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HomeMy WebLinkAbout064-560-024BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR rNSPECTION #:(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: 14124 ROLLINS CT Owner: Permit NO: B07-1675 APN: 064-560-024 MICARTER, INC., A CALIF. CO Issued Date: 09/12/2007 By KCG Permit type: RESIDENTIAL 350 PINEWOOD DR. Subtype: SFD-Custom/Model PARADISE, CA 95969 Expiration Date: 09/11/2008 Description: NSF 1843 /GARAGE 440 /COV.P. 60. Occupancy: R-3 Zoning: R-1 Contractor Applicant: Square Footage: HARDING JIM HARDING JIM Building Garage Remdl/Addn 350 PINEWOOD DRIVE 350 PINEWOOD DRIVE 1,843 440 PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530)877-0423 (530)877-0423 200 60 2,543 FEE INFORMATION CWIF SF $2,411.06 DBOMSCF Fire Safe Standards Re $115.98 CWIF SF $2,132.89 DBSMIP Residential $13.33 CWIFAUD Impact Processing Audi $50.00 CWIFDDS Impact Processing Fee $50.00 DB R3 Dwelling -Custom, Model $2,960.34 DBEH Building Review Fee $75.70 DBFIRE Fire Inspection (SRA) $205.40 DBFIRE SRA Fire Plan Review (S $102.70 Total Charged: $8,117.40 Fees Paid: $8,117.40 Balance Due: $0.00 Receipt No: B4109 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 HARDING JIM 232687 / B C20 / 07/31/2008 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 Contractors 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 09/12/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: Contractor's Signature Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION 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.). j I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by � ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: L�I Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors 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 contracts for the projects with a contractor(s) licensed pursuant to the Carrier. State Fund Policy Number: 498-0003653 Exp. Date:10/0112007 Contractors License Law.). (This section nee not be competed if the permit rs for one hundred dollars ($100) or less.) ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 09/12/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 09/12/2007 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 SignatU Date WARNING: FAILURE TO SECURE WORKERS' COMP SATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENAL7IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge thatt is issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the properhi owners behalf. CONSTRUCTION LENDING AGENCY ,-,`�� 09/12/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for ame df Vermittee IS ] Print Date the performance of the work for which this permit is issued. (3097 civ. code) (owner L-�j Contractor OR. FlAgent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip wT BUTTE COUNTY , o Fo DEPARTMENT OF DEVELOPMENT SERVICES.I ° ° BUILDING PERMIT APPLICATION � o. o OFFICE #: (530) 533-7541 FAX #: (530) 533-2140 o-- o o--yY�.� r o A FEE WILL BE REQUIRED AT TIME OF APPLICATION �0��,�.� Website: w. 1w.buttecounty.net/dds *"PLEASE PRINT CLEARLY* APPLICANT SIGNATURE 9 PERMIT $07-11 �5 PROJECT LOCATION AP# Property Address City 5q BIN _ WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 61i Sq FT- Living I Garage Open?eL Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: OWNER INFORMATION Last Name \ , y\ First Name Mailing Address SRA City ar —[ te te <__ Phone `p Fax E-mail APPLICANT SIGNATURE 9 PERMIT $07-11 �5 PROJECT LOCATION AP# Property Address City 5q BIN _ WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 61i Sq FT- Living I Garage Open?eL Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: CONTRACTOR Name � O Address SRA City s State Zip Phone g.! _ 0 2 Fax E-mail Lic. # Class APPLICANT SIGNATURE 9 PERMIT $07-11 �5 PROJECT LOCATION AP# Property Address City 5q BIN _ WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 61i Sq FT- Living I Garage Open?eL Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: ARCHITECT/ENGINEER Name � O Address SRA City s State Zip Phone g.! _ 0 2 Fax Email State License Number APPLICANT SIGNATURE 9 PERMIT $07-11 �5 PROJECT LOCATION AP# Property Address City 5q BIN _ WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 61i Sq FT- Living I Garage Open?eL Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: APPLICANT INFORMATION Name' Flood Zone Address SRA City s e Zip PhoneFax g.! _ 0 2 E-mail APPLICANT SIGNATURE 9 PERMIT $07-11 �5 PROJECT LOCATION AP# Property Address City 5q BIN _ WORKER'S COMPENSATION Policy Number Carder If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 61i Sq FT- Living I Garage Open?eL Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA s No Occ. Type Const. (PO raAlie, of,� radtl z Palrh' c Jul 27 07 04:19p Tammy Veitrees 07 ;`?/2007 14:53 9166 :57726 July 27, 2007 530-267-6260 SIERRA CCNVE`r'OR P.1 PAGE 01/01 I Pete Hay ward authorize Jim Hi din.g to apply :fet any permits pertaining to the. purchase of our building lot on Rollins Cour, AM64560024_ Pete Haywaxd x f BUTTE COUNTY UG 0 2 2007 VELOPMENT SERVICES 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 PERMIT APPLICATION DATA SHEET Reference Number: B07-1675 Date: 08/02/2007 Location: 0 ROLLINS CT By: TMP Parcel Number: 064-560-024 Sub Type: SFD-Custom/Model Owner Name: HAYWARD, PETER Phone: Description: NSF 1843 /GARAGE 440 /COV.P. 60 / OPEN D. 200 SOFT. The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No ❑ ❑ ❑ ❑ DRAINAGE DISTRICTS Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: Other: ❑ ❑ Other: Signature of Property Owner: Date: 08/02/2007 FILE 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. ° 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. There may be financial risks to you if you do not carry 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. I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR 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 CITY PHONE CONTRACTORS LICENSE NO 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 CITY PHONE CONTRACTORS LICENSE NO 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: NSF 1843 /GARAGE 440 /COV.P. 60 / OPEN D. 200 SQ.FT. Reference Number: B07-1675 Applicant Name: HARDING JIM Owner's Name: HAYWARD, PETER AP # : 064-560-024 Signature of Property Owner: Date: BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1675 Job Address: 0 ROLLINS CT Contractor: HARDING JIM 350 PINEWOOD DRIVE PARADISE, CA 95969 Printed: 08/02/2007 3:13 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt CWIF SF CWIFFIREF SF 1851-0-280-1011852 $366.35 08/02/2007 $366.35 CWIFPWRDS SF 1831-0-280-1011001 $1,337.55 08/02/2007 $1,337.55 CWIFFIREVE SF 1851-0-280-1011853 $707.16 08/02/2007 $707.16 DB R3 Dwelling -Custom, Model DBF DWLNG CSTM/MDL N Permit F( 0010-440001-4210500-1010 $1,776.20 08/02/2007 $1,776.20 DBF DWLNG CSTM/MDL N Plan Rvv 0010-440001-4210500-1010 $1,184.14 08/02/2007 $1,184.14 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 08/02/2007 $75.70 DBFIRE Fire Inspection (SRA) 0100450001-4617240-1010 $205.40 08/02/2007 $205.40 DBOMSCF Fire Safe Standards Re 00104400014210500-1010 $115.98 08/02/2007 $115.98 DBFIRE SRA Fire Plan Review (S 0100450001-4617240-1010 $102.70 08/02/2007 $102.70 CWIFAUD Impact Processing Audi 0010-0504617998-101001 $50.00 08/02/2007 $50.00 CWIFDDS Impact Processing Fee 00104400014617999-1010 $50.00 08/02/2007 $50.00 CWIF SF CWIFLBRYM SF 1825-0-280-1011827 $162.04 08/02/2007 $162.04 CWIFLBRYF SF 1825-0-280-1011826 $240.89 08/02/2007 $240.89 CWIFGGVE SF 1810-0-280-101001 $306.61 08/02/2007 $306.61 CWIFGGF SF 1808-0-280-101001 $664.81 08/02/2007 $664.81 CWIFSHERFF SF 1840-0-280-1011841 $312.99 08/02/2007 $312.99 CWIFSHERFJL SF 1800-0-280-1011811 $288.00 08/02/2007 $288.00 CWIFLBRYV SF 1825-0-280-1011828 $4.83 08/02/2007 $4.83 CWIFSHERFVE SF 1840-0-280-1011842 $152.72 08/02/2007 $152.72 DBSMIP Residential 1001-0-280-1011298 $13.33 08/02/2007 $13.33 c 89117.40 $89117.40 Printed By: Tammie Powell Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 08/02/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). e. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) , School District �� , f,�j^1 Building Department No. /,� Tax Rate Area No. A.P. Number V &q "s%/J� '� Jurisdiction: = City ©'County Property Owner Property Location, Subdivilsion Reside) tial Development I No of Living Units MobileHome Installation Commercial/Industrial Q /New Addition Building Department Representative Lot No. Sq. Footage Addition/ *Supplemental to (Group R) Conversion Permit # Cr. Demo - ( ) *(No foundation inspection) existing sq. ft. see attached ... ............................................ .... Net total'sgM1;ft.001' Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Sq. Footage (Including Exterior Roofed Areas) W%D Date District Identification No. Q / 1 &OZY,Z�r 1 /9School District certifies that � (ayo �o cn- �5q (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. representing School District .. 'square, feet` 0 Paid by Check # Remarks: by payment of $ , IAB 2926 FULL MITIGATION $ Date I / i e Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is noted by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM 0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CH CO AREA RECREATION AND PARK DISTRICT (CARD) &ARADISE RECREATION AND PARK DISTRICT (PRPD) ❑ DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) 0l _ c r�%�`l Building Pen -nit Number Property Owner (s) Project Location /A Subdivision Name _k-'� New Development Alteration/Addition(s) Mobile home Demo Permit (date Comments: Assessable �;q- Ptge s�,5 Type of Residential Development (check one) . i Single Family -Detached Non -Residential to Residential Mobile home replacement 1 n A0 . Single Family -Attached Multi -Family Dwelling verified by Assessor Department verified by Building Department 0 FRRPD 0 CARD CB,4561) 0 DRPD certifies that: plicant Name O Phone Number Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of - Dwelling Units @ $ per unit for a total of $ g 3 Square Feet @ $ , 50per sq foot for a total of $ �� • =>� Remarks: Paid by Check No: I 0 5 Paid by Cash: Recreation and Park`District Representative Receipt No: �9 3, Fc;� Date \; AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE -OROVILLE, CA 95965 COPY of Document Recorded 5 -Sep -2007 2007-0041795 Has not been compared vith- original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte CountyCode 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: . 1, o�c I �2. � �,.r• � c��S'� ��r�S V� �� \� .���� •� o o � M ��5 P a Vie. S � � .� 12 � �3 � 1� Date PROPERTY OWNERS: r kyn State of California County of On 2`1 , U-1 before me, person 'ally . appeared —� ,,r-\ \Ack,r��,(\c\ personally known to me (or proved to me on the basis of tisfactory 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 persons) acted, executed the instrument. WITNESS my and and official seal. Signature Seal: HEIDI GOMEZ O : ' Comm. #1714235 !17 NOTARY PUBLI C CALIFORNIA Q A.P. # p BUTTE COUNTY .1 My COWdssbn EXON Feb. 4 2011 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds C National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1675 Date: 08/02/2007 Location: 0 ROLLINS CT By: TMP Parcel Number: 064-560-024 Sub Type: SFD-Custom/Model Owner Name: HAYWARD, PETER Phone: Description: NSF 1843 /GARAGE 440 /COV.P. 60 / OPEN D. 200 SQ.FT. By signing below, I the project owner/owners' 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 buildouts 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 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 this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 08/02/2007 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 NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: O Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at httl2:HmuniciDalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1675 Location: 0 ROLLINS CT Parcel Number: 064-560-024 Owner Name: HAYWARD, PETER Description: NSF 1843 /GARAGE 440 /COV.P. 60 / OPEN D. 200 SQ.FT. Date: 08/02/2007 Phone: Signature of Property Owner: Date: 08/02/2007 FILE California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1675 Date: 08/02/2007 Location: 0 ROLLINS CT By: TMP Parcel Number: 064-560-024 Sub Type: SFD-Custom/Model Owner Name: HAYWARD, PETER Phone: Description: NSF 1843 /GARAGE 440 /COV.P. 60 / OPEN D. 200 SQ.FT. To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requirements. 08/02/2007 Date Rev'd 5/7/07 c Signature All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/FireDrevention/protplan/protDIan.html FILE is Il BUTTE t ' COUNTY AUG 0 2 2007 PEVELOPMENT SE.]gvjCES 1r� �reaY'll APS 46`� : Q29 i ....... .... i �1�V5�-c Relc 0. .A PAfRP:A.J�. ' � �Lzg9•� i ' seAn c .s tip, a :rN J. , Ic 'r'A • S\\EST �1 !o'e $'. 0.: r•�r z V N:Sz r11� _j*1 � Q7 --- \ CQ -7 RECORDING REQUESTED By Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Mlcarter, Inc. 350 Pinewood Drive Paradise, CA 95969 2007-0037630 Offcounial yRee�oords I TAX FEE 9.00 of I out amm J. ONE I County Cleric-flecorderl I ®9.6011 1 10- fug -W I Pae t of 8 space Above This Lina for Recorgars Use Only A.P.N.: 064-560-024-000 File No.: 0402-2860005 (CH) GRANT DEED The Undersigned Grantor(s) Dedare(s): DOCUMENTARY TRANSFER TAX $99.00; ary TRANSFER TAX 5; SURVEY MONUMENT FEE; [ X computed on the conslderatlon or fuU value of property conveyed, OR [ computed on the constderatton or full value less value of (lens and/or encumbrances remalning at time of sale, C/ [ X unincorporated area; [ I Oty of , and FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Peter D. Hayward and Mai jean Hayward, husband and wife hereby GRANTS to Micarter, Inc., a California Corporation the following described property In the Unincorporated Area of , County of Butte, State of California: PARCEL I: LOT 162, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. Ion , WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 19,1970, IN BOOK 38 OF MAPS, AT PAGES 11,12, 13 AND 14. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONT_ FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND. PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A AND 6,126,127 AND 167 (THE COMMON AREA) OF SAID PARADISE PINES UNIT NO. 10, AND THE LOTS DESIGNATED FOR COMMON AND RECREATION AREAS, AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, AND ,XIII. Dated: 08/01/22 ✓ fi� Pedr— D. Hayward V hikL A-) Maijean Ha ' rard Mall Tax Statements To: SAME AS ABOVE r A.P.N.: 064-560-024-000 Grant Deed • continued File No.:0402-2860005 (CFI) Date: 08/01/2007 STATE OF Nf. • AS COUNTY OF On VA/ -0 7 before NoV Public, p2rson}Ily appeared o n theffiasis of satisfactory the w n nstrument and acknowledged�nat pa Res nd at by Ail: �r e fw c erso acted, executed the _ WITNESS my hand and of lal seal. . personally known to me )to whos me iVsubscrlbed to 0the same is/ ,U1 authorized the Instrument thod nD or the entity upon behalf of RMAN Mf; PMERSQN COMM. 01700085 -� Signature MOM MUM - CAM" o- ft Wo. (f" Oct. 20, 2010 My Commission Expires: /0.1-40.110 7h/s ares for ®ffldal notarial seal Notary Name:`TR N c &EA s o ,*1 Notary Phone Do Notary Registration Number: 17000215" County of Principal Place of Business: man./ Page 2 or 2