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HomeMy WebLinkAbout064-040-0337-7-7777- 64-64-33 Gary P. Maran f 4S64 _,,.Bridgeport Cir., lot 159,PP#12, Magalia 0*4 1 Permit #462'-8- P,E,M(new single f am:ly) 64-04-33 Permi, 2998-82B ( type A flue/4-62, 81 r 064-040-033 01-0714 SARGENT, SCOTT 14653 BRIDGEPORT CIR. MAGALIA CONT: RELIANCE SERVICE AS LINE 064-040-033 03-1904 'SARGENT, WILLIAM 14653 BRIDGEPORT CIR ,NALECr MAGALIA I- `i -6q RE -ROOF A 0. icy E�� I � M�M� y.:mgr.:'.:.M'"�9N,.t'-�'�.,f�=i�?"!gs=r-T.`.vx;f'1rroy'r ;r.'�r�-u��-�I l;7wr.f, �y' 6-+n.,rrs-•_ � --^ ... .�....-... ...,..�`•!"'+�:,t .. ..�? ! s" F14653 40-033 r. �' i ?,• V 03-1904 ENT,' WIL-'LIAM F` , BRIDGEMRt-CIRCLE, LIA-OOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - B LDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone ( 0) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT L -J - r;& ` ASSESSOR PARCEL NUMBER '_ � ".0�-073 t n ZONING , ? BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION -`, r I 0 `- `"o xo OWNERS MAILING ADDRESS •fir>s�� ��:I�:�` � 1 CY`�. � �r'T_. �•jn_a, CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1 cco.co ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 43, co ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS r„ Energy Plan Checking Fee $ PERMIT FEE $ i LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other fly Describe Work: T. t("i ?:T ii'.`�. Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 1 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: � 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ,ahy persoq"in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workersfmp�rTsatigfL provisions of section 3700 of the Labor Code, I shall forthwitfh omjf{y+'witti those provisions. — 1 '' �' �� l ./ Xi i�,•' � :nate _ Signature of Applicant - Owner ❑ Contractors'❑ Agent An OSHA permit is require for excavations over So" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. BLOB. 3.5¢FT; rN1Oµp�10 MULTI -OUTLET @7,50 BRANCH CIBCVITS APPARATUS 8 SINGLE OUTLET CIR. 20 00 EX. Occup. OUTLET OR FIXTURES BAL @ I 0 Rk 5.00 Ex. Occup. OFlUTLEEDrsA AEs OR Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ ;l r.� HA2. IMP +� FLOOD �, y CDF PARCEL PD HD ISSy�E �- 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. By /. ' . , i t '' , i ! .�� Date PERMIT EXPIRES ON Date ReceiptNo. R �' ` r / /y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N (Rev. 12/96) ' APPLICATION AND PERMIT - D 3 ASSESSOR PARCEL NUMBER 064-040-033 ZONING _ I BUILDING PERMIT OWNER SAP,GENT WILLIAM TELEPHONE - SO. FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 14653 BRIDGEPORT CIR 30 SG 1q800.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ 1 800.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 43.00 Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 63 00 . IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: _RE_ nF WTTH QoMp Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service eo.VA OR LESS 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. Vol( ,,,as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1�0 I have and will maintain workers' compensation Insurance, as required by Section - 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. sD OR ADONS. ( & ACC. BUDS. 3.50FT. I,Dµq�ID.' BRANCH MULTI - OUTLET 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES B0 @ 1.00 Ex. Occup. OFlxurED A R ' OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($12?) or less.) I certify that in the perform nce of the work for which this permit is issued, I shall not employ y person n any manner so as to become subject to workers' compens laws of Iffornia, and agree that 'rf I should become subject to the w r ' pe ti provisions of section 3700 of the Labor Code, I shall ° I PTOtl1s� o' 6 to � 0 ' ture of APS nt - Owner ❑ Contractor Agent An OSHA permit is require for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ In HAZ. IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the'applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab ve for whic s have been paid. By Date PERMIT EXPIRES ON Date Receipt No. 3- d WHITE-D.D.S.-B.D. CANARY -AS E OR PINK -INSPECTOR GOLDENROD -APPLICANT 2196) 1COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION TCounty Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 U PES NO APPLICATION AND PERMIT a/ Q a r m BUILDING PERMIT SSOR PAAMWJYBER (O /) V TELA—SQ. FT. OCC. BUILDING VALUATION S pis 2 Jew e ,� ..� �.(/L �� Ci CA91 U 0 srsau�oN ��. Toj: .DIMADDRESS xMcT OR ENOWEUM —ADZ ADDME6S awc ADOAEss suecwsCOM U E USEOFSTRUCTURE Duplex ' ❑ Nbblehorne ❑' Other e%% kddffion ❑ Remodel ❑ L996as ❑ Insiallatxm ❑ Other eso,/rjtb_e Work tAJ 'firms} ��►� � Sever ICe 0 Cc" �AAC>r 5 r system 1 - 5 outlets rrunamg sewer Moble Home I PERMIT FEE I t Main Service ( ;*,U of a=— Main Service ( 2m% 'm -4 Filing Fee 2D.D0 -- 7:00 23.00 15.DO 15.00 15.00 -5.00 @20.00 g Fee 20.00 23.DD 45.D0 Ex. Occup. ovn.Er OR Permit Fee S Plan Chackina Fee S' 5.00 Energy Plan Checking Fee S 2 .DO PERMIT FEE S PLUMBING PERMIT Each Trap IAS 1hrIA. , Solar or heat pump water heater Water piping---, Each aes water heater o vent r system 1 - 5 outlets rrunamg sewer Moble Home I PERMIT FEE I t Main Service ( ;*,U of a=— Main Service ( 2m% 'm -4 Filing Fee 2D.D0 -- 7:00 23.00 15.DO 15.00 15.00 -5.00 @20.00 g Fee 20.00 23.DD 45.D0 Ex. Occup. ovn.Er OR ® so Er- Occup.� is E& 5.00 Temporary Service 2 .DO Moble Home Facilities 20.00 IAS 1hrIA. , 23.00 I PERMIT FEE I S Fee 1 20.01) Hood - _ I 1 6.51) 1 Ventilation PERMIT FEE: I S Nbbla Home Installation Fee S Energy Inspection Fee S 0= ---T' r -r Ij LTAL FEE $ 3 CJ C� WZ. I D. FEES I WP I FLpoq I CDF I PARCEL PD rtD 16SJE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which Saes have been paid. By Date -___– PERMIT EXPIRES ON D.B.- 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 at your earliest opportunity to avoid unnecessary delay m processing and issuing your building 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 �(_ NO O HAVE& HAVE NOT 0 signed an application for a building permit for the proposed work. I have contracted with the following Person firm to provide the proposed construction: NAME ADDRESS: CITY: PH CONTRACTOR' LCENSE NO. 4. I plan top vide portions of this work, have hired the following person to coordinate, supervise, andel vide the major w NAME: ADDRESS: CITY: PHONE: CO CTO LICENSE NO. 5. I will pro ' e some of the work but I have con ted (hired) the following persons to provide the 7w indicated: N ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER. SOCIAL SE — DATE: j() /z�A ?j NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This veriftwation must be completed and returned to our office before we are permitted to issue the permit. OVER I .KED BUILDER 1 I' 1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ ' If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors; then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. - A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you. are aware of these matters. The building permit will not be issued until the verification is returned rely, Mic 1 C. Vlira, C.B.O. M er, Buiding Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER �. r, ., - ... r- . . -.. �. -� .?.vrn-v:. .-roe. �`f'1'+'S �'w�r�:Tyr. .{..a-.•�yA��.a..�i,�w�. t: ;^� r�yi;,��j'fr;+n"mq^,. E 064-040-033 01-0714 SARGENT, SCOTT 14653 BRIDGEPORT CIR. MAGALIA CONT: RELIANCE SERVICE GAS LINE OFFICE COPY Address { i GAS ����// { Meter DateW* EL CTRIC Me Date r r COUNTY OF BUTTE - DEPARTMENT -DF DEVELOPMENT SERVICES - BUILDING DIVISION %J / 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 _ �PE,RM NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER nay TELEPHOTNE {� SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS nn TTrr -+� r M-555) -55y Brily,27 �/W C�. wt• .•Il�•r. In JI CONTRACTOR'S NAME nn /� , TELEPHONE ) /� CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ ^...: 1'11I I � BUILDINGADDRESS t,,, i r Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: �,.-:} ! '.-. Gas piping system 1 - 5 outlets 15.00 1J ,C0 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ J"..) 1;3 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. s License Class f6 Lic. No. '� �� J ,I `(- OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. FYI have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number :A,� r.4, r ' f (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith:ebinply with those provisions. " X s" Qate Signature of Applicant Owner ❑ Contrctor "Agenta An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service POUR 46.00so NEW CONST. DWELLING OCCUP. SO NG CCU OR ADDNS. ( 8 ACC. S.3.5¢FT. Npµq�Ip, MULTI -OUTLET 97,50 PowER APPARATUS 8 SINGLE OUTLET CIS. 20 Ex. OCCU . OUTLET OR FIXTURES BAL. '@'i. FIXED APPLNS. OR EX. OccuOUTLETSo.E�s RESID.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. p. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have -- �� /9 �r .` By / 1 � -- PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dat/ 1 - Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DMS ON 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-040-033 ZONING RTI BUILDING PERMIT OWNER SARGENT SCOTT TELEPHONE 873-1805 SO. FT, OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 14653 BRIDGEPORT CIR MAGALIA 95954 CONTRACTOR'S NAME RELIANCE SERVICE TELEPHONE 872-7740 CONTRACTOR'S MAILING ADDRESS 5311 SKYWAY, PARADISE, CA 95969 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 14653 BRIDGEPORT,CIR., MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ OtherX Describe Work: GAS LLNE Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service loon oRR u ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class g Lic. No. -73//3/f OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION l hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,tq-1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis Issued. My workers' compensilitiog insurance carrier and policy number are: Carrier �'h "n CI Policy Number 41, - c 0 r7 GUGk-o (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthw• ply with thoserovisions. S' ature of Applica Owner ❑ Contractorgent X / _ yep An OSHA permit is required for excavations over 5'0" nd demolition or constructin of structures over 3 stories in height. Main Service TO 46.00so WEE200A CCU000A NEW CONST. DWELLING occuP. 3,5Qso. OR ADDNS. ( & ACC. BUDS. FT. T 97,50 NON-REOSID. MULTI CIRCUITS POWER APPARATUS & SINGLE OUTLET CIR. .00 EX. Occup. OUTLET OR FIXTURES BAL @ I.50 Ex. Occup. o. REID,o� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 3 HAz. D FE5.00 ES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work en paid. Zx=atof PERMIT EXPIRES ON -1 — �� 0 Date ReceiptNo.3151711 /3�.0� WHITE-D.D.S.-B.D. C� RY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12 APPLICATION AND PERMIT ASSESSOWNERORPARCEL NUMBER V G. �r —0 3 ZowNa� l = 1 BUILDING PERMIT �%(9 OWNER 5� p N TE HONE 3 1 SO. Fr. OCC. BUILDING VALUATION OWNERS MAILING "3 6 DRE `lf-, ^O A—'r C, CONTRACTOR' E C' TEIEPNONV S7a—�7q0 CONTRACTORS MAILING ADDRESS 5 r, ' (= ^ — U. 7'� ja/-L�C�- CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS _ Fireplace Total Valuation b ARCHITECT OR ENGINEER ' LICENSE NO. Filing Fee b 20.00 ARCHITECT OR ENGINEERS MA UN13 ADDRESS BUIIAING ADDRESS Permit Fee b Plan Checking Fee b Energy Plan Checking Fee b b PERMIT FEE b LOT NO. SUBDIVISIONS NAMEPARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other - sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 TYPE OF WORK '- 11 New ❑ Addition Remodel ❑ Utilities ❑ Ustallation ❑ Other ❑ 'n Describe Work: ' C' (/j% G L Each gas water heater or vent 15.00 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 600V GR LEss zow OR LE23.00 Main Service 200A TO 1000A 46.00 - — - - ----- ' jI I 'PERMIT FEE PAID SRA - - SHERIFF OTHER AMOUNT RECEIVED .�_ �J *RECQPT NUMBER . ,�" � " TO BE PUT INTO COMPUTER NEW CONST. OR ADDNS. & ACC. BUDS. p' 3.50Ft. NEW CONS MULTI -OUTLET NON RESIo. @7.50 POWER APPARATUS 8 SINGLE OUTLET cm Ex. OCCU . OUTIET OR FIXTURES 2O 1.00 SAL .50 Ex. Occup. FlXED APPLNS. OR OunETs ESID. EA 5.00 Temeorary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP S Mobile Home Installation Fee b Energy Inspection Fee b ocD CONST. TYPE TOTAL FEE $ �Z• D. FEES IMP FLOOD I CDFEL PARC PD ND ISSUE 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. By Date PERMIT EXPIRES ON ere I Ki PERMIT NO. 4624-81B,P,E,M PERMIT EXPIRES OWNER Gary P. Maran CONTR. owner s ,c ASSESSOR PARCEL 64-04-33 LOCATION 14653 Bridgeport Cir., lot 159, PP#12, Magalia A Temp. Power Pole Called PG&E r/ w Temp. Elec. Service 1� b Z 2L 2 Called PG&E — - l.�/ W/ ':�0r& t Temp. Gas Service / " Called PG&E k JOB FINALED (Date) \ignature— r l/Yi 1 4. A Temp. Power Pole Called PG&E r/ w Temp. Elec. Service 1� b Z 2L 2 Called PG&E — - l.�/ W/ ':�0r& t Temp. Gas Service / " Called PG&E k JOB FINALED (Date) \ignature— r l/Yi 1 J OK 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS= Not Ready Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, jTC. (Plans) - :xcept n 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. --Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas;Location-Test-Wrap: / /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc;-.;s;,res --- 6. Carports; Windows -Doors 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI. Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI ' Date ' POOLS (Plans) OK except q's t 1. Setbacks -Easements , 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining__ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding;�Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Ground ing;'Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -B1 Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date z V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FR&§ll LG (Continued) 1. Zo ing requirements- Setbacks- sements X48., rgperty Line Firewall & Openings Ftg., Main; Soils -Steel -EI rnd.- / /" Ftg. Depth 49. xt. Doors -One 3' -Check Garage -3rd story, 2 exits Garage; Soils -Steel- / /" Ftg. Depth 50. airs; Width -Headroom -Rise -Run -Landing -Fire Protection mwalls, Garage; Steel-Blockouts-Wrapped 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Pie -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. W.V.: 1 -Fit gs st-2 wa /O -Sew est 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 7777-X710. Water Pipe; Test -Anchors -R ator-Servic t 11. Ele c; Underground 1 _len Ducts; Clearance -Material -Support -Ins. 3. trders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI Date ard=BI Date Card -BI Date Card -BI Date ttw► ' �..� G G Card -BI Date Card -BI Date Card-BIQ,64 Date (a C -BI Date Card -BI ate Card -BI Date Date FI (Pla OK except k's E . to -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except q's 57. m Detector 14. Water Ht.; Vent -Access -Combustion Air 5 urnace- Vents -Clearance -Comb. Air-Connector- 157fff r Pipe; Test & Anchors -Nail Protection�- rage; Above Floor-Ducts-Mech. Protection 1 V.; Test-Fttngs & Anchors -Nail Protection 59,-B oT Exiting 17. Shower Pan; Test, First Floor -Tub ess 6 & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor Tub lec. Trim.& S 19. Gas Pipe; Size &Anchors1,4-Y 6tair Rails Breaker Sizes -Labels 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 63'rit p ac or Stove; Clearances -Hearth 35. -Attic Access & Platform if Furnace in Attic Card -BI to 64. -but lets at Wood Panel; Int. & Ext. Card -BI X, Date Card -BI Date 65. Kit -:;-r & Ap Mance; Grnd.-Air Ga-CookingClearance Card -BI Date Card -BI Date 66.: pec. Outlets & Receptacles at Kit. Counter 41. Bader & Beam -size & Bearing _ 42. mangers -Post Caps -Anchors -Connectors 43. Cing. joist- --fir. T'es-Purli -Roof Brac.-Shthnq.--Ring. 44. Firepl e Ties or Typ Flue -Fireplace Throat 67. Garage Fire Door; Swing -Landing -Closer Date EL CT ICAL Permit OK except q's/ r-68--Pr.0 ut ucf In Garage -Damper 20. i & Transformer Clearance -Ins. Protection 1 up 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connecto -P - Inrage; Above Floor-Mech. Protection 2 EI Receptacles Spacing -Lights & Switches at Doors 7 PI , Elec. & Mech. Equip. Listed for Location 2 Siz es & No. of Conductors -Stapled 7 . Elec. Receptacles in Garage; (G.F.I.)-Rome otec. 23. o Installed Close to Edge of Studs & C.J. 7 nsu tion-warn=Coked in Attic es ` 24 qu round made up w/Mech. Fasteners -Bond Gas & Water 7 d Rails & Deck Construction -Post Caps 25 Appliance Circuits in Kitchen &Conductor Size F .Vents &Crawl Hole Door -Drainage &Wood-EartMClearance 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size _/ / ga. Cu or At , Looked under Floor ❑ Ye 27. Range Circ. / / ga. Cu or At Circ. / / ga. Cu or At, 75. Following inslld.: D 'v Yes ❑ No; Walks ❑Yes No; Insulated Neutral ❑Yes ❑No Planters El Yes No 28. Service -Riser Conductors & Ground -Main Disconnect own -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77,C nit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78 ents Ab oof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Well; Disconnect, Electrical, Plumbing Card B-1 �ate_ _ and -BI Dateg 8 rior Elec. Trim; G.F.I. Receptacle -Underground ntilation throughout House Card B-1 T Date Date 8 .AGI s Protection 83. _ Corrections from Previous Inspectio Date ME H (Permit) OK except N's 84. Ga est -Meters Tagged; Gas -EI ric 3 Ducts; Insulation & Support ater & Sewer Connected -C/O to Grade -HD Approval t Fan; Exhaust above InsulationEnergy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. -Attic Access & Platform if Furnace in Attic Card -BI to Card -BI ate r® rd- I Date Card -BI Date Card -BI Date Card -BI ate rd -BI Date Date FRAM N ans) OK except k's Comments at Final: 36. Is�roper Material & Anchors __,, _ _ 37. yl(fl_ Studs -Nailing, Spacing & Bracing -Plat s -Sound _38. Bari -g Walls over Girders &Floor Naili g 39. aft Stop in Walls (rat proof) I _ 40. Fire Stops; Furred Ceilings -Stairs -Tub 41. Bader & Beam -size & Bearing _ 42. mangers -Post Caps -Anchors -Connectors 43. Cing. joist- --fir. T'es-Purli -Roof Brac.-Shthnq.--Ring. 44. Firepl e Ties or Typ Flue -Fireplace Throat 45. 411i Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. dr _ indo_ws or Exiting Doors -Sill Hgt. & Dimensions - 47. arage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) Card -BI Date and -BI Date RRRC nFWTTAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT 14653 Bridgeport (location) BUILDING PERMIT NO.�j� t g'/,� E j7% A.P. N0. 6 / D THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) _ INSULATION: Slab Edge Fdn. Walls 'Floors Walls Ceiling/Roof Ducts Circulating Pipes APPROVED HEATER 77zw—x APPROVED WATER HEATER GLAZING: Single -Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICE CERT. APPPLIANCES x I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.' Insulation Applicator Name NICHOLSON INSULATION. INC (please print) Signature of Insulation Applicator State Contractors Liwnse No. 398SSI'- General Contractor/Owner Name (please print) Signature of General Contractor/Owner %/�o 7 Date State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. r 4, R COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS '^ 196 Memorial Way, Chico — Phone:, 891-2751 7 County Center Drive, Orovi Ile — Phone% -534=4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDR S 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 anv question Dertainino to this COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: R91-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise - Phone: 872-2961, Ext. 57 CORRECTION NOTICE. BUILDING OR PROPERTY ADDR A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Caiifornia 95965 - Telephone 916/534-4541 APPLICATION AND- PERMIT PERMIT NO. ASS FySSOR PARCEL NU E •,—/�) ZONING BUILDING PERMIT OW(NNER A:RV TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILINGADDRESS' CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ /,S7.,.0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permittee $ _oc✓ —.— BUILDING ADORES _ r PLUMBING PERMIT Filing Fee 10.00 L Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. sueDlvlslo )5AE PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationEl. Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1101 OR Main service 100 AMP ORSLESS 5.00 • 0 /�� �I Main service EA. ADD'L 100 AMP ?.50 NEW CONST. (DWELLING OCCUP.N) OR ADDNS. \ ACC, BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElI 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) ❑ 1, 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.RESID R BRANCH CIRCUITS 2.50 ea NEW C0NSTFL /POWER APPARATUS &I NON.RESID. (SINGLE OUTLET CIR, Ex so @ 2150 . Occup OUTLETS OR FIXTURES BAL�1 FIXED APPLNS. OR Ex. OCCUp.�OUTLE TS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. •® I shall not employ any person in any manner so as to become subject Jo the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. , 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 s. i County in onse uence of the granting of this permit. X Date �� t- Signature of pplicant — Owner D�- 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 $ d`_ OCCUP, GROUP I TYPE OF CONST. I PARCEL PD HD seuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D RECT O BLIC By PERMIT EXPIRES Date ����� the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT r0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454 e0l, APPLICATION AND- PERMIT ASSE SO PARCEL NUMBER ZONING -k BUILDING BUILDING PERMIT OWNETELEPHONE 1,0 Afe4r.1 � SQ. FT. OCC. BUILDING VALUATION OW ILI G ADDRESS Ti 0 tn D -71 ° CONTRACTOR'S AME ea., TELEPHONE �0/003. CONTRACTOR'S MAILING ADDRESS Fireplace 1010©. -- CO STRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LOADR'S MAILING ADDRESS Permit Fee $— ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ AR HITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 r Z j G- Jon oI r Each Trap Jul 2.00 Repair drainage or vent piping 5.00 I Water piping LOT NO. SUBD VI ION NAM J12, PARCEL MAP Each qas water heater or v - 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer tem SOi.Ai2,• 5.00 t 7 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation[]Other❑ Describe work: Pe It Fee$ Contractor ELECTRICAL PERMIT FiIIn Fee 0.00 Main service 000V OR LESS 100 AMP OR LESS 4 Main service EA. ADD'L 100 AMP 2 0 G5NEW CONST. ( DWE LING OR ADDNS. ACCLBLDGS. '� • qft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification `® I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW '_0 ID R. BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS 6� NON-RESID. SINGLE OUTLET CIR. y 50@250 A Ex. OCCUp OUTLETS OR FIXTURES gAL�i FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID,) EA. 2.00 Temporary service ie -.A, 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 1 Contractor - MEC ANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating5: 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 sai unty in co quence the granting of this permit. X �-- Date 12'-17, g Signature of App Cant — Owner Contractor ❑ Agent ❑ 1 An OSHA permit is required for excavations over 5'0" deep and demo Rion or construct- ion of structures over 3 stories in eight. Mobile Home Installation Fee $ 2�e r. TOTAL PERMIT FEE $ .— oceD . GROUP .3 ITYPE OF CONST. I PARCEL P� PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO OF PUBLIC WORKS By Date PE IT EXPIRES Date_ [��--! J / p Receipt No. � ?3 0% 00 6/71 Z /� WHITE-D.P.W., YELLOW-A56Ess . , PINK -INSPECT GOLDENROD-APPLI ANT /Jo Retiz-. to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT (� ;• 192-1201.2 FOR RESIDENTIAL DEVELOPMENT .. ��cciC:AL •ice" i;t�JS Section 26-8.i of the Butte County Code requires this acknowledgement Sti'TE D4UQU - T - ,r. be recorded prior to issuance of a building permit. R_ OS RE D�"�� The property described herein is adjacent to land or included APS within an area zoned for agricultural purposes, and residents of ta this property may be subject to inconveniences or discomfort arising DARK A.P<r►SOC ER _RECORDER from the use of agricultural chemicals, including, but not limited to herbicides, EEE 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. A11 that real property situate in the County of Butte, State of California, described as follows: Date: J State of i ) On this the SS. before me, County of , ) appeared •, OFFICIAL SEAL JAN ACI ICSON F"�2'�NOTARY PUBLIC -CALIFORNIA ,� BUTTE COUNTY My comm. expires JUN 8, 1982 PROPERTY OWNERS: — day of, / 19� , the undersigned Nota Public, personally Co r4 A�x /14 f,2 '4 h/ known to me to be the person whose name($s IS subscri/b�$n to the within instrument and acknowledged that � executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my h and official seal. Notary Public Present A.P. NO. � l J •• }A ' :)E r r �� r+y'' 11,+4 �4i r j i .�.r � 13^3 a •;,1• lk BUTTE COUNTY v v order No. 81712- 159A All that certain real property situate in the Coun'.y of Butte, State of-alifornia, described as follows: Lot l_%_as shown on that certain min entitled, "PA9ADISE PINES UNIT 12". recerdcd in the office of the Recordnr of the Co,jnty of Butte, State of California, on May 13, 1971, in ilook'39 of Maps, at pares 21', 25. and 27. EXC :PTING THEREFROM, all minerals, oil, gas, asphaltum and other hydro- carbcn substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein., and that no damage shall be done to the surface of said land. PARCEL 2: A non-exclusive easement over Lots A and B (the common areas) of said Paradise Pines Unit 12 and t'r.•r lots designated for common and recreation areas as described in tale Declarations o^ Annexation for Units IV, VI, VIII, X. XI, XI:, XIII and 4IV, as described in Parcel 3. Fee title to the real r.roperty described in Parcel 2 shall be and is vested in the hereinbelow referred to Association for the co=on use and en.4oyment of the o•..t,ers of lots in Paradise Pines Unit 12 and in any other tracts !ieretn:'ore and hereafter annexed. as more fully set out in the said Declaration hereinafter referred to. PARCEL 3: A Wemhershlp app•irtenant to the lot described as Parcel 1 hereof, ir. the Paradise Pines Property Owners ;.ssDciition, a non-profit corporation,, the fee owner of the comm -on tareas. J J JJ u r. V Covenants. r:.-r.ditions, restrictions, r^servattons, r: hts, rihts-of-any, and easements now of record. This conve;:ance is made and accepted and said property is hereby Granted upon. and s•.ib:cct to that certain Declaretinn ofCovenants. 4, 1532, Conditions, and Restrictians recorded on Scptemher 1970 in Book 5%', of the Official Records of said Co•jr.ty, amended by an 1.34, page and instrur:ent recorded on 0, to 1 �, 1'?:'0. i:i :i tok 1b?'1, pate the ins;. r.t tee^ rmed cr, ;:arch 1:, 11171 in Pont 1: ;.;, pare 340, of an _m . officin l=c^c^ds of said Coy ty. and the tk`clara*i-.n of :.nncxntlon for ir. 1•;3°, Pa. 11 i'ineG ?'', r�cnrded n., Cctohrr 16 19.1'x. nok ^uJl :^r �'-Iraotsc. P nr's Unit. VI. a;:e r and rhol )eclair t inti o:' r ' 1 .n •e !.'•,.� and the „��llrati�., o ,, recnrd�.d on G7;., :cr 1 i, l��'•ci, in ..:,::c , r:i:. ti 1 n^ Ua.•^_Cisn i,ni•. L1I, 7•r.c•.'�.•:C i7•^. :�!,�•r:;L.)�?r �, 1 C• F',' r •r...y�,,inG for .'inns- O, r�0..:! 1;, 21;1, •,!i(1 t'1C :%^C.t•'^•'tion '�:' r,:1CC'!:i`..i',., f.1r ;':1rad1t54 •G. 1'11 ;{. P r.•,rdrd `r.•(. ..;h •r i. 1117 o: ::B:;C '12 and t:1C Prices ;111'1 ••c L n• F t 0 it-, :?n_ c I _ Doc•1ar::tion ^: f,r:rcr.a_io:, ;'or lana. i e "in -s- Un:. :.�, recnrdod on June 10, 1�%'1, in J•7 i` 1r �, Declnr.t.i..n "`.' Annexattnr - `.?,nk 1-)33, y . ,ine 7'1, 1'171' 1n py;e o:' %r.:ir.z::..ion 1'.ir :':,r,r=1�r, i'inf!: Unit iII, recnrc!Pd t' .{ AnrlrYn., �n � ;. r;•1, In :,n? n �(1, L cl•ir�t ion of fo:. aa,••ir',:s_ 11{11''::: Un1t �:l'1. :•�.;.-,rr!r:ri ;,u,.•i::t �. let?1, in !tn�k li,^�, r•�'�"- '?(•cords;'•'�'te rec^(der 30t�, til re^nrr.^!i in ihr S1'•.'ic'. ii .»ntv rnf cmnnt.s. a .c t!:� r O:^n r:+.G. r •;;r'.lt.i ria:•, ri l !:t::. t.ric rill O. r,,:;cr:a:.i:i:.c, t:+:a^fit r. c: t. irci�n: th rr i 1 c.xltained, Pich and 'r, rr:fc�ri:c• i , thou;.', .:�t. �;it. tet• arra .:� �,. xi:rr_..1:/ i I,c c,r�,,r , , . tiereir. n ill. 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