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HomeMy WebLinkAbout039-250-0474 39-25-47 J im Mead ES/S Burdick Rd., app.2 mi.E.of _ �.. Troxel Rd., Durham 3111 Burdick'Kd; Chico contr: Leisure Time Pools, Paradise Permit#36-87A Agricultural Bldg�Exem Permit #3445-78B E(new private z z swimming 3pool) —3--- 9-25-47 - . rv.- Vis. 92-1786B MEAD, James 3111 Burdick Rd, Chico contr: Dave Lee reroof/sf - 2 _ 93 039-250-047 06-0054 MEAD, JAMES ;111 BURDICK R:D, DURHAM Cont: 13A11WROOFING CO. RE ROSF;� 1-(2-q 0p r �E JA r J G I Butte County. Department of Development Services. FR- N ® T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 www.buttecountyneUdds aceUN<y + RESIDENTIAL APN: Permit No. Owner 039-250-047 06-0054 MEAD.. JAMES Site Address: 3 l 11 BURD LCK RD, DU RH AIN1 i Cont: BAIRD ROOFING CO. Contractor. — RE ROOF f Type of Permit: - - . r rt - s i ' t - SPECIAL CONDITIO SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY DATE JOB FINALED: �V SIGNATURE: (�y'� r t , SPECIAL CONDITIO SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE CHECKED BY DATE JOB FINALED: �V SIGNATURE: (�y'� r =OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap NatEl or LP[] Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test -Demand -Valve -Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs F� Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams-Rftrs -C nn ctrs -S hth g F.rmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls '1 ° °mss °� DATE jPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Encisrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide 1a` Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test °9 1A Wtr Pipe; Test-Anchrs-Rgltr-Service Test DATE IMECHANICAL 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-lnsultn 61 AC Ducts Insultn & Support _ 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-CImc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Meth Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frpic Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking CImc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass P rtctn-S kyLts -Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Drnge Planters ❑ Yes ❑ No 11�187 Stucco Brown -Finish o`er 0 o'er o'er 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnc% Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr CImc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ea ❑ CU or DAL 98 Address Posted AC Wire Sz ya ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ea ❑CU or ❑AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑Noo �s ° 'er m 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp CImcs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 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.net\dds PERMIT NO. BP060054 LICENSED CONTRACTORS DECLARATION Phereby affirm under penalty.of perjury that I-am•licensed- under. provisions of Chapter 9 (commencing with Section 7000) of Division 3 of •• .-:.. .,,,�:.,,,,... ,,,, Issued..Dater 01/11,..,/2006..,,.-AP_...C: 039-250-047=00.0 • the Business,and Professions Code, and my license is in full force and effect. `� G Site Address: 3111 BURDICK RD DUR License Class : l License Nu be ,�t �� . _ ... Map Index: Date: Contractor. 1 Y l Description: REROOF 6 SQ 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: MEAD JAMES H & JOYCE E' permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance,•also requires the applicant for such permit to flea 3111 BURDICK RD signed statement that he or she is licensed pursuant to the provisions of,CLIICOi 'g CA• . "� " the Contractor's State License Law (Chaptercommencing with Section ' 95928 7000) of Division 3 of the'Business and Professions Code) or that he or „`s. she is exempt therefrom► and the basis for the alleged exemption. Any : (530)34571554 violation Y-Sectiori 7031.5 by any applicant for a permit subjects the. applicaRli jo,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 -, intend_ed•or offered,for,sale,(Sec. 7044, Business and•Professio9§s,, ,,,..,�—,_�,.,•Applicant:'•BAIRD•ROOFING CO-�-= • .: ,.-:. ..,. Code: The Contractors' State License Law does not apply to an w,ownerof property who builds or,improves,thereon, and.who does such work himself or herself or through -his or her own employees, 11025 `M 1 DWAY __.. provided that such improvements are not, intended or offered for CHICO, CA 95.928 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of 530-342-1631 proving that he or she did not build'or improve for the purpose of ` sale.). ❑...,f,.as,.owner,of.the..properfy,.am exclusively. contracting. with.- licensed contractors to construct the project (Sec. 7044, Business And Professions Code.v The Contractors' State License Law does Contractor: BAIRD ROOFING CO 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.). 11025 MIDWAY Ex!T!O -1 am-ExemPt under Article 3 of the Business and Professions Code CHICO CA • 95928 - '- 530-342-1631 Date: Owner: L1CenSe'#: 631460 ORKERS' 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 tabor Code, for the performance of the work for which this permit Architect: is issued.. _ - I. have and will, maintain workers` compensation insurance, as Engineer: required by Section 3700 the Labor Code, for.the performance,of the work for which this permit is issued. My workers' compensation insuran carrier and potic number re: Carier.�� Total Square Ft: 0 S.F. Policy #: 7 — 3 7 Valuation: $0.00 _.:�.., . �<... :....... �:.. . _ : L . ,..:....... _ _.. - Census Code: .. ,. . C31 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, and •agree that if I should- become• subject .to,the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall .forthwith comply wit hose pr • isions. . s.�}�3T- �;42 Date r j ' Applicant:.:. WARNING: Fa 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 hereby issued under the applicable provisions of the Butte County Cody+?nfUor I hereby affirm that there is a construction lending agency for the Resoluti ns to do work in irate hove or which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: BY' Date: PERMIT EXPIRES ON:— ate ❑ 1 hereby certify that'the-use ofthis 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. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O 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 t comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of an . fficial form or document of Butte Cou 1 eby authorize represen tives off Butte County to enter upon the above mentioned property for inspection purposes. Print Name: v C�1 6iL,/../- Signature: ailDate: 0 Owner A Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY 0 DEPARTMENT OF DEVELOPMENT SERVICES „ BUTTE 0 BUILDING PERMIT APPLICATION Co' P o AND SUBMITTAL REQUIREMENTS a 0 24 HOUR INSPECTIONC OROVILLE: (530) 538-7636 • CHICO: (530) 8911 1 1 1200-S C OFFICE #: (530) 538-7541 ` A FEE WILL BE REOUIRED AT TIME OFAPPLICA TION DEVELOI?liZENT Website: www.buttecounty.net/dds SERVICES **PLEASE PRINT CLEARLY** CONTRACTOR OWNER Last Name City irst Name 1� l 1 1 AddressUir 1 City him Lic. #/ L Stated i1 •� Zip 3 Phone ' 1 r �1 E-mail Fax E-mail CONTRACTOR NameRA Address V City State Zip Phone 1 Fax E-mail Lic. #/ L Classo APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone gook Fax E-mail Planner State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail 1W.51)"IlER -Fill For office u onl : Zoning Property Address &tr� 1 -CL Flood Zone , SRA I Yes No Occ. Type Const. Subdivision Name Map gook Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMEN 15 K:IFORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERIWIT NO. BIN N LOCATION AP# 03q — C Property Address &tr� 1 -CL lux CVs Str, et 6 C; M10II; WORK S —nmpENSATION Policy Number. t7I (� <j 6� z Carrier v i / I � V V 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: R fz coIn down Sq. Footage V7 ❑ 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 required. 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. Page 1 of 2 Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: REV 2-24-05 I��. „S�v.��Z'�e.�7e_�y;4 d4r• s��i±�,'.:,v'. _. -^T.vaw±.ry u.:..: ..y ;I`t' `�-�x•a'?'a '` :,,,.s�.,y;l."h•ay'•`� �'i �O«"i-�'-,y'•.�t"'% 3 5= 7 92-1786B MEAD, James 3111 .Burdick Rd; -SWAY-hCXW)• contr: Dave Lee • reroof/sf COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.538.7541 APPLICATION AND PERMIT PERMIT NO. Z_f-7 A53ES3 L 039--250-047 OWNER James Mead ZONING A-20 BUILDING PERMIT TELEPHONE 895-0141 SQ. FT. OCC. BUILDING VALUATION 20 60 1,200.00 OWNER'S MAILING ADDRESS 3111 Burdick Rd., Chico 95926 CONTRACTOR'S NAME Dave Lee TELEPHONE 895-3256 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1,200.00 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $25. 50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $40,60 PLUMBING PERMIT Filing Fee 15.00 3111 Burdick R Chi Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S FG--FW--F— @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 200A TO tooOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License .Jo. 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 CONST. ( DWELLING OCCURM OR ADDNS. 1 ACC. BLDGS. / 3.64sq.ft. NEW CON5TRULTI.OUTLET NON•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 FIXED APNS.❑ Ex. Occup. OUTLETS (PRESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. IYirin g 15.00 t I Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. U.I-shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 Ventilation 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 ," .- 1 -� Date %'? si nature of Applicant - owner Signature pp 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 $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $4'-"0 HAz 1 1) 1:11S I IMP I FLOOD COF PARCEL PD HD ISSUE ° This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above fipr Which fees have been paid. I , DIRECTOR OK PUBLIC WORKS ` By — <� -I'- " %" •~ - - - i Dare > f` -G PERMIT EXPIRES Date 116220 Receipt No. WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 9161538-7541 APPLICATION AND PERMIT PERMIT NO. ,All ASSESSOR_ -PARCEL NUMBER 1,*' - - 039-250-047 %" ZONING A-20 BUILDING PERMIT OWN ER James Mead TELEPHONE 895-0141 SO. FT. OCC. BUILDING VALUATION 00 OWNER'S MAILING ADDRESS 3111 Burdick Rd., Chico 95926 CONTRACTOR'S NAME TELEPHONE Dave Lee 895-3256 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$1.200.00 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $25.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $40-'50 PLUMBING PERMIT Filing Fee 15.00 3111 Burdick Rd.. Chico Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF © Duplex❑ Mobilehome❑ Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New F, Addition [I Remodel❑ Utilities❑ Installation❑ Other® Permit Fee $ Describe work: Reroof Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00AOR LESS 18.50 Main service 200A TO IOOOA) 37.50 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. .Jo. Classification ❑ I, as the owner, or my employees with wages as their sole compen- NEW CONST. / DWELLING OCCUP.ttil OR ACDNS. 1 ACC. BLDGS. NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS.License Ex. OCCUp. OUTLETS (RESID )KEA.) 3.64 sq.ft. @ 5.00 20 760 A I 3.00 sation, will do the work,and the structure is not intended or offered sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Temporary service Mobile Home Facilities Misc. byirin g 15.00 15.00 '15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. ��hall not employ any person in any manner so as to become subject Cooling g Hood 6.50 Io 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. 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 agr to save, indemnify and keep harmless the County of Butte against all Iiabi ty s, judgments, costs, and expenses H(hich may in any way accrue against d County in consequence of the granting of this permit. Mobile Home Installation Fee $ Ener Inspection -Fee S 9Y DCC CONST TYPE 40.50 TOTAL FEE $ HAz 0FEES IMP FLOOD CDF PARCEL PD HD ISSUE X 2v / DateaZ% This permit is hereby issued under the applicable provi Sign ure of Applicant — Owner Contractor ❑ Agent ❑ An SHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. sions of the Butte County Code and/or resolutions to do Work indicate bov hich fees have been paid. E PUBLIC WORKS Receipt No. 116220 BY PERMIT EXPIRES Date WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENTa,OF PUBLIC WORKS.- ' BUIL;DING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE;,ZALrORNIA'95965 - TELEPHONE (916) 538-754 PERMIT APPLICAT-10NS,DATA SHEET OWNER KeG `�} o. Proposed Building Use ad E Building Inspector �p Date At time ofper application, I was advised the following data must be submitted prior to permit processing and/or issuance: f . DATE RECEIVED BY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. All items have been submitted . ....................................... . Plot plans, 3/4 sets, signed by preparer of plans. ......................... . Complete plans, 3/4 sets, signed by preparer of plans . ..................... . Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof$ ... .......... .'............................. Impact fees as shown on attached schedule . ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by California Engineer . ................. . Sanitation and plot plan approval I Health Department . ........... . City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: . ........ Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy) Pre4;spection request Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner " , Mail to owner _) ............ Recorded copy of Agricultural Acknowledgement Statement . ................. . Letter of signature authorization . ......................................... Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use ........... ............................... . Mobilehome utility clearance. ......... I . t ............................... Documentation of legal access . ........................................ Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ..`.................................... 32. Plan checklist . ..................... ............................... 33. r 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation' � 2 7 / Acreage Applicant ate Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. ther Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised.of above required data by _ phone _ mail \ Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by `, Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Cantor Drlvo - Orovillot Gallfornla 99965 - Tolephono: 010.'63S•7t 41 APPLICATION AND PERMIT PERMIT NO. ZONING BUILDINGPERMIT IT-MLVPNE OL LZ SO. FT. OCC. BUILDING VALUATION OW '! M I ING ADX!! C:n A eT=EELEPHON g2 CCrNTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS - Permit Fee $ r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS �. Penalty $ BUILDING ADDRESS �J Q � Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME - PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New l i Addition ❑ Remodel E. Utilities ❑ instaiiation0ii .Oth�Ik Describe work:��� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 OR LESS Main service 200A OR LESS 1800V .50 Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NO I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I. as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.9 OR ADONS. l ACC. BLDGS. 3.5Q sq.ft. NEW CONSTR ULTI.OUTLET N•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 75d A Ex. DCCUp. OUTLETS FIXED (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling I Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 ppm X Date y Signature of Applicant — Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES HAz 1 0FEES IMP I FLOOD I CDF I PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. v % Z V y . , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PER IT N0, QC/ Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. o3G-as- - o 7 a ZONING O NER PHONE NO. YY, e d- .�0 SA C_ tY-� e cx A OWNER'S ADDRESS C.� L LOCATION OF BUILDING 3��� `C3u�-����� �� - �V,;�c� USE OF BUILDING SIZE O STRUCTU E !�^^,, X C� f 00 SO. = PZ FT. TYPE OF CONSTRUCTION: WOOD FRAMEy STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE C 0 k C. k,C_'r ESTIMATED COST OF CONSTRUCTION o 00 $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: I— FRONT D n SIDES Z�� �� REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum,of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the, requirements in effect at that time and before occupancv. kLA� /7cr7 Date 9� Signature of Owner 'Permit Fee - $25.00 The above describ "AG Building is exempt from a building permit. Receipt No.Director of Public Works BY Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant R 3445-78B,E .6,,.-?ERMIT NO. PERMIT EXPIRE' e����� Jim Mead OWNER Leisure Time Pools, Paradise �LOCATION (A.P. 39-25-47 SIS Burdick Rd., app.i"mi-.E.of Troxel Rd., Durham Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E is /JOBfiq-7 I14 / R 0 FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BU •LDING BUILDING (Cont'd) Subpanels PLUMBING Setback Firewall Solt Piping Heating Forms Parapets 1st Floor Temp. Pole Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping.�.. -� Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handicappetf of Conformancex. structure Appliances Gas Piping & Test Temp. Gas Slab Final 6,117 Sanitation Patio FIREPLAC Final -� Footings Footing ELECTRICAL Masonry Walls Throat A Rough Reinf. Steel Final Fixtures Bond Beam / /� FIRE dPRINKLERS Motors //-- i Stucco Final X Subpanels Mesh MEC N I C)kLi Gird. Fault Prot. Scratch Heating Service Brown M Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation k NPermanent Door Closer Final Final d' MOBILEHOME UTI (TIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEH IME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping P 9 DATE REMARKS OR CORRECTIONS Ile— �� Dpi ft LL S7rA PS- - S 11, i (NOTE: An entry must be made on this form each time you visit the job site.) 6bUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 »� Telephone: 534-4541 _ APPLICATION AND PERMIT BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address C/// MT el gp� tjp. Contractor Tf� Mailing Address _ ,I(70 Fireplace Total Valuation e7 v Tele hone No. Permit Fee Q Building Address' Plan Checking Fee&/or Penalty Permit Fee C PLUMBING No. @ I FEE ` PERMIT FILING FEE $3.00 Each Trap 1 1.50 < < Repair drainage or vent piping 1.50 �; _� /� A. P. T Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F es C. Sa ' ire Dept. Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Parcel Plans ..Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 g. as hiea d Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UT ITIS ❑ OTHER ❑ Permit Fee $ Z=*F" $ ELECTRICAL No. @ FEE /011 PERMIT FILING FEE $3.00 Main service 800V OR LESS 100 AMP OR LESS 5•D� Single Family ❑ Duplex E]Mobil Home ❑ OthersAJ Main service EA. ADD'L 100 AMP 2.50 / Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING OCCUP. 4' OR ADDNS- ACC. BLDGS. 2�Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Coe under the name style of: C %SU/2e A%y%� , License No. Z29777Z,' Classification C -5-3— I 5'3 I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code whi h requires every employer to be insured against liability for Wor en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permit e or Agent Receipt NO. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant NEW CONST. MUTI-TI NON.RLLt RESID. BRANCH CIRCUITS NON-RESID. %SINGLE OUTLET CIR. / Ex. OCcuo(OUTLETS OR FIXTIIRES 50@0 BAL 0 lOs FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 1 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. WirinoO// ..3 i 6.25E:7,; Permit Permit Fee $ MECHANICAL No .- PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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 IC WORKS BY Date 4_ Z7— 7 /� Bui ing permit expires Date When recorded mail to 85896-10176C �-�'P !� r James .H. Mead id��JY >ut[Ce of oIEtiOti Rt. 3, Box 93 (INDIVIDUAL OR CORPORATION) Durham, California NOTICE IS HEREBY GIVEN: 1. That on the ........... 22nd........... day of- .................................... May .............................................. , 19x.72 ., the work of improvement as a whole was completed upon the hereinafter described real property. 2. That the name and address of the owner giving and filing this notice is NAME STREET AND No. CITY STATE ._Tame s H. Mead Rt. 3, Box 93 Durham, California • . • -•---•-••----•••--•------•---•---•---•---•......-----•------------•--•--•-•---•---•--- The names and addresses of all other co-owners, if any, who own an estate or interest in said real property, whether as joint tenants or tenants in common, or otherwise, are: NAME .STREET AND No. CITY STATE o ce E. Mead Rt. 3 Box 93 Durham California . Y. -----'----------------------------------------------- t --------------------------------------------------------------------------------------------------------------------------------------------------------------••-------•----.. -•--------------------------------------------------------------------------------------------------------------------------------------------•-•-----.......-•------••--:---------.---• .. 3. That the nature of the interest or estate of the owner in and to said real property is in fee ......... :..:....................... --•-------------------------------------------------------------=-----"---------------------------------------........----------------..........--------------------------------....-•----------•-•••-....-•---... (If other thin in fee, strike out "in fee" and insert nature of interest or estate, as for example "purchaser under contract, 11 -lessee, 1. etc.) 4. That the name of the original contractor for the work of improvement referred to above is._ ....................:.. Al Weinreich ------------------------------- -------------------------•-------:••--------------------------------------------------------- 5. That the street address of said property is: Rt. 3, Box 93, Burdick RoadDurham ......California ..•..............................................................*----------------- .- e ....... ---- • 6. That the real property herein referred to is situated in the City ._--------------- ............................................... ::.................. - Butte State of California, and particularly described as follows: County of................. ........................................... A portion of the East 20 acres of the South half of the 'Southwest quarter of Section 26, Township 21 North, Range 1 East, M.D.B. & M. being more particularly described as follows: COMMENCING at a 3/4 inch diameter iron'.pipe tagged L.S. 2611 marking the South quarter corner of said Section 26; thence, North 00 081 4511 West along the North and South centerline of .said Section 26, a distance of 662.94 feet to a 3/4 inch diameter iron pipe tagged L.S. 3734 marking the true point of beginning for the parcel'of land hereinafter described; thence, North 890 311 1911 West, a distance of 328.45 feet to a 3/4 inch diameter iron pipe tagged L.S. 3734; thence,, North 00 08° 4509.West a distance of 318.16 feet; thence, continuing North 00 0814511 West, a distance of 305.15 feet to a 3/4 inch diameter iron pipe tagged L.S.3734; thence, continuing North 00 081 4511 West, a distance of. 40.00 feet to the North line of said South half of the Southwest quarter of Section 26; thence, South 890 271 29" East along said North line, a distance of 328.45 feet to the. Northeast corner of "said South half of ,the Southwest quarter of Section 26; thence, South 00 081 45" East along said North and South centerline of .Section 26, a distance of 40.00 feet to'a 3/4 inch diameter iron pipe tagged L.S. 3734;,thence, continuing South 00 081 45" East, along said North and South centerline of said Section, a distance of 304.02 feet; thence, continuing South 00 081 4511 East along said North and South centerline of said Section, a distance of 318.92 feet to the true point of beginning. BUTTE. COUNTY. _ _AUG 042 15 �® Notwr PC►sut _ CALIFORNIA . "'�f."� " "" -"""-- ..-.. - P2INCIt Ofi1C6 IN TNI - otazy Publ c in and fo a ootarrr toRIM , DEVELOPMENT the ................."............- County .... a+r --- C—MW" EXPbes October 16, 197s SERVICES State of California. �uenouseuuuuueuunseaesnnweweuenm v END OF DOCEIMB4T d When recorded mail to 85896-10176C�--a • Completion James H. Mead ,Rut[Ce of Completion Rt. 3, Box 93 (INDIVIDUAL OR CORPORATION) Durham, California NOTICE IS HEREBY GIVEN: 1. That on the 22n4 day of ......------•----------------------------------- 19).72 ., the work of improvement as a whole was completed upon the hereinafter described real property. 2. That the name and address of the owner giving and filing this notice is NAME STREET AND No. CITY STATE .Tames H. Mead Rt. 3, Box 93 Durham, California -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•-- The names and addresses of all other co-owners, if any, who own an estate or interest in said real property, whether as joint tenants or tenants in common, or otherwise, are: NAME STREET AND No. CITY STATE ------.-----Jo.Yce--??,. J_!?.y.!�q..E.,...Me`ad ............................................... Rt.- 3, -Box 93 Durham California ---------•-----•------------------------------------------------------------------------------------------------•--------------------------•-------•---........------------------------------•--•-- •-•-------------- 3. That the nature of the interest or estate of the owner in and to said real property is in fee ................................... ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------.........-. (If other than in fee, strike out "in fee" and insert nature of interest or estate, as for example "purchaser under contract," "lessee," etc.) 4. That the name of the original contractor for the work of improvement referred to above is.................................. Al Wei-nreich -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 5. That the street address of said property is: Rt. 3, Box 93, Burdick Road �........:. Durham California ...................... . ..------.......---... ........ 6. That the real property herein referred to is situated in the City-_..........................................:.....................::.................. Butte County of. _ , State of California, and particularly described as follows: - - e �.. / . aures H. lKe d Owner .............................................................................................................. Owner VERIFICATION FOR USE OF RECORDER ONLY STATE OF CALIFORNIA --- ......................... _... County of._ But_te .......................................... s. + The undersigned being duly sworn, says: That ....he_ ha.3._. read the foregoing notice and 33624 knows the contents thereof, and the same is tru f -_......hl S .... _own knowledgq. r -------------------------------------............--.............------:-.......---- Subscribed and sworn to before me this_3.0 t h a 2 �IEEEeemewonuEuu¢uEEEeuaeEEEUEeeeeunuu111 day of-_.----__....................M..._.y.......... 19_7.__.. -. o OFFICIAL SEAL (SEALDONALD L. MULKEY ............. ?q __ ... NOTARY PWIIC — CALIFORNIA Mary Publ c in and f-- - _ P111110PAL OP`CE�ITNTE THE COURMy Commission Erpires Oerobw 16, 1975 the ..............................- County of.__BLlti_fi.@... ......... State of California. EE E I I I I I EEQEEII 10111E EEEEIEEEEEEIEUEEE UIIIIIHIIIM OFFI'MA! RE00r7DS "r U TT:' COl')JIY r.J.IFf[-rl;£ o gp���2q( iid (/r •-pr• ( r r p r� Hu 30 4 55 PM 113111) r;►rL c i_CUi,SE KLU r 10,,,' 1"T0;' » COUHTY RE f,'WtDEii ? 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