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HomeMy WebLinkAbout078-220-035SAELEE, FOU MENG 21 ROSITA WAY, OROVILLE 21 Rosita Way,' Oroville CONTRc LaGrone Htg..& AC,,Oroville Permit 3345-77M (htg. & AC/sf) 92-2736B . WILLIAMS, Norman & Bonnie 21 Rosita Way,Oroville reroof/sf 90, 9a SEALEE, FOU 21 ROSITA WY, OROVILLE Cont: SHERATON SERVICES NSF(GAR) / D -1 b -Q9 078-220-035 06-0863 �tev; SEALEE, FOU �! O T E S 21 ROSITA Qy, OROVILLE (!� Cont: SHERATON SERVICES I NSF(GAR) a I Li LJ pa APN: Permit No. t Owner- Site wnerSite Address: Contractor. Type of Permit_ 1 . y �l CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE Y DATE JOB FINALED: Yr' SIGNATURE: .,i__ -COUNTY OF BUTTE,.:.::. € q BUILDING DIVISION i' DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-75' 1 CORRECTION NOTICE F -0L% r" OWNER PERMIT NO. c A routine inspection indicates that the following violations of Butte County Ordinances exisf,at s€, the above address and should be corrected. Please call for re -inspection when correctior'of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. ' (f ) I��U U I (SE F t ? F ` fz1t4i&U CAL( nl 2c AoX r tl,lr\ L% f li t F -7 rl /J i ..� l � r= J, F �` r r -r f4 � v �7 EFfIC_ SCC l�E/�. T 'TiCn WcTI-/ T i -"r& 167/a/M/r,(r Ti- 1e U E1R6- G(_)f9CC- P>�oyr�e '��ooi= • �in�� " Fob ,��r��i�r���c� 1?Oyl0c (2) 6FC/ C/2culTS 2 C I SCHEN Co u,,(TC/AE RE cce!'T"gCCES r�ov/o� �EeEPTi�tc � f} T •�FV/� o F. --� ITCN2GJ OSS `TH2L2 Cot.t,c/. cotil A Lc-NoSF/�i�3/3S �� f'1�6V/0�; In+S<<Ci�TIoN cE��TiFICfI7E - Date Inspector )E_&) SPH REV 4/05 Phone # �` 'If; _31? 60 Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 kE.tl a a k Yz 3.. -1 h{ n- 0s...r• .- a..` "•l -y.:. -.V : r. -]r_ qty -Fr : — mss. � ti a v r r a s e�.ra a'rjIj 1. a.�_ r,r ,COUNTY OF BUTTE '.. ..... i i i r �' 'i 0. BUILDING. DIVISION.r .. . s DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive • Oroville, CA • (530) 538-75 C)F- CORRECTION NOTICE u= .SE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exisCat ` the above address and•should be corrected. Please call for re -inspection when cornktion'of work is completed. If you have any questions pertaining to this matter, or need• additional explanation, please contact the Building Inspector as indicated below. ' I / F�1(li n(� '�-n NnrO�� - C,�/F�/L Fn2I CA "` rM IN Date .Y REV 4/05 Inspector2�H rA2fF_�rrE1Z Phone # to X Z Z FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 r J COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ell �:�?/�°p - bo&6 OWNER PERMIT 116. A routine inspection indicates that the follZiing of utte County Ordinances exist at the above address and should be corrector re -inspection when correction of work is completed. If you have any queg to this matter, or need additional explanation, please contact the Building Inated below. 44 A f i Date / ` r Inspector �-- -- 6-` REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is mpleted. If you have any questions pertaining to this matter, or need additional explan wn, please contact the Building Inspector as indicated below. Date Inspector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 0 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Uff k�_ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work /s completed. If you have any questions pertaining to this matter, or need additional exp nation, please contact the Building Inspector as indicated below. Date '57 /t/, 06 Inspector REV 4/05 Phone # 5 - FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. V1 9. r A Date •/� - I nspector , r r%/� /�l C 4 REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE - C a�� i2 Otf 6-7 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional Date C ► 7 , Inspector / 11 REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING' PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class: ,�y_ License Number: - Date: , ' 1-<)6 Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 State 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 the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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 permit is issued. �I I have and will maintain workers' compensation insurance, as 1� required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: PERMIT NO. BP060863 Issued Date: 04/27/2006 APN: 036-550-035-000 Site Address: 21 ROSITA WAY ORO Map Index: Description: NSF (1446) GAR (480) Owner- SAELEE FOU MENG & FEUY ON SAECHAO 21 ROSITA WAY OROVILLE, CA 95966 Applicant: SHERATON SERVICES 1170 E LASSEN AVENUE CHICO, CA 95973 530-342-2562 Contractor: SHERATON SERVICES 1170 E LASSEN AVENUE CHICO, CA 95973 530-342-2562 License #: 733676 Architect: Engineer: Carrier: �_ /'-7(_) ," a Policy #: ( �:rL J>47 ,Z Total Square Ft: 1926 S.F. Valuation: $105,510.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant:E/ WARNING: Failure to secure workers' compensation coverage is / unlawful, and shall subject an employer to criminal penalties and one p�✓� �� o hundred thousand dollars ($100,000), in addition to the cost of compensation,_damagps as. provided for in, Section, 3706 of the Labor. code, interest, and attorney's fees. , '\. CONSTRUCTION LENDING AGENCY This permit is hereby issplad and the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to�jndicaltedve for which fees have been paid. erformance of the work for which this ermit is issued Sec 3097 Civ. �.,�.�P P ( ) By: Date: c Name: PERMIT EXPIRES ON: Address: (Date) ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection p o0cp ses. r� Print Name: ( d Signature: Date: —� ❑ Owner AContractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building PermitOl-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Name,,11 J i-1 irst Name G. G� � L, -,Address � � 20 ,c � City-- Fax2,Z - `).2 'p'6 St Zip Phone Fax E-mail Planner CONTRACTOR Name Address City �. �Cd State Zip Phone"�,(2 _ 2SC 2 Fax2,Z - `).2 'p'6 E-mail o lo7,1 Lic. # Phone APPLICANT SIGNATURE X For office use only:. ARCHITECT/ENGINEER Name C,CY\,l Address SRA City No State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT SIGNATURE X For office use only:. APPLICANT INFORMATION Name C,CY\,l Address SRA City No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE X For office use only:. Zoning — j Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc GZ �G i7/O PERMIT NO. BPO6066 BIN # PROJECT LOCATION AP# 22o — © Property Address City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Page 1 of 2 Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): G 6 r/ /v 6 Fu/A/Y-)A- n-erJ EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the -person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: j Receipt #: V 0�,� �� Amount: Ib690 Bldg O 6 \;u other __tOoo - _Total REV 8-12-05 insulation Certificate S� BUILDING rhAmiL : BUILDING OWNER: D(.� _ J . BUILDING LOCATION: Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) CEILING 'DVlvt s II �; Batt or Blanket Type /aSs QS Brand Name` � Thermal Resistance. (R -Value) "3 Thickness (inches) Brand Name Loose Fill Type lb Minimum thickness inches Contractors minimum installed weigMinimum Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL . I Gt Brand Name Material Thickness (inc ) TValue) Thermal Resistance (R- RAISED FLOOR p r Brand Name Material 6� Thermal Resistance (R -Value) Thickness (inches) % SLAB FLOOR Material "nickness (inches) Width (inches) Brand Name Thermal Resistance (R -Value) FOUNDATION WALL Brand Name Material Thickness (inches) —7armal Resistance (R -Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with ciency. Standards for new residential buildings con the current Building Energy Etained in Title 24 of the ffi California Administrative Code. Gene al Contractor (Builder] Signature and Title Su.Conaactor (Insulation Installer) Signature and Title '733 76. License Number ---------------- Date License Number Date THIS CERTIFICATE MUST -BE PROVIDED T �HN �IBUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL JANUARY 1993 4 = OK o = Not OK �- MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET DATE D E C K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 1 Zoning -Setbacks -Easements 2 Soils- Special MH Support Sketch 2 Ftg§; Soils-Sz-0pthSpacing-CnnctrsSteel 3 Sewer; Loctn-Test; FalUC/O-Concrete _ 3 Decks, Girders/Joists-Dcking-Brcing 4 Wtr; Loctn-Test-Easement Needed -Regulator Stairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 4 Wood Awn; Posts -Beams -Rftrs-Cn n ctrs-S hth 9 6 Yard Gas; Loctn-Test-Wrap . Nat 0 or LP❑ Frmg-Brcng Inch Sz Ft Lngth 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs , 7 Blckng; Sz-Spacing-Marriage Line 6 Carports; Wndws-Doors 8 Gas; MH Test-Demand-Valve-Cnnctr 7 Electric 9 Elec MH Cntnty Test-Crossovers-Breakers-DIrncs a Frmg; Sills-Anchrs -Studs -Rftrs-Trusses 10 Drain; MH Test -Fall -Flex Cnnctr 9 Siding; Nailing -Veneer -Stucco -Lath ' 11 Wtr & Sewer Connected -C/O to Grade 10 Roof; Shthg-Roofing 12 Gas and Electricity Tagged 11 Ext; Steps -Doors -Landings 13 Tie Downs Q Foundation Q 12 Braced Wall pnls 14 Exits 15 Cert of Occupancy a` 16 HUD LabeLllnsignia Numbers Serial Numbers DATE POOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; S teel-Cnnctns -Thickness Dead Men -Lining 4 Elec RcptclslLting; Distance -GR 5 Elec Pool Lting; 1S volts-GFI 6 Elec Enclsrs- Conduit Entries Terminals -Listed 7 Elec Bonding; Metal w/S-Drcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool lghtg Bokes-EnclsrsTrilboards-Insulin to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing Alarms 13 Bonding, Diving board or Slide Pool Drawing OK = Not OK RESIDENTIAL DATE juND RFLOOR vtooing-Setbacks-Easements-Flood-Slope g Main; Soils-Elec Grnd Ftg Dpth 1c,r 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth. 4 Ftg Porches/Decks; Soils -Steel Ftg Opth &Xtemwalls Main; Steel-Blockouts-Wrapped I� 6 Stemwalls Garage; Steel-Blockouts-Wrapped- -63"Hold Downs and Special Anchrs 'G 7 Sla Steel Wrapped j=-Frplc Ftg-Steel Fall -Fitting -Test -2 -way CIO -Sewer Test 40 -UF, Gas Pipe; Sz Anchrs-Sz Test .4}Wtr Pipe; Test-Anchrs-Rgltr-Service Test 'x 12 Elec Undrgrnd ?' 4+ Pit Hums & Ducts; Clrnc-MaterialSupport4nsultn dersSills-Anchr Bolts Joists-Vnts-Cripples i Acc & Vntltn 16 Insulation DATE IFIRAMING 17 Sills Proper Materials & Anchrs i8 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Ace; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtri Vnts-Undrflr Ace 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insultn-Walls-Ceilings 39 Infiltration -Walls -W ndws o'er m o'er 0: DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmcans Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Kichn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or ❑AL AC Wire Sz ya ❑ CU or [:IAL 48 Range Circ ga CU or nAL 'Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector Singla & Duplex) DATE IPLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DV,/V; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Ace 57 Test Tub & Shwr, 2nd fir - Tub. Ace 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping DATE MECHANICAL 61 AC Ducts. Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnNent 115 Outlet 65 Attic Ace & Pltfrm if Furnace in attic o'er o` a 4 m DATE IFINAL 66 Ext Steps -Door & Side Lt Prtctn-Landings, 67 Smoke Detector 68 Furnace Vnts-DIrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub AccSpa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Szs & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc- Grnd-Air-Gap-Cooking Clmc. 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn- LPG Appince Undr House 3- drain 81 Plmb; Elec & Mech Eqp Listed for Lottn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters Q Yes FIN - No87 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-D/O to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs . 98 Address Posted 99. Fire Sprinkler 0 Qin 0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: / Date: —2 °7-a Contractor R %w Si>'1L�e ew OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior 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 Stale 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 the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such 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 improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 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. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy #: (,r-(., 2 - EI ❑ 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. Date: q —,.9— " —G( Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. PERMIT NO. BP060803 Issued Date: 04/27/2006 APN: 036-550-035-000 Site Address: 21 ROSITA WAY ORO Map Index: Description: NSF (1446) GAR (480) Owner: SAELEE FOU MENG & FEUY ON SAECHAO 21 ROSITA WAY OROVILLE, CA 95966 Applicant: SHERATON SERVICES 1170 E LASSEN AVENUE CHICO, CA 95973 530-342-2562 Contractor: SHERATON SERVICES 1170 E LASSEN AVENUE CHICO, CA 95973 530-342-2562 License #: 733676 Architect: Engineer: Total Square Ft: 1926 S.F. Valuation: $105,510.00 Census Code: CONSTRUCTION LENDING AGENCY This permit is hereby I hereby affirm that there is a construction lending agency for the Resolutions to do performance of the work for which this permit is issued (Sec 3097 Civ.) PERMIT EXPIRES O Address: applicable provisions of the Butte County Code and/or for which fees have been paid. 2 Date: I �� a-`7 . �) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representativese off Butte County to enter upon the above mentioned property for inspection ptuposes. Print Name: �� [�-' �/-T U / `J Signature: _ �— Date: Y P% —0 ❑ Owner AContractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name Name irst Name Address o c City - StleY.4 Zip Phone Fax E-mail Name APPLICANT INFORMATION CONTRACTOR Name J - Address 170 ',-A, UG City State Zip Phone Name Fax E-mail Phonet_,.�,,(2 - 2S% 2 Fax2,, - %,. P,6 E-mail o Lic. # '6 y� Cla r.Slo c'�S oeu APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Name Fax E-mail State License Number APPLICANT INFORMATION Name ifO- / Address City Stale Zip Phone Fax E-mail APPLICANT SIGNATURE X I For office use only: Zoning — j Flood Zone I SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP06 d 66 BIN # A--/ _'� PROJECT LOCATION AP# o? 6— 2- _?-0 - © Property AddressCity IR 2G �7 0 , Cross Street WORKER'S COMPENSATION Policy Number ! , `Z 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: I Sq FT- Living Garage Open Cov L)VLK FOR SUBMITTAL REQUIREMENTS L, K:\FORMS\BUILDING FORMS1BldgApplSubRgmts.doc Page 1 of 2 G -Z AIL -010 ❑ Structure Built without Permits a--- ❑ Proposed Change of Occupancy 2c_-jv/4-0 /V -S/-:: tis,�vb ��i5ri�u 6 Favvt�it-Tz�rJ EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. > > i A / ��'Received r:'J" Amount:Bldg Receipts Date: .' 06 / umer Total REV 8-12-05 y 11 'J\ V L 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 /N 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 A/C 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 nan-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. Letter 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 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 6,1>06 066 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: S� ' �! ASSESSOR PARCEL NUMBER 0 7O 2a -0: S Proposed Building Use: /j / F- Permit Technician: Date: 7� / � -06 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. IN 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. �0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. a t N 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. I ^) 4. Engineered truss details and layouts in duplicate. No faxesl \ ❑ 5. Letter from Engineer or Architect for truss design review. �j //J 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or find plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Find plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. e there= rt/t-��fL - L c-� rr-rL. %'-�2e�t _ �-7 44e/ Remaining Items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... ❑ 18. Erosion Control Plan Required........................................................................ as shown on the attached Schedule of Fees Due Sheet .............................. �Vees ity of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ......... ... 24. Contact Land Development about _ Improvements, _ Drainage ........................ 0 25. Fire Marshall Review (commercial projects only). Sent by: ...................... /0 26. NPDES Form............................................................................................. I J 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... 31. Letter of Signature authorization..........................................................1..... /J 2. ecorded copy of Agricultural Acknowledgment Statement. ................ ...... 3. Existing violations and/or expired permits .......................... ................................ ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone P4-&" 5� U y^ �nd hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 1. Index permit application or the above items nVered: Plan Check Letter 2. Additional items r / �V Contractor, desig r own as adviseo the above data by 11,6one, IJ mail, ❑ counter, b Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: 4k,44 Date: z Structural approved by, Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 www.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner sealee APN No: 078-220-035 Permit Type: Subtype: App Date: 4/17/2006 Permit No: BP 06 0863 Permit Desc: 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $2,500.85 Plan Check portion of Permit Fee $1,000.34 $1,500.51 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0_ (State Responsibility Area) Building Inspection $109.98 0 1 - $204.98 NON-REFUNDABLE portion of fees due at application $1,00 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT Balance of Building Permit Fees (from No. 1 above) SMIP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: 4 5 6 7 7a 8 MNAt: 1 httb - KtblUtN I IAL' I Per Dwelling I er Dwelling applications After 04/15/06 SFD MFD County 1 4249.11 1 3183.54 Chico Urban Area 6146.231 4538.82 EI Medio Fire District 3249.971 2385.76 North Chico Specific Plan A SR -1, SR -3, SR-1/PD 1 8801.091 7395.04 R-1 o 8897.09 7491.04 R-2 1 8390.091 6984.04 R-3 1 7604.09 Processing Fee is automatically added to impact fee total 9 WATER TENDER FEE Ingot collected when Impact Fees Applicable) Enter Bat.# DRAINAGE FEES* 10 MASTER PLAN New construction, vacant land, on 1 acre or less - Enter 1 or less acre value 770 Butte Creek 771 Comanche Creek 772 Little Chico Creek 773 Big Chico Creek 774 Lindo Channel 775 SUDAD Ditch 776 Mud -Sycamore Creek 777 PV Ditch 1 MH 3238.72 5648.44 2422.68 8486.40 8582.40 8075.40 7289.40 $100.00 $200.00 $8,341 $9,088 $6,776 $8,267 $7,211 $8,893 RECEIPT DATE Tech/Asst $1,500.51 �- da E t, RECEIPT DATE Tech/Asst 1 � 10a More than 1 acre, existing buildings - fees to be assessed by Public Works Fee Determination Sheet Needed - Enter amount determined by PW _ 11 THERMALITO DRAINAGE AREA 1 $684 Maximum Per each new living unit on existing lots where full drainage fees have not been paid RECEIPT DATE Tech/Asst 11a Temporary Dwelling 1 $136 At time of building permit $136 annual renewal fee for first 4 renewals. Not to exceed $684. PROOF OF PAYMENT OF FEES (BELOW) MUST BE RECEIVED PRIOR TO ISSUANCE OF PERMIT. Forms will be prepared after plan check is completed for applicant to take to respective district office. 12 SCHOOL DISTRICT FEES* I Oroville Elementary 091 1 1 w: -N 1-26--0 6 12a RECREATION DISTRICT FEES* Oroville 7 At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan . checking process. Applicant: / Date: GF l (-/ _G Pursuant to Governibent code Section 66020, you are hereby notified those Items followed by an "*" may have been imposed on your project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 041506 01 - Department ®f Public Works �0C o u n t y o f B u t t e 0 0 7 County Center Drive Oroville, CA 95965 05 J. Michael Crump, Director (530)538-7681 (FAX) 538-7171 �etlC W°P� Shawn H. O'Brien, Assistant Director Assessors Parcel Number: p��'-7-20r03 5— Building permit # -5/p G� 66 gvl, 3 Owners Name:�� �F Owners Mailing Address: f Property Address: ENCROACHMENT PERMIT ACCEPTED: PERMIT NUMBER: ENCROACHMENT PERMIT EXEMPTION: Reason for exemption: n Not a County maintained road Existing driveway conforms to County S-31 standard F] Other Approved by Printed Name Title Date CONDITIONS FOR EXEMPTING A DRIVEWAY PERMIT An existing home with a driveway 10 years or older and doesn't cause any problems with the county road or drainage. 2. An existing home with only minor remodeling or repairs. QPfCrMENr vTT (� o U� l C \� o c� J Department of Public Works 001' C o u n t y o f B u t t e I I LAND DEVELOPMENT DIVISION O J. Michael Crump, Storm Water Management Program 0Director 7 County Center Drive Oroville, CA 95965 (530)538-7266 .b C WN 15 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Prevention Plan Construction Storm Water Permit and StormWater1 ACREtIon Plan (SWPPP) Acknowledgement [LESS THAN Project Description: /,/s IF --- 077b, 220 b�S Project Location and/or Parcel Number: --2,f /Tp�- By signing below, I, the project owner/owner's 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 build -outs 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 Control 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 a project that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed:/ C Title: Date: Less than I Acre NPDES & SWPPP Compliance Certification Butte County Storm Water Management Program --*--A CMAMA BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) 0 CHICO AREA RECREATION AND PARK DISTRICT (CARD) 0 PARADISE RECREATION AND PARK DISTRICT (PRPD) 0 DURHAM RECREATION AND PARK DISTRICT (DRPD) Assessor Parcel Number (s) by Property Owner (s) Project Location /Address a) Subdivision Name Building Pen -nit Number e ,4 3 v�v Assessable Sq. Ftge )4�4 (-o Type of Residential Development (check one) i,/ New Development* Single Family -Detached Single Family -Attached Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling Mobile home Mobile home replacement ✓verified by Assessor Department - Demo Permit (date issued ) 11 verified byBuildingDepartment Comments: Department } �-o-(_e - 01 0 FRRPD ❑ CARD 0 PRPD ❑ DRPD certifies that: Applicant Name Mailing Address Date Phone Number City State Glp Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of: Remarks: Paid by Check No: Dwelling Units @ $ Square Feet @ $ _ Paid by Cash: Recreation and Park District Representative per unit for a total of $ � per sq foot for a total of $ Receipt No: a -.,T7 BUTTE COUNTY SCHOOLS IMPACT. FEE CERTIFICATION FORM (One form per Building) School District CU ,) \� Building Department No. A.P. Number DU' U Jurisdiction: Q City ®County Property Owner _(-( -ir lX-� ('('. C)g6-5 e;� I- Property Location/Address C �l 1 `r v V� v Subdivision Lot No. ....................................................................................... Residential Development Q Q Q Sq. Footage No of Living Mobile Home Addition/ 'Supplemental to Q/ (Group. R) Units Installation Conversion Permit # No foundation inspection 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. . —7`� (o `E School District certifies that (Applicant) (Street Address) (Phone Number) gq (City) (State) (Zip Code) has complied with the requirements of Resolution No. r� , p� by payment of $ Ni I L 14, tic 6 representing �J 1 L square feet. B 2926 $ ULL MITIGATION $ School District Date Paid by Check # Remarks: O 3 S i `E � Notice: You may protest the Imposition of the Mee 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 Mas In any court action. M, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School DisMet is notified by the appllabie Local Planning Agency that this project Is being revW*od under the California Environmental Que ty Act (CEQA), this project may be subject to additional school fees to fully miggate its Irnpect on the school disbWs sdroals. White (school district), Yellow (building department), Pink (applicant) feaf(,,,ds (gypsy i AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE 0116VILLE, CA 95965 COPY of Document Recorded ' 27 -Apr -2006 2006-0021455 Has not been compared with original BUTTE COUNTY 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: Fam Ineh-I S,ee, Date �'/ Qi7 amsi '4ala' P OPERTY OWNERS: State of Califo is County of > PL On L/ 7 `ax a�lir�� personally appeared m.S known to me (or proved to me on to the within 'mstrument an 3 ai capacitys, and t by his/hers the person(s) act , xecute WITNESS my/fiapd andFicial A.P. # eCA y op s owe Q s(o ,PAE tj f7 Mc xM�� an 11 60 before me, m�/110 ea'Bu4if k'eL:. a ! ly of satisfactory evidenc) to be the persongwhose rame(s) is ubscribed ;e to me that he/she/"executed the same in his/her/heir uthorized rture,gon the instrument, the person&r the entity upon behalf of which nt. ANN P. MENKING Commisalon # 1590350 Notary Public = Calltomlo A� Seal:Butte County My Comm. Expires Jun 26, 2009 - - - - - - i :. For a valuable consideration, receipt of which is hereby acknowledged Fou Meng• Sa@lee and Feuy On Saechao, Husband and Wife, and Muang on Saelee, an Unmarried Woman, and Saeng Linh Saelee, an Unmarried Man, all as joint tenants. hereby Remises, Releases, and QuitClaims to Fou Meng Saelee and Feuy On Saechao, Husband and Wife, and Muang On Saelee, an Unmarried Woman, and Saeng Linh Saelee, an Unmarried Man, and Fam Meng Saelee, an Unmarried Woman all as joint tenants. All that real property situated in the Unincorporated Area, County of Butte, State of CA, described as LOT 33, As shown on that certain map entitled, "Las Plumas Park Subdivision Unit No. TWO", which map was recorded in the office of the recorder of the County of Butte, State of California, on August 21, 1962, In Book 28 of maps, At page(s) 13 and 14. aze �� �'/�C� tiny,/ 41, �A- )��4 � r; 6 15 ANN P. MENKING Commission # 1590350 *MY Notary Public =California Butte County Comm. Expires Jun 26, 2009 n PERMIT NO.: 117-06 Lake Oroville Area Public. Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 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: RRAA�pril 19, 2006 5hera�oneservices (app) Saelee, Fou Mena Applicant: Pp 1170 E. Lassen Ave 21 Rosita Way Applicant Address: Chico, CA 95973 Oroville, CA 95966 Applicant Phone No.: (530) 624-8385 Property Locations(s): 21 Rosita way Las Plumas Park -#2, Lot #33 A.P. No.(S): 036-550-035 Fees due: None, Reconnection for replacement of burnt house Application for service app •r QkKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: By: Lake Oroville Area Public Utility District release to close permit: Date: By: ❑ - In Service ❑ - Locked Out White - Customer Green - Office Final Yellow - Customer Fina/ Pink -FOS Final Gold -FOS a `1 REQUEST FOR CONNECTION PERMIT APPLICATION FOR SEWER CONNECTION AND SERVICE FROM LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT hereinafter referred to as "Applicant", being the property owner or owner's agent desiring sewer service, hereby requests Lake Oroville. Area Public Utility District, hereinafter referred to as "District", to connect Applicant's sewage'disposal line to District's sanitary sewer system and to provide sewerage service. Location of property: a S I A.P.#: '0 3 ~ 5 50 - 9 Subdivision: LCLS 71 U rn e rp,_ r Lot#: Block#: Property Annexed No. of E.D.U.'s this permit: . ❑ Property Not Annexed ❑ Property Annexation in Progress Multiplication Factor: Kind of Service: 'Monthly Charges: Capacity Charge: Residential ❑ Residence of Owner Connection Fee: ❑ Rental (single family) ❑. Rental (duplex) ❑ Apartment SC -OR Facility Charge: ❑ Industrial ❑ Commercial Total Amount Payable This Permit: ❑ Site plan reviewed ❑ Jobsite reviewed 'v¢ e- i Few- ZjM Remarks: 5�e.coane c-�, n r, Tl2h i t'i I d 1--�tJ r n 4 Ovl- lool -s e—, The service applied for hereby shall be in accordance with the conditions hereinafter set forth and the ordinances, rules, regulations and policies adopted, or to be adopted, by the Board of Directors of District, all of which Applicant agrees to abide by and fully perform. Applicant agrees to pay for such service at rates and charges as are established by District from time to time. FoL) (1n�r, Sa e �e sZ nature . Applicant'j-.� 0 Name of Owner if ot'Applicant . r i 1 Q (71A—S+ LQ AV Mailing Address of Applicant gsoa' ) . Mailing Address. of Owner Phone # of Applicant: S3D Phone # of Owner: CONDITIONS OF ACCEPTANCE. OF SEWERAGE SERVICE 1. In accepting this application, District does not hold itself liable.to Applicant for failure to perform. any of the obligations imposed upon it or assumed by it under this application if such,failure be caused by accident, Act of God, fire, strikes, riots, war, lack of capacity in SC -OR -treatment/disposal plant or District's lines to handle the sewage or nay other cause beyond reasonable control of District. 2. Installation of the. sewer service line pertinent to this application shall conform in all respects to District's specifications. 3. All structures, fencin_g, spoil materials, engineered till and retaining walls shall be placed on the Property so their -gravity loading is outside ofthe sanitary sewer easement. 4. Applicant shall secure permit(s) as necessary from the .County of Butte prior to doing any work, including encroachment permits when work is within county right of way. 5. Installation of the subject sewer line shall be at the sole cost. and expense of Applicant. 6. Actual connection of the subject.sewer service line to District's sewer mainline shall be accomplished by District staff. 7. All work shall be inspected and approved by District. 8. Subject to the above conditions a District Approval and. Verification form may be issued.as the District's 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 increase in capacity fee, connection fee and/or SC -OR Facility Charge. Payment of Fees/Charges required prior to final . LAKE OROVILLE AREA P.U.D. inspection. Payment received by: Date: . Receipt # Date: �i (1 q t Q F ❑ CASH ❑CHECK #, $ Permit 'Monthly charge payable at the current rate -at time of connection. D.'.c SHEET OE .. MAKE �/Q� � �I BUTTE COUNTY PROPERTY RECORD PARCEL NUMBER Book Page Block Parcel Code I1Fl+6(F oz PROPERTY LOCATIO: ZCMING Assessment Year 1 q3 19 19 19 19 UTILITIES—SITE IMPS. Date v EBecav:c:ly_ Yes Telephone Appraiser 162 ,3 162 162 162 162 162 Gns: rublic W-, LPG❑ None ❑ Supp. Assessment Yes r No ❑ Yes ❑ No Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Sam:te:y Sv.-. Pubiica- Indiv- ❑ Use Code 160 160 160 160 160 160 S:orO-I. S --r-: Public Natural❑ Transfer Code 124 (�I 1®�% 124 % 124 % 124 % 124 % 124 , Streer: Ccnc_OAsph.�DirtL Gravel ❑ Acreage 1781 178 0,/(178 178 178 178 Swee-. Liohts: Yes $'R�- No ❑ Incomplete 163 P.U. 19 163 1P.U. 19 163 P.U. 19 163 P.U. 19 1163 P.U. 19 1631 P.U. 19 C&G: Yes Xi No ❑ Building Class 167 1!0,p,grO 167 gg,1167 167 167 167 Siciesmics: Yes;8:No ❑ Bedrooms 168 3 168 168 168 168 168 SITE TOPOGRAPHY Baths 169 •!� T69 169 169 169 169 Leve Raiiiny❑ Other ❑ Effective Year 170 �rP� 170 170 170 170 170 SIMPes UP❑ Down El S -S ❑ Area of Residence' 171 171 171 171 171 171 At I0Selow ❑Grade Land Type 172 LotXHomesite❑ 172 LctXHome.iteEj 172 Lot❑Homesite❑ 172 Lot❑Homesite❑ 172 Lot❑hlomesite❑ 172 Lot❑Homesite[ Car Shelter 173 Yes No ❑ 173 Yes ❑ No 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ No ❑ 173 Yes ❑ No WATER Pool 174 Yes ❑ No 174 Yes ❑ NoA 174 Yes ❑ No ❑ 174 Yes ❑ No ❑ 174 Yes [I No ❑ 174 Yes ❑ No ❑ Qo=-:"�Y= Quality: Partial Complete % Complete % Complete % Complete % Complete % Complete % Completr Iv3ilie p •' Well 0 Ditch ❑ P.P. Acct. Checked Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ S PP1i(-r AeffiarE Photo Year Tape me? Year It MARKET DATA Soil Name Index Acres Comparable 1 0— ,c Comparable 2 Comparable 3 Sale Date/Price Base Year Event Date Land Improvements Trees and Vines Personal Property Keyed By: I�jGl� 140 186 109 110'f 111 112 O aDofl 3 16—,o2' -19a �s(�Q© 000 140 186 109 110 111 112 $1� -- PRIMARY M3 IA9f BASe— 140 6-7000 8 166�/186 109 90%cAL4•A�t) \ 60300, -?109 1 Z2 110 b-700 G '1^g ��}S, 111 1.2'k j7' 112 02005 Level 140 110 111 112 140 186 109 110 111 112 Avg- Soil Rating FEZ' REMARKS: ':;;~•: L!`~ =••`•:• A'•rl-�ltl�' +''"� LPL AIN r% SECONDARY BASE SECTION '' ' 1•t '"' "' Base Year 240 240 1 199 3240 240 240 240 ii vi1ic7 �.'% id t:Vl' 1t;, r`:C•.:::1 Event Date 286 286 z 286 286 286 286 Land 209 209 1 000 209 209 209 209 Improvements 210. 210 CSO 210 210 210 210 :[�i�:71 - "" - ,.-......-•���� Trees and Vines 2111 211 2111 211 211 211 Keyed By: PRIMARY LAND VALUE COMPUTATION SECONDARY ASSMT. PRIMARY LOT H/S YEAR BASE YEAR VALUE SQ. FT./ ACRES UNIT VALUE VALUE ADDED TAXABLE VALUE ASSMT. SECONDARY LOT H/S SQ. FT./ YEAR BASE YEAR VALUE ACRES UNIT VALUE TAXABLE VALUE ADDED VALUE l9�i3 53 is000 is000 PARTIAL OWNERSHIP CHANGE ASSMT. YEAR EXISTING BASE YEAR EXISTING VALUE PORTION RETAINED RETAINEDI VALUE EXTENDED EXT. % I VALUE TO YEAR TRANS. DATE VALUE PORTION TRANS. TRANS. EVENT DATE VALUE VALUES LAND COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS X = X = X = IMPS. LAND COMPUTATIONS x = X = X = LAND IMPROVEMENT COMPUTATIONS X = i = i IMPS LAND COMPUTATIONS X = X = X - LAND!, _ - IMPROVEMENT COMPUTATIONS X = X = X = IMPS• . ,. LAND COMPUTATIONS x = X = X = LAND' IMPROVEMENT. COMPUTATIONS n = X = X = IMPS. LAND'COMPUTATIONS X = X = X = LAND IMPROVEMENT COMPUTATIONS X = X = X = IMPS. r T RESIDENTIAL BUILDING RECORD i I l _.I n%,z,) DESCRIPTION OF BUILDING PARCEL SHEET OF SRIFFTS GLASSEScIAPE CONSTRUCTION STRUGTUPAL El'TERIOR ROOF LIBI,'TING AIR CONDI710N ,7nl q- 12 -(ob ROOM AND FINISH D-T,£IL /-.29-r73 tl' Ligl,I _ Sub -Pandora I F_one Y� stucco on _- F/of / Pitch Goble / �% Wiring Y.T. Conduit Heoting Coolin Forced1. /eoni POOMS FLOORS INTERIOR FINISH FLOOR FINISH TRIM B I 12 Mote".,I Erode wa/;s Cer/inlrs ARCHITECTURE 3tondord Sheothi g X Sidin pj,";1 Hip /q B X. Coble 6rcvity I llumid. I AI/ I 1 f 4� - Above -Standard Concrete B/ock +r1 C, Shed / Flh IUrfS Wo//Unit l � / �I�'v Stories Specie/ _ Bea I 1;,ar,. Cul Up Few Cheop i BnF Hol{/ I r -2/4"S USE TYPE Brick Shingles Dormers Av I. Medium FloorUnd Living � I I IV,n� -r"# C p - Single FOUNDATION Xdabe Shokes I Mony Specio/ ZoneUnif Din/r9 so . 1195- - Double Concrete - Reinforced_ Floor.✓oist: B.8B. T.86. • /Jtr Z_x _/(,' GuHers PLUMBING Centro/•• I 1S 15Z _Duplex Aporfinenl Brick 2"d: "x - Brick I Shingle Poor (1600d --Bed Gee a �+ r, •� Fiat_ Wood Sub Floor Slone X Shoke Oi/Burner fJ Cour{ Piers WINDOWS Tile Fixtures Sa.Ca. � I D. H. I JCoselvenl Tile Trim G/oterHeoler Af-BTU InsulotedCeilin s 1,5teelTosh Composition Automatic xFirep/oceU y'� VIchen 1t 1, r, i.7ifs Lighl I jqe01V I,Aj Insuloied Walls ldcreens Compo. Shin le Gas 1 Iflecl. jDrainBd. i°r10{erio% fc Lgfh: /'Q Ft. Splosh: " CONSTRUCTION RECORD EFFEC. APPR. NORMAL % GOOD RATING (E, G, A, F; P) _ Permit YEAR r AR Remoin9 Toole % Cond. Arch. Func. con- SforoeSpace work- No For Amount Dole Age Life A{{r, Plan form. u b'dC/osel hshi P P BATH DE TA I L FI. 1yo,� FINISH FIXTURES F/Dors Wo{/s c. La. ub T I pe _ Crodef. SHOWER 0719.D. Fin,: TOTAL d O �i 16,00-2 � 041 � c� J S = 6'i co NORMAL % GOOD -- O O . SPECIAL FEATURES R. C. L. N. D. 5700i IDU /� Book Coses Built -/n Beds lrenefion Blinds Shuflers Appraiser 8 Date 1-12-9? 4. 6ev , ni, q—,,y- ( 5;t�i� 4 - I - 8 ,7nl q- 12 -(ob DB33 /-.29-r73 Unit reo Unit Cost Cost {1 ost Cost Unit cost Cost Unit Cost Cost Unit COSI Cost nil Cost Unit Cost Unit Cost s1 Cost 0 1 SSS I 1 f 4� l tg &-1000 ',mss, g �3. S l � / �I�'v l � � �) oa (� 1 �� C3 Zocr> LcQmL Q Dr4� ,�� �7) C p - i�®9 JI/ 7S- so . 1195- 1Soo 3.5--V 1S 15Z 323-D fJ Sa.Ca. II oca.-how, TOTAL d O �i 16,00-2 � 041 � c� J S = 6'i co NORMAL % GOOD -- O O . R. C. L. N. D. 5700i IDU /� 1,519,4-D .. • - - - - ...- „ - -r 1 111 ri - r - ►s — - - --I- - t lilt !• . 1 t �� + �-,' JJ•W. M ..a.w `... K:L. `-P�` ti�.. .., �in.•k � 1.. A:r. 3 {.� s � • i '' MY- 17"i!}'f, Z. . F...+A.wli4'T�..\1r-a—'L�.r'-Y�>'-!,•.SvC�^' ..+ .w . c�: . a aY, ..oma. 1� 4-kt' � a l-?n�f .•Y'� ,� }�'�"ir:w+s�:y y ,r y..-..-..+....�,.�.Eyi.-+'��'�"i'yw�.�.•.'.. ,.4. 6 + s s.Y. �.l '.'.,. ..,+a`..F•f. `arr: x�i`-(�.IJ a9_A,:sr•^s .j*?•:'.Y SITE PLAN REVIEW APPLICATIt-OpN Date: q AP# Permit Number (if applicable) O(OVO% Bin Number A13 APPLICANT INFORMATION Owners Name: Owners Address: Telephone No.: Site Address: Proposed Use: qg0-3?1?0 Residential New Single Family Residential R3 Single Family Addition Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic t. r F]Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: Parcel Size: . ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well , ❑ Agricultural Buffer Form Zone: e GP: DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved 14VBy Date ALL, ITEMS .CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract ❑ Watershed Protection Overlay Zone ❑ SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: • Flood Zone: • Flood Panel No.: Index Date: ❑ Sacramento River Reclamation District (Approval,must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan ❑ Chapman/Mulberry , ❑ Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: (Z—A General Plan: Applicable Building Setbacks: ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side S� Side Street Rear /s (0 1 i UE Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: 2 Parcel Created By: ❑ Deeds: Date of Creation: Legal Access Provided: Deed of Reference: Legal Access Required Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ No ❑ Yes ❑ No ❑ Yes ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements ❑ Subdivision Map/Parcel Map: Map Date of Recording: Lot: J 3 Book: CRT Page: • Ia1K6 Ixa•� C\ o ,y P. Ip 4 HO °+G 7d ' It 78 44 4 7Y t 76 o '0 9 f0ux91ROx (-� •"• 74 • 2 �, PO -II« X . i4y7seew� �p•a9as t x M. i A• !� SOo•� a a >OIAY Y6E ie CENTlP LrvL OP XO)D CP CR9T LWL 0•Kp4lL !14x74 VxIT N0. P I i _ _ 9giTx a 11,,e OF 1.1L. VER . �COfrO �Txn<�•E LCW TY TTS .... ... ..... .H Y. 49.. .•. . �.. _ ...... IS , ... ..... .. -1Ii LOT 9 �R7.Ob'-1-a9.00 6!°a j 9900 6900 -let°0 5eX •)C6 TnIA°�� VILLI •YE40Vi l I 0'899 P? E em1�e H4 -Y�',° gG :10 H6 87 °o'^ HH o H9 •T 30 8 91 0 o BL I^ 93 _ 93 �g 35 a.; 96 7 0 9H ae Rw'+'r =ZCI `:_ __. _ 'o- - -.... , _ _ � A• 't gla o °;• u °81 °s�•�. aLf T'[I Qy� To. 'r ay.ce god as.o4 9sAo' � aaao' w.o4' ,es a�. s9 o4 1 •2s o° ,'_asi �h� 1 � R.'fRLani7• a. •BTL ...err--._ .........: .................... __ -..-.06.°.2P_5.... _.. _. ................... 9'LSR_-..... .... ....................... i 6 ' N .• ROSITA a_ -WAY �._ j T -S 101 N' A •<4! !10:°4-¢'I0.00 1 61.00 69.00 99A0? 69.°0 ; 69.�J 69•0o E C9.°IY 't 900 6804 e8°O O �u••�gE °.•T) o-1 :t--- u 94 „seTn.cT`c --•- aL I': ;x - - 0 gq o - a a 44 8oX 45 46 ' 4I k 4H 8i 39 p0 v. al � 42 ._Ib 43.' a _ ;W � �O• Y 0 ° 33 v Sn�KK' 89TK°y' W:.. M C T T � i� t ^ _ �0 PO •S. ♦ �e 9 < _ sQ+._N.Ld_ 1 'l. �•'iIZ�.R �..� ` J 32 �• ,64 !i- ' -, Z -y -1- I 'eeao ee.»-,-eeso-jj ma4' ,Taa.ao i&.-Tay.p -ra oop a_s j :• If IG.3 gP . i eP.ez I I 1 a 8 a j . • •; 31 .� • yvs at LL i X; i 13 i? I 15 i '.. I ;p 8568 SS 854 s"I•I 53 ; 52 bo••51 !a 50•'Kg qgl ea1M` 168 2 30""" ie° �<`' LAS PLUM'AS P4RK �UBOIVl�fGk --1eo _ aVF. i 2i I I I - I 6P 4l)Q_I--6A2f! I-.94. o I _._.....__ _._.............. � '' O e 6• ?:: \1 L ._ ....... .. 2«S •8 `e° \• `!`�` / ./ __ 1I - •-Iti\I1 r L--o..y.. ->_II1 .:rIII ...s.si.3iS.i>..%.d.II .iT.:1I .:-c�.°.�.�L. i.- 111 �-II4a-°vi- .u" :a.I�.$..�.RL.i. rA'p.sS.fI @-Ef. l -c- " ;• b-. FLeai9UlMd_a "- .'"eie'e.d�...a`.!$1�.ee4ie?.)"i.do�R_ 6•''.',$°.a.P8e'e.9P0eeuF33.eo�o`.'W.;�-�A'6Y9eeab_' -9..w7eH• :92•P. ............ ........... AS n.ie�I W UNIT 4O ON e t. 63§0 4FUrt ,: 57 H 59 60 6 ^ .v i3 �H�• 9s, : s's.mNIee0o1err0•l •»69i4 .rM.. ..i °49W6eev .-yPum'vg0 90 ES72 71 67 70 G 68 �f 1 613 b f - - • 1 1 96.98 6 90 90 60 ams•--. x era4L -._ °. !91 ei m9I K .5 s.96 « o IRon •roe r>vRLEnT w Roem LAS PLUMAS a AVENUE a GAVE DATA I Cntii%%[:c I . I ....... �v+�•L96 gUNl9 vE. I'rt • LOOATION MAP x•Le � • x.xw NOTES •zocy' t •)1.•: P•Y9e.0 L. )•.oi s. q•se°ai 4 •.I•aiL�' . •¢o.op' L • a1.06 A• Xa•� l • <L9U OAKDALE HEIGHTS UNIT NO. TWO. H. ••20.00' P•H6•a' l•L.>T' L• X.U' TOTAL AGREAGE IN STREETS 4.083 4C. SUBDIVISION ,^DI I/BION R •20A.Y L •aC.O Y' '1•)107 9 • f10.•C' ' L• W.n' L 0 r•S7YY . •r.9 -Ad L • 4..0: P• 269. •a' I Cntii%%[:c I . I ....... �v+�•L96 gUNl9 vE. I'rt • LOOATION MAP x•Le � • x.xw NOTES THE BASIS OF BEARING IS THE EASTERLY LINE OF OAKDALE HEIGHTS 'UNIT NO.TWO GIVEN AS NORTH ON THE FILED MAP OF OAKDALE HEIGHTS UNIT NO. TWO. TOTAL A�REAG 16559 AG LAS PWMAS PARK TOTAL+.^.RF.AGE INIA7S 14.476 AC. TOTAL AGREAGE IN STREETS 4.083 4C. SUBDIVISION ,^DI I/BION PJSLISETBACK UTILITY EASEN.ENT LINE -- - -- PU.E SETBACK LINE _.......... UNIT N0. TWO TAGMOND MARK_.._.- SET n CONCRETE MONUMENT MARKED H.E. 7234 ANGIG.4AGE EASEMENT (5x2(1) -•------� 44• IRON N•TE SET AT ALL LOT CORNERS o A PORTION OF LOTS 9,10,11,12 13a141N BLOCK 6 AS FOUND MONUMENTS SHOWN ON THE MAP OF VILLA VERONA OROVILLE BUTTE CO, CALIFORNIA OW?IERS a Sil60IvmERf.' SGA..z I' - Ina ENGINEERED WOOD PRODUCTS MAY I962 COMPANY ENGINEERING UFHGE OF WALTER 6. `GRIMES REGISTERED C-P.L ENGINEER N0. 72S4 PTN. SEC. 29, T19N. RAE. M.D.R.SCM. E-3L� Ef PLUMASWAY 'A: PI OWS J';Af"P" SUP. VMT 44" PARK A LAS PL UMAS AVENUE Butte County Assessor's M aP Book 78: Poae 22 -------------------------------- ------------ yi ...................................................................... 2W&: 0 .............................. . ... ............... ............ ......................... ------ .... . ------------------------------------ -­Oin '!c ' !3; ­Ov Ay . ." - I ii'.e !kf?� -, Butte County Department of Development Services. eei>e rRE N O T E S 7 County Center Drive, Orrwille, CA 95965 _ (530) 538-7601 vww.buttecoLintyneudds you"s{• I t APN: RESIDENTIAL Permit No. Owner 078-220-035 06-0400 SAELEE, FOU MENG Site Address: 21 ROSITA WAY, OROVILLE CONT: ROBERT PEACHER INC. Contractor. DEMO Type of Permit. %^ O 2C— 1 C ' F I ECO 2 Addr. GAS Meter By Date ELECTRIC + 1U Meter/By Date �4 SPECIAL CONDITIONS CHECKED BY Q SRA Q FLOOD CERTIFICATE EQUIRED Q FIRE SPRINKLERS REQUIRED Q SPECIAL INSPECTION ITEMS Q VERIFY Q USE PERMIT CONDITIONS Q SUB -STANDARD HOUSING LETTER Q ENCROACHMENT PERMIT Q REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date + DATE JOB FIN D: IC9'It0 ��co AE SIGNATURE- \ aOry C"'—Mk, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 02/22/2006 APN: 036-550-035-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 21 ROSITA WAY ORO Map Index: Date: Z Contractor: �, f��6,6P_ " 4C4 (? rill Description: demo house (2000) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SAELEE FOU MENG & FEUY ON SAECHAO 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 21 ROSITA WAY the Contractor's State License Law (Chapter 9 commenting with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROBERT PEACHER INC. owner of property who builds or improves thereon, and who does 3107 HWY 99 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA. sale. If however, the building or improvements are sold within one 95973 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-343-9171 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: ROBERT PEACHER INC. and who contracts for such projects with a contractor(s) licensed t pursuant to the Contractors' State License Law.). 3107 HWY 99 CHICO, , CA. ❑ 1 am Exempt under Article 3 of the Business and Professions Code 95973 Date: Owner: 530-343-9171 License #: 426944 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. Architect: ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S T_J� T -F,- E: 7 /1 % S uare Ft: 0 S. F. p (�Total Z7 .Z ` 0 00 U S 3 O Z 00!, Policy #: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: cam. Applicant: I t� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one (� hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION F(V1.11VIV LtIVUh/G %1GtIVVY T~i:, rC:� ::.�: �..r��Y "'"wed un ee � ,q.appli� hln pro`�isions of the Butte Cq!mty CndP and/nr - I hereby affirm that there is a construction lending agency for the of the work for which this permit is issued (Sec 3097 Civ.) Resolutio o do rk indicate above for ich fees have been aid. P performance Name: By: Date: r� 2 — Address: PERMIT EXPIRES ON: (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all.county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: O seyLQ,66 &r � � � D{Z Signature: Date: Z� .❑ Owner Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 OK MANUFACTURED HOMES MISCELLANEOUS I ' �. DATE Lj PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs t 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -CIO to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S`C A R P O R T S GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide a 4e o` Pool Drawing = OK Not OK RESIDENTIAL (Single & Duylex) I uArt JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Opth 3 Ftg Garage; Soils-Steel-Elec Grnd Fig Opth. 4 Ftg Porches/Decks; Soils -Steel Fig Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 63 Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr Bolts .1oists-Vnts-Cripples 15 Acc.& Vntltn 16, Insulation DATE IFR"ING WeaVngsProper Materials &Anchrs lts Studs -Nailing Spacing &Braces-PlatesSound Walls over Girders & fir Nailing VFFit Stop in Walls (rat proof) Stops, Furred Ceilings-Stairs-ChasersTubs ders & Beams-Sz & Bearing 23 ngers-Post Caps-Anchrs-Cnnctns eiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Tres or Type A Flue-Frplc Throat CI c 26 A -c Arm; Sz & Rmx Prtctn-Draft S ns Baffles drm Wndws or Exiting Door Dimensions �" Garage Fire Prtctn Framing -R annel 22.P Prty Line Firewall & Opngs Doors -One T -Check Garage 3rd Story, 2 Exits 31S�t�ai' s; Width-Hdrm-Rise-Run-Landing-Fire Prtctn ywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 33 Siding -Nailing Veneer 34Styeco Lath -Weep Screed-Fndtri Vnts-Undrflr Acc lazing Area -Glass Prtctn-SkyLts-Plastic 36 Sh Walls; Nailing -Bolts race Int/Ext Wall pnls 38 Ins ultra -W a Its -Ceilings 39 Infiltration-Walls-Wndws 1 s` -12 o'`• 0 � o'• o` DATE JELECTRICAL xtr & Trnsfrmr Clrnc4ns Prtctn 44/Ely 4/EEl c Rcptcls Spacing -Lis & Switches at Doors Rl2'Soxes & No Of Cndctrs Stapled ri3�R�^ex Installed Close to Edge of Studs & CJ 44'E rnd made up w/Mech Fstnrs 45Xp Electrode Bond Gas & Wtr 46'2 Appinc Cirrs in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz pa ❑ CU or DAL �Wire Sz ea ❑ CU or [] AL 48'Range Circga CU or QAL Oven Circ b=3 -9a [I CU or 0 AL -_ I�n lated Neutral ❑Yes [:]No rvice-Riser Cndctrs & Grnd Main Dscnnct qp Clrnrs pnls-Motors-Mech Eqp 51 Cl thes Closet Lt-Shwr Lt -Spa Lt oke Detector t 1 M EPI NG -Cmbstn 4yPWt//r Pipe -,-Test & Anch EFlail�rtctrij 7&7&07&0e"_;•B; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First fir -Tub Acc 57 Test Tub &Shwr, 2nd fir - Tub•Acc r�y'"Q'aas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping '4 DATE.LIL� M E H A N I C A L A ucts Insulin & Support t Fan, Exhaust abv Insultn onde sat Dr Ovrflw, Sz & Grade �u a -Ve cc -Comb Air RtrnNent 115 Outlet ttic Acc & Pltfrm if Furnace in attic NAL/ !teps-Door & SideLt Prtctn-Landings 5m Detector urnace Vnts-Clrnc-Comb, Air-Cnnctr In G ge; abv-flr-Ducts-Mech Prtctn BC oom Exiting FI & Bath Fxtrs & Tub Acc-Spa 22'EI.KTrim & Subpnl, Breaker Sts & Labels fairs Guard/Handrails 74 c or Stove, Cirnc-Hearth lec uUets at Wood Pnl, Int & Ext Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc Fn, Outlets & Rcptcls at Ktchn Counter ge Fire Door; Swing -landing -Closure 79 AC Duct in Garage -Damper qtr; Vnts-CImc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 8§ P b; Elec & Mech Eqp Listed for Lottn 8j§.W c Rcptcls in Garage (GFI) Romex Prtctn 3 ultn-Foam-Looked in Attic 84 Guar Rails & Deck Cns -Post Caps -agndn Vnts Cra le Do oDrnge &Wood -Earth 86 CImc Dmge Planters OYes QNo 87-St-Veco Brown -Finish it Dscnnct. Elec-Plmb >4 nts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 0 Wtr Well, Dscnnct, Elec, Plmb .91-15t Elec Trim, GFI Rcptcl-Undrgrnd 92 n thru House R3_D4erTs—Prtctn 9J:arrections from previous Inspctns est -Meters Tagged, Gas-Elec -� & Sewer Cnnctd-CIO to grade -HD Apprvl nerg Cmpinc Cert Certs ress Posted 99 Fire Sprinkler 10—U -No r)� C. o'• j0 ^I Fo'-O fD o � Y]r4� C • oma• ms. \;` SSE C-0R4Z5e7-i oaf /�tc� l ee -- /6 l 4&t,r. 4. I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060400 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION Zze I hereby affirm under penalty of perjury that I am licensed under Issued Date: 02/22/2006 APN:.036-55e--M-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Site License Class : License Number: Address: 21 ROSITA WAY ORO Map Index: Date: Z Contractor: ���,k�C� �� Description: demo house (2000) OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the'following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: SAELEE FOU MENG & FEUY ON SAECHAO 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 21 ROSITA WAY the Contractor's State License Law (Chapter 9 commenting with Section OROVILLE, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: ROBERT PEACHER INC. owner of property who builds or improves thereon, and who does 3107 HWY 99 such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for CHICO, CA. sale. If however, the building or improvements are sold within one 95973 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of 530-343-9171 sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: ROBERT PERCHER INC. and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3107 HWY 99 CHICO, CA.95973 ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: 530-343-9171 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 426944 ❑ 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. Architect: ❑ I have and will maintain workers' compensation insurance, as Engineer: g required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: S T p (J�J rI� �/r� 00 Z — 0 00 U S-3 " Z UD Total Square Ft: 0 S. F. Policy #: Z! Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: -7i V �Z Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is ,re ' ed under applic ble provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutio o do rk indicated above for ich fees have been paid. 2 2 Name: By- Date: ` PERMIT EXPIRES 2 '— 22 Address: ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: doo, 61t r e�kj Signature: Date: ? , /Z%, t�(� ❑ OwnerContractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 J BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2534 OFFICE #: (530) 538-7541 A FEE WILL BE REOWRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds *xPLEASE PRINT CLEARLY*Y CONTRACTOR OWN R NFORMATION Last Name City /GO irst Name . Address / e %7-A WIf City �� SlateC I Zip %} 7 Phone Fax Fax E-mail State License Number CONTRACTOR Name , oonor c 12 rA16 Address 3107 k 60 5�' q 9 City /GO Ste G / F Zip%s-c/ Phone FSS o 76 7�_ E-mail Lic.cn 6 9 517-1Class Phone APPLICANT INFORMATION ARCHITECT/ENGINEER Name City G Address Zip Z�p�s City Fax,,_,,()6.7 State , Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name �0�36d2✓~ G Address City G State Zip Z�p�s Phone O J / Fax,,_,,()6.7 E-mail APPLICANT SIGNATURE office use only: Zoning 2— ( Flood Zone Cross Street SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: n11C:0 Cr*%O C1 101\nITTAI Dr-:r)l 11D9=1%n[=nlTc PERMIT NO. BP d0 BIN # PROJECT LOCA TION AP# 07B�--a-ZU C/ Property Address l too S J City J06U/46,,6,7 Cross Street WORKER'S COMPENSATION Policy Number ':,x 077, —00005-33-Z005 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: 05yy 3 7'o . 126 , 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, a new application, plans and fee will be required. REQUEST FOR REFUNDS -Refunds can only be made upon written request by the person who paid -the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by Amount: Receipt #: Vl Date - 2 SRA Sheriff SMIP Other Total ���.'���^'f%.�i��F1r'�`;6�5'.'T`ti {iii:�;.•",�..}'�'f�k7�v-'!3%"`�����rt'fl�.�"�.r*.?i'�.:..fiy'Ry�'�`+71+zp0: va[�,p.:F3; ,�'�'���i �T`"r _' i 0355=0=035 92-2736B _•. WILLIAMS, Norman & Bonnie• 21 Rosita Way,Oroville . reroo /sf : i ti COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovll ler California 95985 - Telephone: 916,'538-7541 APPLICATION.AND PERMIT PERMIT NO. �Z'c��3� ASSESSOR PARCEL NUMIDER 036-550-035 ZONING R 1 BUILDING PERMIT OWNER ;TMS{ e NO%MANp BONNIE TELEPHONE C34"JyGy SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 1333 OROVITIE 4?5966 26 [O CAMP 1,560 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING AODRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 31.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ADDRESS BUILDING AD WAY £?Pf?VII,I,F Q5�66 ROSITA Permit fee $ 46,5Q PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE r��- SF I Duplex F-1 Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 615.001 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation C Other ❑ Describe work: RFROOF WITH COMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO 1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification V1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e4 OR ADDNS. ACC. BLDGS.NEW 3.54 sq.ft. CONSTR. ULTI.OUTLET N ON.RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS 6 SINGLE OUTLET CIR. ) Ex. Occu p OUTLETS OR FIXTURES 20 75 A FIXED APPLNS. Ex. Occup. OUTLETS (RESID IRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Coolin g Hood 6.50 Ventilation Permit Fee —. $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said County in onsequence of the granting of this permit. X �� ���+��:'� Date _ d "�` Si nature of Applicant Owner [Z,1'1 Signature pp Ly.� Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-� ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 46.50 HAz 1 0FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Work indicated above for ,Which fees have been paid. ,YE PUBLIC WORKS • f"'� Y 3y Date t?- �` ` `� �` PE M EXPIRES Date- `r Receipt N, 117F02 p WNITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT PERMIT NO. AS�E73 RPARCEL NUMBER 036-550-035 ZONING R 1 BUILDING PERMIT OWNER NORMAN & BONNIE WILLIAMS TELEPHONC 534-9723 SQ. FT. OCC. BUILDING VALUATION 26 SQ COMP 1,560 OWNER'S MAILING ADDRESS P.O. BOX 1333 OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 1,5 0 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 31.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 21 ROSITA WAY OROVILLE 95966 Permit fee $ 46.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFEI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: RER00F WTTH rnMP Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ?OOA OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business a d Professions Code and my license is in full force and effect. icense .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. / DWELLING OCCUP.&\ OR ADDNS. 1 ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTR. ULTI.OUTLET NO N•RESID BRANCH CIRCUITS @ 5.00 /POWER APPARATUS &) (SINGLE OUTLET CIR. / — Ex. Occup( OUTLETS OR FIXTURES A o ped FIXED APLNS. Ex. Occup. OUTLETS PRESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains said County in onsequence of the granting of this permit. X Date �� 2— Signcture of Applicant — Owner Contractor ❑ Agent ❑ An OSHApermit is required for excavations over 5'0" deep and demolition or con struct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE I TOTAL FEE $ �t HAz 1 -6 -FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated abo f hich fees O PUBLIC By P MEXPIRES Date applicable provi- resolutions to do j have been paid. WORKS Date — — Receipt No. 117402 WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916. •538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER s5-oss zA"' ✓ BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN •S MAI NG_ADDRESS ^` ^ c`�//'� C r 7 S sL o N• E CONT A®WN NAME' TELEPHONE CONTRACTOR'S/MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ �� O Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ S Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2-1 Permit fee PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Sfc�Duplex❑ Mobilehome❑ Other SPF,CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New "r— Addition rI Rneemodel❑ Utilities❑ Installation❑ Other- Describe work: l F UJ fALL (" 0,-%A 4Q Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO 100oAi 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADONS. ACC. B / 3.64 sq.ft. NEW CONSTR. RANCH UTLET OUT NON -REST BRANCH CIRC ITS @ 5•00 POWER APPARATUS (SINGLE OUTLET CIR. d ) Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76d FIXED APLNS EX. OCCUp. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHApermit Is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Occ CONST TYPE TOTAL FEE $ HAz 1 0FEES IMP I FLOOD I COF PARCEL Po HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. i1 76� Z— WNITC=D.P.W., YELL OW- ASSES SOP. PINK -INSPECTOR. GOLD ENROO-AP►IICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Pr,ibe, Oroville, CA 95965 Phone: 9.16-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be.issued until this verification is received. .1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) /J 2.. I (have/have not) _ Qay� signed an application fora 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. T plan: to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone 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 Signed: Property Owner ���✓� Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned.to our office before we are per- mitted to issue the permit. - 4 COUNTY OF *BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telep)one: 514-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By `r Date Building permit expires Date BUILDING Owner .r/ r+ # 1t ,' f. SO. FT. OCC. BUILDING VALUATION Mailing Address r , + I ; , . Telephone No. Fireplace Contractor t . /f (+f Total Valuation Mailing Address ' - j, Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address! ` - ) l� +' 1 ez �� 1 ). PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 � - Repair drainage or vent piping 1.50 Water piping 1.50 t Each gas water heater or vent 1.50 A. P. No. r Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg: -Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ? f , , - r n +, , 600V OR LE Main service 100 AMP OR LESS 5•�� Main service EA. ADD -L 100 AMP 2.50 OVER 60 Main service 1100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L. 100 AMP 1.00 NEW CONST. DWELING OR "DONS. ( ACCLBLDGS.CCUP. &) 20sgft NEWCONSTR. MULTI.OUTLET NO N.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: f / h r ``' w : • f f d , �� 4 .�'� , Ex. Occup(OUTLETS OR FIXTURES) BqL@251 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. � � 7 1 � Classification [ - -7ri -_a . , �., r Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I 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 Workmen's Compensation Laws of California. PERMIT FILING FEE j $3.00 , +� Heating lOn Pit (z (t.1'-° HC ,+ i -I, (T Cooling Ventilation Hood 2.00 Permit Fee $ + f, /,'ri $ ! f I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to building construction, and hereby TOTAL PERMIT FEE $ 1; authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By `r Date Building permit expires Date COUNTY OF `BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive - Orovilie, California 95965 Telephond' 534-4,141 APPLICATION AND PERMIT WORKS 3 ^'77 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. cate Z� /Z Signature of Permitee/or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF UBLIC WORKS BY Date%%- 77 u(ding permit expires Date BUILDING Owner Iy1 g r SQ. FT. OCC. BUILDING VALUATION Mailing Address-� Tel phone No. Fireplace Contractorr♦s-<t f ` A k. Total Valuation Mailing Address j S IC -2. i^ �� � f t Permit Fee Plan Checking Fee &/or Penalty ele honje No / Permit Fee $ Building Address �. �'S I a PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 >*Z Each gas water heater or vent 1.50 A. P. No.Jr Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ' &r. Saai4aken FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 B ans Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q a "' ryJ i d h(2 Main service 100 AMP OR1 OR LE LESS5.00 "'� _ a" Main service EA. ADD'L 100 AMP 2.50 ' Main service OVER s 25.00 100 AMP O OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20 sq ft NEW CONSTR. MULTI.OUTLET NON•RE51 D. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON •RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: 7 'ro/'I YJ P. 1 /, Ex. Occup(OUTLETS OR FIXTURES)@25Q BAL@IOU FIXED ALNS. OR IPPRESID.) EA) 2.00 Ex. Occup.(OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 y �-- ; 2 a License No. g � �.Classification E- (n I Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3,r-0 Heating - 1470 m ( T(/i i-5,, t%0 Cooling '7-D r 010 Ventilation Hood 2.00 Permit Fee $ ()'� I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ �� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. cate Z� /Z Signature of Permitee/or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF UBLIC WORKS BY Date%%- 77 u(ding permit expires Date ,a AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 2006-0021455 Recorded I REG FEE 10.00 Official Records 1 County of 1 CONFORMI) COPY 1.00 Butte 1 WMACE J. GRUBBS I County Clerk-Rerorderl I I NZ 011:51AN 27 -Apr -M 1 Page 1 of 2 f 1111111111111111111111111 I) ({ I' I I I I 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: Date / l/1 % Q0 P OPERTY OWNERS: 2 fig y Oln S �' 00 s �5'L H q - evt �. -Coe-oh_X UNAE.N 1a h h sAE W7 r -O0 NiFNG 5-4446 /141/AAtJ'& ON State of Calif�i� County of !!�l ��-- On 1-/ tl4 I/— personally appeared iaim.sgl known to me (or proved to me on to the within rmstrument an ai capacity and t by his/hers the person(s) act xecute WITNESS my a and official before me, kp/�f Lor 06, 20!�re�7 A.P. #t C 7,? -;Z,2 () .-e 3S i e 0 "baw mma"M personally of satisfactory evidenc) to be the persongWhose names i ubscribed ge to me that he/sheA&executed the same in his/her/ it uthorized ature�on the instrument, the person&r the entity upon behalf of which ANN P. MENKWG Conunbtlon #I 1590350 Notary KAAC - CaIHm is Sel: tluBe County MyCmrm. ExpkaJun 26, 2009E 4 ak le vo ccxs-u" Exop 1-v 39, on4a ConujA wo,,ci.A bfip!c - CCIIJoik4a c\4Mutbrajou ik 1 94 I - VWYI S. AIR-Mve 4 AL iii For a valuable consideration, receipt of which is hereby acknowledged Fou Meng,S4ee. and Feuy On Saechao, Husband and Wife, and Muang on Saelee, an Unmarried Woman, and Saeng Linh Saelee, an Unmarried Man, all as joint tenants. hereby Remises, Releases, and QuitClaims to Fou Meng Saelee and Feuy On .Saechao, Husband and Wife, and Muang On Saelee, an Unmarried Woman, and Saeng Linh Saelee, an Unmarried Man, and Fam Meng Saelee, an Unmarried Woman all as joint tenants. All that real property situated in the Unincorporated Area, County of Butte, State of CA, described as LOT 33, As shown on that certain map entitled, "Las Plumas Park Subdivision Unit No. TWO", which map was recorded in the office of the recorder of the County of Butte, State of California, on August 21, 1962, In Book 28 of maps, At page(s) 13 and 14. ,Tb .s 41e 0 va, -all � 4�zllr ANN P. MENKIW; Commission # 1591 5o 4b, Notary Public =Califomla Butte County y Comm. Explres Jun 26, 2009 j" I,