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Home My WebLink About065-340-005PARC RECORDING REQUESTED BY MID VALLEY TITLE CO. AND WHEN RECORDED MAIL TO: GEORGE THEODORE PRIOLA 67 SANDY LANE WALNUT CREEK, CA 94596 A.P.N.:'065-340-005 Order No.: PAR/C a11221112513-10087641 Recorded Official Records GouBUTTEf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09o00AM 19 -Dec -2003 REC FEE 10.00 TAX 35.20 Andreae Page 1 of 2 Above This Line for Recorder's Use Only Escrow No.: 215641AAW GRANT DEED �Z THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY $35.20 [ X ] computed on full value of property conveyed, or [ ll computed on full value less value of liens or encumbrances remaining at time of sale, [ X ] unincorporated area; [ ] Town of _, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, ROBERT T. HERTEL, TRUSTEE OF THE ROBERT T. HERTEL TRUST U/D/T DATED MAY 28, 1996 hereby GRANT(S) to GEORGE THEODORE PRIOLA AND MARGARET V. PETERSEN, HUSBAND AND WIFE AS JOINT TENANTS the following described property in the UNINCORPORATED AREA, County of Butte State of California; See Legal description attached hereto and made a part hereof. THE ROB T T. RTEL TRUST /T MAY 28, 1996 Y: ROBERT T. H RTEL Document Date: November 18, 2003 STATE OF CALJgORNIA/ )SS COUNTY OF !S l VZV Sl l -e ) On P ECEW d e2e /5-2-003 before me, LE personally appeared ROBERT T. HERTEL , pexmua4 knnu,^j'�= 6r proved to.me on the basis of satisfactory evidence) to be the person(s) whose name(s)6Yare subsc ibed to the within instrument and acknowledgedto-me that(67she/they execisuted the same in er/their authorized capacity(ies) and that b hi er/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 han and official sal. Signatur . oOoea®9040G°°°°b°°°°°esob LESLIE RAE SALLER e r_OMIM. #1407675 O ren r NQiAR`f PUBLIC - CALIFORNIA W This area for official notarial seal. RIVERSIDE COUNTY g My Comm. Exp. April 25, '2007 gg Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Order No. BU -215641-2 AMM Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 10, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "SIERRA DEL ORO ESTATES UNIT NO. 2", WHICH MAP WAS. RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S) 27, 28 AND 29. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL. BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK .423, PAGE 385, OFFICIAL RECORDS. APN 065-340-005-000 RPR 09 '04 00:43 _... ___._. P. 2 ERARTMENT OF HOUSD. G. AND. COMMUNITY DEVELOPMENT lvevo-o ttrC.on dCodes and 8tttndardsTitle Search- . Date Printed: 11/1712003 Decal #: AAK8560 Manufacturer: LANCER Tradename: LANCER Model: ILT Manufactured -Daze:. oo/oon-969- Registration Exp: . 04/30/2004 First -Sold -On: 07/11/1969 Serial Number S141OX S141OU Record Conditions: Registered Owner: HUD Label / Insignia MM -1-216-9 MHH -1 -2S6 - MH 12369 1'PI' tixcmpt Use Code: SFD Original - Ili ce'Code: ` ABS Rating Year: 1969 Tax Type: ILT Last ILTAmaunt� S-7.0-0 Date ELT Fee Paid: 0-1/21/2003 IL -T Exemption( • NONE • Length Width 4(Y.. I fy 40' 10' ROBERT T HERTEL DORIS L HERTEL (Tenants in Common Or) PO BX 449 RIPON, CA 95366 Last Title Date: 06!26/199S 'Last Reg Card: 03/26/2003 Sale/Transfer Info: Price $8,000.00 Transferred on 12/23/1983 Situs Address: . 14801 WOOD DR MAGALIA, CA_ 95954-00; Sims County: BUTTE InactiVC_DeCaUDMV [ DMV GU1833, DMV GU1834 Open Escrow-: - - MID VALLEY T1T.LUESCROW CO 7084 -SKYWAY ' PARADISE. CA 05969-3954 Escrow File- No-. 21 -564 -1 -AMM ' Pending Buyer: PRIOLA, TED Dealer Name:- None Reported Escrow Opened On: 11/17/2003 Expires on: 03/16/2004 * • * END OF TITLE SEARCH '"; APR 09 '04 00:43 PRIOLA_ CONSTRUCTION; INC,., 67 Sandy Lane Walnut Creek, Ca. 94597 925-944-9869 `Fax: 925-944-7057 Ca: License -.#682371 Date: y P.1 Attention: all Fax. Number: Pages including cover: Memo: pt-c�V/ �6cck&4 QV k"O-s <_3cna- Y 87`,g� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BP040904 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 065-340-005-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 14801 WOOD DR MAG Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: ELEC SVC CHANGE OUT Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HERTEL ROBERT T TRUST to its issuance, also requires the applicant for such permit to file a HERTEL ROBERT T TRUSTEE signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section P O BOX 809 7000) of Division 3 of the Business and Professions Code) or that he or RIPON, CA 95366-0809 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): KI 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: TED PRIOLA Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, 67 SANDY LANE provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one WALNUT CREEK, CA 94597 year of completion, the owner -builder will have the burden of (925) 944-9869 (925) 944-7057 (FAX) proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor:• and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 amExempt Article 3 of the Business and Professions Code ��under Date: `_��a wner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: 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: Cagier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 9�-,I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is eby Rsued under the applicable provisions of the Bette County CodA anrdor I hereby affirm that there is a construction lending agency for the Resolution indicate above for hich fees have been paid. ,^�[ performance of the work for which this permit is issued (Sec 3097 Civ.) By: Date: Name: U O : PERMIT EXPIRES 0 - 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 of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of B County to enter upon the above mentioned property for inspectio urpo Print Name: Y t0 )C Signature: Date: ae� 13 Contractor ❑ Agent for Owner ❑ Agent for Contractor c I 065-340-005----- - VO4-0904 , PRIOLA, TED 14801 WOOD DR, MAGALIA *—CONT: OWNER` REPLACE ELEC PANEL(GARAG) OFFICE COPY 1 �a d Address y60� A&/�{(,, r i GAS 7. Meter By Date r >E[ ECTRIC Meter By bate BUTTE COUNTY PERMIT NO. °1%J3T 0 DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT BP040904 ° ° 24 HOUR INSPECTION #: (530) 538.7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538.2140 WEBSITE: www.bultecounty.nel\dds LICENSED CONTRACTORS DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN: 065-340-005-000 the Business and Professions Code, and my license Is in full force and effect. License Class :. License Number. Site Address: 14801 WOOD DR MAG Dale: Contractor. Map Index: Description: ELEC SVC CHANGE OUT OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: HERTEL ROBERT T TRUST to fts Issuance, also requires the applicant for such permit to file a HERTEL ROBERT T TRUSTEE signed statement that he or she Is licensed pursuant to the provisions of the Contractors Slate License Law (Chapter 9 commencing with Section P O BOX 809 7000) of Division 3 of the Business and Professions Code) or that he or RIPON, CA 95366-0809 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the - applicant to a civil penally of not more than five hundred dollars ($500).): FJ 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: TED PRIOLA Code: The Contractors' Slate License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees. 67 SANDY LANE provided that such Improvements are not Intended or offered for sale. It however, the building or Improvements are sold within one WALNUT CREEK, CA 94597 year of completion, the owner -builder will have (he burden of (925) 944-9869 (925) 944-7057 (FAX) proving that he or she did not build or Improve for the purpose of sate.). ❑ 1, 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' Slate License Law.). ❑ 1 amExempt Article 3 of the Business and Professions Code tuunndrde��r Date: �xe`-O vner. WORKERS' COMPENSATION DECLARATION License #: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: Is Issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 (he Labor Code. for the performance of the work for which this permit Is issued. My workers' compensation insurance carder and policy number are: Carrier. Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: P-�I certify that in the performance of the work for which this permit is Issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with provisions. (those Applicant: WARNING; Failure to secure workers' compensation coverage is to criminal and one <IC' unlawful• and shall subject an employer penalties hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor � `1 code. interest, and attorney's fees. � 1 1 LJ CONSTRUCTION LENDING AGENCY I hereby that there Is a construction lending agency for the This permit ism by i ued under the applicable provisions of the Butte County Coda anNor s Resolution t 4 indicate above for Ich fees have been paid. affirm performance of the work for which this permit Is issued (Sec 3097 Civ.) Name: 8j,. Date: •"=l O D PERMIT EXPIRES O . C� Address: Dale ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safely Code Is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that 1 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. thereby authorize representa0ves of B County to enter upon the above mentioned property for inspeclio- (( �— T \ Print Name: 1 �� r1U IC Signature: Date: -6vmar 0 Contractor 13 Agent for Owner 0 Agent for Contractor jC/,(G/Qi, 4 cGh /kz ha 0 J al f�ePA C/ v�a� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 t3ounty Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Aid (96 - 3 gra- o0r: OWNER /G/1 F d.� Spec F, a? PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contR act this office immediately. fl `Date L/ REV 10/92 /3ri->i.j P*!'&A, t r- tr OA— G%PG/—(- OT A —(OTA E%t. 10C q-1"11 rlI f VTA e Inspector 1' •:;1. r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP�9o�F DATE: APN: QC.- S -3'46. OGS ZONING: OW ER'S LAST NAME: OWNER'S FIRST NAME: PHONE it toig -T� STREET ADDRESS:0` FAX �� CRY. ZIP: f ` WC`nv� ►E'2� E MAIL: SITE ADDRESS: CRY. vP: NEAREST CROSS STREET: TRACT/LOT P APPLICANT NAME: PHONE STREET ADDRESS:' 1 � FAX CITY, ZIP: E-MAIL• CONTRACTOR NAME: PHONE STREET ADDRESS: FAX: CITY, ZIP: E-MAIL' LICENSE NUMBER:. LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CRY, ZIP: LICENSE NUMBER: E-MAIL: DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees 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. For office use only: Notes: Application Received by: 12 Date: Ola/o 4- Receipt number: 3475+75 Amount Received:*I(() �" �.�r �. PRE -INSPECTION REPORT OWNER: �►Q►o�.� '�f—mac LOCATION: 148yi wJao� 1'7ra,+uEQ� CONTRACTOR: o wntez- REASON FOR PRE -INSPECTION G0s4-ta 6 C—Lec- s ve DATE: 4-•3 • c4- A.P. # 4!!54,5. 340 • cc5 ZONING: DATE TO INSPECTOR: 41S o4' PERMIT HISTORY ( ✓NONE (O&t ATTACHED 1§U LDING INSPECTOR'S REPORT v Building s ption: D Commercial/Usage: Residential # of Units: Currently Occupied ( ) Yes (VNo bandone /Vacant: Electric: r Gas: Electric Currently ( ) On (Off Condition of Electric Currently ( ) On Condition N p � Sanitation: Plumbing Working (`Yes Obvious Sewage Problems ( ) Yes ACTION RECOMMENDED: ISSUE ( ) Off ( ) No Yes Mobile home # of Units: C91"— p7' r - Cz'll Ie3o MW /,J f 0 . U j XI/ AK )23.616 3312cl5 ( No 33 q2-6 Hold for permits or verify: JJ- /"%H 1*7/0 'bje_2.,J Cfih,e2G /,5 �o D ems, l' �Q l�ldE:th ��"f �P n- ✓ i 73 fez d -,o Ve-& 1 Inspector• .4� _A `L t - war Date: CKFTC14 R1M,DTNG.9 ON REVERSE AND INDICATE LOCATION ON PROPERTY: . � ; ) J,4 OLV-.> rO J,- c) 60aeAed t- Z'J ct-a-cj— Xe/l-t A S T. O BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BPo4,ago4 DATE: APN: Q6- S -346 . ODS ZONING: ;�ER'S LAST NAME: �'r a toi OWNER'S FIRST NAME: PHONE TREET ADDRESS: / l (l /�••! FAX 1W - 7711 CITY, ZIP: E-MAIL: SITE ADDRESS: �tJ�ve CITY, ZIP: q s s l olilA NEAREST CROSS STREET: TRACT/LOT P APPLICANT NAME: PHONE: STREET ADDRESS: � � ( ('� �j 1 FAX Cry, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREETADDRESS:, FAX: CITY, ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECTIENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E-MAIL' DESCRIPTION OR SCOPE OF WORK: cc e ec occ � rc ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees 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. For office use only: Notes: Application Received by: ILDate: *Ixlo 4 Receipt number: 34764-715 Amount Received: ;*If() �-" COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: ELE G OGeounter Technician: Date: 4LZ1d'r- Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) 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. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ❑ 20. Erosion Control Plan Required........................................................................ ........ p 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit...................:.................................................... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development_ about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................ ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 28. Pre -Inspection for E`1_r c.. VC.. required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (��f'Given to owner, _Mailed to owner) ..................... 32. Letter of Signature authorizalion.................................................................... 430 6q- 0 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑' 36. Deed Restriction......................................................................................... 37.trant Deed, ❑ M.H. Title/Statement of Facts, El Letter from Legal Owner, ❑ Check to H.C.D. $ 38.r: ❑ 39. Other: When issued Telephone !14- 4- • nand hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. - - Applicant:��_� Date: 1. Index permit application or-thiF6bove•itemsnumbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: . Yellow: Building Division P)lc�)CY(A o y l 3�c�b C-6 cio��- O.B. -1 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. C) I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES t NO ❑ 2 I HAVE ❑ HAVE NOT 9signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but. I have hired the following person to' coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPER'TYOWNER: DATE: L) NOTE: This Owner -Builder Verification is required by Section 19531 and 19532 of the California Health and Safety Coda This verification must be completed and returned to our office before we are permitted to issue the permit OVER I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord 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: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding,' federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you ifyou do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, ifyou 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 time structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work.personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit; erroneously implying that time property owner is providing his or her.own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Ivlic 1 C. Vi ira, C.B.O. ger, Building Inspection NOTE. This Owner-BuilderInforma ion is required by Section 19830 ofthe California Health and Safely Code OVER