Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
063-190-007
63-19-7 Bill Batt E/S Shott Rd.,appkm of Nw lot #10, rest c L 2, rmit #1 E C. GA SU P RT S UCTU REQ. C ACTIO T REQ, 063-190-007 EQ-063-190-007 06-1172 JOURDAIN 4818 SCHOTT RD, FOREST RANCH Cont: OWNER A�,---) A15F ani 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. BP0611.72 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 I Issued Date: 06/20/2006 APN: 063-190-007-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 4818 SCHOTT RD FRNr Date: Contractor: Map Index: rper �^^ `- 'T r' Description: NSF 2050 SQ.FT. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the n Contractors' State License Law for the following reason (Sec. 7031.5 Q r Business and Professions Code: Any city or county which requires a Owner: JOURDAIN DARIN J P permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a (\/ P O BOX 182 signed statement that he or she is licensed pursuant to the provisions of FOREST RANCH, CA 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 95942 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 to a civil penalty of not more than five hundred dollars ($500).): �applicant 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 Applicant: JOURDAIN DARIN J P Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does P O BOX 182 such work himself or herself or through his or her own employees, FOREST RANCH, CA provided that such improvements are not Intended or offered for 95942 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 345-8144 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 Contractor: 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.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code QI)'-DIDIJ Owner:'_y_N__N Date: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I 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 Architect: PIETZ, GREGORY A. is issued. ❑ 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: 2226 S. F. Policy #: Valuation: $136,066.00 y(I I certify that in the performance of the work for which this permit is '\ issued, I not employ any in any manner so as to Census Cod^e shall person become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' COt� compensation provisions of Section 3700 of the Labor Code, I shall J forthwith comply with those provisions. Date: Le 1 aO a00 J Applicant: WARNING: Failure to secure worker compensation coverage is J Q t v 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 v1 GV 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 of the work for which this permit is issued (Sec 3097 Civ.) Resolution to do work indicated bove r which fees have been paid. G('� n ,� /� performance BY l 0—%�- 1 Name: /Dante: rl PERMIT EXPIRES ON: Address: (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 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies or 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 �to/enter upon the above mentioned property for Inspection purposes. Print Name: z/"l p l 15� L9 !''' t ou �l L(� ��t/���1 r* n, Signature: Date: / 11 Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 j?" � 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 OFAPPLICATION Website: www.buttecounty.net/dds q1 c 'Z Gj **PLEASE PRINT CLEARLY** OW ER INFORMATION Last Name �— i ame � Address City State/` _ (� Zip 5^ Phone , S E-mail ARCHITECT/ENGINEER CONTRACTOR Name Phone / ! Address E-mail City Fax State Zip Phone Planner Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name l � Address 3 13 O City "Statp� Phone / ! State E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address 11�/Pl SRA Y _ No Occ. !7Map Const. Subdivision Nameok If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Page Lot # Planner Date Approved: PERMIT 067 . �1Z BP PROJECT LOCATION AP# /ry�� / D DO Property Address 11�/Pl Cross Street �i eS / /W 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 DescriptioNr Scope of Work: _ OF 1282--51ill450 Sq FT- Llving,2,9,�� Garage Open Cov176 ❑ Proposed Change of c pancy N (Note previous use): 2015 EXPIRATION OF APPLId`A* TION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by Amount:/�� 7z BId 9 , �� SRA Receipt #: 1556s ,(� SMIP I Date: vv r=r< rur[ aumvil I. I AL KtUUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Other Total REV 8-12-05 1L. , 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! No 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 3. Engineered truss details and layouts in duplicate (if required). No faxesl 4. Energy compliance design and supporting documentation in duplicate. ❑ 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 calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. 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 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENTSERVICES-BUILDINGD�I1SI N�l 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: �GIQI 1LiC,t �I^ ASSESSOR PARCEL NUMBER Proposed Building Use: Permit Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 15' 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. ,p- 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. Cl 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 R 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other ng items needed to issue the permit. (May require additional plan review upon receipt of the following items.) m 14. Sanitation and site plan approval from the Environmental Health Department in ©dico ❑ Oroville, as applicable ❑ 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 ........................................... ❑ o,� 18. Erosion Control Plan Required........................................................................ L� `�KJ�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 City of Biggs .............................. N 22. California Department of Forestry plan approval mid. Sent by:.�, - C� 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ Sn ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ 025. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. ,15 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.................................................................... O Z� 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... 36. Other: A,;,� sy", 4 Fwms - O 37. Other: When issued T hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant ��,0,0,rL� Date: 1. Index permit application for the above' s num r Plan Check Letter 2. Additional items required 4 Contractor, designer, owner, was advise 'o he above ata by % p' one, ❑ mail, ❑ counter, by Date: Q - IG4)G Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the'apope da by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: fo ttzlp Plans approved by: _�''� - Date: 471 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 " E.H. USE ONLy / Plot Plan Altadied Floor Plan Attached s Sent to BD/DS / r TO: ui ing Division = Development Services [FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# , Plan Approved for: Sewage Disposal: Clearance for _— dweUing. Other Hold final for: rance O.K. for: NOTE: Envirorirfiental HealtK Specialist Building Clearance 9/2005 Water Supply: Public Private Well Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 ' RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner JOURDAIN, DARIN APN No: 063-190-007 Permit Type: F____❑" Subtype: App Date: 5/18/2006 Permit No: BP 06-1172 Permit Desc: I I _ 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION Plan Check portion of Permit Fee 2 FEMAYes Flood Elevation Review $109.98 3 SRA* x Yes Fire Plan Check - Non -Refundable $95.00 (State Responsibility Area) Building Inspection $109.98 NON-REFUNDABLE portion of fees due at application $2,919.29 $1,167.72 $1,751.57 Balance of Building Permit Fee $95.00 $204.98 $109.98 $1,262.72 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $1,372.70 FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT t J 7(n5__i' $1,751.57 $13.61 4 Balance of Building Permit Fees (from No. 1 above) 7604.091 6198.041 7289.40 5 SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) 6 Additional Plan Check Fees (NON-REFUNDABLE) $200.00 Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. DRAINAGE FEES* 7 Other*: 10 CHICO STORM DRAINAGE MASTER PLAN 1770 7a Other*: 1771 Comanche Creek $8,341 8 IMPACT FEES - RESIDENTIAL* Per Dwelling Per Dwelling Per Dwelling MH Applications After 04115106 ,c SFD u MFD a County 1 4249.11 3183.54 3238.72 Chico Urban Area 6146.23 4538.82 5648.44 EI Medio Fire District 3249.97 2385.76 2422.68 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 8801.091 7395.041 8486.40 R-1 8897.09 7491.04 8582.40 'V� R-7 I R3grl nql RPI84 n41 Rf)75 4f) RECEIPT DATE Tech/Asst 450573 5/18/06 Tammie w41V'A4 RECEIPT DATE Tech/Asst 10a 11 11a R-3 1 7604.091 6198.041 7289.40 773 Big Chico Creek $6,776 Processing Fee is automatically added to impact fee total 1 $100.00 9 WATER TENDER FEE (Not collected when Impact Fees Applicable) Enter Bat.# $200.00 Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. DRAINAGE FEES* 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* Chico Unified School District 062—�N 10 CHICO STORM DRAINAGE MASTER PLAN 1770 Butte Creek $7,997 1771 Comanche Creek $8,341 RECEIPT DATE Tech/Asst 450573 5/18/06 Tammie w41V'A4 RECEIPT DATE Tech/Asst 10a 11 11a New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 772 Little Chico Creek $9,088 RECEIPT DATE Tech/Asst 773 Big Chico Creek $6,776 774 Lindo Channel $8,267 775 SUDAD Ditch $7,211 776 Mud -Sycamore Creek $6,275 777 PV Ditch $8,893 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 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid Temporary Dwelling $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. 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* Chico Unified School District 062—�N �� ���y,.�,.� I I IV 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. Applican Date: Pursuant to Go ent 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 of 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 041506 Butte Coy my Depar�rner�t of Developrz1el�� l�rices °"F° 7 County Center Drive Oroville, CA 95965 °° (530) 538-7601 Telephone e00141 (530) 538-7785 Facsimile 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 acknowledgd: I need to submit applications for septic and/or well to Butte County Environmental Health immediately. o 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. a 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: / g` $ oar 42- P_71 APN: Permit No.: 06-11172- I 6—1 1l2 I have read, understood and accept the terms and conditions as expressed herein as submission of the above -referenced building permit application and my signature below: c T!'_7.T A TT TD T: n r n DDT Tr A torr DATE indicated by my oZ �Q�`-rMEn'T0--o 1 T 7- oDepartment of'Public Works O ° C o u n t y o f B u t t e O C p o 7 County Center Drive \o o Croville, CA 95965 L+ y J. Michael Crump, Director (530)538-7681 ,o O V N� g_r (FAX) 538-7171 �1tc woFShawn H. O'Brien, Assistant Director Assessors Parcel Number: Building permit # Owners Name: ,x .trl.n �C?�sY�iGLen C Owners Mailing Address:U Property Address: 7 V J, 44 rel / S/— 1 4�;,_ 3� ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: Not a County maintained road Existing driveway conforms to County S-31 standard Other Approved by Printed Name Title 0 Date 3 CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT 1. An existing home with a driveway 10 years or older and doesn't cause any, problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. H72 - 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 the major labor and material for construction of this proposed property improvement: YES [X ] NO [ ' ]. 2. I HAVE [x] HAVE NOT [ ] signed an application for a building permit for the proposed work. 3. , l�have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS:' PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the -following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE. TYPE OF WORK SIGNED: ' PROPERTY OWNER - DATE: 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 TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile www.buttecounty.net/dds 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 $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers'' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed} persons professing to be 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-CSLB (2752) or by accessing their website at www.CSLB.ca.gov. 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, J 04 Scott Rutherford Manager, Building DiviVion NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. 0P PgTM EN) - %3 T NTVT o i� ° o UJ 0 cOl i nt"�. o�\, Department of Public Works C o u n t y o f B u t t e ° ° J. Michael Crump, LAND DEVELOPMENT DIVISION 0 // Storm Water Management Program /�' Director 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge. Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement /LESS THAN 1 ACRE] Project Description: Project Location and/or Parcel Number: 0 +f `6_(l6 / By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one -acre but when combined with subsequent phases total more than one acre of disturbed soil will require -a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: 5_— 1S —&-2t,;- Less than 1 Acre NPDES & S WPPP Compliance Certification Butte County Storm Water Management Program Revised 5/24/04 BUTTE COUNTY SCHOOLS IMPACT,FEE CERTIFICATION FORM (One form per Bui lding) School District Chi C n �� n t 1 i f (1 � �t be i Building Departm ' htNo. 0� r C� A.P. Number Jurisdiction: City County Property Owner Property Location Subdivision Lot No. ......................................................................................., Residential Development Ping Q Sq. Footage No of Mobile Home Addition/ "Supplemental to (Group. R) Units Installation Conversion Permit # *(No foundation inspection) :........................................................................................ Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document), Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) t �0• 6 0 Building Department Representative . Date District Identification No. ��jj Ea School District certifies that��/ (Applicant) Address) (Phone Number) has complied with the requirements of Resolution No. rJ �'/ by payment of $ representing square feet. Paid by Check # ( Remarks: rB 2926 = 11 ULL MITIGATION $ /, ll/ Date 111offca: You may protest the Imposition of the tees Identified above by submitting a written protest to the District, In compliance with Government Cods 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. M, subsequent to the School District Representative signing this butte County Schools Impact Fee Cer0allon Form, the School District Is notified by the applicable Local Planning Agency that this project is being reNswed under the CaNfomis Environmental Quality Act (CEQA), this project maybe subject to additional school tea to fusty mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) teeform xis (3FD5)db�m 22 `/ 27 '006-0031479 AND WHEN RECORDED MAIL TO: Recorded 1 REC FEE 10, Ni G1;icial Records I Y BUTTE COUNTY BUILDING DIVISION County of 1 COPIES 2.50 Butte I 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Cr.P1:1PLC J. BR��� I County Clerk-aecorderl 1 1 k:L 03:31PM 270 -Jun -2006 I R?qe 1 of 2 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 3 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: le c/ Date (� PROPERTY OWNERS: State of California County of - u OnJ vim, 2p�=,�'�� before personally appearedT�.r-� '`,.,,ra lr\c,nc1 MIX,)U n Tv*'cic�_ (or proved to me on the basis of satisfactory evidence) to be the person(i)Whose name( Elare subscribed to the within instrument and acknowledged to me that lid/they executed the same in /their authorized capacity(ies), and that by /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. SARAH SATCHELL MULLIN Si nature r� ��COMM. #1487780g rE(;t� +cam ��.�, Seal: NOTARYPUBLIGUUFORMIA cc 4,P COUNTY OF'BUTTE Comm. Expires May 4, 2008 A.P. # 01,,13 -190 - 06-7 bent by: bUllt CO ENVIRONMENTALHEALTH; 530 895 6512; May -23-06 12:15RA; ORDER NO. 2-64220." Page 5/9 nii'i iWn d*J ALL THAT CE..TAIN REAL PROPERTY SITUATE IN L:`3INCORPL`RP,TED AMA OF THE COUNTY OF BUTTE; STATE OF. CALIFORNIA, BSIPiG MORE PARTICULARLY DESCRIBED AS FOLLOWS: T, MCEL I s LOT10, AS SHOWN ON THAT CERTAIN ASAP ENTTLED "FOREST RANCH Si D'IVISION°', FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA; ON OCTOBER 22, 1975, BOOK 43 OF MAPS, PAGE(S) 83, 84, 85 AND 86. AP #063-190-007 PARCEL II: A PORTION OF LOT 11, AS SHOWN ON THAT CERTAIN MAP .ENTITLED FOREST RANCH SUBDIVISION", FILED IN TATE OFFICE OF THE COUNTY RECORDER OF HiJTTE COUNTY, CALIFORNIA, (: ON OCTOBER 22, 1975IN BOOK 43 OF MAPS, PAGE.(S)_ 63, 84, 85 AND 86, MORS PARTICULARLY I]SSCRIBED AS FOLLOWS: AN EASEMENT •POR PIPE LINE PURPOSES 10.00 FEET"" IN'P)IDTH tYfw' G 5:"00 FEET ON EACH' SIDE OF' SAID PIPE LINE NOW EXISTZNC-0 WHICH BEGINS AT A POINT ON THE SOUTH LINE OF SAID LOT 11, 188 FEET EAST OF THE SbtTl-ikST CORNER OF SAID LOT AND RUNS' THENCE NORTHERLY APPROXIMATELY 90,00 FEET TO AN EXISTING SPRINd. ALSO INCLUDING AN EASEMBI T, ]:0.00 FEET SQUARE AROUND SAID SPRING',.. • END OF LEGAL a Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; May -23-06 12:13PM; Page 1 RU7TE C0UATYDER4RTMENT ®FP: UBLIC HEALTH DIMION OF ENVIRONMENTAL HEALTH P.O. BOX 5364 (411 MAIN STREP, CMCO, CA 95927 (530) 8912727, FAX (530) 895-6512 FAX COVER '914P -FT DATE:=�3 ~fig NU1VRiER OF PAGES . . (including this on®) ..To:. FROM: CO/D: "O/DEF'T: PHONE: 3 PHONE: Q22 6/21' SQL FAX M. f FAX #: f 1 3-/q0 -cv 2 SHEET oF_ BUTTE COUNTY PROPERTY RECORD Assessment Fee Number N Book Page/Block Parcel a, NAME :�rDH�i S 3 DO a NAME SITUS 8 SC ZONING ;#- ,r City❑ County B. Assessment Year 19 19 18 19 19 19 UTILITIES -SITE IMPS. Date p Electricity: Yes Ca. Telephone Appraiser Gas: Public LPG IN None 0 Use Code Sanitary Swr. Public Indiv. CK Dwelling Units Street: Conc. ❑Asph. ❑ Dirt ❑ Gravel Building Class o Street Lights: Yes ❑ No 0 Bedrooms c; C & G: Yes ❑ No 0 Baths / C' Sidewalks: Yes No Effective Year SITE TOPOGRAPHY Area of Residence 6 Level ❑ Rolling Other ❑ Car Shelter Ya; ag No El Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Yes ❑ No ❑ Yes No Slopes: Up_o Down SS 0 Misc. Buildings AL ® Above 11 Below Urade Poo! Yes ❑ No alYes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes No ❑ Yes ❑ No ❑ View: ❑ Of: Phy. Char. lChecked Iff lChecked Checked 0 ICheCked Checked Checked WATER MARKET DATA k4 GPM: Depth: Comparable 1 o3 Public ❑ Well 4W Ditch 13 Comparable 2 -2As -,s G o Supplier o Comparable 3 1 -2=e •ba3 C9 Aerial Photo Year Sate Date/Price Sdpp Topc Map Year PRIMARY BASE SECTION Soil Name Index Acres Base Year Event Date p i Land J Structural Imps. FI Growing Imps. w Fixtures oPersonal Property H Avg, Soil Rating SECONDARY BASE SECTION z LAND REMARKS: Base Year o Land Type: Lot HIS Acs. Event Date Size: , Land Descrlptiion: Stnxurallmps. Co Growing Imps. fixtures .4 Lin W Im 0 Ln Assessor inquiry - Main Asmt: 063-1904107-000 Peeparcel: 063-190-007-400 Owner: JOURDAIN DARIN J P S� Ad. ie.ss -.14816 T Rq FOREST RIiNCFI. JOUfiONWIDAAR1N J:P VQ 2 FOREt! WNCA 5M. 9 SI!atigi :1Oa1e — ACTIVE _ - _ Doom:1 ~ - TI�A; Greate<g; b OCt%: ate ' l 986F1500 atiA iED:' Date- oilooil Aaeit 4 - -=1 - LAT 1.0 '-- R - - - - — -- = aAilHite 1• k `. ( L 'sl — 1SSII : s .. s � &&N - I� 1 Sew± i i Ram 7 :I- i 's• T:f?Zjj i; .k - ter-. •:. ;� �- CI Ower W4tpq.:::Id: • A1fg,Hoir ll Vbliiefi :I GREGORY ' A. PEITZ ARCHITECT_ 383 RIO LINDO AVENUE, CHICO CA 95926 (530) 894-5719 PROJECT- �� I have reviewed the truss submittal for the above project and all loading_ design criteria have been met. %iregury ti. rent Architect Sent By: BUTTE CO ENVIRONMENTALHEALTH; RECORDING.REQVESTED RY: Fidelity National Title Company When Recorded Mail Document •and Tax Statement TO: Darin J.P. Jourdain 4818 Schott Road Forest Ranch, CA 95942 F,Scrpw No. 264220 -tom T111e Order No. 2 6 4 a a OMAR 530 895 6512; May -23-06 12:15PM! Paq_e 4/9 !�!!!I!lIIII�tBl�lilRllll�llall 1 998--0�®�EsBz Rmcordad I REC F OffCciel Becar+ds 1 TAX 93 50 �uiQy 6f i E Jte6dillBBS 1 t il9rflt l 02-flar-19% 1 P40 1 of 2 APN: o6.3 -I90-007 SPOMABOW:7NOUNE FOR M(pFuMBUs&cNLv JPN GRANT DEED Sire undersigned grantor(s) declare(s) Documentary transfer tax is $ 93.50 city tax $ I xx j cbmputod on full value of property conveyed, or j J computed on full value less Valu® of liens or encumbrances remalning at time cf sale; I xx7 Unincorporated =Area City of FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LYNDALE J. BATT, .An unmarried woman hereby GRANT(S) to • »ARIN ,7. P. J®UwA3N, a single man the following described real property in Ist0ftelf the unincorporated area of Forest Ranch county of Butte Stele of Callfornls: SEE SXHIBIT "ONE" ATTACHED FOR LEGAL DESCRIPTION WED: February 20, 2998 STATE Of CALIFORNIA COUNTY OF _Spite, ON••.ebruary 23,�199�;: before me ar . na..Ross, Notary Public p�Onallyappser4ld Lvndeig Batt personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(i) whose name(s) 1;/are subscribed to the within Instrument and acknowledged to me that he/ehe/they executed the same in his:/her/their authorized •capacf<y(ies), and that by fiis/her/their signature(s) on the Instrument tate person(e), or•;the entity - upon behalf. of which the persons) acted, execumd the Instrument. WITNESS my hand and offlclal seal �43�T�L7•�IiCD �. �� Lyndk4d J. BatkJ -AffilmmN.-Posy 001161A. / t0A8il6 � tt�OUpY �tJtittppu,dpq� CDU lffY OF BUTTE MY �a fimiiM MsreA 9t. I000 Signature MAIL TAX STATEMENTS AS DIRECTED ABOVE . F0413. (Rev 34941 — GRANT D® Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; May -23-06 12:15PM; Page 5/9 -:'ORDER NO. 2-64220AP LEGA:: DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN .. M UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA. BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL Is LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED "FOREST RANCH SU D'IVISIONII, FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA; ON OCTOBER 22, 1975, IN BOOK 43 OF MAPS, PAGE(S) 83, 84, 85 AND 86. AP #063-190-007 PARCEL II' A PORTION OF I,pT 11, A3 3fi0WN ON THAT CERTAIN ;MAP .ENTITLED .'FOREST RANCH SUBDIVISION", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON OCTOBER 22, 1975; 'IN BOOK 43 OF MAPS, PAGE(S), 83, 84, 85 AND 86, MORE PARTICULARLY DESCRIBED AS FOLLOWS: AN EASEMENT ,FOR PIPE LINE PURPOSES 10.00 FEET;IN WIDTH EYING 5:"00 F8ET ON EACH S`I'DE OF' SAID PIPE LINE NOW EXISTING WHICH BEGINS AT A POINT ON THE. SOUTH LINE OF SAID LOT 11, 188 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT AND RUNS THENCE NORTHERLY APPROXIMATELY 90.,00 FEET TO AN EXISTING SPRINC3. ALSO INCLUDING AN EASEMENT x0.00 FEET SQUARE AROUND SAID SPRING,,. END OF LEGAL LOT a' `fC SHEET 2' ?O rg .•� d••��.Y re:.0e A. A : 10.7'1 Ae • U" l..« vier— r urvt PfAIV(..H NiDdlViSlon �`?'•.�� S, •°' „y BF/u6 J7oRTlOXS of SCGTiOXS SAB, +.•. e J „'�„'�p.\;.`�{..M f 231V R3E AIGaI®.Ifl A•.n�._ ��. �eria"ry.'�f�"n7\} +�..ur.r�_ _.�_�, ~-+ "r;"" ;.:v. aUTTf 6ovrr rr rGALWOMNIA -,•V ✓Orth K MIANST L626'47 L1LfN7CO LA//09LA✓Fl•OR 747t OL1rU 7t•fLT A/AAORs( CILKOAMYA 14 1.77 AtJ •1� •+e aer •r • ���- . / . [-• X11 f �,` � _ .. ,S �aeaA3 BAS IS OF 9'C4RINGS �• J2 .� / ItotbM r rA{t •.e, ry: s•rrI o. 1•, 10d• A. • / �+ eartaaie rat a,• r.,.A,r.1a, R --d' ANMd 7siij mt&.6e It 0• 81 eI we,l, tr MIt'U7 ow. , erenr, INt•rev .r .. 1111 ........•.................�,�;; y 1111 .. .................. �.t 1111.. :, 1111. .............................. .......,.-......................... , • �: .''jr� / • .,jy J. � L ••c! �� 7c.Le -loo, :.Y �' . s �'/'" • •� - ..� : �e t .y._, :,a . J • r.:w nr�olu « eetw %" ,,;."'` �5, i 4'" �! r JD i• .' f a . r1 i.,. ,'. �.: �r .,.; r • yMt 1/• ca.iarr •. lore Olri r:eo er .roo,re,. a.wae.r.ri,v7,er'. ,� r'G '4 `'_ .•o:..e.::. ••� .- ® ••r t' 1i.e . .�•�• > >1 .'!t L O' T rT prp repo•. IS roe) !• •Lai :r 9 / f.� oErA(L �t/;V un•A o jrE SHEET 0 •/, / '��`� .N i'� � ...--_ 6.'ano atreen-e0'rrtm u.wrurr e•cer.q rotor ----.roto n•ww Ia.1-/oa'nw. o .e. r.nq tee . �:� �� ,! , �:r�:� l ` .Y _` .ti �err�w� a ttrol, tnt law r:m« .eio« .i .;or •ou •,I �`7� /. y`P � - ® •.cert tvu er oerynarta I c/ ✓./ � l� '�� i .—J�� .wt• tYt NftYIYM M' Ot.J •Me,eVO4 eee) «U, .I ' i� � Q5 m.. ... ,q..V►, etRtiw rrwl•o .r an. coonr•. LOT a' `fC SHEET 2' ?O rg .•� d••��.Y re:.0e A. A : 10.7'1 Ae • U" l..« vier— r urvt PfAIV(..H NiDdlViSlon �`?'•.�� S, •°' „y BF/u6 J7oRTlOXS of SCGTiOXS SAB, +.•. e J „'�„'�p.\;.`�{..M f 231V R3E AIGaI®.Ifl A•.n�._ ��. �eria"ry.'�f�"n7\} +�..ur.r�_ _.�_�, ~-+ "r;"" ;.:v. aUTTf 6ovrr rr rGALWOMNIA -,•V ✓Orth K MIANST L626'47 L1LfN7CO LA//09LA✓Fl•OR 747t OL1rU 7t•fLT A/AAORs( CILKOAMYA rn ti w .. rn ti o_ CL N CO O (9 N M m In Ul 0 m O co to J Q W 2 J Q H Z LU n .. Z O Q h z Z LU O U W H H T m r C • 41 1d i •.a z. xv FOREST RANCH Subdivision •�„ -8CENG 60Rrr0,vS OF'SECTIONS 59,0 ri'3N R -3f N0®9M surrELOuNrY CALIF09NIA B r.00c. f 1• ........ ........... BASIS.OF...BF.ARhV"-......-...; ......:..... B•WOlO Oe IW MD •r"• 1M.N 1prew Aee•D,Dw DI(uI d fen.! V die Not !f ar Pbt• D)' d w'•D..AWf. Cwrm1 JMtar.. ."IV fa Id"Ble 4's -#" L'"A'sEA u] "VfroA Hev ON.s 11►OLPr 1{IIAd9[ CAtarosna SmErer f Of 1WA01 MeV eDl flw.1 Alsproa j SEL SNEEr 3 �;;�� 9CILt x'•]00• � �i!'• / 7 � ,, A.V r.e'Iwn.Mr W •e'Iee �� .1: 0^'d- IAOD III.I In 1••. ]I •. ' t/ Ortw. 0... 0 . •r 0 l3 7 OJ —0.,Bros [•Dory .v�1 •.I.n e'vwyq.• utyaatta.f I` �i•�V"!' O ..r !q'IRu lti.. r•.o011 [AEI.] __- _. _ _ AvlMey' n.lat. • 9e' Ay c.nlrrfiM d CO.nf/ r•e/• ' -� �. telt rlw.n .wDMI.•rOCJIeT AveN., w. o.,•el _ Ow.Iyar1. .MI . , ON /len Mmi blW ./ cur 6—. - ' ®...yelp .wD m ta•roe•f•o •n• i ■ f.. pd It v woo+n•1 u. w.D .w Or.4 na a /IhI..wH i _/`� /Pe+ Nr WOMn1 IY/ bNr..yOlren OeW M4 . e! DWn H✓; Or OAW rM./lo 0a... Carom . 0 wV 1J 1. 0 e.ti.I ,0. e1e11Me1 ' { ."IV fa Id"Ble 4's -#" L'"A'sEA u] "VfroA Hev ON.s 11►OLPr 1{IIAd9[ CAtarosna SmErer f Of R. Ln 0 Ln cn co O cl) ul jOW)VERS CEPTIFICATC. r. W. :1ZV3Pof,',iv_ COUNTY SURVEY01irS CERTIFICATE: ICATE. 'A. t -d M. l.'CLAV eA:S%EdERjVjr.- _j? -_;s SuiqiiiYo.R`s Cc TJFCArr: /� el. 8'•14„ ifo.r• i/ - A. Jonre [, w 1luAlt GORiYa r•'O d'e ewes/ Cerli/T reel J ,In. c ei oootw lour ■w e•jfp'd /a [rera'i/ Co[Aer6d Ina/ „ One* ;If. fNl lis' end olio fine/; *AMC. ,Ie (Air ewN.'IQ•.emin P�fdil 04.9c. doqej so d,.$,ra[orote-(be 4.iti -op 46 wi-, 0 A4 o-4, is 34. 34.34.3il. a it, " .1 D/ &.ft. ..O, -P OADI-d flit wOieTenl['OrlorO tri 11 ca -4, 'A" �b.K,jj. a, 144 6104 of " -Y I -C701 one W. OF "If � rill[ l'O w 1 -d o wdr.alcis .,.no a F01R.ES T RA NC' H., Sam,, Ge-polwool. . Ons to- of 1l- ol 1" .0, 44 aftw's .(RW. ft. Drrew linin. P00fly RAMCM 90AD --d Icnorr ROAD," 4srMWea AI [.trace. 4,.r.oAr, IAAo FOS t�!��L_Avv Eo....001 10, fl e!11 -d W, Ids two.# ?ar.nm me _, _d or ,d.fA3oA of jer, one fj, BEJMG PoArjasS:S!'CtIORIS 3 a 6. S.)9l T 213M 03C ALA &BAO. f"o one OB to flooAUDI TOR'S CERTMCAT-c': d j- Ifi- Wl; r ft A LAWIPREP'll. seal 0 01 4 _4'V, -.A'r. -1,, C 0. Irel IN/1 a1 n0 1 d. -PSIAN :t "09r L I ee43 CICCXSED L4WD $VqVFVVp9 -S 10*131 Ad.c, IP -1 -.eA- a-... AW. .,p j.., P -o- WKAE-_AL .1. . 14. b., OPOWLLf F-rLr ca S.. d e..r.rwre `"ate cwx duPCoir r. W. :1ZV3Pof,',iv_ CLCJ;K' CERTIFICATE: 4.ff -rot r.r.sroree tett a., wia"'917 Jog",, :(.Swo W. , )ion tw .0, P.,rot aa. JI "d taste S.P. ft, O.of.~ 6.t.. 1.. 0.814 'O'g, "'ook". v-,)., .0. C.." F01R.ES T RA NC' H., Sam,, 4,.r.oAr, IAAo FOS two.# BEJMG PoArjasS:S!'CtIORIS 3 a 6. T 213M 03C ALA &BAO. COUJW7r CACIFORNJA seal 0 01 4 -PSIAN :t "09r L I ee43 CICCXSED L4WD $VqVFVVp9 to Ln cn m O CO U') F- J Q w J Q F - Z LU ra z 0 2 H z Z w O U w F- F- m J m yJ C N O SEE SHEET j 0 S' \ �� � _. _.._�NIYIt Iay.' nt..rL. rOC'Ir.,. tH •ems .•IrJ. m+t . � •� I ••.,• t � �'�:. .pe.Ir♦aorta troy • Net r.r e. rrr lr a e.r � // Z.:`r = ; ^�^;•• aYe rrmv rev ♦ / y„"Li I • \ � .rlen.♦ rt♦ w u.J♦ewd rite �l t ? • roots Ii waa.uumo q IY•r• .. Wr4%eo d Nr.estll \ I i,� -- r- /w rr :rrr to•e•.YI Yr• aMe.:eet•et/ r. 1ao. 4a Or' e+ve ter, p•rrelol rq bee a Burr. Caeepl. Nkat/ the Ye a.v P'apts . r i I FOREST RANCH SubdivWon I � MINS POR TfoNs Or S[c T1QNS S 8 6, r 23 .•p .rJ.ri J4. �, 43E adaaau BUrrE C DUN'7Y CAWFORSIA i LrcENBro lla0a siAar[roe .JONM 'A NAYS• L$PO4 atL1 olrrt fIItI/ YtattAdAwAI rs BASIS Of BEARINGS to \ � ',",b.�r Itnlep Iatr• Y IMt Y/0. t•t arwtA a M � r J ;�,. � �' .. Jvt Cvnlar.lo rear,Aigrr attNs, art: y; •tr nitore .r n.nq tri.e �eaoo. . L94. _ �•��.� a, ev ,eta. ,. / ,.I•or1'i e7 r,d•;/. lsetO�Ilr er e• �, . ............... ...... .. ...... ...... .......:.... ... .. ... .................. •...,.. ..... ..... ........... .................................................................. _.-..... ..........................,... .I ? ` 06.•I • t.alY • tease mrwwtm en vera♦ W � � P7 :fir I �� i• I `_�• ® IR Y� 'rM JWr J.pta tl t/1a o .•. tit• � ow orae .fepLo u tt'N �' I ,��. YR♦t At •FI -'--• MIIIJot rtr0w• so' mato...N.... .r C•.... r'eele SEE SHEET j 0 S' \ �� � _. _.._�NIYIt Iay.' nt..rL. rOC'Ir.,. tH •ems .•IrJ. m+t . � •� I ••.,• t � �'�:. .pe.Ir♦aorta troy • Net r.r e. rrr lr a e.r � // Z.:`r = ; ^�^;•• aYe rrmv rev ♦ / y„"Li I • \ � .rlen.♦ rt♦ w u.J♦ewd rite �l t ? • roots Ii waa.uumo q IY•r• .. Wr4%eo d Nr.estll \ I i,� -- r- /w rr :rrr to•e•.YI Yr• aMe.:eet•et/ r. 1ao. 4a Or' e+ve ter, p•rrelol rq bee a Burr. Caeepl. Nkat/ the Ye a.v P'apts . r i I FOREST RANCH SubdivWon I � MINS POR TfoNs Or S[c T1QNS S 8 6, r 23 .•p .rJ.ri J4. �, 43E adaaau BUrrE C DUN'7Y CAWFORSIA i LrcENBro lla0a siAar[roe .JONM 'A NAYS• L$PO4 atL1 olrrt fIItI/ YtattAdAwAI 2006-0031479 9 Recorded I REC FEE 1®,@0 j AND WIZEN RECORDED MAIL TO: Official Records 1 BUTTE COUNTY BUILDING DIVISION County of I COPIES 2.50 • 7 COUNTY CENTER DRIVE But I OROVILLE, CA 95965 CSCE J. GRUBBS I County Clerk-Recorderl I KL 03:31PM 20 -Jun -2N6 I Page 1 of 2 IIII III III I IIII I Ii l lllill 11 11 11 111 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 PROPERTY OWNERS: Ov—rsre- State of California County of s vAbe. On Tv4\a, before in personally appearedllrdoIA aM4 MO-lissax M ' Mrd l ) (or proved to me on the basis of satisfactory evidence) to be the person(OW hose name Is are subscribed to the within instrument and acknowledged to me that /they executed the same in /their authorized capacity(ies), and that by /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. Jj% SARAH SATCHELL IL _ n� COMM. 114 UFC)R Signature wXx� Seal: NQTARYPUBUC-CALIFORNIA COUNTY OF'BUTTE Comm. Expires May 4, 2008 A.P. # Q&3 - 90 - 06`7 E Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; May -23-06 12:15PM; Page 5/9 :ORDER NO. 2=64220MA.R LEGAL DESCRIPTIOAi EX.4191$ "01W ALL THAT CERTAIN REAL PROPERTY -SITUATE IN THE UNINCORPORATED AREA OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: PARCEL I: LOT. 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED "FOREST RANCH SUBDIVISION", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA; ON OCTOBER 22, 1975, IN BOOK 43 OF MAPS, PAGE(S) 83, 84, 85 AND 86. AP #063-190-007 PARCEL II'• ;. . s A PORTION OF LOT 11, AS SHOWN ON THAT CERTAIN MAP .ENTITLED !'FOREST RANCH SUBDIVISION°, FILED IN THE OFFICE OF THE COUNTY -RECORDER OF BUTTE COUNTY, CALIFORNIA, ON OCTOBER 22, 1975; IN BOOK 43 OF MAPS, PAGE(S). 63, 84, 85 AND 86, MORE PARTICULARLY DESCRIBED AS FOLLOWS: AN EASEMENT .FOR PIPE LINE PURPOSES 10.00 FEET'INWIDTHLYING 5:"00 FSET ON R11CH SIDE OF SAID PIPE LINE NOW EXISTZNG WHICH BEGINS AT A POINT ..ON THE SOUTH LINE OF SAID LOT 11, 188 FEET EAST OF THE SOUTHWEST CORNER OF SAID LOT AND RUNS THENCE NORTHERLY APPROXIMATELY 90.,00 FEET TO AN EXISTING SPRING. ALSO INCLUDING AN EASEMENT_X*0.00 FEET SQUARE AROUND SAID SPRING: - END OF LEGAL A c CLAIMANT: Bill Batt eounf* of dqt&e OROVILLE, CALIFORNIA GENERAL CLAIM ADDRESS: Sugar Pine Place CITY & STATE: Forest Ranch, CA. 95942 IMPORTANT: EE DATE OF CLAIM: May 2, 1977 ON REVERSE SIDES SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Unable to issue permit for mobilehome utilities due to zoning. - - arm t Appin. - , - Receipt #159962- ap 63-19-17) Plumbing Plumbing permit fee ----- $33.00 Electrical permit fee --- Land Development fee ---- =.00 TOTAL REFUND DUE --------------- $84.50 $84.50 i TOTAL $84,50 I. the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval O (Checkone) for the same. Dated this............ 2n4 day of .... { ...............1 1977 , at Oroville Calif. .................. ........................ ................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. 1P INSTRUCTIONS td. CAI ANTS All claims against the county must'•be-itemized, giving daces' and character of service rendered or work_ performed, _quantities, de- f scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS / i 7 County Center Drive — Urovi=,e, California 95965 �� f �� r — Telephone:4534-4541 /� V APPLICATION AND PERMIT auu IUI 40 icNicaclnau vca UI ule lluUnly UI Dulle IV erller upurl Ine above-mentioned property for inspection purposes. J X �1,1itGlss� �J. Date - 117 7 Signature of Pee`rmitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date BUILDING Owner 13 SQ. FT. OCC. BUILDING VALUATION Mailing Address R.Ce_ Tel epho a No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ Building Address S s PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 g I Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 0, CS -0 O / Each gas water heater or vent 1.50 A. P. No. — A —i�— j Zoning a Planning Gas piping system 1 - 5 outlets 1.50 /�� 40-4063 Each additional outlet .30 F ' .C. fiat' Fire Dept. FireZone Use Permit Building sewer 5.00 i7. CW EQA Parking Plans ParcelParcel Declaration M 60' R/W Improvements p Lawn sprinkler system 2.00 BI . F0, s Recd `SCP rce pproval Plans Approval Permit Fee $ $ 3 3 CJi NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 io-p Main service 600V OR LESS 00. 100 AMP OR LESS 5 Main service EA. ADD'L 100 AMP 2.50 2 Q Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST DLOCCUP. ( &) 20sq ft ACCBLDG NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St le of: ±� Ex. Occup(OUTLETS OR FIXTURES)N'�K BAL C91 Ex. Occu FIXED APPLNS. OR p'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2 d $26 IS WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this P ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby e1sw .Q� TOTALPERMIT FEE $ S auu IUI 40 icNicaclnau vca UI ule lluUnly UI Dulle IV erller upurl Ine above-mentioned property for inspection purposes. J X �1,1itGlss� �J. Date - 117 7 Signature of Pee`rmitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date FI �E 11101164 ' LZR aj litzip aJ a 5)I2JOM ollana �o '1d34 p1na -jo uKnoo PERMIT APPLICATION WORK SHEET Permit No. OWNER - fdATr A.P. No.(fl 3 - g--� Zoning Use Proposed 42,A M 7 Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following d or information must be submitted prior to permit processing and/or issuance: '/U C, ,/M a-�'f 3 7Z '> 1. All items have been submitted. ------------------------------ 2. Plot plans in duplicate/triplicate. ------------------------- 3. Complete plans in duplicate/triplicate. --------------------- 4. Complete engineered plans and cales. ------------------------ 5. Fees of $ ------------------------ 6. Letter of signature authorization. -------------------------- 7. Sanitation approval. ---------------------------------------- 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. --------------- 10. Contractors license information. ---------------------------- 11. Parcel declaration, recorded copy. -------------------------- 12. Access declaration. ----------------------------------------- 13. Aunt Minnie information. ------------------------------------ 14. Deed of access, recorded copy. ------------------------------ 15. Deed of parcel creation, recorded copy. --------------------- 16. Parcel map, recording data. --------------------------------- 17. Pre -inspection request for 18. Improvements - plans required & DPW approval. --------------- 1 By (9✓v+ Date 2 Bldg. Inspector During plan checking process, the following data or information must be submitted Drior to Dermit issuance: 1. Index above permit for items and in addition the following: Date Received Before permit issuance, all of the following items must be signed or marked NA: 1. Zoning use 2. Legal parcel 3. Envir. Health Plans Sent 4. 2. Applicant advised by Telephone Mail Other 3. Plans checked by Date 5. 4. Plans approved by Date When permit is issued, process as follows: _ 1. Mail to owner. 2. Mail to contractor. 3. Deliver with inspection. 4. Telephone and hold for pickup. 5. Other 1.2 A. Sanitation B. Restaurant C. Other Public Works Plans Sent A. Street Imp. B.' Drainage C. Permits & Fees D. Other Planning A. Use Permit B. Variance C. Other Other Agencies Plans Sent A. Fire Dept. B. Other