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HomeMy WebLinkAbout069-210-009i 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 PROJECT INFORMATION Site Address: 47 KOKANEE DR Owner: Permit No: B07-1535 APN: 069-210-009 HITESHEW, JAMES M & AMBE Issued Date: 10/25/2007 By KCG Permit type: RESIDENTIAL PO BOX 512 Subtype: SFD-Custom/Model OROVILLE, CA 95965 Expiration Date: 10/24/2008 Description: NSF DWELLING (2239), GAR(576), I (530) 370-1835 Occupancy: R-3 Zoning: RTI Contractor Applicant: Square Footage: HITESHEW, JAMES Building Garage RemdUAddn PO BOX 512 2,239 576 OROVILLE, CA 95965 Other Porch/Patio Total (530)370-1835 125 500 3,440 FEE INFORMATION CWIF SF $2,132.89 DBFIRE SRA Fire Plan Review (S $102.70 CWIF SF $2,411.06 DBOMSCF Fire Safe Standards Re $115.98 CWIFAUD Impact Processing Audi $50.00 DBSMIP Residential $0.20 CWIFDDS Impact Processing Fee $50.00 DBSMIP Residential $16.66 DB R3 Dwelling -Custom, Model $1,297.32 DB R3 Dwelling -Custom, Model $1,945.97 DBFIRE Fire Inspection (SRA) $102.70 Total Charged: $8,328.18 Fees Paid: $8,328.18 DBFIRE Fire Inspection (SRA) $102.70 Balance Due: $0.00 Receipt No: B5109 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 10/25/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Plea eck one of the following: Contractor's Signature Date I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR FFERED 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 WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance The Contractor's License Law dows not apply to an owner of the property who builds or improves carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section need not be competed if the permit is or one hundreddollars ($100) or less.) ❑ I AFIEMPT under Section B. & P.C. for this reason: I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS SUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 10/25/2007 compe7stkpn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owngnature Date provist ns. X 10/25/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. C my to enter the above mentioned property for inspection purposes. I hereby certify that I am the Pr pertXowner r am authorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY kg(,/ 10/25/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for N e of P ittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) canerContractor OR: 1:1Agent for Owner ❑Agent for Contractor FILE COPY Lender's Address City State Zip 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 APPLICA TION Website: www.buttecounty.net/dds• "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name (rI W FiW Vame I r3 C,X4o%.4 e- Mailing Address P0 .!5r-/ Z City U _ State44 Zigas�(cJ S << Phone 0 3� Fax E-mailp eu.) ob SGC APPLICANT INFORMATION CONTRACTOR Name Address Address Address City Gt State Zip Phone Fax Fax E-mail Phone Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address e-- Dc, Address Yes Gt zip CityPa fa ` Ctj c Fax Stag, Phone e2 Fax 0?72.— E-mail State License Number 3� 3 APPLICANT INFORMATION Name ^�'Vvt JS—s I RT_ I Address e-- Dc, CityQ Yes State zip Phone �p Fax E-mail APPLICANT SIGNATURE X PERMIT NO. 3071535 BIN # — ,. PROJECT LOCATION AP# O /_Cj _ Property Address c-1 7 o e -e CityO t( -e 07 51:/ & & 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 szf �DESCRIPTION OR SCOPE OF WORK: e C -C-- Sq FT- Living �3 Garage Openj Cov� ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning I RT_ I I Flood Zone I I SRA Yes Occ, -)No Type Const. �OAP�D FlAer pMt �i2-A Oq�-aoS BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Permit Number: B07-1535 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Job Address: 47 KOKANEE DR Contractor: Printed: 07/16/2007 2:29 pm 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 Fi 0010-440001-4210500-1010 $1,945.97 DBF DWLNG CSTM/MDL N Plan Rvv 0010-440001-4210500-1010 $1,297.32 07/16/2007 $1,297.32 DBFIRE Fire Inspection (SRA) 0100-450001-4617240-1010 $102.70 0100-450001-4617240-1010 $102.70 07/16/2007 $102.70 DBOMSCF Fire Safe Standards Re 0010-440001-4210500-1010 $115.98 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.70 07/16/2007 $102.70 CWIFAUD Impact Processing Audi 0010-050-4617998-101001 $50.00 CWIFDDS Impact Processing Fee 0010-440001-4617999-1010 $50.00 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 1825-0-280-1011826 $240.89 CWIFGGVE SF 1810-0-280-101001 $306.61 CWIFSHERFJL SF 1800-0-280-1011811 $288.00 CWIFSHERFVE SF 1840-0-280-1011842 $152.72 CWIFGGF SF 1808-0-280-101001 $664.81 DBSMIP Residential Printed By: Kourtni Graham 1001-0-280-1011298 $16.86 8,328.18 $19502.72 Balance Due: $6,825.46 At the time of ermit application, I was advised the above fees are required prior to issuance of the permit. Thies ees may change during the plan checking process. Signature: Date: 07/16/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. 1 PERSONALLY P TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT (YES R NO) 2. I IAVE NOT) SIGNED 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 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: NSF DWELLING (2239), GAR(576), 0(125), COV(500) Reference Number: B07-1535 Applicant Name: HITESHEW, MES Owner's Name: GARNER, E R ENS AP 4 Signature of Property Owner: Date: 069-210-009 Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds O 0 0 0 0 National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-1535 Date: 07/16/2007 Location: 47 KOKANEE DR By: KCG Parcel Number: 069-210-009 Sub Type: SFD-Custom/Model Owner Name: GARNER, EARLENE Phone: Description: NSF DWELLING (2239), GAR(576), 0(125), COV(500) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: nA J -A'/ Title: . CDC 0 e ��-- FILE Date: 07/16/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http:Hmunicit)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1535 Date: 07/16/2007 Location: 47 KOKANEE DR Parcel Number: 069-210-009 Owner Name: GARNER, EARLENE Phone: Description: NSF DWELVkNG (2239), GAR(576), 0(125), COV(500) Signature of Property Owner: v FILE Date: 07/16/2007 California Department of Forestry and Fire Protection Butte County Fire Department Fire Prevention Bureau Reference Number: B07-1535 Location: 47 KOKANEE DR Parcel Number: 069-210-009 Owner Name: GARNER, EARLENE 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Date: 07/16/2007 By: KCG Sub Type: SFD-Custom/Model Phone: Description: NSF DWELLING (2239), GAR(576), 0(125), COV(500) To meet the requirements of Government Code section 51182 and Public Resource Code 4291, Butte County requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ Butte County Improvement Standards Requirements prior to scheduling the pre -inspection: . ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site All development within the Requests for inspections shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan. I have read and understand the above pre -inspection requireme t 07/16/2007 Date Signatu e All of the Fire Safe Requirements are posted on the Butte County Fire Department website at http://buffefire.org/FireDrevention/protplan/protDIan.html Rev'd 5/7/07 FILE PERMIT NO. IS4 -d,7 Lake Oroville Area Public Utility District 1960 Elgin Street OROVILLE, CALIFORNU 95966 (530) 533-2000 DISTRICT APPROVAL AND VERIFICATION OF BUILDING SEWERS INSPECTION This verification form must be submitted to the Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval of a Building or an Occupancy Permit by Butte County, a copy of this verification form, signed off.by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: October 24, 2007 Applicant: James Hiteshew Applicant Address: PO Box 512 Oroville CA 95965 Applicant Phone No.: 589-5009 Property LOcations(s): 47 Kokanee Dr. Oroville CA 95966 KRE Unit 3 Lot 22 A.P. No.(s): 069-210-009 Fees due: $4018.00 paid 10/24/07 New single family dwelling. Application for service approved: LA$E 910VILL&AREA PUBLIC LYFILIIY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: By: BUTTp Lake Oroville Area Public Utility District release to close permit: OCT Z 5 2Q07 DEVELOPMENT Date: By: SERVICES ❑ - In Service ❑ - Locked Out White - Customer Green - Office Final Yellow - Customer Fina/ Pink -FOS Final Gold -FOS 0- P,E U PEP -MIT ,MTRWCONNE" 9-H E.VV!t lop 'SERWCE FROM APPL-ICA.TIONTOWS _4 P - UBLICAJI &Y'DISTRICT L*ki� 600MMLEAMA' hereinafter referr6d to 'as -ApplicanC, ri, ** ' requests Lako-oroville% Area. PublicUtility owner or. being Mewer District's sanitary sewer . i * Applicant's sewage disposal: line to DDistrict,..to connect system .and to provide sewerage sice. Location of property:.&P J P U /YJ_ Lotfk Z2_ BlocW:- Subdivision: Property Annexed Property Not Annexed E] Property Arind)(966n)n. Progress Kind of Service: . No. of E.D.U.'s this.p6rrrk Multiplication Factor:1 .'Monthly Charges: 2-1 .1 5 Gapac:ity.Charge, .19 IS' Residentialdo [TR6sidonce.6f0w.ner Connection Fee: -Ej R64till.(4inb!6family) 1:1 R644(duipl6x-) El -Apartment SCR Facility Charge: E]. -Industrial Cbmmercial Total Amount Payable This Permit 19_Site plan r6vieWedj2 Jbbsite.reviewed A -0 4 �0, ]4A 0., The service applied for. hereby shall .bean accordancqwith the conditions . hereinafter set forth and the � ordinances, ad. ',b - the -4 conditions.. 6- Of.:D rules,. regulatibhs� and policies adopted, ortome Board 6�6 istrid, all.'cyf which Applicant 9ptod th a. . 0 by -,an d fully. ppl!pphi aigreps' to pay for ;such s6Mice at rates and charges as are reel to abide p��6rrri. 'A e�tablish6d IJV District, tirrit-10"time. Signature of Applicant Name of.'Owheif notApplicant Signature 'Mailing Addressof Applicant Mailing -Addre's-so-f0wrier. Phone # of Applidarit_� T � a.() D � Phone #'o'f OWner. CONDITIONS OFACCEPTANCE.ORSEWERAGE SERVICE .1. In.acceptirig th.is,application, District '. does`'n­o't`hI*,o..l.d. itself . -e-- lf liable.th"-A ppliont.for failure to perfo rm an of - he obligations mposed uOdnor assumed by ttV6dirhi§Ap116666p ifsuch .ftflure becaused,byacciddnt, Act of God, fire, sirikes,'ribtsAar, lack of :capacity nSCP� osal Iht or Distridslines to handle he sewage or pay other `ca dreasonable I - Disfritt 2. Installation of sewer service ine pertinent A6this' applicatonshpil conform in all respects to Districts specifications. a M"' d' " 3 -1 pro ad 0 Rgri gb� 15 0' d -ftd• OR els n. -_�,eWer,.eaS6ffj' y .Appl�A11.1;'­cure"5--­;."It-1 �­permrt. ... fas necessary , :­ I Butte. prior to doing any work, .4. Of including encroa�'616i-permits when .!n f"Away. .1 7 ..5n on ..' hosubject 66st:and expense $e.of Applicant. 6. Actual connection of the s sewer, ssewer maitlind0all-be accomplished by District staff. 7. All work shall 4 -OY-�W?Y21RWqL r ...Fppr -1 1 1 1 d" 8 Subject to th6.g v6-b&idiNo'hs.a.0is Verification fo.r may be issued as the Districts p Vp and n, permit 9. This permit -is valid for one. (1).year., If Work.is not completed within said year, permit renewal will be i required, together with payment of any ny : in, c . rea.sp in connection fee .and/or SGO'R- Facility Charge. Payment of 4.Fees/Charges. required, :prior to inal LAKE OROVILLE AREA P.U.D. inspection.on. Pa",e- t6bOIV .;4b Receipt # Vs By. ECASHWHECK# Date: Z 2(4 $ - 'Permit- It 14 - 07 n r -r j - )nn7 a `Monthly charge pay U6 at the current'rate at time of connection. Icy RECORDING REQUESTED BY Bidwell Title & Escrow Company `AND WHEN RECORDED MAIL TO Name James M. Hiteshew Strm Mdr 60 Shadow Oak xed'm chy. Stair P ZIv Oroville, CA 95966 � Omer.No. 00230689-001 011 111111111111 I III III I II IIIIII I II 2007-0021547 Recorded I Official Records I T� FEE 19,r) Could of 77.@Be But CIM J. BMW I Coulitq Clerk-Recorderl I 09:W184-flay-EtaB7 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S Parcel No. 069-210-009 GRANT DEED THIS FORM FURNISHED BY BIDWELLTITLE 8t ESCROW COMPANY The Undersigned Grantors) Declares) Documentary Transfer Tax is $77.00 21 ❑ City/Town of ® computed on full value of interest or property conveyed, or C." 0 Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of saic ❑ Monument Fee of S 10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Wanda Butterfield, Administrator of the Estate of Earlene Lynn Garner,_deceased hereby GRANT(s) to James M. Hiteshew and Amber Justine Hiteshew, husband and wife, as Joint Tenants'"`' the following real property in the O City of G' Unincorporated Area County of Butte, State ofCalifomia: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF' anda Butterfield, Admini rator of the 'Estate of Earlene Lyng ,.=,c a deceased Document Date: April 26. 2007 State of Culifop County of SS. OnLA—�—U'-L , before me, Notary Public, personally appeared Wanda Butter iel Personally known to 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 he/she/thcy executed the same in histher/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 m and official seal. Signatu FOR NOTARY SEAL OR STAMP TERRI GEROY P rn Commission 87442021 p a- Notary Public-Calitomla tin U Butte County My Comm. Exp. OCT. 24, 2007 MAIL TAX STATEMENTS TO: Same as Above aTEGGRANTDEEL) U'UTTV, 1, CoUNTY m- I t 207 "VELOOMNT 4-ELV.ICFs EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: Order No. 00230689-001 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 22, AS SHOWN ON THAT CERTAIN MAP ENTITLED, -KELLY RIDGE ESTATES UNIT NO. 399, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, JULY 2691974 IN BOOK 43 OF MAPS, AT PAGES 44, 45, 46, 47AND 48. BUTTE COUNTY jUi. 1 g, 2007 DIEVELOpWNT SE CES BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM LEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) ❑ PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) l0 0� ' o� 1 b ��}�_ Building Permit Number 5F_>6__] ' IS 35 Property Owner (s) �_ D�yY� G�S /�1 i- f SV1 e L0M Project Location /Address �� �� `�� `� h -e I �N $ lJ V_&1/1M e_ Subdivision Name Assessable Sq. Ftge ec-4 ori -�->9 New Development Alteration/Addition(s) Mobile home Type of Residential Development (check one) Single Family -Detached Non -Residential to Residential Mobile home replacement Demo Permit (date issued ) Comments: 11 } Single Family -Attached Multi -Family Dwelling verified by Assessor Department �rified by Building Department ❑ F_RRPD ❑ CARD ❑ PRPD_ 11 DRPD certifies that: LL ii-- ,-sC.Z-�1niL r � 610 4 ( TCS "Le- W 5 sl% S � pplicant Name - Phone N ber 3 sdj , Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Dwelling Units @ $ Square Feet @ $ Remarks: Paid by Check No: Paid by Cash: I/— Recreation and Park District Representative KAMR MS\Rilil.niNO FORMS\nark-rec standard form rev I -doe per unit for a total of $ Q(Q per sq foot for a total of $ Receipt No: 'c BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM .. (One form per Building) tc School Districtad t i • �) � ' I � � � �� {� — ►(tel 'C Building Department No. r Tax Rate Area No. c-) c S A.P. Number �) _ Jurisdiction: = City County Property Owner / S - Sr 1P Lt-) Property Location/Address () t Y�(� f' Dy �J Y ov I t e Subdivision Lot No. Residential DevelopmentQ Q 0 Sq. Footage 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. f Deed Restricted Sq. Footage +? rf• (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercial/Industrial Q Sq. Footage New Addition (Including Exterior '�� � Roofed Areas) OAt I PL//Xv—\1410 1 :�- 104 Building DepK ent , epr Sentative Date District Identificafion No. .% 9 School District certifies that (Payor) (Street Address) (City) I (State) 4 (Zip Code) (Phone Number) has complied with the requirements of Resolution No. by payment of $ S' -,F99, S'2 i representing 9 square feet. B 2926 $ FULL MITIGATION $ School District Representative a'r Paid by Check # } 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), with/in 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 AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 15 -Aug -2007 2007-0038808 Has not been compared with 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: LoT• cc S S ko tx)vA ou-� t(nq'+ Cfet'�-cif n t/ytctP e✓1 �� f C) C -c ff Sf� e cs Cie (�` � Ct , 316c K C40 L40 Dat --/ 5--a7 PROPERTY OWNERS: e i State of California County of On AyUS+ 15 2-M� before me, ctiE ew 'c , . Te i's+ , Uo'M49" Ml; G personally appeared'M1neS AtCkAe( 41445kew ar►d ArlW Juc{ m 1. iltshw personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s).ie/are subscribed to the within instrument and acknowledged to me that 49/*Wthey executed the same in bisA*r%their authorized capacity(ies), and that by bisAw�ltheir 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_aqo official seal. MATTHEW RICHARD TORST 0COMM. # 1755123 Signature S;e��eal: NOTARY PUBLIC • CALIFORNIA. � BUTTE COUNTY O COMM. EXPIRES JULY 3, 2011 gip.# 065—aft -Cod �N A A/ Dp, ttlE \eVA y AC'>4 3-AAAES AIC - '(9 t> 0 1 ? C) P05 E- 125 DC-/VSe Olc E-/V1v 7- 7 2.a ACIiEAGE5 F. L075 56.14 BUTTCOUNT 571ZEETS /6.675 ,Jul 18 2007 5oumoARY 72.769 SERVICES /V BJP � T� N� a_ =4 ti 10 04� � �• �A `•� ;���Q�b 5a' � 5,0, "100, Na. I• � ACCESS SiR// �f 0 3a �•��i ou. q� Sd,W \ 82 �J 040 BASIS OF BEARINGS KELLY RIDGE ESTATES UNIT ONE BOOK 38 M.O. R. PAGES 5, 6,7, 8, 9 AND 10 -/.00' RO ACCE-55 STRIP 5FE_ 514E-�T c99P&l a-_��-'/'2„v,( � , % 205. 00 !? TM 4 2 CURVE TABLES SHEET 3 COMMON PR I VATE .DR I VEWAY EASEMENT . _ _ _ ..... NO. RADIUS DELTA SET 2" X 3' IRON PIPE TAGGED 1. 20.00' 90000'00" SET NAIL AND 2. 20.00' 88045'43" BUTTE CO. STD. S-17 . _....._..........:.. .....................© 3. 2850.00' RADIAL LINE--...---•----.... - .._......_........_........(R) 00047'01" 4. 20.00' 89056'24" CURVE DATA REFERENCE -... - - - -- - • - • • -• • •• - • • 5. 170.00' 13 50'27" DRAINAGE EASEMENT (D.E.) --•-• • •-••- •---•-•• 6. 50.00' 19'034'51" 7. 20.00' 440'2.415511 Ltd ' 20.00' 450''13 ' 59" LLY ^^v `I RIDGE 9. - _ 080'2713411 ( 170.00' 020124' 59" �J 11. 597.00' 030127'34" Lo N 12. 380.00' 04«43'41" 13. 20.00' 440124'54" N 14. 20.00' 85«45'52" 1 5 . 20-00' 44024'56" 'Lt1 8r.: .., .�. 50.00' 2255'06" 17. 320.00' 08©35'40" 871 18. "100, Na. I• � ACCESS SiR// �f 0 3a �•��i ou. q� Sd,W \ 82 �J 040 BASIS OF BEARINGS KELLY RIDGE ESTATES UNIT ONE BOOK 38 M.O. R. PAGES 5, 6,7, 8, 9 AND 10 -/.00' RO ACCE-55 STRIP 5FE_ 514E-�T c99P&l a-_��-'/'2„v,( � , % 205. 00 !? TM 4 2 LENGTH 31.42' 30.98' 38.99' 31.40' 41 .07' 17.09' 1.5.50' 15.79' 25.10' 7.17' 36.05' 31.36' 15.50' 29.94' 15.50' 20.00' 48.00' •33.85' 37.27' 22.56' 15..24' 16.94' 24.00' 34.85' 15.02' 28.40' 28.70' 30.00' 8.00' 4-22--_ 4,(tv SHEET INDEX 140 SCALE - LEGEND CURVE TABLES SHEET 3 COMMON PR I VATE .DR I VEWAY EASEMENT . _ _ _ ..... NO. RADIUS DELTA SET 2" X 3' IRON PIPE TAGGED 1. 20.00' 90000'00" SET NAIL AND 2. 20.00' 88045'43" BUTTE CO. STD. S-17 . _....._..........:.. .....................© 3. 2850.00' RADIAL LINE--...---•----.... - .._......_........_........(R) 00047'01" 4. 20.00' 89056'24" CURVE DATA REFERENCE -... - - - -- - • - • • -• • •• - • • 5. 170.00' 13 50'27" DRAINAGE EASEMENT (D.E.) --•-• • •-••- •---•-•• 6. 50.00' 19'034'51" 7. 20.00' 440'2.415511 o. 8. 20.00' 450''13 ' 59" LLY RIDGE 9. 170.00' 080'2713411 170.00' 020124' 59" 11. 597.00' 030127'34" N 12. 380.00' 04«43'41" 13. 20.00' 440124'54" N 14. 20.00' 85«45'52" 1 5 . 20-00' 44024'56" v 16. 50.00' 2255'06" 17. 320.00' 08©35'40" 5 18. 270.00' 07'~11'01" :•�/0, 19. 380.00' 05n37' 12" 20. 20.00' 64°37' 23" �V) 21. 50.00' 1 71027' 28" G 22. 50.00, 19«24'44" N cn 23. 50.00' 27i030' 07" v� 24. 330.00' 06°03'03" 25. 330.00' 02''36'31" a 26. 20.00' 81'022'07t' 0 27. 20.00' 82'012'17" 28. 220.00' 07048'47" is • c� 29. 320-00' 01025'57" LENGTH 31.42' 30.98' 38.99' 31.40' 41 .07' 17.09' 1.5.50' 15.79' 25.10' 7.17' 36.05' 31.36' 15.50' 29.94' 15.50' 20.00' 48.00' •33.85' 37.27' 22.56' 15..24' 16.94' 24.00' 34.85' 15.02' 28.40' 28.70' 30.00' 8.00' 4-22--_ 4,(tv SHEET INDEX 140 SCALE - LEGEND COMMON PR I VATE .DR I VEWAY EASEMENT . _ _ _ ..... 't• = y y FOUND MONUMENT AS SHOWN _...... _ _ :.. .......... . ......... .. .....x SET 2" X 3' IRON PIPE TAGGED R.C.E. y033 ... .........._....-._..._........_......_._......� SET NAIL AND SET CENTERLINE MONUMENT, BUTTE CO. STD. S-17 . _....._..........:.. .....................© RADIAL LINE--...---•----.... - .._......_........_........(R) BUILDING SETBACK LINE (S.B.L.)-.-....•.--•.. CURVE DATA REFERENCE -... - - - -- - • - • • -• • •• - • • ---• DRAINAGE EASEMENT (D.E.) --•-• • •-••- •---•-•• PUBLIC UTILITY EASEMENT............. •YC' ------- DEPARTMENT OF WATER RESOURCES, ..........._ ..... _ _.n. VY R. STATE OF CALIFORNIA ALL LOT CORNERS NOT INDICATED BY THE ABOVE SYMBOLS, ARE TO BE MARKED BY 3/4" IRON PIPE WITH TAG R.C.E. 9032 SUBDIVISION NO. r LLY RIDGE ESTATES UNIT 3 A PORTION OF THE E.1/2 OF SECTION 12 ,T.19N., R. 4 E., M.D.M. AND A PORTION OF S.W. 1/4 SECTION 6 -$r PORTION OF W. 1/2 SECTION 7, T. 19N., RZE., M.D.M. COUNTY OF' ' BUTTE CALIFORNIA SCALE : I It = 100, ..APRIL , 1974 OWNER 8t SUBDIVIDER: SOUTHERN CALIFORNIA FINANCIAL CORPORATION ENGINEERS : THE MURRAY-McCORMICK ENVIRONMENTAL GROUP SHEET 3 OF 5 SHEETS