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Home My WebLink About065-350-018AP 65-35-18 A. E. BURNS' •. 64 Wood Dr., lot 2.4, SDO#2, Magalia FIN41 2-19.76 Permit# 4379-73P,E(util.', MH) AP 65-35-18 - Permit# 542-75B(carport, deck, , awning, MH) 065-350-018 06-0926 ANDERSON, TRUDY. 14870 WOOD DR, MAGALIA �. Cont: MARVIN PLOURDVr M/H PERM FND (EX) ry t r f ' f � � o j f' 1 I f e C.fll L!7 !, M Ln RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded I Official Records 1 County of I Butte I CARACE J. GRUBBS I County Clerk-Recorderl I 1 09:59AM 04 -May -M I FEC FEE 10.00 WORMED COPY 1.00 JC Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. TRUDY ANDERSON REAL PROPERTY OWNER/LESSOR 14870 WOOD DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0926 (530) 538-7541 BUIL ING PERMIT NO. TELEPHONE NUMBER T SIGNATURE W LOCAVAGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. INTL 1974 NEWPORT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER S46070 ,S4607X 56 x 24 .141296/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-350-018 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. r � s L RECORDING REQUESTED 6V Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Trudy Anderson 14870 Wood Drive Magalia, CA 95954 A.P.N.: 065-350-018 Bu e I %jrLjA E ,]. LqKU13bb I County Cleric-Rerorderl I' i VIZ 09:&AM 23 -jun -'EM i Haile 1 of Space Above This Line for Recorder's Use Only GRANT DEED The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $131.45; CITY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ File No.: 0402-1939102 (MT) X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] Gly of Magalia, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, R.S. WILLIAMS AND SANDEE WILLIAMS, TRUSTEES OF THE WILLIAMS FAMILY TRUST, dated December 7, 1998 and WILLIAM DERBY, LLC, a California Limited Liability Company hereby GRANTS to Trudy Anderson, an unmarried woman the following described property in the unincorporated area of Magalia,.County of Butte, State of California: LOT 25, AS SHOWN ON THAT CERTAIN MAP ENTITLED, SIERRA DEL ORO ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S) 27, 28 AND 29. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK -423, PAGE 385, OFFICIAL RECORDS. Dated: 06/20/2005 Mail Tax Statements To: SAME AS ABOVE I fc RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION '7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 4 -May -2006 2006-0022860 Has not been compared vith original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. TRUDY ANDERSON REAL PROPERTY OWNER/LESSOR 14870 WOOD DRIVE MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME OROVILLE BUTTE CA INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME ZIP CITY COUNTY STATE ZIP SAME SIGNATURE OP LLOCA AGENCY OFFICIAL UNIT OWNER (if also property owner, write "SAME") SAME' MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0926 . (530) 538-7541 B rNG PERMIT N0. TELEPHONE NUMBER SIGNATURE OP LLOCA AGENCY OFFICIAL (n DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO INTL 1974 NEWPORT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 546070 S4607X 56 X 24 141296/7 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 065-350-018 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. l O i RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Trudy Anderson 14870 Wood Drive Magalia, CA 95954 A.P.N.: 065-350-018 _ GRANT DEED Bu.ae I pAjrLjjArE J. CRUBBS i Coun—i-y Clerk -Recorder! i I VIZ 09:&AM 6-Juii-20@5 i Page 1 of Above This Line for Recorder's Use Only The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $131.45; QTY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ File No.: 0402-1939102 (MT) X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X unincorporated area; [ ] Qty of Magalia, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, R.S. WILLIAMS AND SANDEE WILLIAMS, TRUSTEES OF THE WILLIAMS FAMILY TRUST, dated December 7, 1998 and WILLIAM DERBY, LLC, a California Limited Liability Company hereby GRANTS to Trudy Anderson, an unmarried woman 9 the following described property in the unincorporated area of Magalia, County of Butte, State of California: LOT 25, AS SHOWN ON THAT CERTAIN MAP ENTITLED, SIERRA DEL ORO ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S) 27, 28 AND 29. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. Dated: 06/20/2005 Mail Tax Statements To: SAME AS ABOVE FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY BUILDING PERMITS NUMBER: 06-0926 Address or location of unit: 14870 WOOD DRIVE, MAGALIA 95954 Legal Description of Real Property: 065-350-018 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: TRUDY ANDERSON Owner's address: 14870 WOOD DRIVE, MAGALIA 95954 INSIGNIA OR HUD NUMBER: 141296/7 SERIAL NUMBER OR V.I.N.: S46070, S4607X MANUFACTURER'S NAME: INTL YEAR: 1974 OFFICIAL APPROVING INSTALLATION: - mf DATE: r5 2. - O� PHONE: (530) 538-7541 H.C.D. 513C PREMIER BUILDERS THIS CHECK IS IN PAYMENT OF THE FOLLOWING 7494 MARVIN W. PLOURD - GENERAL CONTRACTOR 6055 TERRA VISTA PARADISE, CA 95969 16-66/1220 (530) 872.1096 p PAY 6 L� DOLLARS CHECK D TE TO THE ORDER OF DESCRIPTION DISC. 0482 GROSS F.I.C.A. FED. W/H : u. STATE E. DI :F. ADV. PAYROLL AMOUNT $ BANK OF AMERICA, NA 11'00749411' iiL 2 200066 W: 24358,110978411' Butte County Department of Development Services. o�'re RaE.a N O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 vrv,,v.buttecounty ngVg4S 4 RESIDENTIAL APN: - 06-0926 065-350-018- - —� Owner. _ANDERSON, TRUDY 1 14870 WOOD DR, MAGALIA ' Site Address: _ Cont: MARVIN PLOURD Contractor M/H PERM FND (EX) Type of Permit as1 ?7 CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE Z DATE JOB.FINALED: SIGNATURE: tj 60� l6v_ OK Not OK RESIDENTIAL (Single & Duplex) II UNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth" 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frpic FtgSteel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test LL Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd 13 Plenums & Ducts; Clrnc-MaterialSupport-lnsultn 14 GirdersSills-Anchr BoltsJoists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE (FRAMING 17 Sills Proper Materials & Anchrs i8 Walls Studs -Nailing Spacing & Braces-PlatesSound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Arc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pals 38 lnsultn Walls -Ceilings 39 Infiltration-Walls-Wndws 4,41,s DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmcans Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Gmdng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFl 47 Subfeed Wire Sz ❑CU or❑AL AC Wire Sz ya ❑ CU or ❑ AL 48 Range Circ ga ❑ CU or DAL "Oven Circ ga ❑ CU or ❑ AL Insulated Neutral ❑Yes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector UAIt: (PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd fir - Tub•Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler, Test � J 60 Yard Gas Piping �f V O'• •� mac` o` o'• 0 DATE IMECHANICAL 61 AC Ducts lnsultn & Support 62 Vent Fan, Exhaust abv lnsultn 63 Condensate Drain & Ovrnw, Sz & Grade 64 Furnace -Vent Acc-Comb Air RtrnIVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic �c 2 O'er DATE IFINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFl & Bath Fxtrs & Tub AccSpa 71 GFl Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Gmd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3' drain 81 Plmb; Elec & Mech Eqp Listed for Loon 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 lnsultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Dmge Planters ❑Yes ❑No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFl Rcptci-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler OK nv MANUFACTURED HOMES MISCELLANEOUS DATE_j LERMANENT FOUNDATION SOFT -SET Zoning -Setbacks -Easements 2 Soils; Special MH Suppod Sketch 3 Sewer; Loctn-Test; FalUC/0-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-DIrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat O or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Dnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -CI rncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtrewer Connected -d10 to Grade 12 G and Jectri - Tagged0 Downs Foundation Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers DATE D E C K S•C OV E R S'C ARP O RTS `G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils Sz-DpthSpacing-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-Deral-Enclsrs 6 Carpqrts; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing [ 11 Ext; Steps -Doors4-andings 12 Braced Wall pnls I DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability -3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance -GR 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Drcltng Egp-Htr 8 Elec Gmdng; Eqp w/5' Crcitng Eqp-Pool lghtg Bokes-Encisrs-pnlboards-lnsultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test Wtr Supply Test 11 Lt Niche 1 12 EncLsr, Fencing Alarms 13 Bonding, DiVing board or Slide Pool Drawing 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. BP060926 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 04/26/2006 APN: 065-350-018-000 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: 14870 WOOD DR MAG License Class : _` % License' Number:, Date: AZ Contractor: 1A&r- i W LC—O�` Map Index: -k Description: ex mh, ex site, perm fnd OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: ANDERSON, TRUDY permit to construct, alter, improve, demolish, or repair any structure, prior 14870 WOOD DR. to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of MAGALIA, CA. the Contractor's State License Law (Chapter 9 commencing with Section 95954 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: PLOURD, MARVIN Code: The Contractors' State License Law does not apply to an DBA PREMIER BUILDERS owner of property who builds or improves thereon, and who does 1584 WAGSTAFF such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for PARADISE, CA 95969 sale. If however, the building or improvements are sold within one 530-872-1096 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ 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 Contractor: PLOURD, MARVIN not apply to an owner of property who builds or improves thereon, DBA PREMIER BUILDERS and who contracts for such projects with a contractor(s) licensed 1584 WAGSTAFF pursuant to the Contractors' State License Law.). PARADISE, CA 95969530-872-1096 ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: License #: 343173 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 Architect: Labor Code, for the performance of the work for which this permit is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as 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: ��J�-f�G*� c.mrt,( ? Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: 2 6 20 a ❑ I 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 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 comply with those provisions. Date: Z (,/c Applicant:v- 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 oq compensation, damages as provided for in Section 3706 of the Labor 1 code, interest, and attorney's fees. C /1 ( CONSTRUCTION LENDING AGENCY This permit is hereby isisued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resolutions to d windica ed above for which fees have been paid. �• performance of the work for which this permit is issued (Sec 3097 Civ.) a� > O Name: BY:Date: PERMIT EXPIRES O b 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 not 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 purposes Print Name: lig® t/ Signature: ,t Date: ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 r 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 WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" CONTRACTOR OWNER INFORMATION Last Namecz ` ' first Name U Address 70 LvOD �R r City �, � t State C19 Zip %�` 5N Phone Fax Fax E-mail State License Number CONTRACTOR Name M TZVdt� tPL19(�`lZ� Address V LS7-A City State Zip ZS l0 ? Phone 7W— 1094, Fax E-mail Lic. #3y a7� 7 Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City IZ 60 v ! 5 Address Zips City Fax State Zip Phone Lot # Fax E-mail State License Number APPLICANT INFORMATION Name M (A—?Z-U I dJ LD U Address City IZ 60 v ! 5 State Zips Phone ! m Fax E-mail APPLICANT SIGNATURE X ` d 9&=4 For office use only: Zoning Flood Zone SRA I Yes4 I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. 111`O6 O� BIN # PROJECT LOCATION Property Qj , 8 6) `� City yyt , I Cross Sttrreet WORKER'S COMPENSATION Policy Number l 7� �� —Zp® ✓`` Carrier v 20-T� 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 OVER FOR SUBMITTAL REQUIREMENTS L K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ 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 Received Receipt #: �� l7 Date: Amount: IN SRA Sheriff SMIP Total REV 8-12-05 V SUBMITTAL & PERMIT REQUIREMENTS. The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND /N INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 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 faxesl ❑ 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 manual; (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (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. Building Permit Application Without Required Clearances Form ❑ 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. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 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 KIFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 . ♦ rCr'lY: -� iii . �. y S . � yn `v�j. "�-'• �. /4.. -. .Y _. .� r '�- t} -•e. v �...! ♦ ....., _ . r . .. .. - . . �r r � .. } COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION _ 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: / ' ' - r� `S `� ' ASSESSOR PARCEL NUMBER ��,Pe t o Proposed Building Use: �`1t 01141 L� � � �L� �%�� /� -Permit Technician: f� � � Date: � G Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. / A) 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxesl ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. In% 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (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. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable �. . h. 15. Fire Sprinklers............................................................................................ Ci. '> ` 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by o17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required...............................................................„ �19. Fees as shown on the attached Schedule of Fees Due Sheet .... %„7.!1:4.... ....... j. �1 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ....... heck:.......... El 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Detd Restriction ......... /.ta............................................................................. t ri 35. OLegal description,#,M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephone /' I/ gV /N ^ 872 -1 L,)9b and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:I _Pfi� Date: .�. 1. Index permit application for the above items numbered: Plan Check Letter 2. ' Tonal items required ntracto designer, owner, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: 02 actor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: LZ I Plans approved by: Date: a Structural reviewed by Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 aCi2 Foundation' System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 95 PSF Wind Load Seismic 4 By Tie Down Engineering BUTTE COUNTY BUILDING DIVISIO APPROVED Xi2 Concrete System Engineer Approval State Approval MANUFACTURED HOMEIMOBTLE HOME FOUNDATION SYSTEM HEALTH AND SAFETY CODE, SECTION 18541 APPROVED SUBJECT TO CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY MISSIONS OR DEVIATION FROM REQUIREMENTS OF APPLICABLE STATE LAWS AND REGULATIONS State of California Dem gHousinS and Com—n4 Development ,PmsbOF COQES AND STANDARDS Page 1 of 8 r COUNTY OF BUTTE — DEARTMENT OF PUBLIC WORKS • 7 County Center Drive — Oroville; California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT X41 -75 - autnorize representatives or the county or butte to enter upon ine above-mentioned property for inspection purposes. X ?��-��r—�ern-ate Signature of Permitee or Aiat Receipt No.rt White-D.P.W. /C o�i CJt --R' pf&-�Or — 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 Date Building permit expires Date ................. BUILDING Owner o S SQ. FT. OCC. BUILDING VALUATION Mailing Address C3 CA A0 �-p o Telephone No. ,✓ 103 Fs Fireplace Contractor 40cli— Total Valuation 0-10 Mailing Address Permit Fee /15, 67p Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 50� $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 AeA Cr -T Each Trap 1.50 4 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. _ Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W� S� n Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 r v > ans Recd Parc pproval Plans Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 n� z �i Water Heater or Space Heater 1.00 Light fixtures b20 ale io Receps., switches & fix outlets2U 25 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 PQI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. (U( I certify that in the performance of the work for which this Jf�J 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 $ $ 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 QUI TOTAL PERMIT FEE $ autnorize representatives or the county or butte to enter upon ine above-mentioned property for inspection purposes. X ?��-��r—�ern-ate Signature of Permitee or Aiat Receipt No.rt White-D.P.W. /C o�i CJt --R' pf&-�Or — 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 Date Building permit expires Date ................. ,vsanulacwrer lurmame INTL i rase name NEWPORT MOaei UUMUFS 00/00/1974 05/13/1974 KY Exp. Date Serial Number LabeUInsignia Number Weight Length Width SPC SCC Exempt Use Type S46070 141296 56' 12' 04 SFD LPT S4607X 141297 56' 12' Issued Total Fees Paid Aug 03, 2005 $175.00 Addressee TRUDY ANDERSON 14870 WOOD DR MAGALIA, CA 95954 Registered-Owner(s) TRUDY ANDERSON 14870 WOOD DR MAGALIA, CA 95954 Situs Address 14870 WOOD DR MAGALIA, CA 95954 Legal Owner(s) WILLIAMS FAMILY TRUST WILLIAM DERBY LLC Tenants in Common And 91 VALLEY RIDGE DR PARADISE, CA 95969 Lien Perfected On: 07/21/05 12:34:17 O,SING q� 00 3G�A �O ' DEVO" IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 4006846 08032005- 312 4 Ju 4y RECORDING REQUESTED BY Mid Valley Title & Escrow Company AND WHEN RECORDED MAIL TO: Trudy Anderson 14870 Wood Drive Magalia, CA 95954 A.P.N.: 065-350-018 But ie i CANDRCE J. GRlIBBS I County Clerk—Recorderl I I NZ 09:9M 29 -Jun -2005 I Page 1 of 3 Space Above This Line for Recorders Use Only File No.: 0402-1939102 (MT) GRANT DEED - - The Undersigned Grantor(s) Declare(s): DOCUMENTARY TRANSFER TAX $131.45; QTY TRANSFER TAX $0.00; SURVEY MONUMENT FEE $ X computed on the consideration or full value of property conveyed, OR computed on the consideration or full value less value of liens and/or encumbrances remaining at time of sale, X 1 unincorporated area; [ ] City of Magalia, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, R.S. WILLIAMS AND SANDEE WILLIAMS, TRUSTEES OF THE WILLIAMS FAMILY TRUST, dated December 7, 1998 and WILLIAM DERBY, LLC, a California Limited Liability Company hereby GRANTS to Trudy Anderson, an unmarried woman the following described property in the unincorporated area of Magalia,. County of Butte, State of California: LOT 25, AS SHOWN ON THAT CERTAIN MAP ENTITLED, SIERRA DEL ORO ESTATES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 19, 1965, IN BOOK 34 OF MAPS, AT PAGE(S) + 27, 28 AND 29. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LANDS, WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS, IT BEING AGREED AND UNDERSTOOD THAT IN ALL MINING OPERATIONS, THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL SUCH MINING SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY, ALL AS EXCEPTED AND RESERVED IN THE DEED FROM MAGALIA MINING COMPANY, A CORPORATION, TO E. D. STORTS, ET UX, RECORDED SEPTEMBER 4, 1947, IN BOOK 423, PAGE 385, OFFICIAL RECORDS. Dated: 06/20/2005 Mail Tax Statements To: SAME AS ABOVE S -- Permit: 4379-73 P,E BURNS, A.E. 64 Wood Drive SDO #2, Lot 24 Magalia (Utilities for mobile home) t� � 7 . p a &gel,_a s -VI rN, 00a r d2z , 1 ; COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive — Croville, California 95965 T Tel ephoe: 5?,1-4541 APPLICATION AND PERMIT above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address — PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 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 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60R/W ' Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b l' to Receps., switches & fix outl_]�bets ��' 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 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. I 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 Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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 Date COUNJOF BUTTE — DEPARTMENT OF WLIC WORKS County Center Drive '.—a- Orrvi+le, Californ IW965 Tel ephoie: 53'4- 541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Z'_ E Date Signature of Permitee or 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 /� ✓ c- By r"< - ate A ® Euilding permtf expires Dafe ........-----•- BUILDING Owner- -� 067 .Mailing SQ. FT. OCC. BUILDING VALUATION Address ZZ/ j G QTelephone No. Fireplace Contractor Total Valuation Mailing Address cam/ Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address (.C/OG PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 00 h Iva�' Each Trap 1.50 2, Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F . . Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ $ `S NEW ADDITION UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1,019 /Calk_ G yyz L Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) ^/ Single Family ❑ Duplex Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 zs Light fixturesba 10 10. Receps., switches & fix outlets 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 5.00OO 5.00S Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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. I 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 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 $( + authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Z'_ E Date Signature of Permitee or 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 /� ✓ c- By r"< - ate A ® Euilding permtf expires Dafe ........-----•- c -40r, ozo 47