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HomeMy WebLinkAbout062-350-026rj 50-02 / MADRONE RD -LOT 150, BERRY C Cont: OWNER NSF(LIV, GAR, COV) / -db 062-350-026 06-0538 CARROLL, JUDITH 23 MADRONE WY, BERRY CREEK CONT: OWNER, 0 SHOP l t . ttry } �u i 7i� 4r Ei" r Fif� I }„� Y - -: t J• 1 ail h i H;�' rit s •.f it 5 S� Fl 1A i 1 4 N 1SF1 T , F �%pt+.�i.y pyt rdlri le 3 } t NOTES • �1 .1 � r� I I � � ,o—a,G ��4 11 _� nor—off, " r 4r `4 0 - ai �_at'1-. x Y � Butte County Department of Development Services. eu*re, anEa 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 www.buttecounty netldds •c•u"ty• RESIDENTIAL APN: 062-350-026 T i I—OS-2624 `, ROLL Owner: MADRONE LOT 130, BERRY Site Address: '. CREEK Cont: OWNER / Contractor. NSF(LIV, GAR, COV) - Type of Permit: ft ` OFFICE COPY , } 'I Address { h GAS Dateh-1/�/o Meter By ELECTRIC Date ; Meter By t / I 0 SPECIAL CONDITIONS SRA Fo C'�4�-- f HED BY FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE 1. Y DATE JOB FINALED: SIGNATURE: If =OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE I LiPERMANENT FOUNDATION SOFT -SET - 1 Zoning -Setbacks -Easements 1 2 Soils; Special MH Support Sketch ' 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd . Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S'C O V E R S'C A R P O R T S'GARAGES 1 Zoning -Setbacks -Easements 2 Ftgs; Sol IsSz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-CnnctrsShthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcitng Eqp-Pool Ightg Boxes-Encisrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide O' 0`4 090 m41 0 Pool Drawing v=OK 0 = Not / RESIDENTIAL (Single. & Duplex) _ DATE JU W F O O R ni Setbacks-Easements-Flood-�Ippe F Main; Soils-Elec Grnd X Ftg Dpth 21'hqa �SoilsSteel-Elec Grn I;`Z Ftg Dpth. 4 rch /Decks; Soils -Steel Ftg Dpth ' ^ t ain; Steel-Blockouts-Wrapped walls Garage; Steel-Blockouts-Wrapped Hold Downs and Special Anchrs 7 Slab, St el Wrapped 8 Pie rpic Ftg-Steel Fall -Fitting -Test -2 -way C/0 -Sewer Test 1 F, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pi ; Test-Anchrs-Rgltr-Service Test 12 E!peVfidrgrnd 1 ums & Ducts; Cirnc-MaterialSupport-Insultn GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn rL— 16 Insulation � 10M Z2,4 c -7MZ2,4 DATE IFRA-MING Sits Proper Materials & Anchrs I,8' 1Nalls Studs -Nailing Spacing & Braces -Plates -Sound earing Walls over Girders & fir Nailing Zgoli!f�ft Stop in Walls (rat proof) ir tops, Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams-Sz & Bearing 23i ers-Post Caps-Anchrs-Cnnctns 24'Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 25 Fr Ic Ties or Type A Flue-Frplc Throat Cirnc WAtti Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 2 m Wndws or Exiting Doors -Sill Ht & Dimensions 28'Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 3009 zt Doors -One X -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34�Skrcco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walalls; N ling -Bolts jL : . 37 Brace InUE�ei�Vall pnls Q 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws f s DATE JELF,GyTRICAL Fx & Trnsfrmr Cirnc-Ins Prtctn 4 ec Rcptcls Spacing-Lts & Switches at Doors ?t Boxes & No Of Cndctrs Stapled Qd'R,gmex Installed Close to Edge Studs & CJ Grnd made up w/Mec stnrs L rndng Electro 0 Appinc Cires in Ktchn & Cndctr Sz GFI 47-etKfeed Wire Sz ga ❑ CU or ❑ AL OZ W ire Sz ga ❑ CU or ❑ AL 48 Range Circ ga ❑ CU or ❑ AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnis-Motors-Mech Eqp 5lthes Closet Lt-Shwr Lt -Spa Lt 52o!5`m oke Detector o'm ose JP L B I N G 3 �Ht t- cc-Cmbstn Air Baffle 5d• Ir�y Pipe; Test & Anchr-Nail Prtctn —BSDWV• ittings & Anchr Nail Prtctn - , wr Pan; Test, First fir -Tub Acc —:;57 Tie t Tub & Shwr, 2nd fir - Tub Acc -Gas Gas Pipe; Sz & Anchrs 59F� Sprinkler; Test 6e'Yard Gas Piping f7 F ` Z DATE MECHANICAL 61 AC Ducts Insulin & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 010 0``A Oho & SideLt Prtctn-Landings `67 S oke Detector urna a Vnts-Cirnc-Comb, Air-Cnnctr arage; abv-flr-Ducts-Mech Prtctn .�q'joe room Exiting _'KGF'& Bath Fxtrs & Tub Acc-Spa lYl'GFyAtc Fault .►72 Ewe/ Trim & Subpnl, Breaker Szs &Labels Guard/Handrails q4 Frplc or Stove, Clrnc-Hearth c Outlets at Wood Pnl, Int & Ext Ktc Fxtr &Appinc; Grnd-Air-Gap-Cooking Clrnc lets & Rcptcls at Ktchn Counter . 11 ge Fire Door; Swing -Landing -Closure AA cct in Garage -Damper _$80'Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir lm_tf�_Prtctn; LPG Appince Undr House 3" drain 1� PI lec & Mech Eqp Listed for Loctn 1 cptcls in Garage (GFI) Romex Prtctn _8;In�oam-Looked in Attic G Rails &Deck Cnstrctn-Post Caps Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters ElYes ❑ No 187 Stucco Brown -Finish 188 AC 'It Dscnnct, Elec-Plmb abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs tW"ell, Dscnnct, Elec, Plmb Iec T,im, GFI Rcptcl-Undrgrnd X82 Vntl2rrfhru House s Prt to Co ions from previous Inspctns as st-Meters Tagged, Gas-Elec hewer Cnnctd-C/O to grade -HD Apprvl pTE y Cmpinc Cert -Other Certs ddress Posted 99 Fire Sprinkler COUNTY OF BUTTE BUILDING DIVISION -DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive,4','broville, CA • (530) 538-7541 CORRECTION NOTICE CS __2 �-C- C' OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you.have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated elow. L j Lt NIP, C r Date 9 Inspector z-**, b (e7% Am REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 INSULAT1ON CERTIFICATE Name Job Number: 1 8211 23 Madrone Way, Berry Creek CA Job Address (street, city, state) BUTTE . �- Co$nty Subdivision Name Lot Number DESCRIPTION OF INSTALLATION i. ROOF Material: , Brand Name: ' Thickness (inches): I Thermal Resistance (R -Value): I 1 2. CEILING Batt or Blanket Type: -Fiberglass '. Brand Name: I Knauf Thickness (inches): I 10 ► Thermal Resistance (R-Value):1 30 1 Loose Fill Type: Wiberglass I Brand Name: I Knauf Minimum Installed Weight/ft 1 .431 I lb Minimum Thickness:1 101/4 1 inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): I 30 1 3. EXTERIOR WALL - Frame Type: E r• , A, Cavitv Insulation Material: I Fiberglass Brand Name: Knauf Thickness (inches):1 31/2 J Thermal Resistance (R-Value):1 13 B. Exterior Foam Sheathing Material: I Brand Name: I Thickness (inches): I 1 Thermal Resistance (R -Value): I 1 4. • RAISED FLOOR Material: I Brand Name: I ' Thickness (inches): I I Thermal Resistance (R -Value): I 5 ' SLAB FLOOR/PERIMETER r - Material: 1 Brand Name: Thickness (inches): I 1 Thermal Resistance (R -Value): I 1 Perimeter Insulation Depth Inches: I ] 6. FOUNDATION WALL Material: Brand Name: Thickness (inches): I Thermal Resistance (R -Value): I i M DECLARATION I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Enemy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. 2&3l�/l/IJ V i Cluco Insulation &Fireplaces Item Number's Signature and Date Installing Subcontractor (Co. Name) or n Item Number's Signature and Date r' General Contractor (Co:,,Name) or Owner Installing Subcontractor (Co. Name) or General Contractor (Co. Name) or Owner LAKE OROVILLE ACE HARDWARE 5369 OLD OLIVE HIGHWAY OROVILLE CA 95966 PHONE: (530) 589-1455 THANK YOU FOR SHOPPING LAKE OROVILLE ACE HARDWARE . WE APPRECIATE YOUR SUPPORT. KENNETH MACDIARMID PO BOX 115 BERRY CREEK CA 95966 DELIVER TO 23 MADRONE WAY 589-9069 6/23/06 WHEN IT ARRIV CUST # 9069 TERMS: 10.00%/10TH N/EOM PAGE NO INV # 123504 DATE : 6/22/06 CLERK: DJ TERM # 551 TIME : 4:01 ***DUPLICATE*** * INVOICE *************** 1 UANTITY UM ITEM DESCRIPTION SUG.PRICE PRICE/PER EXTENSION EA L - X 18 X GLUE LAM EA 463.20* 1. EA'L 5-1/8 X 13-1/2 X 12' GLUE LAM 173.88 /EA 173.88* 1 EA L 5-l./8 X 13-1/2 X 16' GLUE LAM 231.84 /EA 231.84* 1 EA L 5-1/8 X 1�4'rirtJ:E LAM. 347.76 /EA 347.76* '1 EA D25 DELIVERY CHA � � ���� 9�t�� 25.00 /EA 25.00*N PLEASE GIVE CUSTOMER GLUE LAM CERTIFICATE STAPLED TO BACK ** AMOUNT CHARGED TO ACCOUNT ** 1329.89 TAXABLE 1216.68 NON-TAXABLE 25.00 SUB -TOTAL 1241.68 TAX AMOUNT 88.21 (KENNETH MACDIARMI) TOTAL INVOICE 1329.89 X Received By 1 1 1 .):J...r: A iur 461 57Z6 I't?1:11F:SOlIf2CF. ijt)oI , ASA X;VNI10 Certificate of Conformance Certificate 052662 TFT IS TO CERTIFY that the glued laminated timber products identified with a coCec6ve l~lark of Engineered Wood Systems (EWS) were manufact-ired in accordance with the appl cab:e stancares ar.d _5_ ^i2teQ wecitications indicated below: ANSI Standard A190.1.1992, For ''Wcod Products -•' Structural Glued Larn.na„ed Timber NER•48E Glued Laminated Timber Combinations And "GAP” Compute, Program For Determining Dc -sign Stresses AI'T'C 117-93 — Manufacturing — Standard Speciiicat:ons For Structural Glued Laminated Timber Of Softwood Spe�les iS HEREBY CERTIFIED that the APA EWS trademarked structural glued faminated limner mEmoers ,vere p!od';.ceri in a manufacturing faciiity subject to regular audits in accordance with the Engineerwi WL-Od SysrMOS (EWS) Quality Assurance Program. Routine audits inch_ -de inspection of the ^i- i )i2ctu-ing orocess and evaluation of the in -plant QA program with acequate sampling tc ver.fv --or',om,ance to industry standards for lumter grade and glueline bond quallty. % tv.Qt_ ffNJ$11 W 0 0,04,V0 111P 01 LA OR d ,yt J`07 00 ft 46 by-- Thumas G. Williamson Executive Vice President ENG/NEEAE0 hoOD 5 eS'EreS,$ a tia:eo .:01 DON :10n o1 APA — THE E•YGINEEQEJ K'-00 AS30G:A,,0A 7:: 1 °ilium 191h Sire -31 • P.C. 3�x 11700 • 7acomo WA 96411.1;700 t'e•eonons: (251 :95-F600 • F3x n,umoer. ;25?) 5i5-7265 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am' licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my licensb is in full force and effect. License Class : License Number: Date: Contractor: OWNER43UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Stale License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit. subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1 I, as owner of the property, or my employees with wages as their / sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his -or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves the and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Date: j [% 7—Z)3- - �3 Ov WORKERS' COMPENSATION DECLARATION I hereby affirm under penilly of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dale: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. -CONSTRUCTION LENDING AGENCY• I hereby affirm that there is a construction lending agency for the performance of the work for which this.permit is issued (Sec 3097 Civ.) Name: Address: Issued Date: APN: 062-350-026-000 Site Address: 23 MADRONE WAY BCK Map Index: Description: NSF (1600), COV (320), GAR (576) Owner: CARROLL, JUDITH 6292 PUEBLO DR. MAGALIA,CA. 95954 Applicant: CARROLL, JUDITH 6292 PUEBLO DR. MAGALIA,CA. 95954 • - V Contractor: License #: Architect: Engineer: Total Square Ft: 2496 S.F. Valuation: $122,944.00 Census Code: �t 400g5 �p-1205 pcl!-4!.. f nny )lutlo0.ito do work PERMIT EXPIRES of the Butte County Coda enrilor peen pain. -' Date: ❑ ' I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form orocument of Butte County. I hereby authorize representatives of Butte County enter upon the above mentioned property for inspection purposes"--./,/ • Print Name: Signature: Date: /4 1 ' Owner 0 Contractor t ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net),dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit. subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O I am Exempt under Date: WORKERS' COMPENSATION DECLARATION I hereby affirm under pend(y 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy ❑ I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. Issued Date:0V�V�pN: 062-350-026-000 Site Address: 23 MADRONE WAY BCK Map Index: Description: NSF (1600), COV (320), GAR (576) Owner: CARROLL, JUDITH 6292 PUEBLO DR. MAGALIA,CA. 95954 Applicant: CARROLL, JUDITH 6292 PUEBLO DR. MAGALIA,CA. 95954 Contractor: License #: Architect: Engineer: Total Square Ft: 2496 S.F. Valuation: $122,944.00 Census Code: f 502 .l 4 400g5 �0-12�05 CONSTRUCTION LENDING AGENCY This permit is hereby issuer; under the applicable -provisions of the.Butte County Cody ?nrVor I hereby affirm that there is a construction lending agency for the Resolutio to do work indicated above for which fees have been paid. performance of the work for which this.permit is issued (Sec 3697 Civ.) ] •Name: By: � 1 Date: I 2- PERMIT EXPIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or ocument of Butte County. 1 hereby authorize representatives/of Butte County t-en�t/er upon the above mentioned property for inspect* p�urpose4s �=� _._ _ - -• /G Print Name: �U ! Signature: 7 t Date: Owner ❑ Contractor— 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" u OWNER Last Name 1770,CDi�Lilmld lFirst Name Address ID City ry)1/' /_ StateC 1 Zip11 9S9s PhoneO 7 I % Fax E-mail U C'S fit' e C S 1, iSe,f . 604/M u APPLICANT NAME CONTRACTOR Name City �n/J� Address Zip ����Lj City Fax State Zip Phone ision N� ����� =*WCt Fax E-mail Lot # (3v Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City �n/J� Address Zip ����Lj City Fax State Zip Phone ision N� ����� =*WCt Fax E-mail Lot # (3v State License Number APPLICANT NAME Name j f} , Ci9-ADL G mi Address bvi2 pk.ehJO I)K' City �n/J� State, /1. Zip ����Lj PhoneS,,/� 731 / Fax E-mail �'s vh S " P4 WIN VA 1%�wywm W—Am F r office use onl : / Zoning City �3�r Grae,� Flood Zone I A I SRA I es I No Occ. If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Type Const. ision N� ����� =*WCt Map Book B3(, Page 2 - 3 Lot # (3v PI ner Date Approved: z PERMIT NO. BK)JU2 :LZLO/ LOCATION AP# (P(2 -350-D2(, •000 Property Address �'I Zdr'0�re aad Lo>L X30 City �3�r Grae,� Cross Street n Y (J WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address OVER FOA SUBMITTAL REQUIREMENTS 11 K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 n� Description or Scope of Work: / Soh �� ho tls6 Sq. Footage ��� c -2-0V ❑ Structure"Built without Per s �2� ❑ Proposed Change of Occupanc (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by C/ Receipt #: G(-7 (f N� Date:, -7 /ZFj% Amount: v v v Bldg SRA Sheriff SMIP Total REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ L 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. , OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 E.H. USE ONLY Plot Plan Attached T Floor Plan Atujchad Sent to S.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public ✓ Private Well Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: n Environmental He 8/96 ecialist Date .� �..-r."•* .. . .. -. ..�-I„� :'�' y^�N�. ..,k: r...�s�..�,.s�"..:.3'+•"�• gr..,�^"'1+..7�h.."N'^'vx.. ��-t�,",.�.n-."r�S.1r-.rte.-..r-r.-..�-r..�n. `.`.,.� -.Y"T^"".�-.''•'-4..�r�tn. _..•ter .. .. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: MA.( ASSESSOR PARCEL NUMBER 0G Z - 3-5-0-026 Proposed Building Use: / y Permit Technician: CC --� Date:- - 2 7-0 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 1 N 2. Complete plans, 3 or 4 sets, signed by the preparef the plans. �� j ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamgdiarid`Sig�ed calcrulations�1. C14. Engineered truss details and layouts in duplicate. No faxes!-, ❑ 5. Letter from Engineer or Architect for truss designrrev .. w. I N 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fid plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calci in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential` buildirigs. \ O 12. Hazardous Material Form � (J 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other \ Remainin 'ems needed to issue the permit. (May require additional plan review upon receipt of the following items.) M 5. hitation and. site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable l� 6 ❑ Fire Sprinklers.............................................r.......................:.......:..:.:.......... ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by �3 ❑ 18. Soils Report and/or Engineered Foundation required.'......................................... \ ❑ Erosion Control Plan Required .......................1.6.. `.€....................................... ees as shown on the attached Schedule of Fees Due Sheet ..::........................... O City of Chico Plumbing permit ..........................I. ._....:..................................... \ 0 22. Site plan and business license approval from the City of .............................. \' 23. California Department of Forestry plan approval21-raid. Sent bySC- t " ......... 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ............ heck:............ ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ (J 26. NPDES Form.............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ..............:............ ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number.........,a.'.:': r. ';^;,. r111 7 ► N 30. Owner -Builder Verification _ Given to owner, _Mailed to owner .. -O Letter of -Signature authorization....................................................................` ❑ Wecorded copy of Agricultural Acknowledgment Statement ................................. \ EAsting violations and/or expired permits........................................................ ❑ 34. Deed Restriction ........................ ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO .......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone and hold for pickup. �v I have been -informed of theba ove itms and requirements for obtaining a building permit. �V Applicant: - Date:. I 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer er as advised of the above data by phone, ❑ mail, ❑counter, by Date: !0' l U -C) Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, bv Date: Plans reviewed by: Date: Pla provedby: Date: Structural reviewed by: Date: tructural approved by: Date: Note transfer by: Date: Yellow: Building Division All of these COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNER FYI �(_ � �L A.P. #062 - 3 S-0 PROPROSED BUILDING USE /V 5 F:'- DATEVh t' RECEIPT # DATE RFC. 1. BUILDING PERMIT FEES ��./ � �� ---Balance Due ..................... $ SI S '10-12--05 --- FEMA Flood elevation review... $ --- Additional plan checking Fee.... $ V2. SCHOOL DISTRICT FEES 072'0 17 6 (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMP CT F F�Sg COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 'YJ 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) p 8. SMIP 9. DRAINAGE FEE.5?- 10. 5 10.OTHER 11. OTHER 16/12/0; �°112IC4> At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changes $ttripg the plan cpecljtg process. _ APPLICA DATE — 2,7-05' —O5' Pursuant to Go em nt Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days ftAhe date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are sp ified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 7/05) School District A.P. Number Property Owner Property Location Subdivision BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) Building Department No. �- Jurisdiction: Q City ©County -T4 Lot No. L -)t �_ j� Residential Development Q Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # y *(No foundation inspection) Commercial/Industrial VP, Addition Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) District Identification No. 060080 n i Drl� OrovJu [A� � School District certifies that Mal (Street Address) (City) rrV C Ce -e -K (State) has complied with the requirements of Resolution No. representing square feet. District Paid by Check # Remarks: Sq. Footage '(Including Exterior 0 15 Areas) x-lD e5" 4- m ac D'►Aro, (Applicant) `-73--(°iy (Phone Number) (Zip Code) by payment of $ J�B 2926 $ ULL MITIGATION $ Date Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to tiro School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its Impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xts (3M5W= MYcY-5 BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM EATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DR -PD) ' 2j ��26 Building Permit Number �1d�� �y Assessor Parcel Number (s) ng b Property Owner (s) Project Location /Address P-0 ��4 Subdivision Name Assessable Sq. Ftge 6 Type of Residential Development (check one) New Development I Single Family -Detached Single Family -Attached Alteration/Addition(s) Mobile home Demo Permit (date issued Comments: Ndn-Residential to Residential Mobile home replacement Multi -Family Dwelling verified by Assessor Department verified by Building Department ❑ FRRPD ❑ CARD ❑ PRPD 0 DRPD certifies that: 'Y Applicant Name Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ _ Remarks: Paid by Check No: Paid by Cash: Recreation and Park District Representative ak—ei . i fnrm rev I.doe per unit for a total of $ w per sq foot for a total of $ Receipt No: Jd V �7 Q AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 12 -Oct -2005 2005-0062065 Has not been compared vith original BUTTE COUNTY COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: . Date %a�a5-- State of California County of On PROPERTY OWNERS: before me, 14. C40&rP-L911 personally appeared L)UA% f) H. C* o j-y-� (,1 personally known to me (or proved to me on the basis of satisfactory evidence) to be the persorkw whose name(s',j- aft subscribed to the within instrument and a ac now ge o me a e/tlxe executed the same in irg/he /tir authorized capacity(ijo), and that by t(sfhglJ0W1r signatureKon the instrument, the person(s)-or the entity upon behalf of which the person(.facted, executed the instrument. WITNESS M h nd and official eal. Signatu `Seal:r ®K R HAMBLIN 1476490 COMM ir NOTARY PUBLIC -CALIFORNIA BUTTE COUNTY n A.P. lJ �t/ G> �; AJ ®� COMM. EX MARCH 15,X08 j L 14=un II gb VM d lv tncInt o nood ;pori arH irntotio YT;.UOD YT(IUG3 3TTUS 2005-0042156 Recorded I REC FEE 10.00 Official Records I TAX 33.00 County of I RECORDING REQUESTED BY Butte I CANUACE J. fiRi1BES I Mid Valley Title & Escrow Company County Clerk-Recorderl AND WHEN RECORDED MAIL TO: I KL Judith Carroll 69. -MAN 2& -Jul -2M iiI Page i of 2 6292 PUEBLO DR HAGALIA CA 95954. space Above This Line for Recorder's Use Only A.P.N.: 062-350-026-000 File No.: 0403-1975641 (CB) GRANT DEED a The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $33.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ 1� X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; (] Qty of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Richard/Boness and Wanda/1-j- Bone4s hereby GRANTS to Judith Carroll, an unmarried woman the following described property in the Unincorporated Area of , County of Butte, State of California: LOT 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PONDEROSA PINES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 4, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 1, 2 AND 3. Dated: 07/1112005 Rich rd E. Boness Wanda J. Boness Mail Tax Statements To: SAME AS ABOVE Butte County Department of -Development Se.1_WCeS `'Tr�° 7 County Center Drive Oroville, CA 95965 r -d Y.o 0 (530) 538-7601 Telephone p„„;2 �y (530) 538.7785 Facsimiles-"� BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: 0 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to.all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: Building site address: % ra>'�Permit No.: c"2 1- I have read, understood and accept the terns and conditions as expressed herein as submission of the above -referenced building permit application and my signature below: SIGNATURE OF APPLICANT DATE v Copy to ApplicanVEH/File KFonns/BldePennitwithoutClearances 020705 indicated by my 4` . 2005-0062065 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded I REC FEE Official Records I County of I COIFOFA COPY 1.00 But 1 MMM J. BRLBBS I County Clerk -Recorder) I I LV 811:32A11 12 -Oct -2005 I Page 1 of 2 I&M AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date 5—' State of California County of PROPERTY OWNERS: On �}, l,c�„Cf*IJV-� , before me, personally appeared L&A%ttn H � • ( 0 d L. I personally known to me (or proved to me on the basis of satisfactory evidence) to be the personj*whose name( S/are subscribed en to the within instrumt an ac now a ge o me a /tod executed the same in )r(s J it authorized capacity(S), and that by FIs/ fir signature(+.�jon the instrument, the person(s)-or the entity upon behalf of which the person(sfacted, executed the instrument. WITNESS h nd and official eal. # 1447676 Signatu Seal: jCAR1 HA FAM. 490 U NOTARY PUBLIC-CARNIAO O BUTTE COUNTY n COMM. IXP. MARCH 15, 2008 i ! :�aa9fl Isi�i��fl rlw.m USM3 I 0 frtuDJ I 9 fc$ I Kwa .L -3-34ml I^f9b"fD794'il'Y9I� Q�AflD� a VJ I 5 �D 19c5� I c�S-S71} st IWSi:Ita �! I t : •. �.0 1 1 � f1i RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Judith Carroll 6292 PUEBLO DR MAGALIA CA 95954 2005-0042156 Recorded I REC FEE 10.00 Official Records I TAX 33.00 County of I Butte I . CANDACE J. 6RUBBS I County Clerk-Recorderl I I KL 09:NAM 20 -Jul -2005 I Page 1 of 2 Space Above This Line for Recorder's Use Only A.P.N.: 062-350-026-000 File No.: 0403-1975641 (CB) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $33.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; ( -] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby, acknowledged, Richard/Boness and Wanda/ Boness hereby GRANTS to Judith Carroll, an unmarried woman the following described property in the Unincorporated Area of , County of Butte, State of California: LOT 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PONDEROSA PINES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 4, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 1, 2 AND 3. Dated: 07/11/2005 Rich rd E. Boness Wanda J. Boness Mail Tax Statements To: SAME AS ABOVE When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 2006-0015199 Recorded I REC FEE 22.60 Official Records I County of I CONFORMED COPY 1.00 Butte I CANDACE I GRUBBS I County Clerk-Recorderl I I JC 012:19M 27 -Mar -N& I Page 1 of 6 Space above for Recorder's Use (rev.5/04) Owner Name: Judith Carroll Building Permit No: 06-0538 (shop) DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 14th day of March, 2006, Judith Carroll . hereinafter referred to as owner(s), is the record owner of the following real property: Assessors Parcel Number 062-350-026 and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-0538 was applied for on March 8, 2006 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and .V. WHEREAS, the use allowed by Building Permit No. 06-0538 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a 4t change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-0538 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-0538 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: no living, sleeping, cooking or eating. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that .extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Scott Rutherford, Manager. Building Division %- Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 06-0538. DATE: .3—��'�ro 120, Owner Signature: �Gt O Print or Type Name of Above Owner Signature: Scott Rutherford, ;Ma,er'uildingVivis,on / Print or Type Name of Above NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgrflent) as explained in your Notary Public Law Book. STATE OF CALIFORNIA COUNTY OF BUTTE On Public, personally appeared Q SS. me, J i I I M ,ohne, Notary personally known to me (or proved to me on the basis of satisfactory evidence) to be the persono whose name(, is/ar,6 subscribed to the within instrument and acknowledged to me that h�/she/thXy executed the same in hji/her/thp4 authorized capacity(), and that by hji/her/thq(r signaturekd) on the instrument the persono, or the entity upon behalf of which the person( acted, executed the instrument. WITNESS my hand and official seal. 4w M - , L,�rw� Vature STATE OF CALIFORNIA SS. COUNTY OF BUTTE On before me, Public, personally appeared JILL M. CONNER UCOMM. # 1624267 0 �+ - NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY () COMM. EXPIRES DEC. 21, 2009 (Seal) Notary , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) Scott Rutherford, Manager, Building ivi ion ��106 j^p::a.n:..L:...�G..LT...'? .tom-.�.�!r....=.•.' � v, Ed This is to -certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. M vz J r7 Scott RuthE4f Manager Building Division, Department of Development Services STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On tIAACH at, V4 0& before me, 4<�m t "= Mjtt'L'k4 , Notary Public, personally appeared Sccrrr l2ut�+Ear—oar personally known to me (8F PFGV6d4QR9e en the basis ef satisfa;' to be the persoriks- Whose nameW is/Ace subscribed to the within instrument and acknowledged to me that he/she/ r execute�°/td the same in hisLheak authorized capacity, and that by his/ber/their- signature.(.s� on the instrument the personas}; or the entity upon behalf of which the personj*acted, executed the instrument. - WITNESS my hand and official seal. • r ig ature wm mcuum 1;:Z'14Cwm*doni1ataetod1 tam FAM -cdow a � Cou* Mir Comm. &0* Ap 6. (Seal) � .. � L � � r. '� T 1 - ' � �� �� RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Judith Carroll 6292 PUEBLO DH MAGALIA CA 95954 2005-0042156 Recorded I REC FEE 10.00 Official Records I TAX 33.00 County of I Butte I CANDACE J. GRUBBS I County Clerk-Recorderl I I KL 09:NAM 20 -Jul -2005 I Page 1 of 2 Space Above This Line for Recorder's Use Only A.P.N.: 062-350-026-000 File No.: 0403-1975641 (CB) GRANT DEED The Undersigned Grantor(s) Dedare(s): DOCUMENTARY TRANSFER TAX $33.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of, and _ FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Richardioness and Wanda/�-J- Boness hereby GRANTS to Judith Carroll, an unmarried woman the following described property in the Unincorporated Area of , County of Butte, State of California: LOT 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PONDEROSA PINES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 4, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 1, 2 AND 3. Dated: 07/11/20,05 Rich rd E. Boness Wanda J. Boners Mail Tax Statements To: SAME AS ABOVE COUNTY OF-PUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7,County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. �f A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of ,F work is completed. If you have any questions pertaining to this matter, or need additional s explanation, please contact the Building Inspector as indicated below. -2L 11A ten ool Vf" }. r� v {c rte, t r. o.. f j s� F ra Date ( Lf`y� Inspector G^�� ' REV 4/05 Phone # J r' -t FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060538 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury, that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of ' Issued Date: APN: 062-350-026-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: ' ' Site Address: 23 MADRONE WAY BCK Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: SHOP/ART STUDIO (1152) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a 1 permit to construct, alter, improve, demolish, or repair any structure, prior r Owner: CARROLL JUDITH to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section r, 6292 PUEBLO DRIVE 7000) of Division 3 of the Business and Professions Code) or that he or 95954 she is exempt therefrom and the basis for the alleged exemption. Any violatio of Section 7.031.5 by any applicant for a permit subjects the t (530)873-1941 appli nt to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, or my employees with wiges as their sole compensation, will do the work, avid the structure; is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an r Applicant: CARROLL, JUDITH owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, , provided that such improvements are not intended or offered for 6292 PUEBLO DRIVE sale. If however, the building or improvements are sold within one 95954 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of (530)873-1941 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a coritractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under A' e Business and Professions Code Owner• Date: WORKERS' C OVANSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: R Carrier: _ Total Square Ft: 1152 S.F. Policy #: 7M Valuation: $27,648.00 Census Code: 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. Date: _ r Applicant: ! WARNING. Failure to secure workers' compensation coverage is shall subject an employer to criminal penalties and one / L��' unlawful, and in to the cost of(�� `i '7 hundred thousand dollars ($100,000), addition compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issupeunder the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to do icated a ve for which fees have been paid. �� performance of the work for which this permit is issued (Sec 3097 Civ.) BY: Date: Name: � � G PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County enter the above mentioned property for inspection purposes. - `` //% / //�l �o/n Print Name` y % Signature: Sib Ef`-� / Date: Owner ❑ Contractor . ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 N TIES Butte County Department of Development Services �!95965- '(530) ee'>e REO f 0 1 I_ S ;7 County'Cente'Drive, Oroville, CA 95965.. ,;x(530) 538-7601 vAvov.butteco�tnty neydds RESIDENTIAL r '?jAPNc Permit No. R owner. 062-350-026 - '06-0538 CARROLL, JUDITH Site Address: _ 23 MADRONE WY, BERRY CREEK CONT: OWNER Contractor. SHOP ,Type of Permit: R' •a �I i ,r t� e •v • p. c r� }r. SPECIAL CONDITIO SRA FLOOD CERTIFICATE EQUIRED� FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE I RATE JOB FINALED:,, r ,, _IG ATURE_ _, x_ _ v CHECKED BY OK 0 = Not UK ■ MANUFACTURED HOMES, r' MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET DATE D E C K S'C O V E R S'C A RPO R T S `G `'' '_ 1 Zoning -Setbacks -Easements 4 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing r Stairs-Guard/Handrails t 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg �• Frmg-Brcng , 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Ea5'ement Needed-Regulator2� S Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr F.. 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH lest -Fall -Flex Cnnctr �' 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -lath 11 Wtr & Sewer Connected -00 to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 13 Tie Downs 0 Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers 11 Ext; Steps -Doors -Landings ( 12 rac all pnls Y '* _ DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Egp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboardsdnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing t � .a = OK = Vat OK _ RESIDENTIAL (SIngla & Duplex) DATE JU RFLOOR DATE IPLUMBING oning-Setbacks-Easements-Flood-Slope 53 tr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils -Flet Grnd Ftg Dpth W� Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth_ SFfDWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blackouts -Wrapped 57 est Tub &Shwr, 2nd flr - Tub•Acc 6Xeemwalls Garage; Steel-Blockouts-Wrapped Gas Pipe-, Sz & Anchrs 6d Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 8 P' 60 Yard Gas Piping s- rplc Ftg-Steel Fall -Fitting -Test -2 -way CIO -Sewer ewer Test ' °•,� 1 Gas Pipe; Sz Anchrs-Sz Test ° 1-t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 f Ducts Insultn & Support 14 Girders Sills-Anchr Bolts,) oists-Vnts -C rip p les ent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 12 Ise DATE FR MIN G SS Proper Materials & Anchrs DATE F I N A L ryalls Studs -Nailing Spacing & Braces-PlatesSound 66 Ext Steps -Door & SideLt Prtctn-Landings Bearing Walls over Girders & fir Nailing 67 Smoke Detector 2�0 Dff ft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 2�YFire Stops, Furred Ceilings -Stairs -Chasers Tubs-- In Garage; abv-flr-Ducts-Mech Prtctn SY`I•ieaders & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFl Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 PPp6rty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc ors -One T -Check Garage 3rd Story, 2 Exits. 77 Elec Outlets & Rcptcls at Ktchn Counter ; Width-Hdrm-Rise-Run-Landing-Fire Pitctn Fyi"oF 78 Garage Fire Door, Swing -Landing -Closure wd on Roof Ovrhng-Attic Vnts-R6 Outrgrs 79 AC Duct in Garage -Damper Siding -Nailing Veneer 80 Wtr Htr; Vnts-CImc-Com Air Cnnctr-PRV; abv fir ` ` 34 yucca Lath -Weep Screed-Fndtn Vnts-UndrFlr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35lGlazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 S ear Walls; Na' mg -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 3JArace Int/all pnls 83,Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb _ 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE ELECTRICAL %"tr & Trnsfrmr Clrnc4ns Prtctn 4f E ec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 4a Boxes & No Of Cndctrs Stapled 93 Glass Prtctn mex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns Vqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 ?Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs ubfeed Wire Sz oa ❑ CU or [:1 AL 98 Address Posted AC Wire Sz ya ❑ CU or ❑AL 99. Fire Sprinkler 48 Range Circ ya ❑ CU or ❑AL Oven Circ ya ❑ CU or ❑ AL f ' ' Insulated Neutral ❑ Yes ❑ No o` 0�`` °,• e`c 49 Service -Riser Cndctrs & Grnd Main Dscnnct' 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt ' , 52 Smoke Detector N BUTTE COUNTY PERMIT NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP060538 OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury. that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of O �nWPAPN: the Business and Professions Code, and my license is in full force and Issued Date. 062-350-026-000 effect. License Class : License Number: Site Address: 23 MADRONE WAY BCK Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: SHOP/ART STUDIO (1152) Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner::CARROLL, JUDITH to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 6292 PUEBLO DRIVE 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 95954• .' violatioof Section 7031.5 by any applicant for a permit subjects the (530)873_1941 to a civil penalty of not more than five hundred dollars ($500).): /ppnt asowner of the property, or my employees with wages as their ole compensation, will do the work, avid the structure is not intended or offered for sale (Sec. 7044, Bysiness and Professions Code: The Contractors' State License Law does not apply to an Applicant: CARROLL, JUDITH owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 6292 PUEBLO DRIVE sale. If however, the building or improvements are sold within one 95954 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of (530)873-1941 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Ae Business and Professions Code Dater Owner WORKERS' C6WtNSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ,' I-ic'ense #: ❑ 1 have and will maintain a certificate of consent to self -insure for r f workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 1152 S.F. Policy #: Valuation: $27,648.00 1 certify that in the performance of the work for which this permit.is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: '— Applicant: WARNING.Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of �iL��``7--A" compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. r (tet L� � -24j ( � 9 CONSTRUCTION LENDING AGENCY This permit is hereby issu under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the the for this is issued (Sec 3097 Civ.) Resolutions to do icated ab ve for which fees have been paid. pt performance of work which permit By: Date: Name: / ( G PERMIT EXPIRES ON: Address: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte Pount . ennte/r}#p�o/n the above mentioned property for inspection p pose . Print Name�� L�y ,e2 L- Signature: Date: c Owner ❑ Coritractor . ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" Zzi OWNER Las Name irst Name Addres 4O�W City 46 State e IT Pl�on � � _ ,/ � Fax E-mail i rt/�p S Q✓ S rJY15�. Zzi APPLIPAN SIGNATURE F office use only: CONTRACTOR Name GC C��-- / 1_t� Address SRA City No State �1 Tl Zip Pho . � Fax E-mail Psa� �SugSt�� o Uc. � � Clas APPLIPAN SIGNATURE F office use only: ARCHITECT/ENGINEER Name GC C��-- / 1_t� Address SRA City No State Zip Phone � Fax E-mail Planner State License Number APPLIPAN SIGNATURE F office use only: APPLICANT NAME Name GC C��-- / 1_t� Address SRA City � ,4_ No State�� Zip '4�9s Phone � Fax E-mail Planner APPLIPAN SIGNATURE F office use only: Zoning v Flood Zone I SRA J(Yesj No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BPo6 vS =13 LOCATION AP#r6Z- Property Address / aiJE City err C Yee Cros Street It 4 / `I WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: 01 Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other de nt Pr are not refundable. y'S Received b Amount: 2S � Bldg SRA Receipt #: Sheriff SMIP Date_ ��t�`' I I,� Other OVER FOR SUBMITTAL REQUIREMENTS II KAFORMS\BUILDING FORMS\BIdgApplSubRgmts.doc Page 1 of 2 V Total REV 6-16-04 0 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION K: FORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 R TO: Building Division — Development Services FROM: Environmental Health SUBJECT: Sanitation Clearance E.H�S t,Y Plot Plan Attached Floor Plan Attached f Sent to BDIDS I_ '�-7,3-/ g -/� 7-/V-0(0 ✓ r �3 Ow 2Ar Location AP# Plan Approved for: Sewage Disposal:_ Water Supply: Public Private Well Clearance for % dwellinq. Other Sy-�1—,1e LA Gy� .4e Hold final for: Final clearance O.K. for: Building Clearance 9/2005 r ...-vv+4.�: "i',r.f`S'. f y; t _ `sR ^}-; ,%:7' _-v,'. _ .�� 1,....t,_,�e•r' --•v f�^ ... i.' � � .. _ _. � . •, - - COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ► 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: C �t 7 `� L� i J U l 1 ASSESSOR PARCEL NUMBER+ o6 2 6 Nroposed Building Use: / y Permit Technician: (� �� Date: ems required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. I N 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ®/ A/ 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 faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form N 12. Acknowledgement of building permit application without required clearances. Cl 13. Other m ping items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicab ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet ...... .........�....................... ❑ I o Chico Plumbing permit..... ....................................... ❑ 21. Site plan and business license approval from the City of Bi99s....................... .. g� �. California Department of Forest plan approval .G3.paid--St;nrt 23. Planning approval for (A) Use: � (B) Parking: (C) Parcel Check:;-.... ❑ 24. Contact Land Development about Improvements, Drainage ....... ❑25. Fire Marshall Review (commercial projects only). Sent by: ...................... (J 26. NPDES Form............................................................................................. a ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification)...................4i I ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... + IJ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... / ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 33. Existing violations and/or exp'uuggd permits.........•............................................ 34. Deed Restriction ................. ?... ...? ......... .. ..................................... \"CS 35. ❑ Legal description, ❑ M.H. Title, title search, gistration or MCO ......................... f1J 36. Other: 612A-►-rr be -Z7';_1> i m'L. �>e_-zF70 T�['�T%�✓GTj� ❑ 37. Other: ,When issued Telephoned *L�iTir ����`�/ and hold for pickup. /ZC__A/ 90 6 9 I have been informed of the above items and requirements for obtaining a building permit. Applic":-A�_ . 2�� ] 4, f-' Date: 1. Index permit application for the above items numbered: I Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data y ❑. on , ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above datA by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: ocz Date: Structural reviewedDate: Structural approved by' Dat ansfer Note trby: Date. Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www'buttecountV.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner carroll, judith APN No: 062-350-026 Application Date 3/8/2006 Permit No: BP 06-0538 Permit Type: shop 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMA Yes Flood Elevation Review $109.98 3 SRA* Rx Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 P 471 A R7 -- $285.95 $428.92 Balance of Building Permit Fee 0 $95.00 )(�24.98 $109.98 NON-REFUNDABLE portion of fees due at application $380.95 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION t$490?93 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT i$43.V68 4 Balance of Building Permit Fees (from No. 1 above) $428.92 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) $2.76 6 Additional Plan Check Fees (NON-REFUNDABLE) RECEIPT DATE Tech/Asst N N N 61 i 3/6 Af 49 -)LH 3 .q 1 7 7a 8 9 10 10a 11 11a Other*: Other*: RECEIPT DATE Tech/Asst KOUrtnl RECEIPT DATE Tech/Asst IMPACT FEES - RESIDENTIAL* Applications After 2114/05 ,c Per Dwelling SFD # Per Dwelling MFD Per Dwelling MH County 4096.87 3071.14 3117.43 Chico Urban Area 5372.09 3995.45 4889.56 EI Medio Fire District 3128.31 2297.77 2326.36 North Chico Specific Plan SR -1, SR -3, SR-1/PD 7938.531 6757.081 7633.49 R-1 8031.53 6850.08 7726.49 ° R-2 7541.53 6360.08 7236.49 R-3 6780.53 5599.08 6475.49 Processing Fee is automatically added to impact fee total 0 $100.00 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 DRAINAGE FEES* CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $8,792 773 Big Chico Creek $6,596 774 Lindo Channel $8,139 775 SUDAD Ditch $6,975 776 Mud -Sycamore Creek $6,070 777 PV Ditch $8,603 More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* Aroville High/PioneertOtf(rl`,� awl �� fjt(, V W At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applica Date: Pursuant to Gov ment code Section 66020, you are hereby notified those Items followed by an " " may have been imposed on your project. You have 90 days from the date f approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 School District A.P. Number Property Owne r jv) BUTTE COUNTY, SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) rtf U0"a Jurisdiction: City 704- Cj�;� CGi� Property Location/Address Subdivision Residential Development = Q No of Living Mobile Home Units Installation Commercial/Industrial New Building Department Repres�enta,ivk O Addition Building Department No. County Lot No. 0 0 Sq. Footage Addition/ 'Supplemental to (Group. R) Conversion Permit # i *(No foundation inspection) `• .......................................................................................: Deed Restricted Sq. Footage (Attac'h a signed copy of Deed Restriction and Notice of Limited Use Facility document) j(r Sq. Footage (Including Exterior Roofed Areas) �;' 4;� -?•G(. Date District Identification No. 060190 Orw I, Uhi on -t'i") School District certifies that �� t �0-4kr °r p J (Applicant) a3 �rQV\L w0.4 -�g4 (Street Address) (� (` (Phone Number) Cif t -k (City) (State) (Zip Code) l - has complied with the requirements of Resolution No. () " ! ll by payment of $ V representing 1 15c�- square feet. f ) L -X\ Paid by Check # —'t- Remarks: JFB 2926 $ PULL MITIGATION $ 0 Date Nodce: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District Is notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate Its Impact on the school ~crs schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xls (3MS* m t When recorded return to: County of Butte Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965-3397 (rev.5/04) Owner Name: Building Permit No: Judith Carroll 06-0538 (shop) COPY of Document Recorded 27 -Mar -2006 2006-0015199 Has not been compared with original BUTTE COUNTY COUNTY RECORDER Space above for Recorder's Use DEED RESTRICTION AND NOTICE OF LIMITED USE FACILITY I. WHEREAS, on this 14th day of March, 2006, Judith Carroll . hereinafter referred to as owner(s), is the record owner of the following real property: Assessors Parcel Number 062-350-026 and as further set forth in Exhibit "A" attached hereto and hereby incorporated by reference, hereinafter referred to as "the subject property"; and II. WHEREAS, the Building Division of the Butte County Department of Development Services is acting on behalf of the People of Butte County; and III. WHEREAS, the owner applied to the Building Division for a building permit in order to develop the subject property described above; and IV. WHEREAS, Building Permit No. 06-0538 was applied for on March 8, 2006 by the owner in accordance with the provisions of the Butte County Code and the California Building Code; and V. WHEREAS, the use allowed by Building Permit No. 06-0538 has been reviewed and approved for only the limited purposes set forth below; and VI. WHEREAS, it is intended that this Deed Restriction and Notice of Limited Use Facility shall constitute an enforceable restriction and remain in effect until a 4ati�K . _s/a!/4 ( kgs rl�Ea bci�,r--aa noodilon SOH YTEIUO7 YTIIU03 STTUH change in use or character of use has been approved by the Butte County Building Official or a change in law has occurred, either of which change allows the uses otherwise restricted herein to be conducted on the real property described herein. Under either circumstance allowing such change in use, Owner shall be entitled to have this Deed Restriction and Notice of Limited Use Facility rescinded by the execution of a subsequent document entitled Rescission of Deed Restriction and Notice of Limited Use Facility by the Director of Development Services; and VII. WHEREAS, Owner acknowledges that Owner will comply with the limited use restrictions that were incorporated in reviewing and approving Building Permit No. 06-0538 which enabled Owner to undertake the limited use authorized by this permit. NOW, THEREFORE, with the issuance of Building Permit No. 06-0538 to Owner by Butte County, Owner hereby affirms Owner's desire to develop a limited use facility, as set forth below, which establishes restrictions on the use and enjoyment of this limited use facility. The undersigned Owner, for himself/herself and for his/her heirs, assigns, and successors in interest, acknowledges and agrees to those restrictions. This limited use facility shall be utilized in compliance with those limitations prescribed by the California Building Code occupancy classification assigned by the building official, except the following uses are not allowed: no living, sleeping, cooking or eating. If any provision of these restrictions is held to be invalid or for any reason becomes unenforceable, no other provision shall be thereby affected or impaired. This deed restriction and notice of limited use facility shall remain in full force and effect during the period that this permit, or any modification or amendment thereof, remains effective, and during the period that the development authorized by this permit, or any modification of this development, remains in existence in or upon any part of, and thereby confers benefit upon, the subject property described herein, and to that extent, this deed restriction and notice of limited use facility is hereby acknowledged and agreed to by Owner to restrict the use and enjoyment of this limited use facility and shall be binding on Owner and all his/her assigns or successors in interest. Scott Rutherford, Maager ilding Division a Owner agrees to record this Deed Restriction and Notice of Limited Use Facility in the Recorder's Office for the County of Butte as soon as possible after the date of execution. This document shall be recorded and returned to the Butte County Department of Development Services, Building Division prior to the issuance of Building Permit No. 06-0538. DATE: -2_a 120 Owner Signature: 4. O Print or Type ame of Above Owner Signature: Scott Rutherford, Manager uilding wis' Print or Type Name of Above NOTE TO NOTARY PUBLIC: If you are notarizing the signatures of persons, signing on behalf of a corporation, partnership, trust, etc., please use the correct notary jurat (acknowledgment) as explained in your Notary Public Law Book. STATE OF CALIFORNIA COUNTY OF BUTTE On j . j q'OG Public, personally appeared SS. me, J i /I M- Gd h I? elj�, , Notary personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(A whose name(,' is/ar,6 subscribed to the within instrument and acknowledged to me that h/she/thy executed the same in hji/her/thp4 authorized capacity(), and that by hyd/her/thp(r signature) on the instrument the persono, or the entity upon behalf of which the person( acted, executed the instrument. WITNESS/my hand and official seal. 4i� /►� Vature STATE OF CALIFORNIA COUNTY OF BUTTE 1051 Public, personally appeared before me, SS. JILL M. CONNER ; UCOMM. # 1624267 Q �+ - NOTARY PUBLIC - CALIFORNIA 0 2 BUTTE COUNTY n COMM. EXPIRES DEC. 21, 2009 (Seal) Notary , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature (Seal) Scott Rutherford, Manager, Building ivision This is to certify that the Deed Restriction set forth above is hereby acknowledged by the Director of the Department of Development Services and that Butte County consents to its recordation thereof. Dated: ► Scott Ruthe Manager Building Division, Department of Development Services STATE OF CALIFORNIA ) SS. COUNTY OF BUTTE ) On ►" �aacH 1►, Zoo& before me, 4<�m tj= M►L.L'k.! , Notary Public, personally appeared Scar UrkC-";ZC) , personally known to me to be the persor("hose nameW is/ace subscribed to the within instrument and acknowledged to me that he/ah4E�jb&y executed the same in his(,ber/tb&if authorized capacityf *, and that by his/her/tbeif signature4s, on the instrument the persoro�, or the entity upon behalf of which the personjs�acted, executed the instrument. WITNESS my hand and official seal. colommcmmm memo *1"701 NOMY ruft • c WWft ILft care► ,61MVCWM&0ftAP6. ig ature (Seal) RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Judith Carroll 6292 PUEBLO DR MkGALIA CA 95954 A.P.N.; 062-350-026-000 2005-0042156 Recorded I REC FEE 10.00 Official Records I TAX 33.00 County of I Butte I CANDACE J. 6RUBBS I County Clerk-Recarderl I KL 09:NAM 20-Ju1-2005 I Page 1 of 2 Space Above This Line for Recorder's Use Only GRANT DEED File No.: 0403-1975641 (CB) The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $33.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Richard/Boness and Wanda/ Boness hereby GRANTS to Judith Carroll, an unmarried woman the following described property in the Unincorporated Area of , County of Butte, State of California: LOT 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PONDEROSA PINES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 4, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 1, 2 AND 3. . Dated: 07/11/2005 Rich rd E. Boness Wanda J. Boners Mail Tax Statements To: SAME AS ABOVE 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. 1. I personally plan to provide thema' labor and material for construction of this proposed property impF�wement: YES[ ANO [ ]. 2. I HAVE [ 1/ ] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPEL DATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services �0TT ADMINISTRATION * BUILDING * GIS * PLANNING ° 111 ° ° o o / C 7 County Center Drive Oroville, CA 95965 o (530) 538-7541 Telephone c�U Nay (530) 538-2140 Facsimile OWNER -BUILDER INFORMATION Dear Property Owner: An application for a building permit has'been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perforin 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 contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, t-- Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. • Butte County Department ofDevelopment Services 7 County Center Drive o$0Tr Oroville, CA 95965 (530) 538-7601 Telephone 0 (530) 538-7785 Facsimile cOUN�-1 BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. ° I am required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained e I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans. The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building permit or re uire submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not .limited to, verification the parcel was legally created, adherence.to all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print: Applicant Name: Building site address: 23 AaL>R /A ��yZ APN: c2- 3sZ? Permit No.: )/P 6G 0 S^� I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: I ATURE OF APPLICANT DATE 9 Copy to Applicant/EH/File K:Forms/Bld2PermitwithoutClear2nces 020705 De'Part ment ..County . Michael Crump, Director of Public Works o f B u tA o LAND DEVELOPMENT DMAON Storm Water FMnagernent Program 7 C6uny Center Drive Oran'lle, CA 95965 (530) 538-7-266 (FAX) 539-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN I ACREI Project Description: Project Location and/or Parcel Number: By signing below, L the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate'information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: - � t l 2005-0042156 Recorded I REC FEE 10.00 Official Records I TAX 33.00 County of RECORDING REQUESTED BYButte I CANDACE J. 6RUBBS I Mid Valley Title & Escrow Company County Clerk-Recorderl I AND WHEN RECORDED MAIL TO: I KL Judith Carroll 09:00 218 -Jul -2005 I Page i of 2 6292 PUEBLO OR HAGALIA CA 95954 Space Above This Line for Recorder's use Only A.P.N.: 062-350-026-000 File No.: 0403-1975641 (CB) GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $33.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of , and t: FOR A VALUABLE'CONSIDERATION, receipt of which is hereby acknowledged, Richardioness and Wanda/-J- Boness hereby GRANTS to Judith Carroll, an unmarried woman the following described property in the Unincorporated Area of , County of Butte, State of California: LOT 130, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PONDEROSA PINES SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON MARCH 4, 1963, IN BOOK 30 OF MAPS, AT PAGE(S) 1, 2 AND 3. Dated: 07/11/2005 Rich rd E. Boness Wanda J. Boness Mail Tax Statements To: SAME AS ABOVE A.P.N.: 062-350-026-000 Grant Deed - continued File No.:0403-1975641 (CB) Date: 07/11/2005 STATE OF ila CJ4S�1f!41 } }ss. COUNTY OF tette- j?re►'C--P— } On 007— 14—,,2665 1 before me, aAckroa a H - personally appeared A L4 e, r4 6 , vc u n e personally known to me (or proved to me on the basis of satisfactory evidence) to be the person( whose nameSs , is/are subscribed to the. within instrument and acknowledged to me that he/she/tomexecuted the same in his/her/their authorized capacity(Les) and that his/her/their signature(4 on the instrument the. person (ss or the entity upon behalf of which the person(ss acted, executed the instrument. ACKNOWLEDGE THAT HB/,SHE/TEY SIGNED THE SAME AS HIS/HERS/THEIR FREE AND VOLUNTARY ACT AND Al WITNESS my hand and official seal. FOR THE PURPOSES THEREIN MENTIONED Th13 'area for..y �e76 n 560-6% Wit, Signature " 1►10N ' -( 1�14 Z Z1. Notary Name: 45rl*cbm� NotaryPhone: :510O- Pad- 6 lA 5 Notary Registration Number: /ilii County of Principal Place of Business: P, Prime Page 2 of 2 �;,;.V�:E�n.�N ^.t •J.;j.� , �• .cry: •:.��:� - - 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. �T. I personally plan to provide the major labor and material for construction of this proposed property improvement: -YES [ vj' NO [ I �2. 1 HAVE [ ✓rHAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNE PROPERTY OWNEI DATE: '— -2 —/,-) 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. Butte County Department.of Develop72ent Services ADMINISTRATION *BUILDING* GIS `PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile �icw.'"'_',ic� �-�����„S.�' ¢.mow.' i..t�,�v 4 ^.+v. ti•-.�.:��,�.• MAMMON 101M 5, IF �.s•.y--_^-+ c_,cl�v�� -� �.ISW�"sr�•[..ti�r.�tA::w�.l+.. _ Dear Property Owner. An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of Califomia and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to severe] obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. I o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Departrnent of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned.. l NOTE: This Owner -Builder Tnfnrmn itinn ie rnnntrPtl by Crrtinn 1 oR2n of the r QufnT ;, uP%lth %nA C9fs itv rwi,% �0) i � Ei✓ O U V4,e\ A �5 AUC WWF Department C o u n t y J. Michael Crump, Director of Public Works o f B u t t e LAND DLVtLUNMtry i utvuiviv Storm Water Management PrO;ram 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAS) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement [LESS THAN I ACRE Project Description: r 29�_P26 Project Location and/or Parcel Number: 1Q_ �0,_/ - By signing below, I, the project ownerlowner's agent, certify that this project WELL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit frari the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 3 SITE PLAN REVIEW APPLICATION Date:c�3. Z,, 05 ­> . Zq, AP# 0 2 - 35-c> - O 06 Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: St�O�c-tf Clc Owners Address: P,FPCO IJ2• IM k4 Telephone No.: 7 3 -1 Ctu l Site Address: WH Proposed Use: Zone:_ Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel FI -Mobile Home ❑ Residential Accessory. ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) GP: Are Approved ❑ Conditionally pproved ❑ Resolve Problems Prior to Approval ( ❑ Resolved �� Z l � By Date OC -T-, 2 Lt., Zva� 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑. Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: k • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑, North Chico Specific Plan Chapman/Mulberry ❑ Cohasset Area I Use Requires: ❑ Use Permit ❑ . Variance t El Administrative Worker Affidavit 1 Administrative Permit ' ❑ Minor Use Permit 0IMinor Variance Zoning: I A General Plan: P' 1? Applicable Building Setbacks: i Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 U Zoning Code Streets & Highways Fire Prevention Subdivision' Map Front j Side S i Side Street Rear (S , Height t Waterway N/A N/A N/A i Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 U 0 Parcel Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements IN Subdivision Map/Parcel Map:PIE'S' Map Date of Recording: M Ae-(-c►. 14 6 3 Lot: (3y Book: Page: Z -.5 3 z O a r O VJQ •fi 3 i 3 i.,. ow 0 �Ma u � N 'n. � Q� L �M N "I w m o Y C s �K W W a §h . 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Portion N.W. 1/4,Section 35,T.21 N,R.5E. ti - '47 t6t 15 o�G' OWNERS 8 SUBDIVIDERS -PONDEROSA PINES INC: SAN JOSE,CALIFORNIA D. R. ROPER R.C.E. 11553 P' m$'• •ys/..� ;i �4°y'%T" OROVILLE CALIFORNIA j 9 JANUARY 1963 SCALE 1'e 100' 3 OF 3 I w m 04- .0 rrl CIO 39 r'n .0 1 ID A � dfGA I fGA d m 3y6 o F ,r t � ro — r 1 ---- � h 0 0 PLANNIN DIVISION - BUILDING PLAN APPROVAL �f Use: Date: Zov;- Parking: Landscaping: Other: •ZoN Signature: I 1 I ef speck .� h I {11 �!r F� d� �N �5 0 I 3 Qac 454c Ld A 05 3 � q 56 q4 /* I�Js o- 1',j W ej wO .2 xqA qj� © Hm Po5f 4- K1Kb 4s W e wills Z x pool �iXl�- i N S J�c t Of 5 /}I �►c $ 3K lea K0, MAK IG& 6c GG 164 Nt Fr AMAJ'11� 14" � 5% A11 5f� qz# 144 5$4 2-r � Z- 2kq on 1 3 k - HII q1 z 8&o s shall ho{ V'u6 sapow iolow 11 X A4 Ii Fal( RAP 5h w Ye 058 figfej iod (' , #11 CipS tail 3xj 61K No Shear j ass tl u4 2AI'(x 211t OR WA jI i✓ 05 3 Ra f -e skc A, 2" Moe � /o �� FJtI�P I,,,- J015 . 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