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HomeMy WebLinkAbout056-260-016:4. ry d ' I' i i a i �. B ' i ��: j d } �. • �. i° r � �: �� 4 �, f; I � a'� i ,:i j d +' 0 1Y: • 7 �; � "1 Fq I �, f; v } � � ,�: i �� .�- J" .l � �. �� i �� r �V 2005-0066452 AND WHEN RECORDED MAIL. T? Recorded I REC FEE 10.00 BUTTE COUNTY BUILDING DIVISION ,.' Official Records 1 7 COUNTY CENTER DRIVE County of 1 COWOR4'4ED COPY 1.00 OROVILLE,CA 95965 Butte I (1WM J. GRUBBS I County Clerk-Recorderl I I LV 011:49M 01 -Nov -2005 I Page I of 2 ILII III III I ILII I III I IIIII II II III it AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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 situated in the County of Butte, State of California, described as follows: SEE ATTACHED LEGAL DESCRIPTION Date '9'- �� - uS PROPERTY OWNERS: X f -'4ne.'t�x SancTra P. Simas State of Calprni. County of Op T-30 - O before me, (a CIPPiA personally appeared F", persoudly-- kaown-tv-me(or proved to me on the basis of satisfactory evidence) to be the person(*) whose nameW is/subscribed to the within instrument and acknowledged to me that JW/she/tk6 executed the same in WherltWr authorized capacity(WI, and that by' bWher/tbeW signatureWon the instrument, the person(Wor the entity upon behalf of which the person(,$)'acted, executed the instrument. WITNESS my and and official seal. Signature Seal: n��ll��►$l1alj[! .w.. KATHREEN Z. LAMMERS COMM. # 1492245 NOTARY PUBLIC -CALIFORNIA COUNTY OF BUTTE Comm. Expires May 27, 2008 l.� EXHIBIT `A.' The Land referred to herein is described as, follows - All that certain real property situate in the unincorporated area, County.of Butte, State of California,. and being more particularly described as follows: PARCEL I: A certain parcel or tract of land situated in section of land situated in section 36, Township 24 north,_ range 3 East,. M.D.E. & M.,, more particularly described as follows: Commencing at A cedar tree, 32 inches in diameter, blazed on the South side and marked ISDSFC and bearing North 8* 10' West 11.71 chains distant from the corner common to Townships 23 and 24 North, Ranges 3 and 4 East, M.D.B.& M., Thence= West 5..00. chains-. to. A stake: in A mound of stone: from which an oak 2-8: inches- in: diameter bears South 48*00' East 31 links distant, and another oak 30inches indiameter bears North.24*00' West 30 links distant;.Thence North 1.00 chains to stake in Amound of stone, from which A Fir tree 12 inches in diameter bears North 35*30' West 11 links distant,. and A cedar 1.8 inches in diameter bears South 47*00' West 29 links distant;. Thence East 5.00 chains to A stake in A mound if rocks from which an oak 10 inches in diameter bears South 52*30' West 145 links distant; Thence South 4.00 chains to the place of commencement. AP#. 05b-2.70-016 PARCEL -1111 NON-EXCLUSIVE EASEMENT TO CONSTRUCT, RECONSTRUCT, MAINTAIN AND USE A PRIVATE ROAD, AS SAID ROAD IS SET FORTH ON THE EASEMENT DEED EXECUTED BY SIERRA PACIFIC HOLDING COMPANY, RECORDED JANUARY 6, 2000 UNDER BUTTE COUNTY RECORDER'S SERIAL RECORDING REQUESTI;;DYt..„ AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2005-0066447 Recorded I REC FEE 10.00 Official Records I County of I CONFORMED COPY 1.00 Butte I CRMW J. GRUBBS I County Clerk—Recorderl I I LV 09:57AN 01—Nov-2005 I Page I of 2 �IIII'III"I'I'IIII�IIII'IIIIII"� SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, a INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JERRY AND JULIE LUCE REAL PROPERTY OWNER/LESSOR 309 WILLEY WAY MAILING ADDRESS BIGGS BUTTE CA 95917 CITY COUNTY STATE ZIP 687 ORD RANCH RD INSTALLATION MAILING ADDRESS, IF DIFFERENT BIGGS BUTTE CA 95917 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS , SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE MANUFACTURER'S NAME 2005 BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 05-0649 530 538-7541 BUILD GPERMIT tJO. TELEPHONE NUMBER OP L A A C ICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO DATE OF MANUFACTURE 6730CT MODEL NAME/NUMBER 2T91 -0519-T A/B/C 68 X 42 ORE472182/3/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 025-250-003 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. 7viv0 #0:04 rAA bsu840u004 HTEEC GRIDLEY 1003 EXHIBIT A THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: Order No. 00219347-004 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS; A PART OF LOT 22 ACCORDING TO THAT CERTAIN APAP ENTITLED, `THE ORD RANCHO AND THE BOYI.ES RANCH," FILED IN THE OFFICE OF THE -RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, MARCH 22,1928, IN MAP BOOK "8" AT PAGE 241, DESCMED AS FOLLOWS: COMMENCING AT A POINTIN THE SOUTH BOUNDARY OF THE RANCHO FERNANDEZ 6753,98 FEET, NORTH 890 01' EAST FROM THE SOUTHWEST CORNER OF SAID RANCHO; THENCE NORTH 000 59, WEST 663.7 FEET TO AN IRON PIPE; THENCE SOUTH 42` 30' WEST I00:5 FEET TO AN IRON PIPE WHICH BEARS NORTH 000 59' WEST 532.9 FEET FROM A POINT ON THE SOUTrj BOUNDARY OF SAID RANCHO DISTANT THEREON SOUTH 890 01' WEST 125 FEET FROM THE POINTOF*COMMENCEMENT HEREIN; THENCE SOUTH 00° 59' EAST 532.9 FEET TO A POINT ON SAID SOUTH BOUNDARY; THENCE ALONG SAID SOUTH BOUI+TDARY NORTH 890 01' EAST 125 FEET TO THE POINT OF COMMENCEMENT, AP NO. 025-250-003 ,�, _ _ . . . � : � ._ . , _ . y • , i , ,✓ f :; ..�. �� "TI`. • # , . � �, ' � � � � r 1 ' Jy f .� ) . _ � ;. ., . � � - �� � , "COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754?, `1952-90 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 56-26--16 ZONING BUILDING PERMIT OWNER Charles Stoddard TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS + P.O. Box 2471 Paradise CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER. UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Pine Mtn. Dr. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 un Skyway nest Toad Town over Flume turn }left on Each Trap 2.00 little rd. next to Flume. Ii, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 11 PARCEL MAP Q Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE tS SF Pq Duplex❑ Mobilehome❑ Other SPECIFY fi Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G.1W I I 110-00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [J Installation ❑ Other ❑ Describe work: eleC for house _� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.502.50 CONTRACTORS LICENSE -LAW I declare under penalty of perjury (check one): I ❑ 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. ClassificationEx. '❑ 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 OC 81)+/Z�sgft OR ADONS. ACC. SLOGS. 10 (� NEW CONSTRULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) (PO OUTLET CIR. Occu p(OUTLETS OR FIXTURES BALOAL030 FIXED APPLNS. Ex. Occup. OUTLETS (RESIDA.) IRE 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 pre inap. 15.00 15.00 Permit Fee $ 47-90 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): # ❑ The permit is for $100.00 (valuation) or less. i ❑ 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. i Notice to Applicant: If after making this statement, should you becoMe subject to the W. C. provisions of the Labor Code, you must forthwith complyiwith such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againstt said County in consequence of the granting of this permit. X " <: Date t' `/ ��' Signature of Applicant — 0­W".rR Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 47.50 HAz CUA PARK SCHL EE PAR HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE#T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date A- [,t -/"D Receipt No. 66191 I WRITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT I j COUNTY OF BUTTE i DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER ERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of wor is completed. If you have any question pertaining to this matter, or need add' onal explanation, please contact this office immediately. r � J�Q _ J R � C J.d Ai a !' ►� f (rl-��,,, 12. � M S4W- %bt 4/4--1 .A—JAL Date t" t% Inspector G` Vyr Date t" t% Inspector G` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS b 7 County Center Drive-Orovillep California 95965 - Telephone: 916/538-7541 APPLICKTION AND PERMIT PERMIT NO. 1952-90 *.A A ASSESSOR PARCEL NUMBER 56-26-16 1 ZONING 1 BUILDING FERMI OWNER Charles Stoddard TELEPHONE ,SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 2471 Paradise CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Pine Mtn. Dr. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Tup Skyway ast Toad Town over Flume turn left on Each Trap 2.00 little rd. next to Flume. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF 0 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities a Installation[] Other ❑ Describe work: P1Pc for house _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 2.90 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p er I y (check one): El 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 1, 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) 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 ocy4 P..) OR ADDNS. ACC. BLDGS. +/Z¢sgft 1 . 00 NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. Ex. Occu p OUTLETS OR FIXTURES 12z0@ALDOS 030 FIXED APPLNS. OR Temporary service 10.00 Mobile Home Facilities Misc. Wiring El5.00I, 5.00 Permit Fee $ 47-50 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. 6_� y_ 9O X __ `1'r/ �Date / Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 47.50 HAz cuA PARK SCHL EE PAR PD HD IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PE EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date �� P/���^� ,C/� - 7, b Receipt No. 66191 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUI „TY OF BUTTE - DEPAE.T,�VIEt4T O (( i UBLIC WORKS - BUILDING DIVISION EN _ TER DRIVE nZ E no'L �AL'� n0K1IA 95965 - TELEPHONE 818/538 7541 7 COUNTY C PERMIT APPLICATION DATA SHEET �I Permit No. OWNER S�© Onn ' d Q r .� \ A. P..No..-5-G^ 2 6 — /<o Proposed Building Use re. �o1%, 1 Building Inspector Date (')' / 4L?d At time of permit application,'I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid. .: ........... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of Q (see City for other requirements)' 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construeion approval required prior to occupa 20. Pre -Inspection foil �� c- requiredre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................. ............. . 26. 27. When you issue the permit, process as follows:_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date C-1cl--961 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 permit issuance: (Circle 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—phone _-nail! counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma If—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrOvilte, California 95965 - Telephone: 9167538-7541 APPLICATION AND PERMIT PERMIT NO. r, ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER,/ C: ISI G r S S � ai TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'SJAILING ADDRESS c � CONTRACTOR'S AMEA__nn c �_ TELEPHONE CONTRACTOR'S AILING ODRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 /'f c/ f fo r'/crn, a Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SIX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Add ition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: _ Z --lee— P5or I -16z, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS �fZ Main service EA. AOD'L 100 AMP Z rS� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered 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 oa ADONST ( ACCLBLOGSC Pp�) Q Jsq NEW CONSTR. MULTI -OUTLET BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES .01150e FIXED Ex. Occup. OUTLETS PIRESID 1REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 r' -7::_`-6? Permit Fee $ Contractor y 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 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC, CONST TYPE TOTAL FEE $ G� / HAz I CUA PARK I SCHL I FLD I PAR PD HD ISSUE This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 6(o," Zi?By WHITC-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PRE -INSPECTION OWNER: ,j -to4b dw q R DATE LOCATION: pas+ Toa,( ,,ri 4144(4 4,,* Road -f'v A. P. # G l_e4---( PasC F li..� CONTRACTOR: ZONING % /tib -2 D W j ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- PRE-INSPECTION FOR: ------------------------------------ ------------------------------------ PERMIT HISTORY:) NONE AS FOLLOWS: TYPE OF OCCUPANCY ----------------------------------------------- ----------------------------------------------- FIELD - INFORMATION DATE TO INSPECTOR ----------------------------------- ----------------------------------- BUILDING USAGE: / s, �,®a j,,, t. TENNANT : (y ZCCUPIED Q HAS ELECTRIC F—] HAS GAS HAS SANITATION FACILITIES Q HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTIO ECOMMENDED: ISSUE HOLD FOR �""- �� -� � ' � i /` ��. —�; � � � �� ' � � �� � � � � I � -� a. r �jt, S�oc�da�a( d COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION J� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER SAO Q r ` A. P. No. G^ Z 6 Proposed Building Use Building Inspector DateCC�' At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ......:................................ 12. Park fees paid .................................................... 13. School District fees paid ............. . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9. -Driveway permit;(construc Ion -approval required prior to occupancy) Pre-Inspec._request to `20 -Pre -Inspection --for p ��' I_ -x required'- (Date) Building Inspector- � 21. Contractor's license information (No., Name Style, Classification) ... y- 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................. ............. . 26. 27. When you issue the permit, process as follows: _Mail to owner.' Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant 0/�,. Date Copy of Haz-Mat form sent Health Dept. —Fire Dept. .fir Pollution Date Copy of plans sent Health Dept. • —Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle 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_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW 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 6 - .� OWNER ZONING BUILDING PERMIT �AUh S moo( TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S'rf& ADDRESS 2 L 7 ,- nk `�' C CONTRACTOR'S NAME h r_ TELEPHONE CONTRACTOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation - Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee e$. $ Penalty $ BUILDING ADDRESS l t 1 y z Permit fee $ r 6:7111 ^ /fillEach PLUMBING PERMIT Filing Fee 10.00 Trap 2,00 /, /e /1 d f 7`0 Solar or heat pump water heater 20.00 LOT NO. [SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SIX Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.0 e TYPE OF WORK New [3 Addition Remodel[] Utilities Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1OO°V OR o AMP ORLESS10.00 �� 0 -.Q - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9. Div. 3 Of the Business and Professions Code and my license IS In full force and effect. License No. Classification f, 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) ❑ 1, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 Z rS NEW CONST. DWELLING Dc P.tr OR ADDNS. ( ACC. BLDGS. Q J 2/x¢sgft NEW CONSTR.ULTI.OUTLET NON•RESID BRANCH ".C", T J 2.50 ea (POWER /POWER APPARATUS &) OUTLET CIR. Ex. OCCU OUTLETS OR FIXTURES P eALoZOA3o70e FIXED Ex. Occup. OUTLETS IPRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 P t^c Sys e i .1r /-J- C`— Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department E] 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 y MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, 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. XTh's Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and. demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC, CONST TYPE G s TOTAL FEE $ HAZ CUA PARK I SCHL FLD PAR PD HD ISSUE permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the .applicable provi- resolutions to do have been paid. WORKS Date Receipt No. to 66 � 7 Z -_WHITE-D.P.W.. TELLOW•ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT