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017-100-077
T. T. Weir -End of pri.rd.,app.350'E.of Humbug Rd., app.12 mi.N.of covered bridge, Chico. �. contr: George Santos, Chico t y Permit #5291-78B,P,E,M(add bedroom & T011�310-077 PERMIT#�7-0194 i_ RE,,Bob .1 -McClure Ln.;, -Chico A. Cont:` Ron Bunch' _ 1 Flood Damage. Re air/S f 011-310-'07'7 ,r PERMIT#97.024/ , McCLURE, Bob r 1 McClure Ln. ,.,Chico-. ' Xont:�Ron Bunch; i �� h Repair .Ex Deck/SF + X011 310'077 ;�,;_'-PERMIT#97-0516 `MCCLURE, Bob.,', �l McClure ;Ln. ,;� Chico •.�Y =:Cont•Four, Counties'^Roofing .Reroof /SF 1 1 i i } qi ! f s i _....1t• '_- - - = - =may 7t `� STRONG, Dr. W.F. 403-70B* 583-66B i S 403-70E# 1�®31® � el s Huinb Rd. : 3 mi.east of G6vared �Bri, Chico, (Detachedgarage).' 1 / o (*add on -CONT : I ff Watkins, 1003 W. Sa Ave . ,Chico) _a.� � 3! ! r tr � -07 T`l �1 �� �` � �� 0 �P q� -o-z-4q, y f . �P q� -o-z-4q, X COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 ;County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 qoPMIT O. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 011-310-077 ZONING PRI) BUILDING PERMIT OWNER BOB M120,11RE. TUEPWONE — SO. FT. OCC. BUILDING VA LU TION VAL 1500 OWNERS MAILING ADDRESS CO CTOR'S TELEPIiONE coNTRACTOAS MA ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 MCCLURE LN PERMITFEE $ 78.00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 Water piping 15.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe Work: REPAIR EXISTING DECK VALUATION 1500.00 — Mobile Home IS I GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Servicee00v OR LEN ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 fu I force and effect. License Class Lic. No. 7&-3 13 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR GR ( a BLDS, ) SO. 3.5¢ FT. CNS. LTI-ACC NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 WER (d�SINGLE OUTLET C R. ) EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL .SO Ex. Occup. (OUTLETS (R NESE . OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 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 rformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers4�mpensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 5� – 2;? gw; '2-/z5— (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 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 forthwi those provisions. X _ d� 'r_�Date o�_��_'�� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTL FEE $ 78. gO [of I HA'D. F S I IM FLoo I CDF P 0. H ISS/ his permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date PERMITEXPIRESON (06) Receipt No.2d9?L71 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT REST ENTIAL ERMIT#97-0244 _CLURZ,_Bob 1 McClure Ln,., Chico A Cont: Ron Bunch CI�2_ / 9-V �0'1 Repair Ex Deck/SF 4776 Z15 7 I CO - JOB FINALED (Date) Si ,onature V=OK w ' O = Not <JK •=N&Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location CClearances-Gmd-/ /Amp -Concrete 6. Gas; Location-TestWrap; / A -It / /Nat or/ /'L'ft/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpaang-Connectom-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-RRrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-RNrs-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, Distance -GR 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-Panelboardslns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestANater Supply Test Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 t Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements Setbacks Easements 2. Footings; Size -Spacing -Marriage line 3. Gas; MH Test-Demand-VaMeConnector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpaang-Connectom-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-RRrs.-Connectors Shthg.-Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; Sils-AnchorsStuds-RNrs-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, Distance -GR 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-Panelboardslns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestANater Supply Test Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 t = OK O = Not No OK RESIDENTIAL (Single & Duplex) - = Not AP p licat+io Not Ready Date 46. UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ PFtg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ /' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. LIE Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance-Mater:al-Support-Ins. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GA 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 86. Water Well, Disconnect, Electrical, Plumbing Date 87. Card B-1 Date Card B-1 Date 88. Card B-1 Date Card B-1 Date 89. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 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 FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date 46. FRAMING (Continued) ` Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rfr.. Ties-Purlin-roff Brac.-Truss-Shting: Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size &Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instid./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT `q- 0°"Z� ASSESSOR PARCEL NUMBER 0 _310-077 ZONING 711) BUILDING PERMIT OWNER BOB tiff: , -T RP TELEPHONE SO. FT. OCC. BUILDING VALUATION VAL 1500 OWNERS MAILING ADDRESS mrryTmp T.V_ CO 'RACTOR'SNA kenQVIC TELEPHONE C NTRACTO 'S mAnNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER ucENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS; MCCLURE LN PERMITFEE $ 78.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 121 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherX0 Describe Work: REPAIR EXISTING DECK VALUATION 1500.00 Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a V OR LESS ( 2ooA OR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S 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 b Lic. No. %�S 3 1 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. ( ) OR ADDNS. & ACC. BLDS. 3.50 FT.NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FD(TURES ) 2e 0 50 �L Ex. Occup. FIXEDAPPLN . OR OUTLETS ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. p 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier �� 0 f=r"Uc/ MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number Qy/� - f' � pw/; t�z g� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' 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 comp y wi those provisions. X Date �'�il ' 1 % Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 ssttfories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ J8;.O OCC CONST. TYPE TOTAL FEE a HAZ/ D. F S IM FLOOQ� / c� PcELcompensation 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. By Date PERMIEXPIRESON-2- �9$� I (Date) Receipt No T �>/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OFBUTTC- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 17 P MIT O. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 011-310-077 ZONING _PI?2 BUILDING PERMIT OWNER BOB MCCITIRE TELEPHONE SQ. FT. OCC. BUILDING VALU TION VAL 1500 OWNERS "UNG ADDRESS CW, TELEPHONE cdNTRACTOAS MAbAG ADDRESS Fireplace CONSTRUCTION LENDER UNXNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 MCCLURE LN PERMITFEE $ 78.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)p Describe Work: REPAIR EXISTING DECK VALUATION 1500.00 Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service / 600V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 fu I force and effect. License Class Lic. No. �7&-,3 13 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURSO. OR ADDNS. ( & ACC. BUDS. ) 3.50 FT. NEW CONST.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 6AL 50 Ex. Occup. ( OUTLETS RESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 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 rformance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number L14,& -gig //,vii r?� — (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 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 forthwi those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or constructionJ/ of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 78. 00 I I H51 D. F S I IM V1 FLOO I CDF P EL PD H I;S 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. BY 'E' Date 19. PERMITEXPIRESON ( Receipt No.2(59 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Y,.• .yAkc�� �`A"�u.�N w•-I_•r'�.� y ... .w•rry���.�.y.�,��y��.�r. _ .. wvr/• ti��iM1f'•N`i1� ..w • Y/ COUNTYOF BUTTE - DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 ' PERMIT APPLICATION DATA SHEET Inn OWNER 64A1 � � - C.J�.�. . P. No. a i I - 3 I A-) Proposed Building Usen.9�AC(t� 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 BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. •Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... } 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . Prey itee °" �ed 20. Pre -inspection for to required. .. to e��ia�oy �nspeor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to ownerMail to owner �. ....... i. . 24. Recorded copy of Agricultural Acknowledgement Statement . .............. 25. Letter of signature authorization. ..... . 26. Copy of recorded deed 4f parcel creation and Owright of way to a public road. .... . 27. Letter of intent on building use. ` 28. Mobilehome utility clearance. ...................................... . 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. A -V-WFr you issue the permit, proce s 1104,Mai caner. Mail�to contractor. ICC Tele hone89/ //o p / d old r pickup E office. Deliver with inspector. Other = L. v✓✓ Parcel Creation . Acreage 0;:;7 A Applicant Date 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 submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: x Contractor, designer, owner, was advised of above required data by _ phone t.Ainail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL Nu _ 3 O , o— Zo ' _Z BUILDING PERMIT OWNER/'O 1 C„ NE 59 SO. Fr. OCC. BUILDING VALUATION • O OWNER'S MAILING ADDRESSS9 � CONTRACTOR'S NAME TQEPIpNE CONTRACTOR'S MAUNG ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2-3.,00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ SUBDINGADORESS PERMITFEE $ 8, QC) ' C PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBONISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping — 15.00 USEOFSTRUCTURE SFJ!( Duplex O Mobilehome ❑ Other _ SPECIFY_____ Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ❑ Installation O Other Describe Work: _ .Clio, Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main ServiceEOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: O 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' . compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUR OR ADONS. ( & AGC. BIDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES) 20 @ I.00 SAL 0 .SO Ex. Occup. (DFXXEEDf3 PLNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 8 , 0 Q HAZ. 0. FEES I IMP I FLOOD I COF I PARCEL FPO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON I the applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTE 14 6 W Ib P, 1--i SH� L lbe ta,F. s ;A -FLM H 0aH A 4:::4 OPOLT56 t4N pAsTS,.% r 10. Irl S 70" t6l 41.011 41 4 BUTTE -CO AR BUILONG _DEP Ry. 4. P A ROVED P No. C 21 83 z, l Ln dy RENI. XJ F ED ` �, 'tit t� - =R •.t` fir, .' _ .. 'r. r-�n��;;: - .. ���.�._ .16 - 3i 6.4 he '+�' <.:, .,x {' may,• '(q' - ;'"r L'• { ! ' _ 1 t a •�r �� .L.. y .�.• r. / ,. � .. � - ..�T �{C, • .'Y' �t- \ :�l -�', .. � � fry � 00 OUTT BOUNTY "°kPILORM - PARTM PINT OVER i ... 4 1.• ....si'•d' 't ( g 2�-Cia c) 76 RECEIVE® FEB 2 4 2000 COUNTY OF BUTTE LAND DEVELOPMENT DIV. SIERRA WEST SURVEYING L1CLNSED LAND SURVF.t'ING 5437 Black Olive Drive - Paradise, CA 95969 Phone: (916) 877.6253 August 30, 1994 TO WHOM IT MAY CONCERN: A certain parcel of land is located in Section 18, Township'22 North, Range 3 East, Mount Diablo Meridian, and designated by the Assessor of the County of Butte, State of California, as Assessor's Parcel Number 11-31-77. This parcel of land is located adjacent to Butte Creek, which creek is shown in Zone A, on Flood Insurance Rate Map of the National Flood Insurance Program. A field inspection and review of photos at the flood stage for this parcel indicate the highest flood is 16 feet above the creek bed. The finished floor elevation on the upper house on this parcel of land is 32 feet above the creek bed and 1.6 feet above the highest flood marks located at this site. This house is well above the flood zone areas shown on Flood Insurance Rate Maps. RGA/jee kLettersk6919McCl.Ltr 6919 McClure Robert G. Agee, Jr. R.C.E. 27647 Registration Expires 3/31/98 No. 647 �X/) M"S"iw 140use -,n"tAD DL TIA C- FLC)CXD I GN WATE LINE NOT 5u E>,D ac T- To LC,(:D tD I t -j (Z, 103 M -WA 0 fl -E k A-4 tr CoTTAGe I' 5 u F--> fi & r— -T - . To F�.00r�iNG Mc Clure I U., S Air Force (Ret) A McClur6-Ln - -, Chico, "QA'9 95928;8801 /.., - Sierra West Surveying 5437 Black Olive Drive Paradise, CA 95969 (530)877-6253 Fax (530) 877-6254 Bob Bob McClure 1 McClure Lane Chico, California 95928 Dear Bob: Memo December 17, 1999 IV' JOB 6919-B APN 11-31-77 **Elevation Certificate Attached, per your request, please find a copy of the Elevation Certificate for your property at APN 11-31-77. If you have any questions, please give Bob Agee a call at 877-6253 Sincerely, L — Kay anley SIERRk4ESt SURVEYING \KEM Office\Memo's\McClure.mem 3 ENe1, 4 ELEVATION CERTIFICATE O.M.B. No. 3067.0077 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM : ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request fcr a Letter of Map Amendment or Revision (LOMA or LOMR). You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S Nim} POLICY NUMBER STREET ADDRESS (Including Apt.. Unit. Suite and/or Bldg. Number) OR P.O ROU"E 4NC, BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) CITY STATE I E SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the fc.lowing from the proper FIRM (See Instructions): COk4N1.jN -e NUMBER 2. PANEL NUMBER 3. SUFFIX 3F FIP.M INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones. use depth) 1 & I/)O ( % 3 -7.S C JUNE 0 9 C5A 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑ NGVD '29 ❑Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and t' --e community has established a BFE for this building site, indicate the community's BFE: 114I513I.6& feet NGVD (or other FILM datum—see Section B, Item 7), SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level �r 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of fife reference level floor from the selected diagram is at an elevation of LLA. e .l?J feet NGVD (or other FIRM datum—see Section B. Item 7). (b). FIRM Zones V1 •V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is a: an elevation of 1 ! 1 1 feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference levelirom the selected diagram is L Li.LJ feet above or below (check one) the highest grade adjacent to the builoing. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LJ 1.LJ feet above ❑ or below(check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ Ivo ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:KNGVD'29 ❑I Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations ;o the datum system used on the FIRM and show the conversion equation. under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes Xt Io (See Instructions on Page 4) 5. The reference level elevation is based on: 7� actual consiruct,•::n _._ construction drawings (NOTE: Use of construction drawings is only valid it the builairc,• does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the cDurse of construction. A post -construction Elevation Certificate will be requi•ed once construction is complete.) qq 6. The elevation of the lowest grade immediately adjacent to the building Is: _. 4 .5d feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. It the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor" as defined in the community's floodplain ,management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: i ► I I I feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement14 FEMA Form 81-31, AUG 96 REPLACES All PREVIOUS EDT?CNS SEE REVERSE SIDE FOR CONTINUATION t SECTION E CERTIFICATION Tn,s certification Is to be signed by a land surveyor, engineer o• architect who is authorized by state or local law to certify elevation Information when the elevation information for Zones Al—A30, AE AN. A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinanc,:, to provide floodplain management information, may also sign the cer;lficatlon In the case of Zones AO and A (without a FEMA c com;;nity issued BFE), a building official, a property owner, or an ow^er's representative may also sign the certification. Reference levei diagrams 6, 7 and 8 - Distinguishing Features ine certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wai! .) nIrgs or unfinished area Feature(s), then list the Feature(s) not tncludeo In the certification under Comments below. The o agr .--- ,' M er. Section C. item 1, must still be entered. I certify that the information in Sections B and C on this cernlica:a reo�esents my, best efforts to interpret the data available. I understand that any false statement may be punishable ray c, imprisonment under 18 U.S. Code, Section 1001. CERTI=;ER S ,.AME _'--ENSE NoMBER for Affix Seal) - E 2. .. --._2 7 ev 4-7.....-- TITLE COI,tr-'.r.;v NA%iE /-,-Avl� iz � :. � � s T �'u 2 ✓ ice-- --- -- .. _ ... AD:KESS -- — '- C:- . - -- - STATE ZIP 5437 �c��c �_✓1 P.4✓�A�.�S.c.---._........_...._._...._. C.-4�.._.._......._ S'9by' SIGNATURF4 DATE PHONE 7 / 9 5 P -27-6-2-r3 Copies should be made of this CertificOk foryl) community official, 2) insurance agent/company, and 3) building owner. COMMENTS:..1.L.7.../.�_1� �� /�U5 _t0�� V O.n .. 4.... ON SLAB A V• ZONES ZONES ,EvCL r.'A'C�'• REFERENCE ADJACENT LEVEL GRADE 1�iJ 1� Oy i�E- X2.3 4 Z 4T.-- -----'------' — NITr, ff:aEr.�Er!i G UH MILC,, PIERS, OR COLUMNS A V ZONES ZONES RE;ERENCE (1 LEVEL REFERENCE EvEL BASE \V 11 ;"COC tiAAAA .. .. A AlAC ENT The a'agrams above illust ate the points at which the eleva.•or s sho,'d be mea: ured in A Zones and V Zones. Elevations for all A Zones should be measured at the top c' :ne rE'arence level !i.avr. Eleva:iens !or all V Zones should be measured at the bcit; ... e, tra 'c'.-:esi horizor tal structural member. BASE ' '• LL SGC c. FvA*rON ._-... AAAA.. _...� ADjACEr:; GRADE r�... •`• G UH MILC,, PIERS, OR COLUMNS A V ZONES ZONES RE;ERENCE (1 LEVEL REFERENCE EvEL BASE \V 11 ;"COC tiAAAA .. .. A AlAC ENT The a'agrams above illust ate the points at which the eleva.•or s sho,'d be mea: ured in A Zones and V Zones. Elevations for all A Zones should be measured at the top c' :ne rE'arence level !i.avr. Eleva:iens !or all V Zones should be measured at the bcit; ... e, tra 'c'.-:esi horizor tal structural member. Butte County Assessor, Treasurer and Building Departments Oroville, CA Ref: AP#011-310-077-000 Dear Sirs: County Assessor's Office -s> FEB 18 2000 18 FEB 2000 - Oroville, California 1. Request a new appraisal of my ranchette at this APN in order to correct the acreage from my currently recorded 3.35 AC to 3.65 per Enclosure #1 from Sierra West Surveying. . ' 4 2. I also request anew evaluation of the land due to the $106,000 150' concrete overlay & 250' riprap on the West 500' of.Butte Creek. This is the Eastern border of the property out to the center of the creek as depicted in Encl. 1 and the Deed and recorded under #85-18771. There are also significant improvements in the land as shown in our FSBO de-scripiiun - 26 fruit & nut trees, huge paddock, 30'x 30' slop w/ stone fireplace. TV dish, pole corral, fivice row of grapes, extensive irrigation system all over the ranchette,.2 storage sheds, 2 SFRs (3BR/3B) & (2BR/3B). Both SFRs have been greatly improved after the Dec 96/Jan 97 flood. (See Encl #3): (a) Main House )#1 McClure Lane)/ 12674 Centerville Road) is 3 BR/3B has new fireproof composition roof replacing 50 year old cedar chakes - new security system - new Lennox heatpump AC/Heat system - major repairs to the extensive wraparound deck over Butte Creek. (b) Guest House/Rental SFR (#3 McClure Lane/12572 Centerville Road) is 2BR/2B has been completely remodeled from the 1 B/1B rental bought "as is" in 1985 - added 1/BR/1B/ utility room in 1985 replaced delapidated roof, ceilings ( added skylight in LR) w/2"x6"& 2"x8"lumber replacing previous 2"x 3's - new floors, carpets, pads, wall board up to 4' high, new electric plugs and entire rewiring of house from aluminum wire, new cabinets & washer, dryer, water heater, deck patio repainted inside and out. 3. Sierra West Surveying company was requested to define the hundred year floodline as shown in attached exhibit .This elevation certificate shows that the main house - #1 McClure Lane - is above the floodline. This, therefore, does not require flood insurance. The Guest Cottage/rental SFR is in the flood plain and does require flood insurance which we have at an evaluation of $43,000 at a cost of $308 per year. NOTE: The evaluation of this guest/rental SFR bu USAA homeowners insurance policy is $83,000. 4. A supplemental tax assessment is requested to update all of the above improvement. All of this action is requested as the property is up for sale by owner at a listed price of $374,950. Res fully yours, R ERD. 4cCL Colonel, USAF (Retired) • (I[C(i!tllltJ'i 1, 1.U(II.SIE1) BY Oroville Title Corlpany 2-131762 AND WHEN RECORDED MAIL TO r Jame Mr. & Mrs. Robert Dugald McClure -->—r Eenteroille4ieect treat rl•.;..,, �� n�o'lA ,,fdress :ity J3, ONE mCCL%j R Ic k,"(= tete L4Cj+1CC) Cfi S-1 7-7 —$g z3 J MAIL TAX STATEMENTS TO F_ Jame, treat Same as Above ,ddress :ity d .tete L J CAT. NO. NNO0502 TO 1923 CA (2-83) U GF BUTTF. C0LNTY.CALIFGRlfl,1 AT 111E REOU:ST OF nrnnvlt.l K TR1.E Col 1985 JUN 24 PM 2; '20 ELEANOR' 111. CLERK -RECORDER FEE 85-18'7'71 'Aj,w cell -31 r' _ D SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deedlit �h�n�e THIS FORM FURNISHED BY TICOR TITLE INSURERS tfljp 'z,— Uf OWne.- The undersigned grantors) declare(s): TRANSFER Codd Son' 4o0IRN. Z. Documentary transfer tax is $ 230.45. ( dress on do "toiling J a ( � computed on full value of property conveyed, or e"Ment, ( ) computed on full value less value of liens and encumbrances remaining at time of sale. ( xm� Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, THURLGW T. WEIR and PATRICIA A. WEIR, husband and wife hereby GRANT(S) to ROBERT DUGALD McCLURE and ELIZABETH ANN McCLURE, husband and wife as Joint Tenants the following described real property in the County of Butte , State of California: Property description attached hereto '610) K PageA Datcd: June 21, 1985 `�-� J n� Thurlow T. WPi..r. STATE, OF C:n1.. FOIiNIA COUNTY 01' Butte �SS. On Jimp 21 , 19AS before ` me, the undersigned, a Notary Public in and for said State, Patricia A. Weir personally appeared Thurlow t, Weir and Patricia A. Weir rproved tomeonthe basis ofsat- isfactory evidence to be the person whose names arP o : O' i i(;i/1L `E11L subscribed to the within instrument and acknowledged . ,.: KATHH1.1141.COLBERT n that they executed the same. n ,., 1 Nornm i itnt.10-CALIFORNln n wri-NESS nl hand and official seal. c y � I''utlr+Counry R / • Aly Commis,tu:, Pr(,un�.lmt.23, 199-, 0 / C //%% ■nnnnnnnsnoe®BBuonnBARt&4� Signature k ly''i j ii) j&. C 0 L F7l j 'title Order No. Escrow or Loan No. CI his arca for official nularial coal) Colonel and Mrs. R.D. McClure U.S. Air Force (Retired) Butte Creek Canyon One McClure Lane Chico, CA 95928 DESCRIPTION: All that certain real property; situate in the County of Butte, State of California, described as follows: PARCEL I -A: All that portion of the Northeast quarter of the Southeast quarter of Section 18, Township 22 North, Range 3 East, M.D.B. & M., lying within the boundaries of the following described property: a COMMENCING at the intersection of the South line of the Northeast quarter of the Southeast quarter of said Section 18 and the centerline of Humbug Road, as the same existed on September 6, 1949; thence from said point of intersection along said centerline of said Humbug Road, North 14 deg. 50' East, 280.44 feet; thence South 70 deg. 31' East, 150.14 feet; thence North 66 deg. 02' East, 180.09 feet; thence North 14 deg. 50' East, 78.64 feet to a point on the East line of the land described in that certain Deed from L. L. Fowler, et al, to Randolph A. Fuhrmann and wife, dated September 30�, 1955, and recorded October 16, 1955, in Book 794 of Official Records, at Page 133; thence North 28 deg. 10" East along the :Easterly line of said Fuhrmann property, 307.46 feet to a point that bears North 66 deg. 22' 23" West from the Northwest corner ;of the land described in the Deed from William Carson and wife, 'to pale R. Adler and wife, dated December 30, 1963, and recorded January 8, 1964, in Book 1289 of Official Records, at Page 576, said point being the true point of beginning for the parcel herein described; thence from said true point of beginning, continuing along the boundary line of said Fuhrmann property, North 28 deg. 10' East, 359.48 feet and East, 230.92 feet to a point in the centerline of Butte Creek, as the same existed on September 6, 1949; thence leaving the boundary line of said Fuhrmann Property and continuing along. said centerline of Butte Creek, South 01 deg. 24' West, 248.0 feet and South 04 deg. 33' East, 251.0 feet to a point at the Northeast- erly corner of said Adler Property; thence leaving said centerline, North 66 deg.. 22' 23" West along the Northerly line of said Adler Property and its Vesterly extension, a distance of 452.17 feet to the true point of beginning. PARCEL I -B• An easement to be used in common with others for road purposes and public utilities purposes, 60.00 feet in width lying contiguous to and Southerly and Easterly from the following described line: r COMMENCING at the aforesaid intersection of the South line of the (continued) C-ne I Colonel and Mrs. R.D. McClure U.S. Air Force (Retired) Butte Creek Canyon One McClure Lane Chico, CA 95928 PARCEL I -B (Continued): V 11-310 -0-R --o Northeast quarter of the Southeast quarter of Section 18, Township 22 North, Range 3 East, M.D.B. & M., and the centerline of Humbug Road; thence from said -point of intersection along said centerline of Humbug Road, North14 deg. 50' East, 280.44 feet to the true point of beginning of the line herein described; thence from said true point of beginning, South 70 deg. 31' East,'150.14 feet; thence North 66 deg. 02' East, 180.09 feet; thence North 14 deg. 50' East, 78.64 feet; thence North 28 deg. 10' East, 307.46 feet to the Southwest corner of the above described parcel of land. PARCEL II: The Northerly 30.00 feet of the following described parcel: A portion of the Northeast quarter of the Southeast quarter of Section 18, Township 22 North, ,Range 3 East, M.D.B. more particularly described as follows: & M,, and COMMENCING at a point in the centerline of Humbug Road (known as the Centerville Road), said point being North 14 deg. 50' East, 383.05 feet along said centerline from the South line of the said Northeast quarter of the Southeast quarter of said Section; thence North 28 deg. 10' East along said centerline, a distance of 247.05 feet to the Northwest corner of the parcel of land described in the Deed from Randolph A. Fuhrmann, et ux, to Lucille J. Knighton, recorded October 7, 1960, in Book 1080, at Page 60, Official Records of Butte County; thence leaving said road centerline South 85 deg. 48-' 30" East, 289.45 feet to the Northeast corner of said Knighton Parcel; thence Northeasterly Parallel with the centerline of said. road, a distance of 130.00 feet to the true point of beginning for the described; thence from said true Parcel herein sterly parallel with the centerline of Humbug Road, 1130.00ng Sfeet; Wethence North 85 deg. 48' 38" West, 289.45 feet to a centerline of Humbug Road; thence North 28 deg. ' point in the alon said centerline, 195.00 feet; thence Southeasterly aatdirect line to the point of beginning. i PARCEL III: A portion of the Northeast quarter of the Southeast quarter of Section 18, Township 22 North, Range 3 East, M.D.B. & M., and more particularly described as follows: COMMENCING at a point in the centerline of the Humbug Road (known as the Centerville Road), said point being North 14 deg. 50' East, 383.05 feet along said centerline from the South line of (continued) PARCEL III (Continued): 3 Colonel and Mrs. R!D. McClure / y� U.S. Air Force (Retired) 31 � • Butte Creek Canyon One McClure;Lane Chico, CA 95928 � O 0 the said Northeast quarter of the Southeast quarter of said Section; thence North 28 deg. °,•10' East along said centerline, a distance of 247.05 feet to the"INorthwest corner of the parcel of land described in the Deed from Randolph A. Fuhrmann, et ux, to Lucille J. Knighton, recorded October 7, 1960, in Book 1080, at Page 60, Official Records of Butte County; thence leaving said road centerline South 85 deg. �48' 30" East, 289.45 feet to the Northeast corner of said Knighton Parcel and the true point of beginning for the parcel herein; described; thence from said true point of beginning Northeasterly parallel with the centerline of said road, a distance of 443.9; feet to the Northwest corner of the land described in the Deed from William Carson, et ux, to William F. Strong, et ux, recorded April 20, 1966, in Book 1423, Official Records of Butte County, at Page 393; thence Easterly along the Northerly line of said Strong Parcel to the centerline of Butte Creek; thence Northerly along said centerline of Butte Creek to the Southeast corner'of the parcel of land described in the Deed from Randolph A. Fuhrmann, et ux, to George S. Sosnoff, et ux, recorded February 27, 19:61, in Book 1101, of Butte County Official Records, at Page 418; thence Westerly along the Southerly line of said Sosnoff ;Parcel, North 86 deg. 29' West to a point that bears North 28 deg. 10' East and parallel with the centerline of Humbug Road from the point of beginning; thence continuing North 86 deg. 29' West, 30.00 feet; thence South 28 deg. 10' West to a point in the'North line of the aforementioned Knighton Parcel; thence South•1 85 deg. 48' 30" East along said North line to the point of beginning. <i I ti E-bC1 71 01'1-310L"07t-7 MCCLURE, Bob .,.-- McClure ln'.- Chico Cont: -. Ron Bunch Flood Damage :Repair/SF +1 O :r COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV BION 7 .County Center Drive - O;oville,-California 95965 - Telephone (916) 538-T 4j1� PERMIT NO. APPLICATION AND PERMIT `�01 Qq ASSESSOR PARCEL NUMBER 011-3 77 ZONING BUILDING PERMIT OWNER BOB MCCIRE TELEPHONE 345-2587 SQ. FT. OCC. BUILDING VALUATION OWNERS' LING ADDRESS CONTRACTOR'S NAME RON BUNCH TELEPHONE q — CONTRACTORS MAILING ADDRESS Q Fireplace CONSTRUCTION LENDER UNIQJOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS MCCLUIIE LN. PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 21.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF D Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otheri❑ Describe Work: FLOOD DAMAGE REPAIR — Mobile Home S G FwK @20.00 PERMITFEE $ 56.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 - Main Service 600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 Z Lic. No. % 3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusjvely' contracting with licensed contractors to construct the'project. t" El am exempt under Sec. ' .a Br and Professions Code for this reason C ) NEW CONST. DWELLING OCCURSO. OR NS. ( d ACC. ) 3.5Q Fr. UTLEBLDS NEW CCONST. MULTI.OTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 (P 1.00 BAL Q .50 Ex. Occup. ( OFIXEDTs PESID.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23:00 23.00 321.5 RSCEM REPLAC . PTlsiness PERMITFEE $ 6450 • Contractor WORKERS' COMPENSATION DECLARATION 1 here y -affirm under penalty of perjury cne 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating ; Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor ,,�c1,acl Policy Number l4n0.2-A tW/_-57 t/s)A?/2.S— (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 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 compl , wit o'those PJAVisions. Date X �' —�_S=S� Sig6iture of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 120.50 HA2. D. FEES IMP FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work in indicated above for which fees have been paid. By /,"t- Date / PERMITEXPIRESON (Date) Receipt No. 209709 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ION 7 .County Center Drive - Oroville, CaKfornia49596k - Telephone (916) 538-7 41n PERMIT NO. APPLICATION AND PERMIT 7'7 ASSESSOR PARCEL NUMBER 011-310-077 ZONING BUILDING PERMIT OWNER BOB M349-2587 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME RON BUNCH TELEPHONE — CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 1 MCCLURE LN. PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 21.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 115.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other jt] Describe Work: FLOOD DAMAGE REPAIR — Mobile Home S G W @20.00 P -- PERMITFEE $ 56.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S 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 Lic. No. % 13 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADONS. ( 8 ACC. ) 3.50 FT. NEW CONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ I.00 aAL so Ex. Occup. ( OUTLETS RESID.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 RECEPTICAL REPLACEMENT 3 21.5 PERMITFEE $ 64.50 Contractor WORKERS' COMPENSATION DECLARATION 1 herebbY'affirm under penalty of perjury one of the following declarations: few 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier �� �u�� MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number - A QV6-57 CIA)o` 4e-137 (The above sections neeb not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' com sat n provisions of section 3700 of the Labor Code, I shall fo hwit ompl it h2zz7---- X Date-:? J 'S Sig ature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE FEE $ 2 -50 HAZ. I D. FEES I IMP I FLOOD CDF I PARCEL PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY —A�Q� PERMITEXPIRESON 2-5-519 the applicable provisions Resolutions to do work been paid. Date —5- i7 (Date) Receipt No. 209709 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i COUNTYOF BUTTE - DEPARTMENTOF DEKi., PMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE,.CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER M C c c t-, 2 `- A. P. No. 0//-3/0-0 7? Proposed Building Use S. F , 6 Lkg c t. t.y6 Building Inspector Ct d P- o •dS Date �Y'_-O '77 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . .................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. N 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings. ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. .................... 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre -inspection for P�a"�De lnspecor required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... ............ 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ......................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date 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 submitted prior to permit issuance: (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 �t phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ., " • -- s: - r ' - :t,�eYy ,..�'1 rr S".�. �„ r...�, + •.. �qr -r .,..^ , .,.�,1 „�,... ,,.,�-f`� zS �•�'.r` , 011-310-077 I 'LML97 OSN r MCCLURE, .Bob a �, 1 McClure `• Ln . Chico Cont.: • Four Counti_ es Roofing t., a Reroof /SF / S ' _ fir. ��� .t-•+ • y '! ,..,�.��:. �. - 4 1 r i / i r Z t s "F . COUNTY OF BUTTE- DEPARTMENT OF DEVELOPM ENT SERVICES -BUILDING DIV!N 7 County Center Drive - Oroville, Chlifornia 95965 - Telephone (916) 538-7 O IT O• APPLICATION AND PERMIT 10 ASSESSOR PARCEL NUMBER'' -. �!n �,.� =�N BUILDINGPERMIT ow i•' 1 1• • { ' l "gob McCiue TELEPHONE 345-2587 SO. F r. OCC. BUILDING VALUATION OWNIS MAILING ADDRESS - McClure Lane Chioo CA 95926 Reroof existing r w ith comp CONTRACTOR'S NAME Four Counties Roofing343-1416 TELEPHONE f� f� /� 37 s 6O — 2 220 00 CONTRACTORS MAILING ADDRESS 3 Crusader Court Chico CA 95973 Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation $ 2P22 00 LENDER'S MAIUNG ADDRESS Filing Fee $ 20.00 Permit Fee $ 54 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 MCCludreLane Chico CA 95926 PERMITFEE $ 74.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME ]PARCEL MAP r Solar'or heat pump water heater - 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: A*str of f Rh a ken' reroot with composition shingles: Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 ' Main Service OOOV O R LESS ( zooA GR LESS ) 23.00 Main Service ( zooA To l000A ) 46.00 I LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision's of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in force and effect. License Class . C—� Lic. No. 489246 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 safe. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct th6 project.I !� ❑ 1 am exempt under Sec, Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( 8 ACC. BUDS. ) SO. 3.5a FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR, Ex. Occup. OUTLET OR FIXTURES p' ( ) 20 Q 1.00 BAL 0 .50 AP UNIS. EX. Occup. ( OUTELETS (RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Cal Comp MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number W971002001 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 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. i // 3/13/97 X _l, r.JF1,1 Date —---- Signatu�e`of`Appli�6cant j❑ Owner ❑Contractor Agent An OSIHA permit is required for excavationsover 5'0" deep and demolition or constructionB Of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee is OCCCONST. TYPE TOTAL FEE $ 74.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL pD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have 1`�' ` .EDate Y PERMITEXPIRESON applicable provisions Resolutions to do work been paid. �y�Q7 ! 311 (Date) ReceiptNo. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT �'�� ASSESSOR PARCEL NUMBER©t _ ,-� ZONING BUILDINGPERMIT GW`f'ob McClure 345 NE2587 SO. FT. OCC. BUILDING VALUATION OWNf5 MAILING ADDRESS McClure Lane, Chico CA 95926 Reroof existing roof with comp CONTRACTOR'S NAME Four Counties Roofing TELEPHONE 343-1416 37 S 60 - 2 220.00 CONI TORS MAILING ADDRESS Crusader Court Chico CA 95973 Fireplace CONSTRUCTION LENDER UNI(NOWN Total Valuation 1$2,220.00 LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ 54.0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 McClure-Lane,Chico,CA 95926 PERMITFEE $ '74.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 1 7.00 LOT NO. SUBDNISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: t.6nr nff shakes reroof with composition shingles. Mobile Home ISI GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinci Fee 20:00 Main Service 000 OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S 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 force and effect. c -N 489246 License Class Lic. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADDNS. ( a ACC. BLDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE R FIXTURES 20 Ex. Occup. (OUTLET ORFocrURES ) BA�0 .50 Ex. Occup. OUTLETS (AE Is . OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier _Cal Comp MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number WA71002A01 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' 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 compl with those provisions. Date 3/13/97 App Ic ❑ Owner ❑ Contractor M Agent VnSHAermit is required for excavations over 5'0" deep and demolition or constructiontyctureIS over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ 74.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE 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. BY Date t ` /Q7 PERMITEXPIRESON LIP I -AW I (Date Receipt No. ' n ayy ' WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -T ,} SENT BY:K'inkos tl� Copy C�nt�r. 5- -93 .3:45PM CtinTerviII 01'11 o-, 9166382140,# 2/.2 A ,� L 4 ..Butte Creo- Canyon - One'McClure Lane Chico, CA 9'5-928 27 May 1993 p 00� jN &Uk rYOP OI Butte County Building Department k ' �/,�Y N�OV71N # 7 County Ceritc.r Drive '7 > 199 Oroville, CA 95965 Dear Sirs: Would you please send a letter to the Bank of America, P.O,, Box 1299, Chico, CA 95927 attention Ms Renee Pogue, Finaacial ! Services Officer, stating that approval would be gr.arted to rebuild either or both of the two houses at the above addrass in the event either were substantially destroyed. Cordially yours, i h c¢ 4RORT D . MCCLURE ELIZABETH A.. McCLURE Owner Co-owner (916) 345-2587 t 1 R `7 _ J r fi'�. - .�.Y. -"--- . .._....�... . tt - i:sa•"s..iu. �s3...Q.j��T.�3�'i�ke.�L.i:. a.._�',:�ie.�':�I� tr r 1 1 ;.May 28, 1993 nobertZ Elizabeth McClurg ��' 'REi `Recent- Correspondence 1 a,IcClure Lane (A.P. #011-31-0-077) Chico, CA 95928 Dear Mr. and Mrs. McClure: In response to you fax of May `27, 1993, -I have '-reviewed our file f:,jr A.P. #011-31-0-077 and` do not have—records to support the fact that two dwellings were legally created. I do have a plot plan' Io -r a permit in"1978 thatonly `shows one dwelling 'on the property. If your dwellings were destroyed by' fire or -other disaster, they may be reconstructed if in compliance with 'building, sanitation and zoning codes in effect at the time of reconstruction. The property is zoned FR -2 which would'only allow .one single family home unless h use permit was obtained. Should you have any questions concerning -this matter, please contact this office. Yours very truly, BP edms David Purvis Manager, Building Inspection cc: 'Bank of Am&ric,a -' P.O. Box ' 1289 -.-.. _ ..... . Chico, CA 95927-1289 SENT BY:Kinkos koanka as Thn Copy Ce-nitr; 3-27-93 3':44P.1-1 the co center �Ce n T�erv111 Ohio- 9163382140;# 1/ 2 Cover Sheet 1189 Miarnisburg-Cent.-Mlille Rd. - Cent6M11--,- Ohio 45459 Ph"1513) 436-1313 FAX (513) 436-9211 Kin1w's FAjjollu,�yyi '-N.,ftiend or Re*ceive World -Wide, 24 hours a day. 41IF41 - I ( . s I �_, ) — SUM t _n ? U M AY k This' FAX is directed too. Please notify this pelrson that they have been sew afac. COMPANY: DEPAPaMENT:_ NE:(e)-J6 )b.3s' BUSINESS PHONE:(—) FAX PHO \ F Nurnber of pages, including thiscover sheet: '21— Special Instructions 77 //,3 6 - 0 6 sent by: k S' Phone: * This FAX has been se * Company: ("Please call us , if you have had any problems receiving or it any pages are missing frornithis trans rnission. • Vocal Phone: (513) 436-1313 - FAX Phone: (513) 436-9211 Klnko's PUBLIC FAX Service ® OPEN 24 HOURS A DAY FOR YOUR CONVENIENCE J 'k. -d it i. & 6-1 am "" an iron At O.Owft-& .=ty of BWH% W-U..-Yp sla Be i.11. A -09-6W Good hxr.. and "-4 !-.Cd.d uto J. t6 dcw. ad VW 'jJ yyf rx c :If P W �, � �4w__ WI is _,r, '-T) 1, 177 PERMIT NO. 5291-78B,P,E,M 4 . ,S PERMIT EXPIRES OWNER T. T. Weir CONTR. George Santos, Chico f 51-36-27 & 36 LOCATION (A.P. ) End of pri.rd.,app.350'E.of Humbug Rd.,app. y' 2 mi.N.of covered bridge, Chico r~ti° w v O ti4 e4 rc Q `V / iii ou L F26iu?_ G. ' f ' f'p re ra Temp. Power Pole ` Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E OB /� "� 2� �,/ U / FINALED i� (Date) Z- 'Y' a �Y (Sig ure) r� F All - Relnf. Steel COUNTY OF BUTTE —'DEPARTMENT OF PUBLICVORKS BUILDING INSPECTION RECORD Ixture BUILDING BUILDING (Cont'd) PLUMBING' Setback Firewall Soil Piping Forms LVT Parapets 1st Floor Main Bldg. Restroom Finish - 2nd Floor Footings Windows 1-2-7-7 eD 3rd Floor Stemwall Sidin To out Slab J I I Roof Sheathing -Water PI in Piers Roofing` — Sewer Garage Fdn. Vents Fixtures S Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab -Carport Footin s Prov. for phedy sically handicap Conformance of ex. st ture Appliances Gas Piping &Test - Temp. Gas — Slab in SaWation Patio t FIREPLACE Fin!n- Footings %/ Footing QE ,,Q/ ELECTRICAL Relnf. Steel Final `g7 Ixture Bond Beam FIR SPRINKLERS N Motors - ramin 77-Z?,' Test Water Htr. Stucco FinalSub aneIs Mesh MECHANICAL' ZER . Fault Pro Scratch Heatina Service - Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath YAW I I a t I n Permanent Door Closer na , /e S / / , MOBILEHOME UTILITIES ------------------ Elec. Service Eec- Pedestal Water ng Sewer Gas Piping MOSILEHOME INSTALLATION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping /-7 79' Sl�oc,4j£a2 moi✓ %E.s %r 9/< IL / s &V -Z Al- a- t�r DATE REMARKS OR CORRECTIONS d�c or e«. v � � i n s �J Y Y/Lt- r a/C -iV- , a leo o� F/�Ow &.J 4?4, Ole 8 q� f�i �b �1 £ �4 � �LO � %� �f �-('` 'fir✓ k/G / l.S D� ,1l"q/ ,aFraJ/$,7 (A °�E a/s�l/ yp £ 'A a /i/f ¢- l k� s -J6a �+' c �i/,ivy ��M ,�d/F -S4,,P-s% -46.e cv�,7/ At£X-' 2Z�� �'x/3Z / c✓ iti' �S�a�L 1r dd. /C £'G e % 6 Al W'IkIO A✓*I lr �dp� Gt10/1 ,d 4 a0i �""—� OTE: An entry must be made on this fcrm eac time you visit the job site.) 4� `7 C�z 3-2/wr 7',3l� f 3�i ?el- C77 31.E G ks, i i i .s.. r r o o e i 1'.a t e 7-- a 3i. A n. it c '.' t - -- -- .__ �.-__T• '�C"--��• u d s - - \v a l e -d CC ':4 -aced Fro ; :; _,}• %r �.(Braces " .ere -.e c!- reg' _,_� ------ - ----- Bear-i.n :'Ta11s 7- ailin aft Sto.o in � alls ' (.rat r.rc,cf FF-4Lre Sto^ at r1.,i7:'red -CF-i-'ings & Stair—Strip'r c 'Header JLze 8- C Size Si. r Jn •at tan- e,rSy h? -'e Required_ ---- --- . %T G te.T' .i- ea, Pulins w roof=":a,inp-- ''_re' dace Ties or, `,' "F ''! ue -- —� t'.T t'tl :x.rlP t0 httiC C_�G'=; �'rotcc+-'c'_7 -- — . EX �.! ;.j o2' rE'G h57t. size _i�,aOst- Be4r�Om — .. A-moi'1��i y:Yt loon -One z,_—C- Garage -1 f meq . 1`J Ck :stairs i - T=- FlyWood on Roo - y` =-Inha ' �ti �T ..s...,:a_.� C:_�i� C yrTlt5 Siding--aile:� .Fr o vee 1y nit 1. V ^'• _, L.= .V� __ _ V.._ .. R yLi OTe :t S'?c'wer Pan., 1st Floor fest C?^ i'r.._t('r Fii) ' k J' nc- Grs "_'est on i;=a T? Tipe L^T t�(tiri C' T i.ec voce t a c- es, 2-T_, of'1 � $1ze -IoA e_S__ ?To _o� O 't),ctors ul eeaprs---"crorer ze q P rLU a—U—C 7_ i lO iJ* _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 I Telephone: 534-4541 APPLICATION AND PERMIT X029 �4 authorize representatives of the County of Butte to enter upon the above- tioned property f0 'nspection purposes. X Date Sig re o Permi e/or e or Agent �( Receipt No. I / White-D.P.W. - Yellow -A i(V1o5inVnspector - 0,0,0-�plicant This permit is hereby issued under the applicable prov• of the Butte County Code and/or resolutions to do work i above for which fees have been paid. �v�`�`� DIRECTOR OF P,� eLIC WORKS v BY -7� B ding permit expires Date / Z 7 - ,?Jj BUILDING Owner T. t P8 SQ. FT. OCC. BUILDING VALUAT,ON Mailing Address 25 OP£AJ JTC�i%r D Telephone No. Contractor � Mailing Address � Fireplacepo goo&t 00 Total Valuation .L Telephone No. -•. (07 Permit Fee Building Address Plan Checking Fee&/or Penalty 52,UC Permit Fee v `1Ce PLUMBING No. @ FEE tl s2� PERMIT FILING FEE $3.00 .O 1 Each Trap 1.50 6 G Repair drainage or vent piping 1.50 A. P. N0. ILI Zoning & Planning Nater piping 1.50 1 Each gas water heater or vent 1.50 F4< on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 � � Bldg. P�Rec'd = Parcel A oval r Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION CR UTILITIES ❑ OTHER ❑ Permit Fee $ V $ b L 94w4 -4t5 .J,0 ELECTRICAL No. @ FEE .� PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family L4 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'Lg1000� AMP 1.00 NEW CONST. J OR ADDNS. ACC: pC`GUP �) 20sgft ,o 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 O / ` V\ ^ �-� ^. Hen \V NEW CDNSTR MUL I-TIT NON.R ESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR, 0@ Ex. OCCUD(OUTLETS OR FIXT11RES 5BAL Ex. OCCup ( FIXED APPLES. OR OUTLETS (RESID•) EA) 2•00 Temporary service 10.00 �oye hicz) Mobile Home Facilities 15.00 License No. 12-!2 % Classification "1 'C"' Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ -oD $ 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. LI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 !3p Heating Cooling cmc.'14A0 O 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 a "t Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above- tioned property f0 'nspection purposes. X Date Sig re o Permi e/or e or Agent �( Receipt No. I / White-D.P.W. - Yellow -A i(V1o5inVnspector - 0,0,0-�plicant This permit is hereby issued under the applicable prov• of the Butte County Code and/or resolutions to do work i above for which fees have been paid. �v�`�`� DIRECTOR OF P,� eLIC WORKS v BY -7� B ding permit expires Date / Z 7 - ,?Jj 0 £LLO N V N I S d 3 - r BUTTE COUNTY DAMAGE. ASSESSMENT Date: - �o - �j' Time: ; a 2 Taken By: r (3 a o45 Estimated Damage: 000, 06 Name of Reporting Person: R, C C L" 2- A Jt .� Phone Number: .3 qS- 0,S_3,7 Address/Location M c C tA 2� County[X] City[ ] Is this Rental Property? Yes[ ] No[ ] Reporting Person is Tenant[ J Owner[,'] Manager[ ] Type of Damage: CIC U�/hl�(T� �! �f_.✓�� Building Description: [ ] Commercial Usage [x] Residential/# of Units Mobile Home [ ]Yes k]No [gyp] Currently Occupied. [ ] Abandoned/Vacant. Electric: [ ] Electrical damaged and/or submerged at any time since disaster occurred [ ] Downed wires? Electric is currently On[ ] Off[ ] Gas: Natural[ ] Propane[ ] None[ ] Currently On[ ] Off[ ] Obvious problems (odor, leaks, propane tank damaged or floating) Structure: On[ ] Off[ ] Foundation. Raised Foundation[ ] Slab[ ] Flooding Above[ ] or Below[ ] Floor level Obvious leaning or tilting of structure Yes[ ] No[ ] Severe Damage/Collapse Fireplace Chimney Damaged Yes[ ] No[ ] Debris Hazard Sanitation: Plumbing working Yes[ ] No ] Potable water Yes[ ] No[ ] Well: Yes[ ] No[ ] Flooded? Yes[ ].No[X] Obvious Sewage Problems? OVER Access -to Damaged Property: Nearest cross streets: _ Closed[ ] Obvious Damaged/Hazards Location/Landmarks Roads Open[ ] Transversable via Sedan[ ] Four wheel drive[ ] Public Utilities Damaged Yes[ ] No[ ] Levees: Public[ ] Private[ ] None[ ] Waterway Name Bridge Damaged Yes[ ] No[ Location of Damage/Problem Obvious Hazards Yes[ ] No[ ] Nearest Landmarks: Chemical/Fuel: Wet, flooded, lost chemicals: Types of pesticide, fertilizer, other chemicals: Amount: Fuel tanks Yes[ ] No[ ] Damaged Yes[ J Located Above[ ] or Below[ ] ground. Obvious Hazards: Agriculture Loss: - Crop Damage Yes[ ] No[ ] Type of crop: _ No[ ] Livestock Lost Yes[ ] No[ ] Type of livestock: Agriculture Building's Damaged: Yes[ ] No[ ] This Damage Assessment Report shall be refereed to the following Departments: [ ] Development Services - Building Division [ ] Environmental Health ( ] Agriculture [ ] Sheriff [ ] C.D.F. [ ] O.E.S. OVER I ..BUTTE COUNTY DAMAGE ASSESSMENT : � Date: Time: q = d Taken Ey: Cr (6 & o d5 Estimated Damage: Name of Reporting Person: �Avjh M e C L u R E Phone Number: Address/Location: U`3 nil C CL Lt/ -f- County[k-] City[ ] Is this Rental Property? Yes[X] No[ ] Reporting Person is Tenant[ ] Owner[M Manager[ ] t, p Type of Damage: d ti S 4- oo �� 3 � Lzo S r ,Jw Building Description: [ ] Commercial Usage [,r] Residential/# of Units Mobile Home [ ]Yes k,,INo [ ] Currently Occupied. [xi] AbandonedNacant. - - Electric: [X] Electrical damaged and/or submerged at any time since disaster occurred Gas: [ ] Downed wires? Electric is currently On[ ] Offpq] Natural[ ] Propane[ ] None[K] Currently On[ ] Off[ ] Obvious problems (odor, leaks, propane tank damaged or floating) Structure: On[)Q] Oflj ] Foundation. Raised Foundation[x] Slab[] i Flooding Above[K] or Below[ ] Floor level Obvious leaning or tilting of structure Yes[ ] Nom Severe Damage/Collapse Fireplace Chimney Damaged Yes[ ] No[ ] Debris Hazard Sanitation: Plumbing working Yes[�C] No[ ] . Potable water Yes[ ] No[X.] Well: Yes[N. ] No[ ] Flooded? Yes[ ] NoK Obvious Sewage Problems? OVER Access to Damaged Property: Nearest cross streets: Roads Open[ ? ] Closed[ ] Obvious Damaged/Hazards Location/Landmarks Transversable via Sedan[ ] Four wheel drive f Public Utilities Damaged Yes[ ] No[ ] Levees: Public[ ] Private[ ] None[ ] . Waterway Name Bridge Damaged Yes[ ] No[ ] Location of Damage/Problem . Obvious Hazards Yes[ ] No[ ' ] Nearest Landmarks: Chemical/Fuel: Wet, flooded, lost chemicals:. Types of pesticide, fertilizer, other chemicals: Amount: Fuel tanks Yes[ ] No[ ] Damaged Yes[ ] Located Above[ ] or Below[ J ground. Obvious Hazards: Agriculture Loss: Crop Damage Yes[ ] No[ ] Type of crop: _ No[ ' ] Livestock Lost Yes[ ] No[ ] Type of livestock: Agriculture Building's Damaged: Yes[ ] No[ ] This Damage Assessment Report shall be refereed to the following Departments: Development Services - Building Division [�(] Environmental Health [ ] Agriculture [ ] Sheriff [ ] C.D.F. [ ] O.E.S. OVER .......;� "'.`,f"' ^^"r,Gy-�a+'.y,:••.wvw-�"+-•+ice..• l� 'c odd. c, - r F e gill j, S "IV 41 • 4� � �� -� f ./ �/ice . , - .. g r o- • mj -a �i y• , r { t w i 2` r i i .......;� "'.`,f"' ^^"r,Gy-�a+'.y,:••.wvw-�"+-•+ice..• l� 'c odd. c, - r F e gill j, S "IV 41 • 4� � �� -� f ./ �/ice . , - .. g r o- • 4' -a �i y• , r { t w i 2` .......;� "'.`,f"' ^^"r,Gy-�a+'.y,:••.wvw-�"+-•+ice..• l� 'c odd. c, - r F e gill j, S "IV 41 • 4� � �� -� f ./ �/ice . , - .. g r Y 11 o- • 4' r { t w i 2` r i i Y 11 r 4 t /Yu �S'I1 `lid ; IM ''AF AA 131.