Loading...
HomeMy WebLinkAbout063-040-06563-04-65 Roger Westman E/S Siwin!tRd.,app.1000'N.of Summer Place Rd.,ap10�.:2400'E.of Doe Mill Rd., Forest Ranch Permit #3735-81P,E(util. MH) ELEC, 5- 82 2-A& AS' S-q-kZ /P104y,`�. SUPPORT STRUCTURE RFA. Nom'"'""' COMPACTION TEST REQ."`/Vo 63-04-65 Perm#y "_ - I ,13172MH 8Is t J !�IGt7'QG ' JOB FI f Sic PERMIT NO. s 3735=81P,E PERMIT EXPIRES OWNER Rober Westman CONTR. owner i ASSESSOR PARCEL 63-04-65 LOCATION E/S Siwini Rd.,app.1000'N.of u Summer Place Rd.app.2400'E.of- Doe Mill Rd., Forest Ranch \A,Ltz' S Y� s e �rS {r Temp. Power Pole �S .y Called PG&E < em Elec. Service ego Called PG&E �r Temp. Gas Service CalledPG&E ' JOB FI f Sic ff I/ = OK ^ 0, Not OK — = Not Applicable MOBILEHOMES = Not Ready { 1 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s oning Requirements—Set s—Eaeeereets 1• Zoning Requirements—Setbacks—Easements S — 2. Footings; Size—Depth—Spacing—Connectors ewer; Lo on— 3. Decks; Girders and/or Joists—Decking—Bracing-Stairs—Rails 0,<a—ter; L ion—T asement ed (Sk 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing &,-Electricity; Lo on—ClearanEes— —Ajo / Amp—O&Rwwe 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures • 01@1 'ti' -4-6L44' /"LPG 6. Carports; Windows—Doors tility Clearance 7. Elec. Card -BI Date r L Card -BI OFjY Date Card -BI Date Card -BI Date Card -BI Date5-.yL9Z/ Card -BI Date Card -BI _ Date Card -BI' Date Date MOBILEHOME INSTALLATION (Plan -OK except #'s Date POOLS (Plans) OK except #'s 1 ping Requirements—Set s—E%4emerti3' 1. Setbacks—Easements ootings;' —Spying M e 2. Soils; Compaction—Structure Stability emand— ve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining r ^ Elec 'cit MH a roseevers—Brea rs—Cle es 4. Elec.; Receptacles and Lighting; Distances—GFI rain;st= lex ector 5. Elec.; Pool Lighting; 15 volts—GFI MH Test—Req►Ietfir—Oo or 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ate and Sewer Connecte —C/O rade—mal 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater lectri agged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit Tj� =Ex' ; Insp.—Sketch �Ji� 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date ZCard-BI Date Card -BI Date Card -BI Date Card B -I Dat ?, and -BI 1 Date Card -BI Date Card -BI Date A')0 A e-1 Srd411'C F- ;felet ivv wG / / /�;s A) O - Ok of Applicable s NON Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Date Card -BI Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 19.• Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic -- Card -BI Date Card -BI Date Card -BI _ _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except k's 36. Sills; Proper Material & Anchors Card -BI Date Card -BI Date Comments at Final: _ 37. 38 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub _40. _41. 42. 43. 44. 45.Attic Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors yi Cing. Joist-14ftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE �'(/G 7 �l/L/G�l% •/ %..t/ � N;t�r r�Cl _ ,f �'iL �~ �l'��' C! O BUILDING OR PROPERTY ADDRESS 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 needadditionalexplanation, please /contact this office immediately. G Inspector. Date E COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 •7 County Center Drive, Oroville - Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 corr n of work is completed. If you have any question pertaining to this matt , or need additional explanation, please contact this office immediately. r 4411. 41-e -P� 14e 2ze�-p Coves Inspector. ���i(/% W,544�e Date t' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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, o need additional explanation, please contact this office immediately. Inspector G/je7`� /� Date / R SZ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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, /o�r,need additional explanation, please contact this office immediately. Inspector. `� "/� /G���(� Date ' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico.— Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and'Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. Inspector �� Date 6-zz�" — L COUNTY OF BUTTE �,. DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE lry �7Grr caJ -- S/ctA*,/ /W /j,, /" 3 7 35 BUILDING OR PROPERTY ADDRESS 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 r need additional explanation, please contact this office immediately. /^ /V L t/�/dfG / / �/rOrlir' /vlU/mac!yuo 1 Inspector G� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY ''6 This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number - for the following location: Owner Owner's Address Mobilehome Mfg. ' Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of -Public Works i Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville� California 95965 - Telephone 916/534-4 1 APPLICATION AND PERMIT PERMIT NO. 1-7-3-2, A ASSES SO • PARCEL NUMBER ZO ING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN R'S A LI ADDRESS / ldN CONTRACTOR'S NAME 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 ,$' 0. op Penalty $ ARCH( CT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD AD RESSPLUMBING 'A PERMIT Filing Fee 10.00 //jam% "y ' Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOUCTURE SF [IDuplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities Installations Other ❑ Describe work All/o/�f / Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 001 OR ORSLESS 5.00 /D Main service EA. ADO'L too AMP 2.50 NEW CONST. ( DWELLING OCCUP.5) OR ADDNS. ACC. BLDGS. 2�sgft 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 f 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 -OUTLET NON-RESID, BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES g�,� AFIXED APPLNS. O Ex. Occup.(OUTLETS (RESID.)RE A. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Penult Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ©il 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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. 1 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 again t said Coun in conseque ce of the granting of this permit. v�J1-��8/�yL Date ! Signature ef Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 30 p TOTAL PERMIT FEE S� O OCcUP. GROUP I TYPE OF CONST. PARCEL PD HD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date S/'� Receipt No. (/st WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �09 t';Y' W, li(,� 5 �tw 2. Instal:ler's name: 52� 3. Is the site currently under permit? Yes No (If yes, furnish permit number OR Is the site an existing site? Yes / / No / X/ (If yes, furnish two (2) plot plans.) 40 Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12'. What is the mobilehome gas demand?1vo!-� (BTU) ) ----------------------- (This information not required if pipe length less than 6.ft. on natural gas . or less than 50 ft. on LPG.) clear of all setbacks and easements? Yes /�i� No (If no, clarify ) 5. What is -the mobilehome electrical rating? ----------------------- 162 C2 Amps 6. What is the mobilehome site service rat-ing?---------------------.0:.: Amps 7.. What is the mobilehome site circuit breaker rating? ------------- % y O.- Amps 8. Is there any other electric load to be served by the mobilehome .. site service? �_vrC_ ''�'z, ----- ----------------(------------------------ Yes No / / (If yes, identify the load and size: 31q ) (Load) /:.Z .. (Amps) 9. What is the mobilehome site gas pipe size? ------ ------- :. (in.) 10. What'is the type -of gas service? ---------a— v'--------------- Natural 7_7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12'. What is the mobilehome gas demand?1vo!-� (BTU) ) ----------------------- (This information not required if pipe length less than 6.ft. on natural gas . or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA ++ If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year Width— I o_(ft.) Box Length (P Tagalong or Expando Size — _ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center -supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single ❑ 1. Wood either' pressure treated or foundation grade. (ft.)(in;) ( in. ) ( in. ) ® 2. Other/t(ls(pecify �2 e- 6 Center support Center support locations* footing sizes Supports (check one) (in.) 1: Concrete block. x 2. Other (specify) (ft.)(in.) (in.) (in.) (in.) (in.) L -X-' (ft.)(in.) (in.) (in.) (ft.)l(in.) (in.) (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Tagalong or Expando,' show support details. _x -- Typical Support in.) (in.) Footing Size M (.) (in.) -- Max. Pier Spac -- Max. Overhang (ft.)(in.) r 3rf-ii2 BUTTE COUND, WILDING, QEPART,1t jF 3 T CR 'kA o 10 Q VI 100 BUT T P- COuNTi WILDING DEPARTMOO APPROVE-D. V-1 , f a , ka, )e tj RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO F—?,P,3er + � F Q.,)E_ / NAME y� (/ /] ADDRESS ll 1 v ^ `J - CITY & CSp T � STATE I C y4 1— 112 - '/ L Title Order No. Escrow No. OFFICIAL SEAL MAIL TAX STATEMENTS TO WALTER D. SUMMERS .:jam _ :,_ .,, -'1,�;�a_!y NOTARY PUBLIC CALIFORNIA NAME PRINCIPAL OFFICE IN ADDRESS BUTTE COUNTY CITY & STATE FOR VALUE RECEIVED, GRANT-a_to all that real property situate in the County of Butte PARCEL NO. 1: OFFIG:A,- BUTTE NT Ij iG oo t' I 1 CLARK A. t;Ei_3O?_11f f— CLERK-RECORDER 8.1-3 32CA. FEF.. SPACE ABOVE THIS LINE FOR RECORDER'S USE Documentary transfer tax $..IM ,,,,,,,,,,,,,,,,,, ❑ Computed on full value of property conveyed, or ❑ Computed on full value less liens and encumbrances remaining thereon at time of sale. Lit—i w nature of declarant or agent determining tax—firm name 3iubf bibual iffiraui `eeb . WESTERN TITLE FORM NO. 104 ROGER WARREN WESTMAN and DIANE EVE WESTMAN, husband and wife, ERIC EUGENE WESTMAN, a single man, unincorporated area of the State of California, described as follows: Lot 1, :as shown upon the Parcel Map filed for record in the Recorder's office of the County of Butte, State of California in Book 42 of Parcel Maps, at page 82. RESERVING THBEFROM an... easement for ingress and egress for the purpose of developing and installing a water sustem which may include a well, piping and electrical service and at such time said system is installed and in working order the easement provided for in Parcel No.2 herein below shall be removed. PARCEL NO. 2: An easement for an underground water line with rights to domestic water from the existing well -and water system, including the right of ingress and.egress, for the purpose of maintaining said well and water system to serve Parcel No. 1 above described, on and over the following described land: The Northwest quarter of the Southwest quarter of Section 9, Township 23, North Bang 3 East, M. D. B. & M. Dated October 111 %— 19 81 oger Warren Westman STATE OF CALIFORNIA County of Bp j ss. nia On � /S , 19_8.1_, before me, the undersigned, a Notary Public, in and for said State, personally appeared Roarer Warren Westman & _Diane Eve Westman known to me to be the person.f3-- whose name A Are subscribed to the within instrument, and acknowledged to me that '_:LheyL executed the same. Notary Public Diane Eve Westman FOR NOTARY SEAL OR STAMP MAIL TAX STATEMENTS AS DIRECTED ABOVE OFFICIAL SEAL �4�.:>:: WALTER D. SUMMERS .:jam _ :,_ .,, -'1,�;�a_!y NOTARY PUBLIC CALIFORNIA Z;-�S,� ' f PRINCIPAL OFFICE IN �~"µ"Vi ' BUTTE COUNTY MY COMMISSION EXPIRES OCTOBER 1, 1983 MAIL TAX STATEMENTS AS DIRECTED ABOVE iAN COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR PERMIT NO. aV 7 County Center Drive - Oroville, California 95965 - Telephone 916/5 541 -2 / APPLICATION AND PERMIT ASSESS; PARCEL NUMBER _ Z6 IaNG Flo BUILDING PERMIT OWNER fro � ELEPHONE -oy SQ. FT. OCC. BUILDING VALUATION OWNER'S ILIN� DDRESS ,(dip CONT ACTOR'S NAME TELEPHONE CON OR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Firec!(ace notal Valuation $ Filing Fee $e' LENDER'S AILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' O. ov Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , BUIL.QJN.GYDRES � PLUMBING PERMIT Filing Fee 10.00 �G2 ow 2 Q Each Trap 2.00 Repair drainage or vent piping 5.00 wx MillF " �� Water piping O LOT NO.1 SUBDIVISION NAME PARCEL MAP O01, I asBuilding Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomelp�other SPECIFY sewer 116, C70 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST./ DWELLING OCCUP.5i OR ADDNS. ( ACC. BLDGS. 20 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 Business and Professions Code and my license is in full force and effect. License No. Classification [� I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR TI -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW R CONSTPOWER APPARATUS b NON-RESID. (SINGLE OUTLET CIR. 1 50 @ 250 Ex. OccupOUTLETS OR FIXTURES BALM Ex. Occup.(oUTLETS P(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou ty in c nsequence of the granting of this permit. /® // /ry" X Date / Signatu of Applicant — Owner ©Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ (� OccuP. GROUP TYPE OF CONST. I PAR�E� �/ PD HD ISSD This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PER EXPIR S Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. tJ_5-07-5— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Return to DPW BUTTE LOUr`:-r -CALIF. % AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT R.ORDS REQU S?'p O BY FOR RESIDENTIAL DEVELOPMENT. Section 26-8.1of the Butte County Code requires this acknowledg emen O. O 00 Q198 L be recorded prior -to issuance of a building permit. CLARK A. NELSON CLERK -RECORDER The property described herein is adjacent to land or included EE within an area zoned for agricultural purposes,.and residents of 8 1--3320ZJ` this property may be subject'to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing,.spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of'California, described as follows: Lot 1, as shown upon the Parcel Map filed for record in the*Recorder's'office of the County of Butte, State of California in Book 42 of Parcel Maps, at page 82. Date: October 15, 1981 State of On this the & day of DCfv, E 19 , SS. before me, the undersigned Notary Public, personally County of 907-Tf _ ) appeared ",P -A0 T/I9,¢.tW �Q%v w �uwunnnuuuonuuuumnmmunnemlu!s known to me to be the person(s) whose name(s) OFFICIAL SEAL Z subscribed t the within instrument and acknowledged 3 MELISSA M. NIXON 9 g that Tff� `/ executed the same for theur oses • NOTARY PUBLIC • CALIFORNIA Z p p COUNTY OF BUTTE = therein contained. MY Commksalon Expires April 12, >.eas CA IN WITNESS WHEREOF, I hereunto set my hand and official � inunuu�w nunuuunnuncuunuunuuuee�� seal. rn F� Notary Public Present A.P. END OF DOCUMENT .t ku •%' �a o• PROPERTY OWSERS1 •, /ham i1 �.rJ State of On this the & day of DCfv, E 19 , SS. before me, the undersigned Notary Public, personally County of 907-Tf _ ) appeared ",P -A0 T/I9,¢.tW �Q%v w �uwunnnuuuonuuuumnmmunnemlu!s known to me to be the person(s) whose name(s) OFFICIAL SEAL Z subscribed t the within instrument and acknowledged 3 MELISSA M. NIXON 9 g that Tff� `/ executed the same for theur oses • NOTARY PUBLIC • CALIFORNIA Z p p COUNTY OF BUTTE = therein contained. MY Commksalon Expires April 12, >.eas CA IN WITNESS WHEREOF, I hereunto set my hand and official � inunuu�w nunuuunnuncuunuunuuuee�� seal. rn F� Notary Public Present A.P. END OF DOCUMENT Wclro C "l,ptt A �:'U xi 3 C.T 1, 11 c c q7 i-ormrz r)AZD!�'-'d1w :?f7�LnT o r r n gen R CA—) LU Cc CC) 35 ID LL CY) 0-4 03 o. C%2 Z LL = 0 0 oz AL us OD Wclro C "l,ptt A �:'U xi 3 C.T 1, 11 c c q7 i-ormrz r)AZD!�'-'d1w :?f7�LnT o r r n gen R CA—) A.)/ OR +r + QRZ � �\�i•\\\1 N e b \-\er ergots owe � e\ a oC eal co trod\\o "N\ tl ok the \� r 3 p'it o beh\nd s\fie Qe{ d\reO\y tre road y Lp raL' \ero� I i 4 O A permit will be required for the installation of the mobilehome, II • io•'so MOL;,\. Porn e loco crRr✓ =EPi 1 4`j v' pEmp ►,r.ach L.IQC_ KAT %0 the A setback of'6 and a doacic property ,o the road f of 5�§t, fro hall be clear ° s ent eXcept cer\terljne r eq��pm striCures t eave overhan9- {o O _ Q iA/orkmanship Shall go In Nd f,�:;All h/(a{erP & Good Prac:fices and Accordance with Iteco��\iZed Specified use in the of a quality prescribe �I , f rr & Machanical Codes and ng Uniform But'ld E eco icy Flurn"COd� Fhe �e plans and specificnitions MUST , This set of p kept on.the job at al! nitn �+ onss onnd it es a'some without mat n anv chonges or ar}ment of Public written permissionfrom the Dep Works, County of Ao•4.o% i,�r . 9'0jj>csrRf1,v4H 9"9H2 -7 -3 I BUTTE COUNTY BUILDING DEPARTMEW - APPROVED I + QRZ � �\�i•\\\1 N e b \-\er ergots owe � e\ a oC eal co trod\\o "N\ tl ok the \� r 3 p'it o beh\nd s\fie Qe{ d\reO\y tre road y Lp raL' \ero� I i 4 O A permit will be required for the installation of the mobilehome, II • io•'so MOL;,\. Porn e loco crRr✓ =EPi 1 4`j v' pEmp ►,r.ach L.IQC_ KAT %0 the A setback of'6 and a doacic property ,o the road f of 5�§t, fro hall be clear ° s ent eXcept cer\terljne r eq��pm striCures t eave overhan9- {o O _ Q iA/orkmanship Shall go In Nd f,�:;All h/(a{erP & Good Prac:fices and Accordance with Iteco��\iZed Specified use in the of a quality prescribe �I , f rr & Machanical Codes and ng Uniform But'ld E eco icy Flurn"COd� Fhe �e plans and specificnitions MUST , This set of p kept on.the job at al! nitn �+ onss onnd it es a'some without mat n anv chonges or ar}ment of Public written permissionfrom the Dep Works, County of Ao•4.o% i,�r . 9'0jj>csrRf1,v4H 9"9H2 -7 -3 I BUTTE COUNTY BUILDING DEPARTMEW - APPROVED