HomeMy WebLinkAbout063-040-108�.......� `_ _: fir"" :( + ~
63-04- iatj -
DAN RGUSON }
` N/S Nicholas Rd, 1800'W of Doll Rd,
Forest RAnchr
PE'rmit��3145-i8�PE(4il, MH)p a!EL-EC /2- `�- �i/SOA /5GK 70A SOA
GAS /2-•4 - S/
SUPPORT_ STRUCTURE,RE
COMPACTION TEST REQ
3-04-,108
' Permi 435-81MHI {,
ue d �02
Il
��
i ��
r I P �-
PERMIT NO. 3145-81H E (NH) t'
PERMIT EXPIRES
OWNER DAN FERGUSON
CONTR. owner
63-04-106;107& .108
ASSESSOR PARCEL
C,
LOCATIOI4#N/S Nicholas Rd, 1800'W Doe Mill Rd.
Forest RAnch
.4
71
• r..T. - - �...— - - --= --mow �d DL f�o� • .
n
two /off
Temp.' Power Pole—
s'
1t; Called PG&E _
t (,tl�//
Temp. Elecoa!. Ser ice
n
/_ , j: -V i
Called PG&E
r ")
Temp. Gas Service aC —ZZ f�
Caflud s�esre
31
JOB FIN LED (Date)
r �
+1
`4< gnature
f�
I . l
Ir
ik
J OK
0 = Not OK
- = Not Applicable
* = Not Ready -
MOBILEHOMES f MISCELLANEOUS
Date
MOBI OME UTILITIES ( ans) OK except k's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
F2t! ng Requirements -S cks- t n
1. Zoning Requirements -Setbacks -Easements
So"Is; SpeeirO-�ort-6kech
2. Footings; Size -Depth -Spacing -Connectors
L�
ewer; Loc - -Fa =C a
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
j_at
r; Limon a ) '
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5 ectricity; Lota"n-ClearancesFCyi:D'-/-eQ%D/ Amp-Concr a
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
-
s, / "`a4 or/% /"L"ft. /"LPG
6. Carports; Windows -Doors
,�-
' 'ty Clearance
7. Elec.
d /1vv dd To — -3 ,�
--
Card -BI
Date - & Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date/,4-/-,f/ Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEH ME INSTALLATION (Plans) OK except N's
oning Requirements-Seibieks-GesvmegLs
Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
otings; Size-Spgoir(g
2' Soils; Compaction -Structure Stability
as; M end -V o
3. Pool Structure; Steel -Connect ions=Thickness-Dead Men-Lining
-..-4,--61eCtPicy�
T vers -Br rs-Clearances
4. Elec.; Receptacles and Lighting; Distances=GFI
rain; MH J:ael�Fn3JJ�FIex r ` t
5. Elec.; Pool Lighting; 15 volts-GFI
r; MH Test-Regtowor-Cogpaeedl
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
27�"-rtd"Sewer CdaaecCed-C/0 toAxade-_HD Approval
7• Elec.; Bonding; Metal. w/5' -Circulating Equipment, -Heater
7,�i%
GaajW&Ele icity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards-Ins. to Main.in Conduit
O&L/-1 "xits; Insp.-Sketch
-�2jP
ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test '
Card B -I
Date /,,) -/)-,e/ Card -BI Date
Card 131
Date Card -BI Date
Card B-1
DatAX Card -BI Date.
Card -BI
Date Card -BI Date
-y - of cdveA raj IA(;c ve-'-.
Zdo /ftp Ste- — /5 2s 1}A014 la - 6-0 AQP
c/9eo s r
w
ID AJ -/D)' v /0 Y/
•C `
t,
V = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK except #'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-R.in-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 -B I ockouts-Wrapped-S lab
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/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts f
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 H's
56. Ext. Steps -Door & Sidelight Protection -Landings S
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
_
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.
G.F.I. & Bath Fixtures & Tub Access -
18.
Test Tub &Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker SizesLLabels
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.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except q's
68.
A.C. Duct in Garage -Damper 1
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.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
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 Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75•
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes CINo
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.
79.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground '
Card B-1
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
31. A.C. Ducts; Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
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
s
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
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
_
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
___38.
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Ritr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
_
_
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
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 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
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
196 Memorial,Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle— 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.
rj-
Inspector Date
x ' `.ti 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.
r
Inspector �//�� Date � — / !J
aft
:OU&TY OF BUTTE
DEPARTMEIIJT 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
, 44r -ri t--/i//cG�/� r- Alf
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
mat r, or need additional explanation, 'please contact this office immediately.
/s %ley GJ/r�
S* 4112
r
�UI(4p r— -
f
�I£GTof /?oS;,� el--- �// //�P1�fc a(
//,�i-5
S A Ki .t, 6v,)uJ
l
Inspector�Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P +MIT NO., /
7 County Center Drive - Ojoville, CAlifornia 95965 - Telephone 916/534-4 5
-'- APPLICATION AND PERMIT
ASSESSOR PARC L NUMBER
— /('G X07 �Qej
NG
r/LJ
BUILDING PERM
OWNER
fes/
TE EPHONE
73 /
SO. FT. OCC. BUILDING VALUATION
tG��S�'J �'� �j� /�J3F4Z--
OWDLER _5 MAI9OX DR4✓/ ��J/ ��%-AJa V
CONTRACTOR'S NAME
leefN /v
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEND
UNKNOWN
Q
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGI ER
LICENSE NO.
Plan Checking Fee ,41
$ /0,00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD G ADI"D��ESS
/v s /V7Ce�1,14$ OP• op 80c*'
PLUMBING PERMIT
Filing Fee 10.00
D�� M/LL �D.
Each Trap
2.00
Repair drainage or vent piping
5.00
rAf,9557—
Water piping
LOT NO.
SUBDIVISION NAME 7[PARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ gtallation Other ❑
Describe work: �D/Z Zl77L ./Vl%8/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROR LESS5.00
/d X i/7"� /� X/ p)
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.51)
OR ADDNS. ACC. BLOGS.
20sgft
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.
l,L11 -cense No. Classification
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 CONSTRr'-OUT
I.Ou LET 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS a1
NON-RESID. SINGLE OUTLET CIR. I
EX. DCCUp OUTLETS OR FIXTURES 50@25
FIXED AP PLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fe@ 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.
y❑, /rshail 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 shal I be deemed revoked.
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 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 .County in consequence of the granting of this permit.
X Date fe'Z -Z ��
Signature pplicant OWrier Contractor ❑ Agent ❑
An 0 S permit is re red for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ 0100
TOTAL PERMIT FEE $ s0, 00
OCcuP. GROUP
I TYPE of CONST.
PARCEL Po I
HD
199u
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF UBLIC
io
By 4
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-7 /
Date _7i
-� •r
Receipt No. �S 7
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobileehome Mfr. 72CO-Z q furnish Setup Model No. Year �9loy
Width /O' (ft.) Box Length IVQ j'(ft.) Tagalong or Expando Size /D, 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
A � n
1 -1 x
(ft.)(in:) (in.) (in.)
Center support Center support
locations* footing sizes
(in.)
(f t.) (in. (in.) (in.)
(ft.)(in.) (in.) (in.)
f1 �
l S
(ft.)(in.) (in.) (in.)
D • L_ X J
(ft.)I (in.) (in.) (in.)
*If center piers are other than drawn above,
draw in. -locations. snacinLy. and dimensions.
I-1
[D/1. Wood either
pressure treated or
foundation grade.
E] 2. Other: (specify)
C Supports (check one)
Concrete block.
D .2i Other. ( specify)
� /p I
4 ----Tagalong or Expando,'
7 show support: details.
,a x�5/1 Typical Support
(in.) (in.) Footing Size
Max. Pier Spacing
1.
2-
-- Max. Overhang
(ft.)(in.)
BUTTE COUN,ITY
IJILptIVG T
APPP'nv[_- l
�Z
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name:
3. Is the site currently under permit? Yes No / / •
(If yes, furnish .permit number 3/�i�5— 8'/4° E ) OR
Is the site an existing site? Yes / / No T 4_7�
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of
all setbacks
and easements? Yes = No
( If
no, clarify
)
5. What is
the mobilehome
electrical rating? -----------------------
,5b Amps
6. What is
the mobilehome
site service rating? ---------------------
X04 Amps
7. What is
the mobilehome
site circuit breaker rating? -------------
10 Amps
8. Is there any other electric load to be served by the mobilehome
siteservice? ---------------------------------------------------- Yes No
(If yes, identify the load and size:�ty/�T� Pah, (Load) (Amps)
9. What is the mobilehome site gas pipe size? ----------------------
10. What is the type of gas service? ----------------------------- Natural /% LPG
11. What is the gas pipe length from meteror tank to the mobilehome?
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or -less than 50 ft. on LPG.)
ti .
COUNTY OF BUTTE. DEPARTMENT OF PUBLIC WORK PER IT 0.
7 County Center Drive - Oroville, California 95965 - Telephone 916/53 541�
-, APPLICATION AND PERMIT
ASSESSOR-. RCEL NUMB ZO NG
�.vj,yQ
BUILDING PERMIT
O WNE TELEPHONE
Q� 2—
SQ. FT. OCC. BUILDING VALUATION
OW S A LI ADDR s -
��' at/G
CONTRAC 'S N ME ^ TELEPHONE
W
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee �7 V
,$ 6r00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ /0, 00
BUILDING A ss- / / 4 /
PLUMBING PERMIT
Filing Fee 10.00
zk& A611
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
D
LOT NO.
SUBDIVISION NAME
PA CEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
,101)
USE OF STRUCTURE
SF ❑ Dup'lex❑ Mobilehome[L�Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑
Describe work:
Permit Fee
$ 40,0 6
Contractor 4j z
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESSf7
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50 D
NEW CONST. DWELLING OCCUP.b`
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 Business
and Professions Code and my license is in full force and effect.
Icense No. Classification
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)
EJI am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR .OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. ( POWER APPARATUS S)
NON-RESID. SINGLE OUTLET CIR, ,
50@850
Ex . OCCUp OUTLETS OR FIXTURES BAL@1
Ex. OCCU I IXED . OR
p•\OUTLETS TS (RES(RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ao
Misc. Wiring 7.50
r00
Permit Fee $
Contractor I CX
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
o� Consent to Self -Insure.
L4mJ'�f 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
$
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
against said County i consequence of the granting of this permit.
%� Date Ay& 1r251
Signature of plicant - Owner Contractor ❑ Agent
An OSHA rmit is required for excavations over 5'0" deep and dem ition or cons rust-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE Q
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
y
PD
r/
HD
550E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO F PUBLIC
By -Date
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�— M
�7
71— Y-/ �r
Receipt No. (O /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INsPECTa GOLDENROD-APPL ANT
NOTE:
�—AII. Moterials & Workmanship Shall Be in
Accordcnce v!*fh R"callni%?d. r'^d Qractices and
pf a aurlity r 7- )-,nkr"f for .,,,he r ectified use in the
Uniform Buildinq, Plurnying & Machanical Codes and
the National Electrical Code.
I
?
N c }
' et
Utility connections shall be within
Cf)'4
._
ft. of the mobilehome, either
.�
directly behind or within the rear
half of the.roadside (left) of the
mobilehome.
`JI
C�
' LO
T
A setback of 9 ft,_ from the
,
property.Iines a;nd a setback
I�
of 50ft. from the road
- j
centerline shall be clear of
structures or equipment except
A permit Oil
be required for the
s . a ft. Page Qverhana.
installation i
f the mobilehome.
j1
? 317 )9'.
i
?
Q,4 TV
3
BUlE .COUNT . ........
This set of plans and specifications MUST iie
B�ILDIN p tPARTMEN1
kept;on.the job at all times r-nd it is unlawful to
make any changes or alterN}v)ns on same without
�� �� v
written permission from the Depai rtment of Public :
Works, County of Butte.
No.
Escrow r1o.
Loan No.
WHEN RECORDED MAIL TO:
Dan Ferguson
Box 451
Forest Ranch, Calif. 95942
^FFIC,Ai_ (iECi)RDS
BUTTE C0jL.!NP(-r'1L'.F.
sI l _ 9��
GL.ARK A. NELSON
CLERK -RECORDER
FEE
SPACE ABOVE THIS LINE, FOR RECORDER'S USE
MAIL TAX STATEMENTS TO:
DOCUMENTARY TRANSFER TAX $...........:v...
...... Computed on the consideration or value of property conveyed; OR
...... Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Signature of Declar nt or gent determining tax _ Firm Name
GRANT DEED
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, DAVID FERGUSON AND
MYRNA FERG-USON: KIS WIFE, and DENNIS FERGUSON. AND TRACY FERGUSON his wife..
hereby GRANT(S) to DANNY FERGUSON. and TERRY_ FERGUSON. husband' and wife
the real property in the City of
County of Butte State of California, described as
See Attachment
The purpose of this document is to merge title back to the 30.35
acres more or less, as described in original gift..deed recorded in
Book 2541, page 269.
Dated
STATE OF CALIFORNIA J
COUNTY OF ss.
On�c
before me, the undersigned, a Notary Public in and. for said
State, personally appeared F `r to
r'c n
C y
known4o me to be the person_ whose name S,
subscribed to the within instrument and acknowledged that
executed the same.
WITNESS my hand and official seal
D.AVIJ), F GU ONS
M NA 6FERGUSON. U
DENUZS FE1,GU ON
o
TRACY FER USON o
Signature -� g • (This area for official notarial .seal)
'r002 (10/69)
MAIL TAX STATEMENTS AS DIRECTED ABOVE _
--�
OF:FiCltit, SEAL
:RG
-
N0;A,1, r-UdLIC-CAL!10RNIA _
PRM;:FP„_ OFFICE r,
—
My Cc ^ii5S.C.,,1 cy.re",...ar.°a,i^S�
=-
_
Signature -� g • (This area for official notarial .seal)
'r002 (10/69)
MAIL TAX STATEMENTS AS DIRECTED ABOVE _
Beginning at a 3/4" capped iron pipe, bFing the true point of beginning,.
sunk in the ground 92.5.42 feet North 44"58' 14" ;','est of the South 1/4
corner of Section 8, T23N. R. 8E. M.D.B &14. described 'a , a 1" open iron
pipe as shown on Record of Survey Book 39, page 19; and manning Scuth
1'`11' 38" ,,lest. a distance of 663.08' to a 3/4 iron -pipe sun'_c in the
ground; thence turning and running South 890 17' 19" West a distance of
667.98 feet to a 3/4" iron pipe sunk in the ground; thence turning
and running North 10 25' 13" .E"ast a distance of 1324.88 feet to a 3/4"
iron pipe sunk in the ground; thence turning an .running North 890 09' 45"
East a. distance of 1325.60 feet tc a 3/4" iron pipe sunk in the the ground;
thence turning and running South 00 58' 12" West a distance cf 663.75
feet to a 3/4" iron pipe sunk in the ground;.thence turning and running.
South.890 13' 37" West a distance of 665..38 feet to the ture point
of beginning. All 3/4" iron pipes described herein are brass capped
and inscribed RCE 22626. The parcel,of land described herein contains
a calculated area of 30.35 acres more or less. Together with.a non-exclusive
easement for road and public utility -purposes, 60 feet in width lying
Northerly of and adjacent to the South line of said Section 8, and comment-
ing, -on the North and South centerline of the Southeast quarter of the
Southwest Quarter of .said Section8, and running thence Easterly to the
Westerly boundary line of Schott Road.
OFFS rAt. z
END OF DOCU1kA..-41'
C=
O
O
ENO
M