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HomeMy WebLinkAbout056-120-080_ . A �l4 ..056-120 ' -080 r 92=244 ,E '-a WILL-IS,Curtis 56'Laughing F6x.;Ln, C asset mh utites. _ --�-- `ELEC �lot , GAS COMPACTION T REQ' > .SUPPORT• .ST CT -REQ :. n v I r� 1 y 1 1 • 1 1 i 1r LM Eatte Count 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 1 t 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 _j �Jl fj�,L, Hr SM V; qO @73, t T, r. IL C, 81 074� 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 - S A C. 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 • • • • • pp� IVIA