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HomeMy WebLinkAbout061-520-020t ' - I HAROLD KENNEDY. , I 061-520-020 AG02-033 Creek ALBERT SPRAGUE Permit,1802-73B E -� (new �� 200 BLOOMER HILL RD.; BC single family) �- �AG, BLDG..WNERv hE-LEC 000off W/S Berry Creek Rd,. r M ##579-80E(temp power poleforve a r opment 061-520-020 01-2188 t ' - HAROLD KENNEDY. , app. 1000, off wls Berry Creek Rd. 2 mi - 'no."school�'•Berry 061-520-020 AG02-033 Creek ALBERT SPRAGUE Permit,1802-73B E -� (new �� 200 BLOOMER HILL RD.; BC single family) �- �AG, BLDG..WNERv hE-LEC 000off W/S Berry Creek Rd,. r ofSchool, Berry Creek ##579-80E(temp power poleforve opment 061-520-020 01-2188 SPRIGS, ALBERT 200 BLOOMER HILL, BERRY CREEK CONT: FOUR SEASONS ROOFIN �pPL+edv! 020 01-2499 rRER E, ALBERT OMER HILL RD, BERRY_ i w } PERMIT NUMBER - B 1802-73B,P,E P E A r PERMIT EXPIRES OWNER Harold Kennedy 3 CONTR:. owner LOCATION (A.P. 62-07-77 r app. 10001 off w/s Berry Creek 2 mi. no. school, Berry Creek ' r i } rp COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning: t Setback al" 7—,/ Foundation Piers & Girders �—• Rgh. Plumbing,%", - Bond Beam Rein. Steel Gas Piping & T,est/ Framing — �3 / Plmg. Topout f� "" _/— W Wtr. Htr. _�%�� �-- D "" Furnace Firewall Garage Vents ELECTRIC GAS Temporary —� — �' Temporary Final c —A 0 Final Forms —i -7-X Fireplace:;277, Lath & Plaster - Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of O-c+�cup. OeQ Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT 0 o? -7 Zfd - ff�� above-mentioned property for inspection purposes. X `� AI"'' Date Signature of Peermltee or Agent Receipt No. v —?_ White-D.P.W. — Yellow -Assess. — Pink nspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date_S�3 '? Building permit expires Date�3,`'..�. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 12q i?Z2 OB Mailing Address. . 61` .. Telephone No. Fireplace (yc� Contractor Total Valuation G Mailing Address S ' _ e = Permit Fee Plan Checking Fee &/orPenalty Telephone No. Permit Fee $ $ Building Address zax PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Ov Each Trap 1.50 (� r G Repair drainage or vent piping 1.50 Water piping 1.50 (� Each gas water heater or vent 1.50 ��— �7 A. P. / Zoning &Planning Gas piping. system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. anita Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. P ans Recd c7e k`f 1,F7V Parcel Approval L -11 -Permit Plans Approval Fee $ a`( NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00�Ixl Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) S Range, Cook -top or Ove 1.00 tnrarpr aaatQr nr Space Heat r 1.00 Li fixture fftO b.1 (610 ReWs., swfiffll6s & fix out ets b2Ua• O CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood an or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring .., 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE r $/ OZ above-mentioned property for inspection purposes. X `� AI"'' Date Signature of Peermltee or Agent Receipt No. v —?_ White-D.P.W. — Yellow -Assess. — Pink nspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date_S�3 '? Building permit expires Date�3,`'..�. 06-1-520-020 01-2499 SPRAGUE, ALBERT - 200 BLOOMER HILL RD, BERRY CREEK UROOF COUNTY OFiBUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT G111- -1) 1 .l ASSESSOR PARCEL NUMBER � - Ub1-5ZV-UZU ., ZONING BUILDING PERMIT OWNER ALBW s pIZ a u I TELEPHONE 589—N20 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 200 MMM I= ID. y BMY CR=9 CA 95916 25 metal 19 CONTRACTORS NAME 01611 i� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation Is f ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 200 BL)M M. RD. � Energy Plan Checking Fee $ $ PERMIT FEE $83.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 17, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OW & MEM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I� I as owner of the property, or my employees with wages as their sole compensation, 1 will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 20TH TO 46.00 rCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( DIT ACC. S.3.5¢FT: NON-RESID. MULTI -OUTLET @G 7,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES SAL .®''IISO Ex. Occup. O.ED Aa n°R,, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) Zd_ I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,/ X /. �z---r� _ Date l' 0 _ Signature of App)iX:ant -,I� +'Owner 13 Contractor 13 Agent / An OSHA permit is required fob excavations over 60" deep and demolition or construction of structures over 3 stories in height.-' Mobile Home Installation Fee s Energy Inspection Fee s OCC CONST. TYPE TOTAL FEE $ 83.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abbe for whic fees have been paid. / ' (J By /' 1 Ll / Date PERMIT EXPIRES ON (Datey ReceiptNo. A?5'� WHITE-D.D.S.-B.D. CANARY-ASSEGSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541EgMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 01. a AnFS$OAnULNA�B R ��Zz llUU ZONING BUILDING PERMIT OWNER ALBERT 0R -16S AC, U (27589-0920 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 200 BLOOMER HILL RD., BERRY MM CA 95916 � OMP 1.500 25 metal 1'560 'S NAME CONTRACTORS OWLYM LEPH TEONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 31060 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.W ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 200 BLOOMER HILL RD. BERRY CREEK Energy Plan Checking Fee $ $ PERMIT FEE t 83.00 LOT NO. SUBDIVISIONS NAME • PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE—ROOF OOMP & M141TAL Gas piping syste!!! 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W (920.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.oA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Al I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. . ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury.ons of the following declarations: .0 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) Z7^-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 Com N with those provisions. / X > �ii _ Date ` �� Signature of App' ant ner ❑ Contractor ❑ Agent ' An OSHA permit is requir- f r excavations over 5'0" deep and demolition or construction of structures over 3 stories in heigh 11 Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. 8 ACC. BLDS. s0 3. So FT. INpp}p6lp, ' MULTI.OUTLET 97.50 OWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU CUTLET OR FDCTUREs SAL 9' 50 Ex. Occup. GunE°Ts(RREs�ID °Ea 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 83.00 HAz• I D PEa IMP FIpOD cDF PARCEL I PD HD ISSU This permit is hereby Issued under the of the Butte County Code and/or Ind i ted ab a for whic fees have By 4Date PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. 10A) to ,,, ReceiptNo. w WHITE-D.D.S.-B.D. CAN V -ASS R PINK -INSPECTOR GOLDENROD -APPLICANT ''" 6 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PMCEL NUMaER ZO11ONO BUILDING PERMIT OWNER TELFDNE $�kA6,U � 11 SO. Ff, OCC. BUILDING VALUATION OWNERS MAJUNG ADDRESal n /1 r/ln r v n i7rh n . CONTRACTOR'S MAUNG ADDRESS PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 900v OR LESS x0A OR LESS CONSTRUCTION LENDER Main Service 200A TO I000A 46.00 LENDER'S MAILING ADDRESS Fireplace S.SQ �O, Total Valuatlon S 0. FEE'S IMP ARCNRECT OR ENGINEER IC:ENSE NO. Filing Fee $ ND ARCNRECT OR ENGWEERS LtMNG ADDRESS BUILDING ADDRESS Permit Fee E 3— Plan Checkin Fee b Energy Plan Checking Fee E a PERMIT FEE $ LOT N0. SUftON610N8 NAME PMCEL MAP PLUMBING PERMIT Each Trap Filing Fee 7.00 USEOFSTRUCTURE SF ❑ Duplex 0 Mobilehome ❑ Other BPEc�v Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Rem9c4 O 11liGpes O� Ration ❑ Other ❑ Describe Work: _� Each gas water heater or vent 15.0 Gas piping system 1 - 5 outle 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 "PERMIT FEE PA2b SRA - SHERIFF OTHER AMOVNT RECEIVEb 20.00 20.00 NON -REBID. t BR,WNCIRCURS ) 1 1 07.501 I OUTLET OR FWTURES Ex. Occup. rueuwwlNS. oR ouTLtTs ESID. Ew 5.00 Temporary Service 0 Mobile Home Facilities 20.00 Misc. Wirinu 23.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 900v OR LESS x0A OR LESS 23.00 Main Service 200A TO I000A 46.00 NEW CONST. ( OR ADONS. DWELLING OCCUP. ` d ACC. BLDS. 1 S.SQ �O, NON -REBID. t BR,WNCIRCURS ) 1 1 07.501 I OUTLET OR FWTURES Ex. Occup. rueuwwlNS. oR ouTLtTs ESID. Ew 5.00 Temporary Service 0 Mobile Home Facilities 20.00 Misc. Wirinu 23.00 In icated above for which tees have been paid. "RECEM NUMBER �� cJ� _ " TO BE PVT INTO C�OWVTER By Date PERMIT EXPIRES ON PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood SO Ventilation PERMIT FEI: S Mobile Home Installation Fee $ Energy Inspection Fee $ Foc�CO;NST. TYPE TOTAL FEE $ 0. FEE'S IMP FIAOD COf PARCEL PD ND 65UE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work d' In icated above for which tees have been paid. "RECEM NUMBER �� cJ� _ " TO BE PVT INTO C�OWVTER By Date PERMIT EXPIRES ON OWNER -BUILDER VERIFICATION Attention Property Owner: An;"owner-builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I .4have, sonally plan to provide the major labor and materials for construction of the proposed rty improvement : YES NO 0 V HAVE NOT 0 signed an application for a building permit for the proposed work. contracted with the following person (firm) to provide the proposed construction: { NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. ' � I plan to provide portion's of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. , 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 NOTE. This Owner -Builder Verification is required by Section 19831. and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER z OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their, license number on all permits for which they apply , If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information aboutyour obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C: Vi` ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER ..Q61 0-020 01-2188 ALBERT 200 BLOOMER HILL, BERRY CREEK CONT: FOUR SEASONS ROOFIN . RE00F 1.4 Q� COUNTY OF BUTTE - DEPARTMENT'OF:DEVELOPMENT.. SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville; Califarrua� 95965 • Telephone (530) 538-7541 PER IT NO. (Rev.12/96) 4 APPLICATIONAND PERMIT ASSESSORPARC NU ER •/.` - /V�t/V ZONING BUILDING PERMIT OWNER L T 7L I TELEPHONE "�i Sa. FT. OCC. BUILDING VALUATION OWNERS MAIUNG rDR S , 1 rle °ONTFOUR NAME}J1(wrING TELEPHONE 895-0418 °DNTRCIDR `"r'?".°sE ypidr, SUITE 01 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS `7"' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Pian Checking Fee $ $ 4_ PERMIT FEE $ LOT NO. SUBDN6IONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 9 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other . SPECIFY Solar or heat um water heater Water piping15.00 Each''as water heater or vent 15.00 "aw�' b TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: OrRo 1 p !a coma Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 1920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 NOV R LE Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In`fut i6rce and effect. 659073POWERAPPARATUS License Class . .rte Lica: No. zatr, OWNER=BUILDER DECLARATION ,may I 1 hereby affirm undetr'penalty of perjury that I am exempt from the Contractors license Law for the foliowing'eason: ❑ I, as owner of the propertyo'my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner 'of the property, am exclusively 'contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor` bf the')lgifot�mance of work for which this permit is issued. My workers' com�ITtiorinsl�a yoe�,ca5Z6and policy number are: Carrier Main Service TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADDNS. ( & ACC. BLDS. SO 3.5QFr. NOF q °�1. ' MULTI.OUTLET @7.50 a swGLE ourLFr cIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 @ 1.00 @ .so FIXED APPINS. OR Ex. Occup. ounETs RM. EA 5.00 Temporary Service f 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of ot'" e'`hundred dollars -($100) or less.) ❑ 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 lawsof California, and agree that if I should become subject to the worker§'�'compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X (� Date Q l / 1 Signature of ApplicaHt - ❑ Owner ❑XContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures' over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP f FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have _ 1 i By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. I-)(4 / IV X WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 41 U*00. do �-- S"oov COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -* @Fovhle, California 95965 Telepho eY5944541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date d Signature of Permitee orAgent Receipt No. 3L/6 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. /-EG•TA-R�OF PUBLIC WORKS By! 1 Date Building permit expires Date BUILDING Owner P4 t/1- BiELEG- SO. FT. OCC. BUILDING VALUATION Mai liin^g Address P BOX 4 Z /�. /l Tele hone No �G Contractor QW NEk—' Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address IPP. 10O o S ' Orr A Plan ng Fee&/or Penalty Permit t Fee fSE�� �' Ck't=C:� �' �]. , LZ �c•f ' ifiU • PLUMBING No. @ FEE �C 14vc, PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 � &Z-07-7,7 A. P. No. — Q7— % 7 &4 Z 'Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees We Saw44aNcttl I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans W.1 Parcel A royal Plans Approv�al/ Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER LrJ Permit Fee $ $ -rc-" 1lp. POkfCe, E r-o,e ELECTRICAL No. @ FEE vC PERMIT FILING FEE $3.00 QtU 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L too AMP 2.50- Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 OR ANEW CDNST � ACCLBLOGLING OCCUP. 4� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR, EX. OCCUQ(OUTLETS OR FIXTIIRES) 50@250 BALP1 FIXED APPLNS, OR Ex. OCCup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 p1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ (�, so MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ zu sk authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date d Signature of Permitee orAgent Receipt No. 3L/6 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. /-EG•TA-R�OF PUBLIC WORKS By! 1 Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-1_,,O-Qvi Ie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned proper for inspection purposes. X .� Date,;1 ' U Signature of Permitee or Agent Receipt No. 3LD72— White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. OF PUB IC WORKS % B 9Date Building permit expires Date ' BUILDING Owner P14VL- SQ. FT. OCC. BUILDING VAL ATION Mailing Address Po. 60x qz- BEP..0Y GI-jL Tele hony�.D� 06 Contractor W GIG. Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address -,q-PP. `ODQ " OFF A 5 PlanFee&/or Penalty ng ee Permit Fee Permit BC -R,9* C- IL L) �Z M A/D• PLUMBING No. @ FEE OF sU'Ef30L PERMIT FILING FEE $3.00 Each Trap 1.50 196"Y G/ZZF/L Repair drainage or vent piping 1.50 //�� A. P. No. tUG-07-7� ?i Zoning Planning Water piping 1.50 Each gas water heater or vent 1.50 F 641Vk<SaPritat+on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PlansW.'.'--d Parcel Approval 7 Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Te" P. P0061P-1 P` LE r -WP_ @ FEE ELECTRICALJAM 7— DQ P "EA, — `�"' PERMIT FILING FEE$3.00 ,00 100 AMP OR5•�� Main service BOOV OR LE`0 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 2.50 -'O Main service OVER 600V25.00 100 AMP OR LESS Main service EA. ADD'L 100,AMP 1.00 NEW CONST. ( DWELLING OCCUP. s) 24: sq OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID.CONSTRANCH CIRCUITS) NON.R ESI D. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON -REBID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES 50@� ;74 BAL 1 FIXED AP Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00 Temporary service 10.00 �,pp Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 INI am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q, O $ 20 1 SC WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ ZO SZ authorize representatives of the County of Butte to enter upon the above-mentioned proper for inspection purposes. X .� Date,;1 ' U Signature of Permitee or Agent Receipt No. 3LD72— White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. OF PUB IC WORKS % B 9Date Building permit expires Date ' I BUILDING DIVISION i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFCANIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. A67 �) � --o a3 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. AS O PA��L- '— 02,0 �(� ZONING o. OWN �., /� �� r , io- PHONE NO. S �9 - D �Ia c7 OWN DRESS LOCATION OF BUILD N y ®D USE OF BUILDING R j -)k. r SIZE OF STRUCTUR TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF CVERING FLOOR TYPE ESTIMATED COST P.F CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT J J� �`O �''✓ SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permit Inspe tions, and approvals to comply with the requirements in effect at that time and before occupancy. �A Q, i��i.n,i: n,�i.::.:;!::✓y, Date Permit Fee - Receipt No. -3q PkQ4U0A- C. White = DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant P-Loun,-MaAle Signature of Owner The above described AG Buildinq is iK COUNTY OF BUTTE -DEPARTMENT OF DEA_-LOPMENT SERVICES -BUILDING -DIVISION 7 County Center Drive, Oroville, CA 95965,e (530)538-7541 Fax (530)538-2140 PERMIT APPLICATI6N DATA SHEET OWNER: 'ASSESSOR PARCEL NUMBER 60 l v v C� 11 P1 Proposed Building Use: /+r l z Gt ' t I _T Counter Technician: Date: 3A>-1 Items o> - Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1.. Plot 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. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review'line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other • Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... } ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ' ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... s ❑ 21. Encroachment Perm'it1for dr' eway from the Publi , olks Dept.` (construction approval prior to occupancy). ��22. Pre -Inspection for V 1C�jC0-- required.)............... :E ❑-23" Contractor's license informs on (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization..................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Fa s, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31.' Other: When issued Telephone1�71 a`nd'harl`orpiclp: �,QQ I have been informed of the above items Applicant: requirements for obtaining a building permit. 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date:, Date: � -1 m la. 6 Plan Check Letter ❑ phone, ❑ mail, ❑ counter, by Date: ❑ phone, ❑ mail, ❑ counter, by Date: _ Plans approved by: Date:_ _Structural approved by: Date:_ Yellow: Building Division 'l. ❑ B.I.N. REQUEST FOR INSPECTI N Permit No. Location: -a d� gla��M y • Owner. ContractororTenant: Complaint: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. RE - Form Rough Rough SPIO ECT Frame/Underfloor Stucco Lath Top Out Gas Piping/Test Temp. Service Service Corrections Final Housing Job Status Stucco Brown Temp. Gas Underground Permit Renewal FireplaceSewer Bond Beam Insulation Piping Water Piping Shower Pan Well Circuit Light Niche Verity Utilities OTHER Nailing Corrktions Corrections Corrections READY FOR A M. INSPEC. ONi �P.M. Final Final Final V / Date: Time: Note: PRE -INSPECTION REPORT CONTRACTOR: /��t _ k PRE-INSPETION FOR4 6:_ � � Q��� c � h4�L DATE: - aa a A.P. #. ' 0 ZONING: DATE TO INSPECTOR: Ci a PERMIT HISTORY:( ) NONE � FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Yes No Electric currently On Off Condition of Electric Natural Propane None. Obvious Problems: Sanitation: Plumbing Working Currently On Off Well Working Potable Water. Obvious SewageProblems ACTION RECOMMENDED: ISSUE:. HOLD FOR 0')Q dnon Inspector. Date 211, i Sketch buildings on reverse and indicate location on property rNM BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965— TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. AS O PA�O.� 0 -'?0 ZONING OWN �, PHONE NO. OWN DRES. 11 , LOCATION OF BUILD N C i C USE OF BUILDING ' a <- kA JJn4,1' L 4u'Ac� SIZE OF STRUCTUR / — �� ' X ��SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING , ROOF C VERING FLOOR TYPE q' ESTIMATED COST P.F CONSTRUCTION AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. t L Date Signature of Owner ,,,zz'04 zkl�� Permit Fee -560.0(Y The above described AG Building is exempt from a building permit. (( Receipt No2e PARCEL P.D. ROOFINGFISSUE . T -tel/ Manager ullding Divisio cJ yr" -Deg 7 By White — DPW Yellow — Assessor. Pink — B l.. Goldenmd — Annlirint /' 1$11 - . . Date ttf: Butte County Department of Development Services PERMIT CENTER 7 County Center Drive, Oroville, CA 95965 coLIN . . Main Phone (530)538-7601 Permit Center Phone (530)538-6861 Fax(530)538-7785 OWNER BUILDER & CONTRACTOR FORM NO IMPORTANT INFORMATION THAT IS REOUIRED ON THE APPLICATION AND BUILDING PERMIT The following information will need to be provided on the building permit application form (DBP -03) and/or on the issued building permit (which is printed in our office). An owner builder verification form (DBP -43) may also be required. NOTE. Please do not submit this form as your building permit application or owner builder verification. This handout is provided as a guide to the information you will be asked to provide for permitting purposes. i #1 YOU WILL BE REQUIRED TO IDENTIFY YOUR BUILDING PROJECT LOCATION (ADDRESS AND/OR ASSESSOR'S PARCEL NUMBER) Property Location or Address: This permit is to be issued in the name of the (_) Licensed Contractor or (._) the Property Owner as the permit holder of record who will be responsible and liable for the construction. Property Owner Information: Name Mailing Address Tel No Licensed Design Professional (Architect or engineer in charge of the project) Information: Name License No. Tel No Mailing Address Description and valuation of work to be performed: #2 IDENTIFY WHO WILL PERFORM THE WORK (Complete either 2a or 2b) 2a — CALIFORNIA LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. f Contractor Name and Address: License Class and No(s). Contractor Signature 2b — OWNER -BUILDER'S DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): K:\NEW_WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP- 44—Owner Builders_Info_Regd_on_Application_&_Building_Permit_8.9.11_ rev'd_3.7.2014_AKM.doc Page 1 of 3 U I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale.). (__) I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law.). U I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. Property Owner or Authorized Agent signature Date #3 IDENTIFY WORKERS' COM PENSTATION COVERAGE AND LENDING AGENCY 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 ATTORNEY'S FEES. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: U I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Policy No. U I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy No Expiration Date Name of Agent Tel No U 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. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name and K:\NEW_WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP- 44_Owner_Builders_Info_Regd_on_Application_&_Building Permit_8.9.11_rev'd_3.7.2014_AKM.doc Page 2 of 3 I t #4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT 1 - 1 By.my signature below, I certify to each of the following: I am (, a California licensed contractor or (__) the property owner* or U authorized to act on the property owner's behalf**. IIhave read this construction permit application and the information I have provided is correct I, agree to comply with all applicable city and county ordinances and state laws relating to building construction. } I authorize representatives of this city or county to enter the above -identified property for inspection purposes. *requires separate verification form California Licensed Contractor, Property Owner* or Authorized Agent**: **requires separate authorization form Signature Date 1 - i K:\NEW_WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP- 44_Owner _Builders _Info_Regd_on_Appl ication_&_Bui lding_Perm it_8.9.11 _rev'd_3.7.2014_AKM.doc IPage 3 of 3 OVT.rF: Butte County Department of Development Services. PERMIT CENTER 7 County Center Drive, Oroville, CA '95965 Main Phone (530)538-7601 Permit Center Phone (530)538-6861 -Fax (530)538-7785 IMPORTANT! NOTICE TO PROPERTY OWNER FORM NO',. Dear Property Owner: An application fora -building permit has,been submitted in your name listing, yourself as the builder of the property improvements specified at We are providing.you with .an Owner -Builder, Acknowledgment and Information Verification Form to make you aware of your responsibilities and.: possible risk you may incur by having this permit issued in your name as!the.Owner-Builder. We:will not issue a building permit until.you. have read, initialed your. understanding of each provision, signed,; and returned this form to.us, at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify that you understand or verify -this information. 1 1. 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 2. 1 understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. 1 understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. 6. 1 understand if I am considered an "employer' under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 7. 1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does riot exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. C:\Users\debrown\Desktop\2014\2014 Forms - Completed\DBP\DBP- 43_Owner_Builder_Notice_to_Property_Owner_8.9.11_rev'd_3.7.2014_AKM.doc Pagel of 2 9. 1 understand l may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800- 321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. 1 am aware of and .consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: 11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner - Builders as well as employers. 12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of property owner Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: C:\Users\debrown\Desktop\2014\2014 Forms - Completed\DBP\DBP- 43_Owner_Builder_Notice_to_Property_Owner 8.9.11_rev'd_3.7.2014_AKM.doc Page 2 of 2 K:\NEW_XN 42—Owner— Butte County Department of Development Services PERMIT CENTER .7 County Center Drive, Oroville, CA 95965 Main Phone (530)538-7601 Permit Center Phone (530)538-6861 Fax (530)538-7785 OWNER BUILDERS NOTICE CONCERNING CALIF_ ORNIA HEAL TH AND SAFETY CODE SECTION 19825 California Health and Safety Code, Section 19825 requires that all applicants seeking Owner - building construction permits be provided with disclosures and verifications and an enhanced level of consumer awareness and protection for property owners accepting the risks "associated with Owner -Builder construction permits. 'iThe Legislature hereby finds and declares that there is an urgent and statewide public interest in assuring that building contractors comply with the Contractors License Law... and provisions of law relating to Workers' Compensation Insurance for building construction, that property owners are informed about, and protected from, fraudulent representations, liability for worker's injuries, liability for material and labor costs unpaid by contractors, licensing requirements, and employer's tax liabilities when improving their property as owner -builders" 1. THIS, OFFICE WILL BE ENFORCING THESE f. REQUIREMENTS AS FOLLOWS: INew Construction Permit Application FORM NO 1i' �!' assumgP �t ol. Property Owner Protected by Contractors License i Law ITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP- ers Notice CA &_Safety_Code_19825_8.1.11_rev'd 3.7.2014 AKM.doc _ ._ Page 1 of 1 — — If Property Owner is the (Permit Hol�de�r)� Permit Holder Verify Property Owner's Verify Property Owner's Identification & Signature Acknowledgment & Approval to Assume Liability for the Construction Project, by Verify Property Owner's Verifying Completion of Designation & Signature the NOTICE TO on AUTHORIZED PROPERTY OWNER AGENT Form (if Form Prior to Issuing applicable) Permit Property Owner is Legally Noticed by Owner -Builder Law ITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP- ers Notice CA &_Safety_Code_19825_8.1.11_rev'd 3.7.2014 AKM.doc _ ._ Page 1 of 1 — — I ' T,tF° ,i ; iButte County Department of Development Services s' PERMIT -CENTER' -7 County Center Drive, Oroville, CA .95965 C`puN��t" Main Phone (530)538-7601 Permit Center Phone (530)538-6861 Fax (530)538-7785 FORINT NO 113411001 OWNER/BUILDER PROTECTLON PROTECT YOURSELF BEFORE STARTING CONSTRUCTION OR I BUYING A HOME!! IF YOU DECIDE TO HIRE A LICENSED CONTRACTOR Always check credentials with the California State Contractor's License Board Beware of contractors willing to work without permits http://www.cslb.ca.gov./ Whether you are doing the work yourself or going to hire a contractor or a design professional, research is important. The Contractor's State License Board hip://www.cslb.ca.gov, has articles that cover a wide range of interesting topics for consumers, and you can check on a contractor's license to make sure it's active. The California Architects Board http://www.cab.ca-gov/ , and the California Board for Professional Engineers and Land Surveyors http://www.dca.ca.gov/, have similar web sites for consumers. We also suggest you contact family friends and people you trust for I eferrals. Many good contractors rely on word of mouth referrals. ADDITIONAL RESOURCES: Hiring a Licensed contractor video The Contractors State License Board has produced a 15 -minute educational video titled "Doing It Right: Hiring a Licensed Contractor. " The video guides consumers through the process of selecting, hiring and managing a contractor. httD://www.cslb.ca. Qov/consumers/hire-a-contractor/do-it-ri sht-vi deo. asp • A Consumer Guide to Filing Construction Complaints Describes how to file complaints against contractors with the CSLB. hqp://www.cslb.ca. gov/Resources/guides-and-pamphlets/html-popups/pop- ' InfoComplaint.html I • The California Building Performance Guidelines An easy -to -read manual and an excellent tool for the consumer which contains appropriate and comprehensive homeowner maintenance tips, and defines the standards under which a new home should be built. http://www.cabuildingstandards.com/caManual.htm K:\NEW_WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP- 40_Owner_Builder_Protection_rev'd_3.7.2014_AKM. doc i Page 1 of 2 Homeowners Education Association (HEA) HEA distributes informational material related to residential construction guidelines and home maintenance guidelines. These books are written for builders, subcontractors, and homeowners..hgp://housefixit.com/ • The Building Standards Institute (BSI) BSI is a non-profit organization established for the purpose of providing consumer education in the field of residential construction. http://www.buildingstandardsinstitute.org/ The Contractors State Licensing Board (CSLB) CSLB is the state agency responsible for licensing contractors. They have many guides and pamphlets that provide useful information for the owner builders and contractors. http://www.cslb.ca.gov/GeneralInfonnation/Library/GuidesAndPamphlets.asp K:\NEW_WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DBP\DBP- 40 Owner Builder Protection rev'd 3.7.2014 AKM.doc Page 2 of 2 �OVTtF• Butte County Department of Development Services PERMIT CENTER •� y• 7 County Center Drive, Oroville, CA 95965 �UN4 Main Phone (53 6) 538-7601 Permit Center Phone (530) 538-6861 Fax (530) 538-7785 IMPACT FEE INFORMATION FORM NO INF -13 Following is a break down of when impact fees may or may not apply to building permits. I All new dwellings require Butte County impact fees unless: There was a previous permitted dwelling and it is or has been or will be removed. (If it is to be removed after the new dwelling is built/installed, we require a letter of intent that the existing dwelling Will. be removed prior to final inspection sign off). This includes both stick built and mobile homes. It does not matter if the dwelling being removed is a mobile home and is being replaced by a stick built home, the fees are still waived. It doesn't matter if the square footage for the new dwelling is'more than the previous home; the impact fees are still waived. Butte County impact fees for homes are a one time per parcel per dwelling fee. Butte County impact fees are not collected on Aunt Minnie's as they are considered a temporary dwelling. If the .Aunt Minnie is converted to a permanent second dwelling the impact fees will.apply at that time. Each dwelling, second, third and on require Butte County impact fees. Agricultural dwellings require Butte County Impact fees. Additions to dwellings do not require Butte County impact fees no matter what the .size the addition is. Any accessory buildings or structures to dwellings such as non commercialagricultural buildings, private garages, sheds, gazebos, patio covers, decks, porches, ground mounted solar arrays, green houses, do not require any impact fees. Commercial All new commercial structures (buildings that can be. occupied) require impact fees. Accessories to these structures such.as solar and grain silos do not require impact fees as they are not structures that can be occupied. therefore do not impact the County. SUMMARY :Butte County Impact fees are only assessed on living area and occupied commercial space KANEW_WEBSITE\Building\Building Forms R Documents\2014\Word Docs with updated fax no 2012/Im pact— Fee_1nfornlation INF-I3_Rev'd 11.26.12 Page 1 of 2 RESIDENTIAL DWELLINGS 1. All new dwellings require Butte County impact fees 2. Butte County impact fees are waived if the dwelling is replacing a previous permitted dwelling and the previous dwelling can be verified through building or assessment. records 3. If replacing a previous home a mobile can replace a stick built home and a stick built home can replace a mobile home the Butte County impact fees are waived 4. If the new dwelling is a second, third, fourth dwelling etc EACH dwelling is assessed Butte County impact fees. Butte County impact fees are assessed per dwelling for the parcel 5. Aunt Minnie's are not assessed Butte County impact fees as they are considered a temporary dwelling.. If the Aunt Minnie is later converted to a second dwelling Butte County impact fees are assessed at that time 6. Agricultural dwellings are assessed Butte County impact fees 7. Guest houses are not assessed Butte County impact fees 8. Additions to dwellings are not assessed Butte County impact fees COMMERCIAL BUILDINGS 1. All new commercial structures that can be occupied require Butte County impact fees. Listed below are most commercial buildings requiring Butte County impact fees: Public buildings, auditoriums, assembly buildings, restaurants, bars, hotels, churches, banks, fire stations, medical offices, gas stations, :office spaces, schools, industrial buildings, department stores, nursing homes, all tenant improvements to existing commercial buildings, all shell buildings (those with no defined use), mini storage, warehouse, buildings built for misc repairs such as automotive 2. Accessories to these structures such as solar arrays, silos and rice bins do not required Butte County impact fees h:'i\`6bv_WEBSITE`Bu.iidin�\Building Forms & Doc uments;?014\Word Docs with updated Fax no 20tJlmpact__Fce_Information_INF=13_Rev'd I1.26.12 Page 2 of 2 UT Butte County Department of Development Services PERMIT CENTER •C y• 7 County Center Drive, Oroville, CA 95965 �V Nt Main Phone (530) 538-7601 Permit Center Phone (530) 538-6861 Fax(530)538-7785 FORM NO INF -10 ADDRESS/PHONE LISTING FOR LOCAL AGENCIES BIGGS UNIFIED SCHOOL DISTRICT GRIDLEY SCHOOL DISTRICT 300 B ST., BIGGS, CA. 95917 429 MAGNOLIA, GRIDLEY, CA. 95938 530-868-1281 EXT 252 FAX 530-868-1124 530-846-4723 FAX 530-846-4595 BUTTE COUNTY FIREXAL FIRE LAKE OROVILLE AREA PUBLIC 176 NELSON AVE., OROVILLE, CA. 95965 UTILITY DISTRICT (LOAPUD) 530-538-7888 FAX 530-538-2105 1960 ELGIN ST., OROVILLE, CA. 95966 INSPECITION REQUEST LINE 530-538- 530-533-2000 FAX 530-533-1750 6226 CALIFORNIA WATER SERVICE CO. LAND DEVELOPMENT BUTTE 2222 DR MARTIN LUTHER KING JR COUNTY PARKWAY, CHICO, CA. 95928 #7 COUNTY CENTER DR., OROVILLE, CA. 530-893-6300 95965 530-538-7266 FAX 530-538-7171 CALIFORNIA WATER SERVICE CO. MARYSVILLE JOINT UNIFIED 1905 HIGH ST., OROVILLE, CA. 95965 SCHOOL DISTRICT 530-533-4034 1919 B ST., MARYSVILLE, CA. 95901 530-741-6000 CHICO. AREARECREATION OROVILLE UNION HIGH SCHOOL DISTRICT 2211 WASHINGTON AVE., OROVILLE, 545 VALLOM 3ROSA AVE., CHICO, CA. CA. 95965 530-53872300 EXT 105 95926 530-895-4177 FAX 530-895-4721 FAX 530-539-2308 CHICO UNIFIED SCHOOL DISTRICT PARADISE RECREATION & PARK 1163 E.7'�' ST., CHICO, CA. 95928 DISTRICT 530-891-3006TAX 530-892-3267 6626 SKYWAY, PARADISE, CA. 95969 530=872-6393 FAX 530-872-8619 DURHAM RECREATION & PARK PARADISE UNIFIED SCHOOL DISTRICT DISTRICT 9447 MIDWAY, DURHAM, CA. 95938. 6696 CLARK RD., PARADISE, CA. 95969 530-345-1921 ,FAX 530-345-6243. 530-872-6400 FAX 530-872-6409 DURHAM UNIFIED SCHOOL PUBLIC WORKS BUTTE COUNTY DISTRICT #7 COUNTY CENTER DR., OROVILLE, CA. 9420 PUTNEY DR., DURHAM, CA. 95938 95965 530-538-7681 FAX 530-538-7171 . 530-895-4677 EXT 226 FAX 530-895-4652 ENVIRONMENTAL HEALTH SOUTH FEATHER WATER & DEPARTMENT POWER DISTRICT (SFWP) 202 MIRA LOMA AVE., OROVILLE, CA. 2310 ORO QUINCY HWY, OROVILLE, CA. 95965 530-538-7281 FAX 530-538-2165 95966 530-538-4578 FEATHER RIVER PARK & THERMALITO WATER & SEWER RECREATION DISTRICT DISTRICT (TWSD) 1875 FEATHER RIVER BLVD., OROVILLE, 535 TABLE MOUNTAIN BLVD., CA. 95965 530-533-20.11 FAX 530-533-2724 OROVILLE, CA. 95965 530-533-0740 K:\NEW_WEBSITE\Building\Building Forms & Documents CO 1\Word Docs with updated fax no 2012/Local_ Agencies_ Listing_ INF -10 Rev'd 11.36.12 Page 1 of 1 •�UTtF• Butte County Department of Development Services FORM NO PERMIT CENTER •� y• 7 County Center Drive, Oroville, CA 95965 INF -08 GVN4 Main Phone (530) 538-7601 Permit Center Phone (530) 538-6861 Fax (530) 538-7785 MASTER PLANS WHAT ARE. THEY? HOW DO THEY WORK? What Is A Master Plan? Master Plans provide a procedure for the Building Division that will allow a contractor to submit plans for single and multi family dwellings of which the contractor intends to use more than once. A MasterPlan cannot be issued to any party except a contractor. How Does A Master Plan Work? When the original set of plans and all supporting documents are submitted for plan check and are to be made into. a Master Plan, they receive the standard plan review and then are given a Master Plan number. The submitted documents are the same as. a standard new single family..plan check except for the Energy Calculations must include all four directions (North, South; East, and West): This is so that the Master Plan can be used on any parcel with the Master Plan facing any direction. In addition to the extra information for the energy calculations, we also require a letter from the engineer or. architect (if the plans are designed by either) and the :designer (if different from the architect, engineer or contractor) giving :approval for the plans to be mastered. Each time thereafter when the Master Plans are used a letter from the Engineer/Architect and /or designer willbe required to confirm that they approve of the Master Plans being used on that specific ` parcel. Transfer of Master Plans: Master Plans can. not be bought,. traded or transferred from one contractor to another. Proper authorization is required from the contractor to allow another party to use their Master Plan. A letter is required from the contractor owning the master plan allowing another contractor to use his set of mastered plans. If the Master Plan is designed by an Architect/Engineer and/or designer,'they-would need to give written authorization that the plans can be used by the :other party and that they can be used on that specific parcel. We 'would also require a letter from the contractor stating they are allowing another party to Ase, their Master Plan.. For further details please contact the Building Division at 530- 538-6861. K.:\NEW WEBSIMBuilding\Building Forms & Documents\2014\Word Does With updated fax no 2012/Master Plans INF -08 Rev'd 11.26.12 Pagel of 2 Subsequent Submittals: After the plans are initially approved and assigned a Master number, each subsequent submittal will require: ❑ A completed Butte County Building permit application ❑ Three site/plot plans, at least one of the three site plans must be a minimum of 8 1/2" X 11" to a maximum of 11" X 17" and fully dimensioned. ❑ One copy of mastered floor plan being a minimum of 8 %2" X 11" to a maximum of 11" X 17" ❑ . Letter of Authorization from architect/engineer.of record ❑ Any supporting documents and department approvals Revisions and Updates: Revisions or plan changes are strongly discouraged and cannot -be approved or reviewed by the inspector in the field. Revisions and changes for Master Plans must be submitted to the Building Department for review. We require three sets of the changes including any. supporting documentation. A revision fee will be assessed at the time of the revision submittal. These changes could possibly change the Master Plan, or if it is a minor change could be done as an "option". Check with the building division to determine what would be an option or a plan change. Duplicate/Lost Plans: If the Contractor's set of Master Plans are lost or destroyed or an approved copy is needed the following will be required to duplicate them: ❑ Submit a one complete set of plans including any engineered documents, truss calculations and energy calculations including north; south, east and west. ❑ The current duplicate .plan fee will apply and will be paid prior to duplication of plans. KANIEW WEBSITE Building\Buildinu Forms & DOcurnen.ts'201.4\Word Docs with updated f<lx no 20127Master Plans INF -08 Rev'd_ 11.26.1'_ Page 2 of 2 f •��TtF• Butte County Department of Development Services PERMIT CENTER •� y' 7 County Center Drive, Oroville, CA 95965 o�Nt Main Phone (530)538-7601 Permit Center Phone (530)538-6861 Fax (530)538-7785 FORM NO INF -03 WHO CAN APPLY AND SIGN FOR A BUILDING PERMIT? Building permits can be applied for by any of the following: ❑ The property owner acting as Owner Builder ❑ An authorized agent for the property owner acting as Owner Builder ❑ Licensed contractors ❑ An authorized agent for the licensed contractor When applying for a building permit as an„Owner Builder the following will be required before the building permit can be issued: If the building permit applicant is not the property/home owner but is acting as the authorized agent for the home owner: i 0. . A letter of authorization from the property/home owner is: required at time of application. The letter of authorization needs to state who the authorized 1 agent is, and what they are being.allowed to do on the owner's behalf. It must be dated, signed by the owner, and a contact phone number listed. Please include the address of the parcel and the assessor's parcel number. ❑ An Owner's Acknowledgment and Verification of Information form needs to be completed by the property owner. The permit can not be issued until the ' owner completes the .Owner's Acknowledgment form. ,This form can only be given to the property owner and cannot be signed by an agent. When applying for a building permit as an'authorized Agent for a licensed contractor: ❑ A letter of authorization from the licensed contractor is required at the'time of application. The letter needs to state who the authorized agent is and what they are being allowed to do on behalf of the licensed contractor. It must be dated, signed by the license holder, contact phone number, mailing address and contractor's license number must be listed. Please include the address of the parcel and the assessor's parcel number. &ANEW_W.EBSITE\Building\Bui.ldina Forms & Documents 2014\Word Docs WWI updated fax no 2012/ IWho_Can_Apply _for_Permits_INF-03_ 12.26.13 Page 1 of 1 8/1011014 200 Bloomer Hill Rd, BerryCreek, CA 95916- Zillow 200 Bloomer Hill Rd, Berry.Creek, CA 95916 4 beds, 2 baths, 2,000 sqft Off Market Zestimate®: $219,445 Rent Zestimate®: $1,285/mo ...................... _ Est. Refi Payment: $851 /mo F See current rates on Zillow Get your Free Equifax Credit Score! This 2000 square foot single family home has 4 bedrooms and 2.0 bathrooms. It is located at 200 BLOOMER HILL RD BERRY CREEK, California. Facts Lot: 35.64 acres Built in 1974 ` Single Family Last sold: Jul 2001 for $165,000 Features Fireplace Parking: 4 spaces More County website See data sources Home Values • Add owner estimate Zestimate $2199445 Zestimate range -$174,998 Last 30d $204K $230K Rent Zestimate $12285/mo Zestimate range $1.1K $1.7K +$3 Last 30d Zestimate j Rent Zestimate more 1 year 5 years 10 years ..... . ................... ................................................. _................................ ................................................................................................................................................................... ® This home 8110!2014 ""°'95916 2W Bloomer Hill Rd, BerryCreek CA 95916 - Zillaw Dec 2007 Dec 20D9 Dec 2D11 Dec 2013 Price History Date Event Price $/sqft Source 07/24/01 Sold $165,000 -31.2% $82 Public Record 10/14/98 Sold $240,000 $120 Public Record $400k $300k $200k Tax History Find assessor information on the countywebsite Year Property taxes Change Tax assessment Change 2013 $1,303 2.5% $123,562 2.0% 2012 $1,272 -11.2% $121,140 -14.6% 2011 $1,432 — $141,825 0.8% M ore I Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax SRA & LRA Building Permit # Address / Location: Under authority of Public Resources Code (PRC) Section 4290 and 4291, Butte County Improvement Standards (SCIS), California Building Code (CBC), and the California Fire Code (CFC), and Chapter 38A Butte County Code, the following items are required by CAL FTRE/Butte County Fire Department for all development located within the State and Local Responsibility Areas of Butte County and are required as part of this permit. These requirements are minimums and may be superseded by Butte County local regulations exceeding these standards. This pre inspection is fort ❑ Residence ❑ Addition to existing structure O Manufactured Home 0 Ancillary Building (detached garage, shop, shed, etc.) r Public Resources Code 4290 ADMINISTRATION 1272.00 Maintenance of Defensible Space Measures To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued availability; access, and utilization of the defensible space provided for these standards during a wildfire, provisions for annual maintenance shall be included in the development plans and/or shall be provided as a condition of the permit, parcel or map approval. f 'DRIVEWAY STANDARDS 1273.10 Driveways (a) All new driveway construction or an extension of an existing driveway shall comply with Public Resources Code 4290 roadway requirements. Driveways can only serve a single parcel. I Length of Driveway (b) All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. 1273.02 Driveway Surface The surface shall provide unobstructed access to conventional drive vehicles, including sedans and tire, engines. Surfaces should be established in conformance with local ordinances, and be capable of supporting a 40,000 pound load. 4" of class 2 aggregate base shall be required for all driveways, turnouts and turnarounds. 1273.03 Driveway Grades The grade for all driveways shall not exceed 15% without being paved. Grades over 15% shall have 4" of class 2 aggregate base and 2" of asphalt concrete. No driveways allowed in excess of 20%. 1273.04 Driveway Radius (a) No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional surface width of 4 feet shall be added to curves of 50-100 feet radius; 2 feet to those from 100-200 feet. (b) The length of vertical curves in roadways, exclusive of gutters, ditches, and drainage structures designed to hold or divert water, shall be not less than 100 feet. Legend: N/A=Not Applicable, X=Required n-..:. _ 1 „- nninnn 1 1273.05 Driveway Turnarounds (d) A turnaround shall be provided to all building sites on driveways over 300 feet in length, and shall be within 50 feet of the building. Turnarounds are required on driveways and dead-end roads as specified in this article. The minimum turning radius for a turnaround shall be 40 feet from the center line of the road. If a hammerhead -T is used, the top of the "T" shall be a minimum of 60 feet in length. 1273.06 Driveway Turnouts (c) Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. I Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. 1273.07 Driveway Structures (a) All driveway, road, street, and private lane roadway structures (Bridges, culverts, and other appurtenant structures Which supplement the roadway bed or shoillders) shall be constructed to carry at least the maXimlim load and provide the minimum vertical clearance as required by Vehicle Code Sections 35550, 35750 and 35250. All bridges shall be certified by a registered Civil Engineer. (b) Appropriate signing, including but not limited to weight or vertical clearance limitations, one-way road or single lane conditions, shall reflect the capability of each bridge. (c) A bridge with only one traffic lane may be authorized by the local jurisdiction; however, it shall provide for unobstructed visibility from one end to the other and turnouts at both ends. GATE STANDARDS 1273.11 Gate Entrance (a) Gate entrances shall be at least two feet wider on both ends then the width of the traffic lane(s) serving that gate. Minimum 14 foot opening. _L_(b) All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. (c) Where a one-way road with a single traffic lane provides access to a gated entrance; a 40 foot turning radius shall be used. SIGNING AND BUILDING NUMBERING 1274.00. Intent To facilitate locating an emergency and to avoid delays in response, all newly constructed or approved roads, street, and biiildit,gs shall be designated by names or numbers, pasted on signs clearly visible and legible from the roadway. This seecion shall not restrict the size of letters of numbers appearing on street signs for other purposes. ADDRESSING 1274.08. Addresses for Buildings All buildings shall be issued an address by the local jurisdiction which conforms to that jurisdiction's overall address system. Accessory buildings will not be required to have a separate address; however, each dwelling unit within a building shall be separately identified. 1274.09. Size of Letters, Numbers and Symbols for Addresses I Size of letters, numbers and symbols for addresses shall be a minimum 4 inch letter height, 3/8 inch stroke reflectorzed, contrasting with the background color of the sign. 1274.10. Installation, Location and Visibility of Addresses (a) All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and visible from both directions of travel along the road. Tn all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. 2 Legend: N/A=Not Applicable, X=Required u e. ;—A ,,., nn inn n v ADDRESSING (cont.) (b) Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. (c) Where multiple addresses are required at a single driveway, they shall be mounted on a single post. FUEL MODIFICATION STANDARDS 1276.00 Intent To reduce the intensity of a wildfire by reducing the volume and density of flammable vegetation, the strategic location of fuel modification and greenbelts shall provide: (1) Increased safety for emergency fire equipment and evacuating civilians; (2) A point of attack or defense from a wildfire. 1276.01 Setback for Structure Defensible Space SRA only [ ] (a) All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. 1276.02 Disposal of Flammable Vegetation and Fuels Disposal, including chipping, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit DEFENSBLE SPACE GUIDELINES Public Resources Code 4291 A person that owns, leases, controls, operates, or maintains a building or structure in, upon, or adjoining any mountainous area, forest -covered lands, brush -covered lands, grass -covered lands, or any land that is covered with flammable material, shall at all times do all of the following: (b) Maintain around and adjacent to the building or structure additional fire protection or firebreak made by removing all brush, flammable vegetation, or combustible growth that is located within 100 feet from the building or structure or to the property line or at a greater distance if required by state law, or local ordinance, rule, or regulation. Grass and other vegetation located more than 30 feet from the building or structure and less than 18 inches in height above the ground may be maintained where necessary to stabilize the soil and prevent erosion. This subdivision does not apply to single specimens of trees or other vegetation that is well -pruned and maintained so as to effectively manage fuels and not form a means of rapidly transmitting fire from other nearby vegetation to a dwelling or structure. (c) Remove that portion of any tree that extends within 10 feet of the outlet of a chimney or stovepipe. (d) Maintain any tree adjacent to or overhanging a building free of dead or dying wood. (e) Maintain the roof of a structure free of leaves, needles, or other dead vegetative growth. (f) Prior to constructing a new building or structure or rebuilding a building or structure damaged by a fire in such an area, the construction or rebuilding of which requires a building permit, the owner shall obtain a certification from the local building official that the dwelling or structure, as proposed to be built, complies with all applicable state and local building standards, including those described in subdivision (b) of Section 51189 of the Government Code, and shall provide a copy of the certification, upon request, to the insurer providing course of construction insurance coverage for the building or structure. Upon completion of the construction or rebuilding, the owner shall obtain from the local building official, a copy of the final inspection report that demonstrates that the dwelling or structure was constructed in compliance with all applicable state and local building standards, including those described in subdivision (b) of Section 51189 of the Government Code, and shall provide a copy of the report, upon request, to the property insurance carrier that insures the dwelling or structure. Legend: N/A=Not Applicable, X=Required Public Resources Code 4621 thru 4628 and California Forest Practice Rules Article 7 SRA only Prior to any lot clearing activity or cutting of trees, contact the Butte area Forester at (530) 872-6353 to determine the need for a less then 3 acre conversion exemption permit or a timber harvest plan. If required, a copy of the Timber Harvest Plan or less than 3 acre conversion exemption permit will need to be reviewed at the final inspection. ❑ Permit required ❑ Permit not required 1 2010 California Fire Code LPG Tanks 38073, LPG Tank Clearance of Combustibles Weeds, grass, brush, trash and other combustible materials shall be kept a minimum of 10 feet from LP -gas tanks or containers. 3807.4 Protecting LPG containers from vehicles Where exposed to vehicular damage due to proximity to alleys, driveways or parking areas, LP -gas containers, regulators and piping shall be protected in accordance with Section 312. Fire Department Fees __t_Fire department fees are collected by the Butte County Development Services Department at the time of application for your building permit. You are assessed two fees (pre -inspection and final inspection). Additional fees will be assessed when the fire department inspector is required to perform additional re -inspections of your property, those additional tees must be paid to Development Services, 7 County Center Drive in Oroville. California Budding Code Chapter 7A, Materials and Construction Methods for Exterior Wildfire Exposure Check with Butte County Department of Development Services —Building Division for specific questions regarding Chapter 7A of the California Building Code and its application to your project. Also, check the websites below for useful information including the full text of Chapter 7A CBC. All of the Fire Safe Requirements, including Wildland Urban Interface (WUI) Products from the Office of the State Fire Marshal's office are posted on the Butte County Fire Department website at htta://www.buttecounty.net/fire Check the status of your permit online at http://dspermits.buttecounty.net/etrakit/Permit—Search.asp Need afire department inspection? Call our inspection line. (530) 538-6226 Inspector Date Assessors Parcel Number t Property Owner or Contractors Signature Owners Name 4 Legend: N/A=Not Applicable, X=Required a :1 COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT:_ FOUR SEASONS ROOFING ADDRESS: 11 COMMERCE CT. ST# 1 CITY & STATE: CHICO CA 95928 DATE OF CLAIM: 9/24/01 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ull i, 15 20,11 ;..i r COUNTY IMPORTANT.- SEE INSTRUCTIONS DATE - --- vl. nw Choc ,IDE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT CONT. PULLED PERMIT DUE TO OWNER DOING WORK HIMSELF. AP# 061-520-020, BP 331976 DATED: 9/4/01. OWNER: SPRIGS - TOTAL AMOUNT -PAID: RETAIN REFUND Pgoassmc. FF.Fe RETAIN BUILDING PERMIT FILING FEE: 83.00 25.)0 DO TOTAL AMOUNT TO BE RETAINED: .20. 45. DO TO'T'AL AMOUNT TO BE REFUNDED: TOTAL 38.00. :he undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, an ld correct as.stated. C) 1 axed this day of, ;, at , Calif.- re Gaim that this claim is true t the undersigned, hereby certify that, to the best of my knowledge, the services or artic specified above a bee rformed or delivered and iat there is a Budget Appropriation ( I or Specific Board Approval ( I (Check one) for e ated this 18 day of OCT_ , 0� at OROVILLE Calif. De rtment Head or Authorized Deputy :ept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CONSTRUCTTON PFRMTTc !ept. Code Exp. Code PAYABLE FROM 'ept Code Exp. Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ, SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. FUND FUND FU GROSS AMT. FOR BUILDING DIVISION USE. Receipt Information: qq - ' _ ..._ _ ..w.... l , Issued To:��� Amount: ' _ Fees Retained: Processing Fee: $ O ✓Bldg Filing Fee: 0 Plbg Filing Fee: $ _-.Elec Filing Fee: $ - ' i Energy P/C Fee: $ Plan Check Fee: $ Inspection Fee: SRA Fee: Total Amount Retained TOTAL REFUND DUE $ $ -oma CLAIMANT'S NAME MAILING ADDRESS ASSESSOR PARCEL #: RECEIPT NUMBER(S) REFUND CLAIM APPLICATION o ao 331qk7(p �R- equesf"a refund of fees paidFonthe above receipt number(s)yfor the following rea,"_• sons:, v - y Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) I AA - Building Pefmit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Urban Area Fees ( ) Please mail plans to me at above address. ( ) Please dispose of plans. IGNATURE-? � 1 `DATE RECEIVED OCT 0 5 2001 BUTTE COUNTY' PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUT; ,\ /� ZONING BUILDING PERMIT OWNER atuiV' T�� I (�, SO. FT. OCC. BUILDING VALUATION NG MAILIDR S CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 895-0418 CONTR'11(YIOR"J'Nfd lRM COURT, SUITE #1 ll� CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ w• ARCHITECT OR ENGINEER LICENSE NO. Flan Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS —^ qDAA." 0�"_p LOT NO. SUBDNIS IONS NAME PARCEL MAP Energy Plan Checking Fee $ PERMIT FEE $ PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other I SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Eachas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RERO8F W/GQD4_ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W Ca20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoo OR mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is jgiu3 9)rce and effect. 6 5 9 0 7 36 License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 1 ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00 W:L200A CCU000A NEW CONST. DWEWNG OCCUP. OR ADDNS. ( 8 ACC. S. S° 3.51 NON-RESID MULTI -OUTLET 97.50 SINGLE OUTLET POWER APPARATUS CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ ,50 FLIEO Ex. Occup. ouTrs AEsID.°ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 3aldA thT"Mrinance of work for which this permit is issued. My workers' compei3satiori insUNITcagi�r?nd policy number are: Carriei272-00 4 Policy (Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not em pl any rson in any manner so as to become subject to workers' Corr tion laws f California, and agree that if I should become subject to the workers ompensa Ion provisions of section 3700 of the Labor Code, I shall forthwith ply w' those provisions. X Date 4�&of Signature of Ap ant - ❑Owner ontractor ❑ Agent An OSHA per It is re ired for excavations over 5'0" deep and demolition or construction of structures ver 3 st ies in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $20 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the Butte County Code and/or indicat d above for which fees have By r PERMIT PIRES ON the applicable provisions Resolutions to do work been paid. Date ✓✓ ate Receipt No. r '�� WHITE-D.D.S.-B.D. CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT -*520-02,0 BUTTE COUNTY 9 4 2005 j I MEN T INCIDENT NUMBER r 11683 SERVICKS DATE 1018/2005 ti EVENT NUMBE 11887 LOGGED B SO REPORT TIM 20:22 LOCAL FIRE NUMBE RD WADSWORT STATE FIRE NUMBER _ 544 BI 1128 CASE NUMBER I AAMAAA tj MEDICS LOCATION 200 BLOOMER HILL RD PRA IGI ECC ❑ RP CHP f PHONE NUMBER 589-3014 REPORT METHO SEVEN DIGIT EM WILDLAND FIRES ❑ ESTIMATED ACRES 0� FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL ! FIRE INFO SENT HO EMAIL BY SO TO FS 62 OTHER FIRE I 7-DAY LOGGED INITIALS SO INCIDENT NAM BLOOMER MEDICAL AIDS PSAIOTHER.. START DATE 10/8/2005 START TIME 20:12 HAZ MAT DIAMOND # 1.1.1.8 Billable Incident El CAUSEMISC I COMMENTS LAND USE IDOMESTIC I ACRES TYPE OF ACRE DIAMONDS ONLY $ DAMAGE TYPE DOLLAR DAMAGE r 350000.501 SAVE 0.00 INJURIESIFATALITIE ❑ # CIVILIAN INJURIES # CIVILIAN FATALITIES 0 EMD ❑ OES ❑ Interesting Event # FF INJURIE O # FF FATALITIES New Incident FC-40 INFORMATION FC-40 ❑ DATE OF FC-40 INC AGENCY INC # I I INC P# FC-40 COMP DATE FC-40 COMP BY County Notifications - EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ;Pec (:L C 7.21 employee at his address •a • y $• The written notice will incl taken, and the reasons for t date that the action becomes the notice was issued). A c' will be included in the noti, C. A copy of the notice will be and a copy will be placed in D. Within ten days of the date or reduction in salary becdk in writing with the Executive a hearing before the Appeals E. No expense of any kind incur; ' + �- LAND OFNA7URAL WEALTH AND B[AUTt R7: _ �- , JAMES F. GLANDER Assistant Director Division of Buildings and Subdivisions DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE PHONE (916) 534-4541 OROVILLE, CALIFORNIA 95965 Em ,e S^dwv MKIL-221040 ev "ki"'Ma %V1 luvm jmwmaw -.00 " �`_ AN P4^( O4[ i ubjf WKNG"J,40 &LVLS -Salwollaq is ivied *I av vollik" 10104b Sweto spi C616t I isii .00 -Win -S onail, 1262 So1I23S j& S*14gob I2a"14n Pee t41j-b Ist.14ijot, 441,14laq .1alt we 60164 .1. 1010a 113aA1 "S* a_)* Aftsel INSAI-toN 041 .,g..mOJ 01. la4jZVV691 .101 r. rtf q%jok sausli :taut *a*# Cc is see,c) 19041ItAft a4t-fiojaq Irle' '-4. —Aj Saa$1-M is gone% I '.w. %01*d 0-1 1223 M Z 414OX ag" 4* alu"' 2 t2aisam wol awes "a" " 4"aj juaj)om $a Quit tie; Go;oSJjQj 1201 C. tot 1*13 .0 a q%ift 43.441 1126)1 &J.12 Cc aal je i"40* 11va41me5 a3vaq Ptqjjojl jr aolt Jtaaisr3 WS $1 4314a' M. ivied in i-) 0_t-!QW3 11*9S a36a11 :--I- ivied 104J WC t983 SC .611 &*Of* 231640" -J- 1*1*4 *1 144) OC' IS92 Az 40 411GX P"I 6461* a*ajqki !.3. %*led of OW1,566tv %a,)J ZZZ 1.163 of .1aal w"I IS62 &a 4341441 *Pee.& a, 18q SS .C941jok am ,SS .0 141ASif 634)41 !(1"12 RJOIJON JO 4V*4 Xz�4 lAalse1"S ftote aat j6 pow .1. .U. Y. waled) ji. %%;od 01 14AJ CSt %3073 St 4k 41%XEcw tai -t "Iftj *I 1jai go !sr3 Sr scl. 1146 v 1j. jwledI$I 1603 SL '011 1183 St .6S 111soll -,.N1 !1-11 PA*J J41 10 '49T2 q%"*S 00 0, Ivied wt Aa%Aenb ist"I"S Pei 131JR011 194"JAGN ca4ftlaq-Vilt too[* j"j 691 1287 .01 .120 Itoes 6Vlvw*1 pelt 'ISC3 r, Awel qtg*K JE il14IM491 `+6t, **112n j* lalAcob iscaoftift "I Jo Aay.LG*'1S4*q1*OS 441 110, 60 lug;" p4maca "a Pal.'Awa 00 111T .113N iW10MI ' aj," 214'GWTKII 0 533kyu ONn Pug Chymal I SIu (mmagv 3n-tvA mod qn(g ping jvnQqquT op 8.3 U.; — aAOqg SP *MrS ................ 1bi U son S-K70V0,290 004 DWI W. & sumv 313 TT90Z 'Jim 'no -3 "Jau -xaa 'uaD J JA S44 , ...w aa. —,2 '04, a, No 0 0 rj Item roman ZO= N* MMG ani ESTUU 3, BERG, his wife *71 _...to FUMS B., HOLLAD "end FRANCES B. HOIIAPM, his wife =tl C!0=6 'a the J:!:C le=:Z�4 tU t!=' '*a r-:^ Ce yo! Butto, Sate of Collforgs, described as follows: FIRST: Beginning at the S. W. corner of the northeast quarter Of flaction Twonty-nine (29). Township Twenty-one (21) North Rang Five (5) Batt, and mrining S. 880 101 E. 189 feet along ne bet Noon twean northelzat quarter ard coutheast quarter to point "A" on ;ultb a1do of Kofford Creek- thonce N. 59* 159 E. 110.75 feet to o1ht "B"; thence N. 72* 551 E. 89 feet to Roint "C"- thence N. 3* 351 Z. 153 feet to point "D" (points "A "B" *a* and "DII are along southeasterly bank of Kofford Creek); dence N. 63' 551 E. 150 feet to point in road; thetce on same course N. .63�* 551 E, 222 feet along road to'=?IE"*'thence along road N. 80* 251 E. 130 feet to point "FO; along road S. 89* 351 E. 336 feet to point "C"; thence along road S. 840 511 E. 370 feet to point "H" whichA3 on easterly line of Kofford fence produced southerl3 and is the southeast corner of the 35 acre tract; thence N. 2* 401P E. 241.2 feet following east line of Kofford fence to where same turns !_ :'.westerly- thence on same course N. 2* 401 E. to point "KO a total of 801.2 feet from "Htl,'p6int being the northeast corner of 35 acre tractf thence N. 87* 591 W. 1695.62 feet to point "Lw; the northwest corner. of 35 acre tract, point "L", being on line betwcon northeast quarter and northwest quarter of Section 29; thence S. 0* 301 W. 1195.93 feet along quarter section line to int of beginning, curtaining 35 acres, more or less. SEOOND: Beginning at point "H^ previously described, thence S. 13* 191 E. 308.8 feet along road to point ; thence S. 33* 431 E. 106.8 feet along road to point "NO which is on quarter section line between northeast quarter s.id southeast quarter and is southwest comer of 5 acre tract; thence S. 880 lot E. 209.5 fleet along quarter section line to point W, the southeast comer of 5 acre tract; thence N. 2' 401 E. 669.83 feet to point "P", the northeast corner 5 acre tract; thence N. 970 20t W. 357.86 feet to point "J", the North- west co-ncr of 5 acre tract on east boundary line of 35 acre tract- thence S. 20 401 W. 290 feet to point "If", the point of beginning, and c(ritaining 5 acre more or lose. THIRD: BcgLnning at point "K previously described, thence along north boun. dary of 35 acre tract N. 870 ;�' W. 300 feat to point nV", the southwest corne of 5 acre tract; thence N. 24* 281 E. 785.54 feet 'to point "T", the northwest comer of 5 acre tract; thence S. 87* 58t E. 300 feet to point 'IS" the north• east corner of 5 acre tract, thence S. 240 281 W. 785.54 feet to point of be- ginning, the southeast comer of 5 acre tract. 9TAT9 07 CALMMXM ..................... F_7 k.dzA.., a Mawr Pe", C -111W MW ski* P"SPN@4 8482 RECORDED AT THE REQUiST �11 AUTTF rou _M — KW— /9_min. past.—Y. o*&A M. Vol. We 11-7111 OFFICiAFR,ECOR,03 -1 BUTTE COUNTY, OALIF04,04 FIAL.'. , E 'P, • Fee P 8482 RECORDED AT THE REQUiST �11 AUTTF rou _M — KW— /9_min. past.—Y. o*&A M. Vol. We 11-7111 OFFICiAFR,ECOR,03 -1 BUTTE COUNTY, OALIF04,04 FIAL.'. , E 'P, • Fee