HomeMy WebLinkAbout058-590-019'Howard7Neel 77Wen y Way, 9/�INY of Pinebrey, Yakee HillPermit # 55 -77B�g(utij—
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' |CUMPACTION TEST REQ. 17-&0
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/Permit #10d-77NHI
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�SMITH, Sheridian & Beverly
. .57�4 Pine Brae Rd., Oroville
^Cont: Bruning Const
`New Single Family
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LCD C, �� Ltd ,OSI
BUILDING DIVISION
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE.,,CALIFORNIA 95965 - TELEPHONE: (530) 536-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
�RM��j 1� .
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural 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. V^ — jt/o —O/q—
O! — Q0a
ZONING
OWNER = QA�q f /
PHONE NO. �-'3 ,A_L/ 3
OWNER'S ADDRESS � rt*Ale-9 (� s
LOCATION OF BUILDING S,( T_/ t(l 5 7—
USE OF BUILDING A.A0 ' !, S
SIZE OF STRUCTURE / J / -
`7 X 1� ' - SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE SID NWpp
ROOFCOVERINGFLOOR
TYPE o
EST MA TO COST OF CONSTRUCTION
$ De
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County
Ordinances as follows:/ t `
FRONT .5 Au" SIDES �® lh^� REAR Zo /hulr-
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. _
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the build' g is made, I will contact the Buildi-ig Division and
obtain any necessary permits, inspections, and approvals to compl th the requirements in 4c,h�t ti and before
cupancy. ('
�� 1- (4nature of Own r
Permit Fee ('"0.00
Receiat No.
I
above described AG Building is exempt from a building permit'
F7 I P71 I P. R7G ISS
_. ' e 96-1uIdi" ision J
y Date53D -qg
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White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — A plicant
on
'RESIDENTIAL
058-590-019 PERMIT#96-2797
SMITH, Sheridian & Beverly
5754 Pine Brae Rd., Oroville
Cont: Bruning Const.
New Single Family 'ZlZ/i �
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Address
OFFICE COPY
-GAS
;;;:Meter By
Dat�L�?
- 'Beteg
�Y
Bete—
ELECTRIC
Meter By
Date&•
JO® FINALED (Dat) UA?- TZ_
'.4
cSignature
k
V=OK,
O = Not OK
Not *=Not Ready MOBILE DOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Sails; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test Wrap; / /'9_'ft.
/ /Nat. or/ /"L°ft./ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1. Zoning Requirements- Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-DemandVahre-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Can of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; SoilsSize-DepthSpacing-Connectors-Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.;'Posts-Beams-Rftrs.-Connectors
Shthg: Rfg.-Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Fnng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing VeneerStucco-Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal wX-Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool LBhtgq.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
O = Not o OK RESIDENTIAL'
- = Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #s
ingSetbacks-Easments-Flood-Slope
Ftg., Main; Soils-Elec. Gmd. / g. Depth
3. _ESg_6ara oils-Steel-Elec. Grnd/ P' Ftg. Depth
4. Ftg. Porches & Decks; Soils -Steel-/ !' Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hol Downs and Special Anchors
-71 Y% 7 lab, Steel -Wrapped
Piers -Fireplace Ftg.Steel
W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. OF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Pienums & Ducts; Clearance-Mater:al-Support-Ins.
14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date A Card B-1 Date Card E-1
Date ! PLUMBING P' rmit) OK except #'s
7. Water Htr.; Vent -Access -Combustion Air Baffle
ater Pipe; Test & Anchor -Nail Protection
-Test Fittings & Anchor -Nail Protection
Shywer Pan; Test, First Floor -Tub Access
est Tu &Shower, Second Floor -Tub Access
as Pipe; Sixe & Anchors
Date(07 Card B-1_ Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
23_Fixture'&-Transformer Clearance -Ins. Protection
lec. Receptacles Spacing -Lights & Switches at Doors
1 ize Boxes & No. of Conductors Stapled
aA_<'_11ex Installed Close to Edge of Studs & C.J.
dip. Ground made up w/Mech Fastners-Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30. Range Circ. / 6, / g u r AI -Oven Circ. / / ga Cu or At
Insulat .Neul ees 0 No
e-ce-Riser Conductors & Ground -Main Disconect
uip. Clearances Panels-Motors-Mech. Epuip.
-23-4lethes-F-4oset Light -Shower Light -Spa Light
moke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
3 & Support
3 . Vent Fam, Exhatisiabove insulation
3 . rflow, Size & Grade
P& -Vent Access -Comb. Air -Ret
,1,381-A-ttic Access & Platform
bate Card B-1. Date Card B-1
Date Card B-1 Date Card B-1
Date AMING (Plans) OK except #'s
Sits Proper Materials & Anchors
alls Studs -Nailing Spacing & Braces -Plates -Sound
ari Walls over Girders & Floor Nailing
ft Stop in Walls (rat prool)
Fire Stops, Furred Ceilings -Stairs -Chase
Headers & Beams -Size & Bearing
(Single & Duplex)
Date FRAMING (Continued)
J46-14an aps- hors Connectors
ming. Joi ies-Purlin-roff Brac.-TrussShting: R
LA6'Fireplace Tier Type A Flue-Fi I fl nadt clediame
'c Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arag n raming
L35�wood on Roof Overhang -Attic Vents -Rafter Outriggers
'577SII = Mesh -Drip Screed -Fd. Vents-Underflr. Access
60. Brame panels /`-/ (
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date p+'>
Card B-1 Date Card B-1
Data
/P AL (Plans) OK except #'s
y69'Ext
Steps -Door & Sidelight Protection -Landings
moke Detector
urnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
edro iting
F. Bath Fixtures & Tub Access -Spa
JAW-Elec.
Trim,& Subpanel, Breaker Sizes & Labels
fairs & Rails
veplace or Stove, Clearance -Hearth
Outlets at Wood Panel, Int. & Ext.
ixt. & Appliance; Ground. -Air Gap -Cooking Clearance
ec. Outlets & Recepticales at Kit. Counter
'74.
75
ffg-Landing-Closure
e_pam er
tr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
Ib., Elec. & Mech. Equip. Listed for Location
arage (G.F.I.)-Romex Protection
4k79-
nsotatron=Foam-Looked in Attic
uard rails & Deck Construction -Post Caps
t 8
nts-&Craw a Door Drainage & Wood -Earth
Clearance Looked under Floor QYes
82. Following Instld./Drive Q Yes alks No/Planters o Yes
°" -A qp64r .Electrical -Plumbing
J$Cl�ents Roof, Plbg-Appliance-Fireplace-Clearance to Openings
ater Well, Disconnect, Electrical, Plumbing
xteri r Elec. Trim, G.F.I. Receptacle -Underground
entilation Throught House
lass Protection
96-Eorrectigrrs fromflrevious Inspections
as Test -Meters Tagged, Gas -Electric
mower Connected -C/O to Grade -HD Approval
1.63'Energy Compliance Certificate -Other Certificates
Date Card B-1 ,Date Card B-1
Date Card B-1 Date Card B-1
Date Card B -i Date Card B-1
Comments at Final:
LOERKE INSULATION CO., INC.
INSULATION CERTIFICATE
5754 Pine Brae Oroville
Number and StreetCity
Butte
ounty Subdivision Lot Number
DESCRIPTION OF INSTALLATION
1. ROOF
Material Brand Name
Thickness (inches) Thermal Resistance (R -Value)
2. CEILING
Batt or Blanket Type Fiberglass Batts Brand Name Schuller Int.
Thickness (inches) 13.0 Thermal Resistance (R -Value) R 38
Loose Fill Type Fiberglass Brand Name Schuller Int.
Contractor/s min. installed weight/ft sq., Ib. Minimum Thickness inches.
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value)
3. EXTERIOR WALL
Material Fiberglass Batts
Thickness (inches) 6.75
4. RAISED FLOOR
Material Fiberglass Batts
Thickness (inches)
5. SLAB FLOOR / PERIMETER
Material
Thickness
Perimeter Insulation Depth (inches.)
6. FOUNDATION WALL
Material
Thickness (inches)
DECLARATION
Brand Name Schuller Int.
Thermal Resistance (R -Value) R 19
Brand Name Schuller Int.
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance
with the current Energy Efficien Standards for residential buildings (Title 24,Part 6, California Code of
Regulations) as indicated on the 'Certificate of compliance, where applicable.
C.L.#499150 S-�.3'9'7 LOERKE INSULATION CO., INC.
tis Signature, a e Inst ino S Subcontractor o. Name)Or
General Contractor (Co. Name) Or Owner
Item Signature, atenstal ing Subcontractor Co. Name)r
General Contractor (Co. ame) Or caner
Item #s Signature, Date Installing Subcontractor (Co. ) ame) Or
General Contractor Co. ame Or Owner
I
COUNTY OF BUTTE - DEPARTMENT OP'DEVEl,OPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, (;alifornia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT _
ARSESSORPARCEL:Nt!jE"_0-019
IBEEVVERRLY
ZONITR-2
BUILDING PERMIT O
OWNER
AND SHERIDIAN SMITH
T!ffOµ 750
.7 V"
SO. FT. OCC. BUILDING VALUATION
OWNERMAID
S
WUKL
°° R'WVWING CONST
TELE 1076
NTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation Is
.56
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee c
450 c;n$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee ALO, Oyf F0
292 23
Energy Plan Checking Fee $
ARC I ECT OR ENGINEERS MAILING ADDRESS
Penalty
ILDINGADDRESS
5754 PINE 13RAF -ROAD, DROVITLE,
'PthMlE $
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
S UBDNISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USE OF STRUCTURE
SF ❑Xjpuplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑X)lddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Mobile Home IS I GI W
(_a20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filinq Fee 20.'00
Main Service000v OR LESS
( 200A OR LESS )
23.00 Z3. OD
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penatty 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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
aw 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
NEW CONST. DWELLING OCCUP. \
OR NS. ( d ACC. /
SO.
3.5Q FT.
NEW CONST. MULTI -OUTLET
/ TLET
NON-RESID. \ BRANCH CIRCUITS )
97.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
00
20 @ 1.00
SAL .50
PLNS.OR )
Ex. Occup. (OFIXED PJ
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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.
❑ 1 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
MECHANICAL PERMIT
Filing Fee 20.00
Heating
15,00
Cooling
15.00
Hood
6.50 6.50
Ventilation
4.50
PERMITFEE $
61.00
Contractor
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
notemploy any person in any manner so as to become subject to workers'
comp nsation laws of California, and agree that if I should become subject to the
wo s' compensation provisi ns of section 3700 of the Labor Code, I shall
fo ith rtom withtho pr sio` .
Date��� _
gatu'Fre of Applicant - Owner ❑ Contr ctor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Is
Energy Inspection Fee
$ 0 y 46.0
/LSA
C PE
TOTAL FEE $ IVU 59r-
}not
HAZ.
D. FEES
IMP FLOOD CD PARCEL PD HD U
r--
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By `�
PERMITEXPIRESON (Z
provisions
to do work
paid.
ey
Date
ate)
209494/375. 35/ / 2-.,v 7--3/ 7kC 7-2,C,41
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD NR D -APPLICANT
i•.0 �:>:: :caS�:iF•_"�81'N�V77p�"..v^a'TGT-��Yti71�Gt�a::�,l;-������!��W/7P�'i•�ti'^1�6§.S�.+s"o.lcVi%:r(i'+7iiiR'��70«4�.`A�Y:. .�w.v::rY v'"G:ld�::...�if5ht'-'
COUNTYOF BUTTE - DEPARTMENT ORDEVELOPM ENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER sw(k4N No. 05 's'? D -
Proposed Building Use e Vj Building Inspector Date
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 h� been submitted . ........................................
2. Plot plans,W4 spA signed by preparer of plans . ..........................
3. Complete plans, • 4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Ilk 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 Ian-cheekj,. .
9. Mobilehom a s d.manufac u er's i stallati truct , 2 sets.
10. Fees of $ 1XrIIVv CV0 y - .. l E.
11. Impact fees as shown on attached schedule. . .
12.'California Department of Forestry plan approval/ ./... .......
13. ;Flood elevation letter (100 year floc �� C' l'if rnia Engineer. . .
14. Sanitation and plot plan approval U ► Health Department. Gln'
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). .. .. .. .
Fn anspecfion mque
20. Pre -inspection for required.'. . to Bu++ding Inspector y (Date)
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 . ........ .
14.Recorded copy of Agricultural Acknowledgement Statement. `OAEO-OtTt
25. Letter of signature -authorization ........................................ .
26. Copy ofjlecorded deed of parcel creation and 60 right of way to a public road. .... .
" 27. Letter of intent on building use . .........................................
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 you issue ther it process as follows- MMVI
towng Mail to contractor.
✓ Telephone 013 and hold for pickup at ( office. Deliver with inspector.
Other \
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy o1 plans sent Health Dept. Fire Dept. Other f Date By
The following data most be submitted prior to permit issua - i ew 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 _ mail Counter by Date +
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>�-�J
Z,
y
TO: Building Department
FROM: Environmental Health V I
SUBJECT: Sanitation Clearance
E. H. USE ONLY
Plot Plan Attached
Floor Plan Attached
Sent to S.D. ~T /�E:(
Ste. k -9, S �
Owner Location AP#
Plan Approved for:wage Disposal `� Water Supply: Public. Private Well
Clearance for ]�;4911ing. Other
Hold final for:
Final clearance O.K. for:
NOTE:
aj /-
Environmental Health Specialist
8/96
C
Date
.ri r
1,
COUNTY'OF`BUTTE
DEPARTMENT OF DEVELOPMENT `SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541
SEs
SCHEDULE OF'-,
FEES DUE_,a-��•�'""
;r
OWNER I A.P. #� _ . -SQ0 CO
PROPOSED BUILDING USE DATE
REC # DATE REC_
1. BUILDING PERMIT FEES
K
7// 7 -3
-- Balance Due ................ „ _
-- Additional Fees Due ...........
-- Additional Fees Due ...........
-- Revised Plan Checking I
2. SCHOOL DISTRICT
(paid at District Office)
_ HERIFF FEES (paid at Building Division)
Residential ........ i x $360.00 = $_N90.
Units
Commercial (sq.ft.)... x $0.03 = $
Sq-�]: t; y.�
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit) . x = $
#Units Amt.
Commercial (sq.ft.) .. x =$
,3q.1'r. ruin.
5. RECREATION DISTRICT FEES
(paid at District Office)
6. THERMALITO DRAINAGE DISTRICT FEES
$425.00 (paid at Building Division)
/, f 7. SRA FIRE INSPECTION AND PLAN CHECK
$89.00 (paid at Building Division)
s �
Y
8. WATER TENDER FEES (Battalion # )
$200.00 (paid at Building Division)
9. CSA 87 TRAFFIC FEE
$2500.00 (paid at Building Division)
/ 2- 01 & e19 I
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the
building permit. These fees may be changed during the plan, checking process.
t
APPLICANTAJDATE f
IF
Original -Owner Copy -Building Div. (Rev. 12/96)
t 1 ,ei A. It r
O.B.- I
h
:}4v
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.
(I personally plan to provide the major labor and materials for construction of the
proposed nrooertv improvement : YES[] NO[ ]. .
I HAVE[ W HAVE NOT[ ] signed an application _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: CONTRACTOR'S 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: CONTRACTOR'S 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: &L — l r, i
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified-
For
pecifiedFor your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0- If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including- state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sinarel
LCi�G
Michael C. Vieiia, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
�N. _ ;w
And when, recorded mail to;
Building Division
#7 County Center Drive
Oroville, Ca. 95965
7 6 R-047389 I Rec Fee
I COP
Recorded I Cash
Official Records I
County of I
Butte I
Candace J. Grubbs I
Recorder I
1:50pm 18 -Dec -96 I PUBL
12. 00
2.00
14.00
XX 3
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 bf 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 situate in the County of Butte. State of California, described as follows:
SEE ATTACHED LEGAL DESCRIPTION
Date: 12/18/96 PR P RTYOWNERS:
SHERI.DAN L. SMITH BEVERLY J i ITH it
State of California )
County of BUTTE )
On 12/ 18/96 before me, PENNY C. ENGLAND
personally appeared SHERI.DAN L. SMITH AND BEVERLY J. SiAITH**** personally
known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of .which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal.
PFARW C. ENGLAND
Com n"n d,1079122 M.Ir CP81
Scaly 11010"y
Signature.. 4, • Butte Cotrr!y. CcYomb
'PENNY NGLAND < My Corrmdssbn E):p. DX. 3.1999
/%X� -- oz 9
A. P.# yc"l
DESCRIPTION
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:
PARCEL I:
A PORTION OF THE NORTHWEST QUARTER OF SECTION 3, TOWNSHIP 21 NORTH,
RANGE 4 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST SOUTHERLY CORNER OF LOT 9, AS SHOWN ON THAT
CERTAIN MAP ENTITLED, "YANKEE HILL ACRES SUBDIVISION", WHICH MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON JUNE 21, 1957, IN BOOK 22 OF MAPS, AT
PAGE(S) 33 AND 34; THENCE FROM SAID POINT OF COMMENCEMENT, ALONG
THE EASTERLY LINE OF SAID SUBDIVISION, NORTH 35 DEG. 39' 22" EAST,
(SHOWN AS NORTH 35 DEG. 40' EAST, ON SAID MAP), 194.43 FEET TO THE
SOUTH LINE OF LOT 4 OF SAID SECTION 3; THENCE ALONG SAID SOUTH
LINE, NORTH 89 DEG. 52''48" EAST., -805.27 FEET TO THE SOUTHEAST
CORNER OF SAID LOT; THENCE ALONG THE SOUTHERLY EXTENSION OF THE
EAST LINE OF SAID LOT 4, SOUTH 2 DEG. 18' 10" WEST, 3.71 FEET TO
THE SOUTHWEST CORNER OF THE PARCEL DESCRIBED IN THE QUITCLAIM DEED
FROM JOHN D. CRISPIN AND VIRGINIA CRISPIN TO 'ROBERT F. PARKER AND
GOLDA E. PARKER, RECORDED JULY 24, 1964, IN BOOK 1326, PAGE 537,
OFFICIAL RECORDS; THENCE ALONG THE SOUTH LINE OF SAID PARCEL,, NORTH
88 DEG. 48' 21" EAST, 376.61 FEET TO THE TRUE POINT OF BEGINNING
FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF
BEGINNING AND CONTINUING, NORTH 88 DEG. 48' 21" EAST, 696.21 FEET;
THENCE SOUTH, 295.37 FEET; THENCE SOUTH 88 DEG. 54' 34" WEST,
592.79 FEET. TO THE CENTERLINE OF AN EXISTING 60.00 FOOT ROAD
EASEMENT; THENCE ALONG SAID CENTERLINE, SOUTH 20 DEG. 13' 23" WEST,
129.16 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE CONCAVE
TO THE NORTHWEST; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A
CENTRAL ANGLE OF 13 DEG. 51' 5711, AN ARC DISTANCE OF 72.60 FEET;
THENCE SOUTH 34 DEG. 05' 20" WEST, 45.80 FEET; THENCE NORTH, 515.71
FEET TO THE TRUE POINT OF BEGINNING.
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY
PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET
ON EITHER SIDE OF A LINE BEGINNING AT A POINT ON THE EASTERLY LINE,
AS SHOWN ON THAT CERTAIN MAP ENTITLED, "YANKEE HILL ACRES", WHICH
MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1957, IN BOOK 22 OF MAPS,
AT PAGE(S) 33 AND 34, WHICH POINT BEARS SOUTH 35 DEG. 39' 22" WEST,
30.15 FEET FROM THE MOST SOUTHERLY CORNER OF LOT 9 OF SAID
SUBDIVISION; THENCE FROM SAID POINT OF BEGINNING, SOUTH 58 DES. 20'
28" EAST, 690.09 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS
CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROJGH A
CONTINUED
PARCEL II: CONTINUED
CENTRAL ANGLE OF 17 DEG. 29' 32" AN ARC DISTANCE OF 91.59 FEET;
THENCE SOUTH 75 DEG. 50' 00" EAST,- 382.61 FEET TO THE BEGINNING OF
A 200.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF
SAID CURVE, THROUGH A CENTRAL ANGLE OF 70 DEG. 04' 40", AN ARC
DISTANCE OF 244.62 FEET; THENCE NORTH 34 DEG. 051 20" EAST, 144.98
FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE LEFT;
THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 13
DEG. 51' 5711, AN ARC DISTANCE OF 72.60 FEET; THENCE NORTH 20 DEG:
13' 23" EAST, 191.94 FEET TO THE BEGINNING OF A 200.00 FOOT RADIUS
CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A
CENTRAL ANGLE OF 36 DEG. 37' 57" AN ARC DISTANCE OF 127.87 FEET;
THENCE NORTH 56 DEG. 51' 20" EAST, 33.50 FEET TO THE CENTER OF A
50.00 FOOT RADIUS CUL-DE-SAC; SAID CUL-DE-SAC BEING ALSO A PART OF
THIS EASEMENT; THENCE NORTH 85 DEG. 37' 18" WEST, 44.83 FEET TO THE
BEGINNING OF A 200.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG
THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 32 DEG. 27' 15",
AN ARC DISTANCE OF 113.29 FEET; THENCE SOUTH 61 DEG. 55' 27" WEST,
422.85 FEET TO THE BEGINNING OF A 200.00 FOOT RADIUS CURVE TO THE
RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE
OF 38 DEG. 45' 2411, AN ARC DISTANCE OF 135.29 FEET; THENCE NORTH 79
DEG. 19' 09" WEST, 108.23 FEET TO THE BEGINNING OF A 300.00 FOOT
RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE,
THROUGH A CENTRAL ANGLE OF 9 DEG. 32'0611, AN ARC DISTANCE OF 49.93
FEET; THENCE NORTH 88 DEG. 51' 15" WEST, 181.51 FEET TO THE
BEGINNING OF A 100.00 -FOOT RADIUS CURVE TO THE RIGHT; THENCE ALONG
THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 47 DEG. 02' 06"
AN ARC DISTANCE OF 82.09 FEET; THENCE NORTH 41 DEG. 49' 09" WEST,
69.94 FEET TO THE BEGINNING OF A 50.00 FOOT RADIUS CURVE TO THE
LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE.
OF 106 DEG. 31' 19", AN ARC DISTANCE OF 92.96 FEET; THENCE SOUTH 31
DEG. 39' 32" WEST, 132.05 FEET TO THE CENTERLINE OF' A 60.00 FOOT
ROAD EASEMENT.
EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
PARCEL III•
A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY
PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING CONTIGUOUS
TO AND SOUTHWESTERLY FROM THE SOUTHWESTERLY LINE OF LOT 9, AS SHOWN
ON THAT CERTAIN MAP ENTITLED, "YANKEE HILL ACRES", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON JUNE 21, 1957, IN BOOK 22 OF MAPS, AT
PAGE(S) 33 AND 34.
N;
ra,.a p.papM
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School Districtfi Building Department No.
A.P. Number Jurisdiction: City d County
Property Ownergp uee- t f ql p • . lam— T
Property Location/Address
Subdivison
Residential Development 0
No. of living MHI
Units r
_Lot No.
0 Sq. Footage 9& >
Addition (Group R)
Commercial/Industrial 0 0 Sq. Footage
)n (Including Exterior
oofed Areas)
Date
(Floor Plans reviewed by School District Personnels e'
lentificati7No. _ 7 70082
it] ;X11, 1) �lh School Mrict certifies
(Street Addre (rf p. x �Fhone Number) y'
D
(Uty) (State) (Zip Cod
has complied with the requirements f Resolution No. by payment of $
representingq9 K ^ square feet. As 2926 $
FULL MITIGATION $ ./7
School D
Paid by Check #
Bank Number
Paid by Cash
Remarks: '�-c (-1�Lp'",-
'N
If, subsequent to the School District Representative signing this Butte CdLuity Schools Impact F=ee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEOA), this project may be subject to
additional school fees to fully mitigate its imaact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feelorm.wkl (11/94)dmm
Ir
GREGORY A. PEITZ
ARCHITECT -
1907 Mangrove, Suite E, Chico, CA 95926 (916) 894-5719
Structural Calculations for ..:
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NO. 21283
-A MEN. -9
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LAND DEVELOPMENT
BUILDING/ E �RO�V NTA%L�';NEALTH PERMIT CLEARANCE Building Permit No.
OWNERS
NAME: 5��C1� Y1 NUMBER:
�Iri� I�1 � � Y �
PRINT LAST NAME FlR3T
' COUNTY ZONING
DESIGNATION: Z— FLOOD ZONE: k FLOOD MAP: Z S'o ,Q
APPROVED: CONDITIONALLY APPROVED:VEDF
OBLEMS PRIOR TO APPROVAL:
. PARCEL CREATION BY DE
DEED INFORMATION:
DATE OF CREATION: d/—Og, — lcl q6 86 —07
LEGAL ACCESS PROVIDED: YES NOQUIRED: YES NO
COMPLIES WITH COUNTY STANDARDS FOR DEED CREATIONO
COMMENTS/CONDITIONS: u�of
vAIiNG �h°l% MJ LE'l/l-r—jl-e-&&C4
MAP INFORMATION:
/27DATE OF RECORDING LOT 0 K PACE
COMPLIANCE WITH 0 D SUB. 1 10 OT ORDINANCE REQUIRED? (MAP f ECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): Y S O . IF YES, MA APPRO IATE ITEMS) BELOW:
- A. Constru roa to, B. eet `parce size required by zone. C. Meet current E.H.D. requirements.
CHECK SPECI CO TIONS WHICH APP Y TOM A L FEES O BEPAID TO THEBU/LD/NG DIVISION UNLESS OTHERWISENOTED.
1. M I a 50 ft. building set ack from enterline of road.
2. ai ain a ft.buildin setback from right-of-way/centerline of
_
Y. Comply with Zoni g 'ode or building setback from road.
�4. Maintain a 0 ft le chf' Id setback from all existing wells.
5. Maintain a t. le chfield setback from
C
Pay water tender fees i the amount of Sto Battalion Number of the Butte County Fire Department.
7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
_ 8. Connect to a public water supply.
—9. Connect to a public sewer system.
_ 10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National
Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile
homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department
specifications, serves the parcel.
_ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
_ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
ORDER NO. BU -156629-3
MID VALLEY TITLE AND ESCROW COMPANY
PRELIMINARY REPORT
POST OFFICE BOX 1068
2295 FEATHER RIVER BLVD., STE. A
OROVILLE, CALIFORNIA 95965
TELEPHONE (916) 533-6680
ALL POLICIES OF TITLE INSURANCE ISSUED BY
FIRST AMERICAN TITLE INSURANCE COMPANY
(3) YOUR NO.
ESCROW OFFICER:
RE: FORD/SMITH
IN RESPONSE TO THE ABOVE REFERENCED APPLICATION FOR A POLICY OF
TITLE INSURANCE, FIRST AMERICAN TITLE INSURANCE COMPANY, HEREBY
REPORTS THAT IT IS PREPARED TO ISSUE, OR CAUSE TO BE ISSUED, AS.OF
THE DATE HEREOF,- A POLICY OR POLICIES OF TITLE INSURANCE DESCRIBING
THE -LAND AND THE ESTATE OR INTEREST THEREIN HEREINAFTER SET FORTH,
INSURING AGAINST LOSS WHICH MAY BE SUSTAINED - BY REASON .0ZIF .ANY.
DEFECT, LIEN OR ENCUMBRANCE NOT SHOWN OR REFERRED TO AS -AN
EXCEPTION BELOW OR NOT EXCLUDED FROM COVERAGE PURSUANT TO THE
PRINTED SCHEDULES, CONDITIONS AND STIPULATIONS OF SAID POLICY.
FORMS.
THE. PRINTED EXCEPTIONS AND EXCLUSIONS FROM THE COVERAGE OFSAID
POLICY bR POLICIES. ARE SET FORTH IN EXHIBIT A ATTACHED. COPIES OF.
THE POLICY FORMS SHOULD BE READ.THEY ARE AVAILABLE FROM THE
OFFICE WHICH ISSUED THIS REPORT. -
PLEASE READ THE EXCEPTIONS SHOWN OR REFERRED TO BELOW AND THE
EXCEPTIONS AND EXCLUSIONS SET FORTH IN EXHIBIT A OF THIS REPORT
CAREFULLY. THE EXCEPTIONS AND EXCLUSIONS ARE MEANT TO PROVIDE YOU
WITH NOTICE OF MATTERS WHICH ARE NOT COVERED UNDER THE TERMS OF THE
TITLE INSURANCE'POLICY AND SHOULD BE CAREFULLY CONSIDERED. .
IT IS IMPORTANT TO NOTE THAT THIS PRELIMINARY REPORT IS NOT A
WRITTEN REPRESENTATION AS TO THE CONDITION OF TITLE AND MAY NOT
LIST ALL LIENS, DEFECTS, AND ENCUMBRANCES AFFECTING TITLE TO THE
LAND.
THIS REPORT (AND ANY SUPPLEMENTS OR AMENDMENTS HERETO) IS ISSUED
SOLELY FOR THE PURPOSE OF FACILITATING THE ISSUANCE OF A POLICY OF
TITLE INSURANCE AND NO LIABILITY IS ASSUMED HEREBY. IF IT IS
DESIRED THAT LIABILITY BE ASSUMED PRIOR TO THE ISSUANCE OF A'POLICY
OF TITLE INSURANCE, A BINDER OR COMMITMENT SHOULD BE REQUESTED.
DATED AS OF OCTOBER 2, 1996, AT 7:30 A.M.
ROGER BUTTON, CHIEF TITLE OFFICER
PAGE 1
jN N.112 SEC. 3,, T 21N. RAE. M. D. B. a M. N• 58-59
NOTE: These parcels are for assessment purposes only ✓�� Q
and may not constitute legal parcels. Z (
�A.
1 • = 400'
34 1 34 35
I 33 1-
ase 424.75 424.73 W$4.75 330 res 119 309.29 309.30 660 660
\
3 2
ai
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1
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-62 - � - 936.05 - - - - - 636.43 900 24 390 770.45 Joo 491.32 240.31 ?es
l S 890 43 '27 " W
This nap ffW or may not the a vamy of the land Oeplwd Assessors Map No. 58-59
i 58.58
hwshould om
up- It
any
a-Othe
orientation ee e
parce4 depicted. Mid Valley Title and Escrow Company County of Butte, Cali
eWmly d4cbkns any ltab8ly for alleged loss or damage July , 1987
• which may result atm regma upon Oft map see 3 + t% .
ORDER NO. BU -156629-3
TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN:
JOSEPH D. FORD AND ROSE G. FORD, HUSBAND AND WIFE, AS JOINT TENANTS
THE ESTATE OR INTEREST IN THE LAND HEREINAFTER DESCRIBED OR
REFERRED TO COVERED BY THIS REPORT IS:
A FEE AND EASEMENT
AT THE DATE HEREOF EXCEPTIONS TO COVERAGE IN ADDITION TO THE
PRINTED EXCEPTIONS AND EXCLUSIONS IN SAID POLICY FORM WOULD BE AS
FOLLOWS:
1. GENERAL AND SPECIAL BUTTE COUNTY TAXES FOR THE FISCAL YEAR
1996-97, A LIEN, BUT NOT YET DUE OR PAYABLE.
2. THE LIEN OF SUPPLEMENTAL'TABES ASSESSED PURSUANT TO CHAPTER
3.5 COMMENCING WITH SECTION 75 OF THE CALIFORNIA REVENUE.AND-
TAXATION CODE.
A REPORT HAS BEEN ORDERED TO DETERMINE IF A SUPPLEMENTAL TAX -BILL
HAS BEEN SENT OUT. IF A BILL HAS BEEN SENT, A REPORT WILL FOLLOW
PRIOR TO THE CLOSE OF ESCROW.
RE -CHECK SUPPLEMENTAL TAXES PRIOR TO THE CLOSE OF ESCROW.
3. A NON-EXCLUSIVE EASEMENT AFFECTING THE PORTION OF SAID LAND.
AND FOR THE PURPOSE STATED'HEREIN, AND INCIDENTAL PURPOSES AS
RESERVED
FOR: ROAD PURPOSES AND PUBLIC UTILITY PURPOSES
RECORDED: MARCH 18, 1969, IN BOOK 1558, PAGE 432,
OFFICIAL RECORDS.'
AFFECTS: THE SOUTHWESTERLY PORTION.
4. ROAD MAINTENANCE AGREEMENT AND OTHER INCIDENTALS
EXECUTED BY: MARVIN L. GILBERTSON, ET AL
RECORDED:, AUGUST 28, 1969, IN BOOK 1581, PAGE 351,
OFFICIAL RECORDS.
5. A NON-EXCLUSIVE EASEMENT AFFECTING THE PORTION OF SAID LAND
AND FOR THE PURPOSE STATED HEREIN, AND INCIDENTAL PURPOSES
FOR: ROAD PURPOSES AND PUBLIC UTILITY PURPOSES
RECORDED: AUGUST 29, 1969, IN BOOK. 1581, PAGE 644,
OFFICIAL RECORDS.
AFFECTS: THAT PORTION LYING WITHIN WENDY WY.
CONTINUED
PAGE 2
c
ORDER NO. BU -156629-3
6. A NON-EXCLUSIVE EASEMENT AFFECTING THE PORTION OF SAID LAND
AND FOR THE PURPOSE STATED HEREIN, AND INCIDENTAL PURPOSES AS
RESERVED
FOR: ROAD PURPOSES AND PUBLIC UTILITY PURPOSES
RECORDED: APRIL 1, 1977, IN BOOK 2158, PAGE 614,.
OFFICIAL RECORDS.
AFFECTS: THAT PORTION LYING WITHIN WENDY WY.
7. A DEED OF TRUST TO SECURE AN INDEBTEDNESS IN THE ORIGINAL
PRINCIPAL SUM OF $21,150.00, AND ANY OTHER AMOUNTS AND/OR
OBLIGATIONS SECURED THEREBY
DATED: MARCH 26, 1991
TRUSTOR: JOHN FREEMAN, AN UNMARRIED MAN
TRUSTEE: MID VALLEY TITLE & ESCROW COMPANY, A
CALIFORNIA CORPORATION
BENEFICIARY: BETTY R. 'SIMPSON, TRUSTEE FOR SIMPSON FAMILY
TRUST UNDER DECLARATION OF TRUST DATED JUNE
14, 1984
RECORDED: APRIL 18, 1991, UNDER BUTTE COUNTY_ RECORDER'S
SERIAL NO. 91-14936.
BENEFICIAL INTEREST THEREUNDER WAS ASSIGNED
FROM: BETTY R. SIMPSON, TRUSTEE FOR SIMPSON FAMILY
TRUST UNDER DECLARATION OF TRUST DATED JUNE
14, 1984
TO:' SIMPSON FAMILY LIMITED PARTNERSHIP, A
CALIFORNIA LIMITED PARTNERSHIP
BY ASSIGNMENT
RECORDED: DECEMBER .31, 1992, UNDER BUTTE COUNTY
RECORDER'S SERIAL NO. 92-60007.
TAX NOTE:
GENERAL AND SPECIAL BUTTE COUNTY TAXES FOR THE FISCAL YEAR 1995-96,
1ST INSTALLMENT: $165.92, PAID
2ND INSTALLMENT: $165.92, PAID
EXEMPTION: $_o_
ASSESSED: SEPARATELY
AP# 058-590-019-000 CODE AREA 110-003
NOTE:
THE OFFICIAL RECORDS OF BUTTE COUNTY DISCLOSED THE FOLLOWING
DOCUMENT(S) OF RECORD 6 MONTHS (APRIL 2,' 1996) PRIOR TO THE DATE OF
THIS REPORT: NONE
VACANT LAND LOCATED ON WENDY WAY, OROVILLE, CA 95965.
PURCHASER: SMITH, SHERIDAN L. AND BEVERLY J.
PJ:TR OCTOBER 14, 1996 (STR-NO)
PAGE 3
ORDER NO. BU -156629-3
DESCRIPTION
THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF
CALIFORNIA, COUNTY OF BUTTE, AND IS -DESCRIBED AS FOLLOWS:
PARCEL I:
A PORTION OF THE NORTHWEST QUARTER OF SECTION 3, TOWNSHIP 21 NORTH,
RANGE 4 EAST, M.D.B. & M., MORE PARTICULARLY DESCRIBED AS FOLLOWS:
COMMENCING AT THE MOST SOUTHERLY CORNER OF LOT 9, AS SHOWN ON THAT
CERTAIN MAP ENTITLED, "YANKEE HILL ACRES SUBDIVISION", WHICH MAP
WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA,. ON .JUNE 21, 1957, IN BOOK 22 OF MAPS, AT
PAGE(S) 33 AND 34; THENCE FROM SAID POINT OF COMMENCEMENT, ALONG
THE EASTERLY LINE OF SAID SUBDIVISION, -NORTH 35 DEG. 39' 22" EAST,
(SHOWN AS NORTH 35 DEG. 40' EAST, ON SAID MAP), 194.43 FEET TO THE
SOUTH LINE OF LOT 4 OF SAID SECTION 3; THENCE ALONG SAID SOUTH
LINE, NORTH 89 DEG.'. 52'.48" EAST, 805.27' FEET TO THE SOUTHEAST
CORNER OF SAID LOT; THENCE ALONG THE SOUTHERLY EXTENSION OF THE
EAST LINE -OF SAID LOT 4, SOUTH .2 DEG. 18' 10" WEST, 3.71 FEET TO
THE SOUTHWEST CORNER OF THE PARCEL DESCRIBED IN THE QUITCLAIM DEED -
FROM JOHN D. CRISPIN AND VIRGINIA CRISPIN TO.ROBERT F. PARKER.AND
GOLDA E. PARKER, RECORDED JULY 24, 1964, IN BOOK 1326, PAGE 537,
OFFICIAL RECORDS; THENCE ALONG THE SOUTH LINE OF SAID PARCEL, NORTH
88 DEG. 48' 21" EAST, 376.61 FEET TO THE TRUE POINT OF BEGINNING
FOR THE PARCEL HEREIN DESCRIBED; THENCE FROM SAID TRUE POINT OF
BEGINNING AND CONTINUING, NORTH 88 DEG. 48' 21" EAST, 696.21 FEET;
THENCE SOUTH, 295.37 FEET; THENCE SOUTH 88 DEG. 54' 34" WEST,
592.79 FEET. TO THE CENTERLINE OF AN EXISTING 60.00 FOOT ROAD
EASEMENT; THENCE ALONG SAID CENTERLINE, SOUTH 20 DEG. 13' 23" WEST,
129.16 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE CONCAVE
TO THE NORTHWEST; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A
CENTRAL ANGLE OF 1.3 DEG. 51' 57", AN ARC DISTANCE OF 72.60 FEET;
THENCE SOUTH 34 DEG. 05' 20" WEST, 45.80 FEET; THENCE NORTH, 515.71
FEET TO THE TRUE POINT OF BEGINNING.
PARCEL II:
A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY
PURPOSES OVER.A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET
ON EITHER SIDE OF A LINE BEGINNING AT A POINT ON THE EASTERLY LINE,
AS SHOWN ON THAT CERTAIN MAP ENTITLED, "YANKEE HILL ACRES", WHICH
MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF
BUTTE, STATE OF CALIFORNIA, ON JUNE 21, 1957, IN BOOK 22 OF MAPS,
AT PAGE(S) 33 AND 34, WHICH POINT BEARS SOUTH 35 DEG. 39' 22" WEST,
30.15 FEET FROM THE MOST SOUTHERLY CORNER OF LOT 9 OF SAID
SUBDIVISION; THENCE FROM SAID POINT OF BEGINNING, SOUTH 58 DEG. 20'
28" EAST, 690.09 FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS
CURVE TO THE LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A
CONTINUED
PAGE 4
ORDER NO. BU -156629-3
PARCEL II: CONTINUED
CENTRAL ANGLE OF 17 DEG. 29' 32" AN ARC DISTANCE OF 91.59 FEET;
THENCE SOUTH 75 DEG. 50' 00" EAST, 382.61 FEET TO THE BEGINNING OF
A 200.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF
SAID CURVE, THROUGH A CENTRAL ANGLE OF 70 DEG. 04' 40", AN ARC
DISTANCE OF 244.62 FEET; THENCE NORTH 34 DEG. 05' 20" EAST, 144.98
FEET TO THE BEGINNING OF A 300.00 FOOT RADIUS CURVE TO THE LEFT;
THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 13
DEG. 51' 5711, AN ARC DISTANCE OF 72.60 FEET; THENCE NORTH 20 DEG.
13' 23" EAST, 191.94 FEET TO THE BEGINNING OF A 200.00 FOOT RADIUS
CURVE TO THE RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A
CENTRAL ANGLE OF 36,DEG. 37' 57" AN ARC DISTANCE OF 127.87 FEET;
THENCE NORTH 56 DEG. 51' 20" EAST, 33.50 FEET TO THE CENTER OF A
50.00 FOOT RADIUS CUL-DE-SAC; SAID CUL-DE-SAC BEING ALSO A PART OF
THIS EASEMENT; THENCE;NORTH 85 DEG. 37' 18" WEST, 44.83 FEET TO THE
BEGINNING OF A 200.00 FOOT RADIUS CURVE TO THE LEFT; THENCE ALONG
THE ARC OF SAID CURVE; THROUGH A CENTRAL ANGLE OF 32 DEG. 27' 15111
AN ARC DISTANCE OF 113.29 FEET; THENCE SOUTH 61 DEG. 55' 27" WEST,
422.85 FEET TO THE BEGINNING OF A 200.00 FOOT RADIUS CURVE TO THE
RIGHT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE
OF 38 DEG. 451 2411, AN ARC DISTANCE OF 135.29 FEET; THENCE NORTH 79
DEG. 19' 09" WEST, 108.23 FEET TO THE BEGINNING OF A 300.00 FOOT
RADIUS CURVE TO THE LEFT; THENCE ALONG THE ARC OF -SAID CURVE,
THROUGH A CENTRAL ANGLE OF 9 DEG. 32' 0611, AN ARC DISTANCE OF 49:93.
FEET; THENCE NORTH 88' DEG'. 51'.15" WEST; 181.51 FEET TO THE
BEGINNING OF A 100.00,FOOT RADIUS CURVE TO THE RIGHT; THENCE -ALONG
THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE OF 47 DEG. 02' 06"..
AN ARC DISTANCE OF 82.09 FEET; THENCE NORTH 41 DEG. 49' 09" WEST,
69.94 FEET TO THE BEGINNING OF A 50.00 FOOT RADIUS CURVE TO THE
LEFT; THENCE ALONG THE ARC OF SAID CURVE, THROUGH A CENTRAL ANGLE.
OF 106 DEG. 31''19", AN ARC DISTANCE OF 92.96 FEET; THENCE SOUTH 31
DEG. 39' 32" WEST, 132.05 FEET TO THE CENTERLINE OF A 60.00 FOOT
ROAD EASEMENT. 11
EXCEPTING 'THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF
PARCEL I, DESCRIBED HEREIN.
PARCEL III•
A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY
PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING CONTIGUOUS
TO AND SOUTHWESTERLY FROM THE SOUTHWESTERLY LINE OF LOT 9, AS SHOWN
ON THAT CERTAIN MAP ENTITLED, "YANKEE HILL ACRES", WHICH MAP WAS
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON JUNE 21, 1957, IN BOOK 22 OF MAPS, AT
PAGE(S) 33 AND 34.
PAGE 5
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS'
%BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
A PLUMBING,
Se ack
F ewall
Ski Piping
For
Par ets
1 t Floor
Mal Bldg.
Rest om Finish
2n Floor
Fo ins
Windo
3rd k0or
Stem all
Siding
To out
Slab
Roof Shea In
Water PI i
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physical
handica ed
Conformance of ex.
structure V
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final A
Sanitation
Patio
REP ACE
Final
Footings
Footina X
y E Fr-TRir t
Heint. steei
Final
Fixtures
Bond Bea
FIRE SPRINKLE
Motors
Framing
Test
Water Htr.
Stucco
Final 4
Sub anel
Mesh
MECHANICAL
Grd. FAR Prot.
Scra h
Heatl
Servi
B n
Coo ng
Tifft. Pole
FJhlsh I Dufts linderground Z- t
In rior Lath I entllation Permanent
oor Closer [nal anal
MOBILEHOME UTILITIP,S - Elec. ServiceZ %� Elec. Pedestal
Water Piping Sewer �?7 Gas Piping -�
OBILEHOME INST�LLAT�1� • - - - - - - • - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
�(Z'411 wjzk Ale�kp
(NOTE: An entry must be made on this form each time you visit the job site.)
PERMIT NO. 1557-77P,E
PERMIT EXPIRES
OWNER Howard Neel `
CONTR. owner,
LOCATION (A.P. 41-51-7 �
NIS Wendy Way, 900'NE of Pinebrey, Yankee Hill
I
Temp. Power Pole
Called PG&E Ar
Temp. Elea Serv.
Called PG&E
emp. Gas Serv.
Called PG&E '
JOB
FINALED
(Date)
(Si ature -
• �• COUNTY -OF B TTE
DEPARTMENT OF PUBLIC WORKS . 7 COUNTY CENTER DRIVE
OAOVILLE, CALIF. - 534-4541
{� CERTIFICATE Of OCCUPANCY
jhis mobilehome has been installed in accordance with the ZeIr
irements
of the California Administrative Code, Title 25, Cha ter pe mit
number 1870-77 for the following location: n/s lend5y� y 9.15
NE of Pinebrae, Yankee Hill
Owner Howard 11. Neel
Owner's Address Rt. 1, Box 273-N, Oroville
Mobilehome Mfg. Skyline Model 912 Year 1977
Insignia No. Serial No.
7639A/7639B
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date Aug. 4, 1977 By // ,
- THIS CERTIFICATE IS VOID WHEN'MOBILEHOME IS RELOCATED
COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, — , Uroville, California 95965
Tel epl-Nne: 534-4541
APPLICATION AND PERMIT
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date _:7
Signature of Permitee or Agent
Receipt No. l `o OSI 3
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.
RE T R OF UBLIC WORKS
BY_ Date 6
a L./
-Sall lTrtg permit expires Date
BUILDINGILOZ
Owner
SQ. FT. OCC. BUILDING VALJATION
Mailing Address 127— o2 7/-
C,W0 U/L L e+, ,
` ephone No�
Fireplace
Contractor Q LA.//,q &WC,
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address n/ E— p CA^
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
2e) 0C� Lr B
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping .a'E6 f Qr
Each gas water heater or vent 1.50
/
A. P. No.—J f % — %Gas
�zoni
piping system 1 - 5 outlets 1.50
Each additional outlet.:10
Fe
W'G`. 8 a 'on Fire Dept.
Fire Zone
Use Permit
Building sewer 0
EQA
Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.G0
� -
BI ahs Recd
cel Approval
Pla s Approvol
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES OTHER E]ELECTRICAL
No. @ FEE
PERMIT FILING FEE $3.00
Main service jp0 AMP ORLESS5.00
Main service EA. ADD'L too AMP 2.50 rJ�O
Single Family ❑ Duplex ❑ Mobil Home b�f Others ❑
Main service R 600V
1OOOEAMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONS. DWELLING
OR ADDNST (ACC. BLDGSCCUP. &) 20sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50?a
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
st le of:
Y
3 1,4
Ex. Occup(OUTLETS OR FIXTURES)@Z-
BAL Pt
Ex. Occu FIXED APP LNS, OR
P• OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 5
License No. Classification
Misc. Wiring 6.,:5
IRI 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.
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. @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Feeyn�$
$
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
AV1+0 btU- i*Ce- I
-��
TOTAL PERMIT FEE
$
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date _:7
Signature of Permitee or Agent
Receipt No. l `o OSI 3
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.
RE T R OF UBLIC WORKS
BY_ Date 6
a L./
-Sall lTrtg permit expires Date
N COUNTY OF 13UTJE — DEPARTMENT OF PUBLIC WORKS �-f >>> ���777
r. 7 County Center Dlive — OroviIIe, California 95965 / V
Telephone: 534-4541 /,/ l v // b
APPLICATION AND PERMIT MN/
Owner 44
Mailing Address
Contractor P
Mai I i ng Address
/7//1I.
Building Address
G
/ ax 69i3 -,
Telephone No.
4-0
,411-/ i `401 V
0 0
Y
It, 7,< tr `Y/ (- L
A D i"
Telephone No. ,
Jia C . 72!
IA
A. P. No. --, Zoning & Planning
F ksll sa l a"n Fire Dept. Fire Zone Use Permit
EQA I Parking I Parcel Parcel Ma I 60' R/W I Improvements
Plans Declaration P p ovements
BUILDING I_
SQ. FT. OCC. BUILDING VALUATION
Fireplace
Total Valuation
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trap
Repair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Bldgi_PwW'n*'s Recd
I Por�oval
I Plan proval
Permit Fee
NEW F1 ADDITION
ADDITION ❑ UTILITIES OTHER
ELECTRICAL
PERMIT FILING FEE
•
SS7-37, 7'%
Main service i°oo AMP ORSLESS
Main service EA. ADO'L 100 AMP
Single Family ❑ Duplex ❑ Mobil Home V Others ❑
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST.( DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS.
NEW CONST R. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS
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: >>
C- `1 O 1(5,'
Ex. Occup(OUTLETS OR FIXTURE:
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA
Temporary service
�,
Mobile Home Facilities
License No. t Z® $L?_/
� T Classification
Misc. Wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
I 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.
e placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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
PERMIT FILING FEE
Heating
Cooling
Ventilation
Hood
Permit Fee
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.
r
X Date
Signature of PermiteeA ent
Receipt No. I to e) a(!
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
FEE
$3.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
FEE
$3.00
5.00
2.50
25.00
1.00
'.2sq ft
2.00
10.00
15.00
6.25
@ I FEE
$3.00
r 11
$ Z0
TOTAL PERMIT FEEThis 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 OF PUBLIC WORKS
BY ate
B ilding permit expires Date
.
lid 01161SIZ
wv
LL61 8 I ddd
t
nil
SAVOM onand dO '1d30
Bians dO AINnOO
TO
FROM:
SUBJECT:
Buildinv Department
Environmental Health
Sanitation Clearance
Owner Lotfcition AP#
Water Supply 4�, //
Plan Approved for:
Hold final for:
Sewage Disposal
Water Supply
Final clearance O.K. for: Water Supply
Clearance for bedroom mobi a home. Other
NOTE ***
Sanitarian Date
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