HomeMy WebLinkAbout042-170-019CERTIFICATE OF MERGER
AN
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ell
42-17-.19- a
Mary Cinquini ?f
NIS Grape Way,ap 3/4 i..E o{ff
Meridian, Chico W G/ 1
contr: Polly Pools, OroviIle
Permit #4426-80B,P,E(new private :.
swimming pool &spa).
CINQUINT 9 Try
=Pi �.
On Grape Way, i Ni. So. Sace. ,
CONTR: Bill Tullins, Chico
+ #6 Kingston Circle, Chico
(new, single-family) i
*Addition- CONTR: Yancey Co., 2354 Fair S11
s;
Chi c o
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M
71
E
t
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71
NMI
Department
C o u n t y
J. Michael Crump, Director
Warner C. Phillips, Assistant Director
January 3, 2003
Lila Jean Cinquini
2938 Grape Way
Chico, CA 95973
Re: Certificate of Merger
AP 042-170-019
Dear Ms. Cinquini
f Public Works
o f B u t t e
LAND DEVELOPMENT DIVISION
7 County Center Drive
Oroville, CA 95965
(530) 538-7266
(FAX) 538-7171
Enclosed please find the Certificate of Merger that was issued by the Butte County
Department of Public Works and recorded on December 10, 2002, under Serial Number
2002-0067648, in the office of the Butte County Recorder.
If you have any questions concerning this matter, please contact this office at (530)
538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m.
Sincerely,
Stuart Edell
Manager, Land Development Division
SE/kp
Enclosure
cc: ✓ Building Division
Environmental Health Dept.
Sierra West Surveying (7985)
Recorded 1 REC FEE 28.00
Official Records i
AFTER RECORDING RETURN TO: Court EOE
CANDACE J. ORUBBS i
Butte County Public Works Recorder 1
LAND DEVELOPMENT DIVISION ROSEVARY DICKSON I
Assistant 1 Barbara
7 County Center Drive 03:30PM 10-Dec-2002 I Page 1 of 8
Oroville, CA 95965
CERTIFICATE OF MERGER
LANDS BEING MERGED:
AP NUMBER(S) 042-170-019
SUBDIVISION / PARCEL MAP:
BOOK 5 PAGE 29 BLOCK LOT(S) Portion of Lot 52, All of Lot 53 & Portion of Lot 54
BOOK PAGE BLOCK LOT(
As of the date of recordation, those lands noted above are merged to create 6 parcel(s) of land as
described in Exhibit(s) A through F attached hereto.
DECEMBER 9. 2002
MI E CRUMP DATE
Director of Public Works
OWNERS' CONSENT TO MERGER
THE UNDERSIGNED, as owners of all that real property to be merged, do hereby consent and agree to the
merger of such lands into that / those parcel(s) as described in Exhibit(s) A through F
attached hereto.
ALL SIGNA TUR, MUST ENOTARIZED.
SIGNA URE LILA JEAN CINQUINI DATE
SIGNATURE DATE
SIGNATURE DATE
SIGNATURE
DATE
D:\Land Development\Application Forms\Certif. Of Merger -LD 1530 (10/01)
�IS,S� AME R
1 9
STATE OF CALIFORNIA BUTTE
COUNTY OF
on APRIL 30, 2009 before me, LINDA J. WOODCOCK NOTARY
personally appeared LILA JEAN CINQUINI
personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signatur vt/
LINDAC6. WOODCOCK
STATE OF CALIFORNIA }ss.
COUNTY OF }
On
personally appeared
before me,
LINDA J. WOODCOCK
COMM. # 1228837
NOTARY PUNJ AUFORNIA C
COUNTY OF BUTTE
COMM. Explin July 15, 2003 w
, personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same
in his./her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature
rrlii area 1. dfi w'".w seaq
Title of Document
Date of Document No. of Pages
Other signatures not acknowledged
G45191
3008 1194; 1r'-ap
• FaS; Ar•�,Yar. tm� lnswanc^ r>�na'y
EXHIBIT A'
Resultant Parcel # 1
All that certain real property situate in the County of Butte, State of California,
being a portion of Lot 52 of the Seventh Subdivision of the John Bidwell Rancho,
a map of which was filed for record in the Office of the Recorder of the County
of Butte, State of California in Book 5 of Maps at Page 29, described as follows:
BEG/NN/NCat a point on the Southerly line of said Lot 52, distant thereon North
660 48' 00" East, 373.50 feet from the Southwest corner of said Lot 52, said point
being the Southeasterly corner of the Westerly 10.00 acre parcel of land described
in the Deed to Clifford J. Canfield recorded in the Office of the Recorder of the
County of Butte, State of California in. Book 152 of Deeds at Page 59; thence
leaving said PO/NTOFBEG/NN/NCand said Southerly line along the Easterly line
of said 10.00 acre parcel, NORTH 1299.60 feet to a point on the Northerly line of
said Lot 52; thence leaving said Easterly line along said Northerly line, North 40°
00' 00" East, 43.60 feet; thence South 820 50' 00" East, 152.20 feet; thence North
400 00' 00" East, 18.61 feet; thence leaving said Northerly line of Lot 52, SOUTH
1246.41 feet to a point on said Southerly line of Lot 52; thence along said
Southerly line, South 660 48' 00" West, 207.80 feet to the PO/NT OF
BEG/NN/NC. Containing 5.62 acres of land more or less.
COND/T/ONS
A flood zone lies along the northerly edge and the Southerly edge of the herein
described parcel. Butte County Code has additional construction requirements
and restrictions for development including but not limited to, structures, sewage
disposal systems and water wells, within any identified flood plain.
Maintain 100 foot leachfield free setback from all wells in the project and wells
within 100 feet of the project boundary.
LAND
N 010
C: Descriptions\7985Cinquini. D-1
Robert G. Agee, Jr.
L.S. 4010
Registration Expires 6/30/04
EXH/B/T `B'
Resultant Parcel #2
All that. certain real property situate in the County of Butte, State of California,
being a portion of Lot 52 and 53 of the Seventh Subdivision of the John Bidwell
Rancho, a map of which was filed for record in the Office of the Recorder of the
County of Butte, State of California in Book 5 of Maps at Page 29, described as
follows:
BEG/NN/NCat a point on the Southerly line of said Lot 52, distant thereon North
660 48' 00" East, 581.30 feet from the Southwest corner of said Lot 52; thence
leaving said PO/NT OF BEG/NN/NC and said Southerly line, North 1246.41 feet
to a point on the Northerly line of said Lot 52; thence along the Northerly line of
Lot 52 and 53, North 400 00' 00" East, 195.58 feet; thence North 49° 01' 30"
East, 86.47 feet; thence leaving said Northerly line of Lot 52, South 1371.07 feet
to a point on said Southerly line of Lot 53; thence along said Southerly line of Lot
52 and 53, South 660 48' 00" West, 207.80 feet to the PO/NTOFREC/NN/NC.
Containing 5.77 acres of land more or less.
COND/T/ONS
A flood zone lies along the northerly edge and the southerly edge the herein
described parcel. Butte County Code has additional construction requirements
and restrictions for development including but not limited to, structures, sewage
disposal systems and water wells, within any identified flood plain.
Maintain 100 foot leachfield free setback from all wells in the project and wells
within 100 feet of the project boundary.
LAND
G. q�
Q N .
10
C: Descriptions\7985Ci nquini. D-2
Robert G. Agee, Jr.
L.S. 4010
Registration Expires 6/30/04
EXH/B/T `C'
Resultant Parcel #3
All that certain real property situate in the County of Butte, State of California,
being a portion of Lot 53 of the Seventh Subdivision of the John Bidwell Rancho,
a map of which was filed for record in the Office of the Recorder of the County
of Butte, State of California in Book 5 of Maps at Page 29, described as follows:
BEG/NN/NCat a point on the Southerly line of said Lot 53, distant thereon North
660 48' 00" East, 789.10 feet from the Southwest corner of Lot 52 as shown on
said map; thence leaving said PO/NT OF BEG/NN/NG and said Southerly line,
North 1371.07 feet to a point on the Northerly line of said Lot 53; thence along
said Northerly line, North 490 01' 30" East, 242.34 feet; thence North 820 30'
00" East, 8.07 feet; thence leaving said Northerly line of Lot 53, South 1449.18
feet to a point on said Southerly line of Lot 53; thence along said Southerly line,
South 660 48' 00" West, 207.76 feet to the PO/NTOFREC/NN/NC. Containing
6.19 acres of land more or less.
CONDITIONS
A flood zone lies along the northerly edge and the southerly edge of the herein
described parcel. Butte County Code has additional construction requirements
and restrictions for development including but not limited to, structures, sewage
disposal systems and water wells, within any identified flood plain.
Maintain 100 foot leachfield free setback from all wells in the project and wells
within 100 feet of the project boundary.
IAN D SUMP
G AGFA, F`o�
N6. 10
c! '
OF C Al-\�" -
C: Descriptions\7985Cinquini.D-3
0
&4)1 --
Robert G. Agee, Jr.
L.S. 4010
Registration Expires 6/30/04
EXHIBIT `D'
Resultant Parcel # 4
All that certain real property situate in the County of Butte, State of California,
being a portion of Lot 53 of the Seventh Subdivision of the John Bidwell Rancho,
a map of which was filed for record in the Office of the Recorder of the County
of Butte; State of California in Book 5 of Maps at Page 29, described as follows:
BEG/NN/NGat a point on the Southerly line of said Lot 53, distant thereon North
66° 48' 00" East, 996.86 feet from the Southwest corner of Lot 52 as shown on
said map; thence leaving said PO/NT OF BEG/NN/NG and said Southerly line,
North 1449.18 feet to a point on the Northerly line of said Lot 53; thence along
said Northerly line, North 820 30' 00" East, 138.08 feet; thence North 700 30'
00" East, 111.47 feet; thence leaving said Northerly line of Lot 53, SOUTH
1400.70 feet to a point on said Southerly line of Lot 53; thence along said
Southerly. line, South 660 48' 00" West, 263.27 feet to the PONT OF
BEG/NN/NG. Containing 7.88 acres of land more or less.
GOND/TIONS
A flood zone lies along the northerly edge and the southerly edge of the herein
described parcel. Butte County Code has additional construction requirements
and restrictions for development including but not limited to, structures, sewage
disposal systems and water wells, within any identified flood plain.
Maintain 100 foot leachfield free setback from all wells in the project and wells
within 100 feet of the project boundary.
�p LAND 80
G. ACF�P�b�
No. 10
CM -\O).
C: Descriptions\7985Cinqu ini. D-4
Robert G. Agee, Jr.
L.S. 4010
Registration Expires 6/30/04
EXH/B/T E'
Resultant Parcel #S
All that certain real property situate in the County of Butte, State of California,
being a portion of Lot 53 and 54 of the Seventh Subdivision of the John Bidwell
Rancho, a map of which was filed for record in the Office of the Recorder of the
County of Butte, State of California in Book 5 of Maps at Page 29, described as
follows:
BEG/NN/NCat a point on the Southerly line of said Lot 53, distant thereon North
66° 48' 00" East, 1260.13 feet from the Southwest corner of Lot 52 as shown on
said map; thence leaving said PO/NT OF BEG/NN/NC and said Southerly line,
NORTH 1400.70 feet to a point on the Northerly line of said Lot 53; thence
along said Northerly line, North 700 30' 00" East, 171.63 feet; thence along the
Northerly line of said Lot 54, North 860 29' 00" East, 155.45 feet; thence leaving
said Northerly line of Lot 54, SOUTH 1331.69 feet to a point on said Southerly
line of Lot 54; thence along said Southerly line of Lot 53 and 54, South 660 48'
00" West, 344.82 feet to the PO/NTOFREC/NN/NC. Containing 10.02 acres of
land more or less.
COND/T/ONS
A flood zone lies along the northerly edge of the herein described parcel. Butte
County Code has additional construction requirements and restrictions for
development including but not limited to, structures, sewage disposal systems and
water wells, within any identified flood plain.
Maintain 100 foot leachfield free setback from all wells in the project and wells
within 100 feet of the project boundary.
LAND vc.
v�
G 4t
7
N 010a
c r,F
C: Descriptions\7985Cinquini. D-5
4, J A,,- - L
Robert G. Agee, Jr. ,
L.S. 4010
Registration Expires 6/30/04
EXH/B/T F'
Resultant Parcel #6
All that certain real property situate in the County of Butte, State of California,
being a portion of Lot 54 of the Seventh Subdivision of the John Bidwell Rancho,
a map of which was filed for record in the Office of the Recorder of the County
of Butte, State of California in Book 5 of Maps at Page 29, described as follows:
BEG/NN/NGat a point on the Southerly line of said Lot 54, distant thereon North
660 48' 00" East, 1604.95 feet from the Southwest corner of Lot 52 as shown on
said map; thence leaving said PO/NT OF BEG/NN/NG and said Southerly line,
NORTH 1331.69 feet to a point on the Northerly line of said Lot 54; thence along
said Northerly line, North 860 29' 00" East, 195.69 feet; thence North 67° 00'
00" East, 20.30 feet to the intersection thereof with the Westerly line of that
certain 8.91 acre parcel of land described in the Deed to Jack W. Weist, et ux,
recorded in the Office of the Recorder of the County of Butte, State of California,
in Book 309 of Deeds at Page 238; thence leaving said Northerly line of Lot 54
along said Westerly line, SOUTH 1259.90 feet to a point on said Southerly line of
Lot 54; thence along said Southerly line, South 660 48' 00" West, 232.83 feet to
the PO/NTOFREG/NN/NG. Containing 6.35 acres of land more or less.
CONDI ONS
A flood zone lies along the northerly edge of the herein described parcel. Butte
County Code has additional construction requirements and restrictions for
development including but not limited to, structures, sewage disposal systems and
water wells, within any ,identified flood plain.
Maintain 100 foot leachfield free setback from all wells in the project and wells
within 100 feet of the project boundary.
C: Descriptions\7985Cinqui ni. D-6
6.4-Vf V�-
Robert G. Agee, Jr.-
L.S. 4010
Registration Expires 6/30/04
END OF DOCUMENT
I
PERMIT NO. 4426-80B,P,E
` PERMIT EXPIRES-0//Z/
//Z/
Mary Cinquini ,
OWNER
Polly Pools, Oroville
i CONTR.
42-17-19
I ASSESSOR PARCEL
LOCATION N/S Grape Way, anpn.3/4 mi.F.-nf
Meridian, Chico
G
t
. o
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
1 Temp. Gas Service
j Called PG&E
. 4
JOB FINALED (Date)
i Signature
}
J = OK
O = Not OK
- = Not Applicable RESIDENTIAL, (Single and Duplex)
* = Not Ready
Date UNDERFLOOR (Plans) OK except N's
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg.
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. 1
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except p's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17. Shower Pan; Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe; Size & Anchors
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date ELECTRICAL (Permitl OK except H's
Date
20.
Fixture & Transformer Clearance -Ins. Protection
48.
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
49.
22.
Size Boxes & No. of Conductors -Stapled
50.
23.
Romex Installed Close to Edge of Studs & C.J.
51.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
52.
25.
2 Appliance Circuits in Kitchen & Conductor Size
53.
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
54.
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
55.
Shear Walls; Nailing -Bolts
Insulated Neutral ❑Yes F-1 No
28.
Service -Riser Conductors & Ground -Main Disconnect
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
30,
Clothes Closet Light -Shower Light
Card -BI
Card B-1
Date Card -BI Date
Date Card -BI Date
Card B -I
Date Card -BI Date
_
Date Card -BI Date
Date
MECHANICAL (Permit) OK except Ws
57.
31.
A.C. Ducts: Insulation & Support
_
32.
Vent Fan; Exhaust above Insulation
59.
33.
Condensate Drain & Overflow; Size & Grade
_
34.
Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet
61.
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Stairs & Rails
Date Card -BI_ Date
Card -BI
Fireplace or Stove; Clearances -Hearth
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls: Studs -Nailing, Spacing _& Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing _
39.
Draft Stop in Walls (rat proof) _
40.
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
_
Hangers -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rftr. Ties-Purlin-Roof Brat. Truss-Shthng.-Rfng.
44.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm Windows or Exiting Doors -Sill Hqt. & Dimensions
47.
Garage Fire Protection Framing
Date
FRAMING (Continued)
48.
Property Line Firewall & Openings
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
52.
Siding -Nailing -Veneer
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
54.
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., E16c. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents& Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection _
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
86.
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date
Card -BI Dale Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
(NOTE: Anentrymust be made each time youvisit jobsite)
J OK
0 = Not OK
= Not Applicable MOBILEHOMES
- Not Ready
MISCELLANEOUS
r
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -FID Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER T N
_ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
' APPLICATION ARD PERMIT
ASSESSOR PARCEL NUMBER
_/
OW R
1 VN
ZO ING
— V
TELEPHONE
BUILDI ER b�
SQ. FT. OCC. BUILDING VALUATION
OWNER SMA LING ADDR S
Ti CT •S NgME
l
TELEPHONE
r
Co
CONTRA O 'S MAILING ADDRESS
3 !
Fireplace
CONSTRUCTION LENDER -
UNKNOWN
LENDER'S MAILING ADDRESS
Total Valuation $ '7 7qC-
Permit Fee $41,
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
10 D
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADD ESS
BUILDING AD RESS
a
Permit fee $ DO
PLUMBING PERMIT Filing Fee &00
tS
Each Trap 2.00
Repair drainage or vent piping 2.00
I c -
Water piping _-C, Do
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent 2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system 2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: 'f'� S ,� over, C9L� I �'
SMain
Permit Fee $ • t%
Contractor
ELECTRICAL PERMIT Filing Fee &0
service 600 AMP LESS 5.00
Q�
S v'
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 Professio s o e and my license is in full fo ce and effect.
License No. Classification S_3
❑ 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.&
OR ADDNS. 1 ACC. BLDGS. 20sgft
EW CONST
NON R.D R BRANCH CTRCTITS 2.50 ea
NEw CONSTR, ( POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
50 �
@
Ex. Occup(o OR FIXTURES BAL@10C
IX
ED PTS
Ex. Occup,(OUT ETS(RESIC) )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring �v
,
Permit Fee $ r
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Cq,�ave placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a CertificateHood
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 3.00
Heating
Cooling
2.00
Ventilation
permit Fee $
Contractor
I certify that I have read this application and state that the above information
iscorrec . agree to comply to all County Ordinances and State Laws relating
to buil d' g onstr ction, and hereby authorize representatives of the County of
Butte t en r up the ab e -mention , property for inspection purposes.
I also gr a to fie, inde nd % harmless the County of Butte against
ccrue
a ains id C ty in o e c he granting of th
all Iia il' ies, �gment , o s, a e enses which m���d
%� Datesions
Signature of Applicant — Owner ❑ ' Contractor FL --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 $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP, GROUP
TYPE of CONST.
PARCEL
v
PD
v
ND,'
V/
155oE
C"
This permit is hereby issued under the applicable provi-
of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid,
DIRECTO OF PUBLIC WORKS
By Date
PEPOT EXPIRES Date 9-1 t-,?/
Receipt No. I F77 7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
NOTE
Owne
Addre
SWIMMING POOL CONSTRUCTION CONTRACT
THE CONDITIONS ON THE REVERSE SIDE OF THIS CONTRACT AREA PART OF THIS CONTRACT.
Date rI
1)02,
>
Home Phone
City (tel u C0 Work Phone
The contractor` •ereby agrees to sell and the buyer hereby a revs to pu se, an in ground vinyl liner Polly Pool. The size is
to be a%Z— outside- dimensions, by. deep. The work will commence on or about
46 aleo,4 r, -s 2612rj6rjMof 61-1• an I bye su an ally completed by
The Polly Pool includes as standard. items; filter, pump, motor, time clock, accessory kit, ladder, water balancing, pool instal-
lation, plumbing, electrical from the homeowner's panel, sales tax, art up chemicals and initials r u stru ion�s.��„�
The deck, not included in the base price, shall consist of' � square feet of��� ...., ..
and additional decking, if ordered, at U--�2 ��_ per square foot.
ACCESSORIES
41
YOU AS OWNER rR TENANT NAVE THE RIGHT J
TO REQUIRE I HE CON TRACTOR TO HAVE A PER-
FORMANCE ,.ND P.,YMEN I BOND OR FUNDING
CONTROL.
You are entitled to cancel this contract before midnight of the third day (excluding Sunday) after the date of your signature.
The signatories, buyer and contractor, are the exclusive parties to this contract.
Contractors are required by law to be licensed and regulated by the Contractor's State License Board. Any questions concern-
ing a contractor may be referred to the registrar of the board whose address is: 'Contractor's State License Board, 1020 N Street, .
Sacrament lifornia 95814.
f,
Price J Submitted by Date
Deposit Buyer Acceptance Dater/2 (,
Balance �/ Buyer Acceptance % Date
License ��(� l Con tractor'AcceptanceDate