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062-440-009
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 PROJECT INFORMATION Site Address: 31 DEER RUN LN Owner: Permit No: B07-2124 APN: 062-440-009 OROZCO, JOSHUA Issued Date: 10/11/2007 By KCG Permit type: MISCELLANEOUS PO BOX 192 Subtype: Fireplace/Wood Stove BERRY CREEK, CA 95916 Expiration Date: 10/10/2008 Description: INSTALL WOOD STOVE (530) 589-7878 Occupancy: Zoning: U Contractor Applicant: Square Footage: OROZCO, JOSHUA Building Garage RemdUAddn PO BOX 192 BERRY CREEK, CA 95916 Other Porch/Patio Total (530)589-7878 FEE INFORMATION DBMSC Fireplace Pre-fab/Metal $116.00 Total Charged: $116.00 Fees Paid: $116.00 Balance Due: $0.00 Receipt No: B4954 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/11/2007 the applicant to a civil penalty of not more than five hundred dollars ($500); Please check one of the following: Contractor's Signature Date AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE J COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who ntracts for the projects with a contractor(s) licensed pursuant to the Contractor's Lioen aw.). Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less.) ❑ I EXEMPT and r on B. & P.C. for this reason: CERTIFY THAT IN TH PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS XISSUED, I shall not emplo ny person in any manner so as to become subject to the Workers' Com nsalion laws of Cali fo ia, and agree that if I should become subject to the workers' X 10/11/2007 compo ation provisions o S ion 3700 of the Labor Code, I shall forthwith comply with those Own11\sSig ature Date provisio X 10/11/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: LURE O SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, it cers, agents and employees from any and all claims and liability for personal AND SHALL S EC AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE nju including h, and property damage caused arising out of, or in any way connected with HUNDRED THOUS DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, s t is e issuance of this rtnit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND or occupancy sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. C ty to ante mentioned property for inspection purposes. I hereby certify that I am the pro y e orized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY J0 p 10/11/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N e Permittee IstaNI Print Date the performance of the work for which this permit is issued. (3097 civ. code) Ili Owner 11 Contractor OR. EJAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. n If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal n income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cant' out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT (YE OR NO) 2. I QA,V/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: INSTALL WOOD STOVE Reference Number: B07-2124 Applicant Name: OROZCO, JOSHU) Owner's Name: OROZCO, JOSHUA Signature of Property Owner: AP # : 062-440-009 Date: BUTTE COUNTY o��TTF0 DEPARTMENT OF DEVELOPMENT SERVICES 0 o BUILDING PERMIT APPLICATION 0 o OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 p ' _' -ae-• o A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds 0��� **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name (bcp G Address Firs a e Mailin Address ,D- Zip City /3e, C1.14- Fax Staf �4 Zi �s�ai� P53o-S6'9-787 Fa S3v E-mail , �� 0 2 aG 2 ✓"O.Gor,'+ CONTRACTOR Name Address City State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCH/ TECT/ENG/ NEER Name State Address Phone City , , E-mail State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip . Phone Fax E-mail PERMIT NO. E07-212-1 BIN # PROJECT LOCATION AP# 4 Property Address 1 0 cell kt, ^ L�Y _ / City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must tie shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: Sq FT- Living 12-5-o Garage./Do Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): , For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. i r r Butte County Department of Development Services. N O T E S 7 County Center Drive, Oroville, CA 95965 C� (530)538-7601 v4%vw.buttecounty neUdds RESIDENTIAL c --- -- - . — — — ------ — 062-440-009 06-0005 APN. OCOW0. JOSH SIH L Q _ ,:DL: ' RUN1 B -RR.Y C1 UEK Con -i: OWNER Q SiteAddres: NTSRGAR, OP\ix, COV) Contractor. Type of Permit: OFFICE COPY t f t Address _ � I GAS �, ! Meter By Da , t ELECTRIC �,/�; Meter By &���i Date5-Z t&' c. r ' i++ ' 1 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 1, DATE JOB FINALED: r �� �•,� ` - CHECKED BY . � n t s. t l a " OK Not OK ,'MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 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 LPO Inch Sz Ft Lngth " 7 Blckng; Sz-Spacing-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 D E C K S`C O I E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg . Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports•, Wndws-Doors 7 Electric 8 Frmg; SilIs-An chrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls °'• 0�a °'� 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-GF1 6 Elec Enctsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5-Crcltng Eqp-Htr 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool Ightg Bakes-Enclsrs-pnlboards-Insulin to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide o>' �� °�• ��A Pool Drawing = OK Not OK 101, RESIDENTIAL (Single & Dup 'ex) DATE JUN ERFLOOR DATE I PL UIM EWNG V L&Mng-Setbacks- Ease men ts -Flo od-Slape LW am; Soils-Elec Grnd Ftg Dpth Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. ` 4 F orcheslDecks; SoilsSteel Fig Dpth temwalls Main; Steel-Blockouts-Wrapped 6, aft Garage; Steel-Blockotits-Wrapped old Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Pier plc Ftg-Steel , Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 15 Ace & Vntltn 16, Insulation DATE IF LZAMING 7 Sill roper Materials & Anchrs 18aM s Studs -Nailing Spacing & Braces -Plates -Sound earing Walls over Girders & fir Nailing 2 rafttop in Walls (rat proof) Fir ops, Furred Ceilings -Stairs -Chasers -Tubs 2,2_Kgders & Beams-Sz & Bearing 2 an r ost Caps-Anchrs-Cnnctns 2 tIi oist-Rftr Ties-Purlin-Roof Brac TrussShthg 2LP16rzries or Type A Flue-Frpic Throat Clmc 2 Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles drm Wndws or Exiting DoorsSill Ht & Dimensions 28 Ga ge Fire Prtctn Framing -RC Channel 29 P rty Line Firewall & Opngs iFExt Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stair - Width-Hdrm-R�Run-Landing-Fire Prtctn 7 . 6 M 32'PI don Roof Ovrhng-Attic Vnts-Rftr Out iding-Nailing Veneer 34S o Lath -Weep Screed-Fndtn Vnts-Undrflr Ace 3ing Area -Glass P rtctn-S kyLts-Plas tic 3 s/hear Walls; ailing -Bolts 37Brace In t Wall pnis 38 Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws o'er a?4 o'er o`er DATE EL T R I C A L 3i 40'F Tmsfrmr Clmc4ns Prtctn 4 1 R itis Spacing-Lts &Switches at Doors ijE- xes & No Of Cndctrs Stapled Installed Close to Edge of Studs & CJ rnd made up w/Mech Fstnrs g Electrode Bond Gas & Wtr Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz y. ❑ CU or ❑ AL AC Wire Sz 9 ❑ CU or ❑ AL 48 Range Circ w ❑ CU or - AL Oven Circ ®a ❑CU or AL' Ins d Neutral Yes No ; -i O,±$49 ervfce-Riser Cndctrs & Grnd Main Dscnnct 1-1 50 Eqpncs pnis-Motors-Mech Eqp Lt �dN/. 51 C es Closet -Shwr LtSLt 6AIL 51 gWrespa Smoke Detector 53'Vj6Ff .Vent-Acc-Cmbstn Air Baffle `i4� Pipe; Test & Anchr-Nail Prtctn DWV; Test Fittings & Anchr Nail P.tctn 56 Shwr Pan; Test, First fir -Tub Ace 57 Test Tub & Shwr, 2nd fir - Tub•Acc 58 GaPipe; Sz & Anchrs Z51959 F• a Sprinkler; Test and Gas Piping MEC NICAL 64-�ucts Insulin & Support env an, Exhaust abv Insulin 63 C d nsate Drain & Ovrflw, Sz & Grade 6 u ace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet otic & Pltfrm if Furnace in attic c o`er o'r 0 Ei gKSteps-Door & SideLt Prtctn-Landings W591ake Detector urn a Vnts-Clrnc-Comb, Air-Cnnctr I ge; abv-flr-Ducts-Meth Prtctn room Exiting Bath Fxtrs & Tub Ace -Spa Arc Fault lee Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 E Outlets at Wood Pnl, Int & Ext chn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc Ec Outlets & Rcptcls at Ktchn Counter rage Fire Door, Swing -Landing -Closure AC,Duct in Garage -Damper tr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir I. Mj�h Prtctn; LPG Appince Undr House 3" drain 1L1 Elec & Mech Eqp Listed for Loctn 2 lec Rcptcls in Garage (GFI) Romex Prtctn 44Ksultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth %XTrnc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish V�A's.lnit Dscnnct, Elec-Plmb abv Roof, Plmb Appinc-Frplc-Clmc to Opngs 90��tr Well, Dscnnct, Elec, Plmb 9t.25ct Elec Trim, GFI Rcptcl-Undrgrnd 9-2,/ptitn thru House 29Fire Prtctn �i LL ctions from previous Inspctns est -Meters Tagged, Gas-Elec Sewer Cnnctd-C/O to grade -HD Apprvl y Cmpinc Cert -Other Certs ss Posted prinkler I t o`er` dr�� e COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE �n (of o 2—C 0 00©r - OWNER PERMIT NO. Al 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 Vexopr� scompleted. If you have any questions pertaining to this matter, or need additional ationplease contact the Building Inspector as indicated below. t7S � i� ��t/ SSS @ � v t i) � r.J � •/ 1L7!LI1►,1/it`i/��ft/_���1=/l�<+i��i�it�7 3100 • u A v1Y I.— v I - - - / i_ O <�.— 1x _ Date' ` 06 Inspector / a REV 4/05 Phone # (7 s.. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Ir: +ti I � l 1x _ Date' ` 06 Inspector / a REV 4/05 Phone # (7 s.. FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 Ir: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNERPERMIT 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 ^h expl ation, please contact the Building Inspector as indicated below. x Date a _ Inspector REV 4/05 -Phone # FOR RE -INSPECTION CALL: 538-1636 OR 891-2834 R i Date ? `rt Inspector / / / / ar REV 4/05. Phone # 3 ti• FOR RE -INSPECTION CALL: 538-7636 OR 891-2834` . • . ..' .... COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OL oz c OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at d 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, pie se contact the Building Inspector as indicated below. tx ./a��i R i Date ? `rt Inspector / / / / ar REV 4/05. Phone # 3 ti• FOR RE -INSPECTION CALL: 538-7636 OR 891-2834` 14 R I �? -�� o� vio P COUNTY OF BUTTE BUILDING DIVISION f DEPARTMENT OF DEVELOPMENT SERVICES e 7 County Center Drive • Oroville, CA • (530) 538-7541 a CORRECTION NOTICE 00-0511,0 (_)�D_00 i OWNER U PERMIT NO. a7 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 N; work is completed. If you have any questions pertaining to this matter, or need additional explanation, please co ct the Building Inspector as indicated below. REV 4/05 Phone # :_V ' M1,0 10 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 a 14 R I �? -�� o� vio y VDJvA 0 a0 Date /�R Q19 Inspector. REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY PERI)il T NO. DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT BP060008 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) 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 penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 02/14/2006 APN: 062-440-009-000 the Business and Professions Code, and my license is In full force and effect. License Class : License Number: Site Address: 31 DEER RUN LN BCK Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: NSF (1280) GAR (672) Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: OROZCO, JOSHUA AND DESIREE to its issuance, also requires the applicant for such permit to rile 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 PO BOX 192 7000) of Division 3 of the Business and Professions Code) or that he or BERRY CREEK, CA 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 95916 applicant to a civil penalty of not more than five hundred dollars ($500).): 530-403-9889 cell 530-589-7878 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, Buslness and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: OROZCO, JOSHUA AND DESIREE 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 PO BOX 192 year of completion, the owner -builder will have the burden of BERRY CREEK, CA proving that he or she did not build or improve for the purpose of sale.). 95916 ❑ 1, as owner of the property, am exclusively contracting with 530-403-9889 cell 530-589-7878 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 ith a contractor(s) licensed pursuant to the Contractors' State Lic n e Law.). contractor: ❑ lam Exempt under Article of the Bust s d Professions Code f 1 V)6 Date: Owner: WORKERS' COMPE S TION DECLARATION I hereby affirm under penalty of perj 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 License #: 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 Architect: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Engineer: Carrier: Policy #: Total Square Ft: 1952 S.F. C3I 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 Valuation: $99,328.00 become subject to the workers' compensation laws of California, Census Code: and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith those r' J 22 comply with provisions. 5t Q o Dale: (,`1 �q3 qqZ Applicant: " WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000). In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This. permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there Is a construction lending agency for the Resolution to do work indicate ab for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) - R I Date: l Name: By. lwl / r� PERMIT EXPIRES ON: 2'- 14 ` ` 12 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 & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authori d 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 kny official form o document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. OS t` LJiG LC 0 Signature: Print Name: 1 Date:if Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 011-116-04 pg 1 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0007845 Recorded I REC FEE 7.80 Official Records I County of 1 CRIES 2.00 t Bute I CR&10E J. GRUBBS I County Clerk-Recorderl 1 1 KL 03:29PN 1!4 -Feb -2W I Page i of 1 IIT'III'�II"I�II'�III�'�'I'I�') 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: `' P"ce t , 1 10� 91 A6 9howA o&-KA;V Cer}� 4N mkp Z14 -41d "Ah crest �� 4v -.S,11 R ,1, WAth / wo a-eAd /n & ace o;r +ie 1'u. • of Ole ccurVy OF SO PC Si-ke ®f e�, l:�rn,� � o� �FJ..n 9 Jg69, Sn &o.e 37 01;� 1hap5, AT I'661�0, yS A t4 96. %',v"i �X . Ai% iB�dn ?Sr jrVras ©,d gdrrss Ic,- 4v ?-We of r wA",tnCe era im provemena' cP A vhx\/ pony aul CX11vepy ,sy56m LoCa rA on Lo* to ov: k1.t r q De$cr: cej to A1oove, POML % 6rannA4 By Aac,✓""� Ruled A&A 6, (SBI" :Z'lya d'ak Zbaf, AVe :s6: ' Date Z /12 Job PROPERTY OWNERS: `j o51n' Oc-02co State of California Countyof On %br t�c;�^y /a.. 2CO , before me, personally appeared ; r ee nd T„ ! ) I. , /. c c �-, 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. WI TN y hand and offic' seal. Signature '� '� ) i>,1/v1llst Seal:. ER :.-,7+975 M fn 'm rrY W ] My Gumm. Exp. fete 008 A. P. #4 ANNA H. PREISNER �- COMM. 01471975 W : •m Notary Public-CalifoPublic-Californiata N BUTTECOTY + MY Comm. Exp. Feb 24, 2008 i th✓t439:� jj6t�I��fl 23I _'7 f 10 1t.. 03 1 9ftt:fi i c&&afir7 .L UZ= 1�rc�r0�9A—>d^I9I� gfr•��1 i ��l it � ilI ll i illl l sill � ill lii {Ill , 13V03M i .H AMA ON to R n.c1110?a(t�u+ Z�s4 1 ygr+�[ti m F3 w vreuO MueUl 062-440-009 06-0008 OCOZCO. JOSlA ,(7 DEER RUN; BElU, CAEEI: lCont: OWNER NSF(GAR, O' SNL, COV) NEQUEST FOR ADDRESS VERIFICATION DATE: f-i����i� A P# OWNER'S NAME fnsho OWNER'S PHONE # OWNER'S MAILING ADDRESS R)��.��_ PRESENT ADDRESS OF BUILDING(S) 1. 2_ 4. ASSIGNED ADDRESS(S) 1. 2. 3. 4. 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 BP060008 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: 02/14/2006 APN: 062-440-009-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 31 DEER RUN LN BCK Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's 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 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, Bu§iness 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 ith a contractor(s) licensed pursuant to the Contractors' State LicVn e Law.). ❑ lam Exempt under Article of the Busi% s d Professions Code Date: )� �6 Owner: WORKERS' COMPENSJTION DECLARATION I hereby affirm under penalty of perj 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. Date: Applicant: A, 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. Map Index: Description: NSF (1280) GAR (672) Owner: OROZCO, JOSHUA AND DESIREE PO BOX 192 BERRY CREEK, CA 95916 530-403-9889 cell 530-589-7878 Applicant: OROZCO, JOSHUA AND DESIREE PO BOX 192 BERRY CREEK, CA 95916 530-403-9889 cell 530-589-7878 Contractor: License #: 1: Architect: Engineer: Total Square Ft: 1952 S.F. Valuation: $99,328.00 Census Code: 522 0S5 gg3$q3 2,-14 -OG CONSTRUCTION LENDING AGENCY This, permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutionp to do work indicate abov for which fees have been paid. �l f�� performance of the work for which this permit is issued (Sec 3097 Civ.) ByDate: I 'l _0 CA . Name: t1 Address: PERMIT EXPIRES ON: 2- Ili `/) P�l ❑ 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 authori d 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 y official form o document of Butte County. I hereby authorize representatives of Butte County to/e'ntter upon the above mentioned property for inspection purposes. Print Name: / pTo� . X` �-/�� Z d Signature: Date: r�T �(/h� Owner ❑ Contractor ❑ 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 REO UIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLYYY APPLICANT INFORMATION OWNER INFORMATION Last NameFirj_Nam I Address Zip d 2 co State Jca�S�n Address . 0 . (box /92 E-mail City «r cac ' State C/_ Zi p 9S 9/ Phone 5A9-78129 Fax 676-,-- .32,11 sy,,.37,11 E mail_e j � _ APPLICANT INFORMATION CONTRACTOR Name I Address Zip City State ip Phone Fax E-mail _. Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City S Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail For office use o ly Zoning Prpperty Flood Zone City CcueJl SRA No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT BP :. BIN # P')-, PROJECT LOCATION AN 061-- ©61-- q&(0 _0067 _000 Prpperty Address leas' City CcueJl Cross Street WORKER'S COMPENSATION Policy Numbe pu/ticr �Sa-.•/ Carrier If hiring anyone other than license contractors, a certificate o worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq FT- Living)%" Garage 72 Open & Cov (3 ❑ 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 department costs are not refundable. Received by: Amount: 1 4`3 1 a Bldg c9U4' o)1�X SRA ,R/e�ce/ipt #: Sheriff 7 T375 D, -� SMTP Other Date: 1/5) 5I / U Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and caics in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 �.t.,•; ..r..�r'n-•��.14,-.fe#f4:iF�+['^'��vt^rL.v .r.�..•�... v^hV�hr'+`�n'T"tN..�1�f.WV1�. .n.-....ter..-'"".�V42J 'Y' � - ` tw�tiYw `r. ..� rt r -n ► `fi* � .. .. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-754YFax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: I Gr6tc_a, ASSESSOR PARCEL NUMBER U90 44- ()• UO Proposed Building Use: Permit Technician:Date: It lip ms required in order to apply for a permit. All boxes MUST be checked OR marked NA in or r to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. 2. Complete plans, 3 -or 4 sets, signed by the preparer of the plans. ❑ 3. 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 find 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 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other etrf'aming items needed to issue the permit. (May, require additional plan review upon receipt of the following items.) -6tV 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable 1115. 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 .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the C'lf of Biggs........;... ..:.. .. . 22. California Department of Forestry Ian approval paid. Sent J . 0 23. Planningapproval for A Use: c `B Parking: C Parcel I CFie ............. (J o C _ PP () �() 9 ()_ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ; ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... . 26. NPDES Form............................................................................................. - 10V`t 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 .......................................... 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 expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal descriptign, ❑ M.H. Title, title search, registration or MCO ......................... 36.Other: 0 h c4 37. Other:_,J When issued Telephone F)r3V 4c3 • and hold for pickup. d �/8 2 I have been informe of the above ms and quirements for obtaining a building permit. Applicant: A Date: 113 J D&_ 1. Index permit applic tion o abo e ' bered: Plan Check Let e ' 2. Additional items re' r@@d Contractor, designer, owne�advise abo e a a by p one, ❑ 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 abo a Jata by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: --rP Date: t o Plans approved by: :[V Date:. I lz 1c, ,- Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 L TO:. Building Division — Development Services FROM: Environmental Health Plot Plan Attached Floor Plan Attached — Sent to BDMS 66 (Aix"� r787�' SUBJECT: Sanitation Clearance e? 'peer jean LTJ Owner Location AP# Plan Approved for: Sewage Disposal: ;K Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: Envlfonmental Hea Building Clearance 9/2005 Water Supply: Public Private Well 9 05 list Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 vvww.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner OROZCO, JOSHUA APN No: 62-440-009 Application Date 1/3/2006 Permit No: BP 060008 Permit Type: NSF 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,359.31 Plan Check portion of Permit Fee $943.72 r$1,415.59 alance of Building Permit Fee 2 FEMAYes Flood Elevation Review $109.98 0 3 SRA* X Yes Fire Plan Check - Non -Refundable $95.00 95.00 (State Responsibility Area) Building Inspection $109.98 $109.98 - $204.98 NON-REFUNDABLE portion of fees due at application $1,038.72 RECEIPT DATE Tech/Asst 10 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION 770 Butte Creek $7,736 ✓._,._$1.,1.48.70 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre valueF-_777 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 773 Big Chico Creek $6,596 $5,622.85 . 775 SUDAD Ditch $6,975 4 Balance of Building Permit Fees (from No. 1 above) .59 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) $10.39 i,' 2 1 ' n MTN 6 Additional Plan Check Fees (NON-REFUNDABLE) .l = ==' 7 Other*: 7a Other*: 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling Applications After 2114105 :M SFD MFD MH County 1 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 0 7726.49 R-2 7541.53 6360.08 7236.49 R-3 6780.53 5599.08 6475.49 CEIPT DATE Tech/Asst Processing Fee is automatically added to impact fee total 1 $100.00(�71 9 WATER TENDER FEE (Not collected when impact Fees Applicable), Enter Bat.# $200.00 Kourtni DRAINAGE FEES* 10 CHICO STORM DRAINAGE MASTER PLAN 770 Butte Creek $7,736 RECEIPT DATE Tech/Asst 771 Comanche Creek $8,069 New construction, vacant land, on 1 acre or less - Enter 1 or less acre valueF-_777 772 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 PV Ditch $8,603 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW 11 THERMALITO DRAINAGE AREA 1 $652 Maximum Per each new living unit on existing lots where full drainage fees have not been paid 11a Temporary Dwelling 1 $130 At time of building permit $130 annual renewal fee for first 4 renewals. Not to exceed $652. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* Oroville High/Pioneer 10_1 r` 12a RECREATION DISTRICT FEES* L Oroville,__ At the time of permit application, I was advis$>� the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. N, \\ Applicant: ` Date: N 13' 0� Pursuant to Government co Secti 66020, re he by notified those Items followed by an " " may have been imposed on our project. You have 90 days from the date of approval of th orje or fr the ' ion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Secti 60 K:/Building/Forms/Schedule of Receipt Fees Residential 121205 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 thea or labor and material for construction of this proposed property imp r vement: YES [NO [ ]. 2. I HAVE HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: _ ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: S. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS SIGNED: PHONE TYPE OF WORK PROPERTY OWNER: J Ooh Ohor-� a DATE:- NOTE: ATE: NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/4/2004 Butte County Department of Development Services ADMINISTRATION '° BUILDING `GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile 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. 0 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. Sinalf Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be 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, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Joshua Orozco and Desiree Orozco P.0 BOX 192 Berry Creek, CA 95916 A.P.N.: 062-440-009-000 GRANT DEED 2005-0061278 Recorded I REC FEE 10.88 Official Records I TAX 27,59 Countyy of I CANDACEuJ. GRIM County Clerk-Recorderl 1 I CP 02:01 07 -Oct -2005 I Page 1 of 2 Above This Line for Recorder's Use Only The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX;27.50; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE; r X I computed on the consideration or full value of property conveyed, OR File No.: 0403-2110125 (CB) computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, unincorporated area; ( I City of Berry Creek, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Melvin St. John, Sr, Trustee or his successors trustee, of the Melvin St. John Sr. Trust created April 6, 2000 hereby GRANTS to 3oshua Orozco and Desiree Orozco, husband and wife as joint tenants the following described property In the Gty of Berry Creek, County of Butte, State of California: PARCEL I: LOT 9, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PINE CREST ESTATES", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 9, 1969, IN BOOK 35 OF MAPS, AT PAGE(S) 45 AND 46. PARCEL II: AN EASEMENT FOR INGRESS AND EGRESS FOR THE PURPOSES OF MAINTENANCE AND IMPROVEMENT OF A WELL, PUMP AND DELIVERY SYSTEM LOCATED ON LOT 10 OF THE MAP DESCRIBED IN THE ABOVE PARCEL I, GRANTED BY DOCUMENT RECORDED MARCH 6,1981, IN BOOK 2601, PAGE 565. Dated: 10/04/2005 n St.(John Triat Qrefited April 6 Mall Tax Statements To: SAME AS ABOVE 2 _ 1 Y ♦ r• A. P. N .: 062-440-009-000 STATE OF l•,I�r�; COUNTY OF Grant Deed - continued File No.:O403-2110125 (CB) Date: 10/04/2005 On - , e `L00 ' before me, • v personally appeared , gsmGaa4-knowr�me (or proved to m on the basis of satisfactory evidence) to be the person(s) whose nam*) is/are subscribed to the within Instrument and acknowledged to me that h%shefthey executed the same in hisfher/tfjeil<authorized capacity(ies)-and that his/heytheir signatures} 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. Z My Commission Expires: // �2a. Zo r, ti Notary Name: Notary Registration Number4.15 This area for ofdai notarial sea/ NANCY A. -dbcnuNstt Commiaaion # 1331169 7 Notary Public — California Ventura Ccwty 1@VyCornxL Explm Nov 20, 2005 Notary Phone: [?o 5- -±/R 5 - 3q I County of Principal Place of Business:V,,�ra Page 2 of 2 Butte County Deparanent of -Development Sem'Ces 0 .-If "F0 7 County Center Drive Oroville, CA 95965,='. ° • (530) 538-7601 Telephone °�, ' y° �UN� (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building pen -nit 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: 9 I need to submit applications for septic and/or well to Butte County Environmental Health immediately. e 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 ® 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: u.s k Orc}z c. a Building site address: ,010eef Ru n L r 1 APN: 062— -Y4-10- 00L 000 Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above-refrenced building permit application and my signature below: SIGNATUn Of APP 1 13 I DS DATE r3-_�^a Department of Public Works .0 o u n t y a e LAND DEVELOPMENT DIVISION Michael Crump, Director Storm Water Ma nagementRa;rarn '4'0 ® 7 C6unty Center Drive c� -! Orovaie, CA 95965 Q U� (530) 538-7266 p�Uc WOF�s (FAX) 538-7171 National Pollutant Discharge Elimination Systern (NPDES) Phase Il Construction Storm Water Permit and Storm Wafer Pollution Prevention Plan (SWPPP) Acknowledgement LLESS THAN I ACRE Project Description: i P Project Location and/or Parcel Number: 06 2_ By signing below, L the project owner/owner's agent, certify that this project WII1L NOT DIS'T'URB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. n r Date: i f a L 05— — BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM a-F'E`ATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) ��-� Building Permit Number Property Owner (s) Project Location /Address- Subdivision AddressSubdivision Name V New Development Alteration/Addition(s) Mobile home Demo Permit (date�s.s Comments: �A Assessable Sq. Ftge ),2 R'CJ Type of Residential Development (check one) Single Family -Detached Single Family -Attached Non -Residential to Residential Multi -Family Dwelling Mobile home replacement verified by Assessor Department -d ) �-� verified by Building Department 0 FRRPD 0 CARD ❑ PRPD ❑ DRPD certifies that: Applicant Name Phone 74urnber Po.`�k�2 Mailing Address CityState 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: Recreattion and Park District Representative V AT_nD1AC\DI ITT T111An] rnD1AQ\..-.1..e..— A—A F- — 1 Ann. per unit for a total of $%0 (�[7 per sq foot for a total of $ �y f Receipt No: , 0 LQ Date BUTTE COUNTY SCHOOLS IMPACT -FEE CERTIFICATION FORM (One form per Building) School District nw, 4l'ohA61 Building Department No. (Q"� A.P. Number P Q'' Jurisdiction: City Property Ouvnef r � � � � �(J�{.+~ �`'•,_.....,-�'.''�-- .. S, Property Location/Address not wa8r'SN Subdivision _,,.� �"�, .� ..��' Residential Development !Q Q Q Q ::Sq. Footage 2,2 T/) No of Living Mobile Home Addition/ 'Supplemental to (Group. R) Units Installation Conversion Permit # F` t .(No foundation inspection) :........................................................................................ .a Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction- and Notice of Limited Use Facility document) Commercial/Industrial 0 Q Sq. Footage New Addition (Including Exterior Roofed,Areas) ,.L _l/97�,0, Building Department TRepresentative r � / Date M Distfict Ida tification No. 06'0 6 5 1 L;�klj'IL 1,(filM4,hSchool Districtcertifies that (,(A. Oro (Applicant) / — /0'-? �j -7 0 �/ (Street Address) (Phone Number) _ C Llf-I (City) (State) (Zip Code)�i " �f /� Cl ��• has complied with the requirements of Resolution No. (V by payment of $ L, d �- representing— square feet. 1�13 2926 $ ULL MITIGATION $ School District Representative Date �. Paid by Check # Remarks: f.. 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 aro paid. Failure to submit a timely written protest will prohibit you from challenging the Imposition of the fees In any court action. M, 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 districts schools. White (school district), Yellow (building department), Pink (applicant) feetorm.xds (305W= AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0007845 Recorded i REC FEC 7.00 Official Records I County of . 1 COPIES 2.00 butte I CAldill?CE J. GRUBBS I County Clerk-Recorderl I KL 03.29P» 14 -Feb -200b I Page 1 of 1 IIIIIII III IIIIIIIIII111I111111I111 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. 1 All that real property situate in the County of Butte, State. of California, described as follows: Pprie. 1 s ; LD1!' 9', A6 860u;A o,, -K vti Ce-AZ\.Z r% rn'Xp s'n Ml edf'"On er•'S'k f_s k % e SWAth /h p Lw"v tcc� In &6R CZ 6c -ti,, rzC.dztc" 4 b co -^V/ 6F uvi4e Sl}e t)PC,,�0,1 je"/I 7 ir769�Tn R",e , 3� cc /vvp5, AT ",q,i�o) 115' And 16 Bve-i JL, .At% ,..I —=dress ;S,, -bu Rv7e c OF /1\,xov%&.vuave cut is►(Jrri/e�+r. c� i4 Wr\\� Pomp a,,A >�i i v�ej -5-ts 6 % LoCad1a( or• ioi j o c� : t g it f5�t:,a►k�( 13Y DO" newt Reiz,- 1d Anh 6, ll/ l3olk Zbo%j A40a SbS Date_ 2- /I 2. Job PROPERTY OWNERS: T o51n Oro2eo State of California ) County of On %"�r'Ltc+�,��i l r�cx[, before me, Anna 14 (err sirr, r PLkL'c personally appeared t) r S .' r' eE <<nd 'fi ; "� !', I,, e Q -1- c C2 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 offic* seal. N j > , Si C; �(1�\2 �✓1/v�,:: Seal: Signature g (lUt _ �R f .; cY 975 m A.P. - - My Comm. Exp. Feb y .2008 ...._ ` ANNA H. PREISNER S COMM. #1471975 W N.",y Public."Ifomla (n BUTTE COUNTY My Comm. EXP. Feb 24, 2008 SITE PLAN REVIEW APPLICATION Date: l ZD O Permit Number (if applicable) Owners Name: Owners Address: Telephone No.:. Site Address: Proposed Use: AP# ` %` L d ✓ �U g Bin Number Parcel Size: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other FM Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally'Approved By (J� Zone: GP: I Y W ❑ Resolve Problems Prior to Approval ❑ Resolved Date 10,0-05 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: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: General Plan: �� l Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side S Side Street Rear S ' Height Waterway N/A- N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 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 ❑ Subdivision Map/Parcel Map: P(vw— C.lA4� Map Date of Recording: Lot: 9 Book: 35. 3 Page: q S /q�' SITE PLAN ............ ................... ................... ................. ...................... .......................... .............. ... ...... .... --- ...... :— .............................. ...... 7 ............ ...... 7 ........... ...... ...... : ... : ..... ................................... i.1 .............. .......................... ............. ..................... ..................... ......Ft ........... ..................... ...... .................... ...... .................................. .................... ...... .............. ...... .... ...... ...... ...... ...... ...... ...... 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Site Location eq De& Pay\-- Lr,. - Contact: KI ..Phone Lt)C��7– 143-10-01 ordohair 73. MM FOR OFFICE USE ONLY' Zoning: General Plan-Desig:. Size; Acres - PROVIDE FOR ALL. ADJACENT. PARCELS SIZE (AC):, ZONING: GEN PLAN: USES:. - 14 0 4 / Y "r I , r I : i w I J I I I I I I I I I I I I � L L. I , I **pp** h r k� r v V : r \ / � I I w L : I I L L. L I ¢ ... ' I I r I u / I �r yr 4 r d,r I Lf ,. i I I : I I I I I I I _ r 1 I II I ..,, I I � I � I I I I I � � I � a I L I L I c t I , ;.u....� S�' _ _^—i � a^_...t,.i�---i• :.. .,__ , _,�1T___._ � ��3�.� � _..,.. , :. .✓�. 1./l�iif.,.rt., �Il,:-✓ Y. ml! .av'4C �� .. . � *�� . ^.^.,^_:, ,. . 'i.. II i I � _ .. � ':r -, �