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Home My WebLink About066-260-030y _ r rr AP,. 66-26-3.0. .-CAMELA RAMOS RUBIO lJ 15 Pawn Court, lot 336, Magalia I: contr : Fuller Construction, Maga. Permit#$ 3665-74P,E // 4; (util., MH) / } f t - ELEC. GAS SUPPORT -STRUCTURE REQ': `pjo I.•, t COMPACTXN TEST REQ. n -D 66-26-30 CEntr Illumination El'ectric,Par L ' P rmit #11 5-78(ele to ex site) 0 MH ► S ,, B07-0983 s • `� 066=260-030, MISCELLANEOUS` '. _ Demolition T DEMO -EX MH -12 X 52 MAYFLOWERyiu, 13614 WRIGHT"KENNETH AND DANA -L- I L!3:N ` ' 4 ,066-260-030.w _ I. TIAL' SFD-Custom/Model 3 _ t ,GAR(495),O(180),COV(159),WN CTKENNETH & DANA _ - - a 3 • v't i BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED `)ATE NAME DEPT. DATE NAME DEPT. S Fm Permit: 1135-78E 3 Rubio, Camela Lamos " 15 Pawn Ct. S%S c' la,e-. Magalia, Ca. 94954 AP: 66-26-30 (eleC, to existing MH site) pts f �A � y, i va �, d dp COUNTY OF BUTTE — TMENT OF PUBLIC WORKS 7 County Center DrivoviIIe, California 95965 Telephone: -4541 APPLICATION AND PERMIT ' BUILDING Owner ' SQ. FT. OCC. BUILDING VALUATION Mailing Address v Telephone No. Fireplace " Contractor ', Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Built?ng Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 l Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning &Planning 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 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADONST ( DACCLBLOGLING OCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESIO. ( BRANCH CIRCUITS) 12.50ea NEW CONST. POWER APPARATUS & NON.R 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: y Ex. Occup(OUTLETS OR FIXTURES) BALgi 009 Ex. Occup. FIXED S. OR ) ,2 00 P• OUTLETTSS (RERESID.) EA Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ 1 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. EJI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling 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 $ CIU ttlUF l LCfCpt eSenlallve5 of Ine bounty of t$utte to enter upon Ine 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 Date Building permit expires Date COUNTY OF BUTTE - DEF,R?JENT OF PUBLIC WORKS 7 County Center Drive-Orot#le, California 95965 Telephone 4-4541 APPLICATION AND PERMIT S'tgnature of Per itee or Agent j - , % / ! r By Date Receipt No. Y ]� ` a & &�7 . White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date BUILDING !SQ. Owner61'9_W (a-(, i%' %� ®S' • (,� /3 / C) FT. OCC. BUILDING VALUATION Mailing Address e Telephone No. Fireplace Contractor u qz / p�}`1" �.� 5 L c —11 Total Valuation g c �p`� B - Mailin Address 6 (� /�- Permit Fee Plan Checking Fee&/or Penalty Cf� T e o e Permit Fee $' Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 B 33 6D C� C� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 0Gas Zoning & Planning piping system 1. - 5 outlets 1.50 Each additional outlet .30 FewT WIC.Sanite4iett FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 aleig pal-- &&c'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2,50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP 0 OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.CCUP. &) 2(tsgft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea - NEW CONST. POWER APPARATUS & NON- R 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 Ie St Of: Y Ex. Occup(OUTLETS OR FIXTURES)NL@29C BALiai FIXED APPLNS. OR Ex. OCCup.(OUTLETS IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Nor -29T y&_ Classification_ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ :_L� $ 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 Wo kmen's Compensation. ave 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 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 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 County of Butte to enter upon the above -menti roperty fo inspecti purposes . �`R Dat TOTAL PERMIT FEE 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. n DIR�OR OF PUBLIC WORKS /' e f S'tgnature of Per itee or Agent j - , % / ! r By Date Receipt No. Y ]� ` a & &�7 . White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date PERMIT NO. \p E M MH UTIL. PERMIT NO. 3665-74P,E PERMIT EXPIRES ��OWNER Camela - Ramos giihi n CONTR. A _E _ F TT.T.F.R Con Gt , macralia ;LOCATION (A.P. 66-26-30 15 Pawn Court, lot 336, PPCC##4, Maga. f; w IV /tel O f- G 17 r.i407, 72 ��0 G emp.APme v 0661 f alled PG&E i Elea Serv.alled PG&E Temp. Ga Server E1 4ll �0 Calle (PG&E _ "y t JOB FINALED (Date) (Signature) _..•..--yam-. ,' -- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD . BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall' Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2rid Floor ` Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances ` Carport Footings Conformance of ex. structure Gas Pi Ing & Test Temp. Gas Slab Final Sanitation j' Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam Framing .Stucco Scratch ' Brown ' Finish " Interior Lath ' Door Closer Test Fina Heating Cooling Ducts Ventilation Final MECHANICAL Water Htr. Subpanels Grd. Fault Pr Service Temp. Pole Undergroun Permanent Final .! DATE REMARKS OR CORRECTIONS rJTC,(--. y To ro cs t (�4 su aJ6�76 Wo y I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive—,,Qroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xrL, t Date Siof 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 Date o� C 7— - IIding permit expires Date ................ .: �% n;F.A..r. BUILDING Owner �-vrt ti SQ. FT. OCC. BUILDING VALUATION Mailing aailing Address qS 7�q l• Jew[ ph 4 f.3 % F i rep lace Contractor � 4111/ V _ Total Valuation Mailing Address„ Permit Fee Plan Checking Fee &/or Penalty Telephone No. 873_aj, � Permit Fee $ $ Building Address `5� C PLUMBING No. @ FEE PERMIT FILING FEE $2.00:_a. Y Each Trap 1.50 _ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ^ ej //VTR Zoning& Gas piping system 1 - 5 outlets 1.50 S Each additional outlet .30 F' S io FireDept. FireZone Use ermit Building sewer 5.00 E�l EQA Parking Plans Parcel Declaration parcel - P 60' R/W Improvements P Lawn sprinkler system 2.00 Plans Recd Paa pproval PI ns royal Permit Fee $_ $ Q NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 - Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 ente5® Water Heater or Space Heater 1.00 Light fixtures be aio Receps., switches & fix outlets 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: � Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 �s Temp. Power Pole 5.00 r� License No. .229 7'75-- Classification Misc. wiring ❑ 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_Jhave 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 Heating Cooling 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE1$77 Q� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xrL, t Date Siof 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 Date o� C 7— - IIding permit expires Date ................ .: �% n;F.A..r. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 13614 - Owner: Permit NO: B07-0983 APN: 066-260-030 WRIGHT, KENNETH AND DAN Issued Date: 05/07/2007 By KEJ Permit type: MISCELLANEOUS 6740 BELLEVIEW DR Subtype: Demolition PARADISE, CA 95969 Expiration Date: 05/06/2008 Description: - DEMO EX MH 12 X 52 MAYFLOWI (530) 877-0863 Occupancy: Zoning: RTI Contractor Applicant: Square Footage: WRIGHT KEN CONSTRUCTION WRIGHT, KENNETH AND DA Building Garage Remdl/Addn 6740 BELLEVIEW DR 6740 BELLEVIEW DR PARADISE, CA 95969 PARADISE, CA 95969 Other Porch/Patio Total (530)877-0863 (530)877-0863 ' FEE INFORMATION DBMSC Demolition $55.00 l LICENSED CONTRACTOR'S DECLARATION' Contractor (Name) State Contractors License No. / Class / Expires WRIGHT KEN CONSTRUCTION C825204 / B / 09/30/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 05/07/2007 Contractors Signature Date Balance Due: $0.00 Receipt No: B2954 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance„ also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: I AS OWNER OF THE PROPERTY OR MY EMPLOYEES WITH WAGES AS THEIR SOLE A. 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 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My Workers' Compensation insurance carrier and policy number are; Carrier: IPolicy Number: Exp. Date: (This section need not be completed if the permitis or once hundred dollars ($100 >EI 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 pr is' ns. rl X prW?L6.- -[A 05/07/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. _ CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). IC7�1 'As OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED , [�J CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this reason: Owners Signature 05/07/2007 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Stale laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the ropeny owner"aumoriz"Pa"s, edtoactonthrbhalf. 05/07/2007 'Name of Permittee [ N] -Print Date Owner Contractor OR. Agent for OwnerEl Agent for Contractor FILE COPY . V. DEMOLITION PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5 A demolition permit shall not be issued by any city, county, city and county, or state or local agency which is authorized to issue demolition permits as to any building or other structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit application. Compliance with this section shall not be deemed to supersede any requirement of federal law." Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at (Address) (City) (Zip Code) Assessor's Parcel Number Date Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at (Address) ( ity) (Zip Code) Date �� - 07 Signature of Applicant fl BUTTE COUNTY PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds . BIN # "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name. Name W MailinV-ddre 748 ��U i �w ��✓ City State Zip 4S9 69 Phone 9% -7 - U 8 (1P 3 Fax E-mail CONTRACTOR Name W r— W Address L2 4 Ur� ` I� v, -e, City Vr ��Q Sta=a, Zip CrY S Phone Fax E-mail Lic. # Class ARCHITECT/ENGINEER Name =AddPess City TSA. _/ _,&' Stat eZip . 6 Phone %? , o O/_ Old Fax E-mail State License Number APPLICANT INFORMATION Name Uu Address G-7 qb City � State CA- l/ Zip Phone g-7-7_ D� Fax E-mail APPLICANT SIGNATURE I PROJECT LOCATION I AP# 030 Property Address 1 3 (1 P q n L City WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: A Sq FT Living rage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy I -3 0(Note previous use): V? ,`C For office use only: Zoning FloodZone SRA Yes No Occ. Type Const. 9 R BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 53872140 WEBSITE: www.buttecounty.net\dds ' WRIGHT KEN CONSTRUCTION .6740 BELLEVIEW DR PARADISE, CA 95969 (530)877-0863 - DB R3 Dwelling -Custom, Model DB R3 Dwelling -Custom, Model DB SRA Fire Plan Check Fee' DBEH Building Review Fee DBFIRE Fire Inspection (SRA) R DBFIRE Fire Inspection (SRA) R DBFIRE SRA Fire Plan Review (S DBSMIP Residential PROJECT INFORMATION Owner: permit No: B07-1037 WRIGHT, KENNETH & DANA 6740 BELLEVIEW DR Issued Date: 06/25/2007 By KCG PARADISE, CA 95969 Expiration Date: 06/24/2008 495),0(: (530) 877-0863 Occupancy: R-3 Zoning: RT1 Applicant: Square Footage: WRIGHT, KENNETH & DANA Building Garage Remdl/Addn 6740 BELLEVIEW DR 1,656 495 ' PARADISE, CA 95969 Other Porch/Patio Total (530)877-0863 180 159 2,490' t• FEE INFORMATION $1,056.96 $1,585.43 $109.98 $75.70 $102.70 $102.70 . $102.70 $12.39 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires WRIGHT KEN CONSTRUCTION 825204 / B / 09/30/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 06/25/2007 Contractor's Signature Date -'WORKERS'COMPENSATION, DECLARATION" I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less. 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. X—'� ` L � 06/25/2007 ,Signature Date WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. _- _____ _CONSTRUCTION'LENDING'AGENCY - I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip I $3,148.56 Fees Paid: $3,148.56 Balance Due: $0.00 Receipt No: B3635 'OWNER/ BUILDER DECLARATION' I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ISI 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED �J CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ 1 AM EXEMPT under Section B.'& P.C. for this I lX o)akA_ 41 f, �� 06/25/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Lperty owner or am authorized to act on the property owners behalf. Kn —A 7ir%uau 7)aAl, A4 66/25/2007 VOwner Contractor OR: E]Agent for Owner ElAgent for Cc FILE COPY Site Address: 13614 PAWN CT APN: 066-260-030 Permit type: RESIDENTIAL Subtype: SFD-Custom/Model Description: MP07-0032: NSF(1( WRIGHT KEN CONSTRUCTION .6740 BELLEVIEW DR PARADISE, CA 95969 (530)877-0863 - DB R3 Dwelling -Custom, Model DB R3 Dwelling -Custom, Model DB SRA Fire Plan Check Fee' DBEH Building Review Fee DBFIRE Fire Inspection (SRA) R DBFIRE Fire Inspection (SRA) R DBFIRE SRA Fire Plan Review (S DBSMIP Residential PROJECT INFORMATION Owner: permit No: B07-1037 WRIGHT, KENNETH & DANA 6740 BELLEVIEW DR Issued Date: 06/25/2007 By KCG PARADISE, CA 95969 Expiration Date: 06/24/2008 495),0(: (530) 877-0863 Occupancy: R-3 Zoning: RT1 Applicant: Square Footage: WRIGHT, KENNETH & DANA Building Garage Remdl/Addn 6740 BELLEVIEW DR 1,656 495 ' PARADISE, CA 95969 Other Porch/Patio Total (530)877-0863 180 159 2,490' t• FEE INFORMATION $1,056.96 $1,585.43 $109.98 $75.70 $102.70 $102.70 . $102.70 $12.39 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires WRIGHT KEN CONSTRUCTION 825204 / B / 09/30/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 06/25/2007 Contractor's Signature Date -'WORKERS'COMPENSATION, DECLARATION" I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less. 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. X—'� ` L � 06/25/2007 ,Signature Date WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. _- _____ _CONSTRUCTION'LENDING'AGENCY - I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip I $3,148.56 Fees Paid: $3,148.56 Balance Due: $0.00 Receipt No: B3635 'OWNER/ BUILDER DECLARATION' I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ISI 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED �J CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ 1 AM EXEMPT under Section B.'& P.C. for this I lX o)akA_ 41 f, �� 06/25/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the Lperty owner or am authorized to act on the property owners behalf. Kn —A 7ir%uau 7)aAl, A4 66/25/2007 VOwner Contractor OR: E]Agent for Owner ElAgent for Cc FILE COPY BUTTE COUNTY 0��0 DEPARTMENT. OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 o -_.-� c A FEE WILL BE REQUIRED AT TIME OFAPPLICATION c y website: www.buttecounty.net/dds ®v �� "PLEASE PRINT CLEARLY" APPLICANT INFORMATION OWNER INFORMATION Last Name Yi .. k4__ ma First Name Y' Mailing Address O ' - Q City ?a. State State Zipq� 6 Phone _ C)gU if Fax E-mail State License Number APPLICANT INFORMATION CONTRACTOR Name Yi .. k4__ ma Address O U' -ew City State State C". Zip J t� Phone , 2 s (/� Fax E-mail State License Number Lic. # Cla APPLICANT INFORMATION ARCHI TECT/ENGI NEER Name n (_ l =Address _S r �ZS City Fax State Zip Phone Fax E mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT §JGNATURE PERMIT NO. eU t- UJ BIN #r. WORKER'S COMPENSATION Policy Number Carder 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 WORE: GLI `To c_Sa+W_f oq — (X J?52 Sq FT Living Garage open,p, ll Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone I SRA Yes No Occ. Type nst. I i Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville,-CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds' Reference Number: B07-1037 Location Parcel Number: PERMIT APPLICATION DATA SHEET 13614 PAWN CT 066-260-030 Date: 05/11/2007 By: KCG Sub Type: SFD-Custom/Model Owner Name: WRIGHT, KENNETH & DANA Phone: (530)'877-0863 Description: N8F(1656),GAR(495),0(180),COV(159), EX SITE: TO BE MASTERED The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 87276393 SCHOOL DISTRICTS Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919. B Street, Marysville CA 95901 - (530)141-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966.- (530) 538-2300 Ext: 105 Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department, 3016 Sixth Street Biggs CA 95917 --(530) 868-5447 Other: Other: Other: Signature of Property Owner )6�a_ �- I Date: 05/11/2007 FILE BUTTE COUNTY FEE SUMMARY 7 County Center Drive Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-1037 Job Address: 13614 PAWN CT Contractor: WRIGHT KEN CONSTRUCTION 6740 BELLEVIEW DR PARADISE, CA 95969 Printed: 05/11/2007 3:34 pm Fee Description Account Number Fee Amount Paid Date Pmt Amt DB R3 Dwelling -Custom, Model DBF DWLNG CSTM/MDL N Plan Rvv 0010-440001-4210500-1010 $1,056.96 05/11/2007 $1,056.96 DBF DWLNG CSTM/MDL N Permit Fi 0010-440001-4210500-1010 $1,585.43 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 05/11/2007 $75.70 DBFIRE Fire Inspection (SRA) R 0100-450001-4617240-1010 $102.70 0100-450001-4617240-1010 $102.70 05/11/2007 $102.70 DBFIRE SRA Fire Plan Review (S 0100-450001-4617240-1010 $102.10 05/11/2007 $102.70 DB SRA Fire Plan Check Fee Printed By: Kourtni Graham 0010-440001-4210500-1010 $109.98 1001-0-280-1011298 $12.39 39148.56 $19338.06 Balance Due: $1,810.50 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change uring the plan checking process. Signature: Date: 05/11/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). California Department of Forestry and Fire Protection . Butte County Fire Department Fire Prevention Bureau 176 Nelson Avenue, Oroville CA 95965 (530) 538-7888 Office, (530) 538-2105 Fax Reference Number: B07-1037 Date: 05/11/2007 Location: 13614 PAWN CT By: KCG Parcel Number: 066-260-030 Sub Type: SFD-Custom/Model Owner Name: WRIGHT, KENNETH & DANA Phone: (530) 877-0863 Description: NSF(1656),GAR(495),0(180),COV(159), EX SITE: TO BE MASTERED To meet the requirements of Government Code section 51182 and Public Resource Code 4291, the Butte County Development Services -Building Department requires a pre -construction inspection to pro -actively provide the below building and site requirements to the property owner. Your property is located within the State Responsibility Area (SRA) of Butte County. All development within the SRA is required to meet the below requirements: ✓ Public Resources Code 4290 ✓ Public. Resources Code 4291 ✓ California Building Code, Chapter 7A ✓ . Butte County Improvement Standards Requirements prior to scheduling.the pre -inspection: ✓ Full plan submittal to Butte County Development Services -Building Division ✓ Driveway and building pad must be identified on site ✓ Structure location must be staked out on the building site Requests for inspections: shall be made a minimum of 72 hours in advance by calling the Fire Prevention Bureau's 24 hour inspection line at (530) 538-6837, ext. 169, (When the recording comes on, enter the extension number). For the pre -inspections, the property owner or authorized agent is required to meet the inspector at the construction site with two hard copies of the site plan: I have read and understand the above pre -inspection requirements. 05/11/2007 Date Signature All of the. Fire Safe Requirements are posted on the Butte County Fire Department website at http://buttefire.org/Firei)revention/i)rotplan/protplan.html Rev'd 5/7/07 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530)538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB l acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water.Permit.from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 05/11/2007 Reference Number: B07-1037 Date: 05/11/2007 Location: 13614 PAWN CT By: KCG Parcel Number: 066-260-030 Sub Type: SFD-Custom/Model Owner Name: WRIGHT, KENNETH & DANA Phone: (530) 877-0863 Description: NSF(1656),GAR(495),0(180),COV(159), EX SITE: TO BE MASTERED By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB l acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water.Permit.from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Signed: Title: FILE Date: 05/11/2007 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this 'office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refiind information can be read on-line at hgp:Hmunicipalcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-1037 Location: 13614 PAWN CT Parcel Number: 066-260-030 Date: 05/11/2007 Owner Name: WRIGHT, KENNETH & DANA Phone: (530) 877-0863 Description: NSF(1656),GAR(495),0(180),COV(159), EX SITE: TO BE MASTERED Signature of.Property Owner: Date: 05/11/2007 F School District BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) �a\Co,&,: A.P. NumberV- N� Property Owner Building Department No. Tax Rate Area No. Jurisdiction: City _County Property Location/Address `b U ) L� 1ci'f.Jt \ Subdivision Residential Development F -h Q No of Living Mobile Home Units Installation Commercial/Industrial 0 0 New Addition Building Department Representative Lot 0 Addition/ 'Supplemental to Conversion Permit # `(No foundation inspection) ......:.........................:................................................................ _ (�,J. I lu--�f7 Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) �i District Identification No. e2046 (p School District certifies that _ A (Street Address) (City) (State) (Zip Code) Sq. Footage (Including Exterior Roofed Areas) 6�. Date (Pa�(or) (Phone Number) has complied with the requirements of Resolution No. by payment of $ representing ®,3 (5z-.0 square feet. B 2926 $ FULL MITIGATION $ School District Paid by Check # 6 ,Q Remarks: hJ Date / ,*Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xls (12/06)dmm ' 560 Sq. Footage (P (Group R) ba Cr. Demo - ( ) existing sq. ft. see attached Net total sq. ft. V 101::71% Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) �i District Identification No. e2046 (p School District certifies that _ A (Street Address) (City) (State) (Zip Code) Sq. Footage (Including Exterior Roofed Areas) 6�. Date (Pa�(or) (Phone Number) has complied with the requirements of Resolution No. by payment of $ representing ®,3 (5z-.0 square feet. B 2926 $ FULL MITIGATION $ School District Paid by Check # 6 ,Q Remarks: hJ Date / ,*Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) feefonn.xls (12/06)dmm BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM ❑ FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD) ❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD) W PARADISE RECREATION AND PARK DISTRICT (PR -PD) ❑ DURHAM RECREATION AND PARD DISTRICT (DRPD) Assessor Parcel Number Property Owner (s) Project Location /Address Subdivision Name Permit Number ' yv,\,q a--, Assessable So_ - tie I LP Type of Residential Development (check one) 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 �) L verified by Building Department Comments: Q2 nC AN -kJ 1 Q�1 Sq �'16�)l (l - Building ❑ FRRPD ❑ CARD MPRPD ❑ DRPD certifies that: Date Applicant Name � I V Phone Number C-1 /�� p +0 OJ Y Q+ ✓ I RW oi i ,Jct,1 i TA CA �7 O Mailing Address City State Zip Has complied with requirements of the Butte County Board *of Supervisors Resolution No. 0 y) 9 by Payment of - DwellingDwelling Units @ $ 0 3 Z -� Square Feet @ $ _ Remarks: rJ�� per unit for a total of $ �fivwper sq foot for a total of $ �t� 7 ,6� Vlp, 2i3TS Paid by ChecT'No:. Paid by Cash: Receipt No: J"IN 1 2z�o Recreation and ar tstriafRepresentative Date AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 19 -Jun -2007 2007-002%18 Has not been compared Vith original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations (V 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: Please S ee ached. (20PY . Date Ln' I ' O PROPERTY OWNERS: 7� o V' wi [ r/i 1 i�l I/1��► �'i r State of California County oft-RL-jJ e, n, I` ' V" I before me, itc/ erso re lly app ad V '�nn tr __personally known to me (or proved o me on the basis of s sfactory eviden e) to be the person(s) who a name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) On the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. SignatureON Seal: KELLY HOLLINGSWORTH COMM. #1590079 3 0 NOTARY FUBUC • CALIFORNIA BUTTE COUNTY A.P. 4 Comm. Exp. JUNE 26, 2009 Escrow No.: 05 -308040 -WB Locate No.: CAFT M58-0958-0003-0000308040 Title No.: 05-308040 EXHIBIT " An THE LAND REFERRED TO HEREIN BELOW IS SITUATED THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: PARCEL I: Lot 336, as shown on that certain Map entltled, "Paradise Pines Country Club Estates Unit No. 4", filed in the Office of the County Recorder of Butte County, California, on October 27, 1971, in Book 38, of Maps, at Pages)"69, 70, 71, 72 and 73. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operatjons shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done -to the surface of said land. PARCEL II: A non-exclusive easement over Lots A, B, C, D, E, F, G, H, I, 3, K, L and M (the common areas) of Paradise Pines Country Club Estates Unit No. 4, and the lots designated for common and recreational areas as described in the Declarations of Annexation for Units IV, VI, VIII, X, XI, XII, XIII, XIV, XV and Country Club Estates Units No. 1, 2, 3 and 4. f