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Home My WebLink About062-200-1020 62-�0-�02 ` Art Spencer N/S Bald Ro R ., app. mi.E.of Oro Quincy Rd., Berry Creek Permit #7281-79P,E(utS1.,MH)W ELEC.—2-7--50 'ZOOA W'q GAS�Q- SUPPORT STRUCTURE REQ. 12W COMPACTION TEST REQ. i I 62-20-1602 4 Permit#2417-80P,E (transfer fr( contr to owner) 111A 62-20-102 Contr: Lincoln Village MH Permit##5419-80MHI 1 Issued 0 jig.. �„ 3T NOTES 2 Butte County Department of Development Services ,e°TTe, naEa 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 www.buttecounty neVdds RESIDENTIAL APN: Permit No.- _ 062-200-102 05-2733 Owner: (KAROLY, SIEGL 755 BALD ROCK RD, BERRY CREEK Site Address: Cont: OWNER I Contractor. ' ELEC SERV Type of Permit: OFFICE COPY Address 5 5 6� GAS Meter By Date ELECTRIC ' I Meter By v Datd!' : '_06' SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: I 0-0r0 S SIGNATURE: CHECKED BY V v =' O K 0 = Not OK RESIDENTIAL (Single. & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth ' 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs _ 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test � 10 UF, Gas Pipe; Sz Anchrs-Sz Test Q° �`1Q' ds 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test DATE M E -CH I C A L 12 Elec Undrgrnd 61 AC Ducts Insultn & Support 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic 11�1 41 Q9 C Q� Q`s DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F 1 N A L 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb; Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One X -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc • Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Ins ultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑ Yes ❑ No 87 Stucco Brown -Finish o' 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 WV & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑ CU or ❑ AL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or ❑ AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector m Q9C 0 Q� 0 � =OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S -C O V E R S -C A R P 0 R T S -G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-AnchrsStuds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 1c os� 0` DATE POOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec-Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes -Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide Pool Drawing BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 LICENSED CONTRACTORS 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 : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his ocher own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' Stale License Law.). ❑ I am Exempt under Article 3 of lh siness and Professions Code Date:/ 6-' - DS Owner: WORKERS' COMPENSATION DECLARATION I 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 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy VJ 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 the 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. Date: /� — ~ b. Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING'AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Name: PERMIT NO. BPO52733 Issued Date: 10/03/2005 APN: 062-200-102-000 Site Address: 755 BALD ROCK RD BCK Map Index: Description: electrical service Owner: KAROLY SIEGL P.O. BOX 969 BERRY CREEK CA 95916 (530) 990-0990 Applicant: KAROLY SIEGL P.O. BOX 969 BERRY CREEK CA 95916 (530) 990-0990 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Gz� This permit is'reby issued under the appjlcable provisions or the Butte County Code and/or Resolutions t o work Indicated above for which fees have been paid. By: ; //i '%�� ,J r i Date: PERMIT EXPIRES ON: Address: I (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. -17 Print Name: f !' / 1 9 UC- r tJ / r GL Signature Date: 'Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor b. c. buuaing vermn ui-iu-uv pg i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO, BPO52733 B. C. Building Permit 0 1 -16-04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date' • 10/03/2005 APN: 062-200-102-000 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. Site Address: 755 BALD License Class : License Number: ROCK RD BCK Map Index: Date: Contractor: Description: electrical service OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: KAROLY SIEGL permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a P.O. BOX 969 signed statement that he or she is licensed pursuant to the provisions of BERRY CREEK CA the Contractor's State License Law (Chapter 9 commencing with Section 95916 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any (530) 990-0990 violation' of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the properly, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044• Business and Professions Applicant: KAROLY SIEGL Code: The Contractors' State License Law does not apply to an P.O. BOX 969 owner of property who builds or improves thereon, and who does such work himself or herself or through his or own employees, BERRY CREEK CA provided that such improvements are not intended or offered for 95916 sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of (530) 990-0990 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor: not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ l am Exempt under Article 3 of th siness and Professions Code Date -./6-7– D S Owner: License #: WORKERS' COMPENSATION DECLARATION I 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 Census Code: 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 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. Date: %� 4 Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby issued under the•appJlcable provisions of the Butte Counly Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions 1pdo work indicated aabove forwwhiic .fees have been paid. B y v�i%f Date: : ��/, !� !' Name: Address: PERMIT EXPIRES ON: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to upon the above mentioned property for inspection purposes. enter j 9 ULtt / Print Name: %"1 / A 1 25 Signature: Date: wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 0 1 -16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION "PLEASE PRINT CLEARLY" OWNER Last Name (r first Name ` n v` Address C I l n CitygE�-� State6 A Zips i f/ Phone Q c0_ v c� 16 Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name A 4o vC� Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Property Address (�✓JLD 2b�%�c Flood Zone Cross Street SRA Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. IM BIN # LOCATION AP# , 2- 2 Property Address (�✓JLD 2b�%�c Ci /.��t221' 1, Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or cope f Work: TFn Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after.the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received, OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Receipt ("qS 1j Date: /o-� 0_� Amount: J Bldg SRA Sheriff Other �sTotal REV 6-16-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). o 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 001)4039: Main Assessor Inquiry 0003,2005 -11:45,7n) Name]SHANNAHAN JAMES FJR ESTATE Asmt # Fee #1062 -200-102-000 Addrl C/O VAZQUEZ LAURA Status CTIVE Status Date F I Tax [EO—FN—ORMAL, OWNERSHIP— TRA 101.000 Addr2 2518 SAN PABLO AVE Situs: 1755 BALD ROCK RD BERRY CREEK Addr31PINOLE CA 94564.1309 Base Dt 199/29/2903 Addr4lLand 66,300 Timber Preserve Structure 5,100 AgPies Comments 16220010200 CONVERTED 0948/88 —R16-56124—- r E tal Fixtures 0 Growing 0 Creating Doc#F97i Date F--, Current Doc#V 1 /24/2 �q5_10—q9?-90Y Dateloi Bonds Total L&I 71,400 Fix. AP 0 Killing Doc#Date[ r multi situs t— Flag! MH PP---.-- 0.1 Asmt Desc 755 BALD ROCK RD SuplCntriPp I— Flag2 0 Zoning P— 7 Dwe111— 910 MH Exempt 0 Acres/Sq Ft 118.9 -N/CFo-62 Asmt PP Pen Net 71,400. Tax PP Pen R/C#[--- Appeal Pending T/R DtF Split Pending R/C Stag PHY OWN EXP TAX HON ATT SIT APR. PCL j�p: Eind1� flu 12005 Idbrown, 08102/20051;49;35 PM RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Karoly Siegl PO Box 969 Berry Creek, CA'95916 2005-0040706 Recorded I FEC FIE 16.08 Official Records I TAX 66.88 County of I !lOMIl W PRESER 18.88 CAIIOACEuJ ePRIM I County Clerk-Recorderl I JC 89-'M 14 -Jul -i'805 I Page 1 of 4 ILII III III I IIII I ILII I! IIII I II I Illi I Space Above This Line for Recorder's Use Only A.P.N.: 062-200-102-000 - File No.: 0403-1830246 (AM) GRANT DEE i -4k The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $66.00; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value les value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] City of Berry Creek, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Laura Vasquez and Michael Cooke, Executors of the Estate of James F. Shannahan, Jr. aka James Francis Shannahan, deceased pursuant to that certain Order Confirming Sale of Real Property, case # P03-01534 hereby GRANTS to Karoly Siegl, an unmarried man r, the following described property in the unincorporated area of Berry Creek, County of Butte, State of California: THE EAST ONE HALF OF THE WEST HALF OF THE WEST HALF OF THE NORTHWEST QUARTER OF SECTION 34, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. EXCEPTING THEREFROM ALL THAT PORTION LYING SOUTHERLY OF THE CENTERLINE OF THE BALD ROCK ROAD, AS SAID ROAD EXISTED ON MAY 13, 1959. r'ALSO EXCEPTING THEREFROM THAT PORTION AS DESCRIBED IN DEED TO COUNTY OF BUTTE, RECORDED APRIL 22,1977, IN BOOK 2164, PAGE 559, OFFICIAL RECORDS. Dated: 06/29/2005 9c ci \lOtn a aA Laura Vasquez 01 0 ;Michael Cooke **This grant deed is being signed in counterpart** Mail Tax Statements To: SAME AS ABOVE r Y A.P.N.: 062-200-102-000 STATE OF Grant Deed - continued File No.:0403-1830246 (AM) Date: 06/29/2005 COUNTY OF C'O `^ "` �'� J + On 3,Lt before me, a 60: to �� , ' Na jW 24 personally appeared L cc LA Vt. z 15 �oZ 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 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. Signature 4�1 My Commission Expires: IZ O 0y7 This ama for ofciai notarial seal COMM. 0, 54M NOTARY PUBLIC * CAU OMA CONTRA COF %COUNTY COMM- C. 8, 2W'1 Notary Name: yZ' Notary Phone: Notary Registration Number: 1 fi TY &Z'z County of Principal Place of Business: C. -t-41, C,04 t14 DAVID R. BAKER COMM. 014 1822 MOTAMFUKX OGLIFOMM CONTRA COSTA COUNTY COmtn Eq DEC 8, 2007 Page 2 of 2 RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Karoly Slegl PO Box 969 Berry Creek, CA 95916 A.P.N.: 062-200-102-000 GRANT DEED Above This Line for Recorders Use Only File No.: 0403-1830246 (AM) The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $. CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X 1 unincorporated area; [ ] City of Berry Creek, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Laura Vasquez and Michael Cooke, Executors of the Estate of James F. Shannahan, Jr. aka James Francis Shannahan; deceased pursuant to that certain Order Confirming Sale of Real Property, case.# P03-01534 hereby GRANTS to Karoly Siegl, an unmarried man the following described property in the unincorporated area of Berry Creek, County of Butte, State of California: THE EAST ONE HALF OF THE WEST HALF OF THE WEST HALF OF THE NORTHWEST QUARTER OF SECTION 34, TOWNSHIP 21 NORTH, RANGE 5 EAST, M.D.B. & M. EXCEPTING THEREFROM ALL THAT PORTION LYING SOUTHERLY OF THE CENTERLINE OF THE BALD ROCK ROAD, AS SAID ROAD EXISTED ON MAY 13, 1959. ALSO EXCEPTING THEREFROM THAT PORTION AS DESCRIBED IN DEED TO COUNTY OF BUTTE, RECORDED APRIL 22,1977, IN BOOK 2164, PAGE 559, OFFICIAL RECORDS. Dated: 06/29/2005 Laura Vasquez LA M, L' '/J'- ' Michael ooke **This grant deed is being signed in counterpart* Mail Tax Statements To: SAME AS ABOVE A.P.N.: 062-200-102-000 STATE OF COUNTY OF Grant Deed - continued } }'ss. } File No.:0403-1830246 (AM) Date: 06/29/2005 T+• On _ 5 , Zoo 5 , before me, I ' I.Ov— NOW personally appeared X_ M %CNA u K E 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 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. Ibis a%ea. f^r Gr97r_iei ' Signature My Commission Expires: 1 Z 501 Z0 6 7 iC¢ino iayiot -.. Notary Public, New Jersey My Commission Expires December 30, 2007 Notary Notary d722662-ii10 (Oen 0 Phone:Name e 81-00 Notary Registration County of Principal Place of.- Number: 'LZg5�31 Business: f Page 2 of 2 a i PERMIT NO.. 7281-79P,E ay!7- a.A PERMIT EXPIRES SAJ ,OWNER Art Spencer v CONTR. 04 0 A� OVl i' 62-20-102. r; LOCATION (A.P. •) N/S Bald Rock Rd., app.1.5 mile E.of Oro= Quincy Rd., Berry Creek 4. t h COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOW RECORD BUILDING A BUILDING (Cont'd) PLUMBING FI wall it Piping Par ets t Floor . N Restr m Finish 2n Floor s Window 3rd loor II Sidin To out Slab Roof SheaihJng Water Pip"qg Piers Roofing Sewer - Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings v Prov. for ph sicall handica ed Conformance of ex. 'structure Appliances Gas Piping &Test Temp. Gas ' Slab A Final Sanitation Patio F EPL CE Final Footings Footing ECTRIC Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam IRE SPRINKLERS Motors Framing Test Water Htr. Stucco inal Sub anel Mesh MECHANICAL Grd. Flt Prot. Scra hSeryiB n N\Heatind ool g T p. Pole F ish u s ifnderground In rior Lath VAntilation Permanent r/oor Closer anal Oinal MOBILEHOME UTILITIES ------------------ Elec- Service. Gs% a®/� 69C4 Elec. Pedestal WaterPiping /4=0 Sewer &-y-I _gyp Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support �c � Water Piping l Z)J (_. rdainage Elec. Continuity Gas Piping 0- , DATE gip_ � ? ._�o -REMARKS OR CORRECTIONS G7� � �-/� ico-D —�S' neo &rQ F' � � �►�c.rQ (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number, -5 -Wk- 80 for the following location:O RIAs Z PT> IQ9PA % ! Ai - k f)F ryz ri li.xri c/ .\�'[..f � Owner _ APT- Owner's PTOwner's Address t f - -A 7 l -r`4� / !� ,-X Mobilehome Mfg. Mode Year x") Insignia No. -PW4 AZ L E/ Serial No. ` c./ It is hereby certified for occupancy at the above described location and may be occupied. Direc. or of Public Wo ks` r Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. _-. 9. Electrical A. Is service large enough to provid5p adequate -amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes' No B. Is there proper clearances•around panels? Yes `-- o_ C. Is power•supply cord or feeder assembly properly fused? Yes "rNo D. Is continuity test satisfactory as per the following procedure? Yes -4-r- De -energize electrical wiring system of the mobilehome at the pedestal. -2— Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to the "on" position. -4, Connect one lead of a test instrument`to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. ,.5..1 All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 4 -.--Upon completion of the above procedure, the power.supply cord or feeder assembly conductors shall be connected to the 'site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. r 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. i MOBILEHOME DATA Manufacturer and/or Namestyle /� LaA 4 Length 5 Width�� Vehicle Serial No. O 7 State Identification No. ® 14 67 (28-/ Additional Information or Comments: 97. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with rr ired separation from lot lines and buildings and generally conform to plot plan? Yes C o 2. Does the mobilehome have required clearances above ground? (Sec. 5085) Yes 3. Are footings and supports properly sized, spaced, and braced as per�proved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes `'No 4. Is the mobilehome level? (Sec. 5088) Yes No w6:. f more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A. Is flexi connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes- C. Backflow - If coach is not State of--Califo is approved, does station have backflow devic( and pressure -relief valve? Yes 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes X___90 B. Does it have minimum k" per foot slope and is it properly supported? Yeo C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No 4--_ B, If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes B. Test OK as per following procedure? Yes 1. Open all appliance connector valves. 2: Shut off appliance burner and pilot valves. I Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes s-- o; COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico —' Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE SP0&VC 1L"' L a P-0%-4Ac: a/) BUILDING OR PROPERTY ADDRESS A. A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. �' ��i�"C`:ii�+!:n•�Y1•e �.Y "�. - SP, - +l'aMs'�►"� L Inspector v+ . COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS P RM NO 7 County Zenter,Qrive - Oroville, California 95965 - Telephone 916/534-4541��/ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZON G I4Z FIUTAJC BUILDING PER(1/O& OWNER ` TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C NTRACTOR'S NAME 1N&QLi/.l 1%031L' � TELE HONE 53 77-74- rV►LL{,�Y�-O. Cern /1O R AILING&�17 REJsku ° L CONSTRUCTION LENDER -l UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee / $ /t9 s0 1> Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADORES, PLUMBING PERMIT Filing Fee 3.00 J (� /q)), u) IMCA) ` may Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORKPermit New ❑ Addition ❑ Remodel ❑ Utilities [:1Installation 'Other ❑ Describe work: — Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELINGOR ADDNS. ( ACCLBLDGS.CCUP.&\ / 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions C de a d y license is in full for c a effect. License No. 3.IL& /� Classification � ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTNON.2.50 ea RESID R BRANCH CIRCUITS NEW CONSTR POWER APPARATUS &)1 NON-RESID, (SINGLE OUTLET CIR. 1 e0@250 Ex. Occup(o OR FIXTURES BAL�10¢ FIXED A FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The ermit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c sts, and expenses which may in any way accrue ag 'nst id County in cons a of th ranting of this permit. te ��% � ign ure of Ap lican — Owner El Contractor Agent F-1 A O SHA Apermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ .pD Land Development Fee $ TOTAL PERMIT FEE $ f✓�� OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD 55�j (r This permit is hereby issued under sions of the Butte County Code and/or workindicated above for which DIRECTOR OF PUBLIC By PE EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date 12 -2 -IF epu /_.+- p �/—Q / Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT do-WEVAR P ap— ASSSSOR PARCEL N MBER •� 7� 41 LiV O� ZONING BUILDING PERMIT O ER 14e ova I-- SPC -AJC& TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING / " D* g6 BOXp.��yq CONTRACTOR'S NAME? 0v4)W HO (fj'�7/� ZZ 97 CO TRACTOR'S MAILING ADDRESS �a &C1/_ fial>- eeg cgg;Qe e4 CONSTRUCTION LENDER ONKNOWN Fireplace Total Valuation Is LENDER'S MAILINa ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee Penalty $ ARCHITECT OR E GI EER'S MAILING ADDRESS Permit fee $ BUIL NG ADDRESS ' VA -5; ,O)U b PoGZ 4008 /r s sync. PLUMBING PERMIT Filing Fee 3.00 0 QA9 s.20/ . Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets USEOFSRUCTURE SF Duplex❑ Mob ilehome Other ❑ SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work:__MAA15/"C=,e, r&M COOV-0 Iro �Gf//li� �• d• 72-19/-757 Permit Fee U>$ -J" 0C) Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR BU TI.OUTLET NON-RESID RANCH CIRCUITS 2,50 ea NEWCONSTR. ( POWER APPARATUS &) NON .RESID. SINGLE OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES 50@� BAL@1os FIXED APP LNS. OR Ex. OccupJOUTLETS (RESID.) EA•) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ , 00 Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 f Consent to Self-Insure.shall not employ any person in any manner so as to become subject �tiothe W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains sai unty in con ,rice of the granting of this permI X Date Signature of Applicant — caner Contra ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -1 ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ •0o OCCUP. GROUP TYPE OF CONST. PARCEL PD NO I ISSUE This mit is hereby issued under the applicable provi- si s o the Butte County Code and/or resolutions to do (orkd bove for which fees have been paid. ECTOR OF PUBLIC WORKS p By Dates /3-80 -�2— PERMIT EXPIRES Date_ 1.3-5'0 Receipt No. O� WHITED. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT NOTE: Mr. Jatko advised this office that Mr. Spencer paid the fees on this permit. COUN`ry OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / 79, authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X DateAL/1-a— 7q nature of Per ee or Agent Receipt No. 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. DIREL-TOR OF/PUBLIC WORKS By Date/d,—/3-2f Big permit expires Date�v�_-�-4p BUILDING Owner . SQ. FT. OCC. B U I L D I N 6 V LUAT10N Mailing Address 6 .4 11-7A Telephone No. Contractor c.FiRc o1G0 Mailing Address Fi® (/JGO(_ &J 9%_VD, Fireplace Total Valuation Bfl-f�4�11,1.0 Telephone No. -5-4Z) (j Permit Fee " Building Address /()5 D Plan Checking Fee&/or Penalty Permit Fee $ S /T 6 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 '5.O() Each Trap 1,50 . C Repair drainage or vent piping 1.50 A. P. No. q0- 10,2, /^TnWater Zoning & Planning piping 1,50 ,OU Each gas water heater or vent 1.50 F4ges- WPC. 4 So do Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel M p 60' R/W Improvemen Each additional outlet 30 Building sewer 5.00 0.00 Bldg. Plansec'd I Par A royal Pions A proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ oo $ � o ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 _00 Main service 10ov OR LESS • Vpg 100 AMP OR LESS 5•�� ^> Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBL GS.LING OCCUP. '1'\ 20sgft 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 NEW RESID.CONST/ BRANCH CIR T NON-RESID, l BRANCH CIRCUITS)i 2.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID, (POWER OUTLET CIR. 250 Ex. Occuo(OUTLETS OR FIXTIIRES) g L 1� Ex. Occu FIXED APPLNS. OR p• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,00 License No �O 2 �� Classification Misc. Wiring 6.25 N 6 WR ❑ 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. 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 SAOis issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE - PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X DateAL/1-a— 7q nature of Per ee or Agent Receipt No. 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. DIREL-TOR OF/PUBLIC WORKS By Date/d,—/3-2f Big permit expires Date�v�_-�-4p �y NOTE:--�.--All Materials Workmanship 'Shall Bo its ''l, keep "'S got, -4 , Ap P/6" ',kccerjance with lRecoani-yed Good. Proofices -"d igo, 1.iO6 ond 6f a quality prescribed for the SpeC516d use -,oh' I e V. on of Q# t. 1poc;n 0 Ah it? Car P6 90S IGS rl";S and • "s Oniform guildinq, Plumbing & Ma.chanical Codes and orks, C Sion f vgthe National Elect rical Cqde. k, -,4, 0 53 soma Butt,,.. cpet�. hall be within Utility connections s mobilehome, either A ft. of the directly behincl,'qr within the rear 4side (left) of the half of the ro& W��bilehorrie- V, j 4 oil f Se PfOy etty, HhOl f W- ker 4 i� -s e 'for. e -k -f tructLfr 9-o 007 a 2,1t;1av Oq- 9' 4 .4- �v -7 Vw Ik 'A permit,.41. .4, It 0 ot j, in q r. F-4 fj f", OLD 40-DE-PA-RTMW lqs- //x • � � r7 C'�Z /, ' Vk.