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030-140-028
30 -14 -IW a _NEIL KAYLOR 1279 Feather Ave, Oroville Contr : Fox Electric 7/5-/77 Permit #3264-77E (ek r ch)- SF 30-14-28 Neil & Pam Kaylor 1279 Feather Ave., Thermalito contr: Leisure Time Pools, Paradise Permit• #37-77 �B,' new private swimming P-0,01 .7 030-140-028 04-2542 BROWNELL, TODD & PAM 1279 FEATHER AVE, OROVILLE Cont: OWNER RE -ROOF W/COMP (14) 030-14'0-028 04-3282 "BROWNELL 1279 FEATHER AVE, OROV ,Cont: OWNER 3 ` MISC REPAIRS WINDOWS + r NOTES RESIDENTIAL_ 1 PERMIT NO. - ��roc.�l.�,: FEaH(f/2AL)r_l (�2DALIL. PAS loos�� f f • F 1 SPECIAL CONDITIONS CHECKED BY r` SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER C f f JOB FINALED (Date) , Signature e = OK = Not OK = NotReadyable MOBILE HOMES Date . MOBILE HOME UTILITIES (Plans) OK except #'s, 1. Zoning Requirements -Setbacks -Easements : 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. T 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 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 #'s 1. Date Card B-1 Date Card B-1 Date Card B-1 'Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 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 #'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. 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 POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness . Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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. Elect; 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 DateCard B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. _ Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric Underground 59. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 60. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 61. 15. Access & Ventilation 62. Insulation -Walls -Ceilings 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card 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 68. 20. Shower Pan; Test, First Floor -Tub Access 69. 21. Test Tub & Shower, Second Floor -Tub Access 70. 22. Gas Pipe; Sixe & Anchors 71. 23. Fire Sprinkler; Test 72. Elec. Outlets at Wood Panel, Int. & Ext. Date Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Card B-1 Date Card B-1 Date Elec. Outlets & Receptacles at Kit. Counter 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. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 80. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 81. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 82. 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or At 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 83. 32. Service -Riser Conductors & Ground Main Disconnect 84. 33. Equip. Clearances Panels-Motors-Mech. Equip. 85. 34. Clothes Closet Light -Shower Light -Spa Light 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 35. Smoke Detector Water Well, Disconnect, Electrical, Plumbing 88. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 91. 36. A.C. Ducts Insulation & Support 92. 37. Vent Fan, Exhaust above insulation 93. Water & Sewer Connected -C/O to Grade -HD Approval 38. Condensate Drain & Overflow, Size & Grade Energy Compliance Certificate -Other Certificates 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Address Posted 40. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage 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 Date 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-Mech. 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. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (FF.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP043282 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 Issued Date: 11/15/2004 APN• 030-140-028-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1279 FEATHER AVE ORO Date: Contractor: Map Index: Description: RPLC 15 WINDOWS, 1500 SF SIDING & OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the MISC WIRING 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 Owner: BROWNELL, TODD & PAM 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 1847 GRAND AVE she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95965 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).): l;J I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BROWNELL, TODD &PAM pp such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 1847 GRAND AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95969 proving that he or she did not build or improve for the purpose of sale.): ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: 3�U Owner:^ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: License #: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ❑ I have and will maintain workers' compensation insurance, as 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: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 III/ 6Y I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' ` nn �/ `-� J compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply withthose provisions. b t�� Date: C_ Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one / hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit i"ereby issued under the applicable provisions of the Brrfte County CodA ?nrvor 1 hereby affirm that there is a construction lending agency for theResoluVons ` to)do work indicated above for which have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) /fees �'�-� •' t (• f S �y Name: By. +-��- Date: PER T E PIRES ON: II. Is -c) -G7 Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. {� / ` APrint u Name: C� r U v- rl -e— Signature: \ _ . ��. Date: &40/wner ❑ Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP042542 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 Issued Date: 08/31/2004 APN: 030-140-028-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1279 FEATHER AVE ORO Date: Contractor. Map Index: Description: REROOF W/COMP (14) . 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 Owner: TODD AND PAM BROWNELL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1847 GRAND AVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA 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 95965 she is exempt therefrom and the basis for the alleged exemption. Any 530-534-5346 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I),/,. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: TODD AND PAM BROWNELL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion,, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, as owner of the properly, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:, not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Businessapd Professions Code V Owner 6 Date: License #: 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 Architect' is issued. Engineer: O I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. #: Valuation: $0.00�n%'/ Census Code: 7certify that in the performance of the work for which this permit is �or issued, I shall not employ any person in any manner so as to� become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date: — 3 v Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,,000), in addition to the cost of compensation, damages s provided for in Section 3706 of the Labor code, interest, and attorney's fees. O CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Cods enrt/or I hereby affirm that there is a construction lending agency for the the work for which this is issued (Sec 3097 Civ.) Resolution wo indica d above for which fees have been paid. performance of permit Date: Name: By: PERMIT EXPIRES N: ' U Address: Date ❑ 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 authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official forth or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: CJ/\(� �� 1(�o \ Signature<::S:7�. Date: � o 4-15wner O Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF, DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP043282 I 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 Issued Date: 11/15/2004 APN: 030-140-028-000 the Business and Professions Code, and my license is in full force and effect. 3 License Class: License Number: Site Address: 1279 FEATHER AVE ORO Date: Contractor. Map Index: Description: RPLC 15 WINDOWS, 1500 SF SIDING & OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the MISC WIRING 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 Owner: BROWNELL, TODD & PAM 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 1847 GRAND AVE she is exempt therefrom and the basis for the alleged exemption. Any OROVILLE, CA 95965 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).): p I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure ' is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: BROWNELL, TODD & PAM such work himself or, herself or through his or her own employees, provided that such improvements are not intended or offered for 1847 GRAND AVE sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of OROVILLE, CA 95969 proving that he or she did not build or improve for the purpose of sale.). r ❑ 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, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: jt 15-Q_Owner:7:1-�� WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I Architect: ❑ 1 have and will maintain workers' compensation insurance, as 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: Total Square Ft: 0 S. F. Valuation: $0.00 Policy #: lb% 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 Census Code:. become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' V� compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: /I- �� D 4 •� c_ (✓� L/ J Applicant:_� � , / I WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is ereby issued under the applicable provisions of the Butte County Code anrvor I hereby affirm that there is a construction lending agency for the Resolutions to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �� I I , f S' By: Date: 4- Name: PER T E IRES ON: 9 I S- O S Address: a Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. P F ❑ 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 I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: ci6 �B r U "i ✓1 1 Signature: Date:/ ^1 / Owner ❑ Contractor 0 Agent for Owner 0 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Last Name=Name Name Address '4 7 le— City © Sl? Zip , Phone Fax E-mail APPLICANT NAME CONTRACTOR Name Address Address Cityl City Zip y 5 State Zip –Phone –Nam –Fa E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name Address Address Cityl City Zip y 5 State Zip Phone –Nam Fax E-mail State License Number APPLICANT NAME Name, I No Address tr U \J 2 Cityl e Zip y 5 Phone�-3 _ S3 r `�` EFta E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BP °4328 BIN # LOCATION AP# p3o 14O • a ZS Property Address 11 e City ovtll� Cross Stet WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY –Nam Address OVER FOR SUBMITTAL REQUIREMENTS K:IFORMS\BUILDING F0RMS1BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: co Sq. Footage /,5"00 ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: le- Amount: 549• (1-70Bldg SRA Receipt #:�,� ��� Sheri f SMIP Date: Other I I. r5.04 54q• O Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paperl ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paperl) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). El _13_SanitatimancLsite pJan_a e._Envir:onmentaLdealth Department Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 BUTTE COUNTY DEPARTMENT OFtDEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE* (530) 538-7541 FAX#` (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP042542 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensedunder provisions of Chapter 9 (commencing with'Section 7000) of Division 3 of `Issued Date: 08/31/2004 'APN: 036 -140 -028 -000 - the Business and Professions Code, and my license is in full force and effect. ' ' License Class: License Number: Site Address: 1279 FEATHER AVE ORO Date: Contractor: Map Index: Description: REROOF W/COMP (14) OWNER -BUILDER DECLARATION ; 1 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 Owner: TODD AND PAM BROWNELL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a 1847 GRAND AVE signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section r 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any 530-534-5346 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).): to/l, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: TODD AND PAM BROWNELL Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 1, 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 Contractor:. not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business,Md Professions Code /_ Owner<Z Date:a _6_1 License #: '• , WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier. Total Square Ft: 0 S. F. - Pofic x: Valuation: $0.00 Census Code: Ol 1 certify that in the performance of the work for which this permit is, issued, I shall not employ any person in any manner so as to r become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dater 3 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one. hundred thousand dollars. ($100,000), in addition to the .tcost of compensation, damages as provided for in Section 3706 of ttie Labor code, interest, and attorney's fees. rt n /� � 1 �— % , 10 —' IF CONSTRUCTION LENDING AGENCY - This perinit is herebyissued under the applicable provisions of the Butte County CodR anW I hereby affirm that there is a construction lending agency for the Resolution t1 d o c indica d above for which fees have been paid: C/ performance of the work for which this permit is issued (Sec 3097 Civ.) • X _ 6 Name: t By: Date: vvV PERMIT EXPIRES N: O Date f Address: r ❑ 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 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print Name: O/�i(� �LnCJ.� ✓l I1 1 Signature. _ r Date: r 41,51—er ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor s '�� "j'r� BUTTE COUNTY 0 v0 DEPARTMENT OF DEVELOPMENT SERVICES 0 0 BUILDING PERMIT APPLICATION 0 0 AND SUBMITTAL REQUIREMENTS 0 0 24 HOUR INSPECTIONM OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 0 _ 0 OFFICE #: (530) 538-7541 c0 U t4l A FEE WILL BE REGUIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER La t Name \ Name I irst Name s V- u V'1 2 City a'o `l State Zip Phon- iax E-mail APPLICANT NAME CONTRACTOR Name. City Address Zip Ll 5 City Fax State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip Ll 5 City Fax State Zip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Names_ Q Address a 04 City State C -a- Zip Ll 5 Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property AddressCity �, ry c�tx-c / 0"r Flood Zone Cross Street jZ -t-A ,-_ -e c SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN # LOCATION AP# 14 5 Property AddressCity �, ry c�tx-c / 0"r t-fU I Cross Street jZ -t-A ,-_ -e c WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: C C�o� Sq. Footage cyL D O ❑ 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 OVER FOR SUBMITTAL REQUIREMENTS 11 KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2 REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Receipt #: Date: Amount: Bldg SRA Sheriff SMIP Other Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). El 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). — ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS merunas 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:IFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 O.B. -1 OWNER -BUILDER VERUICATION Attention Property Owner: An "owner builder' building permit has been applied for in your name and beam your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until ibis verification is received. I. I personally plan to provide thep`jor labor and materials for construction of the proposed property7_ZVrF nt : YES 9' NO ❑ 2. I HAVE NOT ❑ signed an application for a building permit for the proposed wow. I have contracted with the following person (firm) to provide the proposed construction: ADDRESS: CITY.. CONTRACTOR'S LICENSE NO. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work NAME: ADDRESS: CITY: PHONE: the work indicated: CONTRACTOR'S LICENSE NO. NAME ADDRESS PHONE TYPE OF WORK GNED• PROPERTYO - DATE:_ K -- 3 (— v NOTE: This Owner -Builder Veriftcadon is required by Sec€ on 19831 and 19832 of the California Heafth and Safety Code. This vmTwation must be completed and returned to our of we before we are permitted to issue the permit OWNER. BUILDER INFORMATION Dear Property Owner An applicatim for a buil ft pmak has been submitted is your name listing yomelf as the bmIder of property sp a emit. ForyourProtectoh� you should be aware that as "owner I�dee yon, are the responsible pa, ofrecord ou such P Building permits are not regau-ed to be signed by property owners unless they are per.O.Uy P,, own work If your work is being performed by someone other, tbaa ourse jg their liability if that person applies for the y You may Proms yourself from possible C`ontrPmP� P�fi is his or her name. license from s ahs �ed by law to be licensed and bonded by the State of Califnnaia and to have a business license apply. �Y or c�unfy. They are also required by law to put their license number on all pemits for which they IfYOU be aware of the fop 1312 to do your own worlq WA the exception of various trades that you plan to subcontract; YOU shauld ng mon fir your benefit and protection: a Ifyou employ orWPP Ray Peiaons other than your immediatethe work (mcluding mate fami'ty, and rials and other costs) is $"300 or more for floe entire prof and such Pins are not licensed as cogs or yrs, then You may be an enhployer. ♦ if you are an employer, you =st mgi� wiflh the State and Federal Go snbf �t to several ob � an employer and you are workers � �� . and u ng, federal social security �, ♦ TTh�e may be financial asks fisc ,6 and unemPlo3'm� compensation cons. with y to worker's You if you do not carr+ out these obligations, and these risks are especially serious P compensation ice. ♦ For more speci& inform about y0,3r obligations u:adea Federal Law, coatract the Internal Revue Service (and, ifyon wish, S. S U Ile e SmallSmallBusiness . . State Law. coU- the D ). For more specific mon• about your obligations under • epahiment of Payments and the Division of industrial Accidents. If the strnc is iate ded for sale, p Vp=jy owners who are not licensed work personally or flhrougih their owe employees, without a licensed W*actar �, only under limited conditioihs. A frequent practice of unlicensed persons fessing conuadm is to p� eaoneously implying $� flhe �° to be secure an "ower bmldea" building peh�s are rat required to be signed by �propo��g his or h� own labor and material PersanallY. Building obtained unless �' ria pig tiher owe workpersmally or at about licensed by cogractiag yrs State Lic:ease yon Please � the "Ow= S CA. 95814. "Owner Builder Verification" on tine reverse side of this form so that we can confirm that yon are aware of these matters. The building Pcm* will not be, issued umhl the verification is retuned. vOTF-. ZI0 Ownor-BmUdrlrzfomiarwn is requrred by Section IB830 offie Caldor,,& Heai9c a"d Safety Code 72'% 24,Itb4—�ItQ�50885 Recorded Official Records County Of TE CANDACEUJ. GRUBBS Recorder ROSEMARY DICKSON Assistant 09MAN 20 -pug -2004 REC FEE 10.00 TAX 91.30 Lisa Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 030-140-028 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 91.3 0 ❑ City/Town of 0 computed on full value of interest or property conveyed, or O Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Neil Kaylor and Pamela M. Kaylor, his wife, as Joint Tenants hereby GRANT(s) to Todd Brownell and Pam Brownell, Husband and.Wife as Joint Tenants the following real property in the ❑ City of EI Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF d_0 Neil Ka for Document Date: August 11, 2004 State of California County of Butte ISS. Pamela M. Kaylor On 8-11-04 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Neil Kaylor and Pamela M. Kaylor Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that helshe/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 official seal. Signature _:Q� 1 1 � 611A'k_.' FOR NOTARY SEAL OR STAMP D. >M RK COMM11433346 NOTARY PUMUC-CAIIFORMIA COUNTY OF BUTTE C . Ez Irea Au 2, 2007 MAIL TAX STATEMENTS TO: Same as Above BTEC/GRANMEED RECORDING REQUESTED BY Rldwell Title & Escrow Company AND WHEN RECORDED MAIL TO Name Todd Brownell Street Address 1847 Grand Avenue K' GO City �oee J' Z Oroville, CA 95965 tiO4A" 94`Sc4� Y Order No. 00215901-001 24,Itb4—�ItQ�50885 Recorded Official Records County Of TE CANDACEUJ. GRUBBS Recorder ROSEMARY DICKSON Assistant 09MAN 20 -pug -2004 REC FEE 10.00 TAX 91.30 Lisa Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 030-140-028 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY The Undersigned Grantor(s) Declare(s) Documentary Transfer Tax is $ 91.3 0 ❑ City/Town of 0 computed on full value of interest or property conveyed, or O Unincorporated Area ❑ full value less value of liens or encumbrances remaining at the time of sale ❑ Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Neil Kaylor and Pamela M. Kaylor, his wife, as Joint Tenants hereby GRANT(s) to Todd Brownell and Pam Brownell, Husband and.Wife as Joint Tenants the following real property in the ❑ City of EI Unincorporated Area County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF d_0 Neil Ka for Document Date: August 11, 2004 State of California County of Butte ISS. Pamela M. Kaylor On 8-11-04 , before me, the undersigned, a Notary Public in and for said County and State, personally appeared Neil Kaylor and Pamela M. Kaylor Personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) islare subscribed to the within instrument and acknowledged to me that helshe/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 official seal. Signature _:Q� 1 1 � 611A'k_.' FOR NOTARY SEAL OR STAMP D. >M RK COMM11433346 NOTARY PUMUC-CAIIFORMIA COUNTY OF BUTTE C . Ez Irea Au 2, 2007 MAIL TAX STATEMENTS TO: Same as Above BTEC/GRANMEED 1 Order No. 00215901-001 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA; DESCRIBED AS FOLLOWS: THE WEST 70 FEET OF THE NORTH 150 FEET OF LOT 1 IN BLOCK 100, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MAP OF THERMALITO, BUTTE COUNTY, GALA.", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JUNE 8,1887. AP NO. 030-140-028 ^ PERMIT N0. 3437=77B.E PERMIT EXPIRES -7// e2 8' OWNER Neil & Pam Kaylor CONTR. Leisure Time Pools, Inc., Paradise LOCATION (A.P. 30-14-28 ) 1279 Feather Ave., Thermalito Tem . Power Pole Tern PG&E _ 1m1'emp. p. Elec. Serv.. Called PG&E _ Gas Serv. _ Called PG&E _ JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback �5:--/ �i'Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings I Footing I ELECTRICAL „ 1; Fixtures Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown 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 MOBILEHOME INSTALLATION - - - - - - - - - - - - • • Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OFJ UTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Uroville, California 95965J 119-7-77 9-7 /7 Telephone: 534-4541 / k\--/ / APPLICATION AND PERMIT P/ Ize representatives or the uounty or tsutte to enter upon the Alentioned jpYoperty for inspection purposes. Date G gnature of Permitee or%Akent Receipt No. / (O / %Je__,� 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, -PUBLIC WORKS By Date %- f p' - 7 7 Budding permit expires Date I if ` 7-? BUILDING Owner OL SQ. FT. OCC. BUILDING VALUATION n. v Mailing Address Q.Q 1 Telephone No. Fireplace Contractor '�, •\ ^' rn Total Valuation -Tao, Mailing Address Permit Fee Plan Checking Fee &/or Penalty hone No.�� .L Permit Fee $ 1 0 0di Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 - 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.Gas - O nL Zoning & Planning piping system 1 - 5 outlets 1.5u Each additional outlet .30 F NedSa n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Parcel Plans Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Idy. PIa�s R Xd Parcel Approval • Plans Approval Permit Fee $ $ NEW 1A ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. AOD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Single Family Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 1.00 N V NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR, 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 - , -S C ar-Q - \ i YY\ O \ Q (9 nom, . \ NC, Ex. Occup(OUTLETS OR FIXTURES) @@ BALrai FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 � Temporary service 10.00 Mobile Home Facilities 15.00 License No.�ta °D, Classification C-5 Misc. Wiring a 6.25 I ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F]I certify that in the performance of 'the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 3''I Ize representatives or the uounty or tsutte to enter upon the Alentioned jpYoperty for inspection purposes. Date G gnature of Permitee or%Akent Receipt No. / (O / %Je__,� 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, -PUBLIC WORKS By Date %- f p' - 7 7 Budding permit expires Date I if ` 7-? c. 77 jt-4� �2 - w,`7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ! 7 County Center Drive — Oroville, California 95965 TelephoDne: 536-4541 APPLICATION AND PERMIT 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. % 1 / 7 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 PUBLIC WORKS By , ' Date 1, Building permit expires Date BUILDING + ! f Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor r X' -'��r ,r_ Total Valuation Mailing Address r�; ;' � /,� ,: ,rJ�j Permit Fee Plan Checking Fee &/or Penalty / ., Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 _ F- r y, _ 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.: - f �/ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service LE j00 AMP ORLSESS 5.00 1~. !iJ r Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 1.00 NEW CONST. OR ADONS. ( ACCLBLDGDWELING OCCUP. 9 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITs) 2.50ea NEW CONSTR. POWER APPARATUS &) NON•RESID. (SINGLE OUTLET CIR. 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:Occup s- @25C Ex. Occup(OUTLETS OR FIXTUREgLcl S B Ex. ( FIXED APPLNS. OR • OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3Os 3 G i Classification C` i U Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 17. MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 relatino to buildino construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ 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. % 1 / 7 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 PUBLIC WORKS By , ' Date 1, Building permit expires Date COUNTY OF BUTTE — DEPARTMrj:NT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Tel ephohe: 534-4541 p ,1{ C/L�� 7/ APPLICATION AND PERMIT authorize represen atives of the County of Butte to enter upon the above-mentioned pr perty for inspe n p oses. �/ x .. i Date �l 6/54/77 Signature of Permit ge Receipt No. ��a z 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. OR OF PUBLIC WORKS By Date ✓�� permit expires Date v— BUILDING Owner Ca SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �� Total Valuation Mailing Address � s" �` � Permit Fee Plan Checking Fee &/or Penalty Telephone No. C Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ® Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 � 7 / A. P. o. T / Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es .C. Sao� Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 BIec d I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 0a 6001 OR LESS Main service 100 AMP OR LESS 5.00 QO Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWEL-ING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 22 sq ft NEW CONSTR. MULTI -OUTLET NON RES D. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 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�Q gnf 7tf � _i ti e- Ex. Occ Up(OUTLETS OR FIXTURES) 50 BAL 21104 Ex. QCCU // FIXED APPLNS. OR p.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 30S`V3GS Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cali fomia. Permit Fee $ a 0$ 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. 01�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.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize represen atives of the County of Butte to enter upon the above-mentioned pr perty for inspe n p oses. �/ x .. i Date �l 6/54/77 Signature of Permit ge Receipt No. ��a z 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. OR OF PUBLIC WORKS By Date ✓�� permit expires Date v— 79 l a" a -,e -�,