HomeMy WebLinkAbout061-430-014r .
61-43-14.
JOHN P. ARMSTRONG rt�j C6 111 ) % b
Oro Quincy Hwy, Oroville
Permit#2110-88E(
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Permit#2110-88
, John Armstrong
a Across from 27 Oro
Quincy Rd, Oro
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• I )OFFICE COPy
Address (/
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ELECTRIC Date
Meter By _ r.
Datt� l_�
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS) PERMIT NOV r
7 County Center Drive - Orovil le, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
(� �... 3 , 0 � 4%
ZONI G
_
BUILDING PERMIT
OWNER^^ _, TELEPHONE
SO. FT. DCC. BUILDING VALUATION
fir s-3 r i, Aj Ce�Sak
OWNER'S MAILING. ADDRESS
l / 416 AA . � r-1 �,. t -t Gr < < k
CONTRACTOR' S: NAME (, TELEPHONE
..
") V � .r
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 10.00
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 $
Th or, 4� ,r IAJA0.
PLUMBING PERMIT Filing Fee 10.00
Cf -n cs -t r re,
Each Trap 2.00
g of
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
Gas piping system 1 - 5 outlets 5.00
SF ❑ Duplex❑ Mobilehome❑ Other
Building sewer 5.00
SPECIFY
Mobile Home I S I G JW I i�0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [v]'
Permit Fee $
Describe work: tO leyr s �. jcrY is t
Contractor
V
ELECTRICAL PERMIT Filing Fee 10.00
• r I
!'
Main service 100v OR LESS 10.00 P-0
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50 ,7 • 5 D
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.ai) '/z2sgft
OR ADDNS. ACC. BLDGS.
I declare under penalty of perjury (Check One):
NEW CONSTR. U I -OU LET 2,50 ea
F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON.RESID BRANCH CIRCUITS)
/POWER APPARATUS &I -
(SINGLE
and Professions Code and my license is in full force and effect.
OUTLET CIR.
License No. Classification
Ex. OCCUp(OUTLETs OR FIXTURES .ALS30
I, the as their sole
LNS
Ex. Occup. OUTLETS P(RESID )REA.I 1 2.00
as owner, or my employees with wages compen-
sation, will do the work,and the structure is not intended or offered
Temporary service 10.00
for sale. (Sec. 7044)
Mobile Home Facilities,� n 15.00
❑ I, as the owner, am exclusively contracting with licensed contract-
Misc. Wiring15.00 5--"'�
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
t e 1 )u s 4 ', A AJ
for this reason
Permit Fee I $ e;? 5 d
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT Filing Fee 10.00
The permit is for $100.00 (valuation) or less.
Heating
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Cooling
of Consent to Self -Insure.
a"l shall not employ any person in any manner so as to become subject
Hood 3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement, should you become subject
Permit $
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Fee
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee $
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee $
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE $
also agree to save, indemnify and keep harmless the County of Butte against
Occup. CONST.TYPC SCHOOL FLOOD PARCEL' PD HO ISSUE
all liabilities, judgments, 'costs, and expenses which may in any way accrue..—
I
against said County iii;consequdrlce,of'the granting of this permit.
'� eel
This permit is hereby issued under the applicable provi-
X-' �% ✓ !may='%%7 Date
sions of the Butte County Code and/or resolutions to do
Signature of Applicant — Owner Cantor ❑ Agent ❑
work indicated, above for which fees have been paid.
An OSHA permit is required for excavatio s over 5'0" deep and demolition or construct-
DIRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height. / 1``'r
iow
17111 �/ %%O
RACeIDtP
By Date
p
WO, 3P
PERMIT EXPIRES Date
rcuow-Ase[ssoN, PINK- CCTO R, GOLDfNROD-APPLICANT
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
& /- 3 - d
ZONI G
BUILDING PERMIT
OWNE3151, r s' Nal
'ADOR�S
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWtyER'S MAILING
��<
15 (nom t` erc` Ore � q54 I �
CONTR C��T��Oqq R��//'S,ONAME
WNCj_
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
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 i
Penalty
$
BUILDING ADDRESS
\
I
Permit fee
i
PLUMBING PERMIT
Filing Fee 10.00
rocs t 4' 0
Each Trap
2.00
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 ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑/ Remodel ❑ Utilities ❑ Installation[]Other
Descri be work: 0/eGZ .5eryic,c gmg—m-
sa
Permit Fee
$
Contractor'
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
10.00 Ob
r
Main service EA. ADD'L 100 AMP
2.50 isa
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.
icense No. Classification
el, 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 OR ADDNS. ACC. BLDGS. / , OCCUP.d\ �20Sgft
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON,RESID .BRA CH CIRC TS
/POWER APPARATUS 6
(SINGLE OUTLET CIR. I
20050t
O
Ex. ccu p OUTLETS OR FIXTURES 3AL0AL030
FIXED PR
Ex. Occup. OUT LETS (RESID )EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
s2fCe4 '1 2 AJ
Permit Fee $ a� a
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
Consent to Self -Insure.
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
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 Countyof
Butte to enter upon the above-mentioned property for inspection purposes.
I also a ree to save, Inde y and keep harmless the County of Butte against
all Iia ie 1 dg is sts, and penses which may in any way accrue
again t ai C linty n equ the granting of this permit.
~
X N Dater^�sions
ature of Applicant - Owner I�1 (o tr for ❑ Agent ❑
n OSHA permit is required for excavatio over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
oCCUP.
CONST.TTPE
scNooL
FLOOD
PA
PD
ND
r
ssuE
This permit is hereby issued under
of the Butte County Code and/or
work indicate abov for which
E OR PUBLIC
By
PE MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Data
Receipt No. 7-%0 '�—
WHITE-D.P.W.. 7ELLOW-Aee9e80011 PINK - ePECTOR. GOLDEN ROD-APPL I CANT
kl
COUNTY OF BUTTE - DEPARTMENT OF 'PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIL�E, ,C%VLI.�9RNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No. / l/
OWNER �!7 iU AEAA S4rd,1U _ A. P. No.
Proposed Building Use (0,eGf1'YC -;�cr"Vice u f�-Eguilding Inspector ,/31 Date
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. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
Statement of Intent Non -Heated and AC Buildings.
Fees of $ e E , , , , , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
13.- Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to ownerE])
_15. Improvements may be required. . . . . . . . , , , ,
16. ehome Installation Data.
7. Pre -Inspection for e je6-1-r; L .Service .0 4/req Pre-Inspec. request to
��� �7"" Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
Telephone and hold for pickup at -off ice, Deliver w/inspector.
Other__ 1-1 ,
Appli
ate)
to 7-1- 9b
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to �ance: (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_mail—counter by date
Contractor, designer, owner, was advised of above required data b4_ phone_mall_counter by date
Plans checked by
Copy—DPW
Date
ans approved by
Sets of plans on hold in File cabinet AP folder
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541'
An '''owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be Issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) 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 Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I.wi.11 provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
S'gned:
Property.Owne
Social Secures'
Date / /
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned toour office before we are per-
mitted to issue the permit.
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+•.it
4 . L• to 6 �` T+'a t ,qty. (.yrs��(`i �' . ,,, � r•4Z J-- : 4 f 4 : t 'A�+.► �� t 4� -.1; 4 '
4.a sk r[�ii*,♦i�u°.!� a ' fyyy,��yy��� � � _ t k 1 y _ t r "n.
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*RANT oto a .mu�..,As.I016!
►OSI A VALUA4l! CpNSICIM M, 10OW of wMCh Is i weby 6*r4w%d9e4
Henry J. Hooper alae!. Cl:atis I. Hooper, husband and vire
do Qwelt►
ORM io 0111e J. (Hooper, a widow 1
•b i
Mn rwi popery I!, fti
Cow0y of Butte
sww of Ceftfw..em, daalbW a:
The Northeant quarter of the Northwest quarter of the northeast quarter
of Section 149 Township 21 North, . .ge 5 Bast; M.D.B.&t.
EXCEPTING THPyUBOM that contain strip of .land thertofore,Conveyed by C.
S.•pie^o et al to Swayne Umber Company a corporation, Deed dated
June.
Ju4 1918 and recorded November 1 J918 -in Volume l51 of Deeds at
page 294, records .*f Butte CMWty, C&Jifor2a, and described as foliovsi
A Gtr+p of land 60 feet in vIdth over and across -the Southwest quarter
and the Forthwest: qiu rtes' of the Southeast quarter of Section 14, Town-
ship 21 North, Rang*, 5 East N.D.N.,.said strip being 30 feet in width
on each aide of the centerline of thq railroad grade as nov located and
established on and across said landa.
DSW,JVy PA. 1966
STATE Of tJ V00RNIA
COUNTY Of
bo%m no, the Und.raliP d, . NCO" P Wk In &W Fa Mid
T_ RonpAr
SINS, pwwrufly
and Cleatis I
A gin_r3f JTHooper
C ✓
Cleatis I. Hooper IV
known w I so be Ow PMS wI— n�i�-ilZ19--
wwc+Oc
bMtib.d a w"It* " kaftwoW wd 04=41 tMI WILLIAM A. INMAN
ey. �..wGt.d AG., Mm.. NOTARY PUBUC — CAL rORNIA
WNW
PRfNCIPAt: OFFICE W
-
BUTTE COUNTY
William A. IIf!!AN My ��en Expo« Soo. 11.1967
.
Uwe Rrwd a Prim"
t.r ollicl.l rarYl..dl
AMM TAX RTATU!DM TOG_0n4 a JSo�q��
P.oR 275 01ton. TBNail NXa11 ISR
NAMt Barbara Lee Armstron
Aaut&&t 17223 Roberta Street
c.TTa Castro Valley, California
[TATS L
Title Order No gL Escrow No._
MAIL TAX aTAT&M&NT. TO
NAM&
ADOR&a4
Some As Above
cnea
*TAT& 1
FOR VALUE RECEIVED,
GRAN'r-&--to
all that real property situate in the
County of Butte
now !0
54
on n� • 192 b before me, the undersigned.
LOUISE KLUEnpFH
COUN9 HECOF:��
• .l
a.
.. �•
..
• 49921 •
SPACE AOOVC THIS LIN[ FOR RQCORORR'S USE
Documentary transfer talc S. 5 t ri. ...................
�-OFFICIAI h°GOli�fi
Butte County Title Co,
op`gT_ 0 C;U`t Y''.� gt�
r
rd6ak 5a M
AND WHEN R[CORD[D MAIL TO
owl Y.;11
I
I.I.1 1 W1111
NAMt Barbara Lee Armstron
Aaut&&t 17223 Roberta Street
c.TTa Castro Valley, California
[TATS L
Title Order No gL Escrow No._
MAIL TAX aTAT&M&NT. TO
NAM&
ADOR&a4
Some As Above
cnea
*TAT& 1
FOR VALUE RECEIVED,
GRAN'r-&--to
all that real property situate in the
County of Butte
31nbibibuai brant 'Weeb
WCaTe RN TITLE FORM NO. $04
OLLIE J. HOOPER. a widow
BARBARA LEE ARASTRONG,
a single woman
, State of California, described as follows:
A11 thar certain real. property situate In the County of Butte, State of Calif-
ornia, described as follows:
The P:erCheasL (Itlartcr of the No1•1116JeSt gllartor of the Soolho;lSL tltlal-Ler of Section
14, 'Township 21 liorth, Itange :i I:anC, II. U. C. t. 11.
IiNCF:PTIPI(, 'I'IIP.RITKO'I that ct•rtnin strip of land heretofore c.vlveY^_d by C. Il. Fiero,
et al, to Swayne Lumber Company, :1 rorlr;:rai:cnl, by that certain Deed dated June 4,
1918 and recorded Nnvvmber I, 1918 in Book lis of Deeds, at: page 264, records of
Butte County. California, described as follows --
f strip of lmtd (0A) Prot in width over al+d rlcro.cs il;o Southwest glfart'er and the
Northwest. /iu.irtvr of thv qu.irWi ..f tint ioo I/, 'township 21 tlortll, IZonge
5 East, H.D.B. ` fl., said strip boitly, 3(1.11 fett in width .•u ench side of the cen-
ter] ine of the rai Irund grad" ;IS now 10";110(1 and L•St:ll+I i:;IWII nn :Ind across said
lands.
Dated May 5 _ 19 76
011ie J. per
STATE OFlrk
now !0
54
on n� • 192 b before me, the undersigned.
LOUISE KLUEnpFH
COUN9 HECOF:��
-J
3223
011ie J. Hooper
SPACE AOOVC THIS LIN[ FOR RQCORORR'S USE
Documentary transfer talc S. 5 t ri. ...................
X1 Computed on full value of property conveyed, or
�0.
O Computed on full value less Ilene and encumbrances
_ ►r1Q�Q
remaining thereon at time of ante.
Butte Count Title pany �.
ok..�..............
r
Sltnature or deelora.•1 or stent dr,erminine I,, --firm name
31nbibibuai brant 'Weeb
WCaTe RN TITLE FORM NO. $04
OLLIE J. HOOPER. a widow
BARBARA LEE ARASTRONG,
a single woman
, State of California, described as follows:
A11 thar certain real. property situate In the County of Butte, State of Calif-
ornia, described as follows:
The P:erCheasL (Itlartcr of the No1•1116JeSt gllartor of the Soolho;lSL tltlal-Ler of Section
14, 'Township 21 liorth, Itange :i I:anC, II. U. C. t. 11.
IiNCF:PTIPI(, 'I'IIP.RITKO'I that ct•rtnin strip of land heretofore c.vlveY^_d by C. Il. Fiero,
et al, to Swayne Lumber Company, :1 rorlr;:rai:cnl, by that certain Deed dated June 4,
1918 and recorded Nnvvmber I, 1918 in Book lis of Deeds, at: page 264, records of
Butte County. California, described as follows --
f strip of lmtd (0A) Prot in width over al+d rlcro.cs il;o Southwest glfart'er and the
Northwest. /iu.irtvr of thv qu.irWi ..f tint ioo I/, 'township 21 tlortll, IZonge
5 East, H.D.B. ` fl., said strip boitly, 3(1.11 fett in width .•u ench side of the cen-
ter] ine of the rai Irund grad" ;IS now 10";110(1 and L•St:ll+I i:;IWII nn :Ind across said
lands.
Dated May 5 _ 19 76
011ie J. per
STATE OFlrk
of Lal
_Coupty .—
on n� • 192 b before me, the undersigned.
a Notary Public. in and for said State. personally appeared—
011ie J. Hooper
know!*Aaj q to be the per on _ whose name Is
subtic-r t to the within Ipstnrnent. and actnowtedged to me that
Ae -dsedvied}Ae±ame
s
LLta'G4ri-
r
Mollary Public
t l # v
oz YN
( Y:y a K-yr/IfA�LTA1[sTATtMtpfTdfAltg011f[Ct
'-x.-'-". n- .. -mks.. ' r ,.,•. z n �1
. ac a._ hk.,
FOR NOTARY fd L OR STAMP
•,
4i
-^�.111'�i ��jC'.$..�: ,,� ,�r�� �{s��'•'ti-3s` 3;"�'3.`tLfs :,Z• +4'�=:� .-+;��
RROORprNO R[tiURfT[O R11 1
John P. and Helen M. Armstr7
Luer t
c .-� +w+�i�Q.X 9 6
LBS, et".0 � gsyi4 J
.r v rw•L w
r �
A.� Same as above
cft a
u,.. L J
of/1CIAL RECORDS
SUITE COUMTT-CALIF.
RECOaDS REOUE!.I t'
Ne 1t MM
LOUISE 1•.iiCh.CR
COUNTT aECcRU
fE
L KACR APOVR rHM UNR •OR RRCOROKWIS U69
Indh idual Grant Deed
Twr• If1�. rY•MMY.fa •Y TLCOa rLna IINYa[M _ _ _.
Tit -A-4-d v -(e) daian(a):
Doaomea4ry us.dw ter: i,S leas than 11an.00 - no consideration due
( ) o"Upow an &D value of property eoenTed, or
( ) aorapated as fall value int valor d Has rod ranmhratoer romaininS at dm of eels.
Fx) Umhmrpormed —: ( ) City of rad
FOR A VALUABI V CONSIDERATION, nrypt of wkkh is h-nby aekao.kd#4
Barbara Lee Armstrong, a single woman
hereby CRANT(S) to
John P. Armstrong and Helet. M. Armstrong, his wife,as point tenants
the follo.iag dnaibed ,vat property in the Unincorporated area
Corney of Butte , Srate of Coliform.:
All that certain real property situate in the County of Butte, State of
California, described as follows:
The Northeast quarter of the Northwest quarter of the Southeast quarter
of Section 14, Township 21 North, Range 5 East, M.D.B. 6 M
EXCEPTING THEREFROM that certain strip of land heretofore conveyed by
C. H. Fiero, et al, to Swayne Lumber Company, a corporation, by that
certain Deed dated June 4, 1918 and recorded November 1, 1918 in Book
155 of Deeds, at page 264, records of Butte Cot:nty, California, described
as follows:
A strip -of land 60.0 feet in width over and across the Southwest quarter
and the Northwest quarter of the Southeast quarter of Section 14,
Towilshtp 21 North, range 5 East, M.D.B. t M., said strip being 30.0
feeb"Th mi th On Mch stdo of the ce ter grade as
now located and betablished on and across said lands.
STATE M CALIFORNIA 1� Dated: July 21, 1977
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Barbara T.nP Aatrnng Barbara Lee Armstrong
!.•ver to of
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COUNTY OF -BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,Callfqrnia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
I 3 - d /!q
20N1 G
BUILDING PERMIT
O WNE
r S
TELEPHONE
�$01
SO. FT. OCC. BUILDING VALUATION
/'92
OW ER'3 MAILING ADO ESS
75 el1. QJ. r_I•-r4 q54 I V
CONTRACTOR'S NAME UTELEPHONE
wAle
CONTRACTOR'S MAILING ADDRESS
Firep ce
CONSTRUCTION LENDER i
UNKNOWN
Total Valuation
LENDER'S MAILING ADDRESS
Filing Fee
loor 10.00
Permit Fee
s
ARCHITECT OR ENGINEER
LICENSE 1�0.
Plan Checking Fee
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
t
Penalty
$
BUILDING ADDRESS
Permit fee
s
iC.,t e1-0
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
m00% ,�.��%_
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVIS 10kYNAME PARCEL A:AP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ Other
SPECIFY *
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSJGJWJ
10-00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[]h
Ot3r
Describework: 0Jee71r1cn Z .51_f v'iG'r, w ra .�_
0 AMd9 -3a o?a D4,4,%D i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100v OR LESS
100 AMP OR LESS
10.00 +� Ob
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.
(cense No. Classification
el. as the owner, or my employees with wages as their sole cr,.mpen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 aa) exempt under Sec. , Business and Profession?. Code
for this reason
Main service EA. ADD'L 100 AMP
2.50 rsa
NEW CONST. DWELLING OCCUP.y ,
Acc, g OUTLET
Dew
CONSTR.`
.50 ea
NON•RESID BRANCH CIRCUITS) 2.50 ea
/POWER APPARATUS e
(SINGLE OUTLET CIR.
EX, OCCUp OUTLETS OR FIXTURES eALO 3FIXED
EX. OCCUp. OUTLETS APP NS0
(RESID )REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
9
Permit Fee i c� • a
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): I
❑ 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
Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
'
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Coolin g
Hood
3.00
Ventilation
permit Fee
=
Contractor
I certify that.l 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.
#aree save, Inde y and ke@ harmless the County of Butte Against
is s,and penses which may in any way accrue
my n equ the granting of this permit.„�,This
Date
plicant - Owner til Co tr for ❑ Agent ❑
t is required for excavations over 5'0” deep and demolition or construct-
Ion of structures over 3 sst/orii s in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occup,
coxsr.rrvc
scwooL
►I000
PAgt[L
PD
ND
(SSU[yldgr
permit is hereby Issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY _ _ _' _ _ _ _
the applicable provi-
resolutions to do
fees have been paid..
WORKS
Date
Receipt No.
J'