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065-380-035
i 65%-38-35 2823-89E LEMKI, Tod _3f' s !A 6494 Fir Park, Magalia _f_rp-nair-damage _to meter base/MH) 6$--38-35 Permit#2890-89P(water heater 65-38-3 2502-91E HARRIS, Charli 6494 Fir Park, Ma >ia cont:•Executive Ho '(replace fire damameter/mh) -38-35 Permit#2726-91 (install• mh PRE=INSPECTION OWNER: -- jC / ` " /_X S DATE 71z.z- 1,? LOCATION: CONTRACTOR: /� �/� �/ XOIV1� ZONING PRE -INSPECTION FOR:i2e a02 DATE TO INSPECTOR ---------------------------------------------------------------------------------- ----------------------------------------------------------------------------------- PERMIT HISTORY: NONE AS FOLLOWS: f'e4AMA-5f-k0 ,tite fT_ bis /, jA rer h1647-ee 251—cf7 TYPE OF OCCUPANCY FIELD — INFORMATION 1:11tit"I it�["V&ffef* TENNANT: [� OCCUPIED D HAS ELECTRIC Q HAS GAS F7 HAS SANITATION FACILITIES u HEATED—COOLED OTHER COMMENTS: 2,N""R'ECOMMENDED: ISSUE 0 OTHER: PERSON CONTACTED HOLD FOR IVa94 BYE/%,��/Gid DATE ' �� RESIDENTIAL - 65-38-35 2726-91MHI `� F HARRIS, Charlie 649/+ ..Fir Park, Magalia cont: Executive Homes (install mh) l OFFICE COPY i'9f I 1iR A Address � Aw GAS Meter By Date ELECTRErn QMeter.E3yDate JOB FINALED (Date) Signature ,:::'✓ — J=OK O = Not OK = Not Applicable MOBILE, HOMES v ' =Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Well Clearance & Disconnect 7. Electric 9 ' 8. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses U, 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date _ Card B-1 Date Card B-1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date MOBI E HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements Date Card B-1 Date Card B-1 3_Footings; Size -Spacing -Marriage Line Date Card B-1 Date Card B-1 Z_4as; MH Test-Demand-Valve—Connector Date POOLS (Plans) OK except #'s 4/Electricity; MH Terst-Crossovers- Brea kers-Clea rances 1. Setbacks -Easements 5/Drain; MH Test -Fall -Flex Connector 2. Soils; Compaction -Structure Stability. V�Vater; MH Test -Regulator -Connector 3. Pool Structure; Steel -Connections -Thickness 7L,Nater and Sewer Connected-C/OdoGrade-HD Approval Dead Men -Lining 8j4as and Electricity Tagged s � 4. Elec.; Receptacles and Lighting, Distances-GFI /Exits; Insp.-Sketch 5. Elec.; Pool Lighting; 15 volts-GFI tq.,,�ert. of Occupancy 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Date - � '� Card B-1 (r$/`) Date Card B-1 Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Date Card B-1 Date Card B-1 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test � IDate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (: ' = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth - 5. Stemwalls, Main; Steel -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except h's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ----------- ---- --------------------------- 17. Water Pipe: Test & Anchor -Nail Protection -------- ----------- ------------------- ----- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------ ---- - ----------------- ----- -19. Shower Pan: Test, First Floor -Tub Access --- -- 20. Test Tub & Shower, Second Floor -Tub Access ------------------------------------------ 21. Gas Pipe: Size & Anchors Date Card B71 Date Card B-1 ------------------------ ----------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection - - ------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------ - --------------------------- ----------- 24. Size Boxes & No. of Conductors-Stapled ----------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------- ----------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ----- - --------------------- ---------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor SizerGF1 -------------------- ------------------------------------------------------- 28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size i ! ga. Cu or Al ----------------- ------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes- -- --❑ No ------ -- -------------- 30. Service -Riser Conductors & Ground -Main Disconnect -------------------------------------------------------------------------------- 31. Equi p_Clearances Panels -Motors -Meth. Equip. ----------------------------------------------------- ------ 32. Clothes Closet Light -Shower Light -Spa Light ------------- 33. ---------- 33. Smoke Detector ---------------------------------- ---------------------------------------------- Date Card B-1 Date Card -B-1 -Date ---------- --------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h's 34. -.A. -C.- Ducts Insulation & Support ------------- ---------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ------------ ---------------------------------------------------- ____________ 36. CondenFate Drain & Overflow: Size & Grade 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------------------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------------ ----------- ------------- ---- -------- - Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's --------------39.sProper Material & Anchors - ------ ----------------------- ------------------------------------ 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - - --------------------------------- --------- - 41. Bearing Walls over Girders & Floor Nailing - - --- ------------------------------- -------------------------- ------------ 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub --------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing ,ingle & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------------- --55.- Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walts-Ceilings 60. Infiltration -Walls -Windows ----------------- ------ -----------------------Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's _______ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting --- ----------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------ - -------------- 67. Stairs & Rails 68. Fireplace or Stove: Clbarances-Hearth -------------------------- - 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire _Door: Swing -Landing -Closer - -----------73.-A.C. Duct in Garage -Damper ------------------------- - - 74. Wtr. Htr.. Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meeh. Protection --------------------------------- 75. Plb.. Elec. & M_ech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------- --- 77. Insulation -Foam -Looked in Attic ❑ Yes -------------------------------------------- Guard-Rails ------------GuardRails & Deck -Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld. Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------------- - - - ------------ - - 81. --- ------------------------81. Stucco: Brown -Finish ----------------------- -- - 82. A.C. Unit: Disconnect. Electrical, Plumbing ------ -------------------------------- 83. -------- ------------83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - -- -- --------------------------- ------ - 84. Water Well; Disconnect, Electrical, Plumbing --------------------------- P 9 -- _85.-Exterior-Elec.-Tri-m: G.F.I. Receptacle- round 86. Ventilation Throughout House - - -- - - ------------------------------- 87. Glass Protection - - - - ----------------- 88. - ------- -------- 88. Corrections from Previous Inspections ---- ------------------------- ------------------ 89. Gas Test -Meters Tagged; Gas -Electric -------------- 90. Water -&-Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates - ------ ------------------------- Date --------- ------------ Date Card B-1 -------------------- Date Card B-1 -Date------.-------Card --1-- Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 \�� \ � COUNTY OF BUTTE \� � DEPARTMENT OF PUBLIC WORKS z 196 Memorial Way, Chico — Phone: 891-2751 4 ' 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE k1n 11 & S r2 7 Z OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0 44.12 t9'e-A �J G lz1 J it LJ r ✓%J z V V'Q q. b art, Date Inspector r� q. b art, Date Inspector MOBILEHOME INSTALLATION ACCEPTANCE i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE' .R OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 538-754i' PERMIT N0. 11 Address or location of mobilehome 6Y/ Owner's name C A( A/Q 4,Cc Owner's address��/ u Insignia or hud number 5C1- 3 2 ,J Manufacturer's name 1/ n A— / Serial number of V.I.N. I'L3 10 Year of manufacture ! 6PrLLI'-7AII) 1131 5) - (.Official Approving Installation) (Date) 'r IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller,Qalifor.n.l:© 95965 - Telephone: 916/538.7541 APPLICATI0P AND- PERMIT PERMIT N0. ^ � ASSESSOR PARCEL NUMBER 069-380-039 ZONING BUILDING PERMIT OWNER TELEPHONE SQ, FT. OCC. BUILDING VALUATIO OWNER'S MAILING ADDRESS 6494 FTR PARK MAGALTA CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 3049 ESPLANADE CHT120 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A494 PTR PARK MAGAT.TA Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehomen Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities q Installation❑ Other ❑ Describe work: REPLACE METER PER FT—R-9—D.AMA= Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LE LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 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. L, Ly� License No. �2� �� 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- ontract- ors. ors.(Sec. 7044) ❑ i am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.ad OR ACDNS. (ACC. BLDGS. , q ft �z2sea NEW CONSTRES'.. U NCH TLETCIRCUITS) NON •R ESID BRANCH CIRC ITS 2,50 ea (POWER APPARATUS e� SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20e50a5AL@30 FIXED APLNS.❑ Ex. Occup. OUTLETS P(RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 MIN 2.50 Permit Fee $ 25.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information ' is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitie�Z�dgmes,sts, and a nses which may in any way accrueagainst gue na granting of this permit. X Date `� ,� gnature Applic — Owner❑ Contractor Agent ❑ An OSH permi is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 E HAz. CUA PARK scHL FLD PAR PD ) HD. ISSUE This permit is hereby issued unaer the applicable prov - sions of the Butte County.Code and/or resolutions to do work indicated a ve for which fees have been paid. R. TO ELIC WORKS �Z-71� By Date PERMIT EXPIRES/Date—f.�� Receipt No. Q)6794 25 00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ao -r.. ,- `�!'a• w-.r.r.r ..w.-.r•x'Y�'Y.A r•ti. �;.+1rw w. r ..-.�.. • \ Z - !4 COUNTY OF BUTTE - D�PARTM T . .-,' UBLIC WORKS -BUILDING DIVISION` 7 COUNTY CENTER DRIV OROVILLE, Q.- twb'RNIA 95965 - TELEPHONE: 916/538-7541 l Q% PERMIT APPLICATION DATA SHEET j h1_9 / //��J ,�Jn yPermit No. OWNER �%(� 1 l /� /</�C / S �G A. P. No.�-- Proposed Building Use If1p Ae11 Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ............... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation 1 - instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid . .......... . 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: , 18. Improvements may be requilee .-diDntact Land Development Section DPW. 19. Driveway permit (construction approval required prior to occupancy) jG 20. Pre -Inspection fori i(•P_ OAMR-Cryrequired ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. € 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement 25. Letter of signature authorization .............................:.... . 26. 27. When you issue the permit, process as follows: Mail to owner. -Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other A p p I i t .Date Z !� Copy of Haz-Mat form sent Health Dept. it Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. ` 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---Mai by _ .date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONING 06$ -380 -GL35 BUILDING PERMIT OWNER n pp//�� /feRll5 TELEPHONE e7,3 -31-->6? SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6 y 94, r, el�lr fes- CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING 3301/0�C /�N�bf 014,?0 CA Fireplace CONSTRUCTION LANDER) UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILIN/GVADDrDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �9,� �•�2 ir'/1 A45,4A e^ Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome&�' 'Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition Remodel❑ Utilities Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 °OOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 _7 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST, I DWELLING OCCUP.ei OR ADONS. ACC. BLDGS. , 2h2sq it NEW CONSTR MULTI -OU _T NO N.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20030t eALa3o FIXED Ex. Occup. OUTLETS (RESID,)REALNS. OR .� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 Z,S'L Permit Fee $ AS -ot.-:;, Contractor 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. ❑ Ishall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ I Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ O� HAz CUA PARK SCHL I FLD I coF PAR PD j HO. ISSUE This permit is hereby issued unser the applicable provi- sions 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 PERMIT EXPIRES Date nn3/!stories Receipt No. 791 "�%�) � 7fD .HITE-o.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT AUG 05 '91 01: 51PM HT,:::T FH S: 9015PF.. s soro? Ar, woo OZ C� n` r - COUNTY OF BUTTE - DEPARTMEN`n LIC WORKS % 7 County Center Drive - Oroville, California 95E' phone: 916/538-7541 �( APPLICATION AND PERMIT PERMIT NO. C�-72.6 A �- ASS OfidP�EL NUMBER ZONING RMH BUILDING PERMIT ow ARLIE HARRIS TELEPHONE 873-3158 SO. FT. OCC. BUILDING VALUATION OWp16*tffL6r ADDRESS STERLING CITY 95978 COr?I, VffiPe HOMES TELEPHONE COL'TRACTlO1'SLMAILING ADDRESS M3042 ESPLANADE CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B"t=G PgVVARK MAGALIA Permit fee $ 25.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 130 SUBDIVISION NAME PARCEL MAP 35-28 Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex[] Mobilehomeal Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationU Other ❑ Describe work: MHI EXISTING SITE (REPLACE FIRE DAMAGED MH) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 1 OR ORSLESS 10.00 Main service EA. ADD•L 100 AMP 2.50 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 Professiio�og�ssCode ) and j ymy license is in full force and effect. License No. �jL �(�j Classification. /�— 7 ca ❑ 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 oR ADDNST ( DWEACCLLIN GS.CCUP.. I y22sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC TS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eA ALO EX. Occup. OUTLETS FIXED P(RESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgm costs, and ex nses which may in any way accrue against s ou in onse uen a granting of this permit. %� Date CJ �U' Signature Applica — Owner ElContractor Z�iAgent E)work An OSHA 'permit s required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE . TOTAL FEE $ 70.00 E HAL. can PARK scH4 v FLD _ PAR j HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do indicated above for which fees have been paid.F P DI T OC WORKS By Date PER IT EXPIRES ate L� Receipt No. 97113 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT'rOf`PUBLIP .WORKS -BUILDING DIVISION ' r 7 COUNTY CENTEa DRIVE'- OROVILLE, CALIFORNIA 95965 - TELA NE: 916/538-7541 PERMIT APPLICATION DATA SH ET Namit No. p - OWNER_ l _l�ILY t'� 1 P / V II rIS A. o. - o Proposed Building Use S�it Building`I`lispector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 11 DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans inRin2plicate/triplicate, triplicate, signed by preparer of plans ........ 3. Complete plansigned by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... ' 12. Park fees paid .................................................... 13. School District fees paid .............. ��a ,_vaI from Health Department 15. City of Chico plumbing permit ....................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... u: 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) t 20. Pre -Inspection for Zrequired ... Pre-Inspec. request to Building Inspector (Date, 21. Contractor's license information (No., Name Style, Classification) ... 22. Certificate of Workmaris Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .. ��• —Recorded copy of Agricultural Acknowledgment Statement ......... - "9 25. Letter of signature authorization ................................... 26. 27. When ou issue the permit, process as follows: Ma•I o owner. Mail to contractor.' Telephone !K l- d hold for pickup at an p' p Qoffice. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept' air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be.submittedr to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. s 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by :.date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Copy—DPW Date °l Pla6s approved by W Date Sets of plans on hold in File cabinet AP folder TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: .eJ Water Supply Clearance for -bedroom mobil home. Other NOTE *** Sanitarian Date a TO Buildina Department t�cruvi FROM: Environmental Health SUBJECT: Sanitation Clearance caner Location AP# Plan A .pxove� o, Sewage Disposal r/ Water Supply .old final for:-�-�6-�'� Water Supply Fin r-a--nze O.R. for: Water Supply Clearance for —j— bedroom mobile home. Other no- - P Sanitarian/ -7- 30 Date r r= Z �� STANDARD All windows trimmed 20 lb. roof load SunPointe tri -color exterior Cathedral ceiling throughout 30 gallon gas water heater Vented range hood Removable hitch 12" side eaves on all 26' wides Attic ventilation Molded mirror in both baths Recessed medicine cabinets - both baths • Three professionally designed decor selections Hardboard siding TT H,q E E RR Shingle roof R14-7-7 insulation (The higher the R -value number, the better the resistance and effectiveness of the material.) Base shelves in cabinets Cottage front and rear doors Porch lights front and rear Gypsum walls throughout Carpeted in LR, DR, all bedrooms 15 cubic foot double -door frost -free refrigerator P.O.S. vent systems Crown molding on kitchen cabinets Back panel kitchen overhead cabinets Note that square footage is measured from exterior wall to exterior wall, and is an approximate figure. Length indicated in floor plans is floor length only. Renderings and diagrams are meant to be representative and, in keeping with Fleetwood's policy of constant updating and improvement, may vary from the actual home. All dimensions are nominal. Ask your retailer for specifics. (Add four feet to arrive at transportable length.) PRICES AND SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE OR OBLIGATION. OPTIONS Full house insulation Dual pane windows Dishwasher Garbage disposal Inswing front and rear door Sliding glass door Deluxe upgrade carpet 1/2" rebond carpet pad Skylight OTHER OPTIONS AND FEATURES MAYBE AVAILABLE. BE SURE TO ASK YOUR RETAILER. • Sui iucint- BY FLEETWCOD. SunPointe Homes are built by: FLEETWOOD HOMES OF CALIFORNIA, INC. a subsidiary of Fleetwood Enterprises, Inc. 18 North County Road 101, P.O. Box 1308 Woodland, California 95695 (916) 662-3223 Sivn7/DEc90 w 4 ,i5, , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCELNUMBER 0(05— �$ b 0 35 ZONING BUILDING PERMIT OWNERC-arlr`,tJ L H�9 ��15 C-14-10 LEPHONE �13�3i5$' SQ. FT. OCC. BUILDING VALUATION OWNER•SOA ADI LING_ ADDRESS 106 stat -A l�''•'�f'T+ COTRACTOR'S NAME �� TELEPHONE LING c-s-OL47- R t51Q1.AAYt� ADDRESS CH I.C-D Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS 'LICENSE Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ B U I L C(I N4Do Ess i� K Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other / < SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ R mode/I [I Uti li es ❑ Ins/AlationN Other Describe work: l aC� i i, Q— /Ja Permit Fee $ w Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMS P ORLESS 10.00 Main service EA. ADD•L 100 AMP 2.50. 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 Profess n Code and my license is In full force ^and effect. License No. O ® Classification e ^4 1 �— ❑ 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 CONST. / DWELLING OcCUP.iw) OR ADONS. \ ACC. BLOGS. / , /20sgit NEW CON STR. U TI -OUTLET N ON•RESID BRANCH CIRCU ITS 2.50 ea /POWER APPARATUS e (POWER OUTLET CIR. EX. OCCUp�OUTLETS OR FIXTURES SAL@30 FIXED PREA.� Ex. Occup. OUTLETS (RESID ) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 agai id =ountyin consequence of the granting of this permit. X \ ` Date Signature of Applicant - Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE AL E TOTAL FEE $ �� , i�O HAZ CUA PARK PAR PD HD ISSUE This permit is hereby Issued under sions of the Butte County. Code and/or work Indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date r33 Receipt No. / Q11,3 WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT in -, f, -,i n til I AUG 05 '91 01:51PM AT&T FAX 9015PF + 1A0 .0 f; Set o1qrn a"jj IST h On c os +. Ind wv 4:itcn9 -'s or O ,ns Or Wriffer, l perMISSjon f , scma w4houf Work:,CoUp i*crn the Deparfrnenf of Public fy Of BUffe. A setback of 5 ft. from the Property lines and ;i setbad,, Of Wit. from the road , centerline shall be clear of structure=s or equipment except Fc* a 2 ft. eave'overhang. -t c-Cem 4 all eaewwiz AP PAO - VAN 11:,o in thn I 'Cel j WOO 'R 07Z&- 9) �YlSnN6 CITL taum I -V Vpft V R,AV%AMON tA14 e-4-1 J'A-/:q/ RA BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA .PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name:. k 5. What 2. Installer s Name: Amps 6. What is the mobilehome site service rating? ------------- Z El. 7. 3. Is the site' currently 'under permit? Yes No:- Amps 8. Is there any other electric load to be served by the (If yes, furnish permit number ) OR Yes No Elmobilehome Is the site an existing site? site service? -------------------------------- Yes No (If yes, furnish two plot plans.) (If yes, identi:fy'the load and size: (Load) 1 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach 9. What is the mobilehome site -gas i pipe size. -------------- P ? '�� fields and clear of all setbacks and easements? Yes No ------------------- (If no, clarify .10. What 5. What is the mobilehome electrical rating? --------------- Amps 6. What is the mobilehome site service rating? ------------- Z Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the Elmobilehome site service? -------------------------------- Yes No (If yes, identi:fy'the load and size: (Load) 1 (Amps) 9. What is the mobilehome site -gas i pipe size. -------------- P ? '�� (in.) ------------------- Natural F] LPG .10. What is the type of gas service? 11. What is the gas pipe length from meter or tank to the ✓ mobilehome? --------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6.ft.,on �� natural gas,or less than.50 ft. on LPG.) MOBILEHOME -SUPPORT DATA Page 9 If other than single wide Mobilehome Mfr. �t-��W�)� furnish Setup Model No. :tq"O Year Width Z� (ft.) Box Length 4� (ft.) Tagalong, or Expando Size —� ft. x ��- ft. (sow sm,POIZ'r DErA11,S BL•'LOW) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Yuba). TYPE OF SIDING: All center supports measured from front of TYPE OF ROOF: mobilehome unless otherwise specified. Footings (check one) Single �?1. Wood either pressure treated or foundation grade. U (ft.)(in:) x (in.) (in.) 2: Other (specify) enter support locations* Center support footing sizes Supports (check one) (in.) 1. Concrete block. 2. Other (specify) (in.) (in.) (ft.)(in.) (.in.) (in.) 1 :1 (ft.)(in.) (in.) (in.) OI . L X_J (ft.)I.(in. ) (in.) A 'If center piers are other than drawn above, tagalong or Expando, show support details. f Z x 34 -- Typical. Support (in.) (in.) Footing Size d Max. Pier Spacing (ft.)(in.) 9 M(in.4) Max. Overhang ft.) �;yr�A /�LTAA�V 08/01/91 09:33 FLEETWOOD HOMES WOODLAND CA 4 1 891 8753 001 E', MODEL: DOUBLE WIDE PIERING WORKSHEET (c,--�AA%A-0-T) - PSF ROOF LOAD PLANT'.. - •DIMENSIONS ARE FROM FRONT OF UNIT. x•S-129 uea SEE PERIMETER PIERING SEE NOTE REQUIREMENTS TABLE �-------SEE MATING LINE PIERING TABLE FRONT OF SEE PERIMETER UNIT PIERING RE13UIREMENTS.TABLE NOTE: SEE PIERING PLAN AND PIER LOAD CAPACITY DRAWINGS FOR R801JIREMENTS OF MAIN RAIL SUPPORT CAPACITY AND FOOTING SIZE. MATING LINE PIERING TABLE" RIDGE BEAM INITIAL POST 1ST INTERIOR 2ND INTERIOR 3RD INTERIOR 4TH INTERIOR STH INTERIOR REAR WALL POST LOCATIONS AT FRONT POST POST POST POST POST POST PIER CAPACITYD IN LBS. p23 -/3 y g�/ O MINIMUM ONE PIECE FOOTING WZE " X j4 X MINIMUM FOOTING WITH 16'X16'PADS L �OLt6L QLti4cA ��A,8 j 0 73-/ / yjyi � _---— `NOTE,. Foot/^nnqq sizes based on 1000PSF -0Il bearing value. If soil conditions differ see the Pier load Capac4 drewing or the Home Technical Installation Manual for method of calculation. PERIMETER PIERING REQUIREMENTS TABLE PIERS REQUIRED DOORSIDE WALL* ROADSIDE WALL' JAMB STUDS AT DOOR OPENINGS AND AND OVER 48' MASONRY FACED FIREPLACES IN �> OVERHANG GF FLOOR PORCH POSTS AT RE. CESSED S'WALL WHEN POSTS EXCEED 42' HEAVY APPLIANCES IN OVERHANG OF FLOCIA •DIMENSIONS ARE FROM FRONT OF UNIT. x•S-129 uea t W C W I W A d f m CAT. 50 A (11— 4 IV-6s,�J TICOR T E&�RA. NCE TO 1950 CA (11-84) (Witness— Individual) STATE OF CALIFORN COUNTY OF On/ / befo me, the undersigned, a Notary Public in and for said State, rsonally appeared personall known to me to be the person whose name if subscribed to the within Instrument, or proved to be such by the oath of a credible witness who is personally known to me, as being the subscribing Witness thereto, said subscribing Witness being by me dullsw-orn, deposes and says: That this witness resides in lA*'nie„ ::.......:............ r`it a OFFICIAL SEAL and that said wit nes was�pyesent and saw `sL JOYNER' NOTARY PUBLIC —CALIFORNIA ', �� PRINCIPAL OFFICE 1'N personally known CO said witness to be the same person described in and whose name is subscribed to the within ``': '"'� BUTTE COUNTY ' and annexed Instrument as a party thereto, execute and : MY C0Inrn1SS1Gn Expifes Oc cib-3r 18, 1991 deliver the same, and that affiant subscribed his/her name to the within Instrument as a Witness. WITNESS my han n fficial seal. END OF DOCUMENT Signed (This area for official notarial seal) 0 to o� 4-0 C40' `' 4 All that real property. situate in the County of Butte, State of California, described as follows: ~ State of California, described as follows: Lot 130, as shown on that certain map entitled, "SIERRA DEL.ORO ESTATES UNIT' N0.3", which map was filed in the office of the Recorder of the County of Butte, State of California, on June 3, 1968 in Book 35 of Maps, at pages 27, 28 and 29. EXCEPTING and RESERVING THEREFROM all of the valuable minerals beneath the surface of 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 land will be protected against damage and that all mining shalom be carried on from tunnels, shafts or drifts .having their orifices outside the surface area of the above described realty, all as excepted and reserved in that certain Deed from the 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. ,Date: State of ) SS County of ) PROPERTY' OWNERS: C�,���.J�-- i� • Cdr - �Yt On this the day -of , 19 before me, the undersigned Notary Public, personally appeared E] Personally known *to me. F1 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. �7�.5 c3go-©3,S Notary Public -32219 Wieturn to DPW AGRICULTURAL SfiATEIMT OF ACUTOWLEDGE`ffiNT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. I ----- , The property described herein is adjacent 91-032219 1 Rec Fee 7.00 to land or included within an area zoned I Check 7.00 for agricultural purposes, and residents Recorded I of this property may be subject to incon- Official Reeorde I veniences or discomfort arising from the County of ouutt use of agricultural chemicals, including, a I but not limited to herbicides, pesticides, Candace J. Grubbs I and fertilizers; and from the pursuit Recorder I of 'agricultural operations including, 9:47am 6 -Aug -91 I XX 2 but not limited to cultivation, plowing, spraying, pruning, and harvesting, -which occasionally generate dust, smoke, noise,<rand odor. Butte County has established agricul- tural zones which have as a priority use',fo? 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. 4 All that real property. situate in the County of Butte, State of California, described as follows: ~ State of California, described as follows: Lot 130, as shown on that certain map entitled, "SIERRA DEL.ORO ESTATES UNIT' N0.3", which map was filed in the office of the Recorder of the County of Butte, State of California, on June 3, 1968 in Book 35 of Maps, at pages 27, 28 and 29. EXCEPTING and RESERVING THEREFROM all of the valuable minerals beneath the surface of 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 land will be protected against damage and that all mining shalom be carried on from tunnels, shafts or drifts .having their orifices outside the surface area of the above described realty, all as excepted and reserved in that certain Deed from the 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. ,Date: State of ) SS County of ) PROPERTY' OWNERS: C�,���.J�-- i� • Cdr - �Yt On this the day -of , 19 before me, the undersigned Notary Public, personally appeared E] Personally known *to me. F1 Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. �7�.5 c3go-©3,S Notary Public BUTTE COUNTY DEPARTMENT OF HEALTH . DIVISION OF ENVIRONMENTAL HEALTH . SEWAGE DISPOSAL. PERMIT. 196 MEMORIAL WAY 7 COUNTY CENTER DRIVE CHICO,.CA�:IFORNIA 95926 747.ELLIOTT ROAD ORO OLINT CALIFORNIA 9 E 965 Phone: 891-2727 PARADISE, CALIFORNIA 95969. Phone: 872-6308 Phone:. 538-7281 Date Issued EXPIRES ONAA"RFROI DATE OF ISSUANCE Permit Issu To construc Located at: SEPTIC TANK SYSTEM REQUIREMENTS Septic Tank (Inside Measurements) Leaching Field t Length. .. ft. Total Length:. ���, ft• Width: J� ft'.. Trench width:. ,�:-(: niches Liqui ' . q � • .. ft. Minimum No. of lines Li capacity: . . . . gals. Rock under the inches Special conditions: Additional leaching field will be required if experience shows it to be .'necessary. No part of the system may' be located within 50 feet of the center line of. -any County Road. NOTE: Satisfactory inspection. by the Health Department is required before backfilling or putting the system into use. Occupancy of a new building is not permitted until the system is approved. Permit. Fee $ S.- c Penalty Fee $ 1k Total Fee.$ _ -�� _ Building Sewer Fee $ Issued By: �C( S Itariant p Receipt No. ! 3--Sbb S31 -278R -AUG 01 '91.12:15 CDF-BUTTE Thu Aug 1..43.v 1.9t42 1991 PAGE I of 4 FC�I�(.091,) DEPARTMENT OF 'FORESTRY AN R E PROTECTION.'PIRE REPORT Status CA Years 1990 Incident #v BTU -007584 Fire #a 00992 '.Exposure #o 000 Fire Name C MC CANN - FDID a 045551 DF, BUTTE COUNTY Statee CA CALIFORNIA Order Agency/#i BTU -0075e4 Protat Respi 1.1 pSTATE ZONE-CDF DPA, ., STATE Years 1990 Mutual 1 0 # AUTOMAT I C /MUTUAL. AID NOT REPORTED Situation Found #it 12.0 ,FIRE" IN MOBILE PROPERTY WHEN USED AS. A STRUCTURE Situation Found #2; Situation FoUnd 031 Situation Found #4: incident Address Locationa 6494 FIR PARV# DR., MAGALIA Rm/Apte' Zip Code : 95954 Census a 0017-00 Temp : 45 Dispatch Levrli Weather I sCLEAR Code: TE ,TENANT NAMe(LAStj First Mi)o MC CANN, ALLICE Addre 6494 FIR PARK DR. Rm/Apti Citys MAGALIA Statet CA Zipcodai 95954 Telephone Number 1.(916)873--4011 Codes Name (Last, Fir -at Mi)e -Addri • Rm/Apti Cityl States Zipcodeo Telephone Number t 1/4 Sections NW Seca 24 23 N/S%.N Ranget.03 C/Wi E -Base/Meridiani iN jMT..DIABL0 Response Areas V2 Battalion 1 01 FHSZ p 12009.14 Prop Mgmt- i I ,PRIVATE T0 -PAYING PROPERTY General Property Use j 41 ,ONE- OR TWO-FAMILY RESIDENTIAL ,USE Specific Property Usei 411 pONE-FAMILY DWCLLINGi YEAR ROUND; USE Building Code i R'30 ,DWELLINGS AND LODSI NIB MOUSES Struc t%Aire --Status 1 2 .91N USE W/FURNISHINGS.IN PLACE,'.:*.PROPERTY. FEIN© t J, Occupied v I STRUCTR OR VEHIC OCCUPIED-AT:.',TIME OF INCIDENT - Mobile '. Propfir, ty,MOBILE u,17 HOME,, MOBILE: 8L1ILDING*.`1:.: ;� i.c.'_^W:+yilr'.^.�,w...,c.•wr-•�e{w{tics.`��'UP 7 'ilk'SW+Y.r�rra�-��.'Pc�+l�'w+aa-�ra�yy►...^t*.�+ a6s^vv+^ r —.w r BUTTE COUNTY SCHOOLS -DEVELOPMENT FEE CERTIFICATION FORM (One Form per Buildinfg) A.P. Number --?j "0�jS' Building Department No. School District G�.t.Q�� City []D " -'Jurisdiction ! jurisdiction Property Owner 10 Project Location/Address Lp� �UL O-Aj � ,QLa Subdivision Lot Number Residential Development: Eal" Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: O Sq. Footage New Addition (Including Exterior Roofed Areas) s.,. Building Department Representative Date- . 1 .. („Floor. -Plans reviewed by School District Personnel) District School District certifies that City. to 0 M has complied with the r �direments of Resolution No. by the payment o representing square feet. Sdhool District Representative Oath PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) s CKYi77.+C:���.T^�rw-v.a.ir,� .�,./,,.<.. Y.,�►• a .. •+`, 7� .. .. :�' .moi ,.��•' r+ ." � - *,��.:�-,`i`ti::.,,.. 1 "'„_ 33i._0nry 5'; ' S►n"""'rSY9tP71s, < ;awecr•wvrw ?"1f� r •►°; i ..ts COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R IT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 Y6 11 APPLICATION AND PERMIT- ASSESSOR PARCEL NUMBEF��N�/ , S �I ` BUILDING PERMIT R a / ep A e TELEPHONE (7 SQ. FT. OCC. BUILDING VALUATION OWNER `.'_S MA� NG ADDRE --�-j / G I�' a r N- A .�,a CONTRACTOR'S NAME © W TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS \� Permit Fee $ ARCHITEC-,i„OR ENGINEER LICENSE NO. Plan Checking Fee $ Ener Plan Checkin Fee $ Energy g ARCHITECT QR EN'GINE.ERTILING ADDRESS %,—' � "I _ � Penalty $ BUILDING AD RESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 M Q f G Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME rARI:EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF❑ Duplex[] Mobilehome�1( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 f _.....— Building sewer 5.00 Mobile Home ISI G W O.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 4 Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 3, �' 4 J Main service- s00v OR LESS 100 MP OR LESS 10.00' A Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LI I declare under penalty of perjury (check one): ElI am licensed under provisions Of Chapt. 9, Div. 3of the BuslnesS and Professions Code and my license Is In full force and effect. License No. Classification 1, 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) Q ❑ 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 CONST. ( DWELLING OCCUR.&\ '�2QSgft NEW OR ADONS. ACC. BLOGS. // NEW CONSTR.MULTI-OUTLET 2,50 ea NO N.RESID BRANCH CIRCUITS (POWER APPARATUS 61 SINGLE OUTLET CIR. I Ex. Occup( OUTLETS OR FIXTURES eAL0z0e30s0c FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Iyirin 15.00 9 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any, manner so as to become subject to the W. C. laws of California. Notice to Applicant: If sifter making this statement, should you become subject to the W. C. provisions o the Labor Code, you must forthwith comply with such provisions or this permit hall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have readis application and state that the above information is correct. I agree to comp) to all County Ordinances and State Laws relating to building construction, an hereby authorize representatives of the Countyot Butte to enter upon the abovkmentioned property for inspection purposes. I also agree to save, indemnity nd keep harmless the County of Butte against all liabilities, judgments, cost•$ and expenses which may in any way accrue against.said_C unty'inn conse uil ce of the granting of this permit. X{ ! `-� I Date i ` Signature of Applicant — Owner Li N, Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 t 'e 'n height. Mobile Home Installation Fee $ Energy Inspection Fee QR $ occ CONST TYPE n"'^ TOTAL FEE $ HAz I CUA I PARK I. I FLD I PAR 7D 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 aid. p DIRECTOR OF PUBLIC WORKS By AIZ& i03:e� Date —j�✓ ^O l PERMIT EXPIRES Date ��! w �(•/ Receipt No.0yo WNITE-D.r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT {w�'3^°vl�'3v�f.�,��"•i}"�,�7�+�{r,;�"'-+,�f;�:^,".'p""ts"`"'rdJ: ., . r. .�! w.� t`°G • —� . +:;+.•: •�d��i{( �i..�'2`,w�s;s x �,;... .... GAs ,�G rlAe COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO'v , ASSESS RCE U ERZ07, - S ING Ir ,P BUILDING PERMIT OWNER_..--� ^4e O V` c �f H^ �-73-116 T LEPHONE S! SQ. FT. OCC. BUILDING VALUATION OWNER,SS MAILING ADDRESS CONTRACTOR'S NAME . v _ e r-- C10 T E L E t.F30NE CONTR TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AODREs$� Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 a Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PA EL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF4 Duplex[] Mobilehome;K Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Othery Describe work: r oG 1 �a j U _ "p- 41e �aS� _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10 Main seNice 100V OR LESS 100 AMP OR LESS 10.0 Main service EA. ADD'L 100 AMP 2.50 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 CONST. DWELLING OCCUP.& ( OR ADONIS. ACC. BLOGS. , �20sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES eALO 30 FIXED APP LNS. OR EX. Occup. OUTLETS (RE SID .) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /S - Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cos s, an expenses which may in any way accrue against. saidCCounty ip c se enc of the Ating of this permit. �--� —J X y Date Ti Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- `ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE t./ TOTAL FEE $ HAZ CUAISsuE PARK[�R PD HD This permit is hereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXP RES Date_-- the applicable provi- resolutions to do have been paid. WORKS _ x�,r�i Date -04 . -u - I S./ Receipt No.01S WNITC-D.P.W., YELLOW-A55[3SOR, PINK -INS P E CTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE �a DEPARTMENT OF PUBLIC WORKS + ` r 196 Memorial Way, Chico — Phone: 891-2751 Zfi 7 County Center Drive. Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE I_rl-AA � OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. L-;rl �:2Rv czc�LC1 LICA M N'N '1 -GST 0•.T N tN (Z -M 1t A V)n \I FT Inspector d Date P "20°-8 i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 r 7 County Center Drive, OroviIle— Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE LEM le-rz-(eA DWNER PEA A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. i- SGcr�rzlY Ec�tictl2ie 51 2✓ICC IZ- C- TO Po c,6 2 - TE2M�nIR r r21srE2 w 2[-s U!1 rr( f}�✓r—/ Co9rZ01on/ /-ynArgta14c., 3- SrAA-g:. G2o,,&M WI217 7-6 P0 Q- I/,1STAus- agAt", r'12d,J7- c60C2 e -J Pr vg( Inspector Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 s APPLICATION AND PERMIT SSOR PARCEL NUMB E� ASSEAf NM BUILDING PERMIT o TELEPHONERS SQ. FT. OCC. BUILDING VALU ION OWNER'S j.AAING ADDRE VN-, CL CONTRACTOR' S NAME O TELEPHONE CONTRACTOR'S MAI ING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING AD KESS I� a Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 }� CL 01 a Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ARCEL MAP I r Water piping 5.00 Each qas water heater or vent 5.00 USF STRUCTURE SF ❑ Duplex[]Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 f — Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Describe work: .✓ u _g Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 100 AMP ORSLESS 10.00 Main Service EA. ADD-[- 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Bus mess and Professions Code and my license is in full force and effect. License No. Classification 1, 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 CONST. DWELLING OCCUP.d OR ADDNS. ( ACC. BLDGS. , 2/z¢sgft NEW CONSTR. ULT '-OUTLET NON.RE." BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20®306 eALaao FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, in mnify nd keep harmless the County of Butte against all liabilities 'udgm s, cos and expenses which may in any way accrue agains i conse nce of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor EJAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over.3 height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE +►� �`^ rte_ TOTAL FEE $ HAz CUA PARK SCHL fLD PAR PD Ho ISSUE This permit is hereby issued under the applicable provi- si��s of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS /��//��I, � '7� By ,�LLa& � Date PERMIT EXPIRES Date -Fig Receipt NO. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r _ 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT N0. ^ ASSESS R RCE U ER - .l J S Z I G �il P BUILDING PERMIT OWNER n 'Ck .c N^ T LEPHONE _ 7 � SQ. FT. OCC. BUILDING VA ION OWNER'S_MAILING ADDRESS CONTRACTOnR-'S,NAME w V �. TELEP ONE CONTR TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS ------- — Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING Ae ES$� �r f. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 t t� Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PA EL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF4 Duplex[] MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition❑ Remodel[] Utilities❑ Installation❑ Other Describe work: 1 w car ft Q A o C7 ��•Pr �aS_4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10 Main service 100 AMP ORV ORSLESS 10.0 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSlness and Professions Code and my license is in full force and effect. License No. Classification Ir,""� `t,(J 1, 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 CONST. DWELLING OCCUP.& Zh�Lsgft New DONSTFL A 1 ULTB OUTLET N ON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. p OUTLETS TLETS OR FIXTURES Ex. Occup( 20@50t eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IVirin 9 15.00 /57—PLPC /S Permit Fee INC 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. Noti to the 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 9 Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, c s, a expenses which may in any way accrue agai aid ount i enc of the ing of thispermit. �{ X d' �7 \ Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAZ CUA PARK SCHL FLD PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY "4Z PERMIT EXP RES Date_ the applicable provi- resolutions to do have been paid. WORKS Date V Receipt No. ' WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department.o.f Public. Works 7 County Center Drive, Oroville, CA 95965. Phone: 916-538-7541 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 in 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 theproposed property improvement (yes or no) Q� 2. I (have/have not) signed an plication for a building permit /for the proposed work. r �! I have contracted with the following person (firm) to provide .the proposed 'I construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. will provide some of the work but I have contracted (hired) the following persons to provide the work.indicated: Name Address Phone Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.