HomeMy WebLinkAbout017-110-044i Y SLABODNIK'
N/en�'M _ lin Ln, 1/8 mi NW Honeyrun Rd
Butte Crreek"`, nyon lot 3
Permit�k471-83B, M(new single family
with detached gara
Pe 1-84B(lst renewal/471-83)
Contr. Construction Concrete
?ermi_t-k3388-84P,,(Plumbing for
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PERMIT NO.
EM
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PERMIT EXPIRES
OWNER MARK & KATHY SIABODNIK
CONTR. owner
ASSESSOR PARCEL 51-35-44
LOCATION N/end Merlin Ln,
approx 1/8 mi NW of
Honeyrun Rd, Butte Creek Canyon
Pall o� Awl
a ���
��� D;6
Temp,. Power Pole
Called P(
emp Elec. S
Called P(
Temp. Gas Sei
Cal led PC -
JOB FINALE[
Signature
COUNTY OF BUTTE
iDEPARTMENT OF PUBLIC WORKS
196 -'Memorial Way, Chico — Phone: 891-2f51
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date
pppp�
COUNTY OF BUTTE
PPnEPARTMENT OF PUBLIC WORKS
c -196 %emorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
tea)-��
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. -It you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date
...� COUNTY OF BUTTE
DEPARTMENT OF PUBLIC .VtORI(t
196lilemorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
f� CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
_matter,, or need additional explanation, please contact this office immediately.
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j♦ f �f� � .,� /fir
1
lj lig
1
.f,.%
Inspectorf '� Date
J = OK
O = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS`
Date
MOBILEHOME UTILITIES (Plans) OK except H's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
2. Footings; Size -Depth -Spacing -Connectors _
3: Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
5: Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures _
6. Carports; Windows -Doors _
7. Elec.
Card -BI
Date Card - BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except U's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability -
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
S. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI -
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures, -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V = .OK
(T Not
- = Not Applicable `�w
f = Not Ready
r
RESIDENTIAIL (Single and.DupleX'
Date UNDERF OR (Plans) OK except N's
Date. FRAM�Continued)
o 'ng requirements -Set aasements
s
4P1-PrqpefC
y Line Firewall & Openings
S(
, Main; Sd.- / /" Fig. Depth
3. tg., Garage; Soils -Steel- / /" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
ta' s; Width -Headroom -Rise -Run -Landing -Fire Protection
Ftg., Porches & Decks; Soils -Steel- / /" Ftg a th
5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers
�4.
J 6- emwalls, Main; Steel-Blockouts-Wrapped-S
3(L4�-� emwalls, Garage; Steel-Blockouts-Wrapped-
iding-Nailing-Veneer
53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers- -
64 --Glazing Area -Glass Protection -Skylights -Plastic
- D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55. hear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
�f /y/9/Z/ l OX, �-
10--water Pipe; Test -Anchors -Regulator -Service Test
1l�1.Electric; Underground
. � PlenumS & Ducts; Clearance -Material -Support -Ins.
J,3iGirders-Sills-Anchor Bolts -Joists -Vents -Cripples
d-BI Date -� Card -BI Date -�i
kCard-B
Date Card -BI Date
I DateCard-BI Date
�
Card -BI rj� Date 319/13 Card-BI)j_ Date
Date F AL (Plans) OK except H's
Card -BI Date3 / b Card -BI Date
Date PLUMBING (PJrrKiT) OK except N's
6 Ext. Steps -Door & Sidelight Protection -Landings
—smoke Detector
14. rHt.; Vent -Access -Combustion Air
urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
1 Water Pipe; Test & Anchors -Nail Protection
. D.W.V.; Test-Fttngs & Anchors -Nail Protection
&@"bedroom Exiting
_
er Pan; Test, First FI r -Tub Access
F.I. & Bath Fixtures & Tub Access
_____17..
Tub & Shower, o Tub Access
61. Elec. Trim & Subpanel; Breaker Sizes -Labels
___ __
Gas ipe; Size & Anchors
22i6tairs & Rails
_ _19.
Z69--F�it2place or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -1314 Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -131 Date Card -BI Date
let. Outlets & Receptacles at Kit. Counter
Date ELEC RICL OK except N's
-61 -Garage Fire Door; Swing -Landing -Closer
_
00-A.C. Duct in Garage -Damper
2 Fixture � T ransformer Clearance -Ins. Protectiontr.
Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
--
?di�lec. Receptacles Spacing -Lights & Switches at Doors
32_ Si Boxes & No. of Conductors -Stapled
Ib., Elec. &Mech. Equip. Listed for Location
71 Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Romex Installed Close to Edge of Studs & C.J.
_
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
sulation-Foam-Looked in Attic ❑ Yes
-
25. 2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
-
26. ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor [3 Yes
27. Range Circ. // ga. e or AI -Oven Circ. / / ga. Cu or At,
Insulated Neut al Y
--_ sy o�
of lowing instld.: Drive C1 Yes ['i3.P1e!G4alks E] Yes
Planters ❑Yes
— 28. Service -Riser Conductors & Ground -Main Disconnect
^7R Stucco; Brown -Finish
2 qy. . Clearances; Panels-Motors-Mech. Equip.
77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
3®/Clothes Closet Light -Shower Light
98!Vents Above Roof; Plb A liance-Fire I Clearance to O n s.
9•- PP � P •- P 9
7 Water Well; Disconnect, Electrical, Plumbing
-- - t- t
gplzy_e�_�jr
Card B -I _Date Gly a7 Card -BI _ Date
Card B ate d Card -BI Date
AQ, --Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
6iQ!Glass Protection
Date MEC ANICAL (Permit) OK except q's
_
-89Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
_ __A.C. Ducts; Insulation & Support
2.nt_Fan=Exhaust above Insulation
_ _33. Condensate Drain _& Overilow, Size & Grade
85. aler & Sewer Connected -C/O to Grade -HD proval
Energy Compliance Certificate -Other Certificates
_ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI Date/�/;�� Car --B IDate
Card -BI / Date Card -131 Date
Date FRA fNG(Ps) OK except N's
Card -BI Date Card -131 Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Co ments at Final
-- Proper Material & Anchors
L
_fSills;
�• Ils;_Studs-Nailing_ Spacing & Bracing -Plates -Sound
3 Baring all over Girders & Floor Nailin_g_-
_ _ Draft Stop in Walls (rat proof)
_
4 Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header &_Beam -Size & Bearing
42. Hangers -Post Caps-Anchors-Connect%� rs
4 -<Ing. Joist-Rftri/Fies-Ptylip-Rodf'Brac.-Truss-ShlAnt1'-Rfng.
44. Fire ce Ties orIC�JMFue-Fireplace Throat
4 c Access: Size & Romex Protection -Draft Stop -Ins. Baffle
drm. dow or Exiling Doors -Sill Hgl. & Dimensions
47. Garage Fire Protection Framing
_
(NOTE: An entry must be made each time youvisit jobsite)
el
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RESIDENTIAL
ENERGY CONSERVATION STANDARDS
v
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVA:CION,REQUIEEMENTS HAVE BEEN .
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT `' Merlin L,anP
(location)
BUILDING PERMIT NO. A.P. NO.
►_.�.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PI.PNS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge n/ a Single Glazed n/ a _
Fdn. Walls n/ a Special (Insulated) -a—y
Floors ._-n,4a._ CERT. & LABELED WDS.
Walls R-11 & SLIDING DRS.
. Ceiling/Roof R-1 q WEATHERSTRIPPED DRS.
Ducts 4/-a-- ✓ BACK DAMPERED FANS VIA& -
Circulating Pipes n/ a / INTERMITTENT IGNITION DEVICES n/ a
APPROVED HEATER CERT. APPPLIANCES.
APPROVED WATER HEATER
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE.COMPLETENESS OF THIS CERTIFICATE'AS SUBMITTED..
Insulation Applicator Name
Signature 'of'.
Insulation Applicator
General Contractor/Owner Name
Signature of :, `
General Contractor/Owner,
NICHOLSON INSULATION, INC
(please print)
State Contractors
Lioense No. 398551
ease.print
. Date 89,.F -.-
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Calj.fornia 9.5965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
_
ZO ^�
BUILDING PERMIT
OWNFIJ
Aft S h
TELEPHONE
3 ,-
SQ. FT. OCC. BUILDING VALUATION
OW R'S MAILING A DR S
1
r
C ONTR AC TO 'SNAMETELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace I "
'00-
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ b0.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER T
"Y�� =
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUI ING JffRESJ
PLUMBING PERMIT
Filing Fee 10.00
J in,
Each Trap
2.00 ,°QQ
Solar Water Heater
20.00
A
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL KAP
--(-
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
,�USE OF STRUCTURE
SF IL',/ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00 5�;06
Mobile Home S I G I W
10.00e
f�
3
TYPE OF WORK
New F__"Addition❑ Remodel Utili'esV stallation❑ Other
Describe work: 1 14— I )- —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
10.00
,
Main service EA. ADD'L 100 AMP
t
2.50NEW
CON .&\
OR ADDNST• ( AC N UP
/ 2'h2sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
(cense No: Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TRl LTI.OUTLET
NON.R ESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR•
Ex. Occup -(OUTLETS OR FIXTURES BA @90C
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
�If Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating TILI
6, KU
Cooling'
Hood
3.00 n
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot�
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said ounty in consequence >�the granting of this permit.
X Date ''
Signatu a of Applicant — Owner C�Cantractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP GROUP
- 2
V
I TYPE OF CONST,
IV )
1L IV
PAR CE
D ND
ISSUE
This permit is hereby issued,under
sions of the Butte County Code and/or
work indicated above for which.
DIRECTO OF PU
'7
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
r�
Date ✓''
Receipt No. In �/
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
F .�.` � .-•• , .. - _ - � •mow n ,_ r � • ` ' � ... 1 .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,'CALNFORNIA 95965 - TELEPHONE: 916/534-4541
C` .. I v
ERMIT APPLICATION DATA SHEET C
r Permit No.
OWNER A A. P. No.
Proposed Building Use /
Permit Fee Based Upon: Com�lete Contract Price L.B°PW Valuation
4er (Explain)
Building Inspector—(T. Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. .ti . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorizatiiol
Sanitation approval from tL Health Dept.. .� Z
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . .,. .
17. Pre -Inspection fo equ red.Pre-Inspec. request to (Date)
;gilding Inspector
64—kl 8.Other \�'��t� o—, �Z 4k, c—
When you issue the permit, process as follokp': d Mail to owner. Mail to contractor. It
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant? ���' Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance;
(For required items not checked above at time of app ication, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Copy—DPW
Qom,,, iaf-,D,��
In
TO: Building Department
FROM:. Environmental Health, Chico
SUBJECT: Sanitation Clearance
z_- ZIPt -241 e, S
Owner ation b-7/ APS
Plan'approved for: sewage disposal water supply
Hold final for: water supply
Final clearance O.K. for: water supply
Clearance for bedroom mo a ome. Other
Note*** .
Sanitarian hate
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your nameand bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) j(,rS '.
2. I (have/have-not) 4&ffId6_ signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address
Phone Contractors License•No.
City.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
..--Address City
Phone Contractors License No.
5. I will provide some of the work but I have
persons to provide the work indicated:
Name Address
contracted (hired) the following
Phone Type of Work
S igned :
Property Owner
Social Security nufaber jige
Date /gp ,3/AI-5
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
Return,jto DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
f FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
83- '7333
X10
The,property described herein is adjacent to land or included �Qa?
within an area zoned for agricultural purposes, and residents of ELEbNORi.B�::.FR
chis property may be subject to inconveniences or discomfort arising CLERK - RECORUER
srom th use of agricultural chemicals, including, but not limited'to herbicides, —FEE-
;,�st c.des, and fertilizers; and from the pursuit of agricultural operations including, .
b,.,t not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a'priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
1
All that real property situate in the County of Butte, State of California,
described as follows:
See Attached
Date:—
SL.
State of California
County of Butte
PROPERTY OWNERS:
{
—ACKNOWLEDGEMENT—General—
SS.
On this 24th day of
February A.D.19 83 before me, Barbara S Wrigley
a Notary Public in and for the said County and State, residing therein, duly commissioned and sworn, personally, appeared
Mark E. Slabodnik and Kathi L. Slabodnik
personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to
this Instrument, and acknowledged to me that he (she or they) executed it. In Witness Whereof, I have hereunto set my hand
and affixed my official seal the day and year in this Certificate first above written. '
Ax -
C- 7 r , c . ',5 c A L NOTARY PUBLIC IN AND FOR SAID OUN AND STATE OF CALIFOR IA
' ', VMkbARA S. WRIGLEY
l-,LLd!.ALIIlClLL LUL :J1dUVUI:IK
� I
SCHEDULE C
I
The land referred to herein is described as follows:
All that certain real,property situate in the County of Butte, State
of California, described as follows:
PARCEL A:
Parcel 3, as shown on'that certain Parcel Map being a portion of the
Southeast quarter of Section 19, Township 22 North, Range 3 East, M.D.
B. & M., filed in the office of the Recorder, County of Butte, State o�
California, on July 27, 1979 in Book'71 of.Parcel Maps, at page 67.
PARCEL B:
A 60 foot non-exclusive right of way for ingress and egress and public
utility easement as shown on the Parcel Map referred to herein.
I -
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
_, 7 County Center Drive - Orovllle,-California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO/
ASSESSOR PARCEL NUMBER
ZUNI
BUILDING PERMIT
OM,R
ark Y- I(Ili,-My s5L.bodal-k
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OW ER'S MA ING A S
N RACTOR'S AME
r
TELE ONE
CO RACTOR'S MAILING ADDRESS
Fireplace
NSTRUC TION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
-
Permit Fee
$ -616
A CHITECT OR ENGINEER
t1pPenalty
LICENSE NO.
Plan Checking Fee
$
$
A HIT T OR ENGINEER'S MAILING ADDRESS
Permit fee
$ _1 5011
BUILDING tj �
PLUMBING PERMIT
Filin Fee 10.00
FilingFee
a/ADDRESS
Vi1N1 Al I /- e �
4iJ
Each Trap
2.00
Solar Water Heater
20.00
E,
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL NfAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: —
61
0ne1 , \/S 1 'm `- •- I� �3
(Ia�(�'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2t/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑NON.R
I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS
and Professions Code and my license is in full force and effect.
Icense No. Classification
as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
fo hs reason
NEW CONSTR ULT' -OUTLET 2.50 ea
NO N.RESID BRANCH CIRCUITS)
NEW CONSTR.POWER APPARATUS &'1
\\
ESI D. SINGLE OUTLET CIR .
�
EX. OCCup(OUTLETS OR FIXTURES 92@030
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
Certificate of Workmen's Compensation Insurance or a Certificate
I Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and exposes which may in any way accrue
a ainst sai County inco quence the nting of this permit.
X �Date 2 l
(gnat re of Applicant — Owner Lir Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesheight.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ (J
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR CTOR OF PUBLIC
B
PERMIT EX RES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
f�
Date
,in
Receipt No.�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center'Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no)
2. I (have/have not)signed an application for a building
permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address. City
Phone Contractors License No.
4. I plan to provide portions -of this work, but I have hired the following
.person to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type.of Work '
S igned :
Property Owner
Social Security number_S�sQ
Date el
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
1-
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING AD RESS
Box 67 A Nimshew Stage, Chico
CONTRACTOR'S NAME
owner
TELEPHONE
2nd renewal
CONTRACTOR'S MAILING ADDRESS
Fireplace
CON RUCTION LENDER
none
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee 3- E
Plan Checking Fee
$ 157.50
$
A POPCT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
N/end Merlin ' Ln . , app. 1/8
Penalty
$
Permit fee
$ 167.50
PLUMBING PERMIT
Filing Fee 10.00
Mi. NW Hone Run Rd.
Each Trap
2.00
Solar Water Heater
20.00
Butte Creek Canyo
I Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New Addition❑ Remodel❑ Utilities El Installation❑ Other
Describe work: —
2nd renewal Permit 4471-83
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600001 OR LE OR SSE SS
10.00
(1st renewal #621-84)
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. ' Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for th' eason
NEW CONST. ( DWELLING OCCU6P.
OR ADDNS. C ACC. BLDGS.
2h¢SQf,
NON-RESNEW IRD BRANCH TLCTlrS 2.50 ea
NEW CONST R. (POWER APPARATUS 6)
NON -RESID. `SINGLE OUTLET CIR.
Ex. Occu BALG3e
OR FIXTURES AL®0
P.OUTLFIXED
A
Ex. DCCUp. OUTLETS ((RESI D,)P LNS.REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare unde enalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
II liabilities, judgments, costs, and expenses which may in any way accrue
ins, said County in consequence of the granting of this permit.
Date
Signature of Applicant — Owner El Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 167 cm
occuP. GRouP
TYPE OF CONST.
PARCEL
PD
ND
IssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date]
PERMIT EXPIRES Date_. 3/2/86
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 959E5 - Telephone 916/534-4541
APPLICATrON AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING P
R IT
OWNER /r i
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME { ,TELEPHONE)
IA
e
CONTRACTOR'S MAILING+ ADDRESS -
�- //' ,- / -, /, -.;,rj
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS /
16 fj •/�;� ��,� ,�7 rf t>1 % i✓��a
PLUMBING PERMIT
Filing Fee 10.00
�.01 1 /r'
"
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home IS I G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ ❑ Other ❑
Describe work: -` ` r� +' —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1100V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2h0sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
FII am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
-
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ElI, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW NON -RESIT R. BRANCH CIRCTITS 2.50 ea
NEw CONSTR. (POWER APPARATUS &)
NON•RESID. (SINGLE OUTLET CIR.
20@50a
Ex. Occup(ouTLETs OR FIXTURES BAL@30
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring15.00
Permit Fee i $
Contractor
MECHANICAL PERMIT
FiIIng Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
PD
1 11
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
3R 0 'O.
ASSESSOR PARCEL NUMBER
"— -
ZONING
BUILDING PERMIT
OWN
`. �a
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNS AILING ADDRESS _
CO TR ACTOR'SNAME
TELEP NE
s� DyOZ
CON ACT R' MAILING ADDRESS
11-7
Fire lace
p
CONSTRUCTION LENDER NKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT R ENGINEER'S MAILING ADDRESS
*Permit fee
$
BUILDING DRES
i(/
PLUMBING PERMIT
Filing Fee 10.00
F
Each Trap
2.00
Solar Water Heater
20.00 Z�2, C212
C
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S I G JW 1
10.00 e
TYPE OF WORK
New ❑ Addition Replodel Uti 'tied ❑ Installation❑ Other —L�J—Contractor
Describe work: A/!/lf /J /iJ
Permit Fee
$
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC, BLDGS.
2hdSgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
Rte(
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
7R�,5— Classification
License No. asL7
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET 2,50 ea
NON•RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS &1
NON RES,D. SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20@50t
300
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIDJ EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. -C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against old Co my inc uence of the granting of this permit.
xjy�a� -S y
Date
Signature of Applicant — Owner Contractor ❑ Agent
An OSHA permit is required for cavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCU P. GROUP
TYPE of CONST.
PARCEL
P
H
5911E
This permit is hereby issued under
sions of the Butte County Code and/or
work indica ed above for which
DI CTOR OF PUBLIC
By
PERMIT EXP
v
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /0-2
�
Receipt No. 3
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
I