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025-350-034
I 0 CLARA HARLAN E/S Pacific Heights Rd, app 12 mi. W of Hwy 70 Oroville Contr: Rudy Hill,,, Oroville Permit #4877-7 B,P-,E,M(repair fire damage) SF , �� i i �j y� �► j/ contr: Quality Const., Oroville Permit` M9-82B(reroof & replace sheetrock/SF)r,,./93 ' 03�' _'-a-93-548I_B HARLAN, KEN ,17 SUN CLOUD.,CR, OROVILLE J" CONTR: FOUR COUNTIES 1 REROOF/SF• - fSI OS -2176'. `MATT-HEWS7-- 17 SUNCLOCont: MCGR REMODEL w I 0 CLARA HARLAN E/S Pacific Heights Rd, app 12 mi. W of Hwy 70 Oroville Contr: Rudy Hill,,, Oroville Permit #4877-7 B,P-,E,M(repair fire damage) SF , �� i i �j y� �► j/ contr: Quality Const., Oroville Permit` M9-82B(reroof & replace sheetrock/SF)r,,./93 ' 03�' _'-a-93-548I_B HARLAN, KEN ,17 SUN CLOUD.,CR, OROVILLE J" CONTR: FOUR COUNTIES 1 REROOF/SF• - fSI OS -2176'. `MATT-HEWS7-- 17 SUNCLOCont: MCGR REMODEL M `� `N.)� w NOTES RESIDENTIAL PERMIT NO. r s s 036-250-034 05-2176 ' MATTHEWS 17 SUNCLOUD bR., OROVILLE ' Cont: MCGRETH CONST REMODEL SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. . FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY' USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER e �© y 70 OFF OI'HIiz (wFsr) ID F I— J OB =JOB FINALED (Date) —zo _c6- Signature-�/J�O�:_ r i -rt t SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. . FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY' USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER e �© y 70 OFF OI'HIiz (wFsr) ID F I— J OB =JOB FINALED (Date) —zo _c6- Signature-�/J�O�:_ J=OK 0 = Not OK = NotAppffmWe . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zo ing-Setbacks-Easements-Flood-Slope tg., Main; Soils-Elec. Gmd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P Ftg. Depth 5. Stemwalfs, 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-Frtting-Test-2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping-, Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Dateg -20-C6 Card B-1 VNLb S, Date Card B-1 Date Cana B-1 Date Card B-1 Date 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 23. Fire Sprinkler, Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Siie Boxes & No. of Conductors Staled 27. Romex Installed Close to Edae of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI 31. Range Circle/ /ga Cu or AI -Oven Circ_ / /ga Cu or AI Insulated Neutral D Yes O No 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAM�(Continued) 471*o-Hers-Post Caps -Anchors -Connectors ing. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Ring. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. 85,qw. Windows or Exiting Doors -Sill HL & Dimensions Wwtarage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Dat -20-OS Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (REQ-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guam Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following InsUdJDrive O Yes O No/Walks O Yes O NdPlarrters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pfbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels -Motors -Meth. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s ills Prooer Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound Baring Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAM�(Continued) 471*o-Hers-Post Caps -Anchors -Connectors ing. Joist-Rftr. Ties-Purlin-Roll Brac: Truss-Shting.-Ring. 49. Fireplace Ties or Type AFlue-Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. 85,qw. Windows or Exiting Doors -Sill HL & Dimensions Wwtarage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Dat -20-OS Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door, Swing -Landing -Closure 76. A.C. Dud in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Meth. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (REQ-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guam Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 83. Following InsUdJDrive O Yes O No/Walks O Yes O NdPlarrters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Pfbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler 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: J=OK D =Not OK = Not ReaApplicabley . =Not Heady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Vs 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-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat or/ /" L "ftl P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 10. Roof; Shthg-Roofing 11. ExL; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except is Date 1. Zoning Requirements -Setbacks -Easements Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water, MH Test-Regulator-Connecto? 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 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Date 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking ^ 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water, MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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 g's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg- Frg- Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. ExL; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Cana B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Vs 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men-Uning 4. Sec.; Receptacles and Lighting, Distance -GA 5. Sec.; Pool Lighting; 15 Voles-GFI 6. Sec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Sec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 09/20/2005 15:09 5305340735 BUILDERS -ENGINEERED WOOD- SYSTEMS_ — Certificate of Conformance Certificate 054080 PAGE 01 THIS IS TO CERTIFY that the glued laminated timber products identified with a collective mark of Engineered Wood .Systems (EWE) were manufactured in accordance with the applicable standards and associated specifications indicated below: ANSI Standard A190.1-1992, For Wood Products — Structural Glued Laminated Timber NER-486 Glued Laminated Timber Combinations And "GAP" Computer Program For Determining Design Stresses AITC 117-93 — Manufacturing — Standard Specifications For Structural Glued Laminated Timber Of Softwood Species A IT IS HEREBY CERTIFIED that the APA EWS trademarked structural glued laminatad timber members were produced in a manufacturing facility subject to regular audits in accordance with the Engineered Wood Systems (EWS) Quality Assurance Program. Routine audits include inspection of the manufacturing process and evaluation of the in -plant QA program with adequate sampling to verify conformance to industry standards for lumber grade and glueline bond quality. i ,`o96Q9®9B�I �e �p W 9 01A ad'iI� -4e CM: �; SEAL.u,; ti� 0 by Thomas G. Williamson Executive Vice President EAVIVEER€D MOOD SYSTEMS i6 a related cofporellen O APA - THE EAVN@ER€O V=D ASSOCIATION 70115euth 191h 61reel - P.O. Box 11700 - Tacoma, WA 98411.0700 Toi9phone: (253) 5656600 - FIX Nu"ar: (253) 585-7265 1 cr..ete d e s i g n ARCHITECTURE AND PLANNING Timothy J. Crete -- Architect [C-24094] 2540 ESPLANADE #12 CHICO, CA. 95973 ph: [630] 348-6676 fax: [6301 BBB -0686 email: tlm@cretedeelgn.com www.cretedesign.com 0 z p O r i 0 'a c Q y o u c.9 n b a i l d o n ... September 19, 2005 Building Dept Re: April Mattheus Addition 17 Sun Cloud Oroville, CA. The plans indicate two new point load footings to support a new beam, where each footing was to be 30 in sq x 18 in deep. During the excavation to install the footings it was discovered that the existing exterior footing is at least 32 in wide and at least 18 in deep. The conclusion is that the additional point load footing is not necessary at the exterior wall. The interior footing near the stairs will be installed as per plan. If you have any questions please contact this office. Thank you Timothy J. Crete ^ 'F BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effectAiAConZtrac:t:or: LicenClass License Number: �S Date: s;6,,o i Cc , f3�,Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): PERMIT NO. BPO52176 OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE Issued Date: 09/08/2005 APN: 036-250-034-000 Site Address: 17 SUWCLOUD CIR ORO Map Index: . Description: REMODEL: REPLACE WALL W/ GLU LAM Owner: LUCAS, D'AON CELEEN 17 SUN CLOUD CIR OROVILLE, CA 95965 ❑ I, as owner of the property, or my employees with wages as Their sole compensation, will do the work, and the structure is not Applicant: MC GRATH CONSTRUCTION intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does l^�y such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 11 PLEASANT OAK LANE sale. If however, the building or improvements are sold within one OROVILLE, CA 95966 year of completion; the owner -builder will have the burden of 530-321-8080 proving that he or she did not build or improve for the purpose of This permit is hery issued under the applicable provisions of the Butte Count Co and/or Resol on ork indicated above for which fees have been paid. %� C sale.). jtref@shrglobel.net ❑. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: MC GRATH CONSTRUCTION and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code' 11 PLEASANT OAK LANE OROVILLE, CA 95966 Date: Owner: 530-321-8080 . WORKERS' COMPENSATION DECLARATION hrglObel.net S I hereby affirm under penalty of perjury one of the following declarations: jtLlCense #: 4ref@ref@ ❑ 1 have and will maintain a certificate of consent to self -insure for 83851 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 Architect: CRETE, TIMOTHY J. required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy#: Total Square Ft: 0 S. F. V I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to Census Code: become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With th , provisions. Date: //cf a S / / I/ .e.. WARNING: FailuX to secure workers' compensation coverage is unlawful, and shaff subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of l^�y compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit is hery issued under the applicable provisions of the Butte Count Co and/or Resol on ork indicated above for which fees have been paid. %� C performance of the work for which this permit is issued (Sec 3097 Civ.) f o G� Name: BY Date: Address: PERMIT EX RES N: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly ized age tpf the own . agr o comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any o ' Tal f o o nt of Butt u t ereby authorize representatives off Butte County to enter upon the above me ti ed property for inspection purposes. Print Name: 0 / ��✓� Signature: Date: 4s ❑ Owner +Contractor ❑ Agent for Owner ❑ Agent for Contractor 4_0�� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 �., A FEE WILL BE REO UIRED AT TIME OF APPLICATION (� ` Website: www.buttecounty.net/dds **PLF,ASF, PRINT CLF,ARI,Y** V CONTRACTOR OWNE Last Name Flood Zone Address Address Son C City City /e State n l Zip 9 Phone a Fax E-mail Lic. # Z $3 CONTRACTOR ARCHITECT/ENGINEER Name Flood Zone Address Address ()Ole Q^� City State (,T Zip �S Phoneg 8,o� Fax s 93 S E mailJ E.�E3S9f [o Lic. # Z $3 S) Class ^ �b P LI CANT SIG U E X / For offi a use only: ARCHITECT/ENGINEER Name Flood Zone Address L, oot / City vState// •r T� Zip Phone G / � C� Fax E-mail SOC Q o -7L State License Number P LI CANT SIG U E X / For offi a use only: APPLICANT NAME Name cG Flood Zone Address L, oot / City l 1CNo State r� zip 9 G Phone3� ` p� o Fax =52e- 5E-mail E-mail r�E>� SOC Q o -7L P LI CANT SIG U E X / For offi a use only: Zoning 1AR9 Flood Zone I SRA I Yes 1CNo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. IBIN If _ LOCATION AP# _ 2-50- 031 Property Address 1, City Cross Street n /l L WOR ER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contrac a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sq. Footage . ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundabl- _ _ c1. -.-1 1 i In Received by: K 6 Receipt #119 5 ( 3 Date: �-I� OVER FOR SUBMITTAL REQUIREMEN 15 L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Amount: InQ a l Bldg RA Sheriff SMIP Other Total REV 2-24-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! , ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work -has been done.. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:\FORMSMILDING F0R1v1S\131dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 . .^v .-.. -. - � ..r -• . v.. .. r r � . r Yr... rti ,.. w , ,e ..- • Y . .�Y£..,+.« .Y'r1..-� .��i�.,.....n-^1 ^r�rvY r'r�r�. ..r ,. ✓'��..y,.. . •. ��..^.. . COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISfON 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax -(530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: 1 htu ASSESSOR PARCEL NUMBERyr6Q-Z)0-0?j e t. Proposed Building Use: e b K Wall W i qlu lam Permit Technician: Q0 • Date: <:6%-1 S`VE) ItSyns required in order to apply for a permit. All Eoxes MUST be checked OR marked NA in order to apply. Z9dA1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Letter of intent for non-residential buildings l ❑ 12. Hazardous Material Form ❑ 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ .bl 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........: ............................... ❑ 19. Erosion Control Plan Required......................................X ............................. 20. Fees as shown on the attached Schedule of Fees Due Sheets ............................. ❑ • 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. 23. California Department of Forestry plan approval ❑ paid. Sent by: ............ 24. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: C. ❑ 25. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 26. NPDES Form............................................................................................... ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ........................ 36. Other: r-)r¢f'1tPQp d -Tnll�r. 37. Other: t �rn When issued Telephone (ix�ilf.�1'{�_and hold for pickup. I have been informe Pte above it an requirements for obtaining a building permit. Applicant: Date: 1. Index permit appfeation for the above item,gnumbered: Plan Check Letter, 2. Additional iternfequired Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by Date: -structural approved by: Date: Note transfer by:. Date: Yellow: Building Division 0 r V KJ,.J 1W OW �.. s+,.. . r RECORDING REQUESTED BY: Recorded I REC FEE 10.E Official Records I TAX 462.00 Fidelity National Title Company of California County of I PCOR-PREININAR 20.80 Escrow No.: 05 -702140 -JH Locate No.: CAFNT0958-0958-0004-0000702140 Butte I WXMT PRESER 10.00 J. GRUBBS I Titfe No.: 05-702140 CANDa County Clerk-Recarderl When Recorded Mail Document I BN and Tax Statement To: 09:WX 13 -May -2005 I Page 1 of 2 Ms. D'Aon C. Lucas ange of ownef (III III Ilt l IIII I III111l11 �� IIII II 17 Sun Cloud Circle p Statement NOTOroville, CA 95965d. (Sec, 480 R & T L�h e), Sent to mailing ress on document. APN: 036-250-034 SPACE ABOVE THIS LINE FOR RECORDER'S USE - GRANT DEED The undersigned grantor(s) declare(s) Documentary transfer tax isF$462.00 [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area City of Oroville, FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Suella Jane Fenton, an unmarried woman who aquired title as Suella Jane Fenton a married woman as her sole and separate property as to Parcels I and III; Suella Jane Fenton, as Trustee of the Suella Fenton Living Trust, Dated August 12, 2004 as to Parcel II hereby GRANT(S) to 0 ' Aon. Cel een Lucas, a Si ngl_e Woman the following described real property in the City of Oroville, County of Butte, State of California: SEE B(HIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF 4 DATED: May 3, 2005 STATE OF CALIFORNIA COUNTY OF 9079V-. QN OS� !,- OS- before me, "r'Te' undersi ned Nota Public personally appeared Saellh ,T.✓e � •l personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and . acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand and offic' 1 seal. Signature ��-Cho+vn �—�.c�r� ► �► Suella Jane The Suella Jane Trust dated 8-12-04 RICHARD FEUERSTEIN COMM. #1568619 f- NOTARY KSM . CAUFOtii�lA .�. uy Comm BUTTE COMY Evv' es 1&2M MAIL TAX STATEMENTS AS DIRECTED ABOVE FD -213 (Rev 7/96) GRANT DEED (grant)(04-05) COUNTY OF BUTTE 00521-7($ DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 PHONE (530)538-7541, FAX (530)538-2140 SCHEDULE OF RECEIPT OF FEES Website: www.buttecounty.net/dds OWNERMQ41htus A.P. # �C� —2� PROPROSED BUILDING USE fie{ m6l . Wali �RECEIPT # 1 In rim DATE '3 Fro l449' J DAT REC. 1. BUILDING PERMIT FEES CjJ -- Balance Due ..................... $;A� r --- FEMA Flood elevation review ... $ --- Additional plan checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 5. RESIDENTIAL DEVELOPMENT IMPACT FEES COUNTY WIDE (per dwelling) $ CHICO URBAN AREA (per dwelling) $ EL MEDIO FIRE DISTRICT (per dwelling) $ NORTH CHICO SPECIFIC PLAN (per dwelling) Zoning 6. SRA FIRE INSPECTION AND PLAN CHECK FEE $204.98 (paid at Building Division) 7. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 8. SMIP 9. DRAINAGE 10. OTHER 11. OTHER At time of permit application, JXds dvised the abovfees are required to be paid prior to issuance of the permit. These fees may be changed during the i process. APPLICANT DATE Pursuant to Government C Section 66020, you are t�'reby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division, Yellow -Applicant Pink -Owner (rev. 7/05) .- t 4. 4 IA -1 4 o . . . ...... ........... . . . ........ . ........ .. ............. F � � . ti .� � � . COUNTY OF BUTTE - DEPAFt''TMENP OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Oaf► ZONING BUILDING PERMIT OWNER TELEPHONE 111 SQ. FT. OCC. BUILDING VALUATION OWNER's MAILING ADDRESS iq1 i1 ,' .yrsOroville, ^! ^I• f� .1 �,� S J jf',J,CJ -A• r CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS C..L, :�'_:'- Co=t, C?L{Ct7 i�i�2J Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $3 51.r1J.G,) LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUIL[IING ADDRESS ;f tAU�: � O:.Ovilh3 Permit fee $ r0 J •� PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK Newt❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one : ) MI am licensed under p provisions of Cha t. 9, Div. 3 of the BUSlness and Professions Code and my license Is In full force and, ffect. r5i)f).or:3 ---L, License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUP.aI\ 3.6Qsq.ft. OR ACDNS. ACC. BLDGS. // NEW CONSTRMULTI.OUTLET NON•RESID BRANCH IRC ITS @ 5.00 ( POWER APPARATUS 61 SINGLE OUTLET CIR. / Ex. OCCU 20 76 P�OUTLETS OR FIXTURES A[ AISA Ex. Occup. OUTLETS (PRESID )REA.1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation Penult 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 Countyof 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 consequenca,of the granting of this permit. X — P o is'- (. ' 7 I if `I Date J - l� r 3 Siynature 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 S d Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $ HAz DFEES IMP I FLOOD COF I PARCEL PD I HD ISSUE, I/ This permit is hereby issued under the applicable provi- sions of the B�u,pe County Code and/or resolutions to do work indicated above for'which fees have been paid. DIRECTOR OF PUBLIC WORKS By .� i Dated r' PERMIT EXPIRES Date ' �`.��'�' Receipt No. WKITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT 3��Z�U'UI v COUNTY OF BUTTE - DEP40MENT OF PUBLIC WORKS 7 County Center Drive - OroviIle. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER , f�/ �� ZONING -2ZBUILDING PERMIT OWNER Ken Harlan T c�q� 1 d7 Z SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 56 Oak orovillp CONTRACTOR'SNAME TELEPHONE 3-1416 6 500.00 Reroof existing with built-up CONTRACTOR'S MAILING ADDRESS #3 Crusader Court, Chico 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$6.500.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 15.00 Permit Fee Plan Checking Fee $ 75.00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUIL ING ADDRESS Sun Cloud, Oroville Penult fee $ 90.00 17 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: reroof existing with built-up Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AOORLESS 18.50 CONTRACTORS LICENSE LAW I declare under Snail of perjury penalty p I y (Check one): r• I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force an ffect. License No. 489246 Classification C �� 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) El 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A,. 37.50 NEW CONST. / DWELLING OCCUP.N\ OR ADDNS. \ ACC. BLDGS. I 3.64 sq.ft. NEW CONSTR U I.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER (POWER APPARATUS 6) OUTLET CIR. EX. OCCup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. allI also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue against aid County i consequenc�of th//��e granting of this permit. X Date 5ignature of Applicant — Owner ❑ Canrrat ror ❑ Agenr An OSHA ion of structures t/over required ss in excavations over S'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 90,00 HAz DFEES IMP FLOOD COF PARCEL PD HD ISSU This permit is hereby issued under the sions of the Bu to Count ode and/or work Indic ab e o which fees I F PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS ate3 � 9 Receipt No. ! 35S(.(O WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �� mow• o� \c RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No.: 05-702140-)H Locate No.: CAFUT0958-0958-0004-0000702140 Tide No.: 05-702140 When Recorded Mail Document To: D'Aon Lucas 17 Sun Cloud Circle Oroville, CA 95965 2005-0027082 Recorded I Official Records I Countyy of I CIMM Jte6tI M I County Clerk-Recorderl 1 I 09:WA 13 -Nay -BM I REC FEE 13.19 IW Page 1 of 3 AM: 036-250-034 SPACE ABOVE THIS LINE FOR RECORDER'S USE POWER OF ATTORNEY — SPECIAL KNOW ALL MEN BY THESE PRESENTS Also Known As D'Aon Celeen Luca that D'Aon Lucas/has (have) made, constituted and appointed, and by these presents does(do) hereby make, constitute and appoint April Mattheus, my(our) true and lawful Attorney(les) for me(us) and in my(our) name, continuing until 5:00 PM (P.S.T.) on June 30, 2005 when this power shall expire in place and stead to ask, demand, sue for, recover, collect and receive all such sums of money, debts, dues, accounts, legacies, bequests, interests, dividends, annuities, and demands whatsoever as are now or shall hereafter become due, owing, payable, or belonging to the undersigned; • And have, use, and take all lawful ways and means in the name of the undersigned, or otherwise, for the recovery thereof, by legal process, and to compromise and agree for the same, and grant acquittance or other sufficient discharges for the same, for the undersigned, and In the name of the undersigned to make, seal, and deliver the same; • To compromise any and all debts owing by the undersigned, and to convey, transfer, and/or assign any property of any kind or character belonging to the undersigned in satisfaction of any debt owing by us or either of us; • To bargain, contract, agree for, purchase, receive, and take lands, tenements, hereditaments, and accept the seisin and possession of all lands, and all deeds, and other assurances in the law therefore; • And to lease, let, demise, bargain, sell, remise, release, convey, mortgage, convey in trust, and hypothecate lands, tenements, and hereditaments, upon such terms and conditions, and under such covenants as said attorney shall think fit; • To exchange real or personal property for other real or personal property, and to execute and deliver the necessary instruments of transfer or conveyance to consummate such exchange; • To execute and deliver subordination agreements subordinating any lien, encumbrance or other right in real or personal property to any other lien, encumbrance, or other right therein; also • To bargain and agree for, buy, sell, mortgage, hypothecate, convey in trust or otherwise, and in any and every way and manner deal in and with goods, wares and merchandise, choses in action, and other property in possession or in action, including authority to utilize my eligibility for V A Guaranty; also • To transfer, assign, and deliver stock and the certificate or certificates evidencing the ownership of the same; • And to make, do, and transact all and every kind of business of whatever nature and kind so ever, and, glso, for the undersigned and in the name(s) and as the act and deed of the undersigned, to sign, seal, execute, ldeliver, and acknowledge such deeds, covenants, leases, indentures, agreements, mortgages, deeds of trust, hypothecations, assignments, bottomries, charter parties, bills of lading, bilis, bonds, notes, receipts, evidences of debts, releases, and satisfactions of mortgage, judgement and other debts, and such other instruments in writing, of whatever kind of nature, as may be reasonable, advisable, necessary or proper in the premises. Each and all of the powers herein granted shall be exercised by said Attorney as to the following described property only: (Commonly known as 17 Sun Cloud Circle, Oroville, CA 95965) SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF INITIALS: 9-< UD -34B (Rev. 9/94) POWER OF ATTORNEY -SPECIAL PAGE 1 OF 2 (rAw ml(114MI GIVING AND GRANTING unto said attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises, as fully to all intents and purposes as the undersigned might or could do if personally present, the undersigned hereby expressly ratifying and confirming all that said Attorney shall lawfully do or cause to be done by virtue of these presents. Dated: April 29, 2005 D'Aon utas, AKA D' Aon Cel een Lucas STATE OF CALIFORNIA MUNTY OF ON before me, e undersigned Notary Publicpersonalty appeared personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the Instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witness my hand aQd official seal. ani- Nevbf& JANET R.HERBERT COMM. # 1351382 NOTARY p6BUC•CALIFORNIA COUNTY OF BUTTE Comm. Ezpiros April 17, 2000 UD -348 (Rev. 9/94) POWER OF ATTORNEY -SPECIAL PAGE 2 OF 2 (PoasP) No.: 05-702140-3H No.: CAFNT0958-0958-0004-0000702140 Title No.: 05-702140 EXHIBIT "A" THE LAND REFERRED TO HEREIN BELOW IS SITUATED IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS: Parcel I: Commencing at a point in the South line of that certain parcel of land described in deed to Cherrill V. Smith, recorded April 1, 1964, in Book 1306, Page 473, of Official Records, said point of beginning being an iron pipe monument which bears North 1320.72 feet from a one and one-half inch iron pipe monument placed by the Department of Water Resources of the State of California for the South one-quarter comer of said Section 35; thence from said point of beginning and along said South line of said Smith parcel, North 89 deg. 35 West 126.00 feet to an iron pipe monument in the Easterly line of the Oroville-Marysville Highway (now Known as Pacific Heights Drive); thence along said Highway line, North 17 deg. 45' East 596.74 feet to the point of intersection of said Highway line, with the centerline of a right of way 60 feet in width and the true point of beginning for this description; thence leaving said Highway line and along said right of way centerline, South 64 deg. 47' East 40.95 feet to a tangent curve concave to the Southwest having a radius of 200 feet; thence along said curve through a central angle of 34 deg. 35' for a distance of 120.72 feet; thence South 30 deg. 12' East 235.36 feet; thence leaving said right of way centerline, North 59 deg. 48' East 45.00 feet; thence North 21 deg. 00' East 117.53 feet to a point in the arc of the curve of a 50 foot radius turn -around; thence continuing North 21 deg. 00' East 50.00 feet to a point in the center of said tum -around; thence along the centerline of a 60 foot right of way and its prolongation Into said tum -around, South 89 deg. 35' East 140.48 feet; thence leaving said right of way centerline North 148.55 feet to a point in the North line of said Smith parcel; thence along said parcel line, North 89 deg. 35' West 473.29 feet to the Northwest comer of said Smith parcel and a point in said Easterly line of said Oroville-Marysville Highway; thence along said Highway line, South 17 deg. 45' West 30.26 feet to the true point of beginning. Parcel 11: All that real property described as a portion of the south one-half of section 35, Township 19 North, Range 3 East, Butte County, California, said property being more particularly described as follows: Commencing at'the northeast comer of that certain parcel of land as described in deed to Donald Frank Fenton, et.ux., dated July 14, 2000, and filed for record in official records at serial number 2000-0029016, said northeast corner being the true point of beginning for the herein described parcel of land; thence N 0010 26'36" E, 60.00 feet, to a one-half inch rebar tagged I.s. 4208; thence N 890 08' 05" W, 264.66 feet, to a one-half Inch rebar tagged Is. 4208; thence S 740 46' 1" W, 216.48 feet to the northwest comer of said Fenton parcel; thence S 890 08' 04" E, along the north line of said Fenton parcel, 473.10 feet, to the point of beginning. Parcels I and II above were created by lot line adjustment deed recorded December 21, 2001 under Butte County Recorder's Serial No. 2001-61255 and.cannot be sold separately. Parcel III:: A right of way for road purposes over a strip of land 30 feet in width lying Southwesterly of, adjacent to and being parallel with the Southwesterly line of the above described parcel and extending from the Easterly line of said Oroville-Marysville Highway to the end of that line described above as South 30 deg. 12' East 235.36 feet. initials: fi/ HERMIT NO. 487Z778B,P,E,M i ^ V PERMIT EXPIRES OWNER QLARA HARLAN CONTR. Rudy Hill ,LOCATION (A.P. 36-25-28 ES Pacific Heights Rd, app 12 mi. W Hwy 70, Oro r y s ' r 4 . ,F3 s, 4, Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E } OB l FINALED (Date) (Signature COUNTY OF BUTTE — DEPARTMEN r OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 7st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaIl Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh, MECHANICAL Grd. Fault Prot. Scratch Heating Service Browne " Cooling Temp. Pole Finish .. Ducts Underground Interior Lath ' Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEH ,ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS A& -r+ %J- rEL13/ 11// q17V (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPAR•TMl1NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me d property for inspection purposes. X Date f 7 7 Ignature of Per it r Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been p DIRECTOR OF UB IC WORKS /moi IDate- 13twingrpermit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION � 3!4,960, Mai I i n Address g 221 s P/a-u Fi c— llet6 H -n zo, Telephone No. Contractor OU E>Y 1411-L— Mailing Address 39,5- 141 LLGREST RtJE Fireplace Total Valuation 3 ovaF� /� /�r�7 ��✓��E e� 7J l ha �11-02013 Permit Fee Building Address $ PAZ- iF1L I+EfG,/f'TS Plan Checking Fee&/or Penalty Permit Fee , OU Ro,+t> /SPP, /iI Mla lam'• 14wY 70 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 5.,00 Each Trap 1.50 DO Repair drainage or vent piping 1.50 o� A. P. No. 3% S � 2. - Z O Zoning & Planning Water piping 1.50 451-.> Each gas water heater or vent 1.50 Fte<W Sanftr m Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ %t.r0 $ C /?EPn/P_ Fjeie ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3:00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family [P/ 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•L 100 AMP 1.00 NEW OR ADDNST ACCLBLOGSLING CCUP. S) 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions_ Code under the name style of: Y NEW CONSTR BRANCH CIRCUITS) NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, `SINGLE OUTLET CIR. 50 Ex. Occup{OUTLETS OR FIXTURES BALD; EX. OCCU R p•�FIXED APPLNS, OR (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. a 7 Classification Misc. Wiring a- 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 757. U $ 5 ,SC MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which equires every employer to be insured against liability �for�Works Compensation.laced on file with the County of Butte a certificate of omn's Compensation Insurance. E]I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3. 00 Heating©p4!�) Op Cooling r00 Ventilation Hood 2.00 Permit Fee $ 3,Do $ /3 pe, 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 Land Development Fee $ TOTAL PERMIT FEE $�P%�6C authorize representatives of the County of Butte to enter upon the above -me d property for inspection purposes. X Date f 7 7 Ignature of Per it r Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been p DIRECTOR OF UB IC WORKS /moi IDate- 13twingrpermit expires Date PERMIT APPLICATION WORKSHEET / Permit No. OWNER e&AOA 14 4 L/V A. P. No. 3& -;ZS ---1 Zoning Use Proposed Approved Not approved Permit fee based upon: 1. Complete contract price. 2. Partial contract price (explain). 3. DPW Valuation (show): At time of permit application, the applicant was advised the following data or information must be submitted prior to permit processing and/or issuance: Date received 1. All items have been submitted. -------------------------- 2. Plot plans in duplicate/triplicate. --------------------- 3. Complete plans in duplicate/triplicate. ----------------- 4. Complete engineered plans and calcs. -=------------------ 5. Fees of $ -------------- ------ 6. Letter of signature authorization. ---------------------- 7. Sanitation approval. ------------------------------------ 8. Planning approval for -- 9. Workmen's Compensation Insurance Certificate. ----------- 10'. Contractors license information. ------------------------ 11. Parcel declaration, recorded copy. ---------------------- 12. Access declaration. ------------------------------------- 13. Aunt Minnie information. -------------------------------- 14. Deed of access, recorded copy. -------------------------- 15. Deed of parcel creation, recorded copy. ----------------- 6. Parcel map, recording data. ----------------------------- 17. Pre -inspection request for - F1/LG I94MR-G C- -- rovements - plans required & DPW approval. ----------- 18.j0he 19,r -------. By Date �-7 7d� 13//r Bldg. Inspector During plan checking process, the following data Before permit issuance, all of the following or information must be submitted prior to permit items must be signed or marked NA: issuance: 1. Zoning use 1. Index permit for items 2. Legal parcel above and in addition the following: 3. Envir.Health - Date Plans Sent A. Sanitation B. Restaurant C. Other 4. Public Works - Date Notice Sent' A. Street Imp. 2. Applicant advised by Telephone B. Drainage Mail C. Permits & Fees Other D. Other 3. Plans checked by Date 5. Planning 4. Plans approved by Date A. Use Permit B. Variance When permit is issued, process as follows: C. Other Mail to owner. 6. Other Agencies - Date Plans Sent 2. Mail to contractor. A. Fire Dept. 3. Deliver with inspection. B. Other 4. Telephone and hold for pickup @ office. 5. Other State of California C�Zy� l O RESOURCES AGENCY Department of Conservation RURAL 1 C' R E REPORT e O — Division of Forestry fQ RML. r FIRE NUMBER: RANGER UNIT (OR AGENCY) : - 104 FIRE NAME: e • MICL ASA) DATE FIRE STARTED: 2-1- 7Y If Fire Started in Another Jurisdiction, or Zone I or 11, Name It: C -/9i B40*0— C. *0 SCALE, I• = MtLEM C. LOCATION. Spot fire origin. Always give section location where possible. Otherwise give sub -division lot; R.F.D. box; etc. Sketch boundary of large fire, roads, railroad, sone line, etc. , D. CLASS OF FIRE Vegetation Structural X Vehicle Improvement Refuse" E. False Alarm Permit Escape N �: r'i . • Includes tied burning SEC. TWN.L� RGE. Fire occurred 3 Mile (a) in 7-t%1S T Direction from Town ofy'A F. WHAT BURNED? (a) If structure give number, kind, type of construction, stories, size. (b) If vehicle give make, model. year, license, driver's name and address. (c) If vegetation give type and area. (d) If other, describe fully. Q) KIt0_"C--" r S�fLvi PI et14) Z7/,U/iU4 oecA, e Seo a�an��{c fAJ1Zou§114- (S) r✓,T_0 3 t3p�y lcJoo O FiZr1 />'1L= � /�L aca5ft�t2 t.�) ��oa2.Y Nom L� , Vegetation Area Burned kJd C- Acres H. CAUSE OF FIRE: M 1:5 4&t= /] ftl f o to S Known(:]; Log. Fire started in/on: _Known [l; . Log. Material First Ignited: Known ❑; Log. ❑ Was "first aid" extinguisher used before crew arrived? "D Did Injury or Death occur? Explain: A/ Q G. DAMAGE Range Standing Grain Harvested Crop Industrial Bldg (s). Non -Indust. Bldg (! Building Contents Vehicles) Vehicle Cargo Oil or Oil Products TOTAL $ (Do not me►e duplicste entries belo.) M• J. WEATHER. WHEN FIRE STARTED Wind Velocity M.P.H. i Wind Direction Fuel Moist. I K. NAME AND ADDRESS OF OWNERS OF DAMAGED PROPERTY: (34 21-t4 M . 14 A ►Z L 11 &.l '.2 5 .0,0 i p L11W /� ,W ns 113, Tenants Name and Address: _ ®2Q , CA L. INSURANCE CARRIER (S) PA a( F I Address: eat//O ZIiJCOL.•y l;GUD. 01&0- REMARKS M. DESCRIBE PROPERTY SAVED AND ESTIMATE VALUE: 7 of &010 4 @4(,d,e2.(5 N. HOW MUCH INSURANCE WILL PROBABLY BE PAID? (A V � � (y e X-3'76 Cionetri �n of � ! PORT MADE BY: % -- a ..1-Q--9" e F�C� Oj%icer in chargeL�_rt/Lt till �2 l l �c 21,x, F _nm FC -71 P. RECORD OF ACTION ON FIR'IE ELAPSED TIMES ITEM MO. III DAY TIME ITEM HOURS M I. TIME FIRE STARTED - / DISCOVERY (2.1) TIME 4. NO. B. DISPATCHED 6. ARR. FIRS OP MEN DAT[ TIMI DAT[ TIw[ .. .. 2. FIRE DISCOVERED BY (NAME) L D L4L-- AT (LOCATION) J. FIRST REPORT BY INANE) tvia L AT (LOCATION( C LZ AlL5 *13 RE►ORT TIME 4. SECOND REPORT BY (NAME) AT ILOCATION) 11.21 .l FIRE REPORTED P c C AT ORIO DISPATCH S GETAWAY TIN[ B. TO NAME TITLE LOCATION O (6 5) - � �. �j Pair_•a2w n phI�7felvin WAS FIRST ON ATTACK TIME 6. OFFICER. CREW OR PATROLMAN LOCATION WAY TO FIRE O (7-[) A01,r-ZM0- •( FIRST SUPPRESSION ,` / f- t%yz AHD/OR_& GULILZCREW i cl/- - 1 — 7. WORK BEGUN BY NAME TITLE NAME CONTROL TIME / / (S -T) G B. FIRE UNDER CONTROL il �QOQ oZ.2/2,rOPUP 1 3 p - L1 10-1 1 -21-)u S. WORK FINISHED AND LAST MAN LEFT FIRS - Q. OVERHEAD ACTIVITY (ALL MEN NOT ASSIGNED TO REGULAR CREW DUTY) MAN-HOUR CHARGEASI WHO WAS RESPONSIBLE FIRE BOSSt R. CREW ACTIVITY (ORGANIZED CREWS ONLY) TOTAL OVERHEAD MAN 1. CREW NAM( 2• OROANI• J. =ATION Lt FT FROM (LOCATION) 4. NO. B. DISPATCHED 6. ARR. FIRS OP MEN DAT[ TIMI DAT[ TIw[ S. RET. NOM[ 7, MILES 0. TO FIRE DATE TIMI MAN-HOUR CHARGEA6l _/ 4, - � - /9041 A . _ • z< A01,r-ZM0- - i cl/- - 1 — I = 0 0 G Oftiripmn Ao. -71 DAC Lill M/- 3 p - L1 10-1 1 -21-)u -7 in / TOTAL CREW MAN -NRS. S. VOLUNTARY LABOR (NOT PAID) No. OF MEN: MAN-HOURS T. PAID PICK-UP LABOR (ON TIME BLIP) No. OF MEN: MAN-HOURS U................................................................... TOTAL MAN-HOURS [((FENDED (0•r -f -T) 1,4 Lt V. VEHICLE SUMMARY REMARKS: AI MAN NRM�_ , .' REMARKS: AI ��� r . ='� g'�i COUNTY OF BUTTE - DEP� TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal i�:rlia y1965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER rZf a . �rti .- � e ZONING BUILDING PERMIT OWNER C � I�,r;� / rl Y, TELEPHONE SQ. FT. OCC. BUILDING VALUATION " OWNER'S OWNER'S MAILING ADDRESS 4 .HONE - h V jamAME^/, /\c'1� ` CONTRACTOR'S4l� I � R I ILN 1�_1 \ J4 e1 +S l .! !"] o ELEP / rj-7j j "S f� 6 Y CONTRACTOR'S MAILING ADDRESS )) T U S*, Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $A,J n ARCHITECT OR ENGINEER q-v^ LICENSE NO. Plan Checking Fee t- V.,4,4 '$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ y A) 47) BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 1 I� -� `S T �� `1 1 �� f tr'U / cy 1V Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.SUBDI VISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF 9/ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Additiocn,❑ Remodel Utilities ❑ Installation [I Other [P°' Describe work: K P ! � 0 n�-a I k1_ QAr- e4`�/1M`q.t2 G a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 5.00 100 AMP OR LESS Main service EA- ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.N) 22 sq ft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Cod�e and my license is in full f�rce and effect. License No. r15 f `^ % 5 I Classification ' ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ . I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR I.OUTET 2,50 ea NON.RESID BRANCH CIRLC TS NEW CONSTR (POWER APPARATUS Q� NON .RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a 1 and (FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. Q 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 S 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. / // ��� - a Y: X 1Date Signature of Applicant - Owner ❑ Contractor,oN Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -(DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCOP. GROUP I TYPE OF CONST. I PARCEL PD I ND I 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. OF PUBLIC WORKS n Q By. \ � � Date 3� r'c� f(, 2- PERMIT EXPIRES Date Q Receipt No. (I 11) 9-3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V COUNTY OF BUTTE - CcATMENT OF PUBLIC WORKS P MIT NO. 7 County Center Drive - Orovillf California 95965 - Telephone 916/534 41 APPLICATION AND PERMIT ASSES R PARCEL NUMBER 19L6,;-aBUILDING ZONING PERMIT OW r� ar TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILINGDD /� ^' O CO RACTCIR NAME TELEPHONE U 5 CONTRACTOR'S MAILIING ADDRESS / 4n22�G�(} Fireplace CONSTRUC ION 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 t _ PLUMBING PERMIT Fee Filin Fee 10.00 Filing f� � 6710 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE �- SF K Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Additio Remodel Utilities ElInstallation ❑ Other Descries work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.51) OR ADDNS. ACC, SLOGS. I 20 sq CONTRACTORS LICENSE LAW I dere under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessSO@75¢ m license is in full rce and effect. and Professions Code and c,Classification License No. •l �/ 0? S / y n ❑ 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 -OU LET 2,50 ea NON-RESID BRANCH CIRC TS NEW CONSTR (POWER APPARATUS e1 NON-RESID. SINGLE OUTLET CIR. i Ex. Occup OU Ts OR FIXTURES BAL@1 (.FIXED PK Ex. Occup.�OUTLETS (RESID IEA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 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 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 agre8 to save, indemnify and keep harmless the County of Butte against all liabili i s, judgments, costs, and expenses which may in any way accrue against s i Cou y i o uence of the granting of this permit. ` � � _. � � •— � X Date . Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 50 ' eep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ !�- OCCUP. GROUP TYPE OF CONST. PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which T p OF PUBLIC By. PERMIT EXPIRES to the applicable provi- resolutions to do fees have been paid. WORKS Date3'�' 4 f �c Receipt No. 11 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT