> Card B-1 U� Date Card B-1
Date %-I(p -O(O Card B-1 rat �` _ Date Card B-1
Date.. Card B-1 Date Card B-1
Comments at Final:
BALANCE OF FEES SB=
DATE: b
PERMIT: P 0
ASSESSOR PARCEL #:
OWNER'S NAME: �//V
FEES: (Amount and Purpose):
9
FEES: $
BALANCE OF
ADDITIONAL FEES: $
REVISED PLAN CHECK:----------------
$
SHERIFF FEE: $
SRA. $
COPIES $
URBAN AREA FEES $
I CSA 87 (North Chico Spec.) $
b WATER TENDER FEE
$ BATTALION #
THERM DRAINAGE FEE $
OTTER � .
OTHER $
VALUATION - IF BALANCE OF FEES OR ADDITIONAL FEES:
TOTAL VALUATION:
ADDITIONAL VAL: S
(Check one) COUNTY
CITY OF BIGGS
w
(Check one) RESIDENTIAL �.
a � � cor,IMERcLAL � S
�l
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
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
the Business and Professions Code, and my license is in full force and
effect.
License Class : _ License Number:
Dale: Contractor.
'OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Slate 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
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Slate 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 penally of not more than five hundred dollars ($500).):
❑ I, as owner of the properly, 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' Slate License Law does not apply to an
owner of properly who builds or improves thereon, and who does
such 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 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
sal?.).
I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' Slate 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' Stale License Law.).
❑ I (am Exempt under Arllcle 3�Bustln,/nd Profes ode
Dale: �{ Z -QS Owner: ,
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
❑ 1 have and will maintain a certificate or consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as
required by Section 3700 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 It:
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'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Dale:
PERMIT NO.
BP050135
Issued Date: 04/27/2005 APN: 060-110-032-000
Site Address: 7450 VALERIE PL BMD
Map Index:
Description: NSF(2148) ATTIC(780) COV(1752)
Owner: FINLEY DAVID C & LOLA M
PO BOX 522
FOREST RANCH, CA
95942-0522.
Applicant: FINLEY DAVID C & LOLA M
PO BOX 522
FOREST RANCH, CA
95942-0522
Contractor:
License #:
Architect:
Engineer:
Total Square Ft: 4680 S.F.
Valuation: $218,352.00
Census Code:
Applicant:
WARNING: Failure to secure workers' compensation coverage Is ��7
unlawful, and shall subject an employer to criminal penalties and one /�/ `t%7f' �f L� �-c�
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY This permit Is her by Issued under lh pp able provisions. of the Butte County/ -Code and/or -
Ihereby affirm that there Is a construction lending agency for the
Resolutions to /}w/oorrkk Indicated ab a for hi h fees have been paid. L� �J /
performance of the work for which this permit Is Issued (Sec 3097 Civ.) Av \ /,/�Mft 1�L��f/ - Date") � /T�i
PERMIT EXPIRES
Address:. w°IC/
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533; and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies'of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above Information Is correct, and that I am the owner or a my authorized agent of the owner. I agree to comply with
all county and state laws relating to building construcllon. I acknowledge It Is unlawful to alter the substance grapy ricial form or cumenl of Butte C y--Mreby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection purpos �/J
Prlhl Name: . w 1,6 AJ L
Dale:
Owner
❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor
316q .� '$ 3419l & l
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVMLE: (530) 538-7636 • CHICO: (530) 891-283¢
OFFICE #: (530) 538-7541 16,
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION 13
"PLEASE PRINT CLEARLY" '163,
OWNER
Last Name,/ Ail -6-11
irs Name `D t 4�
Address P 0 6 O 5 ZZ
City )*IL
StateCA-
City
Zp9S9Z So
Fayq/—7S0e
E-mail F ij e S Er
tily-6 U3 t
ARCHITECT/ENGINEER
Name 0W a�,L
DpCONTRACTOR
Address
City /r. l t
Cj.tr
City
Zp9S9Z So
State
Zip
-Phone
ate Li nse Nu b r
C tltneAt,NE S Z
-Fa
E-mail
Date Approved:
Lic. #
Class
tily-6 U3 t
ARCHITECT/ENGINEER
Nam V6(LrC.AL- -6644 0c06 "— 61A &bOC
Address 3
Rio I-WDO AVC 4:10a
City /r. l t
Cj.tr
StateCr/t
l0
Zp9S9Z So
P A
F
f3 9—/10 Z
E�mail
ate Li nse Nu b r
C tltneAt,NE S Z
APPLICANT NAME
Name A✓ � � �
AddressPo'65-2-O . , Z
City AVC1+
Stater,
!/
P 6°73-2
F 0
q2i-7S2
LV V.5. Ivis—i—
AJIPLICANT SlGti=18E
For office use only:
Zoning
Flood Zone - SRA No
Occ.
Typ Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
LOCATION
AP#
v - r - 032 -
Property Address
w�5--v ALeR, Le pcAeE
PERMIT
BP
�O
Cross Stietet
J,/ ,96L -DT A .
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
Address
Description or Scope of Work:
�oaJ5)7Wc
baUc—'Ll.9148 75
Sq. Fo t
❑ S ructure uilt withou Permits /-�$�
F3 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not 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
required.
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 other department costs are not
refundable.
OVER FOR SUBMITTAL REQUIREMENTS L,
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
Received by: Amount: (� . Bldg
SRA
�qaL-
Date: I
ka�o5
Sheri f
SMIP
Other
REV 7-27-04
P-)
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INIC
❑
1.
Site plans, 3 or 4. sets, signed by the preparer of the plans. No graph paper!
❑
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.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxesl
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑
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.
❑
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 stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
x_
-3— Sanitation an"te-plariap. e_EnvironentaLH.ealth-Depadment.
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.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form..
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ 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
Refunds can only be made upon written 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
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
Applicant: IFinley,David & Lola Permit No: 05-0135
Project Type: I NSF/Cov/O en d APN: 060-110-032
100% 70%
Plan Check Fees $ 1,376.64 $ 963.65
$ 1,376.64 $ 963.65
WILLDAN Fee $ 963.65
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
Butte County Department of Development Services TrF
g�
YVONNE CHRISTOPHER, DIRECTOR oo ` o
LO
o ,� o
7 County Center Drive o �`
Oroville, CA 95965
c�U
C,r)
(530) 538.7601 Telephone N �y
(530) 538.7785 Facsimile
O
TO: WILLDAN
'
®
FROM: Scott Rutherford (530) 538-7160
■ A
T=
srutherforcIaO)buttecounty.net
/1
a
SUBJECT: Plans Transmittal For Review Per Contract
O
DATE: 1/20/2005
Applicant: IFinley,David & Lola Permit No: 05-0135
Project Type: I NSF/Cov/O en d APN: 060-110-032
100% 70%
Plan Check Fees $ 1,376.64 $ 963.65
$ 1,376.64 $ 963.65
WILLDAN Fee $ 963.65
Copies Attached: Qty
Chk
Application
Site Plan Review
FEMA Elevation Certificate
Building Plans
Truss Calculations
Energy Calculations
Structural Calculations
Residential Plan Review Guide
Residential Construction Requirements
Other
Other
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET'
OWNER: 1 ASSESSOR PARCEL NUMBER V I Q' O •��/
Proposed Building Use: Counter Technician: Date:'
CIS
Items required in order to a ply for a permit. All boxes MUST be checked OR marked NA in ore apply.
1. Site plans, 3 or 4 sets, signed by the preparer of the plans. .
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
3. rEngineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Letter from Engineer or Architect for truss design review.
6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 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.
❑ 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.
10 Flood Elevation Certificate, wet -stamped and signed, in duplicate VJ i
❑ 11. Site plan and business license approval from the City of Biggs GS G
❑ 12. Letter of intent for non-residential buildings f
❑ 13. Detached Accessory Building Form filled out by the owner
❑ 14. Hazardous`Material Form
15. Sanitation and site plan approval from the Environmental Health Department in Zo ❑ Oroville, as applicable.
�❑ 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 17. Fire Sprinklers............................................................................................
❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by
❑ 19. Soils Report and/or Engineered Foundation required............................I.:.....;....... ........
❑ 20. Erosion Control Plan Required......................................................................... ........
21. Fees as shown on the attached Schedule of Fees Due Sheet ....................... '
22. City of Chico Plumbing permit..... .:...' �.:.............. ,.................. a�
1 23. California Department of Fores ry plan approval laid. Sent by:
24. Planning approval (A) Use: (B)Parking: (C) Parcel Chec O
❑ 25. Contact Land Development about _ Improvements, _ Drainage .........................
26. NPDES Form.............................................................................................
�❑ 27. Encroachment Permit for driveway from the Public Works Dept ......................'::..
❑ 28. Pre -Inspection for required.
❑ 29. Contractor's license information. (Number, Name Style, Classification) ...................
❑ 30. Worker's Compensation Carrier and Policy Number ..........................................
31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) .....................
O Letter of Signature authorization.........................'............................................
3 Recorded copy of Agricultural Acknowledgment Statement ............................. OS•
Manufactured home utility clearance...............................................................
❑ 35. Existing violations and/or expired permits...................................:......................
DeedRestriction ................................................. ....... -1-�
37. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter f om Legal Owner, ❑ Chec toH.C.D. $
38. Other:
39. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
i '•
Applicant: te:
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Plans reviewed by: Date: Plans approved by: Date :. ,
Structural reviewed by: Date: Structural approved by:VVi Date:
Note transfer by: Date:
Yellow: Building Division
E.H. USE ONLY
Piot Plan Attached
Roar Plan Attachad—�
sent to B.D.
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance .
Ownef Location AP# .
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist
8/96
Date
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
OWNER A.P. # (xyU • / r U' VJ
PROPROSED BUILDING USE DATE Q.
RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
--- Balance Due ....................
--- Additional Fees Due...........
--- Revised Plan Checking Fee.., $
2. SCHOOL DISTRICT FEES �Q(2��\
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division) '
Residential ............. X $360.00
nits
Commercial (sq. ftg.)..
4. URBAN AREA FEES
X $0.03 =•$
Sq.Ftg.
(paid at Building Division)
Residential (per unit)..... X = $
# Units Amt.
Commercial (Sq. Ftg.).... X = $
Sq. Fig.slvc-"
.
5. RECREATION DISTRICT FEES L
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
- 7. SRA FIRE INSPECTION AND LAN CHECK FT
-$@"0 (paid at Building Division) 19z)-+ 9
8. WATER TENDER FEES BATTALION #,
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X � _ $
q. Fig. Amt.
10. OTHER
At time of permit appli tion, I was advised the above -fees -are required to be paid prior to issuance of the permit. These fees
maybe changed de plan,Shecking process, /f
APPLICANT
DA
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95%5,
COPY of 0acu ent Recorded
19 -Jan -2005 2005-0003633
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to. herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
SEe AT -A C H Eb
Date l — �ci - 05-
State
SState of California
County of 6,44e -
On I- I'7- LO -D
1) E5 CiLt 10 n o AJ
before me,
personally appeared Q ,vcc6 C. I N i" i pefseually
Anewo4o-me (or proved to me on the basis o satisfactory evidence) to be the persons) whose names) isfare subscribed
to the within instrument and acknowledged to me that he/s#te/they executed the same in his/fmr/their authorized
capacity(ias), and that by hisAler/their signature(4 on the instrument, the person(s) or the entity upon behalf of which
the person(.} acted, executed the instrument.
WITNESS my nd and offi 'al seal. �"
Signature 4u -" �( 1L�_c � Seal:JAMES LAMAR KINSER
�J
i
COMM. #1377185
m PJOTARY PUBLIC • CA,
L'FCRP;IA
A.P.# () (00 -I In -,-:)3 Z.
BUTTE CCUPITY
a My'Comm. Expires Sept. 28, 2006
the following described property in the UNINCORPORATED, County of Butte State of California;
SEE LEGAL DESCRIPTION
Document Date: Aua=115, 2003
STATE OF CALIFORNI AS
COUNTY OF )
before
ELoh� •: [fir o);�.Y�L�:
personally known to me (or proved to me on.the asts -a satis fbctory evidence) be the persons) whose names) is/are sub scnbed to the '3w ill gm
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(tes) and that by his/her/their signature(s) on
the instrument the persons) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my��andd ofTicialseeall.
Signature` 2 -"`--tetofA 42f �►� C
This area for official notarial seal.
REBECCA L BLEDSOE
Cotmmission 401297451
BCo eftt CaUfotNa
My Comm. EXP. APR 13, 2005
Mail Tax Statements to: SAME AS ABOVE .or Address Noted Below
_ � • .. -!!!!illIIIII1N11lllill�lll`!fl(�11
T�CORDIN(3RFiQUE3fFA'BY
MID VALLEY_TITLEAND ESCROW CO. Recorded I' RECSM7
13.00
AND WEMNPECORD6MAILTO: Official Records I TAX `'
U CoBWT "
82.50
o? EOf
DAVID C. FINLEY
LOLA M. FINLEY CANDACE J. GRUBBS I
d.6� 5Zz ROSF@4ARY DICKSON
,X .�2
r
Fo r X5-1. 20 c" Ia
09o0RM0Assistant
25-Aug-2003 Page of 3
Space Above This Line for Recorder's Use Only
A.P.N.: 060-110-032 Order No.: 21437ODT Escrow No.: 21437ODT.
GRANT DEED
UNDERSIGNED GRANTOR(s)
DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $ 82.50-
v
[THE
[ X ] c�oud on un value Less rvoperty conveyed, or
l mP aiue fcliens or encumbrances remaining at time of sale,
X ] d
[ tuuncorporat area;
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
LEE T. GORSUCH AND JOAN C. GORSUCH, HIS WIFE (jN JOINT TENANCY)
henGRANato
DAV C. Y and LOLA M. FINLEY, HUSBAND AND WIFE AS JOIIVT TENANTS
the following described property in the UNINCORPORATED, County of Butte State of California;
SEE LEGAL DESCRIPTION
Document Date: Aua=115, 2003
STATE OF CALIFORNI AS
COUNTY OF )
before
ELoh� •: [fir o);�.Y�L�:
personally known to me (or proved to me on.the asts -a satis fbctory evidence) be the persons) whose names) is/are sub scnbed to the '3w ill gm
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(tes) and that by his/her/their signature(s) on
the instrument the persons) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my��andd ofTicialseeall.
Signature` 2 -"`--tetofA 42f �►� C
This area for official notarial seal.
REBECCA L BLEDSOE
Cotmmission 401297451
BCo eftt CaUfotNa
My Comm. EXP. APR 13, 2005
Mail Tax Statements to: SAME AS ABOVE .or Address Noted Below
Y
Prdin inary Report
Description
Order No. BU -214370 DT
The land. ieferred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I: .
LOT 34, AS DELINEATED, NUMBERED AND DESIGNATED UPON THAT CERTAIN MAP
ENTM.ED "FIRST SUBDMSION OF THE DAVIS TRACT, BEING PART OF THE NORTHEAST
QUARTER.OF. SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.; SAID MAP BEING
RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA,
AUGUST 24, 1921.
APN 060410-032-000- (PORTION)
PARCEL 11,
THAT CERTAIN -PARCEL OF LAND ADJACENT TO LOT 34, AS DELINEATED, NUMBERED
AND DESIGNATED UPON THAT CERTAIN MAP ENTITLED "FIRST SUBDIVISION OF THE
DAVIS TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26
NORTH, RANGE 4 EAST, M.D.M.," SAID MAP BEING RECORDED IN THE OFFICE OF THE
COUNTY RECORDER OF BUTTECOUNTY, CALIFORNIA, AUGUST 24, 1921, AND BOUNDED
AND PAR37CULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHEAST CORNER OF LOT 34, AS ABOVE DESCRIBED; THENCE IN
A SOUTHERLY DIRECTION A DISTANCE OF 273 FEET MORE OR LESS ALONG THE
EASTERLY BOUNDARY LINE OF SAID LOT, EXTENDED TO THE CENTER OF BUTTE CREEK;.
THENCE IN A WESTERLY DIRECTION ALONG THE CENTER LINE OF BUTTE CREEK
APPROXIMATELY 100 FEET TOA A. POINT WHERE THE CENTER LINE OF BUTTE CREEK IS
IlSTERSEmD BY THE WESTERLY BOUNDARY LINE OF SAID LOT 34, EXTENDED; THENCE
IN A NORTHERLY DIRECTION ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 34,
QED TO THE SOUTHWEST CORNER OF SAID LOT .34; THENCE IN AN EASTERLY
DIRECTION ALONG THE SOUTHERLY BOUNDARY LINE OF SAID LOT 34, A DISTANCE OF
APPROXIMATELY 100 FEET TO THE POINT OF BEGINNING.
APN 060-110-032-000 (PORTION)
PARCEL III:
THAT CERTAIN PARCEL OF LAND ADJACENT TO THE ABOVE DESCRIBED PARCEL H AND
BOUNDED AND PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF LOT 34, AS DELINEATED, NUMBERED AND
DESIGNATED UPON THAT CERTAIN MAP ENTITLED "FIRST SUBDMSION OF THE DAVIS
TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH,
CONTINUED
PreI�y+ Report ,. _ . _ .. � ^ _ _"„ , 5 '• .�'' >-'r-� � a ��
Order No: BU 2243.70 DTA K
f_ ARM III•` CONTINUED a
I RANGE W EAST MM.M " SAID
MAP BEING RECORDED IN THE OFFICE .OF THEA COUNTY
RECORDER OF BUTTE CQUNTY, CALWO 1921; TT1MCE IN AN EASTERLY.
RNIA, AUGUST' 24, _
DIRECT'30N, ALONG THE' NORTHERLY LINE OF SAID LOT 34 EXTETIDED;, A DISTANCE"OF "
18 1/2'FEET:TO"A POINT;..THENCE IN. A SOUTHERLY DIRECITON ALONG�THE WESTERLY,
LINE OFIOT-33.AS DEIMgEATED NUUBERED AND DESIGNATED UPON THAT CERTAIN
MAP ENTrrLED °FIRST - SUBDIVISION- OF THE . DAVIS TRACT,'' BEII�TG PART* OF ,THE
NORTIEWT'QUARTER OF'SECITON 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, 1�D HE
SAID MAP; BEMG .RECORDED, W THE :OFFICE OF TM COUM . RECORDER OF
,COUNI`Y, Q ' - ORNIIA;AUGUST-24, 1921, AM THE SAID WESTE,RI,YLINE OF SAIDi OT 33
EXTENDED, A 'DISTANCE OF 480,FEET MORE -OR LESS #TO THis; 'Oi,BUTTE
CREI?1C .THENCE IN A WESTERLY DIRECTION ALONG THECERMUIM OF BUTTE -CREEK
18 U2 FEET MORE OR LESS TO A POINT WHERE THE SAID CENTERLIl�TE OF BUTTE;CRE M
IS DUERSECTED BY'THE'WTERLY LINE OF SAID LOT 34 EXTENDED; THENCE'IN A
NORTHERLY DIRECTION ALONG THE EASTERLY LINE OF SAID LOT 34, AND SAID
EASTERLY LINE EXTENDED, A DISTANCE. OF APPROXIMATELY 473 FEET TO THE poM
OF BEGR'lNWG, SAID STRIP BEING A STRIP OF LAND 18 1/2 FEET WIDE ALONG: THE
THE SIDE OF TPREMISES ABOVE DESCRiBID, ON MAP RECORDED IN THE OFpICE
OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, AUGUST 24, 1921.
APN 060-110-032-000 (ROdAINDER)
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your'.
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. -No building permit will be issued until this
verification is received.
1. I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES [ } _I NO [ ].
2. I HAVE [ X ] HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S 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:
PHONE:
CONTRACTOR'S LICENSE NO:
S. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
DATE: / — /or, 0.
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Revd 11/4/2004
Butte County Department of Development Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965 -
(530) 538-7541,Telephone
(530) 538.2140 Facsimile
Dear Property Owner:
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 your plan.to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o 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.
o There may be financial risks .for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o 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 their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors maybe obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
MicVael C. Vieirq, C.B.O.
Ma ager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
W
p�QPg-w�T Ca
I6uTTF
° <
° C
\ ® °
Act U t4l
�llC WORD
Department
.0 o u n t
J. Michael Crump, Director
®f Public
® f B u t
Works
LAND DEVELOPMENT DIVISION
Storm Water Management Program
7 County Center Drive
Oroville, CA 95965
(530) 538-7266
(FAX) 538-7171
National Pollutant Discharge Elimination System (NPDES) Phase ll
Construction Storm Water Permit and Storm Water Pollution Prevention
Plan (SWPPP) Acknowledgement LLESS THAN I ACRE
Project Description:�G—
Project Location and/or Parcel Number: 491- �o
By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB
1 acre -or more.of land and that I, therefore, do not need to apply for a Construction Storm Water Permit
from the State of California Regional Water Quality Control Board. Phased projects that. contain
multiple site build -outs of less than one acre but when combined with subsequent phases total more
than one acre of disturbed soil will require a Construction Storm Water Permit from the State of
California Regional Water Quality Control Board.
I am aware that submitting false and/or inaccurate information or failure to apply for a Construction
Storm Water Permit from the State of California Regional Water Quality Control Board for a project
that disturbs one acre or more of land may result in revocation of grading and/or other permits or other
sanctions provided by law.
Signed:
Title:
Date:
Less than 1 Acre NPDES & SWPPP Compliance Certification
Butte County Storm Water Management Program
Revised 5/24/04
A 'ti
W I LLDAN
Serving Public Agencies
March 30, 2005
Scott Rutherford
Butte County Building Department
7 County Center Drive
Oroville, CA 95965
Tel: (530) 538-7169
Fax: (530) 538-2140
SUBJECT: COUNTY OF BUTTE PLAN REVIEW APPROVAL
117 C Street
Marysville, California 95901
530/749.2373 fax 530/749.2199
www.willdan.com
Willdan Project No: 14353 -
Jurisdiction Job No: .05-0135
Assessor's Parcel No: 060-110-032'
Applicant: Dave Finley
Description: Finley New Single Family Dwelling
Dear Mr. Rutherford:
Willdan has completed a plan review of submitted plans and documents for the above referenced project
and recommends your approval with the conditions noted on the 2"d page of this letter. The revisions were
in response to a previous plan review and comments listed in our letter dated March 17, 2004. The plans
and documents provided for this review that have been found in compliance with the applicable codes are:
• Plans: Two (2) copies sheets 1 through 7 dated 12/16/04, by Michael D. Hubley S.E., and sheets
SD1 through SD3 dated 12/27/05, by Michael D. Hubley S.E
• Structural Calculations: Two (2) copies dated 12/29/04, by Vertical Technology Engineering.
• Energy Calculations: Two (2) revised copies dated 3/23/05, by Max Ramirez.
The plans have been stamped with the Willdan approval stamp and dated the date of this letter. According to
our previous letters relating to this project, the superseded plans and documents will be discarded within 10
days unless we receive other instructions.
On the pages to follow is the identification of the codes and standards applicable to the project, a code
analysis, conditions -of -approval and identification of any deferred submittals.
e
APPLICABLE CODES
Unless noted otherwise, all comments are based on requirements of the 2001- California Building .
Standards Code found in the California Code of Regulations, Title 24: <
• Part 2, known as the California Building Code and abbreviated herein as "CBC". ,
• Part 3, known as the California Electrical Code and abbreviated herein as "CEC".
• Part 4, known as the California Mechanical Code and abbreviated herein as "CMC". '
• Part 5, known as the California Plumbing Code and abbreviated herein as "CPC".
• Part 6, known as the California Energy Code, and Energy Commission Standards, and
abbreviated herein as "CECS".
CODE ANALYSIS
*Our plan review revealed the following information regarding the occupancy designation, type of
construction, and other pertinent features. This information is not consistent with that shown on the
permit application.
Specific Use
Type of
Occupancy
Type of
Construction
Stories
1" Floor
S Ft
2° Floor
S Ft
Total Sq Ft
Dwelling
R-3
V -N
2
*1636
*512
*2148
Unfinished
Attic
R-3
V -N
1
0
*780
*780
Cov. Porch
R-3
V -N
1
*1752
0
*1752
CONDITIONS OF APPROVAL
1. Approval is contingent upon the review, requirements and approval of other departments .
and/or agencies that have jurisdiction over this project.
2. Revisions and/or notes as red -lined on the plans. w
3. All plan sheets shall be signed by designer or person responsible for the plans as required by
California Health & Safety Code Section 5536.1.
4. *Permit application building areas specified in the scope -of -work shall be reconciled with plans
to Butte County's satisfaction.
5. The Title -24 -CF -1R -form shall be signed by the designer, owner or other person taking .
responsibility for the project design and the Title -24 -documentation author (where '
different). CES 10-103(a) 1 and California Residential Manual 1.4.8
6. Butte County approval for building permits that include an attic space with door or e
stairway access is contingent on a deed restriction being recorded. Please contact Butte
County as soon as possible about initiating the deed restriction recording process. County
of Butte Residential Accessory Building & Space -Use Matrix
7. Required Wet Stamped Flood Certificate. (Unavailable at this time due to high snow levels.)
Pape 2 of 3 Willdan '14353-1.:343 .PC-).
' - Butte County 05-0135
SPECIAL INSPECTION NEEDS
Special Inspection pursuant to CBC 1701 is required for the following items:
• Shop and field structural welding. CBC 1701.5.5
The Special Inspection noted above is not required if welding is done in an approved fabricator's shop in
accordance with CBC 1701.7
DEFERRED SUBMITTALS
Our plan review reveals no deferred submittals.
Sincerely,
Michael LeBeau Ricardo Guzmam, S.E.
Plans Examiner Structural Plan Check Engineer
Cc: E-mail Alice Mefford at: amefford@buttecounty.net
Dave Finley P.O. Box 522, Forest Ranch, CA 95942 Fax: (916) 929-7500
Vertech@sbcglobal.net ,
Page 3 of Willdan '14353-1,343 PCH
Butte County 05-0135
When recorded return to:
County of Butte
Department of
Development Services
Building Division
7 County Center Drive
Oroville, CA 95965-3397
Recorded
Official Records
County Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
11:55AM 27 -Apr -2005
i REC FEE 28.00
i COPIES 5.50
i
i
i
1
1
1 Mark
I Page i of 8
(rev.5/04) Space above for Recorder's Use
Owner Name: David C Finley and Lola M. Finley
Building Permit No: 05-0135 (unfinished attic area)
DEED RESTRICTION AND
NOTICE OF LIMITED USE FACILITY
I. WHEREAS, on this 25th day of April, 2005, David C. Finley and Lola M.
Finley, hereinafter referred to as owner(s), is the record owner of the following real
property: 7450 Valerie Place, Butte Meadows, Assessor's Parcel Number 060-110-
032, and as further set forth in Exhibit "A" attached hereto and hereby incorporated by
reference, hereinafter referred to as "the subject property"; and
II. WHEREAS, the Building Division of the Butte County Department of
Development Services is acting on behalf of the People of Butte County; and
III. WHEREAS, the owner applied to the Building Division for a building
permit in order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 05-0135 was applied for on January 19,
2005, by the owner in accordance with the provisions of the Butte County Code and
the California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 05-0135 has been
reviewed and approved for only the limited purposes set forth below; and
VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and remain in effect until a
change in use or character of use has been approved by the Butte County Building
Official or a change in law has occurred, either of which change allows the uses
otherwise restricted herein to be conducted on the real property described herein.
Under either circumstance allowing such change in use, Owner shall be entitled to have
this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a
subsequent document entitled Rescission of Deed Restriction and Notice of Limited
Use Facility by the Director of Development Services; and
VII. WHEREAS, Owner acknowledges that Owner will comply with the limited
use restrictions that were incorporated in reviewing and approving Building Permit No.
05-0135 which enabled Owner to undertake the limited use authorized by this permit.
NOW, THEREFORE, with the issuance of Building Permit No. 05-0135 to Owner
by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility,
as set forth below, which establishes restrictions on the use and enjoyment of this
limited use facility. The undersigned Owner, for himself/herself and for his/her heirs,
assigns, and successors in interest, acknowledges and agrees to those restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed: living, sleeping, cooking
or eating in the attic area. Additionally, the space will not be heated and or
cooled, unfinished spaces shall not be occupied until permits are obtained,
inspections completed, and approval granted for occupancy.
If any provision of these restrictions is held to be invalid or • for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, or any modification or amendment thereof,
remains effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorder's Office for the County of Butte as soon as possible after the date of
4
Yvonne Christopher
Director, DDS
execution. This ' document shall be recorded and returned to the Butte County
Department of Development Services, Building Division prior to the issuance of Building
Permit No. 05-0135.
DATE: Ai2le rL -e -7 zq , 20 OS
IN
Owner Signature:,;,
Z -c-: �z
Print or Type Name of Above
Owner Signature:.;
Print or Type Name o Above
Yvonne Christopher
Director, DDS
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing
on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat
(acknowledgment) as explained in your Notary Public Law Book.
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
On 0 f 1, .)I?, Z aa.5— before me, ✓o.,✓A-L.9 4 `t/lcA6ffe , Notary
Public, personally appeared A-V, A c— t;,.jb l',oZ,+ g4 0=j•,�44-7
personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) Xare subscribed to the within instrument and acknowledged to me that
toslie/they executed the same in /their authorized capacity(ies), and that by
N" their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
WIT S5S my haManjal s
Ignature
STATE OF CALIFORNIA
COUNTY OF BUTTE
On
Public, personally appeared
before me,
SS.
DONALD H. MC ABEE
Comm.# 1412561 1reA
NOTARY PUBLIC- CALIFORNIA VJ
Butte County
My Comm. Expires March 1�
(Seal)
Notary
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
(Seal)
Yvonne Christopher
Director, DDS
This is to certify that the Deed Restriction set_ forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof. , ,
Dated:
STATE OF CALIFORNIA
Yvon bf'Christ¢pher, Director
Depa ment Development- Services
SS.
COUNTY OF BUTTE ) n
On JsL .Lu$r l �, aoc2 _ before me, 74 l C - A � � �� �C'4 ,Notary
Public, personally appeared y✓czrtn e_ tri S-tz%raGtt�
personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(4 whose
name(, is/afe subscribed to the within instrument and acknowledged to me that
tefshe/they executed the same in .his/her/their authorized capacity(1e.&), and that by
hAlher/their signatureW on the instrument the person(�J, or the entity upon behalf of
which the personW acted, executed the instrument. mak,
WITNESS my hand and official seal.
(Signature
ALt.:T: AfdN I,6EFFORD
Con" ; anion # 1365836 _
i Noisy Public - Cai fonnis
FIL _ Courtly �
Co�9►rr�.:E_ MS Jul22, 2006
.3�
(Seal)
.' a
RECORDING REQUESTED BY
MID VALLEY TITLE AND ESCROW CO.
AND WHEN RECORDED MAIL TO:
o? U DAVID C. FINLEY
LOLA M. FINLEY
fib. Cic��C 5ZZ
asp=l42
A.P.N.: 060-110-032
Order No.: 21437ODT
210ca.3---0.Tb�7ia34
Recorded
Official Records
CouYEOf
BUTCANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00M 25 -pug -2093
TAX FEE 82.50
I Barbara
I Page l of 3
Above This Line for Recorder's Use Only
GRANT DEED
Escrow No.: 21437ODT
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $ 82.50
[ X ] computed on full value of property conveyed, or
[[ I computed on full value fess value of liens or encumbrances remaining ,at time of sale,
X ] unincorporated area;
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
LEE T. GORSUCH AND JOAN C. GORSUCH, HIS WYF'E (IN JOINT TENANCY)
here GRANT(S)
DAv� C. FINLEY and LOLA M. FINLEY, HUSBAND AND WIFE AS JOINT TENANTS
the following described property in die UNINCORPORATED, County of Butte State of California;
SEE LEGAL DESCRIPTION
X --R- 4—.y. �Vc'3?.dc.4e
LEE" I'. UUMUC
Document Date: August 15, 2003
STATE OF CALIFORNIA.
. -� )SS
_COUNTY OF )
personally known to me (or proved io me on the asis of satisfactory evidence) to be the person(s) whose names) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in hi&Ur/their authorized capacity(tes) and that by his/her/their signature(a) on
the instrument the person($) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my bvd and official seal.
Signature ,2
This area for official notarial seal.
REBS= L BLEDSOE
Commission !1297451
Notwy Public
B County. Calflows
My Comm. Exp. APR 13, 2005
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
Preliminary Report
Description
Order No. BU -214370 DT
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
LOT 34, AS DELINEATED, NUMBERED AND DESIGNATED -UPON THAT CERTAIN MAP
ENTTTLED "FIRST SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE NORTHEAST
QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.," SAID MAP BEING .
RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA,
AUGUST 24, 1921.
APN 060=110-032-000 (PORTION)
PARCEL II:
THAT CERTAIN- PARCEL OF LAND ADJACENT TO LOT 34, AS DELINEATED, NUMBERED
AND DESIGNATED UPON THAT CERTAIN MAP ENTITLED "FIRST SUBDIVISION OF THE
DAVIS TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP .26
NORTH, RANGE 4 EAST, M.D.M.," SAID MAP BEING RECORDED IN THE OFFICE OF THE
COUNTY RECORDER OF BUTTE, COUNTY, CALIFORNIA, AUGUST 24,.1921, AND BOUNDED
AND PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHEAST CORNER OF LOT 34, AS ABOVE DESCRIBED; THENCE IN
A SOUTHERLY DIRECTION A DISTANCE OF 273 FEET MORE OR LESS ALONG THE
EASTERLY BOUNDARY LINE OF SAID LOT, EXTENDED TO THE CENTER OF BUTTE CREW;
THENCE IN A WESTERLY DIRECTION ALONG THE CENTER LINE OF BUTTE CREEK
APPRO)OMATELY 100 FEET TO A. POINT WHERE THE CENTER LINE OF BUTTE CREEK IS
INTERSECTED BY THE WESTERLY BOUNDARY LINE OF SAID LOT 34, EXTENDED; THENCE
IN A NORTHERLY DIRECTION ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 34,
EXTENDED TO THE SOUTHWEST CORNER OF SAID LOT .34; THENCE IN AN EASTERLY
DIRECTION ALONG THE SOUTHERLY BOUNDARY LINE OF. SAID LOT 34; A DISTANCE OF
APPROXIMATELY 100 FEET TO THE POINT OF BEGINNING.
APN 066-110-032-000 (PORTION)
PARCEL III:
THAT CERTAIN PARCEL OF. LAND ADJACENT TO THE ABOVE DESCRIBED PARCEL II AND
BOUNDED AND PARTICULARLY DESCRIBED AS FOLLOWS:'
BEGINNING AT THE NORTHEAST CORNER OF LOT 34, AS DELINEATED, NUMBERED AND
DESIGNATED UPON THAT CERTAIN MAP ENTITLED "FIRST SUBDIVISION OF THE DAVIS
TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH,
CONTINUED
Preliminary Report
PARCEL III: - CONTINUED
Order No. BU 214370 DT
RANGE 4 EAST, M.D.M.," SAID MAP BEING RECORDED IN THE OFFICE OF THE COUNTY .
RECORDER OF BUTTE COUNTY, CALIFORNIA., AUGUST 24,192 1; THENCE IN AN EASTERLY
DIRECTION ALONG THE NORTHERLY LINE OF SAID LOT 34 EX-17ENDED, A DISTANCE OF
18 1/2 FEET TO A POINT; THENCE IN A SOUTHERLY DIRECTION ALONG THE WESTERLY
LINE OF LOT 33 AS DELINEATED, NUMBERED AND DESIGNATED UPON THAT CERTAIN
MAP EN rMED "FIRST SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE
NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.,"
SAID MAP= BEING RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE .
COUNTY, CALIFORNIA, AUGUST 24, 1921, AND THE SAID WESTERLY LINE OF SAID LOT 33
EXTENDED, A DISTANCE OF 480 FEET MORE'OR LESS TO THE CENTERLINE OF BUM
CREEK; THENCE IN A WESTERLY DIRECTION ALONG THE CENT9RLJ1NE OF BUTTE CREEK
18 1/2 FEET MORE OR LESS TO A POINT WHERE THE SAID CENTERLINE OF BUTTE CREEK
IS RUMECTED BY THE EASTERLY LINE OF SAID LOT 34 EXTENDED•, THENCE IN A
NORTUMLY DIRECTION ALONG THE EASTERLY LINE OF SAID LOT 34, AND SAID
EASTERLY LINE EXTENDED, A DISTANCE -OF APPROXIMATELY 473 FEET TO TAE POINT
OF BEGINNING; SAID STRIP BEING A STRIP OF LAND 18 1/2 FEET WIDE ALONG THE
EASTERLY SIDE OF THE PREMISES ABOVE DESCRIBED, ON MAP RECORDED IN THE OFFICE
OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, AUGUST 24,192-1.
APN 060-110-032-000 (REMAINDER)
BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD)
® PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION. AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s)
Property Owner (s)
Project Location /Address _
Subdivision Name
M
Building Permit Number.D5_0 13
Assessable Sq. Ftge���
Type/of Residential Development (check one)
New Development ✓ Single Family -Detached Single Family -Attached
Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home Mobile home replacement verified by Assessor Department
Demo Permit (date issued ) verified by Building Department
Comments: r_7 80 lVY�1 Q,� IN
g
0 FRRPD 0 CARDPRPD 0 DRPD certifies that:
") D F; n 1 e �r _ - 3 73 334 7
Applicant Name 0 Phone Number
Po P ox- 6Z -Z- f;resf RaRCh 9S'v2
MLling Address City State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No. nlq?�
by Payment of:
Dwelling Units @ $ per unit for a total of $
r /Z
Square Feet @ $ o 41q per sq foot for a total of $ 5—
Remarks: ((S.i e 5S L9a�.U-qnC4q (7&0
Paid by CKk No: / (/ Paid by
a
Recreation and -Park District Representative
UFORMSWILDMG FORMS\park-rec standard form rev Ldoc
Receipt No:
Date
N _5dQ, -4
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District �((/C+�s-� Building Department No.
A.P. Number � �' 0�� Jurisdiction: City FjCounty
Property Owner
Property Location/Address / 4J V I Q
Subdivision Lot No.
..................».».......... ......................... .........................
Residential Development 1--70 Q 0 Q Sq. Footage
No of Living Mobile Home Addition/ 'Supplemental to (Group R)
Units Installation Conversion Permit #
'•
*(No foundation Inspection)
... . ................... ..�' fZ
Deed Restricted Sq. Footage 7
(At-ach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial Q Q Sq. Footage
New Addition (Including Exterior
Roofed Areas)
kl-9,1 14 c. 65
Building Department Represen , tiM Date I ( i
Di tdct Identification No. �-- V 7jo
School District certifies that
(Applicant) D U
(Street Address) (Phone Number)
(City)
has complied with the requirements of Resolution No.
representing square feet.
A-V A/
School District Representative
Paid by Check # &! Remarks:
(State) (Zip Code)
by payment of $ /(p . 7 2
F
2926LL MMGAnoN =
Date
Notice: You may protest the Imposition of the fess Idendfled above by subaUtiing a written protest to the District, In compliance with
Government Code Section 66020(a), wahin 90 days from the date ton arepdd. Failure to submit a timely written protest will prohibit
you from challenging the Imposition of the fees In any court action.
f, subsequent to the School District Representative signing tits Butte Coudy Schools Impact Fes Certificatlon Forrn, the School District Is
notlll by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQft
this pr nor may be subject to additional school fees to fully rNtigate.lts Impact on tial school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.4s (10/03)dmm
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95965
—1 4Jfdlei 3Ea33
Recorded
official Records
I REC FEE 16.00
I CONFORM 1,00
County Of
I
BUT .
I
CANDACE J. GRUBBS
I
Recorder
,4OS&MRY DICRSON
I
Assistant
I Andrew
03:00M 19 -Jan -2005
1 Page 1 of 4
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 264 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
SES ATT-1CNeb b65Ciu n rroN
Date
State of California )
County of gv AAe- )
On _ I- c"> ; before me,
personally appeared 6,,,yc l - trerseaally
1w*w*4e-me (or proved to me on the basis ofrsatisfactory evidence) to be the person(s) whose name(q) isfare subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in his/frer/their authorized
capacity(iw), and that by hi~their signature(4) on the instrument, the person(s) or the entity upon behalf of which
the person(s).acted, executed the instrument.
WITNESS my nd and offi 'al seal.
Signature ( -- Seal: Y JAMES LAMAR } INSER
COMM. #1377185
NOTARY PUBUC • CALIFORNA
A.P. # G 60 " 116 — W Z My'ComBUTTE Y
m.. Expiress SePL Sept 28, 2006
. ..
IRIIi�RR11�R1tRRRlR11RlRRlIliRRRlI
2�0r3--P�taS'7'234
RECORDING RRQUF.Si ED BY
MID VALLEY TITLE AND ESCROW CO.
Recorded I REC FEE 13.08
AND WIMRECORDEDMAIL TO:
Off icialyyRecords I TAX W.50
C
a U DAVID C. FINLEY
BUTTEOf
LOLA M. FINLEY
CANDACE J. GRUBBS I
fib. (3c, 5�Z
Recorder I
ROSEMARY DICKSON I
„X CA gsct k2
1' o ,,, zs+ P-01.1, �
Assistant I Barbara
09;09AM 25Aug-2003 I Page I of 3
Space Above This Line for Recorder's Use Only
A.P.N.: 060.110-032 Order No.: 21437ODT Escrow No.: 21437ODT
GRANT DEED
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY 82.50
X ] computed on full value of property conveyed, or
computed on Alll value less value of liens or encumbrances remaining at time of sale,
unincorporated area;
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
LEE T. GORSUCH AND JOAN C. GORSUCH, HIS WIFE (IN JOINT TENANCY)
here
b GRANT to
DAV C. LEY and LOLA M. FINLEY, HUSBAND AND VVM AS JOINT TENANTS
the following described property in the UNINCORPORATED, County of Butte State of California;
SSE LEGAL DESCRIPTION
oto -.o -c-1.
Document Date: August 15, 2003
STATE OF CAi.VORNIGl u -C AS
.COUNTY OP )
on ?7021.773 before
i
personally known to me (or—proved to me on the asla of satisfactory evidence) -to be the persons whose nam s) gare subsctibed to the w1thw
instrument and acknowledged to me that helsheflhey executed the same in his/MrAheir authorized capaeity(es) and that by Wherhheir signature(s) on
the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my�W and official seal.
'
Signalure�Q L` '`��J�Z�.EfC�
This area fbr official notarial seal_
REBECCA L BLAE
OSAO
E
Commission 01297451
Butte Co u ity CBlifom}a
My Comm. zp. APR 13, 2005
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
Preliminary' Report
Description
Order No. BU -214370 DT
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
EAP
LOT 34, AS DELINEATED, NUMBERED AND DESIGNATED UPON THAT CERTAIN MAP
ENTITLED "FIRST SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE NORTHEAST
QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.," SAID MAP BEING
RECORDED IN THE OFFICE OF TIM COUN'T'Y RECORDER OF BUTTE COUNTY, CALIFORNIA,
AUGUST 24, 1921.
APN 060=110-032-000 (PORTION)
PARCEL II:
THAT CERTAIN. PARCEL OF LAND ADJACENT TO LOT 34, AS DELINEATED, NUMBERED
AND DESIGNATED UPON THAT CERTAIN MAP ENTITLED "FIRST SUBDIVISION OF THE
DAVIS TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26
NORTH, RANGE 4 EAST, M.D.M.," SAID MAP BEING RECORDED IN THE OFFICE OF THE
COUNTY RECORDER OF BUTTE. COUNTY, CALIFORNIA, AUGUST 24,'1921, AND BOUNDED
AND PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHEAST CORNER OF LOT 34, AS ABOVE DESCRIBED; THENCE IN
A SOUTHERLY DIRECTION A DISTANCE OF 273 FEET MORE OR LESS ALONG THE
EASTERLY BOUNDARY LINE OF SAID LOT, EXTENDED TO TBE CENTER OF BUTTE CREEK;.
T�WNCE IN A WESTERLY DIRECTION ALONG THE CENTER LINE OF BUTTE CREEK
APPROXIMATELY 100 FEET TO A POINT WHERE THE CENTER LINE OF BUTTE CREEK IS
IlUMECTED BY THE WESTERLY BOUNDARY LINE OF SAID LOT 34, EXTENDED; THENCE
IN A, NORTHERLY DIRECTION ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 34,
EXTENDED TO THE SOUTHWEST CORNER OF SAID LOT .34; THENCE IN AN EASTERLY
DIRECTION ALONG THE SOUTHERLY BOUNDARY LINE OF SAID LOT 34, A DISTANCE OF
APPROXIMATELY 100 FEET TO THE POINT OF BEGINNING.
APN 066-110-032-000 (PORTION)
EARCEL III:
THAT CERTAIN PARCEL OF LAND ADJACENT TO THE ABOVE DESCRIBED PARCEL II AND
BOUNDED AND PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT. THE NORTHEAST CORNER OF LOT 34, AS DELINEATED, NUMBERED AND
DESIGNATED UPON TRAT CERTAIN MAP ENTITLED "FIRST SUBDIVISION OF THE DAVIS
TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSEIP 26 NORTH,
CONTINUED
r
Preliminary Report Order No. BU 214370 DT
PARCEL III: - CONTINUED
RANGE 4 EAST, M.D.M.," SAID MAP BEING RECORDED IN THE OFFICE OF THE COUNTY
RECORDER OF BUTTE COUNTY, CALIFORNIA, AUGUST 24,192 1; THENCE IN AN EASTERLY
DIRECTION ALONG THE NORTHERLY LINE OF SAID LOT 34 EXTENDED, A DISTANCE OF
18 1/2 FEET TO A POINT; THENCE IN A SOUTHERLY DIRECTION ALONG TEE WESTERLY
LINE OF LOT 33 AS DELINEATED, NUMBERED AND DESIGNATED UPON THAT CERTAIN
MAP ENTITLED 'MST SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE
NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.,"
SAID MAP BEING RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF BUTIT
COUNTY, CALIFORNIA., AUGUST 24, 1921, AND THE SAID WESTERLY LINE OF SAID LOT 33
EXTENDED, A DISTANCE OF 480 FEET MORE -OR LESS TO THE CENTERLINE OF BUTTE
CREEK; THENCE IN A WESTERLY DIRECTION ALONG THE CENTERLINE OF BUTTE CREEK
18 1/2 FEET MORE ORLESS TO A POINT WHERE THE SAID CENTERLINE OF BUTTE CREEK
IS INTERSECTED BY THE EASTERLY LINE OF SAID LOT 34 EXTENDED; THENCE IN A
NORTHERLY DIRECTION ALONG THE EASTERLY LINE OF SAID LOT 34, AND SAID
EASTERLY LINE EXTENDED, A DISTANCE. OF APPROXIMATELY 473 FEET TO THE POINT
OF BEGINNING; SAID STRIP BEING A STRIP OF LAND 18 1/2 FEET WIDE ALONG THE
EASTERLY SIDE OF THE PREMISES ABOVE DESCRIBED, ON MAP RECORDEDIN THE OFFICE
OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, AUGUST 24, 1921.
APN 060-110-032-000 (REMAINDER)
AND WHEN RECORDED MAIL TO: -'��►5—X003633
Recorded I REC FEE 16.00,
BUTTE COUNTY BUILDING DIVISION Official Records I CONFORM 1.00
7 COUNTY CENTER DRIVE County Of I
OROVILLE, CA 95965 BUTTE I
CANDACE J. GRUBBS I
Recorder I
ROSEMARY DICKSON I
Assistant I Andrew
03:0013M 19 -Jan -2005 I Page 1 of 4
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building
permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes,
and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals,
including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations
including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm
operations.
All that real property situate in the County of Butte, State of California, described as follows:
SES l,-P—AC K eo b es cu P n o,`,
Date
State of California
County of g,Aie,
tao1�
j� 4//-12 L-" /�rJ4j5
before me,
personally appeared „vG
pefsmaUy
AnwA -te-rte (or proved to me on the basis o satisfactory evidence) to be the personH whose name(g) isAwe subscribed
to the within instrument and acknowledged to me that he/she/they executed the same in hisAwr/t#:eir authorized
capacity(ios&), and that by hisAwltheir signature(* on the instrument, the person*) or the entity upon behalf of which
the persoF4 acted, executed the instrument.
WITNESS my hpnd and offi 'al seal.
Signature Seal: JAMES LAMAR MSER
i
' COMM. #1377185
0
NOTARY PUBLIC - CALIFORNIA
A.P.# G 6O -I IQ-Q3Z
BUTTE COUNTY
M"Comm.. Expires Sept. 28, 2006
RECORDING REQUESTED BY
MID VALLEY TITLE AND ESCROW CO.
AND WHEN RECORDED MAIL TO:
a? U DAVID C. FINLEY
LOLA M. FINLEY
5ZZ
Fo mss+ lz��c� Cffi
A.P.N.: 060-110-032
Order No.: 21437ODT
21003--04057234
Recorded
Official Records
County
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
09:00AM 25 -Aug -2003
I REC FEE. 13.00
1 TAX 82.50
I
t
1
I
1
1 Barbara
I Page 1 of 3
Above This Line for Recorder's Use Only
GRANT DEED
Escrow No.: 21437ODT
THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $ 82.50
[ X ] computed on full value of property conveyed, or
[[ ] computed on fuif value less value of liens or encumbrances remaining at time of safe,
X J IlIltncorporated area;
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
LEE T. GORSUCH AND JOAN C. GORSUCH, HIS WIFE (IN JOINT TENANCY)
here GRANto
DAV C. FINLEY and LOLA M. FINLEY, HUSBAND AND WIFE AS JOINT TENANTS
the following described property in the UNINCORPORATED, County of Butte State of California;
SEE LEGAL DESCRIPTION
Document Date:Austt 115, 2003
STATE OF CALIFORNIA. . C )SS
.COUNTY OF )
On before
personally known tome (or proved io me on the lasis of satisfactory evidence) -to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacily(ies) and that by his/her/their signature(s) on
the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNFSSmy h �-//dance,d official seal.
" Signature fL9��6f�O �(7 �.erli�_
This area for official notarial seal.
REBECCA L. BLEDSOE
Commission =1287451
BUttBPublic
tCOurlt�r, Calilomla U
My Comm. EExp. APR 13, 2005
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
S
Preliminay Report
Description
Order No. BU -214370 DT
The land referred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL L
LOT 34, AS DELINEATED, NUMBERED AND DESIGNATED UPON THAT CERTAIN MAP
ENTITLED "FIRST SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE NORTHEAST
QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.," SAID MAP BEING
RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA,
AUGUST 24, 1921.
APN 060-110-032-000 (PORTION)
PARCEL II:
THAT CERTAIN PARCEL OF LAND ADJACENT TO LOT 34, AS DELINEATED, NUMBERED
AND DESIGNATED UPON THAT CERTAIN MAP ENTITLED "FIRST SUBDIVISION OF THE
DAVIS TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26
NORTH, RANGE 4 EAST, M.D.M.," SAID MAP BEING RECORDED IN THE OFFICE OF THE
COUNTY RECORDER OF BUTTE. COUNTY, CALIFORNIA, AUGUST 24,'1921, AND BOUNDED
AND PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHEAST CORNER OF LOT 34, AS ABOVE DESCRIBED; THENCE IN
A SOUTHERLY DIRECTION A DISTANCE OF 273 FEET MORE OR LESS ALONG THE
EASTERLY BOUNDARY LINE OF .SAID LOT, EXTENDED TO THE CENTER OF BUTTE CREEK;
THENCE IN A WESTERLY DIRECTION ALONG THE CENTER LINE OF BUTTE CREEK
APPROXIMATELY 100 FEET TOA POINT WHERE THE CENTER LINE OF BUTTE CREEK IS
INTERSECTED BY THE WESTERLY BOUNDARY LINE OF SAID LOT 34, EXTENDED; THENCE
IN A NORTHERLY DIRECTION ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 34,
EXTENDED TO THE SOUTHWEST CORNER OF SAID LOT .34; THENCE IN AN EASTERLY
DIRECTION ALONG THE SOUTHERLY BOUNDARY LINE OF SAID LOT 34, A DISTANCE OF
APPROXIMATELY 100 FEET TO THE POINT OF BEGINNING.
APN 060-110-032-000 (PORTION)
PARCEL III:
THAT CERTAIN PARCEL OF LAND ADJACENT TO THE ABOVE DESCRIBED PARCEL II AND
BOUNDED AND PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT. THE NORTHEAST CORNER OF LOT 34, AS DELINEATED, NUMBERED AND
DESIGNATED UPON THAT CERTAIN MAP ENTITLED "FIRST SUBDIVISION OF THE DAVIS
TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH,
CONTINUED
Preliminary Report Order No. BU 214370 DT
PARCEL III: - CONTINUED
RANGE 4 EAST, M.D.M.," SAID MAP BEING RECORDED IN THE OFFICE OF THE COUNTY
RECORDER OF BUTTE COUNTY, CALIFORNIA, AUGUST 24,192 1; THENCE IN AN EASTERLY
DIRECTION ALONG THE NORTHERLY LINE OF SAID LOT 34 EXTENDED, A DISTANCE OF
1S 1/2 FEET TO A POINT; THENCE IN A SOUTHERLY DIRECTION ALONG THE WESTERLY
LINE OF LOT 33 AS DELINEATED, NUMBERED AND DESIGNATED UPON THAT CERTAIN
MAP ENTITLED "FIRST SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE
NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.,-
SAID MAP BEING RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE
COUNTY, CALIFORNIA, AUGUST 24, 1921, AND THE SAID WESTERLY LINE OF SAID LOT 33
EXTENDED, A DISTANCE OF 480 FEET MORE ' OR LESS TO THE CENTERLINE OF BUTTE
CREEK; THENCE IN A WESTERLY DIRECTION ALONG THE CENTERLINE OF BUTTE CREEK
18 1/2 FEET MORE OR'LESS TO A POINT WHERE THE SAID CENTERLINE OF BUTTE CREEK
IS INTERSECTED BY THE EASTERLY LINE OF SAID LOT 34 EXTENDED; THENCE IN A
NORTHERLY DIRECTION ALONG THE EASTERLY LINE OF SAID LOT 34, AND SAID
EASTERLY LINE EXTENDED, A DISTANCE -OF APPROXIMATELY 473 FEET TO THE POINT
OF BEGINNING; SAID STRIP BEING A STRIP OF LAND 18 1/2 FEET WIDE ALONG THE
EASTERLY SIDE OF THE PREMISES ABOVE DESCRIBED, ON MAP RECORDED IN THE OFFICE
OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, AUGUST 24, 1921.
APN 060-110-032-000 (REMAINDER)
When recorded return to:
County of Butte
Department of
Development Services
Building Division
7 County Center Drive
Oroville, CA 95965-3397
Z��05-0�2385r5
Recorded
OfficialRecords
Count
BUTTEOf
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
11:55AM 27 -Apr -2005
REC FEE 28.00
COPIES 5.50
Mark
Page *1 of 8
Space above for Recorder's Use
(rev. 5/04)
Owner Name: David C Finley and Lola M. Finley
Building Permit No: 05-0135 (unfinished attic area)
DEED RESTRICTION AND
NOTICE OF LIMITED USE FACILITY
I. WHEREAS, on this 25th day of April, 2005, David C. Finley and Lola M.
Finley, hereinafter referred to as owner(s), is the record .owner of the following real
property: 7450 Valerie Place, Butte Meadows, Assessor's Parcel Number 060-110-
032, and as further set forth in Exhibit "A". attached hereto and hereby incorporated by
reference, hereinafter referred to as "the subject property"; and
II. WHEREAS, the Building Division of the Butte County Department of
Development Services is acting on behalf of the People of Butte County; and
III. WHEREAS, the owner applied to the Building Division for a building
permit in order to develop the subject property described above; and
IV. WHEREAS, Building Permit No. 05-0135 was applied for on January 19,
2005, by the owner in accordance with the provisions of the Butte County Code and
the California Building Code; and
V. WHEREAS, the use allowed by Building Permit No. 05-0135 has been
reviewed and approved for only the limited purposes set forth below; and
VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited
Use Facility shall constitute an enforceable restriction and remain in effect until a
change in use or character of use has been approved by the Butte County Building
Official or a change in law has occurred, either of which change allows the uses
otherwise restricted herein to be conducted on the real property described herein.
Under either circumstance allowing such change in use, Owner shall be entitled to have
L
this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a
subsequent document entitled Rescission of Deed Restriction and Notice of Limited
Use Facility by the Director of Development Services; and
VII. WHEREAS, Owner acknowledges that Owner will comply with the limited
use restrictions that were incorporated in reviewing and approving Building Permit No.
05-0135 which enabled Owner to undertake the limited use authorized by this permit.
NOW, THEREFORE, with the issuance of Building Permit No. 05-0135 to Owner
by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility,
as set forth below, which establishes restrictions on the use and enjoyment of this
limited use facility. The undersigned Owner, for himself/herself and for his/her heirs,
assigns, and successors in interest, acknowledges and agrees to those restrictions.
This limited use facility shall be utilized in compliance with those limitations
prescribed by the California Building Code occupancy classification assigned by the
building official, except the following uses are not allowed: living, sleeping, cooking
or eating in the attic area. Additionally, the space will not be heated and or
cooled, unfinished spaces shall not be occupied until permits are obtained,
inspections completed, and approval granted for occupancy.
If any provision of these restrictions is held to be invalid or for any reason
becomes unenforceable, no other provision shall be thereby affected or impaired.
This deed restriction and notice of limited use facility shall remain in full force
and effect during the period that this permit, or any modification or amendment thereof,
remains effective, and during the period that the development authorized by this permit,
or any modification of this development, remains in existence in or upon any part of,
and thereby confers benefit upon, the subject property described herein, and to that
extent, this deed restriction and notice of limited use facility is hereby acknowledged
and agreed to by Owner to restrict the use and enjoyment of this limited use facility and
shall be binding on Owner and all his/her assigns or successors in interest.
Owner agrees to record this Deed Restriction and Notice of Limited Use Facility
in the Recorder's Office for the County of Butte as soon as possible after the date of `
Yvonne Christopher
Director, DDS
execution. This document shall be recorded and returned to the Butte County
Department of Development Services, Building Division prior to the issuance of Building
Permit No. 05-0135.
DATE: Ape /L -e%
Yvonne Christopher
Director, DDS
20 D -�
Owner Signature:,,.
P- Avzv e-
Print or Type Name of Above
Owner Signature:.,,,
Print or Type Name o Above
NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing
on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat
(acknowledgment) as explained in'your Notary Public Law Book.
STATE OF CALIFORNIA
COUNTY OF BUTTE
On 1-!?Ui 91, %. zoos
Public, personally appeared
SS.
before me, Jo^/,&r4D 14
personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) Xs re subscribed to the within instrument and acknowledged to me that
ho4sh /they executed the same in I �/their authorized capacity(ies), and that by
+fheir signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
WIT SS my haM%:"�
Ignature
STATE OF CALIFORNIA
COUNTY OF BUTTE
On
Public, personally appeared
---------------------------------
DONALD H. MC ASEE
Comm.#1472561 ,,AA
NOTARY PUBLIC- CALIFORNIA V1
Butte County
My Comm.. Expires Marchl� �
(Seal)
SS.
before me, , Notary
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
(Seal)
Yvonne Christopher
Director, DDS
This is to certify that the Deed Restriction set forth above is hereby
acknowledged by the Director of the Department of Development Services and that
Butte County consents to its recordation thereof. ,
Dated: �IM,
Yvon6eChristOpher, Director
STATE OF CALIFORNIA
SS.
COUNTY OF BUTTE
ent Development Services
On T,&,6 , Ap,nj04,)-oc2S . before me, -Ai ccr- I-hY Mf:: , Notary
Public, personally appeared VVo nn -e-
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(, , whose
name(,) is/afe subscribed to the within instrument and acknowledged to me that
-14 fi he/they executed the same in .kj/her/their authorized capacity(, and that by
h. s*er/tbeir signature(z) on the instrument the person(o, or the entity upon behalf of
which the person(, acted, executed the instrument.
WITNESS my hand and official seal.
ai ag tna t-4ure
Ai_4t;?: A NN MEFFORD
Cornm,i cion O 1365636
Z
Notzry F ubiic - Caftmia
Butie County
im -�sy comr,t. Eir�.iw?1; 2006
s
(Seal)
.: . iiIIIIIINI�lIIIIIill�llllllllllllr
.
2goca-a —Q21 ca 5T234 -
RECORDING REQUESTED BY
MID VALLEY TITLE AND ESCROW CO. Recorded I REC FEE
Off i 1 TAX
-13.00
82.50
AND WIZEN RECORDED MAIL TO: untRecords
CouBW,yf
U
02 DAVID C. FINLEY E I
LOLA M. FINLEY CANDACE J. GRUBBS I
Recorder I
(3G�( ARY RY DICKSON
ROSEMARY
Assistant I Barbara
09:@MN 25 -Aug -2093 I Page 1 of 3
Space Above This Line for Recorder's Use Only
A.P.N.: 060-110-032 Order No.: 21437ODT Escrow No.: 21437ODT
GRANT DEED
THE UNDERSIGNED GRANTOR(s) DECLARE(s) TRAT DOCUMENTARY TRANSFER TAX IS: COUNTY $ 82.50
�+
[ X ] computed on full value of property conveyed, or
computed on full value less value of liens or encumbrances remaining at time of sale,
[[ Ji' ] unincorporated area;
FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged,
LEE T. GORSUCH AND JOAN C. GORSUCH, HTS WIFE (IN JOINT TENANCY)
herebyy�GRANI�to
DAVID C. Y and LOLA M. FINLEY, HUSBAND AND WIFE AS JOINT TENANTS
the following described property in the UNINCORPORATED, County of Butte State of California;
SEE LEGAL DESCRIPTION
J. gV �
Document Date: Aumm 15, 2003
STATE OF CALIFORNIA)SS
COUNTY OP )
On Sr" ,_v/ 14. before
' CYOJ;2.Y�I�7
���
personally known to ie (or proved to me on the asis of satisfactory evidence) To be the person(s) whose name(s) is/am subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(es) and that by his/her/their signature(s) on
the instrument the person(s) or the entity upon behalf of which the persou(s) acted, executed the instrument.
WITNESS my hid and official seal.
Signature
This area for official notarial seal.
JL
REBL. BLEOSOE
Commisslon :1287451
Butte Cow lyk CaBtoiWa 0
My Comm. Exp. APR 13, 2005
Mail Tax Statements to: SAME AS ABOVE or Address Noted Below
Preliminary Report
Description
Order No. BU -214370 DT
The land ieferred to herein is situated in the State of California, County of Butte, and is described as
follows:
PARCEL I:
LOT 34, AS DELINEATED, NUMBERED AND DESIGNATED -UPON THAT CERTAIN MAP
ENTITLED "FIRST SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE NORTHEAST
QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.," SAID MAP BEING -
RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA,
AUGUST 24, 1921.
APN 060=110-032-000 (PORTION)
PARCEL II:
THAT CERTAIN- PARCEL OF LAND ADJACENT TO LOT 34, AS DELINEATED, NUMBERED
AND DESIGNATED UPON THAT CERTAIN MAP ENTITLED "FIRST SUBDIVISION OF THE
DAVIS TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP -26
NORTH, RANGE 4 EAST, M.D.M.," SAID MAP BEING RECORDED IN THE OFFICE OF THE
COUNTY RECORDER OF BUTTE. COUNTY, CALIFORNIA, AUGUST 24,.1921, AND BOUNDED
AND PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE SOUTHEAST CORNER OF LOT 34, AS ABOVE DESCRIBED; THENCE IN
A SOUTHERLY DIRECTION A DISTANCE OF 273 FEET MORE OR LESS ALONG THE
EASTERLY BOUNDARY LINE OF SAID LOT, EXTENDED TO THE CENTER OF BUTTE CREEK;
THENCE IN A WESTERLY DIRECTION ALONG THE CENTER LINE OF BUTTE CREEK
APPRO)OMATELY 100 FEET TO A. POINT WHERE THE CENTER LINE OF BUTTE CREEK IS
INTERSECTED BY THE WESTERLY BOUNDARY LINE OF SAID LOT 34, EXTENDED; THENCE
IN A NORTHERLY DIRECTION ALONG THE WESTERLY BOUNDARY LINE OF SAID LOT 34,
EXTENDED TO THE SOUTHWEST CORNER OF SAID LOT .34; THENCE IN AN EASTERLY
DIRECTION ALONG THE SOUTHERLY BOUNDARY LINE OF SAID LOT 34; A DISTANCE OF
APPROXIMATELY 100 FEET TO THE POINT OF BEGINNING.
APN 060-110-032-000 (PORTION)
PARCEL III:
THAT C13RTAIN PARCEL OF LAND ADJACENT TO THE ABOVE DESCRIBED PARCEL II AND
BOUNDED AND PARTICULARLY DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHEAST CORNER OF LOT 34, AS DELINEATED, NUMBERED AND
DESIGNATED UPON THAT CERTAIN MAP ENTITLED "FIRST SUBDIVISION OF THE DAVIS
TRACT, BEING PART OF THE NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH;
CONTINUED
Preliminary Report Order No. BU 214370 DT
PARCEL III: - CONTINUED
RANGE 4 EAST, M.D.M.," SAID MAP BEING RECORDED IN THE OFFICE OF THE COUNTY .
RECORDER OF BUTTE COUNTY, CALIFORNIA, AUGUST 24,192 1; THENCE IN AN EASTERLY
DIRECTION ALONG THE NORTHERLY LINE OF SAID LOT 34 EXTENDED, A DISTANCE OF
18 1/2 FEET TO A POINT; THENCE IN A SOUTHERLY DIRECTION ALONG THE WESTERLY
LINE OF LOT 33 AS DELINEATED, NUMBERED AND DESIGNATED UPON THAT CERTAIN
MAP ENTITLED "FIRST SUBDIVISION OF THE DAVIS TRACT, BEING PART OF THE
NORTHEAST QUARTER OF SECTION 29, TOWNSHIP 26 NORTH, RANGE 4 EAST, M.D.M.,"
SAID MAP=;BEING' RECORDED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE .
COUNTY, CALIFORNIA., AUGUST 2.4,192 1, AND THE SAID WESTERLY LINE OF SAID LOT 33
EXTENDED, A DISTANCE OF 480 FEET MORE -OR LESS TO THE CENTERLINE OF BUTTE
CREEK; THENCE IN A WESTERLY DIRECTION ALONG THE CENTERLINE OF BUTTE CREEK
18 1/2 FEET MORE ORIESS TO A POINT WHERE THE SAID CENTERUNE OF BUTTE CREEK
IS INTERSECTED BY THE EASTERLY LINE OF SAID LOT 34 EXTENDED;* THENCE IN A
NORTHERLY DIRECTION ALONG THE EASTERLY LINE OF SAID LOT 34, AND SAID
EASTERLY LINE EXTENDED, A DISTANCE. OF APPROXIMATELY 473 FEET TO THE POINT
OF BEGINNING; SAID STRIP BEING A STRIP OF LAND 18 1/2 FEET WIDE ALONG THE
EASTERLY SIDE OF THE PREMISES ABOVE DESCRIBED, ON MAP RECORDED IN THE OFFICE
OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, AUGUST 24, 1921.
APN 060-110-032-000 (REMAINDER)
�N 0&0-110-032
0 V1 Fl,�slb��l
/5 C o
N�tnl Sl1� PCelIV S1hN/A/0
BN �•9-K` s� w�
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RESIDENTIAL BUIL®iNG RECORD
ADDRESS
PARCEL
SHEEN OF SHEETS
COMPUTATION
Appraiser 8r Date
,'1, -/s's'
DESCRIPTION OF BUILDING
a,.1
>tt
F5 _Z6
CLASS B SHAPE CONSTRUCTION
STRUCTURAL EXTERIOR
ROOF
LIGHTING AIR CONDITION
Cost
ROOM AND FINISH DETAIL
Cost
nit Cost
Cost
I Light
Sub -Standard
3( Frame Stucco on
j " x " ; Y"
I Flat a Pitch
ie Goble /
Wiring lHeafildCooling
X.L Conduit Forced Cleon'q
ROOMS FLOORS
B / 121
FLOOR .FINISH TRIM INTERIOR FINISH
Moterlal 16rode Walls Ceilin s _
ARCHITECTURE
a( Stondord
Sheothing X Siding % "x ,{ "
Hip 141
IB.X.
I I Coble Gra vit Humid.
All
J
r� =�
Above-Stondord
Concrete Block
Shed 141
F1XtureS Wall Unit
Stories
1,5pecial
B.$ B. F -FT& G.
Cut Up
Few Cheap
Ent. Hall
0
TYPE -___Brick
Shin le
Dormers
Avg. Med. Floor Unit
Living
1
USe I Design
FOUNDATION
Adobe Shoke
Raft "x -
ManyI j6pci. Zone Unit I
Dining
y Single
lConcrete
Floor Joist: B.&B.1 IT46.
Gufters
Central,,
I
Double
Reinforced
/s':L"x (o'= "
PLUMBING
Bed /
Duplex
Brick
2"`. x ` Brick
Shingle
oa d, I
Bed l'
A or imenf
Wood
Sub -Floor Stone
Shoke
t/ e Oil Burner
7
I
Flat -Court
Piers
Concrete Floor WINDOWS
Tile
Sink
Mofel
I JD.H.I IcasementTile
Trim
Laundry M -B. T. U•
till
Insulated Ceilin s Metal Sosh
Com o.;
Water Hti:-Auto. fire lace
Kitchen
TOTAIt
Units
Light Heavy
InsulaiedWolls Screens
Compo.Shinq/e
Water-Softne�
Drain Bd. Mo eriol:
Lgth: Ft. $ lash:
'
CONSTRUCTION RECORD EFFEC. APPR. NORMAL
Permit Amount Dole YEAR YEAR Age Rema/n'q
No. For Life
% GOOD RATING (E,G,A,F,P) BATH DETAIL
Table % Cond. Arch. Func, Con- Stora eSpoceWork- FI No / FINISH FIXTURES
Atfr. Plan form Cupbd Closet mi,shp ;1 Floors I Walls We Lo. Tub Type. Grade
SHOWER
St 0.16.01 Finish =
3'7
141)
100/7,T/.7
R.C.L.N.D
r
;
2,'70
SPECIAL FEATURES
Book Cases
Built-in Beds
Venetian Blinds,
Shuffers
COMPUTATION
Appraiser 8r Date
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51 oS20�
Unit Area
Unit
Cost
Cost
nit
Cost
Cost
nit Cost
Cost
nit
Cost
Cost
unitCost nit Cost nit Cost nit Cost
Cost Cost Cost Cost
0
I
TOTAIt
c/.5
NORMAL % GOOD
41C
3'7
100/7,T/.7
R.C.L.N.D
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;
2,'70
AH 530A 3=54 1". CAR ISLE D C .. SLI e C' X'v",/ 1 , n
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Page 1 of 1
.n
file://A:\060-110-032.jpg
5/19/2004
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SITE PLAN REVIEW APPLICATION
Date: —� —% i iQ 4 AP# - 060 —/&) — 0 32-,
Permit Number (if applicable)
APPLICANT INFORMATION
Owners Name:
Owners Address:
Telephone No.:
Situs Address:
Bin Number
0
Parcel Size: (•� Fr
✓� SCJ f� ;. ,,�,�.C�� ��
R73.— a& % Email:
6,et LEE ML� Z) 0 605
Proposed Use: COUNT'
JUL 16 2n04
R idential DEVELOPMENT
New Single Family Residential SERVICES
❑ Single Family Addition '❑ Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt Minnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-resideatial
❑ New Commercial' _._. .
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Ot er
Septic
❑ Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Commercial Remodel
❑ Industrial Remodel
[Well
[Agricultural Buffer Form ❑ Applicable ❑ N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SER VICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
(� Site an Stamped pproved
By
Date 0 16, / Z
Pagel of 5
ALL ITEMS CHECKED APPLY TO THE PROPERTY .
Parcel Is In:
It Snow Load Area: -4000 ► �d� ►
❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract
❑ Nitrate Action Plan (See Environmental Health for standards)
❑ Watershed Protection Overlay Zone (See attached standards and requirements)
❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required)
® SRA - (CDF to determine specific requirements)
❑ 100 -Year Flood Plain: (See attached)
• Flood Zone: X
• Flood Panel No.: dGa> 9cco 7 S'- 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 (See Development Fees Section and attached standards and requirements)
❑ Chapman/Mulberry (See attached standards and requirements)
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
❑ Oroville Enterprise Zone
Use Requires:
❑ Use Permit ❑ Minor Use Permit
❑ Administrative Permit
❑ Minor Variance ❑ Variance
--------------------------------------------------------------------------------
-------------------------------
❑ Detached Building Use Form El Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: 6 61p:(�rM
Applicable Building Setbacks: 9 - 1 ST -"A"5
Front
Zoning Code
.
Streets & Highways
Fire Prevention
Subdivision Map
Side
►
Side Street
Rear
5
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. j4 CDF approval needed for encroachments into SRA setbacks.
Page 2 of 5
Applicable Development Fees:
Standard Fees Amount Formula
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑ NCSP/CSA 87
❑ Chico Urban Area — Road
❑ Thermalito Drainage Area
❑ Thermalito Urban Area
❑ Other
Subdivision Map Special Fees
❑
Water Tender
❑
Road Improvement
❑
North Oroville Area
❑
Other (per map)
* Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of
the building permit.
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: [I No ❑ Yes, Road Name:
Complies with County Standards �eed Creation: No E] Yes
;
Comments: J" , &tVt 4 h'+-
0
Parcel Deemed to be legal
❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation
❑ Obtain a Certificate of Compliance/Notice of Compliance
❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment
❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23).
❑ Construct road to: ❑ Meet Parcel size required by zone
❑ Meet current Environmental Health Department requirements
Page 3 of 5
n Subdivision Map/Parcel Map:
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Book: Page:
Date of Approval:
Parcel Map/Subdivision Map[Use Permit Conditions
❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None
❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290
❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the
National Fire Protection Association Standard for installation of sprinkler systems in one
and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized
community water system, with hydrants that meet the Fire Department specifications, serves
the parcel.
❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission
requirements of the California Clean Air Act of 1988, as amended.
Provide an erosion control plan for building and land disturbance. The Erosion Control Plan
must be prepared by a registered civil engineer or other qualified professional and be
submitted to and approved by the Department of Public Works.
❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate
Battalion Water Tender Fund may be required.
❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil
construction associated with residential development. Approved dust control measures are
found in the fugitive dust control plan for the site approved by the Butte County Air Quality
Management District, a copy of which can be obtained from the Butte County Department
of Development Services, Building Division."
❑ Engineered foundations are required.
❑ Class A roofs are required.
❑ Property owners responsible for road maintenance, and stop sign maintenance.
Page 4 of 5
Summary of Specific Requirements:
This information provided in this summary is based on the application information and on the best available data at the time
of review.
CALarrys\Building Permit Site Plan Reviewl.doe
Page 5 of 5
BUTTE COUNTY PUBLIC HEALTH DEPARTMENT
Division of Environmental Health
P. O. BOX 5364 7 County Center Drive
411 Main Street ,
Oro
Chico, CA 95928 (5CA 95965
30
(530) 891-2727 ' (530) 538-7281
ouwt
y� FAX (530) 538-7785
FAX (530) 895-6512
APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM
Owner's Name D��,,,,�I t D a- t!,—�c �-�3 L Assessor's Parcel No. OG & -/t u 0 3 Z
Applicant's Name �d I D tL L t�-�� N Z G `ar Phone No.
Mailing Address O . 6C-�K leA^IC" C4. S Z
1. Construction Site %`fes A L eL 4 6 �C l�GG &J�Z /yEQ Q� ud5 �t
s ree an num er or Irec ion n IsFance o nearest crossroad)
2. Lot Size % 9 feet x _�7� feet Acres
3. APPLICATION FOR:
[K New system for new building ❑ Auxiliary or secondary system
❑ Repair of or addition to old system ❑ New system to replace existing facilities
4. Type of building to be served by proposed system:
❑ Mobile Home (size ) No. Bedrooms Garbage Disposal?
(� House No. Bedrooms -3 Garbage Disposal?
[� Other (Specify)
5. Water supply for premises: (Must be safe, potable water)
Water supply for adjoining properties:
6. WORKER'S COMPENSATION INSURANCE
1455
Community ❑ Private Well [9 Other
Community ❑ Private Well RE Other
I am aware of the provisions of Section 3700 of the California Labor Code, which requires every employer to be insured
against liability for Worker's Compensation.
❑ I have placed on file with the County of Butte a Certification of Worker's Compensation Insurance.
R1 I certify that in the performance of the work for which this permit is issued, I shall not employ any
person 1n any manner so as to be subject to the Worker's Compensation Laws of California.
7. SITE PLAN TO BE FURNISHED - Draw to scale on site plan the following:
a. Property lines. e. Show direction and approximate amount of slope.
b. Location of all proposed and existing buildings, f. Source of water.
Structures, driveways and parking area. g. Water lines.
c. Location of large trees, rocks, or other obstacles. h. Set back lines and easement.
d. Location of any well, spring, creek or other body I. Proposed sewage disposal system and area for
of water on the,parcel and within 100 feet of property line. replacement.
I hereby state that the information above or attached hereto is correct and true to the best of my knowledge. I
understand that the permit must be obtained before any construction is begun either on the building or on the sewage
disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling. may be
occupied the system backfilled, or put into use. I also understand that a safe potable water must be supplied to the
new bui 1 g or dwe 'ng before occ y-san ke place.
Signed Owner 2f Authorized Agent ❑ Licensed Contractor ❑
Date '%-/i� — to (An original letter of authorization must accompany this application
1n order for an authorized agent to sign).
FOR OFFICE USE ONLY
Legal parcel? Zoning Use permitted? Ac ess
Water plans cleared Potable water Receipt No. Amount , _.—-�f
Comment
App/SewDisposa I Sys/112003
1P 0/_/U
411 Main Street 7 Court Center Drive
P. O: Box 5364 BUTTE COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH Oro(5le, CA 95965
Chico, CA 95927 530 .538-7281
(530) 891-2727 FAX (5303 538-7785
FAX (530) 895-6512
APPLICATION AND PERMIT TO CONSTRUCT A SMALL DIAMETER WELL
WITH A CASING DIAMETER OF EIGHT (8)) INCHES OR LESS
OR A CHAPTER 23B- 5c EXEMPT WELL
Application for: Small Diameter Domestic Well ❑ Repair or Deepening With Same Pump Capacity ❑ Replacement Well
With Same Pump Capacityy Within 100 ft. of Destroyed Well [3Frost Protection ❑ Fire Suppression ❑
Monitoring Well ❑ Public Water Supply Well ❑ Other
Owner Name: LAV ( b C_ f—t t�J L `f Assessor Parcel No. 0&0_ / / D —0-32—
Applicant
0-3Z
Applicant Name: L)4\/6 Cs F-7 tJ LCy Telephone No. (63C�) ��7 3 — 3
Applicant Mailing Address: P.17 . [� c� )c S ZZ „ �,�t.cS�NGt� Zip
Street Address of Site:
WELL DRILLER INFORMATIO
Well Driller(_ (,l�lGit,E� 17:Lc (.UPC.
C-57 LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty, of pperjury that I am licensed under provisions
of Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code, and my license is in full force and effect.
License Class Lic. No.
WORKERS COMPENSATION DECLARATION
WELL
Proposed Depth
Diameter Casing
PERMIT
(EXPIRES ONE (1) YEAR FROM DATE ISSUED)
tX�
Fee Received C2 to
Date Fee Received —7 —/1 L
Receipt No. /F32
I hereby affirm under penalty of perjury one of the following ? Date Issued
declarations: s
❑ 1 have and will maintain a certificate of consent to self -insure
for workers' compensation as provided for by Section 3700
of the Labor Code, for the performance of the work for which
this permit is issued.
❑ 1 have and will maintain workers' compensation insurance,
as required by Section 3700 of the Labor Code, for the
performance of work for which this permit is issued. My
workers' compensation insurance carrier and policy number
are:
Carrier
Policy Number
Q4
1 certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any
manner so as to become subject to workers' compensation
laws of California, and agree that if I should become subject
to the workers' compensation provisions of Section 3700 of
the Labor Code, I shall forthwith comply with those
Mvisions. _
Signature of Applicant - 1XOWner ❑C-57 Licensed Well Driller ❑ Authorized Agent
Date: 7— /x/ — d L/
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 IN SECTION 3706 OF
THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
Weh -8'7N0
Approved By
Special Conditions:
.R.E.H.S.
***NOTES TO WELL DRILLER***
1. Provide a minimum twenty-four (24) hour
notice prior to installing or placing
sanitary seal or drilling a well expected to
be completed in less than twenty-four (24)
hours. (BCC 23B9[b])
2. A satisfactory final inspection by the
Health Department and receipt by the
Health Department of a Driller's Report or
a satisfactory abandonment report and a
disinfection statement is required for final
approval of work. (BCC 23139[a])
To facilitate issuance of your well permit,
please stake and flag the proposed well
location at the site.
BUTTE COUNTY
AGRICULTURAL BUFFER NOTIFICATION AND/OR
UNUSUAL CIRCUMSTANCES REQUEST
Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This
dimension is based on environmental assessments and studies: The Agricultural Commissioner may identify
unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not
available for lots being created, divided or subdivided.
Owner or Authorized Agent must complete the following and return with the required site plan to:
Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601
• Po
_ ��fi% C> cti L Phone: AIL,: 3-9(z
Mailing Address: P—Z) . 6 Dec, sZ Z.- /`-OR-CS j 2Aw G,
E -Mail address
Assessor's Parcel Number. _ 4) (,.o Z -
Reason you believe you qualify for the unusual circumstances exception:
. (OPFfL P�n13ntr�e �- ..
Owner or Authorized Agent's signature
7- N-6 q
Date
UNUSUAL CIRCUMSTANCES DEFINITION:
An exceptional or extraordinary condition where the existing lot size or shape or an existing Improvement
(well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone.
SITE PLAN REQUIREMENT: submit 4 copies with this form
Refer to the Site Plan Submittal handout for specific requirements
......................................
Internal Dept. Contact Info:
❑ Env. Health ❑ Planning ❑ Building ❑ Other
Contact Person: Phone:
FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING
For Agricultural Commissioffi
ner oce use only: (to be completed after. submittal )
DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building)
❑ Exception Recommended ❑ Exception Granted with the
❑ Exception NOT Recommended following conditions:
Reason/Conditions/Specific setbacks from adjacent agricultural operations:
Agricultural Department Signature:
Date:
YMC 7/l/03
,.
r"�,-r,
Unit
Cost
--
Olt Cost
Cost
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Cost
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ADDRESS
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DESCRIPTION OF BUILDING
0
CLASS 6 SHAPE CONSTRUCTION
STRUCTURAL
EXTERIOR
ROOF
LIGHTING; AIR CONDITION
ROOM AND FINISH DETAIL
i
n
Light
)(I Frame
Stucco on
Flat aPYch
Wlrin Heatin Cool)nq
ROOMS FLOORS
FLOOR.FIN/SH TRIM INTERIOR FINISH
Wol/s Ceilings._
Sub-Stondord
Goble / �:
N.T. Conduit forced Clean'g
B 1121
Material Grade
ARCHITECTURE
)( Standard
Sheathing
C" Siding / "x ;
Hip
B.X. Coble Grovit Humid.
All
�I-
��
Above -Standard
Concrete Block
Shed /4
FIXtures Wall Unit
Stories
5 ¢tial
B.$ B. T $ G.
Cut Up
Few Cheap'
Enf.Hal/
TYPE'
Brick
Shingle
Dormers
Avg. Ned. Floor Unit
Living
g y
Use Design
FOUNDATION
Adobe
Shake
RoH.. "x -
Many Specia Zone Unit
Dining
�d Sin /e
Concrete
a/ Flo or✓Dist:
B•8B.. r$G.
Gutters
Centro/"
!
Double
Reinforced
/sr. L'X '! "
"70
PLUMBING
Bed
Duplex
Brick
2"` x `-
Brick
I Shingle
I -VI -1
Bed
`]
i
Apartment
Wood
Sub F)oorStone
:\' Shake
,?^ _ :(, "� Oil Burner
F/oi-Court
piers
Concrete Floor
WINDOWS
rile
Sink j ";, r
i
Mote/
f? : -
�
D.H. Casemen
Tile Trim
Laundry M-B.T. U.
insulated Ceilings
Metol josh
compo.;
Water Hti: -Auto. fire /ace
Kitchen
Units
Light Heov
/nsu/atedWo//s
Screens
Compo.Shingle
Woter-Softner
Drain Bd. Mo�eriol:
! Lgth: Ft Splash:
CONSTRUCTION RECORD
EFFEC. APPR- NORMAL
% GOOD
RATING (E,G,A,F,P)
BATH DETAIL
Permit
YEAR YEARRemO1ng Table % Cond. Arch. Func.:Con- Stora eS ceWork- F7 No FINISH FIXTURES
Amount Dote Age Life Aftr. Plan form Cupb'd Closet mb5hp / Floors Wo//s We Lo. rubl Type. Erode
SHOWER
St 1071641 Finish
No. For
i
SPECIAL FEATURES
COMPUTATION
Appraiser 8 Dote
Unit Area
r"�,-r,
Unit
Cost
.`<-
Cost
Olt Cost
Cost
nit I cost
Cost
�c;O
Ol
Cost
,J,;;;zL
Cost
1 DOWq
O1 Cos t, Unit Cost nit Cost Olt Cost
Cost Cast Cost Cost
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re !`iJ
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TOTALS
7-3
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"70
AH 530A 3254
i I . M15(A:LLANtUU�Z,-- STHUGIUKL5
COMPUTATIONS
Remarks:
gp�
NOTES
RESIDENTIAL
PERMIT NO.
I em v
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
CHECKED
BY
i
rp
RESIDENTIAL
PERMIT NO.
I em v
SPECIAL CONDITIONS
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date)
Signature
CHECKED
BY
J=OK
0 = Not OK
= Not Readyable
MOBILE HOMES
ate
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
z
3. Sewer; Location -Test -Fall -C/0 -Concrete
t
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap;-/ P' L 'ft.
/ P Nat. or/ P' L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utility Clearance
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements -Setbacks -Easements
Date
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert. of Occupancy
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Date
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Blocking
4. Gas; MH Test -Demand -Valve
5. Electricity; MH Test
6. Water; MH Test
7. Water and Sewer Connected
8. Gas and Electricity Tagged
9. Exits
10. License Decals
11. Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards- Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date
Card B-1 - Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL, (Single & Duplex)
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped _
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date FRAMING (Continued)
_ 47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
70. Stairs & Rails
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral ❑ Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
_
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
85. A.C. Unit Disconnect, Electrical -Plumbing
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41. Sills Proper Materials & Anchors
Date
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
Date
43. Bearing Walls over Girders & Floor Nailing
Comments at Final:
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
_ 47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
_
Clearance Looked under Floor 0 Yes
83. Following InstldJDrive 0 Yes 0 No/Walks 0 Yes 0 WPlanters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
NOTES RESIDENTIAL
Q.S - PERMIT NO. _ . 05-0136
FINELY,- DAY ID' �
5-reLt,C..-ru2C ZJ&- otjst-E6-D Pr90 fes, ¢. 7450 VALERIE PI , OROVILLE
Cont: OWNER ,
DEMO .
�$2cS R&y(PTS u6(cFe6-6-
M • ` T T
e y _
JOB FINALED (Date)
Signature l I-
'
R
r
•
J
1
Y
JOB FINALED (Date)
Signature l I-
J=OK
0 = Not OK
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card B-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Card 6-1 Date Card B-1
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card 6-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
Stairs & Rails
23.
Fire Sprinkler; Test
Fireplace or Stove, Clearance -Hearth
72.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
75.
24.
Fixture & Transformer Clearance -Ins. Protection
76.
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
77.
26.
Size Boxes & No. of Conductors Stapled
78.
27.
Romex Installed Close to Edge of Studs & C.J.
79.
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
80.
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
81.
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
82.
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All
Insulated Neutral O Yes O No
32.
Service -Riser Conductors & Ground Main Disconnect
83.
33.
Equip. Clearances Panels-Motors-Mech. Equip.
84.
34.
Clothes Closet Light -Shower Light -Spa Light
85.
35.
Smoke Detector
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
Water Well, Disconnect, Electrical, Plumbing
Card B-1 Date Card B-1
Date
Exterior Elec. Trim, G.F.I. Receptacle -Underground
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36.
A.C. Ducts Insulation & Support
37.
Vent Fan, Exhaust above insulation
38.
Condensate Drain & Overflow, Size & Grade
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40.
Attic Access & Platform if Furnace in Attic
Date
95.
Card B-1 Date Card B-1
Date
96.
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
41.
Sills Proper Materials & Anchors
Card B-1 Date Card B-1
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Card B-1 Date Card B-1
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (FF.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
_
83.
Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
w, R
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 5384636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.netldds
PERMIT NO.
BP050136
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that I am licensed under Issued Date: 01/19/2005 APN: 060-110-032-000
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license Is In full force and
effect. Site Address: 7450 VALERIE PL BMD
License Class: License Number: Map Index:
Date: Contractor.
Description: DEMO (280)
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5 Owner: FINLEY DAVID C & LOLA M
Business and Professions Code: Any city.or county which requires a
permit to construct, alter, Improve, demolish; or repair any structure, prior PO BOX 522
to its Issuance, also requires the applicant for such permit to file a FOREST RANCH, CA
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's Stale License Law (Chapter 9. commencing with Section 95942-0522
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 applicarit for a permit subjects the
applicant to a civil penally of not more than five hundred dollars ($500).):
I, as owner of the properly, or my employees with wages as their
sole compensation, will do the work, and the structure Is not Applicant: FINLEY DAVID C & LOLA M
Intended or offered for sale (Sec. 7044, Business and Professions PO BOX 522
Code: The Contractors' State License Law does not apply to an
owner of property who builds or Improves thereon, and who does FOREST RANCH, CA
such work himself or herself or through his or her own employees, 95942-0522
provided that such Improvements are not Intended or offered for
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.).
❑ I, as owner of the properly, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business Contractor:
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' Stale License Law.).
❑ I am Exempt under Article 3 oft usines and Profess o e
�l!SOwner: G9C(��v
Date: License #:
WORKERS' COMPENSATION DECLARATION _
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for
Architect:
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit Engineer:
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
insurance carrier and policy number are: (;
Total Square Ft:0 S. F.
Carrier. Valuation: $0.00
Policy #: Census Code:
1 certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to 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.
Date:
Applicant:
WARNING: Failure to secure 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 attorney's fees.
CONSTRUCTION LENDING AGENCY This permit Is hereby issued under the applicable provisions of the Butte Courity`C4dn BrirVOr
I hereby affirm that there is a construction lending agency for the Resolutions to do h fees have been paid.
performance of the work for which this permit Is Issued (Sec 3097 Clv.)
Name: By. 17 Date:
PERMIT EXPIRES ON: I -
Address: Date
❑ 1 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. ' ,
❑ 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 em the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge 11 Is unlawful to alter the substance o y official to m or document of Butte ly. I hereby
authorize representatives of Butte County to enter upo above mentioned property for Inspection purpo s.
Print Name: x/1/4 ✓yl1� �. N L�7 'Signature:
- c/
Date: �"
`/
Owner 0 Contractor ❑ Agent for Owner 13 Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
OWNER
Last Name
Ell LE+y
i t Name
10 , LiaLA_
Address
{?o: zz.
City - ort�z_ST
State
Y Z
P a o73 -39G-7
F i,'Zy -75ZO
E mail /NLc`i a _TPS. A 6r
PERMIT
CO
BP
BIN #
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.
APPLICANT NAME
CONTRACTOR
Name
City O9ES, t
Address
Zip 9y Z
City
ax
FZ --Mb
State
Zip
-Phone
-Fax
E-mail
Lic. #
Class
PERMIT
CO
BP
BIN #
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.
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City O9ES, t
Address
Zip 9y Z
City
ax
FZ --Mb
State
Zip
Phone
Fax
E-mail
State License Number
PERMIT
CO
BP
BIN #
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.
APPLICANT NAME
Name
Address a
�--
City O9ES, t
State
Zip 9y Z
Dhone
.S' fl -15 �
ax
FZ --Mb
ail kg-!Nc,CY G_ _1 QS ./j& -r
APPLIPANT SIGNATURE
X
For office use only:
Zoning Flood Zone SRA I Yes I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
Description or Scope of Work:
A511,06 I &-K0uf70�-J ' 6 s 66
As,PI AfVO
Sq. Footage elJs� eta _5 - s 3 SFT
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not 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
OVER FOR SUBMITTAL REQUIREMENTS U
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2
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 other department costs are not
refundable.
Amount: ._.1J - Bldg
SRA
Receipt#: (
Sheriff
,`'jl'/
tk(�o
SMIP
Date:
`9
Other
Total
REV 7-27-04
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK
❑
1.
Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl
❑
2.
Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑
3.
Engineered truss details and layouts in duplicate (if required). No faxes!
❑
4.
Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to
mobile or modular homes.)
❑
5.
Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑
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.
❑
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 stamped and wet -signed by the engineer.
❑
8.
Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑
9.
Site plan and business license approval from the City of Biggs.
❑
10.
Letter of intent for non-residential buildings.
❑
11.
Detached Accessory Building Form filled out by the owner (if required).
❑
12.
Hazardous Material Form (for Commercial Buildings only).
�13,Sanitation_ cLsite pl.an-appmyalhom-tbe-EmdronmentaLHealth_Depadment.
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.)
- ❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ 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
Refunds can only be made upon written 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
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSMILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary
delay in processing and issuing your building permit. No building permit will be issued until this,
verification is received.
1. I personally plan to provide the major labor and material for construction of this proposed
property improvement: YES [\ L_] NO [ ].
2. I HAVE HAVE NOT [ ] signed an application for a building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
PHONE:
CONTRACTOR'S 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:
PHONE:
CONTRACTOR'S LICENSE NO:
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
DATE: /— /!p - ,
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County Department of Development Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538.7541 Telephone
(530) 538.2140 Facsimile
Dear Property Owner:
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 your plan to subcontract, you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o 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.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o 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 their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not be issued until the verification is returned.
ux�
Mic el C. Vieirl, C.B.O.
Ma ager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
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