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HomeMy WebLinkAbout065-370-06565-37=65 65 Amos E. Sloan V bedddiW"' 7 fLV%(p' -ktl-5 Denise Dr., lot 311, SDOgk4,Magalia Permit 64 6-76P,E(utilMH) { ELEC . r / 7 a� GAS f / SUPPORT STRUCTURE REQ. /V-© 61 _MmPAr.T-TON_ -TEST-REO. _ At6 a 65-37-65 a� contr: Carrell Bros.,,Chico Permit #192-77MI' " Issued 01'AC?B14? ' -3 7 - i Permit #812-77B(new private garage/ oD�qo I i I r i r • I Feb -19-2011 12:00 AM UnitedHealth Group 530 879.8231 STATE OP CALIFORNIA . BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD soHWAtMNCGGrR, Govemor .........._,..«..•,.,o_._...�...ur,uw.,...vsv..menr,.,i:.wi.y«vm4u-�__-_r:=avr.-.........,..............Ro�omn,..,w.�n,..,...,,..w...,...w...,...,..r,n,�.....�....•.... DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT s+roc OlvWon of Codes and Standard* .� fv la a 13 Title Search "tvev'o,Date Printed: 02/15/2011� Decal ##: ABB3974 Use Code: SFD Manufacturor Original Price Code: ABI Tradenanae; HILLCREST hating Year: 1977 Model: Tax Type: ILT Manufactured Date: 00/00/1976 Last ILT Amount: $17.00 Registration Exp: 01/31/2011 Date ILT Fee Paid: 01/05/2010 First Sold On: 00/00/1977 ILT Exemption; NONE Serial Number HUD Label / Insignia, Length Width 0275A6612 Unknown 40' 12' 027586612 Unknown 40' 12' Record Conditions: PPF Exempt Registered Owner: ALFRED J ROTH REVOCABLE INTER VIVOS TRUST 14767 DENISE DR MAC3ALIA, CA 95954 Last Title Data: 01/31/2006 Last Reg Card: 01/07/2010 Sala/Transfer Info: Price $.00 nwisferred on 01/05/2006 Situs Address: 14767 DENrsE DR I MAGALIA, CA 95954 Situs County: BUTTE Inactive Decal/DMV: " �F DMV SP7288, DMV NF7306, DMV NF7307 Title Searches: �i BIDWELL TITLE & ESCROW I 'l P 0 BOX 949 560 KENTUCKY ST GRIDL,EY, CA 95948 Title File No: 239920.JF j. Renewal Rees: f $72.00 . *a,* END OF TITLL, SEARCH li 3/3 RECORDING REQUESTED BY: Donald R. Travers WHEN RECORDED RETURN TO: 2006-0002521 Recorded ` I R1C FEE 18. M official Records I County of 1 Butte , I ClaliM J. own I Coumty Clark -Recorder) I 89ril11 !8-JanM I Page ! of P Donald R, Travers Attorney at Law Illi` t I! Ill 1 1u tl 529 Pearson Road Paradise, California 95969-5113 A. P. N.: 65-3765 QUCCCLAiM DEED The undersigned quitclaimor declares: Documentary transfer tax is NONE. No consideration given. Change in formal title only. (See Note I below) FOR NO CONSIDERATION, ALFRED J. ROTH does hereby REMISE, RELEASE AND FOREVER QUITCLAIM to ALFRED J. ROTH, as Trustee of the ALFRED:J. ROTH REVOCABLE INTER VIVOS TRUST initially created on Jahuary 5, 2006,'all his right, title and interest in and to the following described real property in the County of Butte,; State of California: ,I SEE EXHIBIT "A" ATTACHED HERETO AND INCORPORATED HEREIN Commonly known as 14767 Denise Drive, Magalia, California'95954. COTE #1: Convevance Transferring�uitcla is lnlerest into a Revocable Living Trust: This conveyance transfers the quitclaimor's interest in the described property into the quitclaimor's revocable living trust which is pursuant to Rev, and Tax. Code section 11930, does not constitute a change in ownership and does not subject the property to reassessment. Executed this dayof 2006, at Paradise, California. Quitctaimor AL R 1.H MAIL TAX STATEMENTS TO: ii Alfred 1. Rork, Trustee. 14767 Denise Drive, Maplie, California 9595 C.- e i CERTiFICATROF ACKNOWLEDGMENT OF NOTARY PUBLIC ISI State of California ) ) ss. County of Butte ' ) Ong 5 , 2006, before me, a notary public iAnd for the State of California, personally appeared ALFRED L ROTH, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument! the person, or the entity upon behalf ofwhich the person acted, executed the instrument. WITNESS my hand and official seal. t'�� {seal} Notary Public ELLA H. TRAVeW e Comrrsssion a 147260 1 Notary Pubpc,--CaftrnlaI Butte County My Comm E��esAAar 8, 2008 EXHIBIT A Legal Description Property located at: 14767 Denise Drive Magalia, California 95954 A. P. N.: 65-37-65 Lot 311, as shown on that certain Map entitled "SIERRA DEL ORO ESTATES UNIT NO. 4", which was recorded September 29, 1969 in Map Book 35 at pages 48, 49 and 50. EXCEPTING AND RESERVING THEREFROM all of the valuable minerats beneath the surface of the said land 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 of Butte County Official Records, at page;385. END OF DOCUMENT WwpdocsUtoth.AlthdlEst r�cnl2D�sge dcea Order No.: 00239920-003 LEGAL DESCRIPTION THE LAND REFERRED TO HEREIN IS DESCRIBED AS 'FOLLOWS': ALL THAT CERTAIN. REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA, COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 311, AS SHOWN ON THAT CERTAIN MAP ENTITLED "SIERRA DEL ORO ESTATES UNIT NO. 4", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 29,1969, IN BOOK 35 OF MAPS, AT PAGE(S) 48,49 AND 50. EXCEPTING THEREFROM ALL OF THE VALUABLE MINERALS BENEATH THE SURFACE OF THE SAID LAND 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 LL 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.W STORTS, ET UX, RECORDED SEPTEMBER 4, 1947 IN BOOK 423 OF BUTTE COUNTY OFFICIAL RECORDS, AT PAGE 385. ! AP NO. 065-370-065 /Qosewc�d • fa / 6456 76P,E PERMIT NO. (y a 7'•� PERMIT EXPIRES Q OWNER Amos E. Sloan -CONTR. owner ~ LOCATION (A.P. 65-37=65 e� J 145ctml Denise Dr., lot 311, SDO#4, Magalia t 1 ' S l • 1G i< 7 � L• i j iii ' 1 .. • t �� 3 p• j . Temp. Power Pole ti Called PG&E Temp. Elea Serv. — ( Called PG&E -� 7 `, Jr •<rfh`, Temp Gas Serv. PG&E Cad ` , ? JOB ?, FINALED (Date) (Signature) •..a. 9•a rG COUNTY OF BUTTE —.DEPARTMENT OF PUBLIC WORKS r BUILDING INSPECTION RECORD 4' BUILDING BUILDI G (Cont'd) PLUM"G Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Sidina To out Slab Roof Sheathing Water Piping 6N Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forphysically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final — Footings I Footing ELECTRICAL Bond Beam FIRE SPRI KLERS I Motors Framinq Test Water Htr_ Mesh MECH NICAL Grd. Fault -Prot. Scratch Heating Service Brown Cooling Temp. -Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS R17 -2 gztl pq__ ha -&-e_ -i4q io -t-41e4eo1 r oars (NOTE: An entry must be made on this form each time you visit the job site.) -' COUNTY OF BUTTE DEPATMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 d CERTIFICATE Of OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Californiariiinistrative Code, Title 25, Chapter 5, under permit numbed`' for the following toocyation: Owner Owner's Address Mobilehome Mfg. __A(c l .c_e. Model a^" Year Insignia No. � , er/ —) -75 3 g �erlal No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Work(s�j Date �� ` By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED M0BTi,EH0'M.G INS`CALL'ATIQtJ.INSPrCTIbN CHECK LIST 1. Is the mobilehomt located wi0 eequired separation from lot lines and buildings and generally conform to plot plan? Y(!,;!% No 2. Does the m( -)bile -home have required clearances above ground? (Sec.5085) YesvNo 3. Are footinl;s and supports properly ,sized, spaced, and braced as per approvedpla�'s?— (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ _ No 4. Is the mobilehome level.? (Sec. 5088) Yes No_ � 5. If more nan a single unit, are crossover connections properly installed? (Sec. 50 8)�/ Yes No y: Water. A. Is flexi e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C.A'�"al *pewsure-relief -If coach is not State of California approved, does -station have backflow device valve? Yes_ No - 7. Wastes and Drains A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum per foot slope and is it properly supported? Yes x No C:. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No�(t Y D. T� o is not State of California approved, does station have.required-trap and vent? No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as :Large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turnon gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes*' No 9. Electrical A. Is service large e.nottgl. to provide adequate amperage to momic,.1toine. (must equal rating of mobilehome with a ::;inh-um of 1 amp) anal other facilities on lot, i.e., water pumps, Oara ;e, cabana, etc... Y.eC No_ Ii. Is ther,-� proper_ clearances around panels? Yes'' No C. Is power supply cord or feeder assembly properly fused? Yes v I�c)— iniiit test satisfactory as per the following procedure? Yes No _ D. Is cont. y y P — 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one load of.: a test instrument to the mobilehome grounding conductor and c: i ' t<<e o0j.ei lead to each itiuu i@itiiiite Sii ii" Co[ruLictor, ilieli.,ding neuLrai. pp } P1 Y 5. All non. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, iter line)', including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: the above procedure,, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te-=;r_ shall then be made between L.he grounding electrode and the chassis of the mobilehome.. Upon saLi_sfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. I,, _;ob card signed by health Department for water and sanitation? L1.. If everything okay, sign off card and ta; ser Ivices. 'MOBTLEilOML_DATA Manufacturer andi or Names!:y7.e —A I "Length Width oC. Vehicle Se ial No. State Identificat:i.on No. r.rliiiEional Information or Comments: /"A4W /� i COUNTY, OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 IP -77 Tel4jhone: 1534-4541 APPLICATION AND PERMIT I �! above -menti ed proper y for inspe ti urposes. V7 /f XDate Signature/of -P—aermitee or Ag nt Receipt No. s7h L, -)s 7 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 ruilding Datepermit expiresDate /�' 0 BUILDING Owner Q SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor _ � Total Valuation Mailing Address / Permit Fee Plan Checking Fee&/orPenalty C� G9 Telephone No. Z Permit Fee $ Building Address PLUMBING No.1 FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 %— p' ` i3J�J' # �i ,gyp/` Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �—�j�—� S Zoning $Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Stitat+on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQAA Parkin PlansPi Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 dg. Plans Rec'd Parc proval Plan S l pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service i°o°o V OR AMP LESSOR 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST.(DWELLING OCCUP. 8, OR ADDNS. ACC. BLOGS. ) 20sgft NEW CONST R. MULTI.OUTLET NON.R ESI D, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON RES D. SINGLE OUTLET CIR. 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 ,:,,, / ( � Ex. Occup(OUTLETS OR FIXTURES) @�¢ BAL@1 E x. OCCU FIXED APPLNS. OR P• (OUTLETS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3 / b `/Classification_ Misc. Wiring 6.25 ❑ 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. / d�g_l 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. @ FEEPERMIT 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 .I, l 04l/ , ��% Q TOTAL PERMIT FEE $ Sb 00 above -menti ed proper y for inspe ti urposes. V7 /f XDate Signature/of -P—aermitee or Ag nt Receipt No. s7h L, -)s 7 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 ruilding Datepermit expiresDate /�' 0 V ' COUNTY. OF BUTTE — DE_IZZ•ARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Tel.phone: 534-4541 /�,y� 6176 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 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 UBLIC WORKS By Date f �- wilding permit expires Date / Z —.-=- -7 BUILDING Owner .0141t4e S r SIL SQ. FT. OCC. BUILDING VALUATION Mai l Ing Address 2-2151 Se,—OEI.Gi< STS+ a t✓/�S ✓2H eT C ACif Telephone No. 9P Fireplace Contractor Total Valuation Mai I i ng Address ov 4'"— Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address r1 PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 /CIL q . � g- Each Trap 1.50 1 e.. r r FST TcS i Repair drainage or vent piping 1.50 Water piping 41tee /0.0C L.o 3 'ton4nq Verification Ur1t Each gas water heater or vent 1.50 A. P. No. —/ �' (o Zoning &Planning Gas piping system 1 - 5 outlets uft 10.0c h additional outlet .30 Building sewer s;w I, p F s C. S t 'on` Fire Dept. FireZ a Use Permit EQA Parking Plans Parcel Declara�tioonn 60' R/W Im p ovements Lawn sprinkler system 2.00 Bldg tans Recd -- Paarrcel ApprofQ� ans Approval Permit Fee $ , $ NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 ,p Main service 1000 AMP OR1 OR LE LESS5.00 Son Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 SOD SQ_ FT. MINIML]b4 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS. OCCUP, &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID, (BRANCH CIRCUITS) 2.50ea FO FOR R MOBILES NEW CONSTR. (POWER APPARATUS & NON-RESID• SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)NLS BAL�1 Ex. Occu FIXED APPLNS, OR p• OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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 Z.4P d -a .-e Lo RtietN 1 ee- o TOTAL PERMIT FEE $ jL authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 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 UBLIC WORKS By Date f �- wilding permit expires Date / Z —.-=- -7 PERMIT NO. 812-77B PERMIT EXPIRES OWNER Amos Sloan CONTR. owner LOCATION (A.P. 65-37-65 1115 Denise Dr.,lot 311, SDOIN , Magalia Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. (yGas Serv. _ CAed PG&E _ OB INALED COUNTY OF BUTTE — DEPARTMENT OF. PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings .- Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings handicap for pehysically Conformance of ex. structureTem Appliances Gas Piping & Test . . Gas Slab Final - 2 _ ? 2 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final en.•...e� Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOMEINSTALLA ION --------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) 1. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — (;roville, California 95965 Tel epl7one: 534-4541 APPLICATION AND PERMIT Receipt No..L— White-D.P.W. - ellow-Assessor - Pink -Inspector - Goldenrod -Applicant 2 Ui/Id ing permit expires Date BUILDING r Owner x. SO. FT. OCC. BUILDING VA ATION Mailing Address elephone No. —may Fireplace Contractor Q C -4&)1-e Total Valuation o Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Tach Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sa on Fire Dept. FireZone Use Pen -nit Building sewer 5.00 EOA Parking ilarcel Plans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plansarcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service i°oo AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home OthersElMain Main service OVER 600V 100 AMP OR LESS 25.00 service EA. ADD'L 100 AMP 1.00 P NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 22Sgft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. /POWER APPARATUS & NON-RESID. \SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) 2@51009 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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 kki 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�.����� Date Signature of Permitee or Agent J _,1 -,, i _-, -% TOTAL PERMIT FEE $ e This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work ind cated above for which fees have be id. DIRECTOR 0 P BLIC WORKS By Date '77 Receipt No..L— White-D.P.W. - ellow-Assessor - Pink -Inspector - Goldenrod -Applicant 2 Ui/Id ing permit expires Date