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056-240-131
.' � ^ 'Rodney Martin 56-24-131N/S Home Place Rd.,apR.I.50'W.of Hwy 32 PeRMit:#19L7-88Aa(6gricu'1t al* LTForest Ranch Animal feed StS & tractor sRerHit #1215-77B,P�,*,R ew single P, - )r,056-240-131 OT 3 5 '75RANCHCont: AGRI ELECTRICMAIN SERVICE FOR REPEATER14 \ ` .� ` � 0 Feb 01 02 08:13a P.1'... COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541/, JMZryor (Rev. 12/96) APPLICATION AND PERMIT C-,- V S ASSESSOR PARCEL NUMBER 05 0 J 2 0 _ 2oWNO BUILDING PERMIT OWNER ' S J n I TELEPHONE -- SO. FT. OCC. BUILDING VALUATION OW NG �BOREgS I G� - � 1'j�'� � � 5-�7 I `j/i lrll COM STc���HON � GoHOu NT CONST RUCTION LENDER lENOER'S MAILING ADDRESS ARCHrrECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS p �/''p p l / BUILDING ADDRESS ' A �-/ LOT NO. I SUBONISIONSNAME 1 PARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other ePECIry TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Udlities ❑ Installation ❑ Other ❑ Describe Work: %Vl6tl rq S��I/IZ� y- "PERMrT FEE PA10 SRA SHERIFF OTHER AAbVNT RECEMb " TO to !VT wwo col mat Total Valuation Is PERMIT FEE Fling Fee $ 20.00 Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee _ $ 46.00 NEW CONI .DWULIHq OR ADDNS. PERMIT FEE $ PLUMBING PERMIT Fling Feel 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 Gas piping systa!2 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home 13 1 G I W @20.00 6.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TTPE TOTAL FEE $ M1 .r' HA2• D. FEES IMP FLOOD CDF PARCEL Pp I HD ISSUE .. This permit is hereby issued under the applicable ; rWvisidn's " of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date ReceiplNo.PERMIT EXPIRES ON WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD -APPLICANT ere - PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service "0" OR LESS 200AORIEss 23.00 3 Mein Service 200A TO 1000A 46.00 NEW CONI .DWULIHq OR ADDNS. OCCUP. S ACC. ago- 3'SQso. FT. NON.REOSIO.' MULTI.OUTLET ^7.501 -i--.. l`Y POWER APPARATUS & SINGLE OUTLET CIR. I Ex. Occup. ovner OR FIXTURES 20 0 1.00 BAIL a .50 EX. OCCU FI%ED APP• oR oLTtETc Eslo. ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE i (p. LO MECHANICAL PERMIT I Filing Fee 1 20.00 6.50 PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TTPE TOTAL FEE $ M1 .r' HA2• D. FEES IMP FLOOD CDF PARCEL Pp I HD ISSUE .. This permit is hereby issued under the applicable ; rWvisidn's " of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been -paid. By Date ReceiplNo.PERMIT EXPIRES ON WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK•INSPECTOR GOLDENROD -APPLICANT ere - :+......3• v. �; �,�� '^7rit1Y'$"�'J?=*`i":`�'S�'its["t3�,�;r`-'i's3�%y:-+:•�l*y�"q�.. .,. � .. .�. i .. .. . , COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 1 PERMIT APPLICATION DATA SHEET OWNER: Lf j VV1 I )� (�. ASSESSOR PARCEL NUMBER-� � IO r �'D (� �� Proposed Building Use: �/�n /,; � /I S -PV V I � {�%G'`'�"-"/ Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR ma ked NA in order to apply. ❑ L. Plot plans, 3 or 4 sets, signedty the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. e Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The -permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12'. Hazardous Material Form............................................................................... _ ❑ 13. Other .... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit.......................................................................: ❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ....................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). q,z Pre -Inspection fore )e c, -h,, (L nlA 10 5e✓I/i CQ 4/�UY�e�uired................ ❑ 23. Contractor's license information. (Number, Name Style, Classi cation) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization...'.. ................................................................ ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: � 1\ " k c 1. Index`permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above'data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: f ' ': Plans approved by: Structural reviewed by: Date: :Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter _Date: Date: Date:_ Date: COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe, conspicuous place. Do not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. 056-240-131 03-3575 A.P. No. SMITH, JUDY — Owner 16833 DEER CREEK HWY, FOREST — Contractor_ RANCH Cont: AGRI ELECTRIC Permit No. _ MAIN SERVICE FOR REPEATER — PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION I DATE I INSPECTOR Piers Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not InstaFl;F€ooror Slab l;ntil;<AboveS€nned ,;.......: < Electrical Mechanical Shower Pan Do NotInsulate: €1nfFAbove Signed: . insulation Qa.Not Cover;Until Aboy"e. Slgt►ed ::.. .. Fireplace Foolings Fireplace Throat Stucco Lath Scratch and Brown Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY : Addresses Inforirzatron... :.,24 Hr lrtsP Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 Revised 7194 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • TelephoneX530) 538-754 MI (Rev. 12/96) APPLICATION AND PERMIT � ��� ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utlities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I WFF_ @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of ChapterOR 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. C_ License Class 1O Lic. No. G6 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. It I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' ojnp sation insurance carrier and policy number are: Carrier {-qty �"tJL.4C> Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. ADDNS. & ACC. BUDS. so 3.5¢FT. NON-REOSIOT MULTI.OUTLET 97.50 POWER APPARATUS SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FOMRES .1 @3':50 Ex. Occup. ovr rs FIXEOWRalo.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 9 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy NumberL`• - 200+1 ot (The above sections nee nbe competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit �se provisions. ate 1 1 �'� –y3 Si pplica wner Contractor 11 Agent A permit is required for excava Ions over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee I $ Occ CONST. TYPE TOTAL FEE $ HAZ. J D. FEES I IMP I FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 1(P WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OFGBWTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 530) 538-754b5_ MIT NO (Rev. 12/96) APPLICATION AND PERMIT �3. 6 '75 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service p A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.n License Class � / 0 Lic. No. pT OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and, Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. [b I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' gmp§nsation insurance carrier and policy number are: Carrier 44 41-e- �l..f r.rll7 TO Main Service 200A 1000A 46.00 NEW CONSTDWEWEE . CUP.SO OCCU OR ADDNS. d ACC. BLDS. 3.5¢x. �NE`N"-R SIDT MULTI -OUTLET BRANCH CIRCUITS @7.50 POWELE OUTLET CIR.R APPARATUS & SINGLE Ex. Occup.OUTLET OR FaruREs @ 1.00 BAL p .50 Ex. Occup. OPIxuT rs AE1s ) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply w' se provisions. ate + 1 ' —%� Applice Owner Contractor ❑ Agent "AUSHApermit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. p. PEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No.550-1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNT( QF..BI)TTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 530) 538-7541.PERMIT NO. llo(Rev. 12/96) APPLICATION AND PERMIT �5 -75 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Class G> LIC. No. - n OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service ZDOA TO I000A 46.00 NEW CONST. DIN OCCUP. OR ADDNS. a ACC. S. SO 3.50FT. q�IpT* MULTI -OUTLET @7.50 PSOWER APPARATUS NGLE OUTLET CIR .License Ex. OCCU . OUTLET OR FIXTURES .00 BAL Q 1.50 Ex. Occup. OUTELErsWRL.16.1ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 7`5144T_ -i Policy Number–,. ,. :� LL f% /._ cmc--�"r'� (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with.those provisions. X;, ..�.--" �.--..—^ate Signa"#u of Applica :--© Owner ep Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. D FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo��N '7(oo ` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •'"t-4`��-'x`'�t.{+"G''y�;'.a�-�&��!`.F'"`� :tri;==41"tit�.�,.:� 056-240-131- 03-3575 SMITH, JUDY 16833 DEER CREEK HWY, FOREST RANCH Cont: AGRI ELECTRIC MAIN SERVICE FOR REPEATER a t COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f 7 County Center Drive • Oroville, California 95965 • Telephone 530) 538-7541 MIT 0. (Rev. 12/96) APPLICATION AND PERMIT ��� D� �1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 1 Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 V OR Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. _ - /� License Class � / G� Lic. No. `'� :-� � `J � ..� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. O I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier " -t k1 4't. F • i t- 4L.;, Policy Number ; . . 4 c I ..- _ c (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with -those provisions. ..... X _ Y"_- �. Date �` (` t✓ ' Signature�of Applicarii - 0"Owner /9 Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 I NEW CONST. DW &r OCCUP. 3.5Qso ORAD a" MULrI ou�TLS. NON -REBID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 Q , 00 EX. OCCu oLmer OR FIXTURES BAL Q .50 Ex. Occup. GFlx�E�D�A R�ID.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee 1 $ Energy Inspection Fee $ DCC CONST. TYPE FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. J % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RCTURN TM The rac. Tel. & Tel. Co. R;1'! Suporvmor 1.120ll,me Ave.. S-meSO S.tcinmr.t(o. CA 9bb25 !UMD I;RY TRA7SFER TAX 3...1. h..'!.`..'.'.` ...................... L'(ti.i :isY .ia H41 1"d UC U plop'S.• iiia—. :l At TIME OF SALE.• dtarc of e.cir:am or elemining tax Aim nr.:.se -0030A37 " 1.9.4 1U"930 BYTTECCOUNTT•CALIF Pir.now w.•....._� .Y IC PACIFIC TEL i TEL CO. IN is ro 26 AN 514 MISE 1(LUENOER COUNTY RECORDER FEE 14929 , :9 J01% -7. 31;ADY and JC ANIS Z. B.IWY, his wlfc, ant iiiRTir.Ttl S. Slti)I+AN and BaPr.RLY H. aRDMArVr his wife, Grantor, herein• grants to'T'c{a^ PACIFIC ESIMHODM ACID TE=MPH CWAIrf, a corporation, succesa:^s and acslZn_, Grantee, thn right fro:z time to time tc conrtruet ani ::aintain co-runicatinn facilities, conaistiN; of.aeriai wires and cables lith a_sc_!atci po?•.s, croc.:ar...s, a:.chors, du:,.;, fixtures and appurtenances, together -!V; a right cf way therefor and with the right of inbress thereto and egrccs them- fr,::r.. acroc: ani anon ^.r- Coliuwi:><, Sc acri:>c.l -cel property in the Count;; of 3•1tte. .State of California. That portion of the 3omhwect quarter of Section 28, Township 21: ::orth, Han;e 3 Zajtv lyinC Wcstcrly of the 'desterl- right of aa; line of ;tat.(.- Hirh.ra;• 32, ac now established. .:t" .;h.ill ..::e Pa -1:1; Gas and .Electric Compar.•'e exist .g pole.: or pole locations anJ shall not erect an additional and separat(: 1Lie of poles. �, l�/y.• r -..7/_a O'Grantor John E. Br ayY % 71 •• � ntor o Ann Brad ,.er enneth . a H. &11* Granter Beverly . Srd— STATE OF CALIFORNIA r.OVNTT OF San 8errtard4no _ -.- } ii o,. _.November 11. 1974. berme me. Z .mMr.iamd, a V.tary Prblir in and Ire Yid 1a..1, a.d Sub. g he'b..aly appeared .. . _.._ 'g John E. Brady and Jo. -Ann E. Brady. . a .Maar ...,ra are w1..,i1.d m in. .,ihm i grni . d .,lm..lnlenl i they vud iM 2 DE147A S. GAECIA.. _._ .... . vamr $Typal M Print..ht N.un P.Llir in .nd I., rid 4:..y and Sia, FOR NOTARY SEAL OR STAMP -- aytcMx am DEI A S. GARCIA nolM,r MONC - CYraCw P•mcwft Pia m WA aunwaato COY." to aln.Won EOhe Cot G. 1116 _ STATE OF CALIFORNIA. SthD IYRrhas Individual Form 17 SS. County of Sacramento On Mk____MA ear of Novpltwr 1911- before me, --- a Notary Public of the State of ColNornia, duly commissioned and swan, personally appeared-._ . _Ge__ C. Petersen known to me to be the person whose name Is subscribed to the within hwtrunwnd as a witness thereto6 who being by me duty sworn, deposed and said: that Jw raider in Sacr,{mento Camryand That -JR was present and saw Kenneth S. Erdman and Beverly H. E=n { ............. % ....... Personally known to him_ to be the same person - whose name ° are �. FRIEDA HOLQUIST ; subscribed to the within instrument, execute and deliver the same-, and -theY- ackrtowted)ted : NOTARY vuntic to said atfiaat that .iheY_ executed the rarer and that said affiant aubsaibed hii_ rAM sa_a.vl:nu ccusnr. caolne::a a as a witness. My Commssuon E.pires May 24, 1978 i e ........ •. • •• • •. •.. • • • •. _ •.. • Mfitness my hand and official seat NOTAR7Kax in and to b State R Ci V• W OF DOCUMENT N 1 0 CF0057F AERIAL & UNDERGROUND AFTER RECORDING, RETURN TO: PACIFIC BELL TELEPHONE COMPANY 3675 "T" STREET, ROOM III SACRAMENTO, CA 95816 ATTN: RIGHT OF WAY OFFICE Location: 16833 Deer Creek Hwy, Butte County Unincorporated, Forest Ranch, Ca. Document Transfer Tax $ LI 0 X Computed on Full Value of Property Conveyed, or Computed an Full Value Less liens & Encumbrances Remaining at Time of Sale Consideration of Value Less Than $100.00 Si✓ Mr. e�rant o gent determining tax: (( Agent: Cort Schreiber 2103-1mgo$6513 Recorded Official Records Cotmty Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 03:49PM 12 -Dec -2003 I REC FEE 16.00 1 TAX 1.10 COPIES 7.00 I 1 Kathy I Page 1 of 4 TA 1554M, Forest Ranch, TA 16 Being a portion of the NW '/4 Sec. 28,T.24N, R3E., A.P. No. 056-240-131 M.D.B.&M. R/W File No.: BUT11484-02 GRANT OF EASEMENT The undersigned Grantor(s), "Grantor(s)", hereby grant(s) to PACIFIC BELL TELEPHONE COMPANY, its successors, assigns, lessees and agents, "Grantee(s)", an easement to construct , reconstruct and maintain (place, operate, inspect, repair and remove) such aerial and underground communication facilities as Grantee(s) may from time to time require (including ingress thereto and egress therefrom) consisting of poles, anchors, guys, cables, wires, crossarms, braces, conduits, pipes, above ground markers, risers, service pedestals, manholes, pedestals, underground and aboveground switches, fuses, terminals, transformers with associated concrete pads, associated electrical conductors, terminal equipment cabinets, handholes, service boxes and necessary fixtures and appurtenances in, over, under and upon that certain real property in the County of Butte, State of California, described as follows: See Certified Legal Description (Exhibit "A") & Map (Exhibit "B") Attached: This legal description was prepared pursuant to Section 8730c of the Business and Professions code. Grantor(s) also grant(s) to Grantee(s) the right to trim such tree foliage and to cut such limbs and roots on said property as'may be necessary for the protection of said facilities. Grantor(s) shall not erect or construct any building or other structure or drill or operate any well within said easement. Grantee(s) shall be responsible for damage caused intentionally or by its negligence or willful misconduct while exercising the rights granted herein. Grantor(s) also grants(s) to Grantee(s) the right to cut, fill or otherwise change the grade of said property and to place such drainage and retaining structures thereon; as Grantee(s) may elect for the protection of such facilities. TA1554M, Forest Ranch, TA 16 A.P. No. 056-240-131 R/W File No.: BUT11484-02 -2- Being a portion of the NW '/4 Sec. 28,T.24N, R3E., M.D.B.&M. Grantor(s) also grant(s) to Grantee(s) the right to receive commercial power service from the appropriate utility company serving the area, together with the right for such utility company to place its respective service facilities upon and within said easement. The provisions hereof shall inure to the benefit of and bind the successors and assigns of the respective parties hereto. The person or persons signing below represent that he/she/they are the only party/parties with an interest in the property described herein. Executed this 12th day of December 2003. VDYJ-kX6 J. M TH, Grantor f CHARLES L. SMITH, Grantor STATE OF CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT County of �'- On iL i' Z —7 0 V ,before me,.D/r�� 5C -A '��� 8�` , the undersigned Notary Public, personally appeared rrci ! r�,�,�� �� , yr'ht�y�, personally known to me (or proved to me on the basis, of satisfactory evidence) to be the person(s) whose name(s) }e/are subscribed to the within instrument and acknowledged to me that bg/ske/ they executed the same in Ws/*r/their authorized capacity(ies), and that by bd's/Wr/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. CORT C. SCHREIBER Commiss(on # 1251612 Notory Public - Callb, Butte County 6MVCCMM-80WJanV.=41 WIT�FySS my h d and official seal Notes Public in and for said State SBC LOC. Sec. 28, T.24 N., R3 E., M.D.B.& M. Butte County Assessor's Parcel No. 056-240-131 R/W No. BLTT11484-02, TA16 EASEMENT DESCRIPTION EXHIBIT "A" All that real property situated in the County of Butte, State of California described as follows. A portion of Parcel 2, Parcel Map Book 46 at Page 26, Butte County records. Said Parcel 2 is a portion of the Northwest '/+ Section 28 Township 24 North, Range 3 East, Mount Diablo Base and Meridian. Said easement is more particularly described as follows. Beginning at a point on the south fine of the existing 50 foot easement shown on said Parcel Map. Said point being S 65°58'30"E, a distance of 25.63 feet from the inter- section of the south line of said 50 foot easement and the west line of said Parcel 2. Thence N 47127'14"W, a distance of 20.00 feet. Thence N 4232'46"E, a distance of 15.00 feet. Thence S 47°27' 14"E, a distance of 20.00 feet. Thence S 42°32'46"W, a distance of 15.00 feet to the point of beginning. A plat showing the above description is attached hereto and made a part hereof as Exhibit «B„ �0 10•/,,�,�* or C� EXISTING S.B.C. POLE MOUNTED SAI NEW e0� POLE POWERO PEDESTAL \ EXISTING POLE 0 DETAIL 10 \ SCALE IN FEET \ H z W 2 N Q W U M N 20.00' N47027'14"W ---,-'**' S65'58'30"E 25.63' WEST LINE SECTION 28 & PARCEL 2 R/W#BUT11484-02, TA16 23233 Providence St. Columbia, CA. 95310 W (209) 533-1534 FAX 533-2783 LARRYlccoughranabigvolley.net pR 60' ROAD & PUBLIC UTILITY EASE. \ \ ( PARCEL 2 P.M. 46-26 \ A.P. NO. 056-240-131 � .�'►'o pfRpM S0 \.\ 50' P.O.B. \ PORTION OF \ PARCEL 2 P.M. 46-26 0 30 SCALE IN FEET Z co �N STA 1554 M SBC EASEMENT, EXHIBIT "B" 12, 2010 PCL. 2, P.M. 46-26, STATE HWY 32, FOREST RANCH N.W. 1/4 SECTION 28, T.24 N., R.3 E., M.D.B.& M. AS SH0VVN BUTTE COUNTY, CALIFORNIA � grata S �C .- Fla r� IE IMPORTANT MESSAGE Time—Date Taken By ( I i ,,, 2, n From Telephone ❑ Telephoned ❑ Please call ❑ Wants to.see you ❑ Will call again ❑ Returned your call ❑ URGENT ❑ Was here to see you � f Post -it• telephone message pad U62 60ROAD & PARCEL 2 PUBLIC P.M. 46-26 UTILITY EASE. A.P. N0. 56-240-131 E�/�S�j O j WEST LIN E SECTION 28 / 0 30 SCALE, IN FEET EXISTING S.B.C. 50' POLE MOUNTED SAI / PORTION ye�C / PM46 26 O��TFR 23$33 Providence St. TA t Cdumbia; CA. 55310 t t209j b3371534 FAX .533-2783. Prt*►1Qyo11lY.t<4t °AA S' .. . .d aoai s► .ww W,' s► i �a � N r4tOjd9 R/W#E3UT1 1484-01 W. S.B.C., PAOFIC BELL POSE LOCATION PCI,. 20 P. I. 46> 26.; STATE HWY 32,. FOREST -RANCH N.W.: -1 /4, SZC11QN.. 28 T. N., .R. ..�. 1�,9 D,g.& 6L.•' ; 11 v� �V i 1 ie: fir; :4A[ A. i ow.w�rr - A 395. lT rya FROM CONTRACT ADMINISTRATION CHICO (WED)12. 3'03 10:11/ST.10:10/NO.4863665744 P 1 1aa PACIFIC BELL TELE P HONE- COMPAXY RIGHT-OF-WAY RELEASE _ PRIVATE PROPERTY _ PLTJPSFAGD _ PUBLIC WAY (aka. ROAD RIGHT-OF=WAY or FRANCHISED'AREA) _ RAILROAD STATE AGENCY FEDERAL AGENCY _ X OTHER(Dedicated Pvt. Rd & Public Utility Easement) July 15. 2003 Planning Engineer: Scott Shellenberger, Tel. No.: 916453-7440, Address: 3675 "T' Street, -Room 1 -70, -Sacramento, Ca' Design Engineer: Mike Holyoak, Tel_ No.: 530-891-2049, Address: 518 W. 4i° Street, Chico, Ca. Project, Est., or R. O. No.: TA1554M Right -of --Way No.: BUT 1 1484-01 Exchange Name (or Toll -Lead): Chico, GeoCo: TA 16 Type of Right -of -Way: 50' dedicated road -and public utility easement / Facility(ies): Pole Mounted AFC240D Location: WIS of Hwy 32 @a Headwaters Road, Forest Ranch, Ca. Consideration Paid: $0.00 Right of Way has researched the parcel at the above-mentioned location through the Butte County Recorders Once, Mid Vallev Title Company and Surveyor Larry Coughran and has determined the following, Theexisting pole mounted SAI is within a 50' toad and public utility easement. Tire attached exhibit drawing and APN Map reflect the loca-tion of the pole mounted SAI in relation to the 50' road and public utility easement. Per my field' meet with MGH to review power alternatives and per my telephone conversation with MGH and Planner Shellenberger, R/W conchs that intersetting a pole in line & behind the existing pole mounted S,3U ( no further back than 13' from -the SAI ) is -a viable -choice in regards to R/W:-The new pole, mounted.AFC24013 shou!d be placed on the new poly; so that it faces the gravel road. This will avoid trespassing when accessing the cabinet. Property Owner's Name(s), Address (es) and Tet: No(s).: Charles and Judy Smith -16833 Deer Creek Hwy Forxit Ranch, Ca. 95942 Tel No.., Unlisted ' SPWal Condition(s) & Remark(s .. l.) The survey of this easement was provided by A.luir Consulting Larry Cough=, 23233 Providence St., Columbia, Ca 95310, (209) 533-1534.. 2.) Secure all.other necessary permiu from the appropriate governmental and/or regulatory authority.(ies) prior to construction. 3.).Please post Right -of -Way File No. BUT] 1484-01 to the appropriate cable records. 4.) Please make this Right -of -Way Release package part of the estimate drawings. This Right -of -Way Release must be kept in the job file and distributed to the approptiate authorized company employees and contractors who need access to this information. Cort C. Schreiber - _h , SBC Right of Way Manager 518 W. 4" Street, Roan 30" Chico, Ca Tel. No,: 530-891-2392 cc: S.C. Del Real, RIW Manager, 3675 "T' Street, Room I 11, Sa--ramento, 916-453-7457 Donna Marinelli, Project- Manager, 3675 "T' Street, Room 11-1, Sacramento. 916-453-6222. Terri Brey, Loop Planner, 518 W. 4" Street, Chico, Ca., 530-891-2373 FROM CONTRACT ADMINISTRATION CHICO (WED)12. 3'03 10:21/ST.10:17/NO.4863665745 P 2 Comments for ROW: BUT11484-01 Comments: T 6130/03 RECEIVED E-MAILED RAV REQ. PLANNERS SHELL-�NBERGER AND GREY ON VACATION RETURNING -7R/03 ' 6130103 ENGR HOLYOAK AND 1 TALKED AND WE MAY FIELD TOGETHFR-ON 7/2/03. 6130103 LEFT A VM FOR HOLYOAK TO SEE IF HE WOULD GIVE ME A COPY OF OUR ACM MAP FOR THIS AREA. 7110103 ENGR. ON VACATION SO I FIELDED ALONE. 7/11103 PULLED P.M. AT COUNTY AND IT NOTED A 60' AND 50' ROAD AND UTILITY EASEMENT WHERE THE POLE MOUNTED SAI IS: I CALLED MARRY COUGHRAN TO SURVEY THE SITE AND -PROVIDE -AN EXHIBIT DETAILING - WHERE THE SAI WAS IN RELATION TO THE ROADJUTILITY EASEMENT. '7/14/03 FARNHAM AND 1 FIELDED SITE FOR POWER. ' 7/15103 SET UP CONF. CALL WITH PLNR SHELLENBERGER, FARNHAM -FROM -MGH -AND DAN MILLER TO REVIEW - POWER OPTIONS. PLNR INDICATED THAT WE CANNOT CROSS HWY 32..WE WERE THINKING THAT ANOTHER GOOD SITE MIGHT HAVE BEEN ACROSS HWY 32 ON HEADWATERS. THERE IS A TRANSFORMER EXISTING. PLNR SHELLENBERGER SAID -THAT DUE TO NOT HAVING ANY SPARE PAIRS -IN THE -EXISTING CABLE CROSSING HWY 32 AND THE TIME 17 TAKES TO GET A CALTRANS PERMIT, THAT HE WOULD PREFER TO !NTERSET A POLE AT THE EXISTING POLE MOUNTED SAI. 7/17103 LARRY COUGHRAN SURVEYED SITE AND DETERMINED THAT WE HAVE 16' FEET TO PLAY WITH BEHIND THE SAI. THE EXISTING ROAD CENTERLINE ISNOT SET IN -THE MIDDLE -OF THE 507-ROAD/UTILITY EASEMENT. 7/21/03 RECEIVED EXHIBIT FROM SURVEYOR COUGHRAN 7/22103 COMPLETED AND SENT RELEASE. I ALSO FAXED A COPY TO PLANNER SHELLENBERGER TO GET HIM STARTED UNTIL HE RECEIVED THE HARD COPY. SpePial Conditions: FROM CONTRACT ADMINISTRATION CHICO (WED)12. 3'03 10:25/ST.10:17/NO.4863665745 P 4 REVMDjM ac-R77FIc A7F Filed libfi 1AlL a4f of - t /9T,3. , of /d At /it sm*- a,e. EL PS at page TZ6_ of the , ueaf of Co4rify Rec&dW County cd &AW Deputy . .SERIAL Afa .�- 4 -77AIS5yM TAl /6 PARCEL._ MAP A poltion of NW -W - Section Pa, T -2a4 M.- R. 3 . E.. FOR KEN ERDMAN 8k-. JACKBev 747 � , . PARADISE, .'CALIFORNIA _.Ali McCAIN ASSOCIATES- . ARCHITECTS ENGINEERS • SURVEYORS 555 EAST AVE. CHICO. CA. 95926 __ SHEET 1 OF i TA /5-5-110, T11 /c �0//Z/ T.24N. R.3£. M.DARSM. M -Z4 3 ' f s root I 17+IJ •scs��4�a='O,a —"�` ,��e USA .r Zg I •• a 2341e p d t •I .p P W Ac /3 -- . ate► a4s 4C poAQ • � 7ruA� i I7 o I ` •/.•.r I p�V� fprJ A 25971 Ar, O ® !AI 1 rs.36 1u !AIC 1 �� rover r..71 r Art ' •, BX 63 Pib : o00. o AtORa-s.4 w' 1 f J � Q W torr 164..0 sc1 Ma A�. LSA 1 Q d0 10 '� 97 zt ----- A O W -f S ® / � •� O 6G' AC N Saz1Y.•. 0 y ® z O' AC. AUG 04 O °�° As"man a Mop No. 58-24# w W • � L . dtvler5�7-o• � rn 1 LOU r r • �iriae! O . "'-. ® +M! D.t7 Nr it -so �, m�•��f1��t1 � 20� � 51.797 '�'a � • /'a n� o� ,ice— 3 M. • • . f s root I 17+IJ •scs��4�a='O,a —"�` ,��e USA .r Zg I •• a 2341e p d t •I .p P W Ac /3 -- . ate► a4s 4C poAQ • � 7ruA� i I7 o I ` •/.•.r I p�V� fprJ A 25971 Ar, O ® !AI 1 rs.36 1u !AIC 1 �� rover r..71 r Art ' •, BX 63 Pib : o00. o AtORa-s.4 w' 1 f J � Q W SOA A O W :D4 ® / � •� O 6G' AC N 0 y ® z O' AC. AUG 04 O °�° As"man a Mop No. 58-24# w W • County o Butts, Calif. C, . dtvler5�7-o• � rn FROM CONTRACT ADMINISTRATION CHICO (WED)12. 3'03 10:31/ST.10:17/NO.486366g57 5_P 7 14 : =.rj v ? DWELL T 171_E -i PACIFIC BELL P/ Ll NQ. $'1 P002 RECORDING REOKSTED BY. Fidelity National Title of California Eecro,v No. 205907-130 'ale Odor Vo. 00X5907 When Recorded Mail Document and Tax Statement To: Mr 5. Judy J. Smith 1.6833 Deer Creek Hwy Forest Ranch, CA 95942 TA 155y 1M /A ID f3 L-911 go Call 10 Z& Siall t5i._3 10 Recorded I REC FEE 1a. 00 Official Records I TAX $36.50 County. Df. I BUTTE i CROACE J. GRUBBS I Recorder. I RUSEMMRY DICKSUN I Assistant ! Cindy 09.MAM 25-Uct<Ml- I page 1 of 2 ' arN: vao-ZaU-)J r-uuU GRANT DEED SPACE ABOVE THIS LINE FOR RECOROER'S USE' The undersigned grantors) declare(s) Documentary transfe-c tax Is 5236.50. ( X I computed on full value of property conveyed, or computed On full value -less value of liens or encumbrances remaining. at time -of sale,. - ( ) Unincorporated Area City of Forest Ranch FOR A VALUABLE CONSIDERATION, receipt at which is hereby acknowledged, Eric Gray and Nana Gray, husband 2nd.wife ,an unmarried- wcanarr hereby GRANT(S) to Judy J. Smith rand Charles L. Smith , an u married man the following described real property In the City of Forest Ranch County of Butte, State of California: DATED: October 15, 2001 STATE OF CALIFORNIA COUNTY QFr GN_ before me, /nS� u OnaHy appeased personally known to me for proved to me on the basis of 'satisfactory evidence) to be the persbn(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sheithey executed the sarr,e in his/heritheir authorized capacitybes), and that by hislher/their slgnature(s) on the instrument the. person(s), or the entiW7upon behalf of which the parson(s.) acted, exd.th.e instrument, Waness my h&nq,Wdfoff gial Baal. �-- Eric Gray M—t>V None Gray oe W.J._GOLLING . COMM. B 1274797 �- m NOTARY PUSUC-MIFOARW COUNTY OF BUTTE. Comm. Expires Sept. 20.2001 MAIL TAX STATEMENTS AS DIRECTED ABOVE FO.213 (aev 7196) GRANT DEED FROM CONTRACT ADMINISTRATION CHICO (WED)12. 3'03 10: 32/ST.10:17/NO.486366574� P 0?• 22/ 03 14 : 25 c 11WEl .L ' 1 f LE 4 PRC I I- I C BELL k /W r+U.'1_ P803 Order No. 205907 EXHIBIT "ONE" Parcel 2, as shown on that certain Parcel Map filed in the office of the Recorder of the County of Bunte, State of California, on.July 12, 1973., in..Book 46 o.f,Parcel Maps, page 26. EXCEPTING THEREFROM anv portion, which may lie within the boundaries of the land described in Deed to County of 8ucte, recorded May 6,1927, in Book 217 of Deeds, at page 63, records of Butte County, California,— Assesors Parcel No: 066-240-131 7A ssym 7,414 /� CITHllfY-Ol 2 � PRE -INSPECTION REPORT OWNER__ S LOCATION: _ Y3-5 0-cf� cyy_eiL CONTRACTOR: y-1 - _PRE-INSPEnONFOR: VVV ,, 0 f G -e DATE TO INSPECTOR_ � ,' Za ( o 2;, PXRW K TORY:( ) NONE DATE: t1-(9 - o3 A.P. # - O 5�- Z(L)- r3) ZONING: OS FOLLOWS: W&DING lKsmCTOR's R><PODtT HndldioR Deicrtpgons . RcaidentiaUilr OxTenuY Ooc Abeadoned/Vecant Electric: / i Yes Noi// . Electric czur+ently OaOff Condition of Electric Gas: Na Propane _ N culrenuY OROff Obvious Problems: Sanitation: Plumbing Well Worl Obvious 'eS '-' S Potable Water .e A/0 Comments: \$A S . W1 o /� �.� `' "30-,j C7 rict Sef v+ems i'�iC UtC► o� o - OW ✓ er I Y� i✓t� W/ ACTION RECOMMENDED: ISSUE: MOLD FOR Lo -,s Inspector:_ Date I I . Z- O , 0- Sketch buildings on reverse and indicate location onro ert . A A Y` reo ui ue ua:tja P. 1'. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 '2 J � IL N0,— (Rev. 12196) APPLICATION AND PERMIT C --V ASSESSOR PARCEL NUMBER ./��" ZONING BUILDING PERMIT OWNER ' .�� I TELEPHONE _—` = SQ FTOCC. BUILDING VALUATION DW • • NG rpll 1�J1S cora cro 's�aM✓E� ' C _ L ,l� CO /Mil RAc R MARJ�„ADQR S rV /�1 �' 'CONSTRUCTION —' LENDER —_ LENDER'S AWUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEER'S MAAJNG ADDRESS Permit Fee $ Plan Checkin Fee $ - auaowoADDRESS -(fir 7 :-ee-L - Energy Plan Checking Fee $ PERMIT FEE $ wrNo. ausoNlsnNswLME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex CIMobilehome ❑ Other SPECIFY Each Trap �.00 Solar or heat um water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instepation [3 Other ❑ Describe Work: C Each gas water heater or vent 15.00 Gas I in stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020,00 ' PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 OR LESS 23.00 Z3 Main Service 200A 000A 014 LESS PSMUT FEE_.PA3:t)-. � SRA SHMFF � Q�'}{ /U4101JN'f RECEZI/�p ; (� CO. �� w l -* TO N Pir zwo comim Mein Service 200A TO I000A 46.00 NEW CONI . OWEWNOOCCUP.SO. OR ADONS. 6 ACC. S. 3.5Q�. NON•REslo. MULn•oUTLET 07.501 POWFA APPARATUS —' BSM Ex. Occup. oUnET OR FVCruRm 20 0x.00 9AL0 .50 Ex. Occup. cslD.a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 _ �f � I V1 byl Z3� PERMIT FEE _ (p. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL. FEE $ HA2- I D. FEES I IMP I FLOOD I COF PARCEL PO ND ISSUE • This permit is hereby issued under the applicable pt'o'vrsrdns " of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been-patd. By Date _ PERMIT EXPIRES ON ReceiptNo. WHITE-D.O.S.-B.D. CANARY•ASSESSOR PINK -INSPECTOR GO LDENROD•APPLICANT `f. . . . . . . . . . . rbl "71 SHEET ROTES - � � R�UIfED]UQOtR1Elt£,�tlBA6Sdi�f4l , p>�a7awao��?1 -�A - Um w so -W 4todm. >2 NEW P 203 tj J Boa 5AI HEADMIM ROAD MR vrpmum 077, OD- -0 FL I. TELCO'T -FL noon-MMAL CU5T POLE 8 MTV 240 CAD L 31fCR SSD. maw C4 Go L M Sl TE PLAN 7 -El 2 IENLARGED S!IE PLAN DETAIL 0 z L1436 e4 L) icy/ P2 , rw cm r -I t'LIA) 05(o - X40 - 13 CICID C, kv, O (DA) o ptg C- mx-e c Nov 19 03 02:46p Lim MEN4 \ _ OF 006 k W :'}��y.„''�!�`�,. ;,PtiA�is.'� •.".`.:;;. �:a w'-..,,°-lir' � .: ;;'�.,'.�; �' .'::.. ' y��}`•y--�! ��j� ad's �r :.:t N cI3 ..,.. + mil' •�.k'r�' a ,�.,i L, :: �i :-;:; ..:. ::l'r �%•'1 i> 4Gi,���'.��-13' l �.. . . � �.1:;'.A%v+ 'iR;7: ccji1 .rrFi'i;'��"(�•i�` .4:..';.;.A''.:s "'';.. y�,:,�": > �';� ro 00 M �u,�,'. e!s'�G�rp;`aj'i:N.".%{:• Sly:-_t:rS.:,i(s�V�'±..,.'. ,1,J,.. .. . 44 J_I r•�i a•': r��. +�'ia, ,°Si.V '•a::r �%�, y..:: , 4 , , ,.,:� :. Ei a. 1� :.fit;:, '> j•.,: _:4''; :;•,.'• ' •r{ '�� - a�"e•�:�; fr�;��:r;�..'ri.',.- .�aJ.� ;s:;'r•,F�i >.z:;r 41 C.,' :Ej�, 7�,ytarlx'ii!yr,'y ab•y'; �(yt,S�"' ;. :, .. �rv�;?}�•,,�'S°-hi'.'��'�"i^,rn. ;'..,.'alk.:. �. �V .' �.,•.. •.� i,,..c,'•^�rJJa:��r'��'':�+,5."�(.y,.':.,'•�n�;,..:.:. - P , � �t�..r; dip; _a'c;,j..:�• rr: 44 O •� �•L,Syi ? \1:1„l'9N•yy::.'%jl'y.0 AD V) v4 cd Z Ln 4J 4 �4 P4 cl C14 Ea z P4 W 44 "fit `'Ps "di7 �i,SSi: �v' `.''•'y_ �.:. i i�irx'.�ry�' i,Y n•�Y' • e���i��,�+ S.f �_ . aj.K �' :. l:.a w Y•l•T.q��,!y9�r� ti,�,'f..yt5•i.� VX,r.�'. ;�` _ . V Vr p.l COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO., IC Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING OAR 14 , PHONE NO. OWNER'S AD ESS �//7 �J� G� 3 LOCATIO OF B ILDING Se / / /-•C���-l- A USE OF BUILDING -� �Z>z' SIZE OF STRUCTURE X C — SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYP,E/OIF SIDII G ROOF COVERING FLOOR TYPE � ESTIMATED COST OF CONSTRUCTION O -- 5�1 $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: /.1 .6._ � r CD FRONT -5S SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date � — c� "�� Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. _7" -/lo Director of Public Works By r Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant 1,W15 - 77 PERMIT NO. 1215-`77B..,P,E;M PERMIT EXPIRES Pie OWNER Rodney Martin s CONTR. owner LOCATION (A.P. X8 56-24-131 "T'�ro--Remr ^tace Rd. ,app50'W.of Hwy 32, Forest Ranch' -24,47s' O&Jvia 75 is ° 1 Temp. Power Pole Called PG&E Temp. Elea Serv. / Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) b 17i�s ��� - t eOUNTY OF BUTTE — DEPOTMENT OF PUBLIC WORKS BU I LD I IVIG Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Reinf. Steel BUILDING INSPECYION RECORD BUILDING (Cont'd) Ventilation PLUMBING Firewall ----rte Soil Piping Final Parapets 1st Floor - % Restroom Finish 2nd Floor Gas Piping Windows 3rd Floor Elec. Continuity Siding To out Gas Piping Roof Sheathing Water PI in'K— — v Roofing Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for phsically handicapped Conformance of ex. structure Appliances Gas Piping & Test Temp. as Final Sanitation FIREPL CE Final Footin LECT CAL Throat 06 Rou h Final Z ? Fixtures FIRE SPRINKLERS Motors Stucco ft—zI Final ISubDanels HA N Service Brown Cooling I Temp. Pole Finish Ducts IIndnrnrnunA Interior Lath I Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS i �G�� lrL`1iRJOTFAn entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965/���� —: 77, Telephone: 534-4541 APPLICATION AND PERMIT le auulUllce lefJleSen1d1IVe5 Ul the uounty or tsutte to enter upon the above-mentioned property for inspection purposes. X'o 0,f, Date �� Signal /e of Perm9itee/or Agent Receipt No. ` 66 3 6A White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFR -PUBLIC WORKS By Date Lf�2 ilding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION 21"a Mailing Address 00 .STelpphone No. . 8D 1 00 1774 Fireplace 0q14_ 00 Contractor Total Valuation Q 100 Mailing Address Permit Fee 10, 400 Plan Checking Fee &/or Penalty Tlephone No. e Permit Fee $ DO O IQ Building Address�✓ �- « PLUMBING No. @ FEE PERMIT FILING FEE $3.00 £ Each Trap 1.50 p p JAS Repair drainage or vent piping 1.50 Water piping 1.50 v �3hhiq Ve-rticalion Only Each gas water heater or vent 1.50 A. P. No. o 7 / 'Za�� ,, Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Sa I Ion FireDept. FireZUse Permit If Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel ap 60' R/W Imp ements Lawn sprinkler system 2.00 Bldg. ans Rec'd Parcel Approval Plans Approval Permit Fee $ L NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q Q Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMPOOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING O P..��""& 2�S ft OR ADDNS. ACC. BLDG g/ q NEW CONSTR MLTI BRANCH CIRCUITS) 2.50ea NON.RESID. (U NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@�6 BAL�1 FIXED APLNS. OR Ex. Occup.(POUTLETS IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ` R -211-I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 9,00 Heating Cooling Ventilation Hood 2.00 1 07, 40C) Permit Fee $ 670 $ QC I certify that I have read this application and state that the aboveA/ information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby • e TOTAL PE MIT FEE $ auulUllce lefJleSen1d1IVe5 Ul the uounty or tsutte to enter upon the above-mentioned property for inspection purposes. X'o 0,f, Date �� Signal /e of Perm9itee/or Agent Receipt No. ` 66 3 6A White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFR -PUBLIC WORKS By Date Lf�2 ilding permit expires Date RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) ,%/ ��//�� Bldg. NE OWR oa 1 4 ai 4l ll y A. P. A. GENERAL Zoning requirements (sideyards*and parking). 2. Valuation. 1vt Signature by R.C.E. or Architect (if required). B. PLOT _PLAN l.:" -Complete parcel size and dimensions - 2 -r --Setbacks, sideyards, easements, etc. 3e'�Other buildings or structures. 4 ,P�Gr ading, fills, drainage. Permit.# / o -/S_" �7 07 # 56 =2 A/ 3 Z C. FLOOR PLAN 1-f'- Complete to scale plan with dimensions. 2�Required windows for light and ventilation (Sec. 1405). 3. Required windows for second exit (Sec. 1404). 4 .*#*'* Allowable glazing for energy requirements (20% max. per.State.law 5e'o'�Human impact glass (Sec. 5406). 6 -7:: -Required room sizes, ceiling heights (Sec. 1407). 7. G.F.C.I.'s .in baths and exterior outlets (Sec. 210-8). 8Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9r***'Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec. 503(d)(4)). ll �,- 3'0" exterior exit door (Sec. 3303d). 12. Fireplace location. 134eo'-Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS 10"P undation plan complete enough to construct building. 2f Floor construction details complete enough to construct building. 3 !'Elevations and wall construction details complete enough to construct building. 4 �oof construction details complete enough to construct building. 5 replace construction details and calcs if over one-story in height. 6. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR 1!'- CCX plywood on exposed locations and overhangs. 2 XStairway details (Sec. 3305). 3.-,'�Guardrail details (Sec. 1716). 4Brick or stone veneer (Chapter 30). ht�Exterior plaster - weep screeds (Sec. 4706 & 4708). 6 P,roper roof pitch for roof covering (Chapter 32). 7�a'tter ties or bearing ridge beam. 8`�(,Garage door or porch header sizes.. 9.i'`Ad quate bracing. 19TH Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. .1A'A-Two (2) exits on three-story dwellings (Sec. 3302). OWNER RESIDENTIAL PLAN_ CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) ti A. GEsdERAL 1. Zoning requirements (sidevards and parking).. 2. Valuation. 3. Signature.by R.C.E..or Architect (if required). B. PLOT PLAN 1. Complete parcel size and dimensions. 2. Setbacks, sideyards, easements, etc. 3. Other buildings'or.structures. 4. Grading, fills, drainage. Bldg. A. P. Permit # 12-1 �_- 72 _ �k 2.0 - PL A"S C._.FLOOR PLAN 1. Complete to scale plan with. -dimensions. 2. Required windows for light and ventilation (Sec. 1405). 3. Required windows for second exit (Sec. 1404). 4. Allowable glazing for energy requirements.(20% max. per.State law). - 5. Human impact glass (Sec. 5406). 6. Required room sizes, ceiling heights (Sec..1407). 7. G.F.C.L 's in baths and exterior outlets (Sec. 210-8). 8. Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. 9. Locations of water heater, heating & cooling equipment, other electrical or gas - equipment, and plumbing fixtures. 10. Garage firewall, door size, and closer (Sec. -503(d)(4)).-_, 11.. 1 --3'0" exterior exit door (Sec..3303d). 12. Fireplace location. '7 13. Smoke detectors (Sec.'1413). f D. STRUCTURAL DETAILS 1. Foundation plan complete enough to construct building. 2. Floor construction details complete enough to construct building. 3. Elevations and wall construction details complete enough to construct 4. Roof construction details complete enough to construct building. 5. Fireplaces construction details and calcs if -over one-story in height. 6. Sufficieznt data and details to satisfy energy insulation requirements E. MISCELLANEOL•TS ITEMS TO LOOK OUT FOR 1. CCX plywaadon exposed locations and overhangs. 2. Stairway details (Sec. 3305). 3. Guardrail. details (Sec. 1716) . 4. Brick or stone veneer (Chapter 30). 5. Exterior plaster - weep screeds (Sec. 4706 & 4708). 6. Proper roof pitch for roof covering (Chapter 32). 7. Rafter ties or bearing ridge beam. 8. Garage der or porch header sizes. 9. Adequate bracing. - - building. /0. (State law).. 10. Living'avea ever garage - complete.l-hour separation required inciuding•supporting walls ar_:i posts, etc. 11. Two (2).exits on three-story dwellings (Sec. 3302).. ""A ��"K-wy """Nw�oj- it . ..... if,, -, � - - . , � � i - �, 1� " I � V C -Y " 11 1, . � r.V, "'ll, I, � , , ", —lompy,qI. 4, "K. If J- q— AVW"QQP4 PWQl -ay-- Ail to➢ .... .... M -y .w � '�'r � .'k". i.i, ..e� ,.::� �..,Y �: l id;r. M1r iii h e,. f:;., �, .; A ... . oi� `..,tl.ti ,f�� _ �,�.vi ',r;d � G 4 r � �� ,,. .v �,t��;�. de d�.[.. � �,_ � m'...����c �r .Rs .h7.: � � ,� Bio .�� �"-�.i ,u;"� �'e.P:'R.� � 'S`i��S_J a _..