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Home My WebLink About065-420-023BUTTE COUNTY • DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHIgO) OFFICE #: (530) 538-7541 PERMIT NO. BP050715 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 03/17/2005 APN:O65-420-023-000 the Business and Professions Code, and my license is in full force and effect. License Class:: License Number: Site Address: 15057 TOREY PINE RD MAG Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: UP -GRADE ELECTRCAL SERVICE & Contractors' State License Law for the following reason (Sec. 7031.5 MISC.RE-WIRING Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: VICTOR C. MASETTI signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 14709 NORTHWOOD DR 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA CA she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the 95954 applicant to a civil penalty of not more than five hundred dollars ($500).): (530) 873-0765 ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DORIS MC GILL such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 14709 NORTHWOOD DR sale. If however, the building or improvements are sold within one MAGALIA CA year of completion, the owner -builder will have the burden of 95954 proving that he or she did not build or improve for the purpose of sale.). (530) 873-0765 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: APOLLO ELECTRTIC pursuant to the Contractors' State License Law.). 1797 MERRILL RD ❑ I am Exempt under Article 3 of the Business and Professions Code 4 PARADISE CA Date: 3' — Ow 95969 erti (530) 872-1842 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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 is issued. ❑ 1 have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: g the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: rotal Square Ft: .0 S.F. Policy #: Valuation: $0.00 `bJ 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 Census Code: 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:` �7 Applic 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. P7,SI 4m, -s G J z mi CONSTRUCTION LENDING AGENCY This permit is h eby issued under th apppl able 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.)( Resol lions work indicated a ve for NhiC i es have been paid. performance Name: B- , /- Date: r' Iw 3 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 & 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 slate laws relating to building construction. I acknowledge it is unlawful to alter the substance of official form or document of Butte County. I hereby authorize representatives of Butte County to enterupon the above mentioned property for inspection purpo s. 1 ^ `CfJ �G�C� Signature: Print Nam Date: ❑ Owner ❑ Contractor gent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 City, State ZipSan Jose, CA 95129 Order No. 00217559-003 2��4—�t�594.66 Recorded OfficialRecords Count BUTTf E CANDACE J.; GRUBBS . Recorder ROSEMARY DICKSON Assistant 09:00AM 26 -Sep -2004 I. REC FEE 10.00 I TAX 55.00 I I I I I I Cheryl I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 065-420-023 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersi ned Grartor(s) Declare(s). Documentary Transfer Tax is $55 . 00 ❑ City/Town of El computed on full value of interest or property conveyed, or 0 Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION; receipt of which is hereby acknowledged, Fred E Syres and Ruth A. Syres, Husband and Wife as Joint Tenants hereby.GRANT(s) to Victor C. Masetti, a Single man the following real property in the Unincorporated Area, County of Butte, State of California: "'�% ""t�7 Fred E Syres SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Ruth A. Syres Document Date: September 13, 2004 1 State of California County of / } SS. On Z� 5� , before me, theundersigned, a Notary Public in and for said County and State, personally appeared Fred E Syres and Ruth A. Syres Personal] io me (or proved to me -on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that hvVm/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature FOR NOTARY SEAL OR STAMP Y. FORD N COMM. # 1375792 NOTARYPUBLIGCALIFORNIA COUNTY OF BUrFE Comm. Expires Oct 18, 2006 MAIL TAX STATEMENTS TO: Same as Above BTEC/GRANTDEED RECORDING REQUESTED B"j Bidwell Title & Escrow Company . AND WHEN RECORDED MAIL TO Name Victor C. Masetti Street Address 6138 Rainbow Drive City, State ZipSan Jose, CA 95129 Order No. 00217559-003 2��4—�t�594.66 Recorded OfficialRecords Count BUTTf E CANDACE J.; GRUBBS . Recorder ROSEMARY DICKSON Assistant 09:00AM 26 -Sep -2004 I. REC FEE 10.00 I TAX 55.00 I I I I I I Cheryl I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 065-420-023 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersi ned Grartor(s) Declare(s). Documentary Transfer Tax is $55 . 00 ❑ City/Town of El computed on full value of interest or property conveyed, or 0 Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION; receipt of which is hereby acknowledged, Fred E Syres and Ruth A. Syres, Husband and Wife as Joint Tenants hereby.GRANT(s) to Victor C. Masetti, a Single man the following real property in the Unincorporated Area, County of Butte, State of California: "'�% ""t�7 Fred E Syres SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Ruth A. Syres Document Date: September 13, 2004 1 State of California County of / } SS. On Z� 5� , before me, theundersigned, a Notary Public in and for said County and State, personally appeared Fred E Syres and Ruth A. Syres Personal] io me (or proved to me -on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that hvVm/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature FOR NOTARY SEAL OR STAMP Y. FORD N COMM. # 1375792 NOTARYPUBLIGCALIFORNIA COUNTY OF BUrFE Comm. Expires Oct 18, 2006 MAIL TAX STATEMENTS TO: Same as Above BTEC/GRANTDEED SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required), No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (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. Detached Accessory Building Form filled out by the owner (if required). ❑ 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. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 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 2-24-05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" APPLICANT AME Last N Name Address dd • • A Address E -mail Address/'7 f.ZSi�i � State City APPLICANT AME CONTRACTOR Name Name Address E -mail Address/'7 V7 fr III State City Phone State Zip, Phone _ l/iZ l�G Fax E-mail 16, Cess APPLICANT AME ARCHITECT/ENGINEER Name Flood Zone Address E -mail City No State Zip Phone Map Book Fax E mail Planner State License Number APPLICANT AME Name 11 SLX � Is Me- l Address /� jr 7� G / City Stat M Flood Zone Phone )3— E -mail APPLICANT SIGNATURE X For office use only: Zoning Property Address SO Flood Zone Cross Street SRA e No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMITn BIN # LOCATION AP# Property Address SO City 66� Cross Street 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 K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: 0 to - �aa /1/ - Sq. ootage Wt fir' ❑ Structure Built witho4f qermits ❑ Proposed Change.of ccupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: 7P.Amount: MO. L Bldg SRA Receipt #://2S�Q S/ Sheriff /l SMIP Date:3— Other Total REV 2-24-05 s Order No. 00217559-003 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 53, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO..3", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 17, 1970 IN BOOK 35 OF MAPS, AT PAGES 78, 79; 80, 81 AND 82. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS WITH THE RIGHT TG 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 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 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 385. AP NO. 065-420-023