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HomeMy WebLinkAbout072-450-046County of Butte Oroville, California GENERAL CLAIM CLAIMANT: Cruz Rubio ADDRESS: 26981 Jennings Way CITY 8 STATE: Hayward, CA 94544 DATF OF CLAIM- nA/1 Am SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM DESCRIBE FULLY TO AVOID DELAY AMOUNT Refund Claim - See attached calculation sheet APN: 058-520-020 Permit No.: B07-1701 PAID RETAINED REFUND Develo ment Services $ 115.98 $ $ 115.98 Auditor - CWIF Process Fee $ - $ - EH Review $ 75.70 $ 75.70 $ - 0 $ - $ - CDS 772 Little Chico Crk Drn $ $ - $ TOTAL $ 191.68 $ 75.70 $ 115.98 . ........... :[t»1:ItiprvN::::::< :: 8 bG:>C f ACCO 1ST :A1tiT . 101001 DVLPMNT SVC 440-001 4210500 $ 115.98 101001 EH Review 21 4614901 $ - Impact Fees - See other sheet 1011972 le Chico Crk Drng 1821 280 $ - TOTAL $ 115.981$ 115.98 i, me unaersignea, aeciare under penalty or perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this day of 2008, at Calif. Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that there is a Budget Appropriation or Specific Board Approval (Check one) for the same. Dated this day of , 2008, at Chico Calif. Department Head or Authorized Deputy Dept. SEE Exp. Code BREAKDOWN Code PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT 8 SUB PROJ SUB. OBJ CLAIM NO. INV NO. INV. DATE ENCUMB. GROSS AMT. Butte County Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 CO TY APR 2 5 2008 (530) 538-754fjj ICES REFUND REQUEST APPLICATION REFUND POLICY - Butte County Code 3-41(t) 1. Refunds can only be made upon written request by the person who paid the fees, whose name is on the receipt issued for the fees paid. Any refund checks will be made payable to the name on the receipt. 2. The. request must be made within two years from the date of fee payments on permits not issued, and two years from the date of permit issuance for permits issued -if no construction work has been done. 3. Filing fees and plan check fees for work plans checked are not refundable. 4. Fees paid to other County Departments are not covered by this claim. INSTRUCTIONS: Submit this application to Development Services for determination of refundable fees. A claim will be generated for any fees to be refunded and sent to the address below for signature (by the person whose name is on the receipt) and return CLAIMANT'S NAME: C: r v Z AUbe -2 A"Z..J CA MAILING ADDRESS: (51 O b1D PHONE: ASSESSOR'S PARCEL PARCEL NO.: 1 z- - O - © L [Please use one claim form per permit.] BLDG PERMIT NO.: 2 - L ` Receipt No. 1 Receipt No. 2 Recei t No. _ _ RECEIPT NO.: RECEIPT DATE: 69� RECEIPT AMOUNT: REASON FOR REFUND REQUEST: l l 6' Check those fees which you wish to have considered for refund: ©Building Permit Fees =Sheriff Fees =SRA Fees (CDF Fire Planning) =Other (specify): Plans for cancelled permits will be disposed of within 10 working days upon submission of a Re uest for Refund. If you want the plans, you may ick them up prior to that time. Signatur K:/Forms/Refund Application 082203 �II 1 n 1-2-5109 0 Date BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION. OFFICE #: (5')0)5')8-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: w. rw.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last NameFi Iq v v r me Z— Mailing AArW 98 CZ=erJN; A/ &-S W A City State Zip 9ysy Phon t10 1--0-V2 Fax f>P 5 , of APPLICANT INFORMATION CONTRACTOR Name CityLt/�_ / (_ Address Zip0y City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name CityLt/�_ / (_ Address Zip0y City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name r U Z RU�4'0 Address n J I A/4 -S 1¢s CityLt/�_ / (_ State Zip0y "o 10 1 &/l 9 Z6 Fax E-mail V/_ i O_A Z Sh APPL ANT SIGNATURE X PERMIT 7NO. C,(,I ` 1 BIN # PROJECTLOCA TION AP# -. 2 �f� �T�' Property Address 4,106 city CVIDVA1 IN 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: Sq FT- Living Garage Open CovLb ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use ly: Zoning Flood Zone IN ISRAJ Yes No Occ. Type Const. 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. D 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:Hmunicii)alcodes.lexisnexis.com/codes/butteco/ Reference Number: B07-1701 Location: 0 SANDRA LN Parcel Number: 072-450-046 Date: 8/8/2007 Owner Name: RUBIO, CRUZ Phone: (510) 781-0926 Description: AG BUILDING FOR TRACTORS AND TOOL STORAGE Signature of Property Owner: / zi Date: 8/8/2007 FILE 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 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: B07-1701 Location- 0 SANDRA LN Parcel Number Owner Name Description: 072-450-046 RUBIO, CRUZ AG BUILDING FOR TRACTORS AND TOOL STORAGE Date: 8/8/2007 By: GLB Sub Type: Ae Exempt Phone: (510) 781-0926 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 Pe --mit from the state of California Regional Water Quality Board. I am awa_e 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: Date: 8/8/2007 Title: FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.butte.county.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-1701 Date: 8/8/2007 Location: 0 SANDRA LN By: GLB Parcel Number: 072-450-046 Sub Type: A xempt Owner Name: RUBIO, CRUZ Phone: (510) 781-0926 Description: AG BUILDING FOR TRACTORS AND TOOL STORAGE The above permit application has the following Clearances required prior to permit issuan . 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 -( 0) 533-0740 ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-471 ❑ ❑ Chico Area Recreation District, 545 Vallombrosa/Chico 95926 - (530) 895-4711 DurhamPark &Recreation District, 9447 MidwCA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200et, Oroville CA 95966 - (530) 533-2011 Paradise Parks &Recreation, 6626 Skyway, Para69 - (530) 872-6393 C 7 Biggs Unified School District, 300 B Street, B' gs CA 95917 - (530) 868-1281 Chico Unified School Dis/nG 3 East 7 Street, Chico CA 95926 - (530) 891-3006 Durham Unified School 920 trey Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, ol' ,Gridley CA 95948 - (530) 846-4723 Marysville School DistriStreet, Marysville CA 95901 - (530) 741-6000 Oroville Elementary Schict, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 221gton Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School696 Clark Road, Paradise CA 95969 - (530) 872-6400 ❑ ❑ Recorded copy of A ❑ ❑ City of Biggs Pla ❑ ❑ Other: ❑ ❑ Other: ❑ ❑ Other: Signature of Property Owner: OTHER eultural Acknowledgment Statement- See Attached Instructions Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 FILE Date: 8/8/2007 BUTTE. COUNTY FEE SUMMARY. Printed: 8/8/2007 7 County Center Drive 10:01 am Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1701 Job Address: 0 SANDRA LN Contractor: Fee Description Account Number Fee Amount Paid Date Pmt Amt DBOMSCF Ag Exemption Permit 0010-440001-4210500-1010 $115.98 8/8/2007 $115.98 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 8/8/2007 $75.70 191.68 $191.68 Printed By: Gwyn Benedict Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 8/8/2007 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 perforin 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 I, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. ( OR NO) e 2. le/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY, PHONE CONTRACTORS LICENSE NO 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: AG BUILDING FOR TRACTORS AND TOOL STORAGE Reference Number: B07-1701 Applicant Name: RUBIO, CRUZ Owner's Name: RUBIO, CRUZ AP # :072-450-046 Signature of Property Owner: Date: �1 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: 0 SANDRA LANE Owner: Permit NO: B07-1044 APN: 072-450-046 CARPENTER, ANOR M Issued Date: 5/17/2007 By GLB Permit type: MISCELLANEOUS 2317 MA STER ST Subtype: Electric Panel WES ACRAMENTO, CA Expiration Date: 5/16/2008 Description: ELECTRICAL FOR LOT DEVELOP Occupancy: Zoning: MR Contractor plicant: Square Footage: RUBIO CRUZ Building Garage RemdUAddn 26981 JENNINGS WAY HAYWARD, CA 94544 Other Porch/Patio Total (510) 781-0926 FEE INFORMATION DBE Single Phase Service-Resid $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B3059 LICENSED CONTRACTOR'S DECLARATION OWNER/ BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 5/17/2007 penalty [$5001; Please check one of the following: Contractors Signature Date E]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 Contractor's License WORKERS' COMPENSATION DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does I HAVE the work himself or herself or through his or her own employees, provided that such improvements AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ Section I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: 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; 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 Contractor's License Law.). Carrier: Policy Number: Exp. Dale: (This section need not be competed if the permit is or one a hundred dollars ($100) or less.) ❑ I AM EXEMPT under Section B. & P.C. for this reason: aj I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS �J ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 5/17/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwi comply with those Owners Signature Date provisions. X 72007 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 to 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 t is arising out is a in any way connected with o,o the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentions ro inspection p oses. I hereby certify that I am the property oram authorized a n a party own behe CONSTRUCTION LENDING AGENCY 5/17/2007 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Perm' IGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner ❑ Contractor OR. Agent for Owner ❑Agent for Contractor FILE COPY Lenders 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 It�1amg f 1 Mailing Address 26990 S(2 N N% �{ J S )4 City w State P AVPhoned Zip 0 7 g%—meq Z 6 Fax .-7-- APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Z Phone Fax E-mail Open Cov Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City =Address Zip City Fax State Zip Phone Fax E mail Open Cov State License Number APPLICANT INFORMATION Name JV ` Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PERMIT NO. BIN # PROJECT LOCATION AP# . Q Property Address City (� T 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: L e c Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy, (Note previous use): (' BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Printed: 5/14/2007 1:51 pm Permit Number: B07-1044 Job Address: 0 Contractor: Fee Description Account Number Fee Amount Paid Date Pmt Amt DBE Single Phase Service-Resid 0010-440001-4210500-1010 $55.00 5/14/2007 $55.00 55.00 $55.00 Printed By: Gwyn Benedict Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 5/14/2007 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 PERMIT APPLICATION DATA SHEET Reference Number: B07-1044 Date: 5/14/2007 Location: 0 By: GLB Parcel Number: 072-450-046 Sub Type: Electric Panel Owner Name: CARPENTER, ELEANOR M Phone: Description: ELECTRICAL FOR LOT DEVELOPMENT The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS ❑ ❑ Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 ❑ ❑ Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 ❑ ❑ Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 ❑ ❑ Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ ❑ Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 ❑ ❑ Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of B,jWPlanning Department, 3016 Sixth Street Biggs CA 95917 - (530) 8¢8-5447 Other: Other: Other: e Signature of Property Owner: 42j Date: 5/14/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds 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. fd 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/codesibutteco/ Reference Number: B07-1044 Location: 0 Parcel Number: 072-450-046 Date: 5/14/2007 Owner Name: CARPENTER, ELEANOR M Phone: Description: ELECTRICAL FOR LOT DEVELOPMENT Signature of Property Owner: r AllDate: 5/14/2007 FILE Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT.DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTIL 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. I PERSONALLY PLANL TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. (> OR NO) 2. I 0/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ' ADDRESS. PHONE CONTRACTORS LICENSE CITY 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 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: . ELECTRICAL FOR LOT DEVELOPMENT Reference Number: B07-1044 Applicant Name: RUBIO CRUZ Owner's Name: CARPENTER, ELEANOR M AP # : 072-450-046 Signature of Property Owner: Date: `�� 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 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: B07-1044 Location:_ 0 Parcel Number: 072-450-046 Owner Name: CARPENTER, ELEANOR M Description: ELECTRICAL FOR LOT DEVELOPMENT Date: 5/14/2007 By: GLB Sub Type: Electric Panel Phone: By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB l acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of .California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: C9-Ilyvez-, FILE Date: 5/14/2007 FVF RECORDING REQUESTED BY:, Fidelity National Title Company of California `Escrow No.: 07 -109261 -CC Locate No.: CAFNT0958-0958-0001-0000109261 Title No.: 07 -109261 -BD When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Cruz Alex Rubio 26981 Jennings Way Hayward, CA 94544 APN: 072-450-046 GRANT DEED III111IIIIillll111111111111IlIlfl CE0071-001 1 375 hcatMeci i Pfficial Records i County of Butte I County Cierk—Recorder•i i 'tEC FEE Ni. 00 TPX Fo.50 SPACE ABUVt I Nib ulvt rvK KO-umucn a u` The undersigned grantor(s) declare(s) Documentary transfer tax- is $60.50 [ X } computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of Oroville, FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Eleanor M. Carpenter, an unmarried woman and Anthony E. Lopez, an unmarried man, as joint tenants herebv GRANT(S) to Cruz Alex Rubio and Laura M. Vivanco, husband and wife as joint tenants the following described real property in the City of Oroville, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: February 15, 2007 STATE OF CALIFORNIA Eleanor M� Carpenter COUNTY OF 16-(7' ) ON y before me, r. <r'='•�r•�rL Anthony E. Lopez .r (here insert name and title of the officer), personally / appeared personally known tome (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/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument -the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my handiand official Signature / �,.%Z < (v;Z. ---- (Seal) E.. ROMMEL CARLOS U COMM. # 1631799 — f9 NOTARi'PUBLIC •CALIFORNIAC U YOLO COUNTY I My Commission Expires -� December 20. 2009 MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (arant)(06-06) J-* BUTTE. 0 AUG 00 2007 ... . ..... ....... . .. ..................... * .............. _ .. _. - .. .. .. .. .. .. .. ._ ... .. .. __ ......................-....._......_..__.........._..••-- •• •• •. -• ®� .Aj 0 o0Tic [A 700_i)d�FW6 quo Fe e-7 _._ - -- - --- _ .• ................... ...... ............. .. ........... ......... • ............. lAssessors Parcel Nurnber: O i er Nanne Addr�ss / Phone No: Site Location SAM Contact: Name Crv7_ FOR OFFICE USE ®L�' _ PROVIDE FOR ALL Zoning: ADJACENT PARCELS SIZE (AC): General Plan Dessg: Size, Ams GEN PLAN: �.ac� USES: