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028-220-001
1 a 28-2.2-01 C . r ALES SHAFER 1 028-220-001, 04-3266 SHAFER, CHARLES 6561 LA TORTE RD, BANGOR Cort:.GEORGE ROOFING RLROOF 1� ro 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.netWds PERMIT NO. BP043266 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 Issued Date: 11/12/2004 APN: 028-220-001-000 the Business and Professions Code, and my license is in full force and effect. 4� License Class : � —.'� License Number: Sa., Site Address: • 6561 LA PORTE RD BAN Map Index: Date: — Contractor. Description: RE -ROOF (23) 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: SHAPER CHARLES R & CLAUDINE JT 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 P O BOX 418 the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or BANGOR, CA she is exempt therefrom and the basis for the alleged exemption. Any 95914 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GEORGE ROOFING owner of property who builds or improves thereon, and who does PP such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 6810 LINCOLN BLVD sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95966 proving that he or she did not build or improve for the purpose of (530) 533-6393 sale.). ❑ 1, 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: GEORGE ROOFING 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 6810 LINCOLN BLVD OROVILLE, CA 95966 Date: Owner: (530) 533-6393. WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 452266 ❑ 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: 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 nuTkIer are: Carder. Total Square Ft: 0 SY. `� Policy #: �7a — S'llo —© Valuation: $0.00 ❑ I certify that in the performance of the work for which this permit is Census Code: issued, 1 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: %/ -/a -to fL Applicant:_�lZ. %-G WARNING: Failto secure workers compensation coverage is ure 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 peri ' hereby issued under the applicable provisions of the Butte County Cody anrVpr I hereby affirm that there is a construction lending agency for the Resolutions do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) , • f • O� Name: By: Date: PER IT PIRES ON: Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely 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 for or document of Butte County. I hereby authorize representativesof Butte County upon the above mentioned property for inspection purposes. -tto�enter Print Name: �G `� //C �/ �T�/\ Signature: Date: l� �� Z 0 Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: OWNER Name Charles Shafer Address 6561 La Porte Rd. City Bangor State CA ZIP 95914 Phone 679-2639 Fax E-mail Lic.# APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: CONTRACTOR Name GEORGE ROOFING Address 6810 Lincoln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax (530)533-0287 E-mail dan@abcgc.com Lic.# Class dan@abcgc.com 452266 1 C39 APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: ARCHITECT/ENGINEER Name N/A Address 6810 Linocln Blvd City Oroville State CA Zip Phone (530) 533-6393 Fax E-mail dan@abcgc.com State License Number APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: APPLICANT NAME Name GEORGE ROOFING Address 6810 Linocln Blvd City Oroville State CA Zip 95966 Phone (530) 533-6393 Fax (530)533-0287 E-mail dan@abcgc.com APPLICANT SIGNATURE X Shirley Trew - Agent for George Roofing For office use only: Zoning Flood Zone SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: LOCATION AP# Ozz8 • ZL::U• 4:>a l Property Address 6561 LaPorte Rd. Bangor,Ca. 95914 Cross Street PERMIT NO. NO. BP o43Z,e6 BIN # WORKER'S COMPENSATION Policy Number 272-596-02 Carrier STATE FUND If hiring anyone other than license contractors, a certificate of workers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work House - Reroof - Comp Sq. Footage 23 Squares ❑ 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: 13 r Z. 5-10 Bldg SRA Receipt #: 44 84-C-7 Sheriff SMIP Other Date: 4 V f 1/oq_ 137 5Q Total REV: George Roofing a M 0FFI COpy Address GAS jMeter'� ),p - - Date !EL Met My risf—V Date? 40 Temp. P OFFICE COPY CaIN Address Temp. El GAS I Meter By—C-40— D I CallELECTRIC Meter By Date Temp. G, 1� Called PG&E JOB FINALE( Signature 41116un t PERMIT NO. PERMIT EXPIRES 71 /C, OWNER CHARLES-SHAFtR CONTR. SMR Limited, MVsv Y 28-22-01 ASSESSOR PARCEL LOCATION NIS Laporte Rd,.100'SW Darby Rd_ Bangor 0FFI COpy Address GAS jMeter'� ),p - - Date !EL Met My risf—V Date? 40 Temp. P OFFICE COPY CaIN Address Temp. El GAS I Meter By—C-40— D I CallELECTRIC Meter By Date Temp. G, 1� Called PG&E JOB FINALE( Signature J _ OK` } r 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements _-�. 2. Soils; Special MH Support -Sketch �' `� Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. .Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors • - 7, Utility Clearance` t ¢ . - 7. Elec. --- -- - - Card -BI Card -BI Date Date Card -BI Date Date Card -BI �:'•- Date. ft! MOBILEHOME INSTALLATION (Plans) OK except'k's y 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1• Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line _ 2. Soils; Compaction -Structure Stability ♦`- ' 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.: Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures: Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.: Grounding; Equip. w/5' -Circulating EquipPool L•ghtg. boards -Ins. to Main in Conduit 9. Exits; Insp.-SketchBoxes-Enclosures-Panel 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date + Card B -I Date Card -BI Date Card -BI Date Card -BI ` Date t' � %0 J = GK r coe 0 = Not OK' - = Not Applicable - RESIDENTIAL (Single and Duplex)' = Not Ready Date UND FLOOR (Plans) OK except #'s Date FRAWG Continued V Zoning requirements -Setbacks -Easements 48. erty Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- /" Ftg. Depth E Doors -One 3' -Check Garage -3rd story, 2 ex'ts Ftg., Garage; Soils -Steel- / /" Ftg. Depth WEStairs; W idth-Headroom-R i se -Run- Land i nge ire P on Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 1M. Plywood on Ro f Overhang -Attic Vents -Rafter u rs St Main; Steel -Bloc outs -Wrapped -Slab CEKSidi -N g Veneer Stemwalls, Ga t -Bloc -Wrapped' Slab -Drip Screed-Fdn. Vents-Underflr. Access 7. Pi -Firep t -Steel . Cgkfing Area -Glass Protection -Skylights -Plastic _ D.W.V.: FKI-F&Kgs2 way C/O -Sewer Test Shear Walls; Nailing -Bolts Gas Pipe; Size -Anchors ater Pipe; Test -Anchors -Regulator -Service Test aro Underground ` s & Ducts; Clearance -Material -Support -Ins. irders-SilIs-Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Car I ALU Date - Card -BI Date C d -BI Daty, Card -BI Date Card -B= Date Card -BI Date.� Date FINAL tans) OK except q's Card -BI Dat Card BI Date Date PLUMBING (P tit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings m ke Detector _ 14. Water Ht.; Vent -Access -Combustion Air*. --Furnace; Vents -Clearance -Comb. Air-Connector- In G .age; Above Floor-Ducts-Mech. Protection w1water Pipe; Test & Anchors -Nail Protection _ TG!D.W.V.: Test-Fttngs & Anchors -Nail Protection 5 Bedr Exiting F & Bath Fixtures & Tub Access 17. first Flo?Tub Access _ e Shower, o Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels — 19. Gas Pipe; Size &Anchors 62. Staff Rails --- - -- 6 ireplace or Stove; Clearances -Hearth 6L_ -4R1<. Outlets at Wood Panel; Int. & Ext. Card -BI Date -' Card -BI Date 6 tt. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance - Card -BI Date ✓ and -BI Date 66. Ele�Outlets & Receptacles at Kit. Counter -� Date ELECTRICAL Permit K except it's ar Fire Door; Swing -Landing -Closer 6 .C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection -- Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protectiontec. 2�E / Receptacles Spacing -Lights &Switches at Doors 7�b., Elec. & Mech. Equip. Listed for Location - ize Boxes & No. of Conductors -Stapled ec. Receptacles in Garage; (G.F.I.)-Romex Protec. omex Installed Close to Edge of Studs & C.J. -- P RIM. Ground made up w/Mech. Fasteners -Bond Gas & Water 7�lation-Foam-Looked in Attic [-]Yes 73r9aar� 2ils & Deck Construction -Post Caps - 2 Appliance Circuits in Kitchen & Conductor Size 7 dn. Vents Crawl Hole Door -Drainage &Wood Earth Clearance Looked under Floor ❑Yes Subfeed Wire Size / a. Cu or AI-A.C. Wire Size // ga. Cu 27. Range Circ. //'0/ g or Al -Oven Circ. / / ga. Cu or Al, _ Insulated Neutral - es [Ctvo ^ZY-2 e -Riser Conductors &Ground -Main Disconnect y - 75, Following instld.: Drive Yes Walks El Yes Planters ❑Yes .Ta,StatL , own -Finish - - �ip. Clearances; Panels-Motors-Mech. Equip. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet zn (P�ri�oo, t 'nht-Shower Light 7 s Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ----------------- ---- / Card B_IDate/Card-BI Date -_ ater Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground notation throughout House Card B -I ate p�L� Card -BI Date rotection Dat -47- ICAL (Permit) OK except q's _ 83. rrectiofrom Previous Ins Ga st-Meters Tagged; -Electric Ducts; Insulation & Support — ater & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan_ Exhaust above Insulation- Energy Compliance Certificate -Other Certificates 33. Condensate Drain _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI ar te�-��/Card-BI_ _ Date Card -BI Date Card -BI Date Card -BI Dat Card -BI Date Card -B Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's _36. Sills; Proper Material & Anchors_ - 37. Walls; Studs -Nailing, Spacing & Bracing- Plat _es -Sound 38. Bearing Walls over Girders & Floor Nailing__ _ ft Stop in Walls (rat proof) Furred Ceilings �i Chases�- Header & Beam -Size & Beari h- connector s 4>langers-Post �.ie;ps'-AuOrr"in- 43. Cing. Joist RfRoof Brac.-Truss-Shthrig-Rfnq. ireplace Tie Flue -Fireplace Throat 4g ees�_ _ ztr& Romex Protection -Draft Stop -Ins. Baffles -- 4 drm. Windows or_ Exiting- Doors-_Sill_Hgt. & Dimensions__ _ age Fire Protection Framing _ —_ (NOTE: An entry must be made each time youvisit jobsite) 'County of Butte DEPART-MENT OF PUBLIC WORKS 69'3 Oleander Ave., Chico — 343-4211, Ext. 70 7 County Center Dr., Oroville — 534-4541 :Skyway and Elliott Rd., Paradise — 877-3435 CORRECTION NOTICE :�...FYI,....;........... ��`-�............. ..... ..-........ s Building or Property Address A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ............................................. ...................................................................��...�h......�. yy..vv................................... ............................................ i fien...IG�...... ..................................................:.................................................................... V11,, ........................................................................................................................ ........................................:............................................................................... Date�� Ins ector��,�� - i p e —C71- — Do Not Remove This Tog (400-4) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 `- CORRECTION NOTICE OWNER PERMIT NO. A routine i ection indicates that the following violations of County Ordinance exist at a above address and should be corrected. Please notify this office when orrection of work is completed. If you have any question pertaining to this m er,or need additional explanation, please `contact this office immediately: A 14 .A Inspector. """' -Date _ x Inspector. """' -Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 ,CORRECTION NOTICE OWNER r � r / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. yr � Inspector Date • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 CORRECTION NOTICE /7 PERMIT 17 �Lg violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. a l R rl f I FA I alEd eN�01 EA�l 010M-4-- / i 7 u Inspector__. _ Date 5r •c COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 8912751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 14K I:Xell—e3- A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891'2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS ' A routine inspection indicates I at the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �5 Inspector Date' ENERGY INSTALLATION CERTIFICATE Building Owner Building Permit # Building Location %dam 6 3 DESCRIPTION OF INSULATION ROOF Material /- Thickness(inches EXTERIOR WALL Material t" Thickness(inches CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width (inches) FOUNDATION WALL Material Thickness(inches) Brand Name&o'u',e,L__ Thermal Resistance (R Value) O Brand Name O Thermal Resistance(R Value) Brand Name Thermal.Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name .Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, , 7Srconsistent-with approved building department --plans and attachments and con- forms with requirements of Chapter 2-53 of State of California Energy Requirements. a c z -S' &S FIRM/OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy Lequirements. 2-4-1 9.o `743 BUILDING CONTRACTOR/4A4-.(Please Print) STATE CONTRACTOR'S LICENSE NO. (FIRM NAME) Y&214 SIGNATURE OF BUILD O 0 NER ' DATE HVAC FIRM NAME/OWNER (Please.Print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF HVAC CONTRACTOR/OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 t � o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RMIT ASS SS .R. PA CE YMBER 1 ZONING BUILDING PERMIT D C r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN '' IyLAILING DDRESS 96� C TRACTOR'S NAME uo nE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Feer` S ARC I ECT OR ENGINEER LICENSE NO. Plan Checking e $ Energy Plan Checking Fee $ ARCHITECT -OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ©� / fidPermit fee $ , PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 ti r1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF% Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition ❑ ❑ Utilities Instplla 'on Otherto Describe work: hhY7 id Jet?� — N47LJ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions Code and my license is in full force and effect. License No. Classification 1, 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.a` , OR ADDNS. ACC. BLDGS. / /21tsgft NEW CONSTR I.OUTLET CH CIRC I S 2.50 ea NO N.RESID .BRANC . /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20eA 0 0 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 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. j� I shall not employ any person in any manner so as to become subject �t to the W. C. laws of California. Notice to Applicant: If after making this statement,should you becomesubject 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 10.00 Heating Cooling g Hood 3.00 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. 1 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 id County in consequenVola granting of thispermit. Dater Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures oveernr�3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE occuP. CONST.T!P scNooL FLOOD PARCEL I 0b ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work ;i' ted above for which DIRE F PU P MIT EXPIRES Date the applicable provi- resolutions to do fee have been paid. ORKS ate Receipt No. c 5_ / WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT _ COUNTY OF BUTTE - Department._o.f Public Works 7 County Center Drive., Oroville, CA 95965 Phone: 916-538-7541 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) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. J 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-/� - d,9 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. SMR LIMITED Lic. No. 429043 302 Ninth Street Marysville, California 95901 BEN SNETSINGER (916) 742.7161 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RM�;T ASSESSOR PARCEL NUMBER 28-22-01 ZONING ' BUILDING PERMIT OWNER CHARLES SHAFER TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 389, Bangor, CA 95914 CONTRACTOR'S NAME OWNER TELEPHONE 5th renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 1FFy, $ 161.25 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 10363 LaPORTE RD. Permit fee $ 171.2 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 BANGOR Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SFJ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Sth renewal of permit 91746-83 i (4th renewal permit #1950-87) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 El 1, 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) ❑ 1 am exempt under Sec. , Business and Professions Code for thi krason NEW CONST. DWELLING OCCUP.61` OR ADONS. ( ACC. SLOGS. 21A0sq ft NEW CONSTR. TI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES DALO 30 FIXED Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare undervpdrialty 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. Noice 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 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 said County in conseque a of the ranting of this permit. Date re of Applicant — Owner ❑ ontractor ❑ Agent ❑ gt 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 171.25 OccUP, CONST.TTPC SCHOOL FLOOD PARCEL PD Ho Is90f. 1/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE506 EXPIRES Date — the applicable provi- resolutions to do fees have been paid. WORKS Date — Receipt No. WHIT[-O.P.W.. YELLOW-Asele ea R, PINK-INeP lcTOR, GOLDlN ROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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) 2. ~I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name ''Za Address City Phone Contractors License No. 4. I 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 2. Social Securi y Number - -- Date - /f� 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. r" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N c 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT !J ASSESSOR PARCEL NUMBER 28-22-01 ZONING BUILDING PERMIT OWNER CHARLES SHAFER TELEPHONE SQ. FT. Ochi. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 389, Bangor CONTRACTOR -5 NAME OWNER TELEPHONE 4th renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER - NONE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 01F F. E $ 161.25 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING10363RESS LaPorte Rd. Permit fee $ 171.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ban or Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 4th renewal of permit #1746-83 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 (3rd renewa 1714-86) Main service ,0Ov OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW of perjury I declare under penalty p I y (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 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 Xfor sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for t is ason NEW CONST. DWELLING OCCUP.&`` , OR ACDNS. (ACC. BLDGS. f /z¢sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2ALO 30 eLo Ex. Occup. OUT ETS PIRESID IREA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare unde enalty 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. provisi:06i of the Labor Code, you must forthwith comply with such provisions o'r this permit'shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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-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 again%40d County in con eque c of th granting of this permit. Date 417 nature of Applicant — Owner ontractor ❑ Agent ❑ An OSHA permit is required for covations over 5'0" deep and demolition or construct- ion of structures over 3 stories snin height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 171. 25 occuP. CONST.TYPEJ I FLOOD PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indic above for which IREC PUB By P IT XPIRES Date 6-20—vim+ the applicable provi- resolutions to do fees have been paid. ORKS DatQeQ Receipt No. G2d`� WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County -Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: I Phone: 916.538=7541 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) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name .Address City Phone Contractors License No. 4. I plan to provide portions of this work, but.I have hired the following person to coordinate, su ervise, nd 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 Add ess Phone Type of Work Signed: Property Owner 'L 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 —422 APPLICATION AND PERMIT ASSE PA&C L NU E ZONING BUILDING PERMIT OWN a r e- a r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNE S M LING A RESS q� / © Y CO TRA C TOR'S NAME TELEPHONE CO TRACTOR'S MAILI G ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH ECT OR ENGINEER �iq hF LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD r� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 A yi' Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Q Building sewer KA.101 Mobile Home Is G W 0. TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Insta}lation❑ her,4 Describe work: i�� h 1 n C°" �' ��M� Permit Fee $ Q Contractor ELECTRICAL PERMIT Filing Fee 10.00 In Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 C TRACTORS LICENSE LAW I declare under penalty of perjury //check one): P Y P l y\ ) ❑ 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 El 1, 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.8d , OR ADDNS. ( ACC. BLDGS. /zOsgit NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET.CIR. Ex. Occup(OUTLETS OR FIXTURES 20I5OQ BALI 30 FIXED APPLNS. R Ex. Occup. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. lyirin 15.00 9 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 10.00 Heating Cooling Hood 3.00 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 agai s aid County in conse ce of a gran 'ng of this permit. 't ��/ Date —y `,fC� Signature of Applicant — OwnerW Contractor ❑ Agent ❑ An OSHA permit is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE' $ �,5 I (,KI` Occup. CONST,TYPEJ �FLOO.JP.RrFll PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indic ed above for which DtREC F PU BY PERMIT EXPIRES Date the applicable provi- resolutions to do f s have been paid. I WORKS 2 Date v Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -'DEPARTME'NT OF PUBLIC WORKS - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. J ASSESSOR PARCEL. NUMBER 2-2--0 ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWN S MAILING ADDRESS 9 9 CONTRACTOR' NAME TELEPHONE CONTRACTOR'S MAILI ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee -y $ z� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or litent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 ou ets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ )remodel❑ U i lities [:1Installation ❑ Other Describe work:P 17y6—�� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 X7-3 21y ��,,JJ / ` 25J BOOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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.& ,/zQsgft OR ACDNS. (ACC. BLDGS. NEW CONST R. MULTI -OUTLET NON.RESID BRANCH CIRC S 2.50 ea POWER APPAR Us e (SINGLE OUTL CIR. Ex. Occup(OUTLETS O FIXTURES 20®502 eALO 30 FIXED \\ Ex. OCCUp. OUTLETS RESID )RE A. 2.00 Temporary service I 1 10.00 Mobile Home Faciliti 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 FiIingFee 10.00 Heating Cooling g Hood 3.00 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 aid County in consequ ce f the anting of this/permit. Date f! — �3 �4� Signature of Applicant — Owner 45antractor ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ / 2 OCCup. CONST,TYP1J I FLOOD PARCEL I PO ND ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab ov f r which fees have been paid. DIREC PUBLIC WORKS By Dat Z3 PE IT EXPIRES Date 'ZO— Receipt NO. 6'77 q Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK- NSPECTOR. GOLDENROD -APPLICANT n ti ' COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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) 2. I (have/have not) signed an application for a building permit for the proposed wor 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No., 4. I plan to provide portions of 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 i Date d 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. J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT ASS€SSOR PARCEL NUMBER 28-22-01 ZONING BUILDING PERMIT OWNER Charles Shafer TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAM TELEPHONE 2nd renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee @ z FEE $ 161,25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 171.25 BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 t SW Darby Rd-, Each Trap 2.00 Solar Water Heater 20.00 Bangor Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home IS I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 2nd renewal permit #1746-91 (3rd renewal #3213-84) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC• BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW I declare under pen t 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 thi r ason NEWCONSTNON.RESID R BRANCH CIRCTITS 2.50 ea NEw CONSTR. (POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. Ex. Occu 200500 P�o Ts OR FIXTURES SAL030 FIXED APP LNS, OR FIXED EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under p natty 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. 1 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: Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this tappIi•cation. and'state that the above information is correct. I agree to comply tgall,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. 1 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 inst s id County in conseq n of a granting of this permit. f� Date�`r�� vJ� Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3star ies in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 171.25 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE 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. DIRECT R P LIC WORKS By Date PERMIT EXPIRES ate 6-20-86 Receipt NO. go /l f WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department bf Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 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 c of the proposed property improvement (yes or no) .07 2. I (have/have not) signed an application for a building permit for the proposed work. . 3. I have contracted with the following person (firm) to provide the proposed construction- Name onstruction Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervi e, a provide th m jor k: _ - Name Address City ' Phone Contractor License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: 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. COUNTY OF BUTTE - DEPARTMENT Of:! PUBLIC WORKS j' 7 County Center Drive - Oroville, -California 95965 - Telephone 916/534-4541 I APPLICATION AND PERMIT PERMIT NO. �a13- ASSESSOR PARCEL NUMBER 28-22--01 ZONING - BUILDING PERMIT OWNER Charles Shafer TELEPHONE SO. FT. OCL`, BUILDING VALUATION OWNER'S MAILING ADDRESS 110 Renwick P1., Walnut Creek CA 94598 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee original $ 161.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 171.25 BUILDING ADDRESS t N/S Laporte Rd 100 SW D�rb Rd. Bangor PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF n Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work:_ 1st renewal/1746-83 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 220sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBusiness 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 CONSTR. ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. OccuP (zo®soa XOR FIXTURES BAL®aoc F Ex. OCCUp. FIXEEDD APPLNSOR OUTLETS (RESI.D,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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 I Consent to Self -Insure. 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses hi may in any way accrue ag said ounty i o e f the rantin of this permit. Signature of Applicant — Own Contractor ❑ Agent ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE 171.25 OCCUP. GROUP TYPE OF CONST. PARCEL PD ND 99UE 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. DI T0§ PUBLIC WORKS By 6/20Dat PERMIT EXPIRES Date Receipt No. Z WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPE TOR, GOLDENROD -APPLICANT } COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) 2. I (have/have not) div-'� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed constructio Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate s pervise, and provide the major work: Name ea�YyLl� 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 /D -- -3 -- 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 permitted to issue the permit. COUNTY OF BUTTE - DrPAR TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND, PERMIT PERMIT N0. ASSESSOR ARCEL NUMBER -� a —0� ZONI `/ ,V BUILDING PERMIT OWNER er T LL.1 ONE SQ. FT. OCC. BUILDIN ALUATION `� OWNER' ING ADDRES U V CCITRACTOR'S NA111 TELEPHONE 4 / CONTRAC O -S AI Ity ADDRESS 0 4 ie Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.0f11, LENDER'S MAILING ADDRESS Permit Fee $ 'y ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI ADDRES o PLUMBING PERMIT Filing Fee Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 " Water piping 5.00 �0 LOT NO. SUBDIVISION NAME P R EL MAP Each qas water heater or .vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other ' SPECIFY Building sewer 5.00 ^ Mobile Home S G W VocW _10.00e4 TYPE OF WORK New [V Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ q, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 ash NEW CONSOR ADDNST ( DWELLINGSDWELINGC 2'h2Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 WONSTR ULTI.OUTL 2.50 ea NO N•RESID BRANCH CIRC TS. NEW CONSTR POWER APPARATUS If' NON•RESID, SINGLE OUTLET CIR. ExOccu 20050Q . p�OUTLETS OR FIXTURES 13AL030 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA, 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee 10 Contractor MECHANICAL PERMIT FiIingFee 10.00 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. Heating Cooling Hood 3.00 jen Ventilation Permit Fee $ 0Z 19 10 Contractor I certify that I have read this application and state that the above information 1s 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-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 aga' st aid County in co que f the ranting of this permit. Signature of Applicant — Owner l ontractor E]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 $ TOTAL PERMIT FEE $ f Occup. GROUP I TYPE OF CONST, aw pel PARC L P Ho' Ids This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT UBLIC By PEWMIT EXPIRES Date----"', the applicable provi- resolutions to do fees have been paid. WORKS Date/C Zo Receipt No. ®�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUT - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, gALIFOQNIA 95965 - TELEPHONE: 916/534-4541 P MIT APPLICATION DATA SHEET Permit No. OWNER ,D . A. P. No. - n -e--5, I Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Ofh�r (Explain) Building Inspector _ ti Date e At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans�n""upl�riplicate. . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . ' 4. Complete engineered plans and calcs. . . ... . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , . , , 9: Letter of signature authorization. ��✓,0. Sanitation approval from Health Dept.. ` 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . .. •Pre-Inspec. request to 17. Pre -Ins eGtlOn for egUlred. Build i Ins (Date) 8. Other When youJssue the permit, process as6llows: Mail to owner. Mail to contractor. 1,;`Telepho ee-':7 1,2 -^7/6 and hold for pickup at ?) rD office. Deliver w/inspector. Other_ r4o'l Y7't-'t-_0 r 1 A p p I i c a n �� R ate Copy of plans sent Health Dept:, Fire Dept., Other v Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of app(icati n, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Date Plans checked by Date Plans approved by Date Other: Copy—DPW To: Suild.ing L'epartiment Fror:; : `_v .! ron^ enc al Health Sub;ect: Sanitation Clearance n..,.- e `' Location. ru :r Plan!pprbved f07: Sewage dispoSea JC— v,,at Hold 'final .for Oater supply Final clearance 0. K. for: Tiatar sunny Clearance for bedroom home. Other S anit a r_i_an Date Retuxia o DPW AGRICULTURAL STAM ENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. BUT 1 E COUNTY- 1;-' L:F. ©QQ mt— ..,-.., n"*%7 rincnr;hari harain is Adiaepnt to land or included ��N n P.�,1193 within an area zoned for agricultural purposes, and residents of ELEANOR H. ?,.E:c' .,if this property may be' subject to inconveniences or discomfort arising gK_RK-RECORDS from the use of agricultural chemicals, including, but not limited to herbicides, FEE pesticides, and fertilizers; and, from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive 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: ,NOT COMPARED WITH 40RIG.INAL DOCUMENT Z_4� Date: Z �,F ' 7 `: State o6 , 'r;.Z _1L ) d ) SS, NOTARY PUBLIC-ZAL1f OR NIA Nifle Cc.,"My my Ceewr.isaitit� CYPhns lbr., `�, i9N� PROPERTY OWNERS: On this the day of -r-e , 19 , before me; the undersigned Notary Eublic,'personally appeared known to me to be the person(s) whose nameEs)�S subscribed to the within instrument and acknowledged that -7fu.�, _ _ _ executed the same for the purposes therein co to -fined. IN WITNESS I MEIREOF, I hereunto set my hand and official seal. Z7 r �iotary Public ze:?int r�_.1. NO._ r• M 9 1 1 1 5 1 T "A" �,csl. ly T% �+0sfiwet p9tat of tis Nnehmst "after of Nation 12, Twaosbip 18 North, Raq� 5 neat, Iti.a.M. Taa Motd�wtt at the 1s"tlnweat Vrarto" of /oatiw 13, is Township la North. �•r s lean. M.t,t,w. psi 3s Mt'M ad}iafae do Neethwast quarter of the Nwtbmat quarter of Section 13. lobi, IS aweav •tea 5 N=at, N.DJAM., laser by the ►orleetwia Ditch an! Mteeatllie md4' beth comm7 Read. said 20 &ores latah leester is Cleo Souehwaaoc gasetos of do Fkadmet quarter of Metioo 13, Ismaship 1$ Womb, Mass S gsoc, R vam on eeieMat ter read sd utility purposes este s strip of Luna 64,00 fat Is WVta b8bW a PMtien of the Marthmat quartwr of Sec -Acs 13, Township lb Martb. Rargo i Qiet, N.B,i, M's in gotta CwA& y, Ca1lf4:a►ta, thean ctor lino of said strip bet" dnaerilad as Wlewi N:iYMINQ at a pilaf on the Mont line of said nortbewc quarto= •f Soecioa U. from ■69th pint the teedowat ooae+asr of sale Section those hears March 0' 48' 43" Yost, 129!.41 Seer, tioMaa Narth W 12. 31" east, 74.07 feat= thence Norte 55' 24, 12- • t3�.�3 batl &bassi $ereh 43' 17. Zr Rae", 266.71 t«t, thecae South 20' 42' 30" Rost, 3!7.21 $MCI thsaoe $000 4' 124 U" Leet, 449.13 toetj thew South 41' 27. 3$" Rant, IWJG to ti Bence South 24' 49' W $set. 131S." foot, tbass0 tbx"b s cures to ria left Wish a "Wive of 40 feet mar o Central �e of 74' $30 30" es are dtstasso of $3.70 nastj tbame North 7$' 14. 40"ats, 90.54 feet, tba=Rthrough a c to the sight With a t+adiw of 40 Most sed a rostral rate of 5e' 37. 29" sa sea distsnao os 40,93 faatj 16WA $e4th 43' 07' Sl" Nast. 22.60 feet to a point 66 the eertdc tins 66 Ls netts Roar sad there toratna laS. r -fny k , , i,' sir 13 j } �� I .. � � �, a ' �.` N 1 ,s; tAl ,r ��� ;�?�',cSQ • Co �,'� , ���s / ,� ''��rQ ��+',�r�s,T' X3"0% AINIk g .a y �i ro F d 1.= j F M 1 Li A LO r �8 k i AINIk .a y �i ro d 1.= j F Li LO LAU] a a 7 DATLfl oI 1 4