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035-310-010
..,� .- 73/ I r • Sun onstruction'Co. �573!!!r'2 CreDr., Lot 24p C est- wood Sub. #1, Oroville 19�1i�� i•. Permit_5362-77B, P, E,M _.(.new. S _ r Ad awx4V 35-31-10 _ Carla Dias`' aW f _5.357-.Crests Dr.,,,klo 2 -,Cr od Subff, Orovi a y f' Permit #2,6.2B odL IS&F) ` r� • . Permi4253-83B(install wood burning stove/SF)Fi / 035=310-010 01'-1247 ' JERNIGAN, SUSAN 5357 CREST RIDGE DR., OROVILLE CONTR: ADVANCE BUILDING SYS REROOF r4 �* - "035 31;0-010-,,� .,, t'• w 01-1534 f JERNIGAN, SUSAN: G-•' 5357 CRESTRIDGE DR. OROVILLE CONT: ADVANCE BUILDING SYS ` L , CONVERT. WALICPI,_2 BATHROOM }s //� 01'=1991;,. • a� "035=310-010= - , JERNIGAN SAN'-/- 0 5357 C T RIDGE DR. OROVILLE `y CO _;,ADVANCED BUILDING RELOCATE WOOD STOVE I Qy-cS'7 . L,t'� ,, �■■� NOTES RESIDENTIAL o � ✓ �s3 �( Jam.-�r9 , 5.3 C,-�St 2;afq� pY SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) 6 D Signature i ... V= OK 0 = Not OK - = Not Applicable * = Not Ready 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-Beams-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 8 Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-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 #'s 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 Onlv: License Decal 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 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 (E t Date 46. 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.-/ P' Ftg. Depth 4. Fig., Porches & Decks; Soils-Steel-/ /" Fig. 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 12. Electric Underground 13. Plenums & Ducts; Clearance-Material-Support-Ins. 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. W er Htr.; Vent-Access-Combustion Air Baffle 65. Water Pipe; Test & Anchor-Nail Protection 20. W.V.; Test Fittings & Anchor-Nail Protection Shower Pan; Test, First Floor-Tub Access 21. Test Tub & Shower, Second Floor-Tub Access 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date 72. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance-Ins. Protection 24. Elec. Receptacles Spacing-Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners-Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circle / / ga Cu or AI-Oven Circ. / / ga Cu or Al Insulated Neutral ❑ Yes O 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 84. A.C. Unit Disconnect, Electrical -Plumbing Date 85. Card B-1 Date Card B-1 Date 86. Card B-1 Date Card B-1 Date 87. 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 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 FRAMING (Permit) OK except #'s Date 40. Sills Proper Materials & Anchors Comments at Final: 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound Z)p�Lg 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. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss -Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill 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 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb. Air -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 ❑ Yes 82. Following Instld./Drive J Yes J NoMalks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation 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 B-1 Date Card B-1 Comments at Final: Z)p�Lg t 1 i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES = 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNVR PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is t, - completed. If you have any questions pertaining to this matter, or need additional explanation, >r . cw; . Js. . F,: . s' - Date >....REV Inspector ✓Z11- "-- ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7 (Rev. 12/96) APPLICATION AND PERMIT ASSESSO PARCEL NUMBER �35-310-010 ZONING R1 - BUILDING PERMIT OWNER SUSAN JERNIGAN TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 5357 CREST RIDGE DR OROVILLE 95966 CONTRACTOR'S NAME ADVANCE BUIDLING SYSTEMS TELEPHONE 894-1977 CONTRACTORS MAILING ADDRESS PO BOX 1205 GRIDLEY 95948 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING.JJRDD�J RE� CREST RIDGE DR, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF [X Duplex ❑ Mobilehome ❑ Other sIP~ Each Trap 2 1 7.00 14.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other K] Describe Work: CONVERT WALK IN CLOSET TO BATHROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home S G w @20.00 PERMIT FEE t 64.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service z�o.AOR.ss 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 I force and effect, p a t7 License Class Lic. No. 7 /C5 7 7 OWNER -BUILDER [3ECLARATION 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. ❑ 1, 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 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Wle.,l performance of the work for which this permit is issued. have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier fa/,`�aeoa $Ta1 � do q /'- Policy Number 66 9d — ou (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date �L _ nat re of Applicant - ❑ Owner ff Contractor ❑ Ag n� t� An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46.00 WEE200A CCU000A NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( & ACC. BLDS. 3.50FT. NST -O RCT @7,50 =R.,.BRANCHUITS 6PSNvoiEoo'siR. �(, OCCU OUTLET OR FIXTURES gql �':� Ex. Occup.. oPuriErs R� D,GEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.0 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S 24.50 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 154.50 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD I ISSUE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON 4 2 Iate provisions to do work paid. 22- _1� /0 IV 2 Receipt No. 325172/$154.50 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-754 ERMIT NO. (Rev. RP AAPPLICATION`AND PERMIT 88ESSORPARCEL NUMBER 3S �i� �NfNO �, BUILDING PERMIT OWNER TELEPHONE Qom% 2 i✓ • ��,/ SO. FT. OCC. BUILDING VALUATION OWNER' MAILING ADDRESS S-2 94/ - CONTRACTOR'S -- c -e✓ ,CDu 20.00 CONTRACTOR' MASINO ADDRESS Po 014 lao CONSTRUCTION IENOER Ch,-; e 95? LENDER'S I.WLNG ADORESS tc0 POWER ARPARATVS ARCHITECT OR ENGINEER t Ex. Occup. OUTLET OR FIXTURES ®1 Oo ARCHITECT OR ENGINEER' MAl1NO ADORES' a Ex. Occup. a61D.�ew SULDNG ADDRESS re , 4- Q° I LOT NO. BUBDN6pN' NAME MobileFacilities 20.00 Fling Fee /U c a USEOFSTRUCTURE SF /" Duplex ❑ Mobilehome ❑ Other ePECFY TYPE OF WORK New ❑ Addition 13 Remodel 13Udlities E3Installation O Other Describe Work: eo.,y 1/Fl N Cl 9 5 >? �- *PERMIT FEE PAIb SRA '- SHERIFF OTHER AIIIIOUNT RECEIVEb Fireplace Total Val vv PERMIT FEE I t 41 20.00 Permit Fee t y NEW CONST. DWI OCCUP. OR ADONS. a ACC. BLDG. 3.5¢Fr. Plan Checkin Fee tc0 POWER ARPARATVS Energy Plan Checking Fee t Ex. Occup. OUTLET OR FIXTURES ®1 Oo a Ex. Occup. a61D.�ew PERMIT FEE ounEDrs 5.00 1 Tem orvice 23.00 PLUMBING PERMIT MobileFacilities 20.00 Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00,.0-45 Horn Mobile HoS G W (920.00 PERMIT FEE I t *RECEIPT NVMSER 3-D- S 1? 2 * TO BE PUT INTO COMPUTER PERMIT FEE I t YJ • e-o� MECHANICAL PERMIT r Fling Fee 1 20.00 T PERMIT FEP IS Mobile Home Installation Fee S Energy Inspection Fee t xo =TOTAL TOTAL FEE $ HA2. I D. FEES I IMP FT.DOD CDF 8.50 PO I No I ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. I By PERMIT EXPIRES ON Date M ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS - Main Service zO.A OR LESS 23.00 Main Service 200A TO 1000A 48.00 NEW CONST. DWI OCCUP. OR ADONS. a ACC. BLDG. 3.5¢Fr. NON•HE9IO MULTI.OUTLET @7.50 POWER ARPARATVS TL a SINGLE OUET CIR. Ex. Occup. OUTLET OR FIXTURES ®1 Oo BAL SO Ex. Occup. a61D.�ew I ounEDrs 5.00 1 Tem orvice 23.00 MobileFacilities 20.00 *RECEIPT NVMSER 3-D- S 1? 2 * TO BE PUT INTO COMPUTER PERMIT FEE I t YJ • e-o� MECHANICAL PERMIT r Fling Fee 1 20.00 T PERMIT FEP IS Mobile Home Installation Fee S Energy Inspection Fee t xo =TOTAL TOTAL FEE $ HA2. I D. FEES I IMP FT.DOD CDF 8.50 PO I No I ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. I By PERMIT EXPIRES ON Date M 661 BUTTE COUNT BUILDING DEPARTMEN.' .APPROVED 153 �� k6 53 57 BUTTE COUNTY BUILDING ®EPARTMEN, APPROVED 2 53 57 . CR � �qbd Nto BUTTE COUNTY BUILDING ®EPARTMENI 'APPROVED 13UTTE COU NTV 3UIL®INC ®EPARTMEN APPROVED 310 ---0 10 ol-tg4.l �vwLrl Y/ey / J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75411 _1Cy4RJIT NO. (Rev. 12/96) APPLICATION AND PERMIT X503=1{x}10 ZO"' BUILDING PERMIT OWNER JMWQAN2 SUSAN TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 5357 CREST RIDGE DR. OROVILLE CA 95%6 CONTRACTOR'S NAME ADVAN= BUILDING SYSTEMS TELEPHONE 846-1977 CONTRACTORS MAILING ADDRESS 877 HW 99 GRIDI"t CA 95948 CONSTRUCTION LENDER Fireplace A 1,500.00 LENDER'S MAIUNG ADDRESS Total Valuation Is 1,500.00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20 • F O Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5357 CREST RIDGE DR. OROV UZ CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF §J.( Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other] Describe' Work: RELOCAn UMD 151w, Gas piping syste!!! 1 - 5 outlets 15.00 Building sewer 15.00 ' Mobile Home I S G W 1 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 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 f 11 force and effect. '""j License Class Lic. No. / 1 % U OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ , I; as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ZOGA TO IOooA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. S.3.5¢FT. L.IDµpO�IpT' MULTI.OUTLETU. 07,50 POWER APPARATUS 8 SINGLE OUTLET CIS. Ex. OCCU OUTLET OR FIXTURES BA20 L ®''� Ex. Occup..OUTLFIXEEDTS RES D.D� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compgnsation insurance carrier an � policy number are: Carrier A hlt' . i, rh ✓ Policy Number o — aa (The above sections need not be completed H the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any -person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date f /Q _ Signat fe of Appilcant - ❑ Owner 5YContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.�sy MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HA2. D. FEES IMP I FLOOD I CDF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. EA Im L-1 Date PERMIT EXPIRES ON) © �I pate Receipt No. 33180755.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT BOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California '95965 • Telephone (530) 1- " 538-754(J ] ICI�R11T NO. (Rev. 12/96) APPLICATION AND PERMIT [ 7 ASS35PAT1du OTO ZD" BUILDING PERMIT OWNER JERNIGAN SUSAN TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS 5357 CREST RIDGE DR. OROVILLE CA 95966 CONTRACTOR'S NAME 'ADVANCED BUILDING SYSTEMS TELEPHONE 846-1977 CONTRACTORS "UNG ADDRESS 877 HWY 99 GRIDLEY CA 95948 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace A 13500.00 Total Valuation $ 1.500.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5357 CREST RIDGE DR. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 1 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 ❑ Other Describe Work: RELOCATE WOOD STOVE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2�o.OR LESS23.00 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 ll force and effect. �- License Class Lic. No. 7�J -7 7 0 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. ❑ 1, 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING ffUP. SO OR ADDNS. ( 8 ACC. BIOS. 3.5¢FT. NPN R6IST. MULTI -OUTLET 97,50 PO APPARATus 6 OUTLET RIR. UINOLE Ex. Occup. OUTLET OR FocruREs 20 @'•00 BAL. p .w Ex. Occu OUTLEEDTB REESID.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation Insurance, as required by Section ` 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comppnsation insurance carrier an policy number are: Carrier _11, WI -If . 0-- Policy Number ,9G —670 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 5? X __ Date lJ 6 Si a of App (cant - ❑ Owner FContractor ❑ Agerit An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. f Date PERMIT EXPIRES ��/ ah? � Receipt No. 331 8tl`iF/ 55 OO WHITE-D.D.S.-B.D. CA ARY-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 ;Rev. -2/96) _ : '• APPLICATION AN,D PERMIT 61-- Slc2- 0 0 owNolt mown oma CO NT CONSTRUCTION LENDER BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION 0 &W`ANO ADOREUs Fire Ince ARCNnECTORENaNEER Total Valuation E Lx:eNse No. Flirt Fee L ARarrECT oroaHEERs� ADDRESS Permit Fee S euw.waooR S n Plan Checking Fee LLJ� / E Energy Plan Checking Fee E S `OT NO. SUOMMIONINAME PARCEL MAP PERMIT FEE S PLUMBING PERMIT USEOFSTHaUCT-URE Each Tra SF' ] Duplex ❑ Mobllehome O Other SOW or heat um water heater ( oPecsv Water piping TYPE OF WORKEech as water heater or vent New ❑ Addition O Remodel ❑ Utilities ❑ Installation ❑ Other Gas piping stem 1 - 5 outlets Building sewer Describe Work: - QQpC�a�Mobile Home s -- W *PERMIT FEE PAID SRA -- SHERIFF OTHER AMOUNT RECEIVED $ 516-0® *RECEIPT NVMEER x3/90 * TO k PUT iN'T'® COMPLM T NO. :)o 00 20.00 on .00 =cling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 — PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 MainService OORR SODA LESS 23.00 Main Service Lr ]ow TO IOOOA 48.00 CONST.RW OR ADONS. DWF11N0 OCCUP. A ACC. SIMS. So 3.5¢1'T. NON•RES�D. MULTI.OUTLET @7.50 FOwFA APPARATVB 8 SWOLEO CR. Ex. Occup. ovn.ET OR FDn11REa zo ® 1.00 I EX. OCCU p EA BAL SO I OUTTLETS�E 5.00 1 Temporary Service i 23.00 Mobile Home Facilities 20.00 Wsc. Wiring 23.00 PERMIT FEE 1 $ MECHANICAL PERMIT Filing Fee 1 20.00 I Hood 8.50 { PERMIT FEE i IMobile Home Installation ;Fee Snergy Inspection Fee Eoco NST. Tv�OL FEE $NAZ. OFEESMP.0 COF PARCEL PD ND SSUE This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By PERMIT EXPIRES ON Date i .COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT a!! 1-a ASSN Y$ PIT NUMB¢i� fVl1 ZONING BUILDING PERMIT OWNER � .TERT1IGAlV SUSA�� TELEPHONE SO. FT. OCC. BUILDING VALUATION 24 144©.00 OWNER'S MAKING ADDRESS 5357 CREST RIDGE DR. OROMIZ CA 95966 M S DING 1600.00 CONTRACTOR'S NAME ADVANCE BUILDING SYSTEMS TELEPHONE 846-1977 CONTRACTORS MAIUNG ADDRESS PO -BOX 1205 GRIDI"i CA 95948 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is 3,040.00 ARCHITECT OR ENGIN EER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5357 CREST RIDGE DR OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 83.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 L TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IX Describe Work: RE ROOF / SIDING Gas piping system 1 - 5 outlets 15.00 1 Building sewer 15.00 Mobile Home S G W Qa 20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I I hereby affirm under penalty of perjury that I am licensed under provisions'of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 159 ATt T', -, 4 Main Service YOGA TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR AODNS. ( NL ACC. sins. 3.5QFT: NN.pµR6ID MULTI.Otm.ET 97.50 APPARATUS 8 SINGLE OUTLET CR. EX. Occup. OUTLET OR FOCTURES BAL 201.00.50 FIXD Fac. Occu . Oji RZ.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Policy Number (The above sections 66 -ea no be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /' rX ��.----- Date .5--- 4,11 y / _ Sigfiature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 83.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte CountyCode and/or Resolutions to do work indicated above for which fees have been paid. B fI ', i/ Date PERMIT EXPIRES.ON 2q k Date Receipt No. -31 6L9 83.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEALOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California. 95965 • Telephone (530) 538-7&:LSATZ PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSES PJCE6UIf 1U U ZONING BUILDINGPERMIT OWNER JERNIGAN SUSAN TELEPHONE SO. FT. OCC. BUILDING VALUATION 24 1 440.00 . OWNERS MAILING ADDRESS 5357 CREST RIDGE DR. OROVILLE CA 95966 fig. SIDING 1,600.00 CONTRACTOR'S NAME ADVANCE BUILDING SYSTEMS TELEPHONE 846-1977 CONTRACTORS MAILING ADDRESS PO.BOX 1205 GRIDLEY CA 95948 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3 040.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5357 CREST RIDGE DR. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE S 83,00 LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF IX 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 ❑ Other EK Describe Work: RE ROOF / SIDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LESS Main Service 200. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that 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 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Tai Policy Number /yn.46 Z2— (The above sections need not be completed R the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwi comply with those provisions. X Date j nature of p (cant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SG OR ADDNS. ( a ACC. BLDS. 3.50Ff. IN,pµq�ID MULTI -OUTLET @7.50 OWER APPARATUS 8 PSINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES BAL I Ex. Occup..50 pFUT�7g qa .) 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 FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 83.00 HAZ. p, FE6 IMP FLAOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. ll Date D PERMIT EXPIRECIN,-q X03 eTa Receipt No.324629/83.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 5"_ COUNTY OF BUTTE - DEPARTMENT OF_DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ' —ev. 12/Ns' APPLICATION AND PERMIT Oi-ia PERMIT NO. AS SESSOR PARCEL NUMBER Nss — 3 — 0 ZONING BUILDING PERMIT OWNER TE�roNe SO. FT. OCC. OWNERS ADDRESS BUILDING VALUATION CONTRACTOR'S ,- TELEPNONE CONSTRUCTION LENDER - LENOER'S MMUNG ADDRESS ARCHITECT OR ENGINEER ARCHRECT OR ENGINEERS MAIUNO ADORES9 BUILDING ADDRESS LOT NO. I 9UBDNLSgNS N W USEOFSTRUCTURE SF # Duplex ❑ Mobilehome ❑ Other BPECiV TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InsIallation ❑ Other Describe Work: ,( ,CSO/? i AI _ e A *PERMIT FEE PAID SRA -- SHERIFF OTHER AMOUNT RECEIVED M Fire lace Total Valuation b ruin ree $ Permit Fee $ Plan Checking Fee S Energy Plan Checking Fee S S PERMIT FEE i PLUMBING PERMIT Ench Tra Solar or heat um water heater Water i in Each as water heater or vent Gas i in stem 1 - 5 outlets Building sewer Mobile Home S G W - PERMIT FEE t ELECTRICAL PERMIT - Main Service f 0*0' OR LESS 200A OR LESS Main Service 20GA TO loom NEW CONST. S. ( DWELLING OCCUP. NEWC °NS a ACC OLDS NON-RESIO. MULTI -OUTLET POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FUTURES ! O Ex. CCu FILED APPLMS. OR I OUTLETS ESLD. EA 1 Temeorary Service i Mobile Home Facilities Misc. Wirine *RECEIPT NUMBER * TO BE Pili" INTO COMPUTER PERMIT FEE 1 $ MECHANICAL PERMIT PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee S 20.001 •%.,,v T23.00 15.00 15.00 20.00 23.00 46.00 3.5¢Fo. @7.50 5.00 23.00 20.00 23.00 6.50 20.00 20.00 Occ coNsr.TTPE TOTAL FEE $ 3 NAZ 0. FEES I IMP I FLOOD I COF I PARCEL I PO 1110 ISSU This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON MAY.-29'O1(TUE) 14:31 FIDELITY TITLE TEL:530 533 1526 P. 002 Form RD 1955.49 CA Position 5 (rev. 413012001) RECORDING REQUESTED BY FIDELITY NATIONAL TITLE/ESCROW' i{102074TR BUTTE COU1��REcORDER AND WHEN RECORDED MAIL THIS DEED SERIAL NO. 2UVI-i:66 , AND, UNOTHERWISE SHOWN BELOW, REL LESS ORDED AT THE REQUEST OF MAIL TAX STATEMENTS TO: FIDELM NATIONAL TrTIE Co.. Name Susan C JerniganD ATE AOR &D: MAY 4, 2001 Street Address 5357 Crest Ridge Dr TIME: _ City & State Oroville, CA 95966 Title Escrow 102074 Order No. No. 4 SPACE ABOVE THIS UNE FOR RECORDER'S USE APN 035-310-010 QUITCLAIM DEED The UNITED STATES OF AMERICA (GRANTOR), acting through 'the United States. Departmentof Agriculture, CONVEYS and QUITCLAIMS, to Susan Q. Jernigan, (GRANTEE), for the sum of $Seventy -Two Thousand Five Hundred and No/100 Dollars all interest in the following described real property situated in Butte County, California: LOT 24, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "CRESTWOOD SUBDIVISION UNIT NO -1, WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 5, 1977 IN BOOK 58, OF MAPS, AT PAGE(S) 68,69 AND 70. This deed is executed and delivered pursuant to the provisions of Form RD 1955-45, Standard Sales Contract, Sale of Real Property by the United States, dated April 24, 2001 and accepted Agril 24, 2001 and the authority set forth in 7 CFR part 1900, subpart A. No member of Congress shall be admitted to any share or part of this deed or to any benefit that may arise therefrom. Dated: April 30-2001 United States Department of Agriculture Rural Development '-vs! Sharon P. Waugh Rural Development Specialist 150-D Chuck Yeager Way,.OrovilleY CA 95965 ; 'Voice: (530) 533-4401.- FAX: (530) 533-4936 _ Email: paulette.waugh@ca.usda.gov UNITED STATES OF AMERICA BVANICE ' ADDELL, Acting tate Director pment, action on behalf of the g Service, successor in interest to The Farmers dome Administration State of D t f California, United States epartmen o Agriculture r MAY. -29' O1(TUE) 1.438 FIDELITY TITLE STATE OF CALIFORNIA AUNTY OF YOLO On — April 30. 2001 before fie (Date) Personally appeared JANICE L. WADDE L (Name(s) of Signer(s) [X) personally known to me- OR TEL:530 533 1.526 P. 003 CAPACITY CLAIMED BY SIGNER [ ) INDIVIDUAL(s) T RA D. BINNING [ ] CORPORATE OFFICER(s) (Name, Title -Notary Public) Title(s) [ ) proved to me the persons) whose name(s) isfare subscribed to the within instrument and acknowledged to me that he/shelthey executed the same in his/her/their authorized capacity(les), and that by his/her/their signatures) 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 of Notary TAMARA D. BINNING [ ) PARTNER(s) [ ) ATTORNEY-IN-FACT [ ) TRUSTEE(s) [ ) SUBSCRIBING WITNESS [ ] GUARDIAN/CONSERVATOR M OTHER Acting State Director_ SIGNER IS REPRESENTING: Name of Person(s) or entity(les): Rural Housing Service TAMARA D- BINNING Cornmission # 12 -- :A Noioty Public - cordamiq Y010 County My Corrnn 5Pi es reb 7, 2004 :HERMIT No. 5362-77 B,i;E-,14j PERMIT EXPIRES / Dr —7 v OWNER Sunbeam Construction Co. CONTR. Owner t LOCATION ,P. 35'13'24 port. ot:24 Crestridge Dr., Crestwood Oroville •3 - 6 f Temp. Power Pole ( Called PGA&E + Temp. E-lec. Serv. I c Caa1•led PG&E Te p. Gas Serv. Called PG&E JOB FINALED A (Date) / 1 v1'_'0u4' • (Signature) • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI(MR-t-ORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Lei % Soil Piping Forms Parapets 1st Floor, Main Bldg. Restroom Finish 2nd Floor Footings/ Windows 3rd Floor Stemwall 7T4 Sidin To out Slab Roof Sheathin Water Piping Piers Roofing Sewer Garage- F n. Vents Fixtures Footings Aarage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for physically Appliances Car rt handica ed Po Conformance of ex. Gas Piping & Test Footings structure [Tem Gas Slab Final �/ tion i Patio FIREPLACE Final Footings Footino I /eLECTA16AL C Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE S INKLERS Motors FramingTest Water Htr. Stucco Final Subpanels Mesh M NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES --------•--------- Elec_ Serf a Elec. Pedestal Water Piping Sewer Gas Piping M0016EHOME INSTALLATI N - - - - - • - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS P (NOTE: An entry must be made on this form each time you vislt the job site.) THIS IS TO CERTIFY THAT INSULATION HAS BEEN MSTAL.LED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 2S, SZATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: �1^,,.!� -7 Lot 24 53 (a Street Lot Number Tract No. EXTERIOR WALLS Manufacturer Certainteed Thickness/Type R Value 11 CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer Certainteed Thickness $ 3�4�� No. Bags 22 Wt./Bag Sq. Ft. Covered 1064 ` R Value 19 FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type _ R Value Width.of Insulation_ inches FOUNDATION WALLS .Manufacturer' Thickness/Type. R Value GENERAL CONTRACM FE-AMMON Co. _ LICENSE No. c►c�n+s� �75i BY " TITLE 4e, ' — DATE I71—Z M jS90R: HAWKINS INSULATION CO., INC. No. '215-925 INSULA LICENSE BY z�' � TITLE Owner DAT August 15, 1978 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Oroville, California 95965 Tel e00 !e: 53+4-4541 APPLICATION AND PERMIT 1/ BUILDING Owner Sunbeam Construction Co. SQ. FT. OCC.1 BUILDING VALUATION Mailing Address 11190 Hooper LanetfFKeplace- E// I .=_ _, 6 Los Altos, CA. 94022 4 .�=��+ �"ItW82 D\ Contractor owner Total Valuation / Mailing Address Permit Fee $>, .0O Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ,QO Building Address S3S Crestridge Dr.,Oroville PLUMBING No.1 @ FEE PERMIT FILING FEE $3.o0 3.00 Each Trap 5 1.50 7,50 Repair drainage or vent piping 1.50 Zoning Verification Oaly Crestwood Unit #1, Lot 24 Water piping 1.50 1.50 Each gas water heater or vent 1.50 A. P. No. 35--iT-24ort: p Zan. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes Sa FireDept. Fire Zone Use Permit Building sewer 1 5.o0 5.00 EQA Parking Plans Parcel Declaration r ap 60' R/W Improvements Lawn sprinkler system 2.00 tie.t' Parce Approval Plans royal Permit Fee $ 17.00 $ 17 0( NEW NJ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1$3.00 3.00 Main service 100 AMP ORSSI LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING O OR ADDNS. ( ACC. BLDGS. 2¢sgft NEW CONSTR. MULTI.OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. 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: Ex. Occup(OUTLETS OR FIXTURES)BA@L @/2@51C OO (FIXED FIXED A Ex. OCCU PPLNS. OR (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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. pI certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 3.00 Heating Cooling Evap. 1 3.00 3.00 Ventilation Hood 11 2.o0 2.00 Permit Fee $ 8:00 $ 8100 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 Land Development Fee , UU TOTAL PERMIT FEE $ -- • ter.....•.. n . wu- � NIG Vwullly VI UU- - CIIICI U1JVI1 uIC above-mentioned property for inspection purposes. X Date d Signature of Permitee or Agent Receipt No. b 3 White-D.P.W. - Yell - �setp - In sp�dtpZ®olden rod -App licant This permit is hereby issued under the applicable provisidni(W v the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF P BLIC WORKS BY Date1� Bu' ing permit expires Date 7d' lorksThis set of plans and speco'ficationi MUST be ► The Bldg. Setback shall be 5 ft. from the , nn thA ',ab at. all times and. it -isunlawful to __.. �----= ___ side property line and 50 ft. from the rynv chryrges or alterations on same without t`""�= =�"' centerline of the road, permitting a maxiitten permission from the,Department of Public r�� mum of a2 ft. eave.Qverhang but entirely County of Butte. out of all easements. cv- f� ' moi,: I ..4 F n ` v r �a PW 4") 4*! 7V, 3 See Master Plan on file for building plans. l 060 C-4 4- 1.4 .40�.. :z:it'4t+i.�T�"'.�-,3�'.�aK:caLr3::X:R'hZ4:,#.s-"SL':7:?Z7ii r8l:�t?:.�k7•av-.zr-�+�^�G'-.4::i'St'F::ziu t� BUTTO COUNTY j.Lp-(-[DEPARTMENT APPROVED V/ - �'r .-57 OOV M 17 ° I ORO VIL L E9 /3UT TE CO 9 C4 /F0I?A114 L®7 Z`•- R_JC�Sftm"'' S=i3:7S�`P$37Y"^..:LS: Permit#4253-83 Carla Dias :5'cejvAsC 444 IJ I"f>llr A2d. co/LTf2-Sv7m--G- L-" U,; t- L fi3�ucfL br�� r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT S SSOR PARCEL NUMBER ?�/, /. • v ZONING BUILDING PERMIT OWNERELE `r�) / TPHONE- J �. SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ol" CONTRACTOR'S NAME 61. _ X TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER f• - L✓ UNKNOWN Total Valuation $ / r. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /�. C -u ARCHITECT OR ENGINEER f'L i LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ � L. ,yey BUILDING ADDRESS�, PLUMBING PERMIT Filin gFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 6,tr-,, f, 'C rr Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [El Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI GW10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit ies ❑ Installation Other Describe work: �/� I f C /.uGG) �� .. .,_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2t/x0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification Q 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &) NON.RESI D. SINGLE OUTLET CIR. OR FIXTURES gAL930 Ex. Occu / BAL@30 P\o FIXED APPLNS. OR \ FIXED Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): .❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑` Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ' `.'� '. ��/ , �� By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. rte(%' WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARaMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751- 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or ne additional explanation, please contact this office immediately. C°.f� / t./Cis G- t`�/tet- /S 7717/(,• 777 C-- � 71146- Inspector ,tf•. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive - Oroville, CaliJ.ornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT r\ PERMITO.r/ ASSESSOR PARCEL NUMB r;a - �j/ / ® ZONING BUILDING PERMIT R /t �/ n ��A S 1. f'tF--U Te 3LP07 / SO. FT. OCC. BUILDING VALUATION ^ U4E OWNER� R SS�;D �G U!N/Cfl/1TELEP CONTRACT R'S NAME� HONE _ CONTRACTOR'S MAILING ADDRESS Fireplace INX000 G.7 CONSTRUCTION LENDS UNKNOWN Total Valuation $ 000— 0-0 Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ _&0 ARCHITECT OR ENGINES LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ys,dC� BUILD „�Q.QTR s Sj 04 E P eI ✓•�I�l/�� F— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Q� f Li Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF LI Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ /Remo el ❑ Uti litie In I ti �pther Describe work: /v �� GL �t/ 15/0�LC' s Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1Dov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2h0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with Licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR. POWER APPARATUS &'\ NON-RESID. (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES a� ®3Do FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiLingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ;=❑ The permit is for $100.00 (valuation) or less. "❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ounty in consequ of the granting of this permit. against %,41,07&& X lZ..2-3 �3 Date Signature of Applicant — Owner D( Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -1 of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL 17 HD 155.E This a it is hereby issued under sio o the Butte County Code and/or wAi" d a ove for which fOR OF PUBLIC B PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKSion Dat /Z—n�^ro3 y`/meg Receipt No��� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ai� "OROVILLE, CALIFORNIA>' GENERAL CLAD CLAIMANT: Carla Dias ADDRESS: 5357 Crestrido'e Drive CITY & STATE: Oroville. CA 95965 IMPORTANT: DATE OF CLAIM: February 19, 1982 SEE, INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) I AMOUNT ' Owner decided not to.install wood stove. (Bldg Permit #269-82B-- Receipt Irl -5894.2 -dated 2%5/82==AP 35=31-10 -Perm t ssue 2/51_52) Building Permit fee paid ---------------- $25.00 e ain f 3.ing-fee ----------------------- ee---------=-----------Refund due------------- -------------------- ----$15.00 Refund TotalRefund due -------------------------------------- =----.-------- $15 .00 TOTAL $15 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this ' claim is true and correct as stated. Dated this l�\ ......... day of ..... L'..1�.:....... Y9� et. .�Q.�I1Am........ Calif. C �:�a�CrG; 1...... ................ ,` .... ... ...... Signature of ClaLTent j I. the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation F--1 or Specific Board Approval o (Check one) for the 'same. Dated this ..... 19ti1.......... day of „February 1982 , at Ort)vllle ' Calif. ...................:................... Department Head or Authorized Deputy ' Dept. Exp. Code........ ..................................... Code..................::......:.....:......:........PAYABLE FROM ...,......:...............:.....:... FUND DO NOT WRITE BELOW THIS LINE - AUDITO.R`S USE ONLY VENDOR ' SEPT. SUB. CLAIM INVOICE I INVOICE(, GROSS. CODE & SUB. Pr20J. I OBJ. N0. N0. DATE D15C. AMOUNT ENCUMB.. SUB -DIST. JCOUNTY OF BATE - DEPARTMENT OF PUBLIC WORKS PER T NO. 7 County Center Drive - OroviIIe, California 95965 - Telephone 916/534-45 a APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 35-3/-10 ZO.N.ING f BUILDING PERMIT y�g O",j /(�/ /i j1 ,+ ✓1 S C/I/L-I�NG `ZH°P��g6 SQ. FT. OCC. BUILDING VALUATION O W(HE/�''21'S y��y�/� ADp�//JJSS/tel IeIP� /�- D�U7 ,53 2/L/•(©f'�✓j" CONTRACTOR'S NAME Z TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 0 --CLO Filing Fee $ 10.00 LENDER'S MAILING ADDRES Permit Fee $ s. V 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z • Oa BUILNy A D ESSIn'/'^ ✓' D ^ i✓t /L PLUMBING PERMIT Fi ling Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00. Water piping LOT N SUBDIVISION �N�A/MEp 1(„ lav©d%Z c5US PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ RemodelUtt Iii iesIn all tn�j/ er Describe work: ��v c'�' vv "" ��V "� , J / �Vr Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.y) OR AODNS. ACC. BLDGS. 2�Sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OU LET 2.50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 50e250 Ex. OCCUp OUTLETS OR FIXTURES BAL�1 Ex. Occup.(OUTLETS P(RESID.)REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ` of Consent to Self -Insure. �Xv�► I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s 'd County in consequence of the granting of this permit. X Date Signature of Applic — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Ss oo OCCUP. GROUP TYPE OF CONST. JPARCFLJ PD I HD I ISSUE Thi ermit is hereby issued under s' ns f the Butte County Code and/or ork I di ed above for which ECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ��� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT