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Home My WebLink About060-110-019BARNES, R. H. 9 1'24`2 5 04 CdN tR 767i �PRONALI & E 1: E C., �'S T�q R 0 .�HUMBOLDT- RD., `ZBUTTE MEAD Butte Meadows, Lot 10, across from E SERV/.S EL, c, F Post Office 060-'1'10-'019�.,-g;'-i-"'��'PERMIT#.98'-'1744'- Stan NSEN V -,7517 A U mb� fd Clk R d.4,*, �'�,B'u*t t e M ea'd ow s -,�,W irl in g- S'F Undergroundt v p 060-110-019 PERMIT#96-i'7' HANSEN, Stan -But 0� 7577 Hurnboldt" Rd. , Mead6vis" Un ' rground �Wiring/SF r5 . .91 q3q q5-tefsl' e, 6py 6�s D a t 2�f t ; . jll'j� ��'tLECT 16 N, V �4t 117'Dti Dai�� 0, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D!IVI 41 A rq, 7 County Center Drive * Oroville, Cahfornia 195965 * Telephone (530) 538-71 1 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT zx qy- 1-7 ASSESSOR PARCEL NUMBER go— H-01,7 ZOIIIING U BUILdINGPERMIT OWNER St,�,J Y504 TE NE - 7_3c7 -33,-.)c/ SO FT OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS W 59 1 � 8 IC4 I , CONTRACTOR'S NAME J TELEPHONE CONTRACTORR�&I4.REASV'�: CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS W-77 - Plan Checking Fee $ -Energy $ 7 M, - - PERMIT FEE $ LOT 140. SUBDIVISIONS NAME CEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0, Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 13 Describe Work: J e.-- el Inevei- Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20.00 Main S�rvice .v. o0RR 23.00 7,3. 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I E3 '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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST D Ur OCC OR ADDNS. TA C .Up So. 3.50 Fr. NEW CO -Y.-- =L-0.0". NON-RESID. 97. 50 POWE.RAP= US . . CIR. Ex. Occu OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 M OR Ex. Occup. O=PPL.16.) Ek 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. EI 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 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.) 0-1' 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 Date A,, 6 Signature of Applicant - 0 Owner t !�ctor 0 Agent / An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST, TYPE TOTAL FEE $ —HAZ] D FEES IMP I FLOOD I COF PARCEL. PC) 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 C (Date) C i tp rR7eceipt NO. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT PTN SEC 28 61 2,9., T26N R -4E. MD.88(M 4-32.6,5 181.5 38 381.5 E60j .5 773 AC 6.26 A C 5.58 A C 5.64 AC (8 8 a 7.JO AC 5.71 AC 40 01 cc (0 2 3 4 5 aK 6 BIGGERS 381. . 97 GL EN 34111 4 4. 383.32 MADDRILL LANE 7 381.54 3 3,79.19 487.0 '19.19 1.54 "0 Fn 10 GLE 48 7 A 3.33 AC 3.54 AC 3.0) C 3.40 AC 2.73 AC Z.87 AC ch 40 674) 14 /3 12 16 tu ac 15 429.56 z 33L 402.4 1 1 194 1 9 150 100 77 381.66 rao 330 140 1 24 200 '0' 01 (D 0 21 1.53 AC 0,0 46 45 44 1 6 1 7 80 9 2Z 3 4 48 5 7-j '0 m 47 R 0� 11.6 44 J-11 74163 6, 717 3 .3 1 194 182 19 17�, 17 Iiso '4S --10,0 137.8# 330_--t L149-�- ?19 HUMBOLDT RD 269.12 214 SAc Ac on -89AQ- 1 so 131,0 -7,T-7 j 67 14 .78A( 37 39 40 41 43 & es -*%lop 42 RS , 84-95 1 ze 4C.., 60 VAL EA79 PLACE - --------- m FEN 8 M. # 35 34 11 33 132 Nell 4D 2'4 2S 26 27 28 269.39 6 132 ;TT a 459.33 31 3 ZI I Zlia am (3 (a e I n n wa - 28 650 2 2" f 30 �J i6l L45AC .0 too 9.29 A C 2 40.23 AC:t 30 20 .4 PIW 107-83 -rTE qu DAVIS TRACT, 9,W.aR.- 2719.19 /1' 1-16.1-922 BIGGERS GLEN SUBDIVISION AfO-R. 130-51158 77 7 7 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI L 7 County Center Drive 4, Ciroville, California 95965 * Telephone (530) 538-7 PERMT NO. (Rev. 12/96) APPLICATION AND PERMIT X- / 2t ASSESSOR PARCEL NUMBER go — ZONING U BUIUZfINGPERMIT OWNER 5r, -,.,j YA,4scJ TELEP 0 E cij C733C)o–r SO. Fr. OCC. BUILDING VALUATION OWNER'S ?ZNG ADDRESS 16z -W 1) O!�La 73-�6 46 ,5 ff- 91juev CONTRACTOR'S NAME t/ D 1,J ej ZA,, TELEPHONE - CONTRACTOWS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 —Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOINGADDRESS 7.5--77 L oldt- Y? d -d Energy Plan Checking Fee $ 6'.)FTe M"C104-1- $ PERMIT FEE $ LOT NO. SUBDrVtSIONS NAME MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF,P/"D,plex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 13 Installation Q, Other 0 r Describe Work: V/V ZIL_ 410-1-0 tit /L I Gas piping system I - 5 outlets 15.20 Building sewer 15.00 Mobile Home I S I G I W @D20.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20-00 ( 60.0.V OR LESSSS Main Service . "OFILE 23.0 0 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: D< 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors I to construct the project. El I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. OR ADDNS. %W.UCSUP- so. 3.50FT. CO'ST =LT, 0 I, C@7.50 PSO ,7 AP=US .0 C.. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 SAL @ .50 ..FLYED A OR" Ex. Occup. PPR=6.) E 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. EI I have and will maintain workers' compensation Insurance, as required by Section 3700ofthe Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ 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.) 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 A:570 -d4 12), Date A,,4 4 q & Signafure of Applfcant - 0 Oiiner ETIR��ctor 0 Agent J 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 $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ HAZ. HA �Z I D. FEES IMP I FLOOD J_CDF I PARCEL I PD I HD I TUE This permit is hereby issued under the applicable Of the Butte County Code and/or Resolutions indicated above for which fees have been By PE4111T EXPIRES ON I P-4 provisions to do work paid. 4G ReceiptNo._ WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIC NT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signaum Please complete and return this information at your earliest opportunity to avoid u=ecessary de* in processing and issuing your building permit. No* building permit will be issued until tbis-. verification is received. I personally plan to provide the rn�jor labor and materials for construction of the p ropoied property invement : YES NO C3 d a 2. 1 HAVE HAVE NOT 1# e_ an application for a building permit for the proposed W�&" 3. 1 have contracted with the following person (firm) to provide the proposed constructiow ADDRESS: CITY:— PHONE: CONTRAC`1701VS LICENSE NO. 4. 1 plan to provide portions of this* work; but I ha�e hired the following person to coor&"ate_ supervise, and provide the major work: NAME: ADDRESS: PHONE; CITY: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to pr9vide the yvork indicatedi NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: /_ / a c�- -NOTE.- This Owner -Builder Verification is required by Section 19831 and 19832 of Ike California Health and Safety Code. This verification must he -completed and returned to our office before we are permitted to issue the permit. OVER I OWNER BUILDER INFORMATION I 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 your protection, you should be aware that as "owner-buildee, 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 .2 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 i4ould.,. be aware of the following infonnation for your benefit and protection: If you employ or otherwise engage any persons other than your immediate fhmily, and the work (including materi2ls and other costs) is S300 or more for the entire project, and such persons are not licensed as contrac:�rs or subcontractors. then you may be an employer., If you are an employer, you must register with the State and Federal Governments as an employer"and'yo� 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. + 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. 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 tale, property owners who are not licensed contractors are allowed to performtheir work personally or through their own employees, without a licensed contractor or subcontractor, only under Iu*n*ited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee' building permi% erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are hot required to be signed by property owners unless they are performing their own work personally. Information about licensed contrac!prs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95914. 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. +1rely, Mic el C Mic el C. Wira, C.B.O. V B M M zer Bui tion ilding Inspec, get, iuiil?dZ Cln= NOTE. This Owner-Builder.Informallon is required by Section 19830 of the Calybrnla Health and Safety Code- 5� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER * 060—"loro'941 m ZONING U BUILDING PERMIT OWNER LEWIS, TELEPHOrJ.E 934-7209 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 260 S. CRAWFORD WILLOWS CA CONTRACTOR'S NAME MCDONALD'S ELECTRIC STORE TELEPHONE 934-4545 CONTRACTOR'S MAILING ADDRESS SAME Firep—lace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7577 HUMBOLDT ROAD Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 10 UBDIVISION NAME is DAVIS TRACT 1st SUBDIVISION PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.001 USE OF STRUCTURE SF M DuplexF] Mobilehomer-1 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S 15.00 TYPE OF WORK New r-� Addition [:1 Remodelo Uti lities U InstallationEl Other F] Describe work: F.T.ECTRTC UP GRADE SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 18.50 Main service 200A TO 1 OOOA) 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 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) 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 NEW CONST. DWELLING OCCUP.al 3.64 sq.ft. OR ADDNS. ACC. BL.DGS. NEW CON5T11- MULT'*OUTLET _NO I., BRANCH CIRCUITS) @ 5.00 ..RES (POWER APPARATUS SINGLE OUTLET CIR.&) -- Ex. Occup(OUTLETS OR FIXTURES 20 W75c F AL (@ 46 _ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring PRE INSP -15.00 15.00 1 I 157. UT-, Permit Fee $ 63.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F] The permit is for $100-00 (valuation) or less. F-1 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling d 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnity and keep harmless the County of Butte against all Tilities, judgments, costs, and expenses which may in any way accrue agai t said County in conseque :e of the granting of thi ri�t is per t. X Date h I L Signature of Applicant Owner El Contractor E] AgentZ An O�HA 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 4; Energy Inspection Fee $ occ CONST TYPE ITOTAL FEE $ 63.50 HAZ I D FEES IMP FLOOD CDF PD I HD IS . S/I This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indic% ve i' which fees have been paid. �?aI5 C C DI F BLIC WORKS ,V 5y By Z,�� , Date�/2 —17-171 PERMIT EXPIRES Date —17 Receipt No. I Q31 43 WHITE-D.P.W., YELLOW-ASSrSSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W60RKS - BUILDING DIVISION k 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 9�965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION.W.- WSHEET Permit No. A M K1_ /11-1 Proposed Building Use —Biji'I'ding Inspector Date ;6r - 4�/ 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 c ri' 1 . riveway permit (construction approval required prior to bccupancy)' X1 -1 �Dp n'- 20. 21. - 1 Pre-Inspec' request to Pre -Inspection for required, ector Building Insp Contractor's license information .(No., Name-StA, Classification) -�v r S S '_-�ate) -k - i 22. Certificate of Workmans Co'mpensatio.n,l.nsurance .................. 23. Owner -Builder Verification (Given tg/owner 0, Mail to owner 0) ..... 24. Recorded copy of Agricul,tcirE�I/Acknowledgment Statement ... 25. Letter of signature authorization ................ ; ............... 26. 11 27. '0101" When you issue the permit, process as follows: —(.-;?ail to owner. Mail to contractor. Telephone and hold for pickup at —office. —Del.iver w/inspector. Other Applicant Ap _.Date Copy of.,H.az-Mat form sent —HealthDept. —FireDept. ----Air Pollution' Date Copyofplanssent ---HealthDept. —FireDept. _Other� Date -------- �� By— The following data,%kjfiLke=%ubmitwd prior to-permit'i6suance: (Circle nevrMmm d above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by —phone --mai I —counter by—..date Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by�04 date Pla�s -checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet _AP folder Date P_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER nt,f) - i i D - o oco / ZONIN I;e-), BUILDING PERMIT OWNERb... tC _a a h-\(-�pncLCd TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILONG ADDRESS ,:;;L (0 0 s- - Crau"Cor-r-L CA C 0 N T�Z'S N ZCd 0(� � f -FITLEPHONE L6c4-r'-1_(_ SE6--o- CONTRACTOR*S MAILING AOD,RESS '5-a� O -D a bbu,,� Fireplace CONSTRUCTION LENDER UNKNOWN' Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME <Sb/ ALI CEL MAP z:>p s RA L F ' — Water piping 7.00 Each q as water heater or vent 7.00 I USE OF STRUCTURE SFV DuplexF� Mobilehome[J Other SPECIFY Gas piping system 1 - 5 outlets 5.001 Building sewer 15.00 Mobile Home I S I G JW I @ 15.0011 TYPE OF WORK New F Add i t i on Remode I Uti lities InstallationD Other Describe work: 74) 6XIW45 V1 I , Permit Fee __L $ Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.501 1k, Main service 200A TO I OOOA) 37.501 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): D 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 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) 1, as the owner. am exclusively contracting with licensed MILIaCt- ors. (Sec. 7044) 1 am exempt under Sec.—, Business and Professions Code for this reason NEW CONST DWELLING OCCUPM OR ADONS.* ACC. BLDGS. 3.60 sq.ft.1 N FWC 0 NST Ft. MUC-TI-OUTLET E S NO. -R BRANCH CIR C ITS) @ 5.00 POWER APPARATUUS.&) SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES (0) 76d AL (@ dF;AJ FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.) EA.) 3.001 Temporary service — 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 69 1) 10)e VC, _J0 _10 J Permit Fee $ 7, 1 A WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 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. F-1 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 w i th such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County0t 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 I n any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner 0 Contractor F� Agent An OSHA permit is required for excavations over 5'0- deep and demolition or construct- ion of structures over 3 stories in keight. Mobile Home Installation Fee 6 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ 1 0 FEES ��DF PARCEL PO HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. wmi,rr-D.P.w.. YELLOW-ASSIES3014- PI.K—SPECTO.- — n—ann—vt -AIT I 0 RECORDING REQUESTED BY DOROTHY HANSON LEWIS P.O. Box 1293 Willows, CA 95988 AND WHEN RECORDED MAIL To r -DOROTHY HANSON LEWIS P.O. BOX 1293 N'me Willows, CA 95988 Su"' Ad.,I... city & S—e L MAIL TAX STATEMFNTS TO r Same as above So .' ddress s IT ! I-' L CAr ' NO. NNO0582 TO 1923 CA 42-831 I—SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHEO BY TICOR TITLE INSURERS The undersigned grantor(s) declareL)-'n Documentary transfer tax is $ computed on full value of property conveyed, or computed on full value less value of liens and encumbrances remaining at time of sale. Unincorporated area: ( ) City of I and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DOROTHY HANSON LEWIS, an unmarried woman, hereby GRANT(S) to DOROTHY HANSON LEWIS and GEORGE LEON McDONALD as Joint Tenants all of her 1/2 undivided interest in and to the following described real property in the County of Butte State of California: The South one—half of the West one—half of Lot 10, as numbered and describ ed in a certain map entitled, First Subdivision of the Davis Tract, being part of the Northwest quarter of Section 29, Township 26 North, Range 4 East, M.D.M.. Said map being filed for record in the office of the County Recorder of Butte County, California, August 24th, 1921. Dated: DOROTHY HANSON LEWIS STATi., OF CALIFORNIA COUNTY 01' Glenn SS. On 0,t -h— 9L 1QQ1 before me, the undersigned, a Notary Public in and for said State, personally appeared Dorothy Hanson Lewis personally known to me or proved to me on the basis of sat- isfactory evidence to be the person—whose name is subscribed to the within instrument and acknowledged that she executed the same. - WITNESS my Ii.and and official seal. C FOFF71 L1_ SLAL C URI S_ BELL _UC 0 PRE -INSPECTION OWNER: OV\sc)h DATE J91JA89z LOCATION: aqaov&&&;6 kd A. P. n(oo - //0 (91Y CONTRACTOR: L"ZLU F_�Qa ZONING PRE -INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS:_;�q-�� TYPE OF OCCUPANCY - — — -------- FIELD - INFORMATION BUILDING USAGE: 12-3 C cl', n TENNANT: OCCUPIED 14 HAS ELECTRIC F-] HAS GAS SANITATION FACILITIES OOLED PERSON CONTACTED hm OTHER COHMN . TS': (AhAP-6-JU -75 -7-7 CW Ko CAc&JU4aep .100 W -11.117A -A m �UF, "rmwil MW ACTION RECOMMENDED: ISSUE HOLD FOR - - /-? I A A tA '311 OTHER: f( '51 BY DATE PRE-INSPECrION OWNER: 4ckf,) son' Lrx t,-z� LOCATION: 76-,-77 CONTRACTOR: xp� E��le V1 Zz�-7 -11' PRE -INSPECTION FOR: (_)/ 6 DATE A. P. # 61 -Ila - ZONING DATE TO INSPECTOR PERMIT HISTORY: El NONE AS FOLLOWS: (p 6o4r-r4eajc!)LpS Sninni c)'X-i c e N&LAQj- (.A ) 0 P -,:i- CA � Pn S7. 5VrY,-L AlAl CLO 0 LAX PnCX- TYPE OF OCCUPANCY FIELD - INFORMATION BUIIZING USAGE: TENNANT: OCCUPIED HAS ELECTRIC HAS GAS F7 HAS SANITATI ON FACILITIES = HEATED -COOLED = PERSON CONTACTED WIN MANI I I Im�!"''Ol��9tPMt! 'I= m ACTION RECOMMENDED: = ISSUE F�4. HOLD FOR, OTHER: BY DATE