HomeMy WebLinkAbout056-120-080_ . A �l4
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WILL-IS,Curtis
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D OF NATUR;;L W IA LTH AND B`:AUT`!
DEPARTMENT OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
Addra�e 1469, Humboldt Road 7 County Center Drive
R spic to: Chico, California 95928 Oroville, California 95965
Telephone: (916) 891-2727 Telephone: (916) 538-7281
Fax: (916) 538-2140
747 Elliott Road
Paradise, California 95969
Telephone: (9 16) 872-6308
Curtis W. & Alice M. Willis RE: 56 Laughirg Fox Lane, Cchasset
12374 Maple View St., Space 48 Ap#56-12,80
Lake Side, CA 92040
Dear Mr. & Mrs. Willis:
This Departiluent is unable to issue a uell or septic peri dt on the above refererced
parcel until ue have satisfactory assurance that the parcel is created in carpliarr_e
with the requir nts of the State Subdivision Map Pct aryl local ordiniance.
If you have airy further questions, please call the Chico office beta 8:00an and
9:M m weelajays (except Mxldays).
Sincerely,
Loralyn I. En ellenner R.E.H.S.
Y g �
Division of Environmental Health
cc: Gary,Willis
Butte Co. Building Department's
LIE/vs
A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
056-120-080
ZONING
TM 5
BUILDING PERMIT
OWNER
CURTIS W. WILLI.S 619
TELEPHONE
443-1447
,SO, FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
12374 MAPLE VIEW ST SPACE #48 LAKESIDE 92040
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ -
LENDER'S MAILING ADDRESS
Permit Fee /
$
ARCHITECT OR ENGINEER �.� LhC :NSE o.
ARCHITECT OR ENGINEER'S MAILING ADDRESS- - - _.'.aEnergy
,Plan Checking Fee
$ 20.00
Plan Checkv g Fee
$
Penalty
$
BUILDING ADDRESS LAUGHING FOX LANE COHASSE
56
Permit fee
$
PL U BING PERMIT
Filing Fee 15.00
Each Trp
5.00
Solar r heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PAR E MAP
Wat r piping
7.00
E ch clas water heater or vent
7.00
USEOp STRUCTURE
SF ❑ Duplex[]Mobilehome Other
SPE IFY
as piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home
15.00
TYPE
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities l Installation Othe ❑
Describe work: MH U _
Permit Fee
$ 60.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR LESS
200A OR LESS
18.50
Main service 200A TO 1000A,
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 f the Business
and Professions Code and my license is in full orce and effect.
License No. Classification
VI, as the owner, or my employees with wages their sole compen-
sation, will do the work,and the structure is t intended or offered
for sale. (Sec. 7044)
El 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.
3.6asq.ft.
NEW CONSTRESID. BRANCH
NON•R ESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
N (SINGLE OUTLET CIR.
x.Occu
Occup(o OR FIXTURES
20 76
FIXED
EX Occup. OUTLETS (PRE SI DIAPLNS.RE
3.00
Tem rary service
15.00
Mobile oma Facilities
15.00
Misc. �yirl g
15.00
Permit Fee
$ 48.50
—
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
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,HAz
against said County in consequence/ e granting of this permit.
X �' '" ` Date �.�' "C
s nature of cant — Owner ❑
Signature p ❑ Contractor Agent
An OSHA over 5'0" deep and demolition or construct-
ion of structu estover r3gstories oin height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 128.50
DFEES
IMP FLO9D
PF PARC L Po
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.1 11 177��
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF"P�BLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT/ APPLICATION DATA SHEET
OWNER � &A41'5 V0' `/i S
Proposed Building Use
A. P. No.
OS( - izo-061b
Building Inspector Date 7 Z3 ' Z
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted. .
?
Plot plans®/4 sets, signed by preparer of plans . ..........................
3.
Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
4.
Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
5.
Hazardous Material Form . ............................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ... .
9.
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10.
Fees of $ ..........................................
11.
Impact fees as shown on attached schedule. ............................. .
12.
California Department of Forestry plan approval/fees. ....................... .
13.
Flood elevation letter (100 year flogd) by California Engineer . ................. .
14.
Sanitation and plot plan approval 64'C® Health Department . .............
15.
City of Chico plumbing permit . .........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . ........
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). ..7� GAS
20.
PreJnspection r'eq'uest
Pre -inspection for required. . to Building Inspector (Date)
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
23.
Certificate of Workmans Compensation Insurance. ........ .......... .
Owner -Builder Verification (Given to owner , CA
Mail to owner ). ..........
24.
Recorded copy of Agricultural Acknowledgement Statement . ..................( Z3
25.
Letter of signature authorization . ........................................ 3
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
28'
29.
Letter of intent on building use. ... ....�
Mobilehome utilityjearance,-.*.--�e��" ` �-� �« q -3-4Z s<, �i nixed �eec1 LJ„-+
................... ,
Documentation ofa acce�.30.
Documentation of% su division developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ......................................
32.
Plan check list . .....................................................
33.
34.
Whe you issue the permit, rocess as follows: Mail to owner. Mail to contractor.
Telephone '7� and hold for pickup at Ori office. Deliver with inspector.
Other
tercel Creation
Acreage -* S At. Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prio�o permit issu
1. Index permit for above items No. G
Additional items required:
not checked above).
Contractor, designer, owner, was advised of above required data by _ phoneait
Contractor, designer, owner, was advised of above required data by _ phone _ mail
Plans checked by Date Plans approved by_
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
I7 -
Counter b�e�
Counter by _ Date
Date
C
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916!536-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
G�- - - p-
ZONINY.
T.f4s
BUILDING PERMIT
OWNER
U f -1'S
G
TELEPHONE
W3 4Y417
$O. FT. OCG`. BUILDING VALUATION
OWNER'S MAILING A RESS
S .ty� kesr�E
o
CONTRACTOR'S NAME1
Gv/Vefif-0
EPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ O
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADD ess ^O k / 7�G
�� Ai 5..
t
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
I 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@
15.00 5.00
TYPE OF WORK
New ❑ Addition ❑ Femodel�❑! Utilities ❑ Installation ❑ Other ❑
Describe work: / % V —�-
Permit Fee
$ 60,00,
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50 SO
s
Main service 200ATO1000A1
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.SINGLE
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 OCCUPM
OR ACDNS. ACC, BLDGS.
3.64 sq.ft.
NEW
NON -RES D R. BRANCH CRC IITS)
@ 5.00
POWER APPARATUS S
OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20 764
EX. OCCUp. OUTLETS (PRESID )RE A.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00 -5-PQQ
Misc. Wiring
9
15.00
Permit Fee
$ 9,55
—
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
Filing Fee 1 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Si nature of Applicant - owner
g pp ❑ Contractor ❑ Agent ❑
An OSHA
ion of structures toverr3gstories oin hheight ions over 5'0" deep and demolition or construct-
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
I CONST TYPE
TOTAL FEE $ J
HAz
1 DFEES I
IMP
I FLOOD
CDF
PARCEL
PD
HD
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. / 7 U.5
/
WHITE-D.P.W.. YELLOW-A55rSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
T C
is
/.�
7-RAN54'ORMER200' �ror AND
To 5CALf
t I /O' 5FT 100 ii 5�
' I BACk
i AN p.._
I I S,-PTIC // EL ECTRIG
i I AND �� _METER..._..
EA C N.
HOME
100 PAD
�
coo)
' i/
T
%�/
� SHOP
II)LOT
PLAN
330 PRFPAUL) By
t..A NF � 7� 6-AR)' C...WILLIS
5CAkh E- / 5QU RF= »,7a'
,W
I
RECORDING REOUESTED BY
Aft* W-Wft "COINKID MAIL TO
"a– Robbie Ar.Ivaloney
4962 E. 60 h St.
Add
Maywood, Caifornia
011 a
I,13
lop
. ... ......Dam 0_c.tob.er_Zl.._197_5_
Neva G. Cogak*
1 :sic
STATE OF CALIFORNIA
COUNTY OF___1P4_
1975 Wote mr. III, un.In
:PIxnrd.'& Notary Pioldle In and I" uld Stow. 1wiwinally alirwafe-1
RP–Y-QLG-, C9je4,r_{O►/IelAt AI
___._
k".n III imp CATHY GCI
NOTARY Pulls 1!:.c4,
In he the V"-n_wh— name SL -n the sithin 7PRINC:PAI, OfFic,
Ir"iruniTTit and airlinsiledg"I that—Sht vi-sitA the amp, c LOS ANQrj CS ColL
'FIDMM113ion Excirits octobe, I
WITNESS my hand and .1flecial -at
Sisin.lure �
3
'. ��
Cathy_ Peigar
GER
104NIA
L IN
NTT
,6. 1976
ITitil. Ordl.r N... K-r- .., I. -is. N. I
MAIL TAX STATEMENTS AS DIRECTED ABOVE EM OF DOCUMENT
Aaa same as above
cift a
:1 •SPACE ABOVE -THIS LINE rP OR R BORDER'S USI{ 12,
OL
Grant Deed
THIS FORM INSURANCZ AND Tatuar COMPANT
10 'Q9 I C. "Ito av TIT1.9
The undersigned grantor(s) derlare(s) RA WIMR
Documentary transfer tax is s 4.14 PNO
(X ) computed on full 'Value of property con' ye -1. or
J...),computed on full value less value of liens sidencumbrances remaining at time of sale.
n
AX -'I: Unincorporated area. City of and
County c., Butte
y
.-VALUABLE CONSIDERATION, which Is hereby acknowledged.
0
lo
JOH'A rcce,p
Ic
-�-Reva--G.z Cogarp..a widow'..:."."
•
.4"44'
:
N4
=Robbe Ann _Mal'oneY.
he I (alloi+in `desertbed reit roperty'lnthi-
.%.6u;ti or Butti-;";-_,�: Calif1.) "k 1'.� -:T State
%j - of
-South%est.quart r of the -Northeast q%;arter;:-'-',':
The' East 'one -ha it ih W" t r 0 f
I wn sh 2
of:' the Southeast quarter in Section 22,, T wnship 24 North. hangs east,
Mount Diablo Baseline. and Iterid ian...'.
\e
Together with a right of*way for ingress and egress as'contained In
r c
Road Agreement dated November 3, 1965 and ric rded December 10, 1965
14 1 0
in Book "1403 of Official.Records at Page 410.
lop
. ... ......Dam 0_c.tob.er_Zl.._197_5_
Neva G. Cogak*
1 :sic
STATE OF CALIFORNIA
COUNTY OF___1P4_
1975 Wote mr. III, un.In
:PIxnrd.'& Notary Pioldle In and I" uld Stow. 1wiwinally alirwafe-1
RP–Y-QLG-, C9je4,r_{O►/IelAt AI
___._
k".n III imp CATHY GCI
NOTARY Pulls 1!:.c4,
In he the V"-n_wh— name SL -n the sithin 7PRINC:PAI, OfFic,
Ir"iruniTTit and airlinsiledg"I that—Sht vi-sitA the amp, c LOS ANQrj CS ColL
'FIDMM113ion Excirits octobe, I
WITNESS my hand and .1flecial -at
Sisin.lure �
3
'. ��
Cathy_ Peigar
GER
104NIA
L IN
NTT
,6. 1976
ITitil. Ordl.r N... K-r- .., I. -is. N. I
MAIL TAX STATEMENTS AS DIRECTED ABOVE EM OF DOCUMENT
�' ,£i ra:iN?P;•(t7,` '.x:r.....;�.�.ti.:a�� :A.,. .yam..:. �; ..� ;.�¢-��- P. g-�
• w'.Y lY.f�Y,i y^Y�a.j� +t?1, , f .y'r` a.�., p�,/..Jv •x. i:..rC.4'jCY. �S� Ll:'^r 5:' is fIM,1 :'�;•-t .l l...:T...• )� 1.'��i.��, � 4 ..3 9—. Y •�:Y 'U..1•_,�. �y'S�rt l J J••L a..wl�
4362
. 111111120111111M AT TI! REt�IJEST CX
WM g1KpM TME CO
ua
- cogUiJILOYI0f t P.f d.�t iia as .- —04
-
o.4.1
4(� OFFICIAL RECORDS OF
` 92
1 �+ YVTfG COUNTY, CALIFORNIA
I
Rece.Joe
teo�w•
Fee
ROAD AGREEMENT
'
I
declare that they are•t10'.0"ors of certain parcels of land
1
The undersigned
is the County of Butte. State of California which are more particularly
situated
'
described as follows:
Pareel One:
Northwest qua ser of the Northeast quarter sad the North half
Northeast quarter of Section 22.
of the Southwest quarter of the
'
I Township 24 North. Range 2 East, M.D.B. 6 M.
1
•
Pareel bm;
All that of the Northeast quarter of the Southeast quarter
�
;
portion Range
I of Section
2ssbip 4so,
the Southeast
( i
of Mqulin
2 Blying West theCobaetRead athe as=
j
' I existed oe July 28, 1936.
TilEiEi'ROM a parcel of land as contained in that certain
to
i
EXCEPTING
deed from James T. Myna and Ardells May Myna,*busband and rife,
dated February T, 1946 and
Harry Fisher and Gerald C. Clark, at
September 16, 1946 in Book fofficial Records,
`
recorded Callfor lb
retards of Butte County,
Cog land situated Just South of the land now owned
Cog
two acres of
Carmelite Fisher and being In the Southeast quarter
by Harry and
I of Section 22. Township 24 North, Range 2 Zest, M.D.B. L M.. more
The Northt two acres of the
particularly *-scribed as follows:
Northeast of the Southeast quarter of the Southeast quarter
quarter
of said Seticon 22, said parcel of land lies along and adjoins
[quarteruof
sot said Sectionn22.
'
Notts nest quarter ofetheuSouthea
Parcel Three:
The North half of the Southeast quarter and the North half of the
-the Southeast quarter o[ Section 22, Township 24,
South half of'
j North .Range 3 'East, M.D.B. G M. EXCEPTING THEREFROM the Easterly
—
660 feet wore or less.
1
Puma—Emu
South half Of the Southwest quarteraaEst, M•O B. M. quarter 0[
1
The &
I' Section 22. Township 24 North, Range
and that there exists appurtenant thereto and as a past thereof a right of ray
for ingress and egress described as follows:
'
Pareel One•
A right of wad for road purposes 60 feet is width lying 30 feet
i oa encb side of the following described line:
the of intersection of the Soutb boundary of the
N
Commencing at point
r * Northeast'quwter of the Southeast quarter of the Southeast quarter
M.D.B. 6 M. with the
,;•�•'.
of Section 22, Township 24 North, Range 2 Zest,
Northeasterly along Masterlyof
f'.
Masterly line of Cohasset Road; thence
in`
Road, a distance of 30 fact to the Po:
�.
' line of said Zohasset
line described herein; tbanee from said point ofA.7
•�
beginning ton the
AM,L}��h
7.7117
..'.+n•�i • ty 'C ".(/•'•rl: j..r?`v.Si vas. IF9•••I�vT •FT.-.
y''��.•-a. a: - �'•:v r .. .. oY i%I:: u:Y.'wd•,,o.,n,yr. �•+E::r::.s'_.4.`.�
+�'
_ ,•�,r �}..y r v :. ... •` -3'j�i ��•�if�`M!i�Y?f�►7J t'r L- J}[ • Y ��q�4
�, li7r�l�� �LrA '''%,l �f�'�lE'' r�. �� •r. r•. . n. '1•r�>(�ai•.k`'t,�A••�1.11F:4N •. rr 14•r•.. ... .f J.
� t'S r 1 t(f`n i �'/,t►r .��� �+�:..�t:^j't4..r•,�,�L '�II� .i!.,�('tc Xy�� ISY } } ;��i *� ti, f .y. ...
T yf! aly. •�? �lt•�L'C ,�,I� L. � Jr)•y�+�I'•J 1 71Y Y.l 1 � t 1� ..\ .. ,.,
S....9
+ .. NrUM na411 1
_2_ I
1 beginof iing North 310 30' West a distant@ of 730 feet more or less to a point
on tSectio Q2pbthenee Norte 31�line Of the t30'sMeitaatdistante of 855 feetasoreeor less
id
to a point on the East line of the Northwest quarter of the Southeast I
1 quarter of sold Section 22, said point being 30 feet North of the Southeast
Corner of the North halt of the Northwest quarter of the Southeast quarter
of said Section 22 and the end of said line.
(I Parcel Twos
A right of way for road purposes over the Easterly 60 feet of the South I
halt of the Southwest quarter of the Northeast quarter and the North
li
he
of the Northwest quarter of the Southeast quarter of Section 22. Township I
24 North, Range '2 East.
'l -
I
1
� Said right of 'my is for the benefit of and appurtenant to the paree)sof land' `
' first above described herein, and $hall inure to the benefit of and say be
used by all poisons who stay hereafter b@eoao the owners of said appurtenant
i
�Iproperty or anyyparts or portions thereof. I
IThis Agreement is to be contrued as a covenant running with the land and is
' I for the mutual renefit and binding of the undersigned, their heirs, executors,
f administrators. successors and assignees.
Io witness whew-of, we have executed this Agreement this 1�daY of
M .. 1965.
nes Z. GambrelBernice V. General
Glover ...r 100, Reva G, Cogar
I1
1
..I STATS CAUP001" /u
/( ((
r of 1 n.r hr/reJ
Orr of 0I • NemrP
pefore v. J• pr P '
etc. f
i j to wr t. the whomre S
_nun? ya-wweruuces e.J erieo.4JI� to w WI�Ae �eeeleJW am. 1
OI'f I�t�L'aN►":.. I !N WITNHSS WHSAR& !ed eRrrJ ws eke f"�
+ '%-�i!}�`rL `/: ; i i W ����er•%P of ry yP Md Peer i. Ihie
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E
NOTA j91.IC •C.r'-1R%FI:Y`' talifeele fnt ebew wntlra
zv-
•r ` .� .r:i''r!'�:- Not.rP PaellaStatd —fanm
.r.: ," �?•ttCP '�: J IL C+
. 1�}tjls 1
wA ...
...•. V rd' �:5 «:t•.}`1�i.r �Y,rlmuilw � yow�ee.rw., e -
`•.'1 MQ
�-..a•.� ...�:��. �� :^s.4 rte- •.. .:
RECORDING REQUESTED BY
BIDWELL TITLE & ESCROW CO.
ORDER # 2-156077 —LJJ
AND WHEN RECORDED MAIL TO
1
92-015380 1 Rec Fee 5.00
1 DOC 20.90
Recorded I Check 25.90
Official Records 1
County of I
Butte I
Candace J. Grubbs I
Recorder I
8:00am 10 -Apr -92 I BWTC MP 1
A�a 056-120-080 Individual Grant Deed
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
The undersigned grantor(s) declare(s):
Documentary transfer tax is $ 20.90
( X ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
( X ) Unincorporated area: ( ) , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
CHARLES W. LLOYD,
hereby GRANT(S) to CT:►t'FIfi W., 1'-F, .T,TS nrl, a.;_1,r2E M. 1"117.:"'-5, ,_.., ��:, .���� t.•'i':.I:.s
Declaration Trust dated May 26, 1987.
the following described real property in the unincorporated area
County of Butte , State of California:
The Fast one-half of the Southwest gjarter of the Northeast quarter of the Southeast
curter .in Section 22, Township 24 North, Range 2 East, Mount Diablo Baseline and
Meridian.
/ttAIV4,wiAN-00/V aAWN WA Rlm !�Ai
Together with a right of way for ingress and egress as contained in the Road
Agreement dated November 3, 1965 and recorded December 10, 1965 in Book "1403" of
Official Records at Page 410.
Datta: March 12, 1992
Charles W. Lloyd '
State 017 California
r if j c SS.
Cotmj of
On I Toll .l 0 i--� I ' , i t.� j � 1 before me, the undersigned, a Notary Public in and for said State personally appeared
(Ih,o,� t'. I I r•..
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(ics), 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 any 15and and official seal.
Signature-__ = l �� l ._-' (-. ' ' '� ' '' ' (Phis area for official notarial seal)
BTE-DED-05(1M10/91) MAIL TAX STATEMENTS AS 1JIHh(;1tU AbUVL - F � � �. Dc;4P1gmirn� r
Name
Curtis W. Willis
Weal
12374 Maple View Street,
Space 48
Address
Lakeside, CA 92040
City R
State
L
MAIL TAX STATEMENTS TO
FF
Nome
SAME AS ABOVE
S"el
Address
City &
State
L
I
J
1
92-015380 1 Rec Fee 5.00
1 DOC 20.90
Recorded I Check 25.90
Official Records 1
County of I
Butte I
Candace J. Grubbs I
Recorder I
8:00am 10 -Apr -92 I BWTC MP 1
A�a 056-120-080 Individual Grant Deed
THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY
The undersigned grantor(s) declare(s):
Documentary transfer tax is $ 20.90
( X ) computed on full value of property conveyed, or
( ) computed on full value less value of liens and encumbrances remaining at time of sale.
( X ) Unincorporated area: ( ) , and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
CHARLES W. LLOYD,
hereby GRANT(S) to CT:►t'FIfi W., 1'-F, .T,TS nrl, a.;_1,r2E M. 1"117.:"'-5, ,_.., ��:, .���� t.•'i':.I:.s
Declaration Trust dated May 26, 1987.
the following described real property in the unincorporated area
County of Butte , State of California:
The Fast one-half of the Southwest gjarter of the Northeast quarter of the Southeast
curter .in Section 22, Township 24 North, Range 2 East, Mount Diablo Baseline and
Meridian.
/ttAIV4,wiAN-00/V aAWN WA Rlm !�Ai
Together with a right of way for ingress and egress as contained in the Road
Agreement dated November 3, 1965 and recorded December 10, 1965 in Book "1403" of
Official Records at Page 410.
Datta: March 12, 1992
Charles W. Lloyd '
State 017 California
r if j c SS.
Cotmj of
On I Toll .l 0 i--� I ' , i t.� j � 1 before me, the undersigned, a Notary Public in and for said State personally appeared
(Ih,o,� t'. I I r•..
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(ics), 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 any 15and and official seal.
Signature-__ = l �� l ._-' (-. ' ' '� ' '' ' (Phis area for official notarial seal)
BTE-DED-05(1M10/91) MAIL TAX STATEMENTS AS 1JIHh(;1tU AbUVL - F � � �. Dc;4P1gmirn� r
COUNTY OF BUTTE DEPARTMENT OF PUBLIC.WORKS
y PHONE • 9I6 53�-7541
7 Count Center Drive, Oroville, CA 95965
DATE
JULY
:28. 1992
CURTIS :.W WILLIS,a, _
12374 Maple _View $t Apace #48 Building Permit Appricaton #244512
Lakeside,' CA 92040 '.for mobilehome utih.ties:'
A.P.12-0, 080
With -reference: to -the' above subject:
".Attached, --is':,:
Application for permit Mobilehome::Utilities"In`stallation �Slieet
"Building Plans Mobilehome„ Instal lation',;Information•°,Sheet.
Engr.;- Cales , . Typical :Plan Sheet
-Owner-Builder Verification Form List of.Codes.Enforced
OTHER :
We need the*following information:
Permit application.- signed -and completed where -indicated with %.,Fees of,$ payable:to-Butte County Treasurer.
Certificate
of -Workmen's -Compensation Insurance or check exemptioa'statement
Contractor's License Law information. -..or check exemption statement:: '.
`Complete_ plans in ,; including. plot plans
XXX Plot. plans ..in trio, icate • Structural -details 'in-
Complete.,plaa.s..and talcs. in by.registered` engineer. -or: -architect.
'Energy -design -,including
- Street_ and drainage -(-:improvement; plan- approval- from Land- Development Section ,.(DPW)
- sets.,df, plans"in accordance with. -the changes marked . is.:red
XXX Sanitation:`` approval._ from. Butte= County- Health.,Department at
XXX-- 1469 -Humboldt *..Road,- Chico- -
7 County- Center Dr.-, Orov-ille
Planning approval from Butte County Planning Department, 7 -County Center Drive,
Oroville, for _.
XXXCompleted Owner -Builder Verification form.. - -
XXX -Recorded copy of deed showing creation--deed-and legal access (see below)
Recorded copy of agricultural-acknowledgement.statement.
I XV OTHER Received a copy of a grant deed which is --dated 4-/92.. _If this -is -the is. the .creation
—Te-edthe parte requires a map or certificate o con o e
o a: ui ing .permit. e a so require a ega act s .-
agreement does 1'nt rnmp1 W wit -h --that- ra liii rement _ - - -
Should: your have any questions concerning the above, please contact David` Purvis. -
of -.this_. office..- - - _
. • . _ . - - - - - _ _r� ( 538 -
91. 7
Yours ve truly,t.
:W
"WiTltam Cheff:
Director of PubLi orks
. F :. , Glandes
JFG/a j:
COUNTY OF BUTTE - Department'of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
COUNTY OF BUTTE
BUILDING DEPT
OWNER -BUILDER VERIFICATION A06 O 7 1991
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued.until this verification is received.
1. I .personally plan to provide the. major labor and materials for construction of
the proposed property improvement (yes or no)�
2. I (have/have not) „n/1 signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (€4?r-Fn) to provide the proposed
onstruct' n:_- -
Name - --
A Address City07
Phone — Contractors License No.
4. I plan to provide portions of .this cgork, but I have. >the follcwing person
to coordi ate, supery"se, nd provide the major work:
Name
AddressCity
Phone q// --k- 71—.c��6— Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner. dei�-
Social Security Number
Date Q
NOTE:' is nen ui er erification is sent to you as equired by Sections 19831 and
19832 of. t e California- Health, and Safety Code. -
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
5—l1 —si
c� -Z -2
COUNTY OF BUTTE - Department.of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearirgg
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing.your building.permit. No building permit
will be issued until this verification is received.
1.- I personally plan to provide the major labor and materials for construction of
the proposed property improvement --(yes or no)
2. I (have/have not) signed an applicatioq for a building -.permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I'plan•to provide portions of this work, but'I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License --No... -
5. I will provide some of the work but I have contracted (hired) the.following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number ���`
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 10,831 and
19832 of the California Health and Safety Code. -
This verification must be completed and returned to our office before we are per -
mitt d to issue the permit. �-
vcY *,c land depi'_'Wf�
rNs map may or may not - re a sui: - -rpose olligrOn jj Z.,�y p,!
hereon. You should not rely v.)
0i pz=el
-;�7,5
.nan orientation to the general In' :J
bels depicted. BIDWELL I;TLE & E -
disclaims any liability for geged loss 01' which may
•
resuit tram reliance on this rnaG.
PART OF SEC. 22-823 T24N_ R. 2E. M. D. B. 8 M.
660" 489.72
-Av- %�!Nq v, a 2
Vit; J.4 1! t' 5-�3a,
.736'A
LA 04Z --,Z: : th AC? '-1 -N7
C,cavatty rz-. t., tv-.Z k !-rma,,Onwa 0 tft-s t- d an., to, 4 fn hm �d;:) "ML •t
t- wpin Ixo41t tp-v r-Tiv:; I ev"T—:1; c, �;.gv
Wf
no Q. tpartT 0 t' 07 C -F ftfil-4 0;,
Y
�4"1,<.:k C' -,:,. _ IMEn Ult 1p-tv.. C! am'
v "!, x: -`se t:! "ay of ar.,viel n!',X I;V_�bA 11
44. r r%tt irt -ir Onli Nfrlp4ny 290 4.W
VIC L-; :m, ('t lad
rv; Ofoqj*7 !�,O -47; 1-6 t"
ta
0. 78 X80' G I—P 3 6 9.6t!- i C:
x;5.
F(:
\-I-' MZ tiJj 'A C-'` 660,.1.""D.QPV
r*fjr r_-�mzv o X� v- ��xcwd %C� *1,t.
, _' Cls \t J.-,a!ej
Na ix, 4y._%
t
px, Y 0
Ic-1. t: n 0 rl:"
5 AC V�[ � AC--�, 2 4�O 3.53
-4- �_V,43r_--4 J.,#_7 11 _7' ifL rrOO;' To 1�t "ei IM -L. VO 4.2 2 AC 270 660
0
in 1320 n-
0
79 64 ate:, at;. tj
C),zt Zv
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qO
@73, t T,
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074�
7 AC
or,
16 89
5.99 AC L. 4A it", C��_ -, - - -53 660 -
1. t..
7_ 292- re
729.62 �A,
i �tl A tit v
CO ---:- -
229.65 Igot, 5 AC 5 AC
55
607
V r -j-
66 RIW
1320 L90— 2
4 7 U
736.8
10.33
at
2
2 (A j. 8.
2.01
-97, 5.016 Ac, v v AC
r
`reJ'43'AC a. j -
--6
86 4�
. . . . . . . . . . . . . .
IT 'c t7T"v
q
(08 -6Cfi
-
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2
it IZACry 641 A 01
C; L7 /,-� - . % r i 7 9,6 2
5.016
1.66AC _3 .730. 1
-'if too- IT?
Ae
M-64 70 - "WE _OC
. 7r
498-82 ND 146 WAY' -
703.64 581.74—
F�eturn to DPW AGRICULTURAL STATEMENT OF ACXNOWLEDGEMNT
FOR RESIDENTIAL DEVELOPIMNT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded �-
prior to issuance of a building permit.
1
92 33166
All that real property. situate in the County of Butte, State of California, described as
follows: Sau fAea5 f a rl4er
Tie Easf` oge_hal�' a� tie , v
OR h e /North ea 5 l- a r ter o -P 17X e. 5�a AA ea s f
� t> .fie c roh a aj raw 1) h / ph1ar 714
. l .
Date:
State of California)
County of Sutter )
PROPERTY OWNERS:
On this the 23rd day of July , 19 92 , before me, the
SS. undersigned Notary Public, personally appeared
OFFICIAL SEAL
YOLANDA G. REYES
NOTARY PUBLIC -CALIFORNIA
SUTTER COUNTY
My Commission Expires Mar. 13,1995
Gary C. Willis
Personally known to me. 10 Proved to me on the basis
Present A.P. No. r5 7/a2 L)
Notary Public
� of satisfactory evidence.`
o be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
END OF DOCUMENT
The property described herein is adjacent,
92-033 166'1 Rec Fee
5.00
to land or included within an area zoned
I Cash
5.00
for agricultural purposes, and residents
Recorded I
of this property may be subject to incon-
Official Records I
veniences or discomfort arising from the
County of I
use of agricultural chemicals, including,
Butte I
but not limited to herbicides, pesticides,
Candace J. Grubbs I
and fertilizers; and from the pursuit
of agricultural operations including,
Recorder I
10:48am 23 -Jul -92 I PUBL
XX 1
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established
agricul-
tural zones which have as a priority use for
productive agricultural purposes, and residents
within said zones and on adjacent property
should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property. situate in the County of Butte, State of California, described as
follows: Sau fAea5 f a rl4er
Tie Easf` oge_hal�' a� tie , v
OR h e /North ea 5 l- a r ter o -P 17X e. 5�a AA ea s f
� t> .fie c roh a aj raw 1) h / ph1ar 714
. l .
Date:
State of California)
County of Sutter )
PROPERTY OWNERS:
On this the 23rd day of July , 19 92 , before me, the
SS. undersigned Notary Public, personally appeared
OFFICIAL SEAL
YOLANDA G. REYES
NOTARY PUBLIC -CALIFORNIA
SUTTER COUNTY
My Commission Expires Mar. 13,1995
Gary C. Willis
Personally known to me. 10 Proved to me on the basis
Present A.P. No. r5 7/a2 L)
Notary Public
� of satisfactory evidence.`
o be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
END OF DOCUMENT
C04NTY,9F BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle; Cellfornla 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ERMIT NO.
ASSESSOR PARCEL NUMBER
056-120-080
ZONING
TM 5
BUILDING PERM T
OWNER
CURTIS W. WILLIS 619
TELEPHONE
443-1447
SO. FT. OCC. BUIL ING VALUATION
OWNER'S MAILING ADOR
12374 MAPESL VIEW ST SPACE #,f48 LAKESIDE 92040
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking e
$ 20.00
Energy Plan C ecking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
56RLAUGHING FOX LN COHASSET
Permit tee
$ 35.00
PL MBING PERMIT
Filing Fee 15.00
Each T p
5.00
Solar r heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
WatV piping
7.00
Ea/h qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
G s piping system 1 - 5 outlets
5.00
uilding sewer
15.00
obi le Home S G W1
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities ❑ Installation 0th
Describe work:
Perm Fee
$
ContradVQr
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
OOA OR LESS
18.50
Main service 21\A TO IOOOA)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of th Business
and, Professions Code and my license is in full force/effect. effect.
icense No. Classification
I, as the owner, or my employees with wages as their ole compen-
sation, will do the work,and the structure is not inten ed or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with lic nsed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and rofessions Code
for this reason
NEW CONST. / Dw LLING OCCUP.&
l I
OR ADONS. ACC BLDGS.NEW
3.64 sq.ft.
CONSTR UL I -OUTLET
NON-RESID BRAN H CIRC ITS
@ 5 00
/ POWER PPARATUS e
\SINGLE O TLET CIR.
Ex.00Cu P.OUTLETS OR FIXTURES
20 76
5AL. (ED 464
EX. OCCUp. OUTLETS ( FIXED PRE D )REA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. IYirin g
15.00
Permit Fee
—
WORKMEN'S COMPENSATION INSURANCEk,__,
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
oKConsent to Self -Insure.
VI 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 conseguenc of the granting of this permit.
X = S--� Date 7 — 13 `
Signatur of Applicant — Owner❑ Contractor ❑ Agent
An o5 A 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 S
7o nn
Ener Inspection Fee $
Energy P
OCC
CONST TYPE
TOTAL FEE $
HAz
1 DFEES
IMP
I FLOOD
I CDF
PARCEL
I PO
HD
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. 117705
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t
• COUNTY OF BUTTE - DEPARTMENIT4OF�PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER 0 UiT i'J 1'111S A. P. No. d15/0-120-090
Proposed Building Use A4/z= Building Inspector Arece2 Date % W9 Z -
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ .
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11� 11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . .............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). . .
20. Pre -inspection for to Bu pedton re for
p required. . to Building Inspector (Dale)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance. ...... .
23. Owner -Builder Verification (Given to owner ,Mail to owner. ...........7
24. Recorded copy of Agricultural Acknowledgement Statement . .................._� 92,
25. Letter of signature authorization . ...................................... �-
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
V 28. Mobilehome utility clearance.
29. Documentation of legal access . ........................................
30. 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 check list . .....................................................
33.
34.
When ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at 0X9Q office. Deliver with inspector.
Other
Parcel Creation % :�3 9�
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to pgrmit issuance: (Circ4e 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 _ phon ii Counter -by _ to
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
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
owner locat'on AP #
Driveway permit �( property.
f ✓� � has been issued for the above
si ature date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER l' U �-b S I i �I /S A. P. NO. 056 - 1-70 agU
PROPOSED BUILDING USE ���' DATE / %
REC. # DATE REC
1. School Distric Fees ( heo
(paid at District Office)
2. ..........................
Sheriff Fees
(paid at Building Department)
Residential ......... X =$ 3�
unit amt..
Commercial(per sq.ft:) X _$
sq.ft. amt.
3. Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
# units amt.
Commerical(per sq.ft.) X =$ .
sq.ft. amt.
4. Recreation District Fees
(paid at District Office)
5. Drainage District Fees
(Contact Land Development)
6. Other
7'. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT AV _::�_
DATEi3.9
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, Californla 95965 - Telephone: 916.1538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB _ /t/)�
(/�)J
ZONIN
�%/LJ�
BUILDING PERMIT
OWNER, -- o, t
C' �• 1 . / /' Oj
TELEPHONE
y k3 -yyy
SO. FT. OCC. BUILDING VALUATION
OWNER'S M "'„ ADD R
123 37 /PU L4kt^soe
R p
CONTRACTOR'S NAME
pWILlen
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
-
Plan Checking Fee
$ o
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS G 09h, A,, T C��/ rj/7.�iSse�
Permit fee _
$ S_ 0(0
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 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 I G JW 1
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: ,f�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service soot/ OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOA1
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 No. Classification
F1EA.�
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.�\
ACDNS. ACC. BLDGS. I
3.66sq.ft.
E
NEW
NW CONSTR MULTI -OUTLET
NON.RESID BRANCH CIRCUIT
@ 5.00
POWER APPARATUS 6
SINGLE OUTLET CIR.
Ex. OCCUp\( OUTLETS OR FIXTURES
20 76r!
Ex. OCCUp. OUTLETS P(RESID. IR
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
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
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 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 in consequence of the granting of this permit.
X Date
Si nature of Applicant — Owner
g pp ❑ Contractor ❑ Agent ❑
An OSHA
ion of structures toverr 3gstories oin height. excavations Ions over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
60
TOTAL FEE $
HAz
1 DFEES I
IMP
I FLOOD
I cDFPARCEL
PD
HD
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. ' 1-770S
WHITE-D.P.W., YELLOW-ASSC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive,'Oroville, CA 95965 PHONE: 916-538-7541
DATE 7-17-92
WILLIS, CURTIS RE: 92-2445.
12374 MAPLE VIEW ST SPACE 48
LAKESIDE CA 92040 A.P. �� 056-120-080
With reference to the above subject:
" Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced .
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details -in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval -.from Land-Devel.opment Section*(DPW).
sets of plans in:accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
1469 Humboldt Road, Chico
7 County Center Dr.; Oroville
Skyway & Elliott Rd. 'Paradise
Planning.approval.from Butte County Planning Department,.7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
X Recorded copy of deed showing creation date and legal access
Recorded copy of agricultural acknowledgement statement.
OTHER
Should you have any questions concerning the above, please contact Dave Purvis
of this office.
Yours very truly,
William Chuff
Director of Public Works
A.
J.F. Glander
JFG/aj
su .
r COUNTY OF BUTTE - Department of Public Works
mp 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
o z car
m OWNER -BUILDER VERIFICATION
V
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please.complete and return this information at*your earliest opportunity to avoid
unnecessary delay in processing and issuing,your building permit.. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property.improvement (yes or no)
2.
2. I (have/have not) t,%l� signed an - application for a bulldin: .permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
�+. I plan to provide portions of this work, but I have hired -the following per'son
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons .to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property OwnerSocial Security Security Number -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code. .
This verification must be completed and returned to our office before we are per-
mitte to issue the permit.
056-12o-a�0 .-
9�C4�
D..
b
COUNTY OF BUTTE UEpT � `r T }
BUtWING DEPT O� AVBCI@ t r
�,oY
1992 JUL 2 7 199
"`-'COUNTY OF BUTTE '�T
•
` jU
BUILDING DEPT
J U L 2 7 1992
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pp�
IVIA