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007-150-083
H3- 'L rr-r-nn�-= `GiA?DiS; RS- n/s Mort Lane, app., 600'*!wes7tof',',Bur /nap Ave.) Chico Permit 3415-72PIE vkzl utilities 'ie home) GERTRUDE POWERS n/s - Mort -Ln-. app. -600 west of Burnap Ave., Chico KUMDppmax A 1/ -7 Permit 1933-13B -3 (awning for mobile home) r-0-07-150-083 45-0037 POWERS, GERTRUDEi 950 MORT LN; CHICO, Cont: GALLAGHERS HEAT &AIR - C/O r FURNACE - W07 -150=083 RESIDENTIAL SFD-Mobile Home PFS -NEW(MH, PERM F_ND',REPLA I CEMEN. 950 MORT LN POWERS GERTRU6E' 15- P e' -130__2502'.' 0077150-083 MISCELLANEOUS, Demolition DEMO OF EX MH 950 MORT LN POWERS, GERTRUDE'o.,!i BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE I NAME I DEPT. II DATE I NAME I DEPT. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2.140 Website: www.buttecounty.net/dds Permit No: B07-2500 Issued: 01/28/2008 Address- 950 MORT LN Area: CHICO Owner: POWERS, GERTRUDE Applicant: DON KLAUS Permit Type: SFD-Mobile Home PFS APN: 007-150-083 Description: NEW MH, PERM FND, REPLACEMENT (15 ALL PLAN REVISIONS MUST BE APPRO Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under I)o Not Install door sheathing or Jlab Until Above Signed Holdowns/Straps 122 Shearwall/B.W.P.-Interior 135 Shearwall/B.W.P.-Exterior 135 Roof Nail/Drag Trusses 129 Do Not Install Sidine/Stucco or Roofine Until Above Signed Shower Pan/Tub Test 408 Fire Sprinkler EJ Test 702 # Fire Sprinkler Final 702 --- :-- - - - - --- OFFICECOPY --- - 5�: Fi'r�a�lSk';.. sIs ? -Bldg Permit: AREA Flood Zone: None SRA Area: No SETBACKS for Zoning. AG. SRA, PW Front: 0 Ultimate R/W from CL: Rear: SRA: Side: AG: Other: Total Setback from Centerline of Road:O+ BY THE COUNTY BEFORE PROCEEDING Public Works Fina 538-7681 Fire Department/CDF 538-6226 Address: 538-7281 Sewer District Final "PROJECT FINAL 1 801 r� 'GAS By- i _ ...,.. Dale 0.4 .Electric By: --Da e/. Public Works Fina 538-7681 Fire Department/CDF 538-6226 Env. Health Final 538-7281 Sewer District Final "PROJECT FINAL 1 801 r� Project Final is a Certificate of Uccupancy for entia n y _-' rcKrvii��-isci vmc-ivvci f►riLP, rvr6Ti-rUA.,w�-kil THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy It COUNTY OF BUTTE ' BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE D rR67 OWNE� � PERMIT NO. A routine i V AiQc3 ind catW hat the following violation/re rdinances exist at the above address and should be corrected. Please call for correction of work is completed. If you have any questions pertaining to thisdditional explanation, please contact the Building Inspector as indicated belo TYPE OF INSPECTION: �.� ( D C aL L1-2 - A'.Cy cacc 'rAof r a'V 1',[e- Z n v -',r a r C i -I V .` cJ/e %,✓ 4. /,' - Cv 13 SPECIAL CONDITIONS: t 4-- uo 14- 0. ,Jdr lL5 C(calr*,lAct_ e :.ci,7 67 ` Date 2' O - Inspector REV 4/05 Phone # �� 5- FOR RE -INSPECTION CALL c538176WOR891-2834 Tt.tC ►,N COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530).538-7541 CORRECTION NOTICE IP r r, n 6PWNER PERMI O. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please contact the Building Inspector as indicated below. TYPE OF INSPECTION: 0 P"o I/ e— r e- V, !E!( /C) '0 14'Af S A" SPECIAL CONDITIONS: Da Iris'pector REV 4/05 Phone # FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds tS•± "s';rw r`'" "" h _ v#, r `.PROJECT INFORMATION . r Site Address: 950 MORT LN Owner: Permit NO: B07-2500 APN: 007-150-083 POWERS, GERTRUDE Issued Date: 01/28/2008 By KCG Permit type: RESIDENTIAL 950 MORT LN Subtype: SFD-Mobile Home PFS CHICO, CA 95973 Expiration Date: 01/27/2009 Description: NEW MH, PERM FND, REPLACEM (530) 894-2612 Occupancy: R-3 Zoning: RT -1 Contractor Applicant: Square Footage: R T ANGEL INC DON KLAUS Building Garage Remdl/Addn 868 W ONSTOTT #J 509 S STOCKTON ST 1,519 YUBA CITY, CA 95991 LODI, CA 95240 Other Porch/Patio Total (530) 821-5850 (209) 333-6190 1,519 FEE INFORMATION DBEH Building Review Fee $75.70 DBF MH Plan Check $233.56 DBMSC Mobile Home Permit Fee. $350.34 DBSMIP Residential $9.87 PW DRAINAGE $85.92 Total Charged: $755.39 Fees Paid: $755.39 Balance Due: $0.00 Receipt No: B6193 LICENSED -CONTRACTOR'S, DECLARATION .- OWNER/ BUILDER DECLARATION.:. Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License R T ANGEL INC 457364 / C47 B / 06/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars X tel/ 01/28/2008 penalty [$500]; Please check one of the following: Contractor's Signature - Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR _ „ ORKERS'�COMPENSATION DECLARATION .t OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. Policy Number: Exp. Date: (This section need not be completed if the permit is or on�dd dollars ($100) or Tess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: n I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS J ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 01/28/2008 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. np� X/` "C 01/28/2008 '� - . •- , _ _ ., j . __ .-- I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mened property for inspection purposes. I hereby certify that I am the pro own r am aut to act on the property owner's behalf. �� kLA-3 01/28/2008 ". CONSTRUCTION LENDING AGENCY . ° ` "' ' ""; Name of Permittee [SIGN] Print Date I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR Agent for Owner ElAgent for Contractor FILE COPY Lender's Address City State Zip BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVILLE. (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION ' Website: www.buttecounty.net/dds '`PLEASE PRINT CLEARLY** APPLICANT NAME OWNERFirst Last Name. G iv is S �C Name Address S® 1100 T City City State OA State C'A Zipg5 q .73 Phoneme 6� JJ Fax Fax E-mail Lic. # 5736f APPLICANT NAME CONTRACTOR Name �C Address / C,GNC ag 1 13 City f2 5. State OA Zip 0 Phone —1$'W9 Fax E-mail Planner Lic. # 5736f C s APPLICANT NAME ARCHITECT/ENGINEER Name City 1-G 1 Address Zip Sa�G City Fao`7G • 367- G $_01 State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address s -5c2q S. STGcrl �ory S� City 1-G 1 State CA Zip Sa�G Phone -3.33 -6'19t Fao`7G • 367- G $_01 E-mail RT6-C tit i11YA &60 . APPLICANT SIG TURF X �v For office use. only: Zoning T_ Flood Zone Cross Street ' &I AIAO A46r SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN #. , CIN FILE) LOCATION AP# 00 7 -ISG Property Address 9S6 G ti City CH�co Cross Street ' &I AIAO A46r WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address 07o� 's' 5AP7A &25A 9&�0 3 Description or Scope of Work: Sq. Footage 15W ❑ Structure Built without Permits ❑ Proposed Change of Occupancy ote previous use : 0 Q2jcjq 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 V Amount: * �35Q Bldg vv SRA Receipt #: 01 L Sheriff SMIP • I vol / �• ' �-/ Other Date:I2 it 2(0 Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED: ALL PLANS MUST BE LEGIBLE AND IN INK. Q1. Site. -plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ '3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) door Plan,,,(D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certlficate,.wet-starnkt! an'd signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). n Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) . P ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's ❑ 2. office (if required): Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION applications for which a permit has not been issued will expire one year after date of application. In order to renew action in an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two ears from the date of -466 payment on permits not Issued, and two years from the date of permit issuance for permits 3sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan :heck fees for work plan checked and other department costs are not refundable. I OVER FOR BUILDING PERMIT APPLICATION '-1FORMSWILDING FORMS\BIdgApplSbbRgmts.doc Page 2 of 2 REV 2-24-05 Butte County Department of DevelopYnent Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-2500 Date: 12/11/2007 1 Location: 950 MORT LN By: KCG Parcel Number: 007-150-083 Sub Type: SFD-Mobile Home PI Owner Name: POWERS, GERTRUDE Phone: (530) 894-2612 Description: NEW MH, PERM FND, REPLACEMENT (1519) The above permit application has the following Clearances required prior to permit issuance. Please contact each department indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ ❑ Thermalito Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (530) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 PARKS & RECREATION DISTRICTS Chico Area Recreation District, 545 Vallombrosa, Chico CA 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Durham CA 95938 - (530) 345-1921 El ❑ Feather -River Recreaction & Park District, 1200 Myers Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Paradise CA 95969 - (530) 872-6393 SCHOOL DISTRICTS ❑ F1 Biggs Unified School District, 300 B Street, Biggs CA 95917 - (530) 868-1281 ❑ Chico Unified School District, 1163 East 7th Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 Putney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magnolia, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 B Street, Marysville CA 95901 -,(530) 741-6000 Oroville Elementary School District, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 Washington Ave, Oroville CA 95966 - (530) 538-2300 Ext:105 ❑ Paradise Unified School District, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 / OTHER Recorded copy of Agricultural Acknowledgment Statement- See Attached Instructions City of Biggs Planning Department,, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 Other: C �r''dd 1;;4Y 1 rn Other: KA M IL hnn,J L:, QA d When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Signature of Property Owner: Date: 12/11/2007 FILE BUTTE COUNTY FEE SUMMARY Printed: 12/11/2007 7 County Center Drive 9:13 am Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Permit Number: B07-2500 Job Address: 950 MORT LN Contractor: R T ANGEL INC 868 W ONSTOTT #J YUBA CITY, CA 95991 Fee Description Account Number Fee Amount Paid Date Pmt Amt PW DRAINAGE CSD 775 - SUDAD Ditch 1821-0-280-1011975 $0.00 DBEH Building Review Fee 0021-540013-4614901-1010 $75.70 12/11/2007 $75.70 DBMSC Mobile Home Permit Fee. 0010-440001-4210500-1010 $350.34 DBF MH Plan Check 0010-440001-4210500-1010 $233.56 12/11/2007 $233.56 DBSMIP Residential 1001-0-280-1011298 $9.87 Printed By: Kourtni Graham 669.47 $309.26 Balance Due: $360.21 At the time of permit application, I was advised the above fees are required prior to issuance'of the permit. These fees may change during the plan checking process. Signature: /G Date: 12/11/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). 4L T A.WGEL INC. 201 Concourse Bly.d Santa Wgsa 95403 Office 707-577-1880 Tar,530-821-5874 License #457364 RE: The Processing of Permits August 16, 2007 To Whom It May Concern: This letter will serve as notice that DON KLAUS & KATHY GREENLEAF of D.R.TECHNICIANS, will be acting as our agents on behalf of R T ANGEL INC, and our associate clients. They are granted full authorization to prepare, alter for corrections and pick up building permits for the job site. C 1IC37 Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: • Make sure your application is complete. • Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municipalcodes.lexisnexis.com/codes/butteco/ When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. Reference Number: B07-2500 Location: 950 MORT LN Parcel Number: 007-150-083 Owner Name: POWERS, GERTRUDE Description: NEW MH, PERM FND, REPLACEMENT (1519) Date: 12/11/2007 Phone: (530) 894-2612 Signature of Applicant: �'` Date: 12/11/2007 FILE Butte County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LANK DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530)538-7171 Fax www.buttecounty.net/dds QC W�� National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 Reference Number: B07-2500 Date: 12/11/2007 Location: 950 MORT LN By: KCG Parcel Number: 007-150-083 Sub Type: SFD-Mobile Home P1 Owner Name: POWERS, GERTRUDE Phone: (530) 894-2612 Description: NEW MH, PERM FND, REPLACEMENT (1519) By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. Title: FILE Date: 12/11/2007 "'i BUTTE COUNTY SCHOOL FEE CERTIFICATION FORM t .a (One form per Building) School District: Chico Unified School District Building Permit Number: B07-2500 Assessor's Parcel Number (s): 007-150-083 Tax Rate Area No: Property Owner (s): POWERS, GERTRUDE Project Location/Address: 950 MORT LN CHICO Project Description: NEW MH, PERM FND, REPLACEMENT (1519) Type of Development Permit Type: RESIDENTIAL Building Type: New Mobile/Modular/Manufai Deed Restricted Sq Ftg: Buik g Department R esentative Permit Subtype: SFD-Mobile Home PFS New/Additional Sq Ftg: 1,519 12/11/2007 Date District Indentification No. os eq / & Z's 10 School District certifies that I P (Payor) (Street Address) (City) (State) (Zip Code) (Phone Number) has complied with the requirements of Resolution No. ��` 46 by payment of $ representing /15M square feet. AB 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # Remarks: Notice: You may protest the imposition of the fees identified above by sumitting a wirtten protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action.. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (school district), Yellow (building department), Pink (applicant) DDS—School Fee Form 10.4.07 Wt Certificate of Existing Square Footage Existing Sq Ftg: I'M NcoWt MH Replacement: Yes Existing Construction Type: Residential - Mobile/Manufactured Home Demo Permit Issued?: Yes Demo Permit Issued Date: 12/11/2007 Verified by Building Records: Yes Verified by Assessment Records: Comments: Replacing existing mobile home with new mobile home. 12.A1/07 Date f r 9UTTE COUNTY DEVELOPMENT FEE •eUTrF• CERTIFICATION FORM • CARD District •covNty• Assessor's Parcel Number (s): 007-150-083 Property Owner (s): POWERS, GERTRUDE Project Location/Address: 950 MORT LN CHICO Building Permit Number: B07-2500 Project Description: NEW MH, PERM FND, REPLACEMENT I Type of Residential Development Permit Type: RESIDENTIAL Permit Subtype: SFD-Mobile Home PFS Building Type: New Mobile/Modular/Manufa( New/Additional Sq Ftg: 1,519 Certificate of Existing Square Footage Existing Sq Ftg: NA MH Replacement: Yes Existing Construction Type: Residential - Mobile/Manufactured Home Demo Permit Issued?: Yes Demo Permit Issued Date: 12/11/2007 Verified by Building Records: Yes Verified by Assessment Records: 00. Comments: Replacing existing mobile home with new mobile home. 12/11/2007 Building Department R resentative Date ❑ FRRPD 15� CARD ❑ PRPD ❑ DRPD certifies that: c���c� �s ��G� -, (90(rf - 3 3 3 0�1 Applicant Name Phone Number S- SrelcleyIv 57-- /-d-z « c!'�A�ro Mailing Address City State Zip Has complied with requirements of the Butte County Board of Supervisors Resolution No. by Payment of Dwelling Units @ $ per unit for a total of $ Square Feet @ $ per sq foot for a total of $ Remarks: 6Y,e it l2t 2-S 12ilr / AL CQU,41 ,/'_ —`)e1,St'Gf1%" No: L�JPaid by Cash: Pai4,a.d Receipt No: i z o8 Re P.District Yepresentative Date Butte County Building Division MANUFACTURED HOME SUPPORT DATA Owner's name: JR7A,-4g25 A.P.# DG % - /Sb -0*,3 Home Manufacturer:__ Cf2Am P1&v Manufacture Year: aoofr Model Number/ Name: Width:a_ irf" (ft.) Length: 6-2J/ ofl(ft.) FOOTINGS: Wood - pressure treated or foundation gradek] Other:[ ] SUPPORTS: Concrete block Other:[ j Provide manufacturer's installation manual, support blocking requirements and state approved or engineered foundation or tie down system specifications. Pier Footing Sizes and Locations SINGLE WIDE MULTI -WIDE Line1 ----------------------------------------------------------- Line 1 Line 2 Section 1 Line 2 Line1 ��---------------------------------------=-------------------- /Line 3 Section 2 Line 1 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 2 Piers: Minimum size piers: Spacing maximum: From ends maximum Line 3 Roof Loads: Minimum size piers: i?EA2 Location (from #Feet): Les Mini s' piers: Loca ' front): rocation size p' s: (continue ): Line 2 ---------=-------------------------------------------------- A"'Line 4 (triple wide only) Section 3 Line 2 Snow Load: -(— psf [ ] X [ ] Snow Load requirements may be obtained at " http://www.upstate-ca.com/butte/butte_county/ " Insert AP #, view snow load in lower right comer. Line 1 Openings: [ 30 U ] X [ -�J`1] Minimum size pier! [ 1.X X [ , ] ' Required of each side of o�� "V, --!!F v� U�I o 34 wid ` HILON '01VIS101 Al �Sli'iGss �clicr3 �Obacrl 2iryi�z 2sni�R M 0 0. MP110 k t-4 8+ j HlTof w -R-W Hl 101 > L BUITE I COUNTY I L 2007 _,)PMENT :.VICES J Xi2 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Xi2 Ground System A2 Concrete System 7.;T. - -- TIE DO . - DO ww DEV: LOPI, SERVICES � rz,:►r `sSit) i� 1U, :\ 2-6070 e J.. %o Engineer Approval State Approval MANUFACTURED HOMEtmoomB BOMB FOUNDATION SYSTEM ABALTH AND SAFETY CODE, SECTION 18331 APPROVED SUBJECT TO CORRECTIONS xoTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State orCaliromb arDo-Band D A= OF CODES AND STANDARDS �L� ---DAIS NO. SPA/�1P, (dpd—) MPlmAFp.W Page 1 of 8 c"amplon HOMES, Model X352. '�,0-8P 6&-V t 2 BddroolTit 2-Bathi 'I us'De 'en BUTTE COUNTY CFC 1 1 2007 MMOPATENT APPROVED SERVICES Feh •14 08 03:22p m' D.R. Technicians 2093670814 r � Qo3b D � Q �ZR�a O c� F yb o I I 4? 1 I of R N '4— — �c�--------- v► y o O l t p.2 A - y 0 a y a, CA �nir n W 0 I 2093670814 r � Qo3b D � Q �ZR�a O c� F yb o I I 4? 1 I of R N '4— — �c�--------- v► y o O l t p.2 3 Q ZZ ti I y p'N' � 14) C W 3 Q ZZ ti TQcI STAT! CALOWMA OU9ESTRANSPORTATION AM HOUSING AGENCY 06PARTMEMr OP HOUSING; AM COMWX# Y DEVELOPMENT STANDA OP CCD0 D 8 7 3 3 6 5 2 • .• �• IVISION M4 RDS >Y M~ACTURED MOUSING PROGRAM MANUFACTURER CERTIFICATE OF ORIGIN pfSTRI81111pN ORIGWAL (PPIM FORWAm TO THE www i 8i NONE THEN FORYWRO TD TM PUR WER OR TAAIME;tEa COPY I (mm FORWARD TO RIE OEP PT AT RAMENfO. CA iZSEi2omm. vmM FIVE (M DAYS OF �4E. COPY 2 (YELLOW) oeuv A TO THE TRANSPORTER TO ACCO mw uNfT TO ITS DESTIWITOOK COPY 9 (OOLOPMOD) TO 08 RETAWW BY YNE WNWACTII(ER NCO 403.0- Sift I • Q1M ❑ CHECK F THIS IS A DUPLICATE MIXKNTER ORIGOM RICO NO. MANUFACTURED NOME OR NRRTWNIT MANUFACTUREO HOUSING NUMBER OF ® WO (SINGLE FAMILY W&WNG) ❑ MUMH (MU,TI.VNR MANUFACTURED HOUSING TRA1010RTABLE SECTIONS 2 COMMERCUIL COACFt OCCUPANCY GROUP MAWFACTURER NAME: MANUFACTURER LICENSE NUMMA Chwap on Hama Builders Co. 90086 MANUFACTI)RERADDRESS: SUGGESTED RETAIL PRICE: P_O. �x 429 Lindsay CA 93247 81,496.00 00) NU R T—*ADE KWE. MODEL NAME ANOIDR NUMBER DATE OF MANUFACTURE: RffiYD»IAL SP352-3 04-22-05 NAME OF OE/VGG7. TCW. CALIF. DEALERNUMBER OR DATE OF TRANSFER TRANSFEREE 04-27-05 DBIA/INTEGRITY HOMES,INC 106101SICNA71pN: DEALER OR TRANSFEREE ADDRESS: 1740 FEATHER RIM BLVD OROYILLE CA 95965 INVENTM CREDITOR, NAME TEXTRON FINANCIAL CORP. INVENTORY CREDITORIA00 7711 HONEICDM AVE SUITE 600 T. LOUIS MO 631 s SECTION MANUFACTURER SUM NUMBER NCD MIRMA OR MID LASH NUMBER LENGTI YAM YIBIw tE OUNW) 1 OC9-05-352-15620E RAD1423827 720 160 24661 2 009-05-352-15620A PAD1423828 720 160 26427 60) 13 .�w&4Lajrm and correct acsiinile o t copy of the Certificate of Origin .. 07 aln 9i apood MR TRANSPORTER NAME: •B TRANSPORTER A0MWW 12444 S WILLM RIALTO CA 923(3vmO (olid 76 OESTNATION FOR (R'QT Of3CRBEO A80YE p S1W 1!AAlyIWIN,PMrN«PS*PYVINEftwmof**amdCttli"OWUIQamW3mum wwC nva Lirxisay, Tulare, CA exam of04-Z7-05 a cca,.so (sal.) =Mr -W OF AURIORIZED AGENT. pfSTRI81111pN ORIGWAL (PPIM FORWAm TO THE www i 8i NONE THEN FORYWRO TD TM PUR WER OR TAAIME;tEa COPY I (mm FORWARD TO RIE OEP PT AT RAMENfO. CA iZSEi2omm. vmM FIVE (M DAYS OF �4E. COPY 2 (YELLOW) oeuv A TO THE TRANSPORTER TO ACCO mw uNfT TO ITS DESTIWITOOK COPY 9 (OOLOPMOD) TO 08 RETAWW BY YNE WNWACTII(ER NCO 403.0- Sift I • Q1M C# BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVIL'LE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect./� License Class :CO6 639 License Number: -77733 Date: I1 ",S— Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Slate License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit' subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner -builder. will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdssions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 'I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit s issued. have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit Is issued. My workers' compensation insurance carrier and policy number are: Carrier. 4-,C-t-lZ11(4 Policy #:_- 2.A 2- —_L(00 ❑ 1 certify that in the performance of the work for which this permit is 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: CP niS Applicant: WARNING: ailure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 Civ.) Name: Address: PERMIT NO. BPQ5003' Issued Date: 01/06/2005 APN: 007-150-083-000 Site Address: 950 MORT LN' V Map Index: Description: change out furnace Owner: POWER.S?OF TRUDE 950 M T, LN CHICOY; CA 95973-9155 Applicant: GALLAGHER'S HEATING & AIR E. F{WY 99 LOS MOLINAS, CA 800-892-3556 Contractor: GALLAGHER'S HEATING & AIR E. HWY 99 LOS MOLINAS, CA 800-892-3556 License #: 777334 Architect: Engineer: Total Square Ft: 0 S.F. Valuation: $0.00 Census Code: U�go6� s hereby is er a applic ble provisions of the.BuHe County Coda 2nrUor to do w rk Indl ted ab ve for Ich tees have been paid. PERMIT EXPIRES ON: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that'I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspectiorrpOrgoses. ) Print Name: '.dull ( IT4- Ci V lJU" x 'Signature: / v Date: ❑ Owner 0 Contractor 0 Agent for Owner Gent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* For office use nl : OWNER t Name JA 1 fT i Nam d ress 5 CityAl Sta 4915603 Phone f) �'1� Fax E-mail Lic. # 17-13 For office use nl : CONTRACTOR Name fT Address U 3S Cityi ' 3 State j ) �-� Zip Phone qg_LNuf State Fax E-mail Planner Lic. # 17-13 Class � C 38 For office use nl : ARCHITECT/ENGINEER Name Name Address G City 3 State Zip Phone State Fax E-mail Planner State License Number For office use nl : Zoning APPLICANT NAME Name Cross Street G Address Po 3 City lt S State Zip Phone3g Planner :�,� Fax E-mail For office use nl : Zoning PropertA�n ess f L O mfr Flood Zone Cross Street SRA Yes No .Occ, - - - - - - . -Type Const. - - - - Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT NO. BP05_0D� BIN # LOCATION AP# O 07 - fS`0-- 0 PropertA�n ess f L O mfr Cit Go i Cross Street WORKER'S COMPENSATION Policy Number ,.� a a D-35 - -'2 00 Carrier /, ' If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage ❑ 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 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: Bldg C�� r SRA Receipt #: LI % vU U Sheriff SMTP Other I I Date:/// /O � �� Total I I Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits _issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. - - -- --- - - - - - - - -- - - - - — - OVER FOR BUILDING PERMIT APPLICATION KAFORMSOUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 RECORDING REQUESTED BY: Fidelity National Trtle Company of California Escrow No.: 07 -109813 -MN Locate No.: CARM958-0958-0001-0000109813 Title No.: 07-109813 When Recorded Mail Document and Tax Statement To: Phillip Jacobs Patrick Jacobs 950 Mort Lane Chico, CA 95973 APN: 007-150-083 GRANT DEED lIII IIIb I llf I 111 � llf flf l if 11 l 11 2007--0054747 Recorded I NEC FEE 18.88 Official Records County of I MOM Butte J. GRIM I County Clerk-Recorderl I A88 091WA 2"ov-W I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDERS USE The undersigned grantor(s) decIare(s)'?vA- T- 00&t liq I Documentary transfer tax is $ City Transfer Tax Is $ [ ) computed on full value of property conveyed, or [ ] computed on full valueless value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of Chico, FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Gertrude Powers, a widow hereby GRANT(S) to Philip M. Jacobs and Patricia J. Jacobs, husband and wife and Gertrude B. Powers, a widow, all as joint tenants the following described real property In the City of Chico, County of Butte, State of California: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF DATED: September 26, 2007 STATE OF CAUFQ.RN ) COUNTY OF CNV before me, (here ins=mancl tth%officerl, persnally appeared Kico personally known to me (or proved to me on the basis of satlsfacto evidence) to be the person whose name) are subscribed to . e within Instrument and acknowled to me that he/ ey ex uteri the same in h' er eir authorized pacity� and that by his/ eir signatureon the instrument the person(, , or the entityupon behalf of which the person acted, executed the Instrument Witness m a ffidal seal. Signature (Seal) Gertrude Powers L GANT COMM. R 1756093 NOTAW 9tJ�WXAWORWK ES pitess July 6. COMMI811 MAIL TAX STATEMENTS AS DIRECTED ABOVE R>-213 (Rev 7/96) GRANT DEED (9rantfi1)(08.07) Escrow No.: 07 -109813 -MN Locate No.: CAFNT0958-0958-0001-0000109813 Title No.: 07-109813 EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: Parcel I: A portion of Lot 32, according to that certain Map entitled, "Hobart Subdivision of the Daniel Bidwell Rancho", which Map was filed in the Office of the Recorder of the County of Butte, State of California, November 7, 1904 in Book 4 of Maps, at page 24, more particularly described as foilows: Commencing at the most Northerly comer of said Lot 32; thence Southeasterly along the Northeasterly line of said Lot, a distance of 165 feet; thence Southwesterly and parallel with the Northwesterly line of said Lot 32, a distance of 581 feet to the true point of beginning for the parcel of land herein described; thence from said true point of beginning, continuing Southwesterly and parallel with the Northwesterly line of said Lot 32, a distance of 79 feet to the Southwesterly line of said Lot; thence Southeasterly along the Southwesterly line of said Lot 32, a distance of 165 feet; thence Northeasterly and parallel with the Southeasterly line of said Lot 32, a distance of 79 feet to a point which bears Southeasterly and parallel with the Northeasterly line of said Lot.32 from the point of beginning; thence Northwesterly and parallel with the Northeasterly line of said Lot 32, a distance of 165 feet to the true point of beginning. Parcel H: A nonocclusive right of way for road and public utility purposes over a strip of land 60 feet in width, the centerline of which is described as follows: Commencing at the most Northerly comer of said Lot 32; thence Southeasterly along the Northeasterly line. -of said Lot, a distance of 330 feet to the true point of beginning for the foilowing described centerline; thence from said true point of beginning for the following described centerline; thence from said true point of beginning, Southwesterly and parallel with the Northwesterly line of said Lot 32, a distance of 660 feet to the end of said centerline. Excepting therefrom that portion lying within the boundaries of the above described property. APN: 007-150-M BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds :. PROJECT INFORMATION Site Address: 950 MORT LN Owner: Permit No: B07-2502 APN: 007-150-083 POWERS, GERTRUDE Issued Date: 12/11/2007 By KCG Permit type: MISCELLANEOUS 950 MORT LN Subtype: Demolition CHICO, CA 95973 Expiration Date: .12/10/2008 Description: DEMO OF EX MH (530) 894-2612 Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: R T ANGEL INC DON KLAUS Building Garage Remdl/Addn 868 W ONSTOTT #J 509 S STOCKTON ST YUBA CITY, CA 95991 LODI, CA 95240 Other Porch/Patio Total (530)821-5850 (209)333-6190 '.. FEE INFORMATION DBMSC Demolition $58.00 Total Charged: $58.00 Balance Due: $0.00 Receipt No: B5574 A LICENSED CONTRACTOR'S DECLARATION - OWNER / BUILDER. DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License R T ANGEL INC 457364 / C47 B / 06/30/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in fiM�(/, ffect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the /� basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X� / 12/11/2007the applicant to a civil penalty of not more than five hundred dollars [$500]; Contractor's Signature 6 Date ler � ';WORKERS', COMPENSATION DECLARATION. _ „ I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number. Exp. Date: (This section need not be completed if the permitis foris for on�dollars ($100) or less. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. X /--JVV /�����_� 12/11/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. _. _. CONSTRUCTION LENDING AGENCY.' I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip I Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. & P.C. for this F 12/11/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the pro erty owner or am autllerized to act on the property owner's behalf. .W,_ -1-11, 1 k-l-A1/S 12/11/2007 Owner Contractor OR Agent for OwnerRrAgent for Contractor FILE COPY' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS, 24 HOUR INSPECTION#: OROVILLE`. (530) 538-7636 • CHICO: (530) 891-2534 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION Website: www.buttecounty.net/dds *`PLEASE PRINT CLEARLY"-* OWNER Last Name5 Firs Name a Address 3d 02 7 G - CityC,/Y`c State �, Zip�� Phone-a6l ,�-' Fax E-mail APPLICANT NAME CONTRACTOR Name Name 7 - Zip S, Address Address CGG''�Ov2 S� fj G•�r %3 City 5Aw7A ( s,y State Zip 6' 0r Phone Fax State License Number E-mail Lic. # Pat APPLICANT NAME ARCHITECT/ENGINEER Name City L�1 Address Zip S, City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name � � ��cG/Z�//Cl /`GUS ��C//t/ • Address ::5'019 57 City L�1 State CA Zip S, Phoneqq .33�j0 Fax E-mail 912 72E6 G L fl C APPLICANT SIGNATURE " X , For office use only: Zoning Property Address 50 A19621- L 6,— Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN 9 LOCATION AP# a 7 - (50 - 0fr5 Property Address 50 A19621- L 6,— City ciy'�CO Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address CONC, IIW54: r3L(il7 t T/a SSA S1fU Description or Scope of Work: f cCG�� G�` �c�SZII�G Sq. Footage ti ❑ Structure Bunt 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 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 byl� Amount: Bldg SRA Receipt #: Sheriff SMIP Date: Other Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED: ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. ; Siteplans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached AccessoryBuilding Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's - 0 2. office (if required). Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval to ❑ 6. prior occupancy). Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. :1 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538-7541. EXPIRATION OF APPLICATION %pplications for which a permit has not been issued will expire one year after date of application. In order to renew action in an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Zefunds can only be made upon written request by the person who paid the fee. The request must be made within two ears from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits 3sued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan :heck fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION '-1FORMSSUILDING F0RMSadgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 DEMOLITTON PERMIT ASBESTOS NOTIFICATION STATEMENT Pursuant to section 19827.5 of the California Health and Safety Code. all demolition permit applicants are required to fill out this term. "19827.5 A demolition permit shall not be issued by any city, county, city and counts, or state or local agency which is authorized to issue demolition permits as to any building; or other structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States 1?nvironmental Protection Agency or to a designated state agency, or both, pursuant to Part bl of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicants response on the demolition permit application. Compliance with this section shall not he deemed to supersede any requirement of federal law" Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at (Address) (City) (Zip Code) Assessor's Parcel Number Date Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at HGlz> 1N_ clielcy cA 9� (Address) (City) (Zip Code) Date /0-, Signature of Applicant Off_ XT 201 Concourse Blvd Santa Asa 95403 License #457364 RE: The Processing of Permits INC. 707-577-1880-Far,530-821-5854 August 16, 2007 To Whom It May Concern: This letter will serve as notice that DON KLAUS 8t KATHY GREENLEAF of D.R,TECEMCIANS, will be acting as our agents on behalf of R T ANGEL INC, and our associate clients. They are granted full authorization to prepare, alter for corrections and pick up building permits for the job site. 0 BUTTE COUNTY DEC 1 12007 DEVLLOP.%, SERVIC'.' PERMIT NUMBER - B 1933-73B P r E PERMIT EXPIRES OWNER' Gertrude Powers CONTR: , owner LOCATION (A.P. 44-33-62 n/s Mort Ln., app. 600' west of Burnap Ave., a Chico -7D �z COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam, Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Verits Sanitation & Water ELECTRIC GAS BUILDING Temporary Final Temporary Final J Cert. of Oc p. Final DATE REMARKS'OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK a� 7� 7 County Center Drive — Orovi Ile, California 95965 / •.J / Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated 72 above for which fees have been paid. Date �7cJ DIRECTOR 0 PUBLIC WORKS Signature of Permitee or Agent S— �� /_ By Date 4' Receipt No. ( /�F(SJ Building permif expires Dafe White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING Owner -SQ. FT, OCC. BUILDING VALUATION Q0 p Mailing Address 0 Tele h n e_.N o. YaGiZ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ r $ O Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 '' '' // (N • i Each Trap 1.50 1 J Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fees W. C. Sa i'Pation FI re Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking arcel Plans Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Parcel Approval Plans App of— al Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER EJELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 i Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures baldio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen'l Compensation. ❑ I have placed on file'with the County of Butte a certificate of Workmen's Compensation .Insurance. XI certify that in the performance of the work for which this permit is issued I shall not employ any person in, any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 0 authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated 72 above for which fees have been paid. Date �7cJ DIRECTOR 0 PUBLIC WORKS Signature of Permitee or Agent S— �� /_ By Date 4' Receipt No. ( /�F(SJ Building permif expires Dafe White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant .--- -- - , .- _f _-. . - — , — — A,7 COUNTY OF'BUTiTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT autnonze representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. / iX,Cs`�?2c Date Signature of Permit�eejor Agent Receipt No. z z — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By / .l'/ ►. `ate Z'" Z -% ii Building Permit Expires Date - 3 — 7�% BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address z� 7 /ai-, ., - d r Fireplace Contractor Total Valuation _ Mai I i ng Address _ Permit Fee Plan Checking Fee&/or Penalty _ Permit Fee $ $ Building Address �% l " S YUi1 PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 , G / � tp 00 W ��� Q i u Each Trap 1.50 / �0 /j I ► / /,r� �1 ✓[ llfi� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ./� A. P. No. T Cf! t Zoning A— Gas piping system 1 - 5 outlets 1.50 , Each additional -outlet / .50 Fire Zone Fire Dept. < SanitatftTh7 Planning '�`�` • � Building sewer % �> 'y 5.00, Plans � Fees � . / W. C.-` R/W . Encroachment Lawn sprinkler system 2.00 NEWt❑ -ADDITION ❑ -1 OTHER Permit Fee • /�� f� ® `/1 / _ . � � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter c/ � Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - - USE OF STRUCTURE Single Family © Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets EM3� CONTRACTORS LICENSE LAW I am licensed under -the provisions of Chapter 9, Div. 3, of the State of California+Business & 'Professions Code under the name style of: t. Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump _ Water pump Met - r Misc, wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑�I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby �n5trumentationirp groonion $0.07/$1000 Evaluation $ TOTALF PERMIT FEE autnonze representatives or the county or butte to enter upon the above-mentioned property for inspection purposes. / iX,Cs`�?2c Date Signature of Permit�eejor Agent Receipt No. z z — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By / .l'/ ►. `ate Z'" Z -% ii Building Permit Expires Date - 3 — 7�% COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive — Orovi Ile, California 95965 7, Telephone: 5$3-123tP, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �J X e D�i`�1-a Date 41—A / Signature of Pe�rmitee or Agent Receipt No. ,/ �q !?Ig� White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building Permit Expires ez—Z�% BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address t Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 O on Iiz Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 lo Each gas water heater or vent 1.50 A. P. No. -- G/ '� Zoning _Z Gas piping system 1 - 5 outlets 1.50 Each additional out et .50 Fire Zone Fire Dept. I nning uilding sewer 5.00 , Plans Fees W. C. koo R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ DI ON ❑ OTHER Permit Fee $ CPU $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter 00 Additional meters, each 1.00 (12 or less) (more than 12) -Sub-panel USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat mp Water pump r 00 Misc. wiring O O License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee O $O WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby jjPermit fnsirumentationtrpn a anion $0.07/$1000 Evaluation $ TOTAL PERMIT PERMIT FEE $ OG authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. �J X e D�i`�1-a Date 41—A / Signature of Pe�rmitee or Agent Receipt No. ,/ �q !?Ig� White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building Permit Expires ez—Z�% PC) wz�-p s 9.s O MOR A A NE Cy/co , .CA. 9Sc?73 . �l PV= 00 7 - /SO - 083 SCq/O� rA c �o AhN 79.001 r Pi?OR" !;�_SJ Ro0ZAcfjVr,1•7' MANvFA cT&e,ft-a ffaw Wt Vrf Z3WA.7' !N FRONT PORCff PLAWNG DIVISION - BUILDING PLAN APPROVAL Use: �<<� Date: I J10 Parldng: S o Fwr.� ; S S 1c�i a r2e� Signature: /65- oo' MOP T I,AIVA�_ Exisrlkf Q N &A5 t$ t5 6o' r r I , I ti ►� I ROAD �Tr�tTY I. FRoN T L$hcK � l � r pYiAcN � tAS�Mr"N'f A(ZaA - - -s Aar A !d 6 1 r t CAR tX/$Y/NG a2 $CDR1`f ___ _ __ OFF STREET I 56rrIc sYs rem QARW'vc U . C9A1 rER Or BOAC COUNTY�— l RLCS -� EXlS 77N&ENCROACf/MENT DEC ' L 2007 -- — —� LANDING AT EXTERIOR G v[. vcnr AaS _,p. T'cN =—. -C, CPC, EX1577/VG Mq/VUFAC?L2rJ ��THE 2001 CB CMC, DEVELOP DOORS SHALL COMPLY ffuME TO Be pEMou,SifQ 2004 CEO, AND 2005 I SERVICES1►Ir".ldT WITH CBC SECTIONS CALIFORNIA ENERGY STANDARDS p 1 003.3 & 1 003.3.1 .7 I AS AMENDED BY THE l JURISDICTION APPLY TO THIS PROJECT. ' r { CALIFORNIA CODE OF REGULATIONS TITLE 25 REQUIREMENTS AS AMENDED` BY THE JURISDICTION APPLY TO THISPROJECT ow BUILDING PERMIT# ASSESSOR',, PARCEL;' Bl1'�" 1'E lN:DW- DIVISI0 APPROVE CROCIAID 15 inLA7l��G;- FLAI- w 1 TH Alv'Y wAZO DRAItiAGr 720 GO TatolAQaS Tye v/TcH Ga -me sewer ALL COVERED DECKS AND I OPEN DECKS EXCEEDING 36' SQUARE FEET IN AREA WILL ' REQUIRE A BUILDING PERMIT i APPROVED PLANS AND PERMIT SHALL BE ON SITE. i FOR ALL INPECTIONS 4 htij? OF Rom FILE COPY FqLIE COPY OWNERDw 1� E3p#V7-_j5'0 APN mi