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027-360-091
• A. P. Ry y ' " EUGENE V : MOFFETT r `° d i 1320' off e/s Palermo Honcut Hwy. app. 2 mi. s o . Cox Ln . ; Palermor�a�t1�-tiiQ,� -Permit' 1571-73P, E (uti7iies for mobile home•)____ _ Permit #1105=74P' as (g piping for a �, existing NII3) O '! �I/ZD13 ' Permit,new. single-buJV�d #5557-7BP,E, ( �v Cud t ,# F , + family) 027-360-091 02-00 <a t HIGGINS,-THOMAS ED c 123 MELODY LN, OR L CONT: BUILDRITE CO ST t ' FIRE DAMAGE REPAIR,, ' I I � ' • f •' I ,r .' _ -� - �' _ - . . _.... .... •f.W.. '�:, ".. ,.'�,C.,1: ..�li.e... .. a .a. _ ... ... .... _, +"fir. C'\1 m k I Owner Mailing Address Contractor Mai I i ng Address Building Address I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Centerbrive — , Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Telephone No. Telephone No. A. P. No. I Zoning & Planning Fees W.C. I Sanitation I Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration p p Bldg. Plans Recd I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification 1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F. A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE M Permit Fee $ MECHANICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I TOTAL PERMIT FEE I$ I This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date.......... Date COUNTY OF BUTTE — rDEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 a APPLICATION AND PERMIT auulvllce 1t:P1CJe11LdL1VVb U1 me twunty o1 nut+e to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X , - ri �� �i DIRECTOR OF PUBLIC WORKS Date �� _ Signature of Permitee or Agent By + — Date N ' 7 - Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 7 BUILDING Owner r- _ ` SQ. FT. UCC. BUILDING VALUATION Mai I i ng Address ' ' Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address _ - Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address a' L� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 r Each Trap 1 1.50 r.• ' Repair drainage or vent piping 1.50 Water piping 1.50- r 9� / Each gas water heater or vent 1•.50 A. P. No. _ ='�+ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation r Fire Dept. FireZone Use Permit Building sewer 5.00 S EQA Parking Plans Parcel' Declaration Parcel Ma P 60R/W Improvements, Im P Lawn sprinkler system 2.00 Bldg. Plans Recd _ Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIESE] OTHER ❑ ELECTRICAL No. @ FEE' PERMIT FILING FEE $3.00 •, t '. Main service incl. 1 meter ! . Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) f1.00 Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑ Range, Cook -top or Oven r Water Heater or Space Heater 1.001, Light fixtures -25 bal_ E Receps., switches &,fix outlets �2DId2255 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump •- Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ® I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a.certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee ;i $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE auulvllce 1t:P1CJe11LdL1VVb U1 me twunty o1 nut+e to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X , - ri �� �i DIRECTOR OF PUBLIC WORKS Date �� _ Signature of Permitee or Agent By + — Date N ' 7 - Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 7 3 THE METHOD OF DIVISION OF PROPERTY IN THIS AREA ' .IS BEING REFERRED TO THE BOARD OF SUPERVISORS FOR POSSIBLE SUBMISSION TO THE DISTRICT ATTORNEY AND STATE REAL ESTATE COl`ru'ITSSION FOR REVIEW AND APPROPRIATE ACTION. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive* — Orgville, `California 95965 Telephone: 534-4541 APPLICATIOWAND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dates////A'r Signature of Permiteeo g t Receipt No. White-D.P.W. — Yellow -Assessor — Pink -In pector — 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 paid. DIRECTOR OF PUBLIC WORKS By Datal—// Building permit expires Dat� ` BUILDING Owner G -SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Checking Fee &/or Penalty Telephone No.Plan Telephone No. Permit Fee $ $ Building Address Ia ^ �- PLUMBING No. @ FEE PERMIT FILING FEE $2.00 O / _ T Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — 3 O"i "g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fu-,+ W:e�— Sanitatio FireDept. I FireZone Use Permit Building sewer 5.00 S EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 . Plans Recd - Parcel Approval `s�Approval Plan Permit Fee $ $ S^ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No• @ FEE PERMIT FILING FEE $3.00 3r co Main service incl. 1 meter 4 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 20 @2T— Light fixtures- bal0io Receps., switches & fix outlets b. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the r State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump , Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring — I am exempt from the Contractors License Laws of the State of California. Permit Fee $ J, SO Lle.2 1,r6 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ t♦ �( authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Dates////A'r Signature of Permiteeo g t Receipt No. White-D.P.W. — Yellow -Assessor — Pink -In pector — 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 paid. DIRECTOR OF PUBLIC WORKS By Datal—// Building permit expires Dat� ` a5 tib � _ All utilir .-- located t con wit nections . shall be third sectio in 4 ft. outside the rear Oh the left ( Of the mobile home home. ad) side 'of the mobile Septic.system a �� to be I butte County Health t. Per . quirements. dept Re - The Setback shall be the side ropert 5 ft: from • the p y line and centerline of the S� ft. from a max, of a 2 ft road, Permitting eave .overhan 9. . �X yelr--- V - RECORDING REQUESTED er Zhe Northwest quarter of the or, eas quay quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. OROVILLE TITLE COPTANY V Order No. P5813IF �ryrt:at. Rc OFDS ! - RECORDING REQUESTED er Zhe Northwest quarter of the or, eas quay quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. OROVILLE TITLE COPTANY V Order No. P5813IF �ryrt:at. Rc OFDS ! + PARCEL T110: Awo wwsw wccoaoao MAa ToOROVILU ArR 16 3 I6 FAR rMR. E NRS, EUGENE V. MOFFETT IrUISE KI.U:Cr.ER (, Boz 5P5 COUNTY RECO. D[R Westwood, Ca. 96137 FEE , V, J Right of way for road and public utility purposes over a strip 30574 L , and 30 feet 11ortherly of and adjacent to the Southerly boundary } SE SPACE ABOVE THIS LINE FOrl RECORDER'S USE- 33, Toimship 18 North, Ran ;c 4 East, M:. D.B. & M. t -1 —1 ...w w .worn co+eavW. s,..M SANEE AS ABOVE p�V un.. +—p e�^N,fO — N,1 !.IK 114 t".2 .04 -� . g�' a.a+uww ft—HU .1 1..1 Of r.u, C. a - fbar. TO AM CA 11. Joint 'Tenancy Gaunt Deed II.T.T.6 6.60_._. ---- -- THOU FORM FURw„NLO RT ,ITL[ ...URA.Ce ANO TLUaT COMFAw FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, LEE THOMAS, a single tray hereby GRANT(S) to EUGENE V. MOFFETT and VICTORIA L. MOFFETT, his wife AS JOINT TENANTS, . the real property in the . County of Butte • State of California, described as: PARCEL ONE: N h t "Q test/ of the Northwest Zhe Northwest quarter of the or, eas quay quarter of Section 33, Township 18 North, Range 4 East, M.D.B. & M. RESERVING THEREFROM a right of :ray for road and public utility purposes over the Southerly 30 feet. + PARCEL T110: The Southwest quarter of the Southeast Irter of the Southwest quarter of Section 28, Township 18 North, Range 4 East, M.D.B. & M. _1J CIO PARCEL THREE: Right of way for road and public utility purposes over a strip of land 60 feet in width lying 30 feet Southerly of and adjacent to , and 30 feet 11ortherly of and adjacent to the Southerly boundary line of the North half of the North half of the North half of Sectio, ) 33, Toimship 18 North, Ran ;c 4 East, M:. D.B. & M. t wt d:.- April -_194._1972 , Lee Thomas STATE OF CALIFORNIA S& Cul NTl' IlF—_ BULi6_ }:. rM—.—AGril PI, 19,72 W.— m117.. 1h, v,A.. i 1 ul.l I..r -id V. prr..n.Rr pp -,,d . N.".. l'nl.r i' .L .;Ce e omas.. L Th - - ul.l I..r -id V. prr..n.Rr pp -,,d . N.".. l'nl.r i' .L .;Ce e omas.. L Th - - .ul.na.dlnlM.ilnc. .._ pRS:u Y4 ' ` il._I,unr,.l ...a .r►ro..Ms.d In.l_he—...rw.d 11r ..wv. �' LCo R 1 ), rU'1 W - •` i „ r •"y.^s�T'�`IJIJ� -.�1v.�.nl \C WIu,� _ _ ._ — //.��� W x a2la�— I)1^I' n.. ncorpora a MAIL AX STATEMENTS SAS RIRECTFA ABOVEPQ OE D0cvm,*dll-1 Recuriled at the request o1 pi's .. z-.:. _ • • OTOvill a Title ^.onnany - �o.T aer;� v ; Ta� o; • ._: 7L Order........... ........ .... _ t. :1 , IF keturn to & me11 Tex Stetetnents to: L1f(UVILLt IIILt L.UIVI -,IN DEC 31 1 47 PH 101 . _._. ?.cc Thomas 15573 1ran(l.:'•nnti^......................... CcCNTY 17 C; ; D:f? FY .._.... _._......._...._............_........... FCC ..sinorc, a'.__, ^3330 Transler T x ".IS.°S I 18777 ' _ I:R.1X'f I1F.lil1 Il-orinratiun) Fur v.rhu nreivra HIGGI'TS •'• SOTS RE::? TY f'O,i_ r c a al.orni.a corporation , t GRAN"I' S to i.^S THO; i•'S, a sin ,Ql.e Tian all lh.,t n•.d prulterty Ailualu in the ' Count% of Butte -State of Califunria. descrilnd as follo%.s: The forth half of the 'Torth half o_` the :Iorthwest .mar-ter of Section 33, To\rtshin 18 'Torth, •anf e 4• :Zast,..'r,D.II. , RES R4'I'JG ii" n^�?� a right o` way -urnoses over the Southerly 30 feet, or road and nub?.ic utility The South half o: the V South half of the South pest quarter o` Section 28, Tommship 18. forth, ?anise ,N.D.B.I .ast ni.ht o: Way for road and nubt.ic uti'ity nurnoses over a strip o_` t.a�d 50 'Tort in width, a -di 30 feet Southerly• of:,a;q@�'adiacent to aid 30 feet Torther?. o: and d'acent to the souther?y to ?int of the 'forth half of the 'Torth half of the :forth half o: Section 33, Townsh±� 18 'Iorth, ' ^.an;e 4 ?ast,N.D.B. •- .i, O`CRTY CONVEYED. comp'.;-:.. :�__'.:. A ENCUlASRANC _ IN \\'ITXI•:Cti \1'I11ik1i11F'..,iJ enr v,ratinn aril baso 0 16th 1 .'utrA these prex pts by its ci icers thered unto uly authoriz d.� _ davur , December .19.?.1..... 11I("GIYS - SO'TS 7 1o7 I a, ^,,•li`orzia .corn, 1b. )' B. :.. -- • • STATE: 1tF CAI.IFUR.NI,L �t[s-V4rL.c>.i�r_. " C.—I, N SAN MATED o. December 20 . .10 71 ,A,!PAULINE HAYWARD', ARTHUR P. S}iAPkO t'n r,•ondxwr..pr,n°ollyopporll� - ) ;1q BE and "� .4nrW•v •✓rFr r...p,•ar,,.n rtur r. rrvrrJ rM unAiv mmv„rn •. ..:•:: �'-• ' Prnidr.rond lir ••,.. ;nd n, fn••v/rdrrJ r., nr rFar ,v. A •.,u,.•n r, r, v r, unJ ul,., fn ern r,. ,wa'r✓•M rAq p.,n„ a4. rr . v,vonrn,,u In love or o.n.•vr, n.!•r, r,l uv ,amr, onJ lv.rAn c, h:.nrliJt r,Fa svr4 rnrrJ r nMFolr n!nrF rn.pocrmn. rwp.ru rrJ rF. . JJ7 a•,mm�rine r.. vnh• vnr _ p•n ._ PAUL INT IIAYWARD Gam, r� sr My (:onrmrssron C•t.nus June 28th, 1071 _- •rt'E�\ OROVILLEv�O''` P`• _-� TITLE COMPANY Unincorporated NO OF DOCUkAMj f K Temp. Power Pole /D/, E 1 Elec.e E rv. &E � I A G�-- I i (Signature) �R t i• t. ',PERMIT NO. 5557-75B,R,E,M P { E ! M I `fMH UTIL. PERMIT NO. t�l 7 _ 7( •t¢ PERMIT EXPIRES !OWNER Eugene V. Moffett iCONTR. Owner •'LOCATION (A.P. 27-22-91 ) ^IN/S private Lane, 4 mi. off E/side of 'Palermo-Honcutt - i mi. S. of Cox Lane, 1Orovi lle K Temp. Power Pole /D/, E 1 Elec.e E rv. &E � I A G�-- I i (Signature) �R t i• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD DATE �j REMARKS OR CORRECTIONS 44V BUILDING BUILDING (Cont'd) PLUMBING Setback —_:�,' 7 � Firewall Soil Piping —�j Forms r 77— — Parapets 1st Floor Main bidg. Restroom Finish 2nd Floor Footings 'Z_. �� -- Windows ��5� ., 3rd Floor Stemwall Siding 1 To out4�0,4 Slab Roof Sheathing Water Pi 13in f Piers Roofing Sewer r Garage Fdn. Vents—P-- Fixtures 79 Footings Garacie Vents Water Htr. Stemwall Slab Prov. for physically handicapped ^-- Heaters Appliances �-- Carport Footings Conformance of ex.Gas structure Piping & Test Temp. Gas -- Slab Final Sanitation Patio IREPLACE Final Z Footings Footing EL CTRIO Masonry Walls Throat Rou h Reinf. Steel Final FixturesTaZzew Bond Beam11 FIRE SPRINKLERS Motors Framing Stucco Test S Final Water Htr.�� Subpanels Mesh NifCHANICAL Grd. Fault Prot. Scratch HeatingService Brown Cooling Temp. Pole Finish Ducts 14 Z7Underground ( 2Z 7 Interior Lath �� i - Ventilation OV4 Permanent Door Closer — — Final /, 2,72 ---, Final /�/Z`z� DATE �j REMARKS OR CORRECTIONS 44V _ COUNTY OF BUTTE – DEPARTMENT OF PUBLIC W01� ' 7 County Center Drive — Orovi Ile, California 95965 7-- 75 Tel e$hone`. 534-4541 ' APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION . a- 0 Mai Iing Address C SA -- Telephone No. ` IX Fireplace 75-0 Contractor Total Valuation Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee B /® Building Address 5 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,4tt)o Each Trap 1.50 Repair drainage or vent piping; 1.50 Water piping 1.50 Z,S V Each gas water heater or vent 1.50 A. P. No. 97-- 9- - f Zoning & Planning Gas piping system 1 - 5 outlets 1.50 , Each additional outlet. .30 S Sa i on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel arcel Ma Declaration p 60' R/W Im rovem nts p Lawn sprinkler system 2.00 Bldg. PIQR'ec'd < arcel Approval 000, Plane Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ` ELECTRICAL No. . @ FEE , PERMIT FILING FEE $3.00 eQQ Main service incl. 1 meter 3•d0 Additional meters, each 1.00 Sub -panel (12 or less) (moretho/12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Ran, , Cook -top or Oven A 1.00 _Water Hea r or Space Heater 1.00 , Light fixtures / 'bOW2 31 -S'V S., sw' & fix outl = q, 3-0 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: Ho d, Ex. Fan or F.A. Furn. Motor 1.00 /eC> C) Evap: cooler, gar. di p. or R.W. 1.00 1-,00 Air conditioner or heat ump3'T Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring IV I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $9 7� MECHANICAL No. @ I FEE , +• WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑i have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j7l I certify that in the performance of the work for which this )4J 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.p0o) Heating %OD zbd ` Cooling STt,Lc® Ventilation Hood' 2.00 J,00 Permit Fee $ $ / I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ` TOTAL PERMIT FEE $�� 7L authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / Ar Date/® ` ignotof Permitee or nt oRe 377 , 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 paid.' DIRECTOR OF PU L' C WORKS T-71— By Date �1 Bung permit expires Date I 'ILR .MRS . ")EUGENE V. MOFFETT Name Box `r_85.- _ Sir—Address �HeStu00d, Ca. 9613.7 City 8 L state MAIL TAX STATEMENTS TO F Name S'fO0' Address SAS AS ABOVE .City a state TO 404 CA .(9-68) a -IP�-.V90. LE411SE is ict �E9 iGU (Y R&C.7R0Ef� iL. - --SPACE ABOVE THIS LINE FOR RECORDER'S USE--�---- OMMENTAW rONWR TAX S ........ ...... ........COMPUTEM OM .t•ULL VALUJ Co P'.IO"W-0 C2I%*ftrW . .....�./�........_.O!! COMPUTED ON PULL VALUE LESS VINS ANN ENCUM21111ANC95 REMAINING AT TIM! OF SALE, JJ Skraiii r'r! d Q11bawt W Ayr.* del I I IWA2 ta■. PI'm NO,# I Joint Tenancy Grant Deed D.T.T. THIS FORM FURNISHED BY TITLE INSURANCE AND TRUST COMPANY FOR A VALUABLE CONSIDERATION,. receipt of which is hereby acknowledged, LEE THOMAS, a single man • hereby GRANTS) to EUGEPTE V. MOFFETT and VICTORIA Le MOFFETT, his, wife AS JOINT TENANTS, the=ieal property in the County of Butte State of California, described as: PARCEL ONE: The Northwest quarter of the Northeast quarter of the Northwest quarter -of Section 33, Toi- ship 18 North, Flange 4.East, M.D.B. & .M.: RESERVING THEREFROM a right of way for.road and public utility - purposes over the Southerly 30.feet. PARCEL TVTO: The Southwest quarter of the'.Southeast quarter of the Southwest quarter of Section 28, Township 18 North, Range 4 East, M.D.B.. & M. PARCEL THREE: Right of way for road and public utility purposes over a strip of. land 60 feet .in width lying 30 feet Southerly of and adjacent to and 30 feet Northerly of and adjacent to the Southerly boundary line of the North half of the. North half of the North half of Sec&Aon 33, Tou-nship 18 North, Range 4 Last, M.D.B. & M. Dated:—A-az'il 1.9, 1_Q72 Lee Thomas STATE OF CALIFORNIA }SS. COUNTY OF Butte On April 211, 1972 before me, the under- si�ned, a Notary Public in and for said State, personally appeared flee Thomas known to me to be the person whose name is subscribed to the within A ^OFFICIAL SS11 ^• ` y instrument and acknowledged that he executed the same. `c r; `" Leo R. rm C Mr . Eugene V. 2rioffftt P -.O. Box 585 ."estwood, California 96137 Dear Mr. Moffett: Please excuse the delay in issuing your septic system permit. As of Larch 4, 1972, all people who divide land must file a'.. parcel map. Your deed was recorded.on April 26, 19729 indicating the property was .formed at that time; howeverp reviewing previous. deeds for lands adjacent to your pnoperty, revealed that,your property. was created prior to March 4, 1972. Consequently, a parcel map is not required and a septic system permit may be issued to you. For your information; I am enclosing copies of the deeds 'showing that your property was split off before March 4, 1972. If you need any advice concerning the septic system, please contact me at the Health department. . Very truly yours, Edward L. Overhouse, Jr., Sanitarian . 1.0: dla NOTES RESIDENTIAL F7-360-091 �' 02-0008�� PERMIT NO._GGINS, THOMAS_— _._.,,► 123 MELODY LN, OROVILLE CONT: BUILD RITE CONST FIRE DAMAGE REPAIR II SPECIAL CONDITIONS I SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALE[ Signature CHECKED BY ,/ = OK 0 = Not OK =Not Applicable = Not Re9dy . MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /"L"ft./ PLPG Electric 7. Well Clearance & Disconnect Frmg.; Sills -Anchors- Studs- Rttrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except 1Ps 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except If'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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.;.Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 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 V= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Ha rs-Post Caps -Anchors -Connectors Underfloor (Plans) OK except #'s Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-SHting.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 1. Zoning -Setbacks -Easements -Flood -Slope 52. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 55. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Siding -Nailing Veneer 5. Stemwalls, Main; Steel-Blockouts-Wrapped 58. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Shear Walls; Nailing -Bolts 6a. Hold Downs and Special Anchors -2 62. 7. Slab, Steel -Wrapped Stairs & Rails 8. Piers -Fireplace Ftg.-Steel Fireplace or Stove, Clearance -Hearth 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Elec. Outlets at Wood Panel, Int. & Ext. 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 11. Water Pipe; Test -Anchors -Regulator -Service Test Elec. Outlets & Receptacles at Kit. Counter 12. Electric Underground Garage Fire Door; Swing -Landing -Closure 13. Plenums & Ducts; Clearance -Material -Support -Ins. A.C. Duct in Garage -Damper 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 15. Access & Ventilation Plb., Elec. & Mech. Equip. Listed for Location 16. Insulation Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Clearance Looked under Floor I] Yes 17. Water Htr.; Vent -Access -Combustion Air Baffle Following Instld./Drive J Yes ❑ No/Walks ] Yes J No/Planters ] Yes ] No 18. Water Pipe; Test & Anchor -Nail Protection Stucco Brown -Finish 19. D.W.V.; Test Fittings & Anchor -Nail Protection A.C. Unit Disconnect, Electrical -Plumbing 20. Shower Pan; Test, First Floor -Tub Access Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 21. Test Tub & Shower, Second Floor -Tub Access Water Well, Disconnect, Electrical, Plumbing 22. Gas Pipe; Sixe & Anchors Exterior Elec. Trim, G.F.I. Recept2cle-Underground 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Gas Test -Meters Tagged, Gas -Electric 23. Fixture & Transformer Clearance -Ins. Protection Water & Sewer Connected -C/O to Grade -HD Approval 24. Elec. Receptacles Spacing -Lights & Switches at Doors Energy Compliance Certificate -Other Certificates 25. Size Boxes & No. of Conductors Stapled Address Posted 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Card 8-1 Date Card B-1 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes 0 No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Dingle & Duplex) Date FRAMING (Continued) 46. Ha rs-Post Caps -Anchors -Connectors 48. 49. 50. Cling. Joist-Rttr. Ties-Purlin-Roll Brac.-Truss-SHting.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts t 60. B e Interior/Exterior Wall Panels -2 62. Insulation -Walls -Ceilings Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor I] Yes 82. Following Instld./Drive J Yes ❑ No/Walks ] Yes J No/Planters ] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Recept2cle-Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Comments at Final (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95365 - Telephone (530) 538-7541 APPLICATION AND PERMIT PERMIT NO. 02-0008 ASSESSOR PARCEL NUMBER 027-360-091 ZONING BUILDING PERMIT OWNER THOMAS HIGGINS TELEPHONE 533-0132 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 123 MELODY LN, OROVITLE 99966 contr. e t. 36 898. CONTRACTOR'S NAME BUILDRTTE CONST— TELEPHONE CONTRACTOWS MAILING ADDRESS 1200 W FAST AVE, CHIC0 99996 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $.36,898.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 330.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 193 MELODY LN. OROVILLF Energy Plan Checking Fee $ $ PERMIT FEE $ 350.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF (X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherb Describe Work: FIRE DAMAGE REPAIR Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 v Main Service ez000DROA OR LESSLEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full f9we and effect. / Q q License Class a - 00 Lic. No. c0 sq Z30 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this. reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. U/ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensalion insurance carrier and policy number are: Carrier �Yl•� Policy Number / (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �` 0 ©n / X � Date _ !J Signature of plicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO f 46. 00 WEE200A NEW CONST. DWELLING OCCUP. SO U so OR ADDNS. ( a ACC. eLOS. 3.50Fr; NEW T. NON-RESIO. MULTI -OUTLET CIRCUITS @7,50 POWER APPARATUS 8 SINGLE OUTLET CTR. .00 FIXTURESEX. Occup. ounEr OR FIXTURES BAL @ I.50 Ex. Occup. opuTiEisRES,D.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 350.00 P FL000 coF pARC0. Po H ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated abov r which fees have been paid. By at PERMIT EXPIRES ONrwReceiptNo. Da4 336963/$350.00 HITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California ,95965 • Telephone (530) 538-7541 P IT NI (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER_ 0 2:7360,.,� ZON1N0 BUILDINGPERMIT OWNER O �� t` TBS 1�73B©/3 Z SO. FT. OCC. BUILDING VALUAT OWNER'S ADD Se o .P (� b COWRACTO T NQ CONTRAO MIIUNO AO RESB , C_ CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $joto 10 ARCHITECT OR ENGINEER LICENSE NO. Filln Fee 2 0.0 0 Permit Fee $ 770 ARCHITECT OR ENGINEER'S MAJUNG ADDRESS Plan Checking Fee $ SUILDWGADORESS O f -„ r.� 1 �/ / li v t c� l b Energy Plan Checking Fee $ $ PERMIT FEE t IDT NO. SUBDWKIN'SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECFY Solar or heat pump water heater 23.00 Water piping Each gas water heater or v 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: wl o-vt1� e, 1 �l(%n4z�a eAPerja_ Gas piping system outlets 15.00 Building sew 15.00 Mobile oma Is I GI W @20.00 PERMIT FEE $ — ELECTRICAL PERMIT Fling Fee 20.00 800""" IEss Main Service 20OA OR IESS 23.00 ' ' i 3S�JMECHANICAL *PEiiMr1 FEE PAlb s J v SRAl ` � SHERIFF � OTHER, f - y /� AMV V W RECEMb w �� wA * TO oil "JT ZNTO COAAIVT"ER Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNO OCCUR OR ADDNS. ( 8 ACC. BIDS. NEWONS . MULTI.OIRLET NON-RESID. —'97.50 POWER APPAAAT 6 SINGLE O CIR. O OR FDRURES 20 4^ 1.00 EX. OCCU SAL Q .50 XEO APPLNS. OR5.00 EX. OCCU OUTLETS RESID. EA Tem or Service 23.00 Mob' Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 1. PERMIT FEt: $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 11A2. 1 0. FEES IMP FL.000 CDF PARCEL FO HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Dero1 ReceiptNo. WHITE -O.O.S.•9.0. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO•APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVEL&MENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ' ( 1 `^ ASSESSOR PARCEL NUMBER O?, -7 J 6 O ^ v 1 l Proposed Building Use: Counter Technician: Date: V Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1.. Plot 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 faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet-si ng ed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ......................... :....... ❑ 9. Plot 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 ...................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other .. Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) & 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ jP6. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits. ...... ****** ermits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: J ' When issued Telephone and hold for pickup. 1 I have been informed of the above items and requirements for obtaining a building permit. Applicant: @�Eu� Date: 01 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Yellow: Building Division ❑ phone, ❑ mail, ❑ counter, by ❑ phone, ❑ mail, ❑ counter, by _ Plans approved by: Structural approved by: Plan Check Letter _Date: _Date: Date:_ Date