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028-400-049
v 020 — 'Zio- �O ✓ —" u _ _ f.• • f , 4 �•i roti } t � � f\ , ,} � � 1 1 � ?�f� RESIDENTIAL. - 8 -40- 49, ESIDENTIAL-8-40-49. - - - _ WEBBE , Rusty & Teah Hummingbird Hill Rd,,Bangor (utilities/MH) J OFFICE COPY - I Address I GAS D)e g Meter BY : ELECTRI - Dat�9—' Meter BY JOB FINALE Signature v=ok O = Not OK Not NotReadyable MOBILE HOMES -r Date 140BILE HOME UTILITIES Plans OK except #'s 1. Zoning Requirements -Setbacks -Easements ,/2. Soils; Special MH Support Sketch t/3. Sewer; Location -Test- Fat l -C/O Concrete 1__ --*.-Water; Location -Test -Easement Needed (Sketch) x,f-_-=ectricity; Location-Clearences-Grnd-/ /Amp -Concrete Gas; Locatioqq-Test-Wr p: / PL" ft. /' /"Nat. or, Zv L" ft.V LPG 7. Utility Clearance Date Card B-1 Date Card B-1 ye Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements gs; Size -Spacing -Marriage Line t 3. Gas; MH Test-Demand-Valve—Connector j 4. tricity; MH Test -Crossovers -Breakers -Clearances 5. rain; MH Test -Fall -Flex Connector + 6. Water; MH Test -Regulator -Connector ' 7. W r and Sewer Connected -C/O to Grade -HD Approval j Gas and Electricity Tagged j its; 'Insp.-Sketch fa ,Ar�fTof Occupancy j j Date rd B-1 Date Card B-1 i Date Card B-1 Date Card B-1 v MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures- Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK • - = Not Applicable = Not ReadyRFSIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except N's Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin -roof Bra c-Truss-Shthng. -Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm, Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except N's i Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except k's 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except ff's 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; In;. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 13 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panel s -Motors- Mach. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector '80. Following instld.; Drive ❑ Yes O No; Walks 0 Yes O No; Planters 11 Yes ❑ No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings Date MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ft's Date Card 13-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card 8-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE y {d3� T 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 Date Inspector MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916)) 538-7541 PERMIT NO. ! - Z103V '. Address or loc i Owner's name r Owner's address .Insignia or hud number y Manufacturer's name_ Serial nu Year of manufacture IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. Install V COUNTY OF BUTTE - DEPA,RTMENVT OF PUBLIC WORKS 7 County Center Drive - Orovilre,,Cal California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ER MIT N0. 91— ASSESSOR PARCEL NUMBER 028-400-049 ZONING , Q. 5 BUILDING PERMIT OWNER RUSTY & TEAH WEBBER TELEPHONE 679-2215 SO. FT. OCC. BUILDING N OWNER'S MAILING ADDRESS P.O. BOX 89 BANGOR 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION ( NONE ENDER UNKNOWN Total Valuation Is Filing Fee $' LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS HUMMINGBIRD HILL RD BANGOR Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[][ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I riAhl 15.001 45.00 TYPE OF WORK New F] Addition❑ Remodel❑ Utilities[ Installation❑ Other ❑ Describe work: -3 BD -R -M (REPLACES #327 _QQ) _ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 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 OCCUPy OR ACDNS. / ACC. BLDGS. 3.6dsq.ft. NEW CONST R. ULT( -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 accrueL against said County in consequence of the granting of this permit. X Date _ l O ' // — fZ/ Signature of Applicant — Owner Contractor El Agent F1sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct• ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE TAL FEE $ 128.50 I I HAz DFEES .—— IMP FLOOD , COF ..-_ PARCE PD HD Issu This permit is hereby issued under the of the Butte County Code and/or ov f work indicated abor which fees DI CT OF PURL C BY PERMIT EXPIRES Zate applicable provi- resolutions to do have been paid. WORKS pp Date%"'�� [r Receipt No. 101334 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENY OF ,rU' BLIC WORKS - BUILDING DIVISION VLE,C�td IF0 ,NIA 95965 -TELEPHONE: 916/538-7541 7 COUNTY CENTER DRIVE - OR6V r� PERMIT APpLICAT'rO ATA SHEET Permit No. OWNER Gc Y- —gR��� A. P. No. 2�— �% 11D, Proposed Building Use (m %� !�- Building Inspector Date �3 5D' 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 in duplicate,(.tdWsigned by preparer of plans.. 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation // instructions. 10. Fees of $ .2 ..0 ........................................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School Di Ict fees paid .............. 4. Sanitatioe n approval from no ✓ I A�'� Health Department �� 3 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW p 1"ll�_ 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owne-1vlail to owner ❑) ..... d ent ........ D /111 25. L tter o siV. gnature authorization .. . . 2 -n �ylt� e%u rnahGlr�A 5i When you issue the permit, process as follows: Mail to owner. Mail to contractor. „ Telephone and hold for pickup at of 'ce. Deliver w/inspector.' Other �i.�r ow# Applicant Date 1 ' Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy of plans sent ---Health Dept. Fire Dept. Other Date By The following data must be submitt r' t per it issuance: (Circle new ite not check9d above) 1. Index permit for above items t�. e r t CA B -r 2. Additional items required: D Contractor, designer, owner, was advised of a�dve5juiv dT&ta by�phone�nail—counter by ..date 10'4-80 Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date _164L6191—Plans approved by 1 Date —LOWq Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: ' Environmental Health SUBJECT: Sanitation Clearance z�,a—tis -' Owner Location APS Sewage Disposal Water Supply Plan Approved for: � Water Supply Hold final for: Final clearance O.K. for: . clearance for -3 bedroom mobile home. Other NOTE * * * Water Supply -- — ) 3-5 �. ►J �- Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION. AND PERMIT ASSESSOR PARCEL NUMBER ,�v O 00q? ZONING BUILDING PERMIT ow ER ea �Y' TE E 4 E 1 SQ. FT. OCC. BUILDING VALUATION OW ER'S MA ING AOD E . a. o a a >r 0A qs � CO TRACTOR'SS NAME f TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CO 5 RUCTION LENDER ® ✓1 ' - UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /(1 lJ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS dl Rd Permit fee $ PLUMBING PERMIT Filing Fee 15.00 UO % Each Trap 5.001 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome$ff Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 _! J , TYPE OF WORK New❑ Addition ❑ RemodelUtiIMes Installation❑ Other ElPermit Describe work: ^ _ a /r Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20OV OR LESS 00A OR LESS Main service 200ATO1000A1 18.50 1 15r's'd 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.&\ OR ADONS. l ACC. BLDGS. / 3.6C sq.ft. NEW CON5T FL MULTI -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &` (SINGLE CUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 76d RA ll Ex. Occup. OU LETS P(PESID.!REA.7 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 / Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 9 Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 against said County in consequence of the granting of this permit. X Date 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 3 stories in height. Receipt No. f iJ ! 3� WNITE•O.P.W., YELLOW-ASSE750R. PINK -INSPECTOR, GOLDENROD-APPL I CANT Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE Q� C I i TOTAL FEE $ IHAz DFEES I IMP I FLOOD COT PARCEL PO HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do Work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date 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. y 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) i1,1Z 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 4AaL Social Security Number ; Date U l 1 — 1 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. I o Whore CID n c.err-t Camper G �5�+ orcrK RoAd L T a� kkbber have d/scdn necfcd � sn roO'd . �m pe - r Items requi\feeu or building permits for these structures: - Plot cate. - Strucduplicate (signed by preparer of`plans). -.Applicationo be determined'by the square footage of the struc- ture). - Sanitafrom the Health Department. NOTE: For the re-installaion of decks or awnings: In lieu of structural plans, column spacing and an hori ng details must. be submitted and accompanied by one of the following: (1) The Standard Plan App val # (SPA) by the State of California for the awning. (2) If previously installed in mobilehome park: A copy of the State building permit for the original const uction. (3) A letter from the mobilehome p rk manager stating the awning was installed with approval and inspections by he State. ALTERATIONS TO MOBILEHOMES Interior remodeling or alterations to mobileho es or the installation of wood burning stoves within mobilehomes require per its from: State of California Department of Housing Division of Codes and Standards 6007 Folsom Blvd. Sacramento, CA 95819 PHONE: (916)445-0.135 - 3 - PfetWurito DPW AGRICULTURAL STATEMENT OF ACR'�TiOWLEDGEMENr FOR RESIDENTIAL DEVELOPMKIT Section 2b-8.1 of "the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 91-0432.83 1 1 Ree Fee 7.00 to land or included within an area zoned I STF 1.00 for agricultural purposes, and residents Recorded I Check 8.00 of this property may be subject to incon- Official Records 1 veniences or discomfort arising from the County of use of agricultural chemicals, including, but not limited to herbicides, pesticides, Butte 1 and fertilizers; and from the pursuit Candace Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing, 11:03am 11 -Oct -91 I XX 2 spraying, pruning, and harvesting which occasionally 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: SEE EXHIBIT "A" ATTACHED Date: Sept. 13, 1990 PROPERTY OWNERS: Victor Webber State of ) On this the _L� day of' �e /c�C�, 19 %6, before me, the SS. undersigned Notary Public, personally appeared County of XL OF �h OFFICIAL SEAL ..� ww�� jj// Personally known to me. E] Proved to me on the basis JUDY C -CA IF of satisfactory evidence. NOTARY PUBLIC -CALIFORNIA PLACER COUNTY to be the person(s) whose name(s) C�<IFOS W Comm. Expires April 29, 1994subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 28-400-49 N ary Public 9143283 EXHIBIT "A" All that real property situated.in the West one half of the Southeast one quarter of Section 29, Township 18 North, Range 5 East, MDM, Butte County, California and being more particulary described as follows: Beginning at the Northeast corner of the said West one half of the Southeast one quarter of said Section 29, thence Southerly along the East line of the said West one half of the Southeast one quarter South 01° 23' 43" West, 916.11 feet; thence leaving the said East line South 66° 57' 05" West, 578.40 feet; thence North 10° 31' 14" East, 1157.57 feet to a point on the North line of the said West one half of the.Southeast one quarter, from which the Northeast corner of the said West one half of the Southeast one quarter bears North 890 18' 07" East 343.20 feet; thence North 89° 18' 07" East, 343.20 feet to the Point Of Beginning. Containing 10.01 acres more or less. Said West one half of the Southeast one quarter is shown on that certain Record Of Survey filed in Book 74 of Maps at page 30. TOGETHER WITH AND RESERVING THEREFROM a right of way for road and underground and overhead Pacific Gas & Electric Company and Pacific Bell Company electric and telecommunications facilities on over and under a strip of land sixty (60) feet in width lying thirty (30) feet on either side of the following described centerline: Beginning at the Southwest corner of the above described parcel, said point being 'in the center of a fifty (50) foot radius cul de sac; thence South 000 25' 40" East, 355.81 feet thence South 500 13' 00" West, 167.87 feet; thence South 00° 25' 40" East, 255.00 feet more or less to the centerline of Bangor Park Road and the end of the herein described centerline. 87-148 89-W83 (E) EN® OF DOCUMENT COUNTY OF BUT TE DEPT. OF PUBLIC WORKS OC -T 17 1991 °"'��I•• FiFf, :��t-, ��:•:,.. ��-�'.: �., is i� ��•' /ic Webber. Ardith Webber M P.O. Box 89 Bangor, CA 95914 89-047955 DEC - 4 1989 I UTTE COUNTY RECORDER — SPACE ABOVE THIS LINE FO.'; AECORQEA S USF — Deed of .Gift This Deed, made the ..First ........................................................ day of November ............. !III one thousand nine hundred and ... Eighty , Rine ....... . . .. . . . . .. II i Between...Victor E. Webber and..Ardith.L. .....Webber, t�u$ba .arid,wife,....iI as..aaint tenants ............................................ i .........Victor ..A.:. ................................................... . Grantor ...... .... .. . and.... Webber, their son, marri.ed.,man.,.,.as..his..sQJ,e.. i and seperate .property. .. .............. .................... ................................'jell j........................................................................................................... . Grantee ;Il Witnesseth: That the Grantor, for and in consideration of the love and affection which ....... Ill KY . They have.:.. for the Grantee, do-....... by these presents gift, give, and grant unto th Grantee, and to .His ....... heirs and assigns. forever, all ............................................... th .at... certain lot ........ piece ........ or parcel ....... of land situate in the .unincorpor.at.e ..... area..of . the . County of... Bue......................... . State of. Califrr�ia.. tt and bounded and described as follows: S:ee Exhibit W Attached Together with the tenements, hereditaments, and appurtenances thereunto belongi or appertaining, and the reversion and reversions, remainder and remainders, rents, issues a profits thereof. To have and to hold the said premises, together with the appurtenances, un the Grantee, and to His ... . .... heirs and assigns forever. This Corona% n any a 9armrr lom -1-M may os WOO b usa n yrpy ouoaraore an0 n ro wsy a= w a ntwN"W b as "A suosmuta M " &&^MOO w snwroy. my Omura ooas aM wwmNy. vew afire Or :nm`61 » to ow "a .aidp of arty OrOhs.on w Cv %Aabday 01 me" torrrrs n arty Mewit: trwm w. I EXHIBIT "A" All that real property situated in Southeast one quarter of Section 29, East, MDM, Butte County, California described as follows: the West one half of the Township 18 North, Range 5 and being more particulary Beginning at the Northeast corner of the said West one half Of the Southeast one quarter of said Section 29, thence Southerly along the East line of the said West one half of the Southeast one quarter South 01° 23' 43".West, 916.11 feet; thence leaving the said East line South 66° 57' 05" West, 578.40 feet; thence North 100 31' 14" East, 1157.57 feet to a point on the North line of the said West one half of the Southeast one quarter, from which the Northeast corner of the said West one half of the Southeast one quarter bears North 89° 18' 07" East 343.20 feet- thence North 890 18' 07" East, 343.20 feet to the Point Of Beginning. Containing 10.01 acres more or less. Said West one half of the Southeast one quarter is shown on that certain Record Of Survey filed in Book 74 of Maps at page 30. 'TOGETHER WITH AND RESERVING THEREFROM a right of way for road and underground and overhead Pacific Gas & Electric Company and Pacific Bell Company electric and telecommunications facilities on over and under a strip of land sixty (60) feet in width lying thirty (30) feet on either side of the following described centerline: Beginning at the Southwest corner of the above described parcel, said point being in the center of a fifty (50) foot radius cul de sac; thence South 000 25' 40" East, 355.81 feet thence South 50° 13' 00" West, 167.87 feet; thence South 000 25' 40" East, 255.00 feet more or less to the centerline of Bangor Park Road and the end of the herein described centerline. 87-148 89-W83 (E) 1 - WIJCL U)f��r',c�S�.2�6 rd� -U� 'T,. �1� awwu w V,,, eAPUAJ WVWA wc� c�t�A5 wokb-A Cain ap) Oyj COMPUTER METHOD SUMMARY Page 2 C -2R Project Title: K HAYES 2023-3 B/R (BASE CASE) Run: 047 08 -Dec -90 OPAQUE SURFACES Surface Area Insul True Solar Form 3 Location/ Type ----------- (ft2) ------- U -value R-val Azm Tilt Gains Reference Comments Zone = STANDARD ------- ----- ---- ---- ----- ------------ ------------- Door 20.0 0.330 0 0 90 Yes 3068Wood Outside Door 13.3 0.330 0 0 90 Yes 2068Wood Outside Door 17.8 0.330 0 0 90 No 2868Wood Unconditioned Door 16.7 / 0.330 0 135 90 Yes 2668Wood Outside Door 80.0 ✓ 0.880 0 180 90 Yes 6068SGD Outside Wall 308.2 0.098 11 0 90 Yes CEC_R11-16oc Outside Wall 90.2 0.098 11 0 90 No CEC_R11-16oc Unconditioned Wall 23.0 0.098 11 45 90 Yes CEC_R11-16oc Outside Wall 259.0 0.098 11 90 90 Yes CEC_R11-16oc Outside Wall 69.0 0.098 11 90 90 No CEC_R11-16oc Unconditioned Wall 63.3 0.098 11 135 90 Yes CEC_R11-16oc Outside Wall 360.8 0.098 11 180 90 Yes CEC_R11-16oc Outside Wall 362.0 0.098 11 270 90 Yes CEC_R11-16oc Outside Wall 54.0 0.098 11 315 90 Yes CEC_R11-16oc Outside Ceiling 688.0 0.035 30 0 0 Yes CEC_R30-16oc Attic Ceiling 468.0 0.029 38 0 18 Yes CEC_R38-24oc Attic Ceiling 837.0 0.029 38 180 18 Yes CEC_R38-24oc Attic Floor 485.0 -- 0 0 180 No S1ab140E Grade AP #r` 014NER PERMIT 24— 02- 7 MH UT IL . CLEARANCE DATE INSPECTOR �!"✓`�`� ELECTRIC GAS Support Compaction Test eq. Service Size Other Load Type PipeStruc. Size Length YES NO YES NO 20 4 p � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 96986 - Telephone: 918,'638.7641 APPLICATION AND PERMIT <41 t:RMI , i 028-400-049 —PSTF& A 5 BUILDING PERMIT TEAH WEBBER TELEPHONE 679-2215 S0. FT, OCC, BUILDING VALUA ON OWNER'S MAILING DDRESS P.O. BOX 89 BANGOR 95914 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 Ener Plan Checking 9Y g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIING ADDRESS 66 HUMMINGBIRD HILL ROAD BANGOR 95914 Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehome® Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑ Permit Fee $ Describe work: MH U #91-3627 (500 MIN) Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 200A OR LESS 18.50 Main service 20GATO1000AI CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Fl 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 1, as the owner, or my employees with wages as their sole compen- DWELLING OCCUP.G\ NEW CONST.OR ADDNS. 1 / ACC. BLDGS. // NEW CONSTR ULT,.OUTLET NON-RESID BRANCH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES (OUTLETS Occup464 APP LNS. OR Ex. Occup. OUTLETS (RESID.1 EA.) _37.50 3.6Q sq.ft. @ 5.00 L 764 I 3.00 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) Temporary service Mobile Home Facilities Misc. byirin g 15.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 1 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling Hood Ventilation Permit Fee Contractor 6.50 $ 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 Mobile Home Installation Fee Energy Inspection Fee S 70.00 $ Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. occ CONST TYPE J TOTAL FEE $105.00 HAz I DFn IMP FLOOD I CDF PARCEL I PD I HD ISSUE X ���–�l–l�'�� Date %� ���"ti/ This permit is hereby issued under the applicable provi- Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do An OSHA permit is required For excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. work indicated above for which fees have been paid. I EMR OF PUBLIC WORKS Receipt No.�z 1032-61 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT BY PERPIT EXPIRES Date Date/ o .- d ►^O L t't ' O -t 14 5 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive • Oroville, California 95965 - Telephone: 916."538-7541 APPLICATION AND PERMIT ASSESSOR `A;,E f�U� Ij�rJ C/.rJ) ZONING BUILDING PERMIT OWN �- !lea e- y- TELEPHONE 6�N l SO. FT. OCC. BUILDING VALUATION OF M ING ADORE SS^Y ^ �J (T^��5 lk CONTRACTOR' NAME )nLa /' TELEPHONE- CO ACTOR'S MAILING ADDRESS Fireplace CONST?UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC OR ENGINEER LICENSE NO. Plan Checking Fee $ �QO Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADZ D RESS W1� s1 � r `. Permit fee $ S ` PLUMBING PERMIT Filing Fee 15.00 Each Trap I 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex[] MobilehomeZ Other Mobile Home I S I G JW 1 15.00 SPECIFY TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Innstall/attionK Other ❑ Permit Fee $ Describe work: q M 'A- l "- lv / _ Contractor R), n ELECTRICAL PERMIT Filing Fee15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATOI000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- NEW CONST./ DWELLING OCCUP.81 OR ADDNS. l ACC. SLOGS. // NEW CONSTR. M ULTI.OUTLET NON.RESID BRANCH CIRC ITS (POWER APPARATUS a 1 SINGLE OUTLET CIR. ) Ex. 000Up(OUTLETS OR FIXTURES Ex. Occup. OUTi ETS APPK (RESID IEA.) 3.64sq.ft. @ 5.00 RAO 7641 3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Mobile Home Facilities Misc. Wiring 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Coolin g I 1 i 51-1all 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. Hood Ventilation permit Fee Contractor i 5.EO $ I certify that I have read this application and state that the above information Mobile Home Installation Fee $ ?0,c90 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 aq�q� ert for inspection purposes. 1 also agree to save, indeTrirg 1p , harmless the County of Butte against all liabilities, judgments, costs, and'expenses w . giay accrue against said County in conyelcff ftrantin f Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ /©s (� HAz 0FEES IMP FL00 COF PARCEL PD HO ssuE X ff�\ VV rr vv ,,�J+��++ D to Signature of Applicant — Owner ❑ Contractor ❑� gent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. 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. DIRECTOR OF PUBLIC WORKS �a-� �{ ! BY Date Receipt No. ZCJ6�6 l � PERMIT EXPIRES Date WHITE-D.P.W., YELLOW -AS! 50R. PIN •INSPECTOR. GOLDENROD -APPLICANT - .R. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET .�., Permit No. OWNER kS� Ale >r^ A. P.NJ o. �0111-- 1/0– Proposed Building Use Building Inspector Date 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 in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park feed paid? t' 13. t"O School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0)..-. . 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter f sign autporization ....... 6. r !- CLE.. .r !� 27. When you issue the permit, process as follows: • Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other / ApplicantDate //T-/��!/ Copy of Haz-Mat form sent Health Dept. Fire,Deptr- Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to per suance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: . Contractor, designer, owner, was advised of above required data by_phone_--naiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone _maII—counter by date Plans checked by Date Plans approved by_4� Date —o Sets of plans on hold in Copy—DPW File cabinet AP folder I 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 ma"or labor and materials for construction of the proposed property improvement((yes or no) ' 2. Iave ave not) signed an application for a building permit fo a proposed work, t. 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 p Date //- /g - 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER we A.P. NO. PROPOSED BUILDING USE DATE REC. u DATE REC 1. School Distric{Fees �V`p l/lY1;C9`►'1 1`l' / �O / (paid at District Office) J 2. Sheriff Fees (paid at Building Department) Residential ..........X Jb unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area. Fees (paid at Building Department Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X 4 sq.ft. amt. 4. Recreation District Fees (paid at District Office) „ ........................ 5. Drainage District Fees (Contact Land Development) „ ........................ 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE -fin_W`�p,,,p�v�.���„��„i..�.�,y�YA�.i'^'q�"#r�rn�..v"r1.�lv+ik�'�-w.�ZWs•7'u!Y�a:,�yp:�+,..r,��`,,;;'� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Eorm per Building) % n A.P. Number_ "7VO - 0 ' Building Department No. S <9�� School Districto�b IA`Q City D County � Jurisdiction J1. t t l ) Property Owner Project Locati Subdivision X13 C�' Lot Number Residential Development: Sq. # of Living MHI Addition. Units Footage TtRIC71L/ 1?9`"1 %v ( Group R) 's Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) z &"�z &&L19 Buildin epartment Representative Date i ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. 9 2 0 9 7 P OP0 yt'ffi School District certifies that bb �-`t (Appl c nt •ame) Phone N mber) 16L�- �� oa (St et Address) G%KG (City) (State)- (Zip Code) - has complied with'the require2b�ments of Resolution No. lY 90 by the payment f $ `� representing , /p quare feet. & School Di trict Representative Date eRID BY C HEUK NU. /-q R`^� BANK NO PAID BY CASH�. I white -applicant, yellow -building department, pink -school district X- 1,5 %579,%(,, SCHOOL.FEE (8/88) e"d*_42Utte OROVILLE, CALIFORNIA CLAIM FOR PROFESSIONAL AND SPECIAL SERVICES CLAIMANT: M(Cq�Z 6. C—v'_'�X/J ADDRESS: ti C C' /` C'F Ge— CITY & STATE: - a01// • e,4 gS1400 IMPORTANT: 1O 1(a - 4l SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE Permit Fees Retained------------------------------ J5700 TOTAL REFUND DUE ---------------------------------------- $57.50 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Refund due to expiration of permit. Permit #3227-90 MHU, AP#28-40-49, Receipt #73672, dated 9/13/90. lotai Fermit Fees Paid ---------------------------------$92.50 Retain Plan Checking Fee ------------------ $15.00 --Tatal Retain Fiumbing Fermit Filing ee--------- 10.00 Retain Electrical Permit Filing Fee------- 10.00 Permit Fees Retained------------------------------ J5700 TOTAL REFUND DUE ---------------------------------------- $57.50 TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been perfo d or delivered, and that this claim is true and //correct as stated. Dated this l J �� �........................ day of ............................. 19� �, et..... .Calif ..............�.......... ................................................ S1 ature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or cies specified above have been performed or de- livered and that there is a Budget Appro//pilatioln, O or Specific Board Approval ❑ (Check one) for the same L.�Datedthis .......l. t!F.................. day of M 1r (%11.e ....... 19.7.1. at oY f�.V.l Ue.Calif... or Authorize uty Dept. 440-002 E=p 4210500 St. Permits Code ............................................ Code ..........................................PAYABLE FROM ............................................................................. F XMD 0 NOT WRITE BELOW THIS LINE -AUDITORS USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPUCAf IDN AND PERMIT ASSESSOR PARCEL NUMBER 28-40-49 zONI G 6 BUILDING PERMIT OWNER Rusty & Teah Webber EoNE L.,l SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 89 % CONTRACTOR'S NAME Michael Evans TELEPHONE 589-5198 CONTRACTOR'S MAILING ADDRESS One Nice Place Oroville 95966 Fireplace CB�OTT ,NSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ .t�d�ill LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NA LICENSE NO. Plan C ecking Fee $ 1 0 J5 Energy an Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Hummingbird Hill Rd. Permit fe $ L ING PERMIT 10.00 E h T p Ban or 1 o at pump water heater LOT NO. SUBDIVISION NAME PARCEL MAP t piping ac qas water heater or vent FnFee USE OF STRUCTURE Duplex❑ MobilehomeEN Other A SPECT F G piping system 1 - 5 outletsSF❑ uilding sewer Mobile Home � 30.00 TYPE OF WORK New[ Addition[] Remodel[] Utilities Installation Ot er❑ Describe work: B _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 1000 AMP ORSLESS 10.00 10,00 Main service EA. AOD'L 100 AMP 2.50 2,50 CONTRACTORS LICENSE A I declare under penalty of perjury (che k one): • I am licensed under provision f Chapt. IV. 3 of the BUSIneS$ and Professions Code and my I ense s in ull force and effect. 5�g 2— -6 License No. CI sif' atI( _� ❑ I, as the owner, or my mployees w t w es as their sole compen- sation, will do the work, nd the stru ure s not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am excl s•vely contr cting with licensed contract- ontract ors.(Sec. 7044) ors. ❑ I am exempt under Sec. B siness and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR DONS. A � , 2h¢sgft ULTB OUTLDGS LET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20®30Q eAL®ao Ex. Occup. OUTLETS RESID 1FIXED APPLNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 X15.00 Misc. byirin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (c eck one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 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 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 bili 'e ju m n c s, and expenses which may in any way accrue a ain t id ou ty i c n e ence of the granting of this permit. Date Q —(3-90 Signature of Applicant — Owner ❑ Contractors Agent ❑ n 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 $ occ CONST TYPE TOTAL FEE $ HAZ — cuA PARK SCHL FLD PAR D• Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 7367 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK•INS ECTOR, GOLDENROD -APPLICANT �Ew(i' ---o- 3ZZ?-9 0 9,torn MICHAEL Nle o �JO- erm,+- no - 1 s 8 ued ► P MIC AEL G. EVANS 1 Nice Place Oroville, CA 95966 (916) 589-5198 t . Butte. OROVILL E, CALIFORNIA GENERAL CLAIM CLAIMANT: Michael Evans ADDRESS: 1 Nice Place CITY & STATE: Oroville, CA 95966 IMPORTANT: SEE INSTRUCTIONS September 14, 1990 DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Clerical error was made.in`determining fees. Bldg Permit Appin. #32- , A.P. #28-40-49, Receipt #736J& dated 9/13/90. -S'd Total fees paid----= ------------------------ $132.50 Permit fees should be-----------------------$ 92.50 TOTAL REFUND DUE ----------------------------$ 40.00 $40.00 t TOTAL $40. DO I, the undersigned• declare under penalty of perjury that the services or articles claimed a e be per o e li ered, and that this tm is true and correct as stated. Dated this ( day of v v / ( 19 , /,qet �%- Cal' f. .......... .. ...................... G..., .......................• ..... ........ ........... ........................... ............... Signatur of Claimant I, the undersigned.. hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation E)orSpecific Board Approval E] (Che one) for the same. Dated this............ .......... day of........• 19 fl%a, Callf. ......... .. ............... ............................... ... ...... ....... ......... ........ ..... epartment Head or Authorized uty [� /t, %� Dept. ?..`� �1% a� Ezp. �.�.d.S/L.I..1./...... YN, ` s Code .............. Code .......... PAYABLE FROM,, f , ;,,,,, ...E % J.� ..... . . .................. FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. 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