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040-213-001
/ , ' a . � ` � L:r Ll oodspeed St, Du am / Pr 40 ' ' 0 ` . / , . 1 ` ` ) ` �. JOHNSON, MARY} 9424 GOODSPEED RD, DD CONT: BEST BUILT �EXT. BR & ADD BATH ) 1 . 040-213-001 0 27 JOHNSON, CRAIG I AL 9424 / . (' . . ' . . . .^ DURHACONT: SELIG CONSTREPLACE WINDOWS/SF. �l / . | / | . . � 7 ^ . � � � " 1 � ' > . - / ' | 1 ^ . � v � ' ) « ( � * ' ` m NOTES RESIDENTIAL\ 040-213-001 -'Z7 V�03-0_421 PERMIT NO. JOHNSON, MARY 9424 GOODSPEED RD, DURHAM - CONT: BEST BUILT CONST. EXT. BR & ADD BATH i l II SPECIAL CONDITIONS SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSINGLETTER JOB FINALED ( at r Signature CHECKED BY J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNgERFLOOR (Plans) OK except #'s Zpni ng-Setbac ks- Easements- Flood -Slope 2►/t:tg., Main; Soils-Elec. Grmd--/ • /" Ftg. Depth `7Ffg., Garage; Soils-Steel-Elec. Qa)A l /" Ftg. Depth . �tg., Porches & Decks; Soils -Steel -//4 /" Ftg. Depth 5 Stemwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a'-Ftold Downs and Special Anchors -Slab, Steel -Wrapped --8-Piers- FireplaceFtg.-Steel Fall -Fitting -Test -2 Way C/0 -Sewer Test It -UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test -T.'Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 1 gders-Sills-Anchor Bolts-Joists-Vents-Crippies 15(/Access & Ventilation 16. Insulation Date 3 Card B-1 Date Card B-1 Date , ' �2 Card B-1 j Date Card B-1 Date PLUMBING (Permit) OK except #s Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 17. Water Htr.; Vent -Access -Combustion Air Baffle 68. 18. Water Pipe; Test & Anchor -Nail Protection 69. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Stairs & Rails 20. Shower Pan; Test, First Floor -Tub Access Fireplace or Stove, Clearance -Hearth 21. Test Tub & Shower, Second Floor -Tub Access 73. 22. Gas Pipe; Sixe & Anchors Elec. Outlets & Receptacles at Kit. Counter 23. Fire Sprinkler; Test 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Date 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date Guard Rails & Deck Construction -Post Caps Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Clearance Looked under Floor O Yes 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or All Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49: Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall &Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts ce Interior/Extdrjpr.Vd'dll Panels su lation-Walls-Cei I Ings ( / 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive D Yes 0 No/Walks 0 -Yes D No/Planters D Yes O No 84. Stucco Brown -Finish " 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim,'G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK 0 = Not 0$ , + = NotApplicable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Date 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /" L "ft./ P LPG Date 7. Well Clearance & Disconnect Date 8. Utility Clearance 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 ER 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 completed. It ou have any questions pertaining to this matter, or need additional explanation, please con ct this office immediately. 1Nr . 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 OWNE `j'�A/ PERMIT NO. A routine inspectioni 'dicates that the following violations of butte county Ordinances exist at the above address and hould be corrected. Please notice this office when correction of work is completed. If yo ave any questions pertaining to this matter, or need additional explanation, _t please contact its office immediately. 007,46W P672^17- oye �!/G-'� ✓ G��i�r�aw5 Awa 15fdy//� :d. 'd3 COUNTY OF BUTTE r .. ; .. . , . , . BUILDING DIVISION- DEPARTMENT IVISIONDEPARTMENT OF -.DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE - r2 Yui PERMIT NO. A routine inspection indicates thal.lhe following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is complet�07. If you have any questions pertaining to this matter, or need additional explanation, please contact. this office immediately. 710AFAM L L� ...,—�" '—,-,,.....-..v-..c.�,�r+res+vr�v•y,'!.�'i'—�s•'�,f,Yr 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 OWNER ()� - OL(?,/ 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 completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 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 NOTICeO3 -N,f �` )U ►1 �t`I�'1 11,4,4 0- L4 Z) OWNER � PERMIT NO. 0q0-a13-0014tte-t 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 completed. If you have any questions pertaining to this matter, or need additional explanation, please contact ttthis goffice immediately. 1 � . � S�Z✓2) �h��r� �1CJ� b � U VAP 2X01 U'xn cbVrjca� nib e -Q -=/,1A - 20 - v3 . C rov i X110 oe vn-u e— 'h7 t ►n Swlc.�-cam . ntv iVraAd TO: FROM: DATE: yfir. INTER -DEPARTMENTAL MEMORANDUM v �b ,E NVIR. HEALTH, CHICO RELE'AASSjE�ENVA.'/HEAL/TH HOLD ON BUILDING FINAL FOR: OWNER NAME: �1 ®/SL/V S�j10 SEPTIC: WELL: AP#: ®'��% — dL3 —&V1 ADDRESS/LOCATION: Comments: GL/memos/releasehold COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone. 530) 538-7541 0 �, /Q � (Rev. 12/96) APPLICATION AND PERMIT (j ASSESSOR PARCEL NUMBER 040-213-001 ZONING` BUILDING PERMIT OWNER MARY JOHNSON 990-2378 TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNER'S !AILING ADDRESS 145 ChicoCan on Road Chico CA 95928 240 R 12,960.00 CONTRACTOR'S NAME Best Built Construction 990-2378 TELEPHONE CONTRACTORS MAIUNG ADDRESS 1354 E. Ave Chico Suite 124 Chico CA 95926 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $12, q6 no ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 144-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93.60 BUILDING ADDRESS 9424 Good Speed Road Du Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $280.60 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 3 1 7.0021.00- .0021.00Solar Solaror heat pump water heater 23.00 Water piping 15.0015,00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ext br add bath Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S 71,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A 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 lull force and effect. �) 7 License ClassC33 _ Lic. No. / O S -G I 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 Main Service TO 46.00 NEW CONST. DWWELEL LING OCCUCUP.SO OR ADDNS. a ACC. BUDS. 3.5QFr. 8. 40 NOA°Esso ' MULTI-OUTLETRCU @7,50 POWER APPARATUS a SINGLE OIJfLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 BAL. @ .so Ex. Occup. pUTLEEpT9Ralp°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ 51.40 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation Extend ducts; 11-5-oo PERMIT FEt $ 35,00 Policy Number (The above sections need not be completed if the permit is for work of a valuation 4of 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 wor erscompensation provisions of section 3700 of the Labor Code, I shall fo ith co with those provisions. X Date 'L- o Signature of App ant - ❑ Owner Contractor ❑ Aged An OSpe mit is required for excavation over 60" deep and demolition or construction HA of structures over 3 stories in height. dip 94 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR PFLDENROD.AFIPMANY Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ R3 CONST. TYPE VN TOTAL FEE $ 484.00 HAZ. p- IMP OO CDF PARC PD H ISS 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 ate 0� f PERMIT EXPIRES ON 07 -•xgn��c�n •pry n+�rirR�°'.... -� .N�.q,:, +M°^�'1..."s •-���n-r„ <� �Y�Tr .'r COUNTY OF BUTTE -DEPARTMENT O , EVE2sOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPIyyOATION DATA SHEET OWNER: � ` a�1(`��`�On�\. ASSESSOR PARCEL NUMBER � C1 Proposed Building Use: v//�\ � V1 bY—\ '.Counter Technician: 4 Date: o` - Items required in order to apply for a permit. All boxes MUST be checked OR ma ced NA in order to apply. i§121.. Plot plans, 3 or 4 sets, signed)by the preparer of the plans. Complete plans, 3 or 4 sets, signed by the preparer of the plans. -�T 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! Energy compliance design and supporting documentation in duplicate. "❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. M, Date Received By 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner.......................I ............. , ❑ 12. Hazardous Material Form............................................................................... _ x. ❑ 13. Other s> aining items needed to issue the permit. (May require additional plan review upon receipt of the f (lowing items.) 4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings ................................ , ... \ 6. Sanitation and plot plan approval from the Environmental Health Department in 17. City of Chico Plumbing permit....................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: .❑ 19: Planning approval for (A) Use: "t (B)Parking:. (C) Parcel Check: ❑ 20. Contact Land Development about E'I' Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for drivewayrfrom the Public Works Dept. (construction approval prior to occupancy). a ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... 0 24. Worker's Compensation Carrier and Policy Number ....... ...................................... ��2.5. Owner -Builder Verification (0 Given to owner, ❑Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... 29. Existing violations and/or expired permits ..............................g ......................... 0. ❑ Grant Deed ❑ rH. Title/Statement of Facts, ❑ Letter om e al gwner,'❑ Check to H.C. (-Ven �issued elephone and�lold for pickup. I have been info Applicant: above items and requirements for obtaining 1. Index permit application for the above items numbered 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: "; Date: Structural reviewed by: '' Date: Note transfer by: Date: phone, ❑ ?nail, ❑ c4 phone, ❑ mail, ❑ a Plans approved by: _ _Structural approved by: Yellow: Building Division E.H. USE ONLY Plot Plan AttacMd Floor Plan ARachad sent to G.&aa2= TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ' Private Well Clearance for dwelling. Other Hold final for. /— Final clearance O.K. for: NOTE: / // -3 Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER G W ED BUILDING USE h 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee ..... ........$ 2. SCHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential ...................... Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) fLA- 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A.P. # DATE _ RECE�I/PT # DATE RE . At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building, permit. These fees may be changed during the plan decking process. APPLICANT DATE 2 (2 v Pursuant to Government /Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) ��••'`.. -.'r ... . , .... ,4 .. ..^at:... -.,{'.-,.,-t... �y„ _r. . �.. ,�. ,J gjr�v,.c ..��, ,�.�,ye..� ....-. r...+,.... ��;...i-:a School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One,form per Building) Yy,"— V'tu ak (x) 1 Jurisdiction: City ZT-olr1r) -4"5)ry--, 0 �2i41 G Property Location/Address Subdivision Building Department No. County Lot No. ............................................. ........ ,............................................................ , Residential Development F^ Sq. Footage No of Living Mobile Home < _ ditto *Supplemental to Units Installation Conversion Permit # *(No foundation inspection): Commercial/Industrial Sq. Footage (Group R) (Including Exterior Roofed Areas) a• �a- v� Date r/rioor rians reviewed oy acnooi uisinct rersonneq District Identification No. G •%l a. School District certifies that (Applicant) (Street Address) ' (Phone Number) Dupe -%m (City) (State) (Zip Code) has complied with the requir//ements.of Resolution No. by payment of $ representing o? 7� square feet. JA13 2926 $ FULL MITIGATION $ School District Representative Date Paid by Check # NI Remarks: N Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written.protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformAs (10/98)dmm 02/21/03 FRI 10:57 FAX 5308940713 RECORDING REQUESTED BY ;. 131dwell Title & Escrow Company AND WHEN RECORDED MAIL TO Nemo Mary T. Johnson Addretreet ss 1354 East Avenue, Ste. R #1244 Addr � ,r.stnte Chico, CA 95926 Onfer Nn_ 00207536-002 BIDWELL TITLE BIDWELL CHICO NED COPY OF THE OPKIN IRTMT RREE'MED INSTRUMENT THE OFFICE OF • E COUNTY OF BUND STATE OF CALIFORNIA 11-6 TME & ESCROW COMPANY Pon ti• ... r. rusuvn t HIS LINE POR Rl CORDiEk'$ U! Parcel No. 040-2t3-001 GRANT DEED THIS FORM FURNIS!{ED BY RIDWELL TI7'LL• & ESCROW COMPANY The Undersigned Grantor(s)l�cclarc(s) E3 City/Town of Documentary Transfer Tax is $170.50 X Unincorporated Area X compured on full value of interest orro rt D full value less value of liens or encumbrances remain ng �r the time of sale FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledgf ednuntcnt Pec of $10.00 Margaret Ellen Morrison, surviving joint tenant hereby GRANT(s) to Mary T. "ohnson, a married woman as her sol© the following r� City property in the O Ci of and &epea property County of Butte, State of California: X Unincorporated Arm Dated: IFehrutt 13 2003 SEE E3MBIT A ATTACHED HERETO, AR AND MAD •A FT HEREOF Margarel/�11en Morrison• • �` STATE OF CALIPORNLk COUNTY OF Butte SS: OntZZ _ y said Cco%ty and State, personall a before me, Y ppeared tdargaret E11®n Morriaon Personally known to me (or proved to me on of satisfactory evidence) to be the a the basis nand ame (s) is/are subscribed to thew p rson($) whose acknowledged to me that he/she/they executed tthetsame in his/her/their agthorized capacity(ies), his/her/their signature(s) and that by on the instrument the Person(s), or the entity upon behalf of which the Person(s) acted, exeCuteci the instruMent. tazT ESS hand a d official Seal. Signat MAIL TAX STATEMENTS TO: the undersigned, a Notary Public in and for LAUR1 BELL COMM, 11336648 If ITARY PUBLIC-=f*AFQA COUNTY OF BUTfE Comm. Expires din, 2e, 2Qot< [a 002 02/21/03 FRI 10:58 FAX 5308940713 BIDWELL TITLE BIDWELL CHICO lam Order No. 00207536-002 EXHIBIT A THE LAND REIFERRED TO HEREIN IS DEACRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF B CALIFORNIA, DESCRIBED AS FOLLOWS: BUTTE STATE OF LOT 10, IN BLOCK 1, AS SHOWN ON THAT CERTAIN MAP ENTITLED „ TO THE TOWN OF DURHAM", WHICH MAP WAS RECORDED ADDITION RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN TIIEOFFICE OF THE IN BOOT{ 1 OF MAPS, AT PAGE(S) 40. ON JANUARY 20,1896, EXCEPT THE SOUTHERLY 10 FEET. AP NO. 040-213-0()l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Cadifornia� 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT=lea ASS ESSOR PARCEL NUMBER 040-213-001 ZONING BUILDING PERMIT OWNER JOHN TELEPHONE 1990-2378 SO, FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONT ES 5,000.00 CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ 5,000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 81-00 Plan Checking Fee $ BUILDING ADDRESS 9424 GOODSPEED DURHAM CA 95954 Energy Plan Checking Fee $ $ PERMIT FEE $ 101.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF j;Ql 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 TYPE OF WORK New ❑ Addition ❑ Remodel EK Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE EXISTING WINDOWS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Fling Feel 20.00 Main Service 200A O 1 LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencin wecon ovision oe usness anroessions Code, ( gith Sti7000 )f Di3f thBid Pf and my license - in I. r and effect. i , License Class Lic. No. _7) 1 V 7- 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. & ACC. BLDS. 3.5¢FT. NEW CONST. MULTI -OUTLET NON-RESID. H CUITS97.50 PowER APPArv.Tus 8 SINGLE OIJTLET CIR. Ex. OCCU OUTLET OR FIXTURES B20 @ 1.000 Ex. Occup. oUxLE�os'R=-.DFR-a 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. o ❑ 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' ompe on insurartGE carrier and polic number are: Carrier �� oa_ Policy Number _�6� ►. (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. X � -I C�1j— % — 3. nature of Applicant - ❑Owner Contractor ❑ Agent An OSHA permit is required for excavat on.,over 60" deep and demolition or construction of structures over 3 stories in heigh MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 101.00 HAZ. I D. FEES IMP I FLOOD COF 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. (� a nI 1,6l,_GV , ,fes Date _&/01 1414 PERMIT EXPIRES ON Defe -7-- Receipt No. ez,0 WHITE-D.D.S.-B.D. CANARY- S OR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PIT NO. W 1 ASSESSOR PARCEL NUMBER 040-213-001 ZONING BUILDING PERMIT OWNER DANIEL LEEDS TELEPHONE 895-3400 SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOX 514 DURHAM CA 95938 CONTRACTOR'S NAME ITM;RNOWN TELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace COTION LENDER NiV4Vf E VNK OWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER i'i01'l li LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 9424 GOODSPEED DURHA'I Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities I Installation❑ Other ❑ Describe work: SERVICE UPGRADE FOR DWD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS AMP OR LESS 10.00 10.00100 Main service EA. ADD'L 100 AMP 2.50 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 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 _ /dor sale. (Sec. 7044) 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.& New DCONS. S. AUC ) h¢sgft TBI.OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20950t 1.20@50t ALO FIXED APLISIS Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 5. Permit Fee $ 35.00 Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 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, indemnifyand keep harmless the Count of Butte against g p y g all liabilities, judgments, costs, and expenses which may in any way accrue against said, County'in consequence of the granting of this permit. ( f ���) 1� l� X k — .-.� < , Date Signature of Applicant — Owner Contractor ElAgent1:1work 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 - 35.00 TOTAL FEE $ HAZ CUA PARK SCHL FLD CDF PAR PD I HD. ISE This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/pr resolutions to do bridfcated above for which f s have been paid. DIR�w O OF PU .LI WORKS B Date 7/19/91 PERMIT EXPIRES Date 7/19792 Receipt No. 96785 WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95;5 -Telephone: 916/538-7541 ,FZ�® APPLICATION ASID PERMIT ASSESSOR PARCEL NUMBER 040-213-001 ZdTNINAS BUILDING PERMIT OWNER DANIEL LEEDS TELEPHONE 895-3400 ,SQA FT. OCL`. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. BOY 514 DURHAM CA 95938 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee 9y g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 424 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK1 New ❑ Addition ❑ Remodel ❑ Utilities U Installation ❑ Other ❑ Describe work: SERVICE UPGRADE FOR DUUD Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 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 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 Jor 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.5d New CONSTR.( A ) , h¢sgft ULT1 OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q eALO 30 FIXED APLNS.❑ Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 15.00 Permit Fee $ 35.00 WORKMEN'S COMPENSATION INSURANCE I declare pder penalty of perjury (check one): e permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, sts and expenses which may in any way accrue aga)ns Cont I co s ue a of the granting of this permit. Date �9�(� 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 $ Energy Inspection Fee $ occ CONST TYPE 35.00 TOTAL FEE $ HAL CUA PARK SCHL FLD CDF PAR PD I HD. ISS E 1/ This permit is hereby issued under the sions of the Butte County. Code and/or work ated above for which f DIR O OF PU I e PERMIT EXPIRES Date applicable provi- resolutions to do s have been paid. WORKS ate 7/19/91 7/19/92 Receipt No. 96785 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95@65 - Telephone: 916,"538-75,11 APPLICATION AND PERMIT PERMIT NO. ASSESSOR 1,11111 11111E C)yo -- -1 —00 ZONING BUILDING PERMIT Ow ea -g O / S -���Q SO. FT. OCC. BUILDING VALUATION OW,N ER'S MAI ING ADDRESS VYI qS J` CONTR CTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 L NDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Good our W1 Permit fee ; PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ emode l ❑ Utilities Insta lation❑ Othe Describe work: r CE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 (� Main service EA. ADC -L. 100 AMP 2.50 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 No. Classification. F -1I, 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) ElI, 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.& OR ADDNS. (ACC. BLDGS. 2/z¢sgft NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20®30t eALA3ot FIXED APL -4S Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 j 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 10.00 Heating Coolin g 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 County0t 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. XThis 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 $ Energy Inspection Fee $ occ =PE , OQ TOTAL FEE $ HAZ I CILIA I PARK I SCHL I FLo coF I PAR ( PD Ho..Iss� I I permit is hereby issued unser sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASeE350R. PINK -INSPECTOR, GOLDENROD -APPLICANT 40-213-04 Ck-r'jJ�� 3351-89B c LEEDS, Daniel 8 Linda ' 9424 Goodspeed, St, Durham Contr: Allied Ener (vinyl sidin g)SFgy Pro 1 IliC U 't OF BUTTE -DEPARTMENT OF PUBLI6;WORKS .'� a. PERMIT NO, '7 CountyZenter Drive - Oroville, California 95965 - Telephone: 916/538 7541 ` ' � 55- 10 Y- APPLICATION AND PERMIT ASSESSOR CEL NUMBERZDN 69 1 � - ;BUILDING PERMIT OWNER TELEP ONE S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING /I AD RESS CON,TRACTOR'S NAME u5n ivm t, - A-45T) TELEPHONE- ELEPHON - tp(4, 1 q r1 CONTRACTOR'S MA LING ADDRESS �. I� s..pO�2� % 7 yr Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS j Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ BUILDING ADDRES_ t - Permit fee $ S' PLUMBING PERMIT Filing Fee 10.00 �V IZu Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. JSUBDIVISION NAME �A PARCEL MAP ! Water piping -,5.00 Each gas water'Nater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY '1 Gas piping system "$\- 5 outlets 5.00 Building sewer 5.00 Mobile Home S W1 10.00e _ TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other[[ Describe work:_�r�V/J j_ f'1,>b IQ ft7 - _ Permit Fee $ Contractor � ELECTRICAL PERMIT Filing Fee 10.00 ` Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 1 CONTRACTORS LICENSE LAW ± I declare under penalty C perjury p y p I y (check one): I am�'licensed under provisions Of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full j�orce and effect. License No. Classification J I ❑ 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) ��� f��qw jig � tont �; I s t 77 Re�am6e I tr�ctiay�j—wh licensed contract-- ors. (Sec. 044) ql am exempt under Sect ��,, us��n1ess and Professions Code ('for this reaton NEW CONST. DWELLING OCCUP.ti+ OR ADDNS. ( ACC. BLDGS. ) , 2/2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS el (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURE S SALO 0 Ex. Occup. OUTLETS (RESID.)REA.FIXED APPLNS. ) 2.00 Temporary service 10.00 Mobi(etHome F ilities, 15.00 Miso Wiring `" Lv X15.00 Permit Fee $ " Contractor , A WORKMEN'S COMPEN f IOTi this RANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0I 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. MECHANICAL PERMIT FiIingFee 10.00 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 said" County inconsequence f the granting of this permit. r, X '�yf•�tf Date �� '�, J Si gnatureT18567pplicant — Owner ❑ Controctor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct-UBLIC ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 5 HAZ CUA PARK SCHL FLD PAR PD HD Iss This permit is hereby issued under sions of the Butte County Code and/or work indicated above forwhich fees B y PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Id - _ 9 /� �� Rec611�l eipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 3pEs/—IT 00 ASSESSOR,rbCEL NUM O ZO BUILDING PERM, OWNER L LE TELEP ONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADOR Z CO RACTOR'S AME U o VM y�6 TELEPHON ��l6 t T rl C NTRACTOR'S MA LING ADDRESS /^ C0.79, p , W I Fireplace CONS RU TION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES Permit fee $ PLUMBING PERMIT Filing Fee 10.00 V Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water pipin 5.00 Each qas waterNater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system*,- 5 outlets 5.00 Building sewer 5.00 Mobile HomeI S IN 1W 1 110.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: 4`VIZj PbD 10 9,7, ' _ Permit Fee $ Contractor ELECTRICAL PERMIt Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): VI am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license Is In full rce 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.g OR ADDNS. ( ACC. BLDGS. h¢sq ft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t e ALO 30 FIXED APPLNS EX. OCCUp. OUTLETS IIRESID )REA.) 1 2.00 Temporary s vice 10.00 Mobile Home F fifties 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 7� 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 P RMIT Filing Fee 10.00 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 liabiliti s, judgments, costs, and expenses which may in any way accrue against I County in o sequence f the granting of this permit. X 01 Signat o A liccnt - Owner ❑ Contractor ❑ Agent �9_ 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 $ HAz CUA PARK SCHL ELD PAR PD HD ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees C R PUBLIC A�_k BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS y� L Date7— Receipt No.mvp WHITE-D.r.W.. TEL OW-ASeE98aR. PINK -INSPECTOR, GOLDENROD -APPLICANT Allied Eney Products 1676 N. California Blvd. Suite T120 Walnut Creek, CA 94596 Date 40 - z(3 - o� �Jo�'✓ie l A)a�� To Whom It May Concern: JOZ A)o Enclosed is a copy of my current California State Contractors License #535121. I am authorizing �' to act as my representative in taining any necessary city business licenses and permits, in the State of California. With authority to sign any necessary papers. My social security number is 485-58-0732. Sincerely, Nick Rrpan I