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HomeMy WebLinkAbout063-050-008----_,... -.63-05.-8.._.. TH LOY�JR W/S p itoe Lane, app 2/10 mi SE of Fitzgei c Rd, Forest Ranch Permit 9-83P,E(util, MH) ELEC O GAS COMPACTION TEST UPPORT STRUCTURE_. - - - 63 1-8/(� Contr: Rickard, Stavern MH Ser. Permit#2153- j"I ssued �l II =rc2 M!�! ffM�M�� THURLOW T. WEIR, D. D. S. 1627 ESPLANADE CHICO. CALIFORNIA 95926 916 - 342-82S1 f � V 1 , fid Did& OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Thurlow Weir ADDRESS: 12674 Centerville Rd. CITY & STATE: Chico, CA 95926 IMPORTANT: July 5, 1983 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner applied for duplicate permit by mistake. (Building Permit Appin. #1050-83MHI; Receipt #82290, dated 4/15/83, AP #63-05-8). Total fees paid ------------------------------- $70.00 Retain plan check fee ----------- .Retain filing fee--------------- 110.00 Total amount retained----------------------- $25.00 TOTAL REFUND DUE ------------------------- ----- $45.00 $45 00 TOTAL $45.00 \, I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this jt claim is true and correct as stated. n � � Dated this r,,,,.,.„ ., .„., day of ( , lq� at l'�+-=-�- Calif. ..... ........... ....:... ....... ................... ............ ...... ...... ................ .... ... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have buTe-e performed or de- livered and that there is a Budget Appropriation 0 or Specific Board. Approval E] (Check one) for ;�f 5th July83 Oroville Datedthis .................................... day of ............................. 19....... at ....... Calif. .......... ... .................... `..........ry........ per[ment Heed or Authorized?' u - Dept. Exp. ' Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND--, DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR CODE DEPT.SUB. & SUB. PROD. OBJ. CLAIM N0. INVOICE NO. INVOICE DATE DISC.. GROSS AMOUNT ENCUMB. SUB -DIST. ' •-63-05-8 Permit#1050-83MHI Is:jiied-.• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ��--e 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 0 �0-9/3 A1111Z PARCEL NUMBER ZO ING BUILDING PERMIT OWN // TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING. DDRESS /Ga ONTRAC OR'SNAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER IL149A/ LICENSE NO. Plan Checking Fee $ Ov Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Z3_767o BUIL QIN ApD/QRESS , S PLUMBING PERMIT Filing Fee 10.00 d' Each Trap 2.00 Solar Water Heater 20.00 j�, %�� Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition Remodel❑ Utilitieso Instal ltionL� uther Describe work' /� .%/1//`G25�if.f��2lGi/7, Z,04jy Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service io°DV OR S AMP OR LESS 10.00 7 O v Main service EA. ADD'L too AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business 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 ULTI-OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR.POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES gq ®a° a and Professions FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit 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. 1 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 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, costs, and expenses which may in any way accrue against aid County in consequence of the qranting of this permit. X �¢� Date Is_�� Signature of Applicant — Owner'q 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 $ G U TOTAL PERMIT FEE $ O OCCUP. GROUP I TYPE OF CONST. I PARCEL PEr I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 4 I ?_ 2— 19--c WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r PERMIT NO. L , 1049-&3,P3 E� (MH) PERMIT EXPIRES OWNER THURLOW WEIR CONTR. owner ASSESSOR PARCEL 63-05-8 LOCATION W/S Tippitoe Ln, 2/10 mi SE Fitz ' gerald Rd, Forest Ranch JOB FINA EV � (Date) � Signatur �l i i yL i AI ti ei i 1� 4, ;s Temp. Power Pole_ Called PG&E _ Temp. Elec. Service a Called PG&E Temp. Gas Servide _ Called PG%E JOB FINA EV � (Date) � Signatur V 0K ' - ' 0 = Not OK — = Not Applicable MOBILEHOMES ' * = Not Ready `."a MISCELLANEOUS Date MOBILE OME UTILITIES (PI OK except k's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's oning Requirements—Se a nt ; 1, Zoning Requirements—Setbacks—Easements Soil Sp 2, Footings; Size—Depth—Spacing—Connectors ewer; L n— — -C O Co 1 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Water; Lofatron— asement Needed (Sketc 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracinggv�ff_ lectricity; Amp—&ewe _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures — p: " A. /" LPG 6. Carports; Windows—Doors , IiIity Clearance 7. Elec. Card -BI Date:% .� and -BI Date Card -BI Date Card -BI Date BI Date n Card -BI Date t Card -BI _ Date Card -BI Date Date IL OME INSTALLATION (PI OK except N's ' kIlEng Requirements—Setbacks—Easements j Date POOLS (Plans) OK except N's 1. Setbacks—Easements Footings; Size—Spacing—Marriage Line t 2. Soils; Compaction—Structure Stability _3v Gael Ml a and—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining___ lectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI Drain; MH Test—Fall—Flex Connector } 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector S 6: Elec.: Enclosures; Conduit Entries—Terminals—Listed a, -Water and Sewer Connected—C/O to Grade—HD Approval j 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and E1edWt Ty Tagged B. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit 9.�E , nsp.—Sketch 'Itelifert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test and B -I 2,el Data and -BI Date Card -BI Date Card -B1 Date Card B-1 Date Card -BI Date l Card -BI Date Card -BI Date t 7J-9 r ���� Sr ,. I J OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) � Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 48. 49. Property Line Firewall &.Openings 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. Fig., 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 Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date _ PLUMBING 14. 15. Date Card -BI Date (Permit) OK except #'s Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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 Sizes -Labels 1.9. 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 Perrr,it OK except q'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 -Meeh. Protection 21. Stec. 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, Insulation -Foam -Looked in Attic E) Yes 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 At _ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral f- Yes [I No Service -Riser Conductors & Ground -Main Disconnect 75, Following instld.: Drive [-]Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 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. ------------ Card B -I _ ------.--- ---- ---- _Date_ _ _ Card -BI Date 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except #'s 83. _ Corrections from Previous Inspections 84. 85. 86, Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 31_ A.C_. Ducts: Insulation & Support __33. 32. Vent Fan_ Exhaust above Insulation _ Condensate Drain _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI- Card -BI ---------- - ---------------------------- Date _Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Pians) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors _ 37. 38. 3_9. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing__ Draft Stop in Walls (rat proof) 40. _ _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rtir. Ties-06rlin-Roof Brac.-Truss-Shlhnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Win_do_ws o_r Exiting Doors -Sill H_gt. & Dimensions__ Garage Fire Protection Framing _ (NOTE:Anentrymust be made each time youvisit jobsite) 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 y� --I l - - 3. 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. y � / Inspector �/�� / - ✓ Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVt 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 51 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. 49 ILI- 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 f rc n 6,y�i- 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. C'/l '� 4/u �.X IA"•t/- '1/v 1 ' / "I 1.4 M ./, 7- 4., F /'—' %Als � G7�.� Sid i T G✓ii/ AI&IV/ Inspector G?2'/ Date�� 9� COUNTY OF BUTTE - DEPART,,MEK-f, OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NqO. ASSESSO ARC L NUMBER r ZO ING / BUILDING PERMIT OWNER / TEELLf'�EPPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Zv , Ar 126 7,1 e. CONTRACTOR'SNAME 5V4/,A i TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER IF LICENSE NO. Plan Checking Fee /rj. $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDf, N�G ADDRESS wu(r'- `Y i�f //,ZI •�u �� ��) � � � S� PLUMBING PERMIT Filing Fee 10.00 ! -/ / ~' '� Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDI VISION NAME PARCEL MAP — rD2& Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomef2' Other SPECIFY Building sewer 5.00 Mobile Home 110.00e/j rpt TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities /Installation ❑ Other ❑ Describe work: — Permit Fee Contractors 1 ELECTRICAL PERMIir Filing Fee 10.00 Main service 600V OR LESS 10.00 A()01-4 t00 AMP OR LESS Main service EA. ADD•L 100 AMP 2.50 i SLS NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ' ElNON-RESID, 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 CONSTR ULTI-OUTLET NON-RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR. /POWER APPARATUS &) ISINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES Zo@soa BAL@300 FIXED ALNS Ex. OCCUp. OUTLETS PP Ex. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r-�•,� Misc. Wiring 15.00 Permit Fee $ Contractor t,/ f 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. ❑ 1 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. 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 �,� i�th�� - ! Date Signature of Applicant — Owner �J C ontroctor ❑ 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 $ � J� S o OCCUP, GROUP I TYPE OF CONST. I YJ PARC I;D HD SSU e/ This permit is hereby issued under -ions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF Ff11UBLIC r - By 4.1,t+-41 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS `/ v Date �° 7 <-- Receipt No. =Pr z G WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 'COUNTY OF BUTTF, - DEPARTMENT OF PUBLIC WORK'S 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. V ASSESSOR PARCEL NUMBER �, :% - 4 ZONING I cif t! BUILDING PERMIT OWNER.-- 'TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS % _ - CONTRACTOR'S NAME'/117 Jrr �. - ) f r / 1i.�/ I ,F -1 IIY i.K A./ TELEPHONE CONTRACTOR'S MAILING ADDRESS 1_�/J, - Fireplace CONSTRUCTIONILENDER %_J UNKNOWN Total Valuation is Filing Fee $ 10.00 L'ENDER'S MAILING ADDRESS 'J ' JU-AA7 Permit Fee $ ARCHITECT y(�OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty , $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ � - BUILDING ADDRESS - / PLUMBING PERMIT Filin Fee 10.00 9 + Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome0 Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation �n Other ❑ Describe work: r _Main V -7 11 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. I t 2/20sgft 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 m license is in full force and effect. y 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 MULTI -OUT LET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR NON-RESID. \/POWSINGLE OUTLET CIR.ER APPARATUS &') Ex. Occu / 20@50C p\OUTLETS OR FIXTURES BAL030 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit 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. 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. 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 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, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. - - Signature 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 I TYPE OF CONST. I PARCEL PD I ND I ISSUE /✓ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC / - . " By t i•, :./ �• - PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date f 'r Receipt No. WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OFW- DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASS S59R PARCEL NUM ER Z >h;� j —� BUILDING PERMIT T EPHONSQ. 1A I // 7 OWNE'R-t FT. OCC. BUILDING VALUATION MAIL SS CC OR's NAME ,1 U TELEPHONE LI C NTRA O 'SNG DDRESS jy! r Fireplace CO TR CTI - LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 L ND 'S el"DRESS .ADDRESS Permit Fee $ ARC TECT OR ENGINEER t LICENSE NO. Plan Checking Fee ,$' / Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS^ k ,' ��� ID PLUMBING PERMIT Fi lin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomM Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationY Other ❑ Describe work: "h(/% IP_ 7 (7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR01V OR LESS10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. I t 2/20sgft 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. 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT R BRANCH CIRCTITS) 2.50 ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR.Ex Occu z20@50t. P�OUTLETS OR FIXTURES SALP30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 against said County in consequence of the granting of this permit. X -� � LZ f4 Date Signature of Applicant — Owner F1 Contractor ❑ Agent(10 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 I TYPE OF CONST.P C L PD MD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIROFt OF UBLIC By Zu PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. Q 2 01' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT X r' COUNTX OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return -this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. 'No building permit will be issued until this verification is received. 1. I personally pian to provide the major labor and materials for construction of the proposed property improvement (yes or no) IT 2. I (have/have not) permit for the proposed work. - signed an application for a building 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors -License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I - have contracted (hired) the following persons to provide the work indicated - None Address Phone Type of Work Tei c on &rp Vav� S �.yc� v� , f - •ra.J,re "-V l Mr i sei"L- kV o•f S igned : Property Owner�.c�-sw Social Secur'ty number Date 17, (,,Fr NOTE: This Owner -Builder Verification is -sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. M H MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr._ 0 R t✓ furnish Setup Model No. Year Width %Z (ft.) Box Length (ft.) Tagalong4 or Expando Size .r`_. 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. ' Foot in s (check one) S ingle (in.) in.) Center suppo t Cent r support locations* foo ing sizes (in.) (ft.)(in.) (in.) (in.) (ft.)Yin.) - I, jlnj (in.) E I (ft.)(in.) V(in.) (in.) 1. Wood either > r pressure treated or foundation grade. 2. Other: (specify) I Supports (check one) 13/1: Concrete block. -2: Other. (specify) a Tagalong or Expand(i,' show support details. t2 x36 -- Typical Support Ln.) (in.) Footing Size 5 Max. Pier Spacing x O „ -- Max. Overhan .) (in.) (ft.) (in.) BUTTE CO'U'NTY BUILDING DEPARTMENT. APPROVED *If center piers are other than drawn above, tdraw in. -locations, spacing,. and dimensions. - BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: U i F- 2. Installer's name: 'h IC -&td Va►�S�aVerh 3. Is the site currently under permit? Yes / No (If yes, furnish permit number ) OR. Is the site an existing site? Yes / / No (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 ) (I£ yes, identify the load and size: (Load) ---^ (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural -7-7 LPG T-1 11. 5. :What is the mobilehome electrical rating? ----------------------- 12. Amps 6. What is the mobilehome site service rating? ----------- oZ Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 1:56 Amps 8. Is there any other electric load to be served by the mobilehome or less than 50 ft. on LPG.) siteservice? --------------------------------------------------- Yes No (I£ yes, identify the load and size: (Load) ---^ (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural -7-7 LPG T-1 11. What is the gas pipe length from meter or 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.) ��i'i. :► ;t'L"1`i?:. .4:)i:1°:,ZOF � . rcir-,'�.. Box .160, 'eye r:��aee :.L4�xi Chico, Cee 9.13926 C MAIL TAX STATEMENTS TO: N/A Accommodation only _r t �. l .b : � .a ♦ 3 i i r 4 � •� .� � CLEAa • RCCOI A%Ei FEE s SPACE ABOVE THIS LINE FOR RECORDERS SE DOCUMENTARY TRANSFER TAX ...... Computed on the consideration or value of property conveyed; OR ...... Computed on the consideration or value less liens or encumbrances remainigg F time of sale. Signature of Declarant or -Agent determining tax — Firm Name QUITCLAIM DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,All THURI,OW T. WEIR and PATRICIA A. WEIR, his wife do hereby REMISE, RELEASE AND FOREVER QUITCLAIM to PATRICIA A. WEIR, a married women, as her sole and separate property the real property in the unincorporated area County of Butte State of California, described as SEE ATTACHED DESCRIPTION The docLmtent is being re-recorded to correct the legal description. Dated __ March 25, 1983 I STATE OF CALIFORNIA Iss, COUNTY OF I On March 28, 198-5 before me, the undersigned. a Notary Public in and for said State, per- sonalty appeared Thurl Ow T Weir and Patricia A. Weir 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. WITNESS my hand,"d off' ial seal. Signature '-UMUFJ_UW T. WEIR fPAT7RIA. WEIR CXC C FICIAL SEAL D SMITHPUBLIC CALIFORNIA TYOLO COUNTYm. expires SEP 19, 1�% Fid F� (This area for official notarial seal) 1085 (6/82) I D. Smith MAIL TAX STATEMENTS AS DIRECTED ABOVE V" J c 0 a � I 5 The docLmtent is being re-recorded to correct the legal description. Dated __ March 25, 1983 I STATE OF CALIFORNIA Iss, COUNTY OF I On March 28, 198-5 before me, the undersigned. a Notary Public in and for said State, per- sonalty appeared Thurl Ow T Weir and Patricia A. Weir 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. WITNESS my hand,"d off' ial seal. Signature '-UMUFJ_UW T. WEIR fPAT7RIA. WEIR CXC C FICIAL SEAL D SMITHPUBLIC CALIFORNIA TYOLO COUNTYm. expires SEP 19, 1�% Fid F� (This area for official notarial seal) 1085 (6/82) I D. Smith MAIL TAX STATEMENTS AS DIRECTED ABOVE DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of the Southwest quarter of Section 5, Township 23 North, Range 3 East,M.D.B. & M., more particularly described as follows: Lot 2, as shown on that certain Parcel Map recorded in the office of the Recorder of the Countv of Butte, State of California, on February 9, 1972, in Book 41 of narcel -Maps, at page 2. Tu::'.or rc 1 ; af :�" 60 fCC!` C: ai.': Ute_ over c� st ' •' t. ^.e rcntc ! _,^.0 U..i?1C ! �S ._iSC=«^ C cis �o}?v:ti'S. - 13EGI NZ,NG at t!;e most Southerly corner of the erooert" described in the Deed from "cccrt '.abo10;7 - - �, et U::, to Kenneth S. Erd:�an, et ux, dated Januar_: 28, 1972 and recorded February 7, 1972, in Book 1.733, of ^r' Or�i- =', cial Records, at page 638, records of Butte County, California; thence along the Easterly boundary of said Erdman property, North 250 52' 04" East, 609.67 feet to the beginning of a 300 foot radius curve to the left; thence following along the arc of said curve to the left, through a central angle of 86° 33' 21", for an arc distance of 453.21 feet to the end of said curve; thence North 60° 41' 17" West, a distance of 61.40 feet to the most Northerly corner of the above described property; thence North 60° 41' 17" West, 562.51 feet to a point on the Easterly line of Fitzgerald Road and the end of said centerline. ETHER WITH an easement 10 feet in width for water and pipline purposes over the following described centerline: BEGINNING at the most Northerly corner of Lot 1 of Parcel Map recorded February 9, 1972, in Book 41 of Parcel Maps, at page 2; thence running South 35° 00' 00" East, a distance of 170 feet to the existing well; thence North 5° 00' 00" East, a distance of .5 feet and the true point of beginning; thence South 5° 00' 00" West, a distance of 204 feet, more or less, to a point on the most Northerly line of Lot 2 of said described Parcel Map. Said easement is for the benefit of and appurtenant to Lot 2 of the above described Parcel Map and is to remain in affect until such time that a well is established on said Lot 2. Lu 0 0 W -50C �i a rn T �6 Q END OF DOCUMENT f Order No. 1033+8 Escrow No. Loan No. WHEN RECORDED MAIL TO: Mr. & Mrs. Thurlow T. Weir Box 160, Nomshew Stage Chico, CA 95926 MAIL TAX ST t -:YE -^.IT -,In U VA Accommodation only O�c)Cr.Etl RE i01 . MIDVALLE`f TITLEC CJ CLERK-REGURUER I is EE SPACE ABOVE THIS LINE FOR RECORDER'S USE DOCUMENTARY TRANSFER TAX S ............ ...... ....... _.................. Comouteo on the consideration or value of property conveyed; OR on .-a COM KSatahon or value lois lions or encumbrances o•'.a rttH9 at t'me of sale. 1 �.gnetur• of Declarant or Agent determining tax — Firm Name QUITCLAIM DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, PATRICIA A. WEIR, a married cAclman, as her sole and separate property do hereby REMISE, RELEASE AND FOREVER QUITCLAIM to TAURi,CW T. WEIR and PATRICIA A. WEIR, his wife the real property in the GTq= unincorporated area County of Butte SEE ATTACHED DESCRIPTION , State of California, described as This document is being re-recorded to correct the legal description. Dated March 25, 1983 I STATE OF CALIFORNIA )ss, COUNTY OF Butte ) on March 28, 198328, 1983 _ before me, the undersigned, a Notary Public in and for said State, per- sonallyappeared Patricia A Weir 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. WITNESS my handfF' ial seal. Signature D. Out t 1085 MIA01 MAIL TAX STATEMENTS AS DIRECTED. ABOVE. t PAC_ A. \ WEIR 06 0 0 OFFICIAL SEAL a D SMITH ,°T', a , NOIARY PUBLIC -CALIFORNIA t' l F� YOLO COUNTY PAY comm. expires SEP 19, 1983 r (This area for official notarial seal) DESCRIPTION: All that certain real property situate in the Ccunty of Butte, State of California, described as follows: Being a portion of the Southwest quarter of Section 5, Township 23 North, Range 3 East,M.D.B. & M., more particularly descried as follows: - Lot 2, as shown on that certain Parcel Map recorded.in the office of the Recorder of the County of Butte, State of California, on February 9, 1972, in Book 41 of Parcel Maps, at page 2. TOGETHER WITH a right of way for road and utility purposes over a strip of land 60 feet in width, the centerline of which is described as follows: BEGINNING at the most Southerly corner of the property described in the Deed from Robert Taboloff, et ux, to Kenneth S. Erdman, et ux, dated January 28, 1972 and recorded February 7, 1972, in Book 1733, of Offi- cial Records, at page 638, records of Butte County, California; thence along the Easterly boundary of said Erdman property, North 25° 52' 04" East, 609.67 feet to the beginning of a 300 foot radius curve to the left; thence following along the arc of said curve to the left, through a central angle of 86° 33' 21", for an arc distance of 453.21 feet to the end of said curve; thence North 60° 41' 17" West, a distanceof 61.40 feet to the most Northerly corner of the above described property; thence North 601 41' 17" West, 562.51 feet to a point on the Easterly line of Fitzgerald Road and the end of said centerline. TOGETHER WITH an easement 10 feet in width for water and pipline purposes over the following described centerline: BEGINNING at the most Northerly corner of Int 1 of Parcel Map recorded February 9, 1972, in Book 41 of Parcel Maps, at page 2; thence running South 350 00' 00" East, a distance of 170 feet to the existing well; thence North 50 00' 00" East, a distance of 5 feet and the true point of beginning; thence South 50 00' 00" West, a distance of 204 feet, more or less, to a point on the most Northerly line of Lot 2 of said described Parcel Map. Said easement is for the benefit of and appurtenant to Lot 2 of the above described Parcel Map and is to remain in affect until such time that a well is established on said Lot 2. air a r T 9 END OF DOCUMENT,� COUNTY OF BUTTE - PEI?AR•TMENT OF PUBLIC WORKS ._ 7 County Center Drive - Oroville, California 95965.- Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSEWARC NUMBERZO IN G Is - BUILDING PERMIT OWNER t ' TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING AD`DRESS /!! ew CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER UNKNOWN. Total Valuation is Filing Fee $-4g-8@- LEN ER'S MAILING ADDRESS Permit Fee' $ ARCHITECT OR ENGINEER � LICENSE NO. Plan Checking Fee61 $/71,0_0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee' $ BUILD N DDRESS �£ �< PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PAR EL MAP —OX Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY, Building sewer 5.00 Mobile Home i9l G 10.00 ea ZQ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesInstallation❑ Other ❑ Describe work: — Permit Fee Contractor& -JA/ g ELECTRICAL PERMI Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Q U Main service EA. AOD'L 100 AMP 2.50 O NEW CONST. (/ DWELLING OCCUP.g, OR ADDNS. l ACC. BLDGS. t 2/20sq 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 e0 ffect. 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 NON.RESID R BRANCH CIRCTITS 2.50 ea NEw COIJSTR. (ROWER APPARATUS &� NON-RESID. SINGLE OUTLET CIR. 20@50t Ex. Occup(o OR FIXTURES eAL@30Q SAL@30 FIXED FIXED APPLNS. OR EX. OCCUp- OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 dv Misc. Wiring 15.00 Permit Fee $ a Contractor 1./ 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. I shall not employ any person in any manner so as to become subject LCJ 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 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, costs, and expenses which may in any way accrue againsl said County in consequence of the granting of this permit. X �Q�" Date y' 1, Signature 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 $ OCCu P. GROUP I TYPE OF CONST. PARC PD HD ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC i BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� Receipt No. ZiiFC) WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY.OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phorie: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be'issued until this verification is,received.. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) . 2. I (have/have not) signed an applipation for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address. City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will.provide some of the work but I have contracted (hired) the following persons to provide the work indicatgd: Name Address Phone Type of Work S igned : �r Property Owner Social Security number ( Date —�7$3 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. v- ���r/�/Oce AP t i �a ' he C I w��/ (,tl elr 1.+►�t Mobile lic.w.� 30'—► —�--- �-- ----- —.— — — — -- -- -- " � r ... pem+t 'will, berequired for fhi �astallation of tho mobilehome.5�pt1, �a►.k l A setback of A*. from ?�e . i party tines and a setback `" Utility connections shall be within` o ft, from the road I tenterline shall be clear of- 4 ft. of the mobi!ehorne, either directly behind or within the rear structures or equipment OXGW i ha,f of the roadside (left) of the for a 2 ft eave owl. nobilehome. CL- I . I This set of plans and specifications MU T be kept on the job at all times and it is unla Ful to make any changes or alterations on some w! thout written permission from the Department of I lublic Works. County of Butte. NOTE:— II Materials & Workmanship h-611 Bs 'in A ccordanc with Recognized Good Pr ices aw of ra quality prescribed for the Specified use 16 Uniform Build g, Plumbing & Machanicci! Codes o�NA }tae . National E' trical Code. i Bf'I°f COUNT i BUILDING DEPARTMEW. ' -i APPROVED t TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance a 0 Owner Location AP# Plan approved for: sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply • Clearance for Z- bedroom mobile home. Other Note*** vy�ea�ww Sanitarian Date, Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 0 F F I C AL REC" 0Fi; FOR RESIDENTIAL DEVELOPMENT 8V1,'Tz' Section 26-8:1 of the Butte County Code requires this acknowledgement `^� �99�J J 91 be recorded prior to issuance of a building permit. Eftlltt .�C 1. PQ, The property described herein is adjacent to land or included CLERK - U!CDRUER `m, within an area zoned for agricultural purposes, and residents of 93- 8,524.fEE 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: SEE ATTACHED LEGAL DESCRIPTION Date: 10 1 1 q '93 PROPERTY OWNERS: State of Ca.l i fnrni n ) On this the l (nth day of March , 19-52— SS. 95 SS. before me, the undersigned Notary Public, personally County of Butte ) appeared Thurlow' T. Weir and Patricia A. Weir, proved to me on the basis of satisfactory evidence, u, 1 to be the person(s) whose name(s) are o subscribed to the within instrument and acknowledged that they executed the same for the purposesM� ■wwm1011uutno011nm EOwxntuma OFFICIAL AL SEAL � therein contained, p LINDA L. KLEMM IN WITNESS WHEREOF, I hereunto set my hand and official ;Ji NOTARY PUBLIC - CALIFORNIA 2 Seal. ti • COUNTY OF BUTTE _ Ego My Commission ELpIfaS May 22.1994 Z T M ■ IIIIIIIIIlIIIEIIINEIIi//!/!t!!!N!!!!!IElIUHIIIIIIIIl�y LJ . Notar Pu lic Li da L. Il e Present A.P. NO. -®(03'O��"©'vim ja7 DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: Being a portion of the Southwest quarter of Section 5, Township 23 North, Range 3 East,M.D.B. & M., more particularly described as follows: Lots 1 and 2, as shown on that certain Parcel Map recorded in the of- fice of the Recorder of the County of Butte, State of California, on February 9, 1972, in Book 41 of Parcel Maps, at page 2. TOGETHER WITH a right of way for road and -utility purposes over.a strip of land -60 feet in width, the centerline of which is described as follows: BEGINNING at the most Southerly corner of the property described in the Deed from Robert Taboloff,.et ux, to Kenneth S. Erdman, et ux, dated January 28, 1972 and recorded February 7, 1972, in Book 1733, of Offi- cial Records, at page 63.8, records of Butte County, California; thence along the Easterly boundary of.said Erdman property, North 250 52' 04" East, 609.67 feet to the beginning of a 300 foot radius curve to the left; thence following along the arc of said curve to the left, through -a central angle of 86° 33' 21", for an arc distance of 453.21 feet to the end of said curve; thence North 60° 41" 17".West, a distance of 61.40 feet to the most Northerly corner of the above described property; thence North 600 41' 17 West, 562.51 feet to a point.on the Easterly line. of Fitzgerald Road and the end.of said centerline. END OF DOCUMENT