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HomeMy WebLinkAbout068-410-016t• + • _ r{ •,1 14, r . +'r,•? r `' LI 7-1386 sit: ;iy .`rY ti '...i rte•RESIDENTfAL c S f.f 1. _ { y r ✓I 1 NEW SINGLE r F, 18 COTTAGE C4 CARTER CH&I's -2155 ` r 87. •4.f' 111' IVE +-.�i}�•L. 'f MAS • • 18 COTTAGE�q • y y [ f —._..�.."..... "..�r.,..�... w�v-.",y. ...-.....».,yrs....•.. Elf. , .. , s t r t• + • _ r{ •,1 • r . S. +:"1%� � �3 ��fa� �, �tir f` : fir} t 'S�'sP'�� e �" f��}{+� t + • _ r{ ,�� i,�1 , 'ESS i�-� 068-4 10-0 +.tit +'r,•? r `' MILY 1 VE ,' i Rr � s ♦ ('. f la 0 -{is y Private a l ;; •1 ` r 87. •4.f' 111' IVE +-.�i}�•L. 'f 1 • [ f —._..�.."..... "..�r.,..�... w�v-.",y. ...-.....».,yrs....•.. r 'I= • 1' 1 • i-....,......«•�.��:.-.....w..._.� —._..�.."..... "..�r.,..�... w�v-.",y. ...-.....».,yrs....•.. r 'I= BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds WATER ART INC. DBA ADONIS POOL WATER ART INC. DBA ADOr Building Garage Remdl/Addn 12 PHEASANT RUN COURT 12 PHEASANT RUN COURT CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)891-1197 (530)891-1197 FEE INFORMATION DBMSC Swim Pool -Master Plan Co .$496.42 0 Total Charged:' $496.42 Fees Paid: $496.42 Balance Due: 1 $0.00 Receipt No: B5011 LICENSED_ CONTRACTOR'S DECLARATION. Contractor (Name) State Contractors License No. / Class / Expires WATER ART INC. DBA ADONIS 266839 / C53 / 04/30/2009 I HEREBY AFFIRM UNDER (commencing with Section 7 is in full force delle ' X - OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, PERJ�"l 'd under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed t-3 as' fessioatn. Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 0/17/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Date ' • 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 peril is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by . Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier. STATE FUND Policy Number. 229-0006942 Exp, Date:01/01/2008 (This section need not be competed if the peril is or one 'unared dollars ($100)oror est ❑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' Compensali�laws of Car omia, and agree that i h9uld become subject to the workers' compensatigpprovis' of Stion3700`o a o eJ•s`hall forthwith comply with those 10/17/2007 1 re Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Please check one of the following: —]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 Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT u r Section B. & P.C. for this reason: 10/17/2007 Date 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 construction, and with any and all conditions of peril. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owper or am authorized to act on the property owner's behalf. 10/17/2007 OwnerContractor OR. ' Agent for Owner Agent for FILE COPY PROJECT INFORMATION Site Address: 18 COTTAGE COVE Owner: Permit NO: B07-2155 APN: 068-410-016 ROBERT SCHMAUTZ Permit type: MISCELLANEOUS 18 COTTAGE COVE Issued Date: 10/17/2007 By TMP Subtype: Private Pool OROVILLE, CA 95966 Expiration Date: 10/16/2008 Description: MASTER POOL # W07-0008 (530) 521-5972 Occupancy: Zoning: AR -'V2 WATER ART INC. DBA ADONIS POOL WATER ART INC. DBA ADOr Building Garage Remdl/Addn 12 PHEASANT RUN COURT 12 PHEASANT RUN COURT CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530)891-1197 (530)891-1197 FEE INFORMATION DBMSC Swim Pool -Master Plan Co .$496.42 0 Total Charged:' $496.42 Fees Paid: $496.42 Balance Due: 1 $0.00 Receipt No: B5011 LICENSED_ CONTRACTOR'S DECLARATION. Contractor (Name) State Contractors License No. / Class / Expires WATER ART INC. DBA ADONIS 266839 / C53 / 04/30/2009 I HEREBY AFFIRM UNDER (commencing with Section 7 is in full force delle ' X - OWNER/ BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, PERJ�"l 'd under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed t-3 as' fessioatn. Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 0/17/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Date ' • 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 peril is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by . Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier. STATE FUND Policy Number. 229-0006942 Exp, Date:01/01/2008 (This section need not be competed if the peril is or one 'unared dollars ($100)oror est ❑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' Compensali�laws of Car omia, and agree that i h9uld become subject to the workers' compensatigpprovis' of Stion3700`o a o eJ•s`hall forthwith comply with those 10/17/2007 1 re Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Please check one of the following: —]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 Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT u r Section B. & P.C. for this reason: 10/17/2007 Date 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 construction, and with any and all conditions of peril. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owper or am authorized to act on the property owner's behalf. 10/17/2007 OwnerContractor OR. ' Agent for Owner Agent for FILE COPY 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: • Make sure your application is complete. • 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 http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-2155 Location: 18 COTTAGE COVE Parcel Number: 068-410-016 Owner Name: ROBERT SCHMAUTZ iption: MASTER POOL # MP07-0008 Date: 10/17/2007 Phone: (530) 521-5972 Signature of Applicant: l��� " Date: 10/17/2007 Butte County Department 'of. Public WorksT T Qk J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION O C Storm Water Managment Program ' O O 7 County Center Drive Oroville, CA 9596.5 O O -(530).538-7266 Telephone (530) 538-7171,Fax CfC yvo' www.buttecounty.net/dds National.Pollutant.Discharge:Elimination.System (NPDES) Phase 1I Construction Storm. Water, Permit and Storm Water Pollution PreventionTlan (SWPPP) Acknowledgment (LESS THAN 1 ACRE 1 Reference Number: B07-2155 "' Date: 10/17/2007 Location: 18 COTTAGE COVE y. By: TMP Parcel Number:. 068-410-016 Sub Type: Private Pool Owner. Name::. ROBERT SCHMAUTZ Phone: (530) 521-5972 Description: MASTER POOL # MP07-0008 , 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 bylaw: Signed:. Date:` 10/17/2007 Title: FILE TTFp BUTTE COUNTY p DEPARTMENT OF DEVELOPMENT SERVICES p p BUILDING PERMIT APPLICATION p p AND SUBMITTAL REQUIREMENTS p -.o: _ �. p 24 HOUR INSPECTION{: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 p =_= p OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF A PPLICA TION I/ IN Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* OWNER INFORMATION Last N,�rr //• �,4v Z First Name Address f , C✓G CO ll457 City ®g6 V1 if rLC State llOo(� .. Phone - Fax E-mail i —�TATaw ii�s CONTRACTOR Name Flood Zone Address , 4/ City a CC Stat C� Zi Phone�l-�,, Phone Fax E-mail .�� L�� i —�TATaw ii�s AP (CANT SI A_ -T. -URE, X For office use only: ARCHIT CT/ENGINEER Name Flood Zone Address , 4/ City CC State—i. Sta (.._!f iet , Phone Phone Fax E-mail .�� State License Number AP (CANT SI A_ -T. -URE, X For office use only: APPLICANT INFO MATION Name Flood Zone Address /rte City CGO Sta (.._!f iet , Z"z Phone Page Fa� _ .�� E-mail AP (CANT SI A_ -T. -URE, X For office use only: Zoning Received by: Amount: Flood Zone SRA Ye No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BIN # � PROJECT LOCATION APb, o 7//'o ®% Property Addre�s� City � �� C�il�� dr Z-61 Cross Street Sq& WORKER'S COMPENSATION Policy Number Carrier A,- P-57 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 Scop ork: / ray° �lGl aC�G Sq FT- Living Garage Open Cov ❑ 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, anew 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. Pagee�1 of 2 5e - ( REV 8-12-05 Received by: Amount: Bldg SRA Receipt #: Sheriff SMTP ther Other Total Pagee�1 of 2 5e - ( REV 8-12-05 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 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. Lefler 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 K1FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 N. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 - WEBSITE: www.buttecounty.net\dds " z t PROJECT INFORMATION Site Address: 18 COTTAGE COVE Owner: APN: 068-410-016 CARTER, CHRIS Permit type: RESIDENTIAL 195 OAKVALE AVE Subtype: SFD-Custom/Model ,OROVILLE, CA 95966 Description: NEW SINGLE FAMILY 24061, GAR (530) 532-9568 CASTLE CONSTRUCTION 195 OAKVALE AVENUE OROVILLE, CA 95966 (530) 532-9568 CWIF SF CWIF SF CWIFAUD Impact Processing Audi CWIFDDS Impact Processing Fee DB R3 Dwelling -Custom, Model DB R3 Dwelling -Custom, Model DBFIRE Fire Inspection (SRA) DBFIRE Fire Inspection (SRA) CASTLE CONSTRUCTION 195 OAKVALE AVENUE OROVILLE, CA 95966 (530)532-9568 FEE INFORMATION $2,411.06 $2,132.89 $50.00 $50.00 $2,029.29 $1,352.86 $102.70 $102.70 _ LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires CASTLE CONSTRUCTION 806268 / A B / 04/30/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.n n Signature 08/27/2007 Date s . 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 is issued. E` yl HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by JJJ HAVE 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: State Fund Policy Number: 1442937 E,p.-Date:10/01/2007 (This section need not be completed if the permitis or ona hundred dollars ($100) or less. ❑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 those provisions. 08/27/2007 S natur Date W NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. '` ' • CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address Permit No: B07-1386 Issued Date: 08/27/2007 By KCG Expiration Date: 08/26/2008 - Occupancy: R-3 . Zoning: A -R Square Footage: Building Garage RemdUAddn 2,406 757 Other Porch/Patio Total DBFIRE SRA Fire Plan Review (S DBOMSCF Fire Safe Standards Re DBSMIP Residential $102.70 $115.98 $15.64 Total Charged: $8,465.82 Fees Paid: $8,465.82 Balance Due: $0.00 Receipt No: B4392 OWNER / BUILDER DECLARATION . I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects A the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ElI AM EXEMPT under Section B. 8 P.C. for this reason: X 08/27/2007 Owner's Signature Date 1 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 Slate laws relating to building 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 injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am auth rized to act on the property owners behalf. �[gtv�go M�► C p1r�r=-1y 08/27/2007 Kamp of Parmittaa _ GM1 Print T nate - ❑ Owner City State Zip Contractor' OR. ElAgent for Owner yent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name Mailing Address CitC/ y/► �v State Zip P Q— S— 3 2` 95-68 Fax M G f E-mail CONTRACTOR Name Address City D 6 -CO Stale.zip 95'y� Phone s ---3z Fax E-mail Lic. # 8 062 6 Class /4/ ARCHITECT/ENGINEER Name Addres. 345;0 Sta CityC% Phones ,5; L6 Sta� zipQs Ps 3 -.2 / lIs ax , _C3 9 E-mail State License Number APPLICANT INFORMATION Name //2/ S C %2� �- Address Q S - 6.9 At VAI //9 City O eo v/ 111 Sta No Phones ,5; L6 Fax E-mail :Iv APP NT SIGNATURE X u PERMIT NO. � 6� ` BIN # V PROJECT LOCATION AP# U (Q $ ` �[ to p c C Property Address' 06 /! 6-67 C oxzeE City U GAO �~n4, 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 DESCRIPTION OR SCOPE OF WORK: 7S7 15,V 6 Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy OO (Note previous Use): 1 For office us y: Zoning Flood Zone SRA Yes No Occ. Type Const. - - a co Ele_ V - 7-D Alice Scab. z �_ � �uT tF BUTTE COUNTY FEE. SUMMARY... Printed: 6/26/2007.1 .0 t © ,, f 7 County Center Drive 1138 am . o • Or96 oville, CA 955 - , . a o 0 o Department of Development Services 0 0 cov •Phone (530) 538-754.1: Fax (530)538-2140 a� - • Permit Number: B07-1386 Job Address: 18 COTTAGE COVE Contractor: CASTLE CONSTRUCTION. - 195 OAKVALE AVENUE OROVILLE, CA 95966 Fee Description Account Number ': Fee Amount Paid Date Pmt Amt, CWIF SF' CWIFFIREVE SF - 1851-0=280-1011853 $707.16 CWIFPWRDS SF . 1831-0-280-1011001 $1,337.55 CWIFFIREF SF 1851.0-280-1011852 $366.35 DB R3 Dwelling -Custom, Model DBF DWLNG CSTM/MDL N Permit F( 0010-440001-4210500-1010 $2,029.29 ' DBF DWLNG CSTM/MDL N Plan Rvv 0010-4400014210500-1010 $1,352.86 6/26/2007 $1,352.86 ' DBFIRE Fire Inspection (SRA):R .0.100-450001-4617240-1010 .. $102.70. 0100-45000146.17240-1010 $102.70 6/26/2007 $102.70 DBOMSCF Fire'Safe Standards Re 0010-44000.1;4210500-1010 .: $115.98. DBFIRE SRA Fire Plan Review (S. ' 0100-450001-4617240-1010 $102.70 6/26/2007 ' . $102.70 CWIFAUD Impact Processing Audi 0010-050-461:7998-10100.1 $50.00.: . CWWDDS Impact Processing Fee 0010-440001.4617999-1010 :.CWIF SF, CWIFSHERFF SF .1840-0-280-1011841 $312.99 CWIFLBRYV SF : 1825-0-280-1011828 $4.83 CWIFLBRYM SF 1825-0-280-1011827. '$162.04 CWIFLBRYF SF 1825-0-280-101.1826 $240.89 ' CWIFGGVE SF 1810-0-280-101001 $306.61 CWIFSHERFJL SF . 1800-0-280-1011811 .,$288.00.: CWIFSHERFVE SF 1840-0-280-1.011842.. .$152.72 CWIFGGF SF 1808-0-280-101001 $664.81_ . DBSMIP Residential 1001=0-280-1011298: $15.64 89465:82 $1,558.26 Printed By: Gwyn Benedict Balance Due: $6,907.56 . At the time of permit pplication, I was advised the above fees are required prior to issuance of the ' permit. These fees y cha during the plan. checking process. Signature:.Date: 6%26/2007 r Pursuant to Government code Section 66620, 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).. 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 F www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET M Reference Number: B07-1386 Date: 6/26/2007 Location: 18 COTTAGE COVE . By: GLB Parcel Number: 068-410-016 Sub Type SFD-Custom/Model Owner Name:: CARTER, CHRIS.. Phone: (530) 5324568 Description: NEW -SINGLE FAMILY 2406', GAR 757' COV 546' 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) 53370740 . LOAPUD, 1960 Elgin Street, Oroville.CA 95966 - (530) 533=2000 : :❑ Cityof 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 9593.8 - (530) 345-1921 � F athre�r Rive ecreaction & Park District 1206 Myers Street Oroville CA 95966 - (530) 533-2011 ,t ''�� I( El y� Paradise arks & Recreation 6 2 � E] Paradise 6 6 Skyway,; Paradise CA 95969 (530) 87276393 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 0 Gridley School District, 429 Magnolia, Gridley.CA 95948 - (530) W-472'3.. F-1 . E] Marysville School District, 1,919 B Street, Marysville CA 95901 7 (530)141-6000 mi 0 . _Orovilll��e;;�Eylemeen(tary School District, 2795 Yard Street, Oroville CA,95966 = (530) 532-3000 yo eilre 17n on"Nigh, 2211 Washington Ave, Oroville CA 95966 - (5'30)-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 95.917 - (530) 868-5447 ❑ M Other: Other: E F] Other: ' Signature.of Property Owner: } Butte County Department of Public Works T r J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program: o 0 7 County Center Drive. a. Oroville, CA 95965 .� o (530) 538-7266.Telephone Q� (530).538-7171 Fax S www.buttecounty.net/dds National Pollutant Discharge Elimination. System (NPDES) Phase II .Construction Storm Water Permit and Storm Water Pollution. Prevention Plan.(SWPPP) Acknowledgment [LESS THAN 1ACRE-1 Reference Number: B07-1386 Date: 6/26/2007 Location. 18 COTTAGE COVE By: GLB Parcel Number: 068-410-016 'Sub Type: SFD-Custom/Model Owner.Name: CARTERXBRIS Phone: (530) 532-9568 Description: NEW.SIN.GLE FAMILY 24061, GAR. 7571 COV 546' 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 Califorriia Regional Water Quality Board: I win aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the.$tate'of California Regional Water Quality Control Board for. this project that disturb&§ one acre or more of land may result in revocation of grading and/or other permits or other santions provided bylaw. Signed: Date: 6/26/2007 Title: 0 FILE 'California Department of Tore9try and. Fire Protection Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue; Oroville CA 95965 (530) 538-7888 Office,.(530)538-2105Fax Reference Number: B07-1386Dater 6/26/2007. Location: 18 COTTAGE COVE By: GLB Parcel Number:. 068-410-016 Sub Type: SFD=Custom/Model Owner Name: CARTER, CHRIS Phone: (530) 532=9568. Description: NEW SINGLE FAMELY:2406', GAR 757'. COV 546' To meet the requirements of Governirient 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 DevelopmentServices-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', 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 agefit.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: • 6/26/2007 Date ' Signature .... ..; All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.dtg/Fi repreventioii/protOlan/protOlan.fitnil . Rev'd 5/7/07 j r FILE - z 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 (fora 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 http://municipalcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1386 Location: 18 COTTAGE COVE Parcel Number: 068-410-016 Owner Name: CARTER, CHRIS Description: NEW SINGLE FAMILY 2406' Signature of Property Owner: 757' COV 546' FILE - Date: 6/26/2007 Phone: (530) 532-9568 Date: 6/26/2007 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 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. C 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 G 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 FORMAS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PLAN TO PROVIDE THEM OR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (YES OR NO) "y� 2. . I VE IIAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY_ PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF. THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE. TYPE OF WORK Description: NEW SINGLE FAMILY 2406', GAR 757' COV 546' Reference Number: B07-1386 Applicant Name: CASTLE CONSTRUCTI ,. Owner's Name: CARTER, CHRIS AP # : 068-410-016 Signature of Property Owner: Date: — Z -0 7 R QUEST: AOR: C0111NE I:OW PERMIT FROM j f Ll� [�Y�7 S LJL I heieinef er referred. to as ."Applicant', being the property owner or owner's agent desmng sewer service,. hereby. requests Lake: Oroville.Area Public Utility Distrio, hereiriaf r. referredto'as Distinct', to connectApplicants sewage disposal line to Districts sanitary.sewer system:and to provide sewerage'service. �/ f Location of property APA Subdivision: Lot#:Block#: _ Property Annexed. No. of E.D.0 's this.permit . ❑ • Property: Not Annexed El Property Annexation in. Progress Multiplication Factor: Kind of Service: 'Monthly Charges- Capacity.Charge: 2 [Residential . ❑..Resiiience.of:,Owner • Connection Fee ❑ Rental-;(single.family) Rental.{fuplez) ❑Apartment SGOR Facility Charge ❑.: Industrial ❑. Commercial. l A Totamount Payable This Permit U i ❑ Site plan review, d° ❑ Jobsite:reviewed The service applied for. Hereby shall .be in.accordance;with,the conciitions...hereinafter set forth. and the:ordinahces, rules;. regulations and policies adopted, or.to.be adopted, by the Board of Directors of; Distract, all of which Applicant agrees to abide by and fully., perform. i4ppbcant .agrees'to. pay for .such ser3ice at rates and charges as are established by Disthd.t, rom:time 6" . me. Signature of: Applicant Name of.'Own4 if not -Applicant Mailing Address of Applicant Mailing Address of Owner. . Phone # of Applicant to ?7 Phone #4- Owner. CONDITIONS OF-ACCEPFA, CE<0 SEWERAGE:SER�/ICE 1. In.accepong,this application, Distnct does not hold itself liable to Applicant for failure to perform. any of ttie obligations imposed upon,it or assumed 'Wit s5n�er this appl�cat�on h such failure be caused by. accident;: Act of God, fire, strikes, Hots, war, lack of capa-pity m SGOR trdatmehtld�sposal.plant`or Districts lines.. to handle the seyraoe or nay other cause bejrond reasonable control of Distnc _ . 2. Installation'of the:sewer servioe'litse pe bnen't to'th�s.application shall conform iri all respects to District's specifications.: 3 q/l structures �ericiia4- sport inate►iials enaineeredsfill ands etainin`g .walls shalf be placti n:<the "F' }•§ +tYxr�e"Cl" fa rte L' a 5� i$' ..X*G,f F A•A ✓ . proaerfy.so therxfgrav�iY..lo�c%4 i�out~s`�de}�of the sanitarr/ sew,�r easemeni�. - 4 Applcan`tY shalt secure perjnrt(s) as ne�ces"sary from theCountynof Butte prior to doing any work, including encroachment permits when work is withtrir county nght of way 5 Instaltabon.of the.sublect sewer hne shall be at the sole cost andexpense,of,Applicant. 6. Actual connection of:thesublectseiliierseipice lihe'to D�striet's'sewer. mainline shall be accomplished by District staff. 7. All work sha11 be_ inspected and approved by D n6L 8. Sutilect ti the:abbve condfions.a* DistiiW. pproval ani! `Verification form may. be issued as the Districts permit 9. This permit is'valid for one..(1),year:.If,work. .,is..not. completed -within said year, permit renewal.will be required, together with payment of any-inci;6 s in capacity fee, connection fee .and/or SGOR Facility Charge. Pa ent of Fees/Gharges: required ,prior to Fnal LAKE OROViLLE AREA P.U.D. :.:. .. ..... received;by` ` inspectio Pa' raU- Date: $ 2,Mn.Receipt# b BY '� / 2,5"27 1 2, Z7 CASH Date: I3u i-rI. J" 'Permit m-4 u"Y'#CHECK#- "Monthly char a 'payable at the curren -rate at time bf:connection. g PaXa . Aug / Ui DEVELOPMENT SERVICES u AND WHEN RECORDED MAIL TO: n BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY, of Document Recorded 27 -Aug -2007 2007-0040591 Has not been compared vith original BUTTE COUNTY RECORDER 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: �8 o'O77;q GE e!o iJ, 0'1?JV - 0 2oUtll CA 9s'96G AtIm.. 06 g- yld - ®l ,b Date PROPERTY OWNERS: (6) State of California ) Countyof6 ) On i 'before m �►I m Conner A, b l personally appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the.person(4 whose nameis/ subscribed to the within instrument and acknowledged to me thatF /she/th� executed the same in Vs./her/ authorized capacity(iA, and that by IX/her/the/signature�, on the instrument, the persono or the entity.upon behalf of which the person(�J acted, executed the instrument. WITNESS'my hand and ofial seals Y JILL M. CONNER Signatu Seal: U COMM. #1624267 13U�yE (� NOTARY PUBLIC;KIFORNIA 0 COITNT BUTTE COUNTY n �(COMM. EXPIRES DEC. 21, 2009 1 A.P. #! `1(0 — Q( AW L 7 2007 IDES' S,ctJPr"I T SERVICED BUTTE 9OUNTY DEVELOPMENT FEE CERTIFICATION FORM, rui rE FEATHER RIVER'RECREATION AND PARK DISTRICT (FRRPD) cooly 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) AUG Z % 2007 ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) DEVELOPMENT0 DURHAM RECREATION AND PARK DISTRICT:(DRPD) . SERVICES Assessor Parcel Number (s) O I & Building Pennit Number`i3sG Property Owner (s) h Pi S Y` Project Location /Address i C b U Subdivision Name Assessable Sq. Ftge � 0 Typ of Residential Development (check one) New Development Single Family -Detached Single Family -Attached 7 Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement. verified by Assessor Department Demo Permit (date issued ' } verified by Building Department Comments: OdA" All*� M 1`7- 0�1 Buil ding Department R sentative Date 0 FRRPD ❑ CARD 0 PRPD 0 DRPD certifies that: �•°r��, S c;� �T 6-3 -Fra( Applicant Name Phone Number L14 J h7s" go 14 14L C2 Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. byTayment of: Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: Paid by Check No: Paid by Cash:.., Receipt No: Recreation and Park District epresentative Date .........�...i-�--a-•-2.: �...--+..�.«.+�;�s+-r�^ao•.-.. _. .-�..•....;-�.�....-tir':.r �.-�:*':"�k,.-.<�.-„r.�.y._.,..�,�,.,�.�;c,.,..-. wR.-...... .,,.+.•-�'s.'i..n„ •..*�'. r .. BUTTE BUTTE COUNTY SCHOOLS IMPACT FEE .CERTIFICATION FORM COUNTY V,i .(One; form, per Budding) w AUG 2; 2007, p School District „ f ' 1, C eirYl� ' l"(�ij�L� Building �Department No. DES • 1• Tax / Area No. SERVICES r• � A.P. Number 0Q)S_ � I a N (0 Jurisdiction: City ©County Property Owner Property Location) F)01- I :)Sin 09 y O)4' Subdivision Lot No. Residential Development Sq. Footage 20 0 G No of Living Mobile Home,, ' Addition/ 'Supplemental to (Group R) Units Installation Conversion Permit # Cr. Demo - ( ( ) '(No foundation inspection) existing sq. ft. See attached ..................................................................... . ........................... Net total sq. ft. ! q l Ry Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial; 0 Q Sq. Footage ' New Addition (Including Exterior Roofed Areas) Building Department Representative Date ' District Identification ::No. CJtpt �t1M School District certifies that I (Payor) (Street Address) Eel (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. Os'�ry �� ( by payment of $ (O �cZ% representing a� `/y square feet. B 2926 $ FULL MITIGATION $ .School District Representative Paid by Check # / Remarks: Date 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 notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feeform.xls (12/06)dmm A 5 O Z O rn T +f � • gyp' � � : .. - �. h + ~ �.•. •. N m tr + � � • - CA •1 ..xg" - f •. ��. - og• pA r Z w a" Z n. o, M' •i , , • A 5 O Z O rn T v m DRAWN BY ; BARRY RUBANOFF r PO BOX 1123 BERRY CREEK, CA. 95916 TELEPHONE (530) 589-4102 ' I r BUTTE COUNTY JUN 2 3) 2007 SERVICES G-6- 1 I ^ I I S 2O•w SILpPj L+ -v, Swp SL ' L+V G. 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I+ C JJ Q I� -• � A 1 � 6� I I 1•-0- c I 2 �pyp I I P I i II 1 I f �(1��) (!V7 te V Y ! >Ill. .WO BLOCK L•/i6+ L'•u're Aotn-stwow VALVE �riAT NOSE Bess I 1,-0 ' r O V N S H u i gi 2 tl o Li N t 4' Q g »Ya Lge 4 2� 7 8€ < Rig 41$ig 819 19 DRAWN BY ; BARRY RUBANOFF PO BOX 1123 BERRY CREEK, CA. 95916 TELEPHONE (530) 589-4102 t• 10 C 0 �1 • o DRAWN BY ; BARRY RUBANOFF PO BOX 1123 BERRY CREEK, CA. 95916 TELEPHONE (530) 589-4102 t• t