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063-240-041
ROBE T RE 4LD / Do 1 e o. Mam t re t ' Ra -Permit# 491-74B(stor bldg) d��rtivt_ ntos , W/S Doe N' Rd-., app:5/8 of Ni cho las Rd-, ;-Fores.anch lermit.#4091=78B,P, M(new s, family) --- ---- - V 0-� Perm' 6522-78B(add open-deck/SF) ' 063-240-041 05-2761 BARBARA, SHARON 12583 DOE MILL RD, FOREST RAMI-, � Cont: BACKYARD LIVING .l�` �VV``�� �j GAS TANK, LINES, FIREPLAC ` 'a s t BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE YVILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Nam3r First NameAv/ L-) Address %Zs� �D L., / _4Or _�) City ;^� � State Zip qo V Phone 3 �J _S-� . Fax 3 y� -5-7 Z 9 E-mail CONTRACTOR ARCHITECT/ENGINEER Name /3 1ZaAZ1211q- Address SRA City C1160 Stateop ZipL?S 24 Phone _ Fax Fax —S E-mail Lic. #FqU Zoo CI3_ K 1 APPLICANT SIGNATURE X ' r/� de For office use only: ARCHITECT/ENGINEER Name /3 1ZaAZ1211q- Address SRA City I No State Zip Phone Fax —S Fax E-mail Planner State License Number APPLICANT SIGNATURE X ' r/� de For office use only: APPLICANT NAME Name - IOVID /3 1ZaAZ1211q- Address SRA CityState I No Occ. Zip 94 Phone Fax —S E mail Lot # APPLICANT SIGNATURE X ' r/� de For office use only: Zoning Property AddressCity TT __ Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BIN # LOCATION AP# D% 3 , 2-4/0— Property AddressCity TT __ Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address _ Description or Scope of Work: pbal��a®vG Si�VC Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check.fees for work plan checked and other department costs are not refundable. Received by: Amount 55o00 Bldg ,pp SRA Receipt #: !J `'t�� Sheriff SMIP Date: IQ-� ��Other Ua� Total OIV C14 �icvl__ SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a ,S"it. INCOMPLETE—SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. . 1. Site plans, r 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Cmftpfefe plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor. Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION K:TORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05 COUNTY OF BUTTE - DEPARTNT ?F PUBLIC WORKS 7 County Center D, iv_e.,w.Oroville, California 95Sr05-_"' PHONE.: 916-534-4541 DATE /Z — .l RE With . reference to. the above subject: Attached is: . Application for permit'.. Typical Plan Sheet Building Plans Mobile Home Sheet ` Engr. Calcs. List .of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of '$ Certificate'of.Workmen's Compensation Insurance: Contractors License Law information. Letter authorizing signature of. Complete plans, in duplicate, including plot & floor plans and complete structural details. Plot plans in duplicate. Structural details..in'duplicate. Complete-plans,.in duplicate, prepared by registered civil engineer or architect. Engr. calcs. Two '(2):sets of."plans in.accordance with changes marked in red. Sanitation approval from Butte County Health Dept. 695 Oleander Ave., Chico. 2430 Bird St., Oroville. Skyway &Elliott Rd.,Paradi Planning approval, i.e., us'e`permit, variance, rezoning, etc..,- from Butte County Planning Dept., 7 County.Center Dr.; Oroville. Improvement Plans. Parcel declaration recording data. Verification of..acce.ss ..or. right of way by deed. Verification of legally created parcel by deed. ; Deed for right,.of way. >` Parcel map recorded. OTHER (�s�vCe,Q (,4U-,4;:n.C !-e4)e d .•� 2 Ar -4- ,/ 5 7 y w e As soon as we receive the above data, we will process your application,.or, should you have any questions concerning the above, please'contact this office. Yours .very truly, Clay Castleberry Director of Public Works J.F. Glander JFG:dd Assistant Director COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dive = Oroville, California 95965 ` �TeInhone: X54-4541 APPLICATION AND PERMIT 4gl4--7q BUILDING Owner S N SQ. FT. OCC. BUILDING VALUATION $ Mai I i ng Address Q ` � Tele hone N Fireplace Contractor %//1 �� Total Valuation Permit Fee Mai I i ng Address Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address i PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 6 7... z - S Each gas water heater or vent 1.50 A. P. No. �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 F s W . anitation FireDep t. FireZone Use Pennit Building sewer 5.00 EQA Parking Plans Parcel arce Ma Declaration 60' R/W Im rovements p Lawn sprinkler system 2.00 P. Bldg. s Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION E]U ILITIES ❑ OTH ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (marathon 12) Single Family ❑ Duplex ❑ Mobil Home 9thers Range, Cook -top or Oven 1.00 e Water Heater or Space Heater 1.00 Light fixtures 20 bal_ bio 2 Receps., switches & fix outletsJITal CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1011'am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. certify that in the performance of the work for which this � IB permit is issued I shall. not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation (Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ aU U IUIILU IUPIVWCIItaUVtlJ UI Lilt:u unty UI nutte tU enter upon ine above-mentioned property for inspection purposes. Xit,Datea/q Jjq $ig ture of Permitee d Agent Receipt No. White-D.P.W. — Yellow•Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date 'S , - ; 9/-•-75 -� 6522-78B PEROI.T NO. PERMIT EXPIRES OWNER Tony Santos owner CON T R. —LOCATION IVP01-51 � W%S Doe Mill Rd.,app.5/8 mi.S.of Nichola Rd., Forest Ranch 4 • • Temp/...r Pole C Iled PG&E Tem{. Elea Serv. , u Called PG&E Temp. Gas Serv. !Called PG&E JOB ` FINALED (Da e) (Signature) COUNTY OF BUTTE — DEPARTMENT OF -PUBLIC WORKS, BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall ! Soil Piping Forms Parapets 1st Floor - Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents ► Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters ' Slab Carport Footings Prov. for phy handica ed Conformance of ex. sically structure Appliances, Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test - Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground ' Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity, Water Piping Drainage Gas Piping DATE E REMA S•OR COFME S_ N ol (NOTE: An entry must be made on this form each time you visit the job site.) 0) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 _ Telephone: 534-A4541 APPLICATION AND PERMIT .—.. a.l+, a..aci,• ua,vca vl II Vvu"Ly ul UU— W OIILCI UPUII LIM a -mentioned pro erty for inspection purposes. X Date ZIL� Signature of Permitee or Agent Receipt No. _ %9 T ®( 01 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS BY Date // 'LP %P V _ C uilding permit expires Date '� ?/ BUILDING Owner SQ. FT. OCC. BUILDING ALUATION Mai I i ng Address Telephone No. [21 G — `- Contractor Mailing Address Fireplace Total Valuation 0, CSD Telephone No. Permit Fee Building Address W I Plan Checking Fee&/or Penalty - Permit Fee Qp r Jr 1. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 t. Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s 4-C- .S i on Fire Dept. Fire Zone Use Permit _ Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W I Improvement Each additional outlet .30 Building sewer 5.00 Bldg. PL5 ec'd Parcel Arovol PlansiAlproval Lawn sprinkler system 2.00 NEW ❑ ADDITION�§ UTILITIES ❑ OTHER Permit Fee $ $ e!5 10f9ZT__1V ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OR ADDNS. ACC`BLDGS•CCUP. 4� 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y NEW RESID, BRANC OU IR T NON-RESID BRANCH CIRCUITS) 12.50ea NEW CON ST R. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 50 L0ICJ Ex. Occu FIXED APPLNS. OR p•�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. ip Permit Fee $ s- WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this —Permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation L2.00 Hood Permit Fee $ $ 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 Land Development Fee $ TOTALPERMIT FEE $ S .—.. a.l+, a..aci,• ua,vca vl II Vvu"Ly ul UU— W OIILCI UPUII LIM a -mentioned pro erty for inspection purposes. X Date ZIL� Signature of Permitee or Agent Receipt No. _ %9 T ®( 01 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS BY Date // 'LP %P V _ C uilding permit expires Date '� ?/ S d : �1 , �x 3a�' ,q C Order No. ' Escrow No... 50803 LS . Loan No., BUTTE CoL.WT`: - LAUr. - t�otitru.Ei`ff �=AAb° txt:3l'.i1! - WHEN RECORDED MAIL TO:, - An 5 IC 10 PY t�pR Mr. and lira. Louis aouygou CLAtAkA- .;_L5^ 91- P.O. Box,10 CLERK•FECOR.� . Forest Ranch'. CA 95942 - 25919 SPACE ABOVE IrnS uNc row wtCORDEM-S USE MAIL TAX STATEMENTS. TO: pp�p �py�� .. I�AYF. ERT A%,& G p • _ CtNr(iu lc� on J.• con><a.• w. W w carw•M•d: ER Same as above ��� run« „g'►Ilin+o of E.la t Not �,trnwnl » ' ,A, <dJ R � ftke. toiling l 1, A e TLE ,derEf EASD-"ENT GRANT DEED FOR A VALUABLE CONSIDERATION• roceipt of which it hereby acknowledged. - PAUL D. JOHNSON, a single man hereby GRANT(S) to LOUIS GOUYGOU AND CHRISTINE GOUYGOU, husband and wife, as Joint Tenants ani easement 1 County of Butte _ - _ Sutc of Cafifwni.• described as An easement for water line purposes and incidentals thereto over and along the Westerly 20 feet�f the. Easterly 50 feet, (as measured from the center- line of Doe Mill (Schott) Road), of the following described parcel: The North half of the Northwest quarter of Lot 10, Section 17, Township - 23 North, Range 3 East,'M. D. B. & M. SAVING AND EXCEPTING THEREFROM all that land lying East of the Doe Mill Road. Snit. Easement 1s -for the benefit of and appurtenant to the following described parcel:' The South half.of the Northwest quarter of Lot 10, Section 17, Township 23 North, Range 3 East, M. D. B. & M, SAVING AND EXCEPTING THEREFROM all that"land lying East of Doe Mill Road. EXCEPTING'THEREFROM all„mineral rights. . C(� .3-ot= c �� Dated_ PAUL D.• JOHNSON .--- STATE OF CALIFORNIA COUNTY OF- ---Butte_— 1 — on—__.Marah_J.6;-1.9.7-9_ — belor. m•. the .rdenpneb, . Noteor P.U6,. in rd for wi0• • , T sou. p.r eny .eo•.rtd CJ7. ---...Patal_D�Johnaoa_-- ew�r�wrwruwwr.rnnsw C.7 OFFICIAL SEAL STIRNUS 0� wtncribed to el. wiih;n iMi —1 .nd wknovA•dp.d that 1-y;, :ir.t rrv.. : .icw.n a .r..,. Ilaw�en.•..r �W, c� =1e n.cuud�P.rrna CA -- ---- ---- g �tt�t~rE•p gyp. �J. 1901 co WITNESS d .nd Wtic j w. trtt n ..n.r IA $ipneture � �- ITna ..r rwtrirl ,r•rl —ZUCY'C Rias. /00111W691' MAIL TAX STATEMENTS AS DIRECTED ABOVE EM Of DOCUMENT' I KA, 4- 7- the benefit ot The fol -l= describedeasements and rights of N y W. fo 'All, herein arid- ..; iibit ExY and t to Parcels A and B as described. on shall inure to the benefit of and r;ay be used by, al) person. -z.; wilo may here-' after beco' said appurtenant property or a.ny partts, or portions me the owner of p thereof. Thbse certain -easements situate ire. the County of Butte:,, Statc; of CalifbraiF; described as follows' Being a part of' Lot 7, Section 17, ToN-nishtrj 23 Porth, Range 3: Past, & 14.,, and nore particularly described. as folloWs-. I. Right of way and eesement for water, line purposes and. inc-dAentals theretck, over - the fir p .,dqscrib�qd line,, Beginning:' at the Southeast corner of Parcel 3 as chown on tfikt-. tte County Recorder's Office. in Wok 63. pages 54,,: 55 %Ylap recorded Ln the Bj r lying on the Wenterly line of D:�e —and 56 on rocember 15 1977, said coi-ne Mill Road (Schott Rd - 5 thence Norther) y' alone, a.230.,0 foot radius curve to the right, thru a central angle of 370 271 3211'and. an. arc., length of 150.00 feet. to. a point, saj.d poin.t. being desigyinted, as Poxiy.it 11A." and the end of the lies hereir. described. II. An easement 10.00 feet in width for %,,ell arid. PuVIP site tOgcth N.'s.th. e the right . to install, maintain and operat . e said well, purnP acid: incidentals, thereto lying 51 feet on either side of the fo),lowing desC;,rJbed, line-. Beginning at tM, above described point "A", Ot angles to -Doe 1-Ull. Road (Schott - Road) /to feet to, a point, ai& point being_ G .. the end of the line herein described.. T�1. An undivided './? I!11 and, to that certain jje),l_ zi.nci aur, t, ),efcrre& 11"' to above to beused jointly for the continua), bc,.jo.f,'Jt. of i'larc:c1s. A aric" P. described in Exhibit '!A'k hevein. EXHIBIT "Ac All of that certain real property sDatate D -r the County'of -,te. of. U.1iforni.a., described as follow5: -thwest qp3.rter oE Lot 10, Scc�tlon. 17, '1 PAR= -L A- North half of the I -or 23 North, qange 3 East, M. D. B. & M. jkl-ID E:,.CZr—T!I:G THEREFROM all that: land, lying East. of the We. Mi 13. Ridge' Road - ALSO EXC.- THa-rtEFROM all mineral r i ght s as reserved in 1)\,ed. recorded. August 20, 1.925 in 2ook 213 of Deed's, at page 1.93. PARCEL P. Vne South half of the 11orthive-st.. cjuar-ter- of J.Ct 10.,. Section 17, Township 23 1:orth, Range 3 East, 14. D. D, E Ti. -t SAVI*,-;C- ajj[D EXC:.PTr;!G InjEREFIROM all. that land lying, Fa!, of Doe Mill 1108d.. EX=-FT1,7C all milleral.rir_Ysts as rese,);,.red in Dead. recorded. August 20, 1.925 in-nook213 of Deeds, at p3z.e 193. VC) 00 RID aE r)D"VMS14t CO L " W v1 'may r5 II F. � ��• - ,. • Order No. Escrow No. SOBOj LS 7ritS a 4t :.:l:?L ' - '.Ecrjacs Rc Gam_:' _:• =. - . cauyALLLY lllU MU ., r r.a - A:;s 5 12 I� WHEN RECORDED MAIL TO: ' ! Louis Go oU Kr. and Mr�g CLAE CLE hKs. -FWt._i.^ .. ZkK :3T.PEE . 11 P.D.. Box 10 ?5920 Foroet Ranch, CA 9$94 VACE AAOVE Twei LIME FOR'RECOROC"' VSr: -COnsidoration 1099 tn: bQ2.G0 o - MAIL' TAX STATEMENTS TO: .. .� WLrJL%fl TAX S fiorKu/A on C.. SJsuil.rar a rCua uf.prt\vrty LJ••wr•d: 011 . - Same as above dT .drn orrwelm l'...a.rar..ta.Iro \—C—dlJry . .htp SIJ Ae.% G � � Al ekR.d.a. •��=.ct��•._ �. e..w.wln cpdd •""� Mid Valley Titla AndwCo.� anj _ ' £A5MSNT' GRANT DEED - FOR A VALUABLE CONSIDERATIO' oceipt of whi h is h—W ack'- oM-60e4. - J. SANDRA DPIMNY, an unmarriedwoman J� Iseby GRANT(S) to LOUIS GOUYGOU and CHRISTINE GOUYGOU, husband and wife, as Joint Tenants, as to an undivided i intarest and PAUL D. JOHNSON, a single man, as to an undivided, j interest . z�n easement 1n h zc:::.ceaLl Counry of Butte .' Stats of Ca4ilwr &. desaGbed as SSE ATTACHED DESCRIPTION ( i f • a a_ August !1 1980 --T. 3A1fDTt-D: SFATr OF CALIFORNIA- couNTr OF Butte C. —Auu, gua t..4 F-1-9190.0.1 J\ ' LM— n V.. rrJ...ynwL . N.l—, Prue t.✓d. I- ..:d eee,:rl.e _... r. ram . lv - Sw., pa. ly ec.:.r.J _.__ - I.I.Il..:unn e.1._.r �� yeOF.ICIAL +tAL '� C-3 ' • $ LUCY C STIRNUS s 00 - . • p++JR—wa.pM n.✓ne__.ib— A.twc .L.J Io N. w•Ilun .n.urnr..l ✓d .dno..I.1y.d dW t •_. �, .�� ^. ..:.r�eu{IWIIe •` •• ' a c.� r., S-.- 7a. 19e2 — F — — .cJld MT SS .T —d I ur Iu ur.. .. nln .nl wu � ••. —d *1111✓ .J. ' _.. Sq..e... —�� ITwL ✓r Ir en:cU ro.r./ -_ .• LCAST r�{HIfS UCY Eaa�llo.aal . .. . ' �t AX STATEMEWTS AS DIRECTED AP.UVE •Butte County Department of Development Services e�TTF, N O T E S i 7 County center Drive, oroviue, CA 95965 _ (530)538-7601 www.buttecountynetldds veou"tye A.F N�a�¢ C��-s �' RESIDENTIAL � k APN: Permit No. —� _— 05-2761" j. +. Owner..063-240-041 "BARBARA; SHARON. rt site Address: 12583 DOE MILL RD, FOREST RANCH Cont: BACKYARD LIVING,-- . y; Contractor. •, GAS .TANK, LINES, FIREPLAC Type of Permit': 1 Address GAS Meter By k.IJ Date (C) res ELECTRIC Meter By F Address GAS Meter By k.IJ Date (C) res ELECTRIC Meter By .=OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE UNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalis Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub. Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58.Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test oe��� o' o`er 1:1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test DATE IMECHANICAL 12 Elec Undrgrnd 61 AC Ducts Insultn & Support 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr Bolts-Joists-Vnts -Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic o'er m c c' e1 4*1 O° 46, DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 66 Ext Steps -Door & SideLt Prtctn-Landings 18 Walls Studs -Nailing Spacing & Braces-Piates-Sound 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter . 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clrnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑ Yes D No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc-Ins Prtctn 41 Elec Rcptcis Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled ' 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous lnspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or DAL 98 Address Posted AC Wire Sz ga D CU or DAL 99 Fire Sprinkler 48 Range Circ ga ❑ CU or D AL Oven Circ ga ❑ CU orEl AL Insulated Neutral D Yes D No o` e`�1 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector ' O9� 0 O1 0 +=OK. 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers DATE ID E C K S'C O V E R S'C A R P O R T S'G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils Sz-Dpth-Spacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills -Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls 41 °9 0 DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness. Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GF1 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bokes-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide O� 0`�c °°•4 p�•c` e1� °4 Pool Drawing COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS '' ► W''"77*'ounty Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / BUILDING Owner SO. FT. OCC. BUILDING VALUATION 1120 — Mailing Address 119 Tele hone N Contractor ri h px- Mai I ing Address one No. Building Address A. P. No. 6 3 ing $ P nni FV< Fire Dept. I Fire ZoA) Use Permit EOA I Parking I Parcel Parcel Ma 60' R/W I Im nts Plans Declaration p rove p Bldg. Mlons Recd parcel roval I Plans Approval 1-1-1001 NEW IkI ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification Fireplace 50@254 BAL@1 EX. OCCU // FIXED APPLNS. OR {�• 1 OUTLETS (RESID.I EA) Total Valuation $ 10.00 Permit Fee @ FEE Plan Checking Fee &/or Penalty $3.00 Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 , Repair drainage or vent piping 1.50 re Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler systers 2.00 EX. OCCUp(OUTLETS OR FIXTIIRES 50@254 BAL@1 EX. OCCU // FIXED APPLNS. OR {�• 1 OUTLETS (RESID.I EA) Permit Fee $ 10.00 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR L 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. / DN/F.AMkL•f$G OtCUP. Y\ nA-4. 01 ft w. EX. OCCUp(OUTLETS OR FIXTIIRES 50@254 BAL@1 EX. OCCU // FIXED APPLNS. OR {�• 1 OUTLETS (RESID.I EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 1 am exempt from the Contractors License Laws of the State of Califomia. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. JRI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. C X Signature of Permitee or Ag en F-0 P, -ro , 5 *01 Receipt No. 179 White-D.P.W. — Ye oj%�s s Pink-Inspecjg -&jdenrod-Applicant MECHANICAL PERMIT FILING FEE Heating Cooling @ 1 FEE $3.00't'f Ventilation Hood 2.00 10 f C70 Permit Fee $ $ Land Development Fee $ ° TOTAL PERMIT FEE /7 6.zs` This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above fo which fees have been paid. (i D REC OF PUB IC WORKS By atew/7? V Building permit expires Date F/ t: 7 / f IX J i fit I F f ;1K ljv. '`' kJs.e A"-'�•[a� y � 'r`t^} i ! -t'+'. d �`. p• � 'T' a' ��{dam � ,� -�, 'kit 4;0' -XI "'t V) TJ V* " �_ 14 14, -S 11 Tj irl 4 1 J .1. .g, 4 t I- I A- I .."1 71 I I tl X-1 W 1, 4A..� Ott -fo o a f, ul I V 7 •i t C�" ,i.. ♦ "� a 7 d • J;! +� i`;<1V 'fe�` i4+ s . tr'� �,'• .!� S R 't rt'€,� ♦ �r+ t i "1' '41,0, ';IJI tll 4,. ik " , v:A 5 A f, 1. 17 4 ij tr cif N T J'�ar.f% 'k .46 4 F -74 C;r-' 4- 7_14�.,_ wl; Vi 41 D, r- IL,A to 14, We ;J.fit t Al. if, 1,44 lx� 51 A 4 V 46, t- Pt-*, 24 eZZ 4 SA 1• � .. �. � L.r � ® .. fiETiTRU TO: � 5' > �t r Ptiblic Works Land Development Section OFFICiA: NECCR k I IpUBLICr WORKS QQ . CERTIPICATE OF COMPLIAP}C} MAY 17 PI19�'J LOUIE ::LWEi;`l`:h Issued to: Anthony Santos COUNTY RECORODEI! . P. 0. Box 119 FEE Forest Ranch, CA 95942�� 6 . This Certificate of Compliance is hereby issued by the County of Butte to certify that the land division which ,created the parcel of property identified below complies with the applicable provisions of the Subdivision Map Act and of Chapter 20 of the Butte County Code. 1. Property .location: Doe hii.11 Rd. in. the Northwest quarter of Section 10 Township 23 'North, Range 3 East, Forest Ranch area. 2. Assessor's Parcel Number: 63-01-51 Description: All that certain property located in the County of 'Butte, State of California, more particularly described as follows: The South half of the Northwest quarter of Lot 10, Section 17, Township 23 North Range 3 East, M. D. B. & M. Saving and excepting therefrom all that land lying East of the Doe Mill. ' Road. Issuance of this Certificate i.s:condi.tional'upon the following conditions which have .been unposed-ptirsuant-to the Butte County Code Chapter 20-167 and Government Code, Section 66199.35 (b), to protect the public health and ptihlic s.afp Ly. 0 ' o x C.01.Ln t of BLi t to 0000 ulalliv:i::;:ion ViolationC mi i tep C„ Lj\ Ci U1% r U-N ap 1 1 RESIDENTIAL PLAN CHECKING GUIDE -a-ry (S.F.,, DUPLEX, & MISC. ONLY) Bldg. Permit # o OWNER A. P. # A. GENERAL Zoning requirements /Valuation. 3! Signature by-R.C.E. (sideyards.and parking). or Architect (if -required). B. PLOT PLAN Complete parcel size and dimensions.' Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLaOR PLAN 01. Complete to scale plan with dimensions. 2✓ Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). ;0�tllowable glazing for energy requirements (20% max..per.State law). uman impact glass (Sec. 5406). equired room sizes, ceiling heights (Sec. 1407). /.F.C.I.'s in baths and exterior outlets (Sec. 210-8)'. t� Light fixtures, switches, receptacles, and exterior receptacles for maintenance mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. 1e Garage firewall, door size, and closer (Sec. 503(d)(4)). / 1 - 3'0" exterior exit door (Sec. 3303d). 5! Fireplace location' 13� Smoke detectors (Sec. 1413)., D. S TURAL DETAILS oundation plan complete enough to construct building. 3aloor construction details complete enough to construct building. levations and wall construction details complete enough to construct of construction details complete enough to'construct building. • Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR d/ CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). .5*10 Exterior plaster - weep screeds (Sec. 4706 & 4708). We Proper roof pitch for roof covering (Chapter 32). J Rafter ties or bearing ridge beam. $� Garage door or porch header sizes. Adequate bracing. building. of (State law). 10".- Living area over garage - complete.l-hour separation required including supporting walls and posts, etc. 1e., Two (2) exits on three-story dwellings (Sec.'3302). BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: '(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP052761 R r. Rrnitriinn Pormit n1-16-04 no 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 10/06/2005 APN: 063-240-041-000 provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Site Address: 12583 DOE MILL RD FRN License Class : License Number: Map Index: Date: Contractor: Description: GAS FIREPLACE, PROPANE TANK & GAS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the LINE Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: BARBARA SHARON & DAVID to its issuance, also requires the applicant for such permit to file a 12583 DOE MILL RD signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section FOREST RANCH, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95942 she is exempt therefrom and the basis for the alleged exemption. Any 345-5729 violation of Section 7031.5 by any applicant for a permit subjects the (530) applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: BARBARA SHARON & DAVID owner of property who builds or improves thereon, and who does 12583 DOE MILL RD such work himself or herself or through his or her own employees, for FOREST RANCH, CA provided that such improvements are not intended or offered sale. If however, the building or improvements are sold within one 95942 . year of completion, the owner -builder will have the burden of 530 345-5729 ( ) proving that he or she did not build or improve for the purpose of ale.). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: BACKYARD LIVING INC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 135A W 8TH AVENUE ❑ I am Exempt under Article 3 of 1e Business an rofessions Code CHICO, CA .95926 _ ll� (530) 898-0838 Date: Owner: o backyard-living@Sbc.global.net License #: 842126 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. ❑ I have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft:. 0 S. F. Policy #: Valuation: $0.00 ❑ 1 certify that in the performance of the work for which this permit is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' ^ Gocompensation ✓v1 t`- provisions of Section 3700 of the Labor Code, I shall J� forthwith comply with those provisions. Date: I 1 000 Applicant: 1 I O_ IIJJ WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. - CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti'on's to do work indicated above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) (. ,� Date: Name By: I , I W (�,1 �V r1t tL411 /+ n /� PERMIT EXPIRES ON: C) ` l n J \ Cp Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is riot applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos Print Name: ID16Wb /Z 13i 2 L�'eAl?A-- Signature: Date: 0-0—wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor R r. Rrnitriinn Pormit n1-16-04 no 1 �'�-: - Dti�'T.T'�i�Y'a 'DCPi.ni�.!i i -T. -- - •" /^�� � - 5_.:;aoe. and'/or tiL'er aAdror .^�3itioZ Cly"ararce(s) LOCATION`i dos; rian a.z a.;). roved for:- 5 Dis ;osal �/ Wate?- S•r ` 1 sd 4""2 fir -al for: Water SLgly =;nal Clearance 03: for:. Water S'jP?i'l C:"arZrCe is for. a "Z bedreom f oms a'a'tioz(s). will be z C3 f; 5an -i az D:a_ _A s r.L......� This form s'uppli'ed by Longfellow fir Lum . `I r �"-� THIS IS TO CERTIFY THAT INSULATION'HAS BEEN INSTALLED IN CON FORMA CE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE' CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: Street Lot Number Tract No. c 'Exterior Walls Manufacturer �. Thickness/Type (p_i C2J4 R Value Batts: Manufacturer 4 YT ThicknessT-:F4L5% R Value J Blown: Manufacturer Thickness Ho. Bags Wt./Bag- Sq. t./BagSq. Ft. Covered R Value loors Manufacturer Thickness/Type R Value Slab on Grade Manufacturer Thickness/Type R Value Width of Insulation Inches Foundation Walls Manufacturer Thickness/Type R Value GENERAL CONTRACTOR (9 LICENSE NUMBER BY TI TL DATE r/ INSULATION CONTRACTOR l%Q% �,%r"��" LICENSE NU BER BY TITLE DATE This form si pplied•by Longfellow Lumber. THISfS TO CERTIFY-THAT INSULATION HAS BEEN.INSTALLED IN CONFORMAISCE 4 WITH:THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATPVE` ' 'CODE; TITLE 25; STATE'OF'CALIFORNIA, IN THE BUILDING'LOCATED AT: Street Lot Number Tract No. Exterior Walls Manufacturer .�'j� 1..- Thickness/Type c/p �X 2?� R Value Batts: Manufacturer ! `>J Thicknessesfi..: �c'c:-' R. Value Blown: Manufacturer Thickness Ho. Bags" Wt./Bag Sq. Ft. Covered R Value f -4091-78B;p,E`' } . I :PERMIY NO. . ti PERMIT EXPIRES��// r a Tony Santos _ 1OWNER owner CONTR. {f63-01-51 LOCATION (A.P. ) i W/S Doe Mill Rd., app.5/8 mi.S.of Nicholas Rd., Forest Ranch 71 sv- r Temp. Power Pole Called PG&E It Temp.,+Elec. Serv. r Called PG&E ":• Temp. Gas Serv. Called PG&E 0 JOB FINALED (Date) (Signature) Heinf. steel Final __•- i Bond Bearn COUNTY -OF BIIATTE�k DEPARTMENT OF PUBLIC WORKS FIRE PRIN RS . LG ' BUILDING INSPECTION RECORD g:i5 y Final RW6HANICAL, Subpanels Grd. Fault Prot. Scratch Heating BUILDING BUILDING (Cont'd) Brown PLUMBING AS Firewall Soil Piping Under round -- r�7 Parapets ` 1st Floor Pennaneql Door Closer Final Restroom Finish 2nd F;oor MOBILEHOME UTILITIES ------------------ Elec. Service — 7 Windows 3rd Floor Sewer Gas Piping Sidina To out 2:-4-37- -- Elec. Continuity -11.5-- A/ — Roof Sheathin Water PI in @- DATE °--�:E Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation - Z Heaters - Prov. for ph sicaliv�— Appliances handica el Conformance of ex. Gas Piping & Test structure Temp. Gas Final nitatIon G� I FIREPLACE Final-�/tcQ�w Footing ELECTRICAL J Throat - Rough Heinf. steel Final Fixtures Bond Bearn FIRE PRIN RS Motors Framing Test Water Htr. Stucco L Mesh Final RW6HANICAL, Subpanels Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole — Finish Ducts Under round -- Interior Lath Ventilation Pennaneql Door Closer Final FInal -- MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal NJ Water Piping Sewer Gas Piping MO§16EHOME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OB.,Rti'E`TIONS /I (NOTE: An entry must be made on this form each time you visit the job site.) SITE PLAN .--- •- ------ ---- --... ---------•-. - - - --... -----................ ............... .. .............. ....._ ...... .. ......_ ...... ..... ,......... .. . •• •- ... . .-:.... ............ .... :..... ... ....... ............ ... . ....... ..::: -- ..................................................... 1G r .. .. .. .. .. .. ... .:� - .. .. .. .. .. .. .. .. ... .. ... .. .. .. .. .. ........... �.� w .. .. .. ..... .4� __-: . ............................:_ _.. ••-. • • • • •. . .. • ............................................... ,.. ................................:... .. .. ... .............. .. .. .. .................... ....... ..................... :.........:.. i_ �F2 J i . _ ...... ...........---- .... ............. .................... ........................................................................ .... .................................................. . . .....:.. ........ ...:. .:.. ..... ..... ......%....... .. .. ............. : c . _ i _a� cU .. .. ..............:......;.....;...................... :.... :.... .... .. ................................. ... ............................._.......... ...... ............ .. .. .. ...... .. .. ... ................. .. .. .............................. ... .. .. .. ............ .. ..................... .. ... ............ :...... :............ .. ... .. .. .. .. .. ............. .. ............. ............. .. ... .. ... ........................ .. .. ... .. .. ... .. .. ............ ...... .. .. .. ._ ! .. .. .. .. .. .. .. .. ... .. .. ..........c. .. '...::......:......:.... .. .. ... ... .............. N ... .................... ;. .. .................................................................................................................................... ............. * ...... ...................................................................................... ....................................................................................................................................................................... Assessors Parcel Number: Owner Name DAV Address / Phone No. i Site Location Contact: Name -' /,.-�- ® © .0 — ® ® ®— ' 0 Scale: 1" = 1' Phone Oct, A 2003 FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00" PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: