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065-530-030
AP 5&-99-91-91 WILLIAM WILLIAMS s -w s--ooutolenc -Rd.-;- app:• L�mi.-N� -o Doon Grade Rd., Paradise Permit# 856-75P,E(l til., MH) ELEC. (�- -7 ` GAS - 6 S 7� ► ., SUPPORT STRUCTURE REQ.''' -fin; ` COMPACTION TESTREQ.;} _= Ke C"ONTR: Curley' s Trailer Towing, • Oro. i Permit# 217.x,-75MHI �yLr Issued b - %s -S =7-5- } y Perm#29 5 (new awn'n s & v- e {� 4 ��»�j92-y1228B,E +t" HAGUE, - Doug.las ,,y�;" '`�.s`. 4; e ;-15218 Rain ;Forest Ln;. Magalia ... 'anew agar;ge Y=•:'�' .� f at -' v„ �,r,� i,Y�y �tr s� ,'i.��'jy'tl�,�i tay � t' ;/, � 'yf !��✓'i.r ?Er: + *. a .. �.,.'k�•� _, r +'y�,1 jWxs naY� - r, t ``..�Z . S 1 AP 5&-99-91-91 WILLIAM WILLIAMS s -w s--ooutolenc -Rd.-;- app:• L�mi.-N� -o Doon Grade Rd., Paradise Permit# 856-75P,E(l til., MH) ELEC. (�- -7 ` GAS - 6 S 7� ► ., SUPPORT STRUCTURE REQ.''' -fin; ` COMPACTION TESTREQ.;} _= Ke C"ONTR: Curley' s Trailer Towing, • Oro. i Permit# 217.x,-75MHI �yLr Issued b - %s -S =7-5- } y Perm#29 5 (new awn'n s & v- e {� 4 ��»�j92-y1228B,E +t" HAGUE, - Doug.las ,,y�;" '`�.s`. 4; e ;-15218 Rain ;Forest Ln;. Magalia ... 'anew agar;ge Y=•:'�' .� f at -' v„ �,r,� i,Y�y �tr s� ,'i.��'jy'tl�,�i tay � t' ;/, � 'yf !��✓'i.r ?Er: + *. a .. �.,.'k�•� _, r +'y�,1 jWxs naY� - r, t ``..�Z . S I : IC" Lcoh� " cm C." RESIDENTIAL 58-48-30 92-1228B,E j HAGUE, Douglas 15218 Rain Forest Ln,'Magalia new garage. f 0'Fl- e© u ia'� e7, C- JOB FINALE Signature J=OK O=Not OK Not Applicable MOBILE HOMES (' Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements-Setback`s=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: / P L" ft. / /"Nat. or/ /" L" it./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECXS, COVERS, CARPORTS, GARAGES, (Plans)OK ext:@pt #'s Z ing Req uiremehts-Setbacks-Easements 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. Car orfs; Windows -Doors lectric f8 rmg; Sils-Anchors-Studs-Rftrs-Trusses r9 ing; Nailing -Veneer -Stucco -Mesh 1 400f; Shthg-Roofing 64"Ext.; Steps -Doors -Landings Date Card B-1 Oe Date Card B-1 Date Card 13-1 Date Card B-1 Date"'POOLS (Plans) EK except #'s 1. Setbacks -Easements' 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 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. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 tl_ IV 5' AJn /n�,q,_jf C � 'J OK O = Not OK Not Applicable Ready RESIDENTIAL (Single & Duplex) =Not Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/n /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 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 #'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 B_1 -- Date Card B-1 ------------- ---- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'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. -------------- Equip. Ground made'up w!Mech. Fastners-Bond Gas & Water ----------------------------- 2 Appliance Circuts in Kitchen & Conductor Size/GFI -------------------- -- --------- ------------ --------------- 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or At -------------------------------------------------- ----- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ YesC1No ------------------------------------------------- 30. -Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------------------- _____ 31. Equip. Clearances Panels-Motors-Mech. Equip. - ------------------------------------------------ 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------- ----- --- - - -------------------- ------- -- 33. Smoke Detector ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------ -------------- ------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------- ------ --------------------- ---- ----- -- -------- -- 36. Condensate 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 #'s 39. Sils, Proper 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 Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rfir. ties-Purlin-root 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 -Walls -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 #'s 61. - Ext. Steps -Door & Sidelight Protection -Landings ----------------------- -- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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: Clearances -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 -Meth, Protection 75. Plb. Elec. & Mech. Equip. Listed for Locatioq 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ----------------------------------- -- 77. Insulation -Foam -Looked in Attic ❑ Yes ---------- ___ ----------------- ------------ --------- ---78.-Guard-Rails & Deck -Const ruction- 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 CINo ------------------ --- 81. Stucco: Brown -Finish ---- ---- ------------- -----�------- --- 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well: Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House -- ------------------------------- 87. - - - - - - ---------- ------ --------------- 87. Glass Protection _ ... _--------------------- --- 88. Corrections from Previous Inspections - - ---- ---------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric -- - - - ---- - - ---------------------- - ------- 90. Water & Sewer Connected -C/O to Grade -HDA Approval 91. Energy Compliance Certificate -Other Certificates ----------------------------------------- - - Date Card B-1 Date Card B-1 ------------------------------------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS t 196 Memorial Way, Chico — Phone: 891-2751 .Y 7 County Center Drive, Oroville — Phone: 538-7541 y 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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. w J d C4 //• /®A, Re j,-4 se eco. It Date ��V SL- Inspector Com'- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7% 7 County Center Drive - Orovik. q, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT IA ASSESSOR PARCEL NUMBER 58-48-30 ZrPNING TM 5 BUILDING PERMIT OWNER DOUGLAS A. HAGUE TELEPHONE SQ. FT. OCC. BUILDING VALUATIION 864 15,552 OWNER'S MAILING ADDRESS 6320 PONDEROSA WAY MAGALIA 95954 CONTRACTOR'S NAME ONT TER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total valuation I $ 15,552 LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ 142.50 ARCHITECT OR ENGINEERLICENSE DOUGLAS A. HAGUE NO. Plan Checking Fee $ 71.25 Ener Plan Checking Energy g Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 15218 RAIN FOREST LANE MAGALIA Permit fee $ 228.75 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other GARAGE SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W@ 15.00 TYPE OF WORK New � Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 1 1 -4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service ZOOA OR LESS 18.50 Main service 200A TO IOOOA, 37.50 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 .Jo. 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 OCCUP.&) 3.6Q sq.ft. NEW CONST. ( DWELLING OR ADDNS. ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) @ 5.00 POWER APPARATUS (SINGLE OUTLET cIe R. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76d FIXED APLNS.©' EX. Occup. OUTLETS (RESID,)REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ 45.00 — 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. cc 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 15.00 Heating Cooling g Hood 6.50 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, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. C� X �it/d— a , �� Date Z6 `� Signature pp ❑ 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEES 273.75 HAz 1 DFEES IMP I FLOOD -- COF PARCEL D HD 'ISSUE j/f This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated ab e for which fees have been paid. €- OR PL LIC WORKS Date � ` G2 � By PE IT E) IRS Date ' Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT __ I COUNTY OF BUTTE - DEPARTMIfN,T4F PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROt,tLLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPh,IC .ASN DATA SHEET -'- Permit No. OWNER l0n O U5 1,4-5 5Q y� 3O A. P. No. Proposed Building Use ,�s2 Building Inspector ('S.i Date Y_ C��it2-0' C�- 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 instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 3. School District fees paid .............. 14. Sanitation approval from A9,1619W, tee. Health Department 816)? fit} 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 required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required 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 Applicant '�42'&J Date L�,Z I/ a-©• `%, y 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 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_mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date PI_ans approved by Date itu 19-L Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orokllle, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 51F_ �- 30 SONINO ]' Ili BUILDING PERMIT OWNER TELEPHONE �O U C- (- /* �l��vG N0,4� FT. OCC. BUILDING VALUATION (S�O. , OWNER'S MAILING ADDRESS 63X0 A0111aCl?0.$ WV Y 4a/1C_Al Ct,r CONTRACTOR'S NAME TELEPHONE ' W CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Z LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ Z, ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ % ZS ARCHIT T OR ENGINE S MAILING ADDRESS Energy Plan Checking Fee $157 Penalty $ BUILDING ADDRESS Permit fee $ 2 Z _ '7S ,�.,- Z�g PLUMBING PERMIT Filing Fee 15.00 , Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or v t 7.00 USE OF STRUCTURE Gas piping system 1 - 5 utlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other ZPi3 -- Building sewer 15.00 SPECIFY Mobile Home I S I G JW I @ 15.00 TYPE OF WORK ZAddition New ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fe $ Describe work: _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 _ Main service 200A TO 1000AI 50 CONTRACTORS LICENSE LAW NEW CONST.( DWELLING OCCUP. Ik\ 1 declare under penalty of perjury p y p er f y (Check one): OR ADONS. ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET @ 5 00 E]NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business BRANCH CIRC ITS POWER APPARATUS e ) and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License :Jo. Classification Ex. Occup( OR FIXTURES 20 754 A . �I, as the owner, or my employees with wages as, their sole compen- FIXED Ex. Occup. OUTLETS IPRESID )LNS.REA.) I .3.00 sation, will do the work,and the structure is not intended or offered Temporary service 15.00 for sale. (Sec. 7044) ❑ I, licensed Mobile Home Facilities 15.00 as the owner, am exclusively contracting with contract ors. (Sec. 7044) Misc. �Virin 9 15.00 EL ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ ys. — Contractor `1 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating r— I have placed on file with the County of Butte Building Department u a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Ener Inspection Fee 9Y P $ OCC CONST TYPE TA TOL FEE $273. e7J Butte to enter upon the above-mentioned property for inspection purposes. I indemnify keep also agree to save, and harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue HAz OFEES IMP FLOOD COF PARCEL PD HD ISSUE against said ICounty in consequence of the granting of this permit. I X�- lJ,11110. 92 This permit is hereby issued under the applicable provi- Date Signature o A licant - owner g pp ❑ Contractor ❑ Agent ❑ sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n f stuctures over 3 stories in height. DIRECTOR OF PUBLIC BY WORKS Date /b� LRecoeiptrNo. 1/ii PERMIT EXPIRES Date ITC -O. P. W., • ELLOW•ASSCS BOR, PINK -INSPECTOR, GOLD ENROD•APPLICANT COUNTY OF BUTTE - Department of 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 the proposed property improvement (yes or no) 2 I (have/have not) for the proposed work. signed an application for a building permit 3. I have contracted with the following person (firm) to provide the proposed 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, andprovide the major work: Name Address City Phone Contractors License No. 5. I 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 Signed: Property Owner oC/ o- 67 Social Security Number Date G:�Z'-G Y� —1 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. TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Lobation Plan Approved for: Hold final for: Final clearance O.K., for: Clearance for be4Aoc NOTE * * * Sewaqe Disposal Water Supply Water Supply Water Supply obile me. Other Ditle Sanitarian.-- .-1 I PERMIT NO. 856-75P, EL P E M. 'MH UTIL. PERMIT N PERMIT EXPIRES 'OWNER willim Williams CONTR. LOCk-t'r0N (A.P. 58-09-73 T P141. S Coutolenc Rd., app. mi. N .0Doon Grade Paradise Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date),( — (SignatuV 9. .. ,Electrical A. Is service large enough to provide adequate amperage-to.mobilehome (must.equal:ratirigtiof mobilehome with q minithum of0 amp) and other f ilit' on lot, i.e.,:water pumps,N garage, cabana, etc.? Yes No hlo)0040 .B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes v No D. Is continuity test satisfactory as per the following procedure? Yes _No' 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 lead.of a 'test.instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral.. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water 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 test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of.the electrical tests, the lot or site' service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. jj State Identification No.���' 6 Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and.generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) YesyNo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flex' 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 INo C. c flow - If coach o a ifornia ap evice re -relief valve? Yes No' 7. Wastes and Drains A...Is connection made with Schedule 40 DWV and have flex connectors at each end? es �No B. Does it have. minimum 4 per foot s]ope and is it properly supported. Yes_ No C. Are any leaks detected in drainage system after running 3 -dons of water through each fixture including washing machine standpipe? .Yes l No D. If coach is not State of Cali°forn" does station h rapan ve . Ye 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 itlet 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, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUI DI. G BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footing Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi 'n Piers Roofing Sewe Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall. Prov. for physically Heaters Slab handicapped Appliances i Carport Conformance of ex. Gas Piping & Test Footings structur Temp. Gas Slab Final Sanitation Patio FIREPLACE Final 7 Footing s - Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRES NKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pro . Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Penman nt Door Closer Final Final DATE REMARKS O'R/CDR CTIONS X, • Owner Mailing Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC R 7�f 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING t1 9 SQ. FT. I OCC. BUILDING VALUATION 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. t�u►�u,nQ � Date44 ignature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ' TOTAL PERMIT FEE $ This'permitis hereby issued under the applicable provisions of> the Butte County Code and/or resolutions to do work indicated above for which fees have en paid. DIRECTO PUBLIC WORKS RV, Date uilding permit expires Date �� �� Telephone No. Fireplace Contractor clu ' Total Valuation Mailing Address $8 7y ST Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address SoD - �- 7 — PLUMBING No. @ FEE PERMIT FILING FEE $3.00. & Each Trap 1.50 IF I Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50• A. P. No. .r —O ,3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel D laration Parcel M Map 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Fleo d Parc. Approval ans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [� ELECTRICAL No. @ I FEE PERMIT FILING FEE $3.00 1U6TAj_Fi>4 C tT Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal 1@10o Receps„ switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styl/g��pf: ( ` r1 Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 1 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ 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. rVI 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t�u►�u,nQ � Date44 ignature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant ' TOTAL PERMIT FEE $ This'permitis hereby issued under the applicable provisions of> the Butte County Code and/or resolutions to do work indicated above for which fees have en paid. DIRECTO PUBLIC WORKS RV, Date uilding permit expires Date �� �� S w � n + COUNTY OF BUTTE — DEPARTMENTOF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 t Telephone: 534-4541 APPLICATION AND PERMIT w i.. t.. ...a I., a.uu— i a 1. v.—ay vi oUa W or11.1 uNun LIM above-mentioned property for inspection purposes. w r Af"Date Signatureof rmitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/PUBLIC WORKS Rv �� Date ilding permit expires Date....................................�a.... J J J BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address JTelephone'No. tilde- 0-0 Fireplace 0 Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address S' PLUMBING No. @ FEE PERMIT FILING FEE 000 0 7— Each Trap 1.50 n x/00 C Repair drainage or vent piping 1.50 Water piping 1g9- 60 Each gas water heater or vent 1.50 A. P. No. �Q _ 3 Zoning Gas piping system 1 - 5 outlets -Uc6 0 Each additional outlet .30 Fes WC- SW*n FireDept. Fire Zone I Use Permit Building sewer _Fic�t7 EQA Parking Plans ParcelParcel Ma Declaration P 60' R/W Im prove ents Lawn sprinkler system 2.00 C_C� Bldg. Plans Recd arcel Approval Plan • pproval Permit Fee $ $ '� Q NEW ❑ ADDITION ❑ UTILITIES OTHER El E ' LECTRICAL_No.1 @ I FEE PERMIT FILING FEE $3.00 _ Main service incl. 1 meter 3, Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home, [0 Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bale to Receps., switches & fix outlets25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities (5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 141 1 -certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to•all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ cr w i.. t.. ...a I., a.uu— i a 1. v.—ay vi oUa W or11.1 uNun LIM above-mentioned property for inspection purposes. w r Af"Date Signatureof rmitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/PUBLIC WORKS Rv �� Date ilding permit expires Date....................................�a.... J J J OZ L _F Oz LOPT 00c, ov* f I .08 r. L _4 L LAI his set of pla*ns aftogploagom. MU 'b,6i '—I I- 1 -, septjc._Sr� f- T". 16 on the job at a 'd is qhiaw461 to: ;an 4t. or ions on serve without, L_ �' .6'unty.,-He :to: be make any changes altelr�t', alih, Dept.; keL. q i r n permisson Department ments W�ii ft -7 Oz from * he 0 PU6 t W-1 ircs-j Cduh�y of Bqtt6J'r_ 4- . - -.! .1 - I I ! I - 4- ci _4 .7 r A I.T -Alf 'Oti fi f ic0h�ecfiori S, lei J_ JOcOted-with id 4 ft. 'o,Cftsi�f e,t rear r 'thied-:SeCt`iQn of the! m 41 - -6n. th6 left side 9 rI 4 1.4 -41 Jj 4- ti - 7 } t l", i- + she 1 byk 0 r --r-a rj,- -.08 4 + j, 4� 0 will E;e:r66i t}ieV_4-4- of �6LI OOL i�obile 41 no,,, 1-0 r T" i 4 A-, 1_..t... 4 -7 T OZL 7 ila 1 + -4- -4- J. L T- r - T:. 111 tA L I r 7 e t -7 lu 'L 4 :–j- + r 7 ei 77 S6tka& hki :6e1- Fi frbl I: 1rhe side �ine add 501 ft', L ..t eCent-dr[it," I. e road,: fh fr4;rn ; � I � f � �_I ! �{ X091 a pprmiffing M,,bxvr�i jM :of eave over .7 T + t 1 _,j 081 U-17' GE)UNTY--,-- -1 -4 T 4-!; A (BUILDING DEP. L u I APT M.L�11 ------ LL _4 -,OOZ A L!--. � �� �"_� � i �-L,...11.: _.; i_'-_ 1 IA�:(�, }-,1`i l •� V C.�.`_; t (_ v��� ; � ' � ;� G� . 111 , r i �-� .7 ILA 7 Q) m S 0 COUNTY OF BUTTE - Department of Public Works t•\ �n�p� 7 County Center Drive, broville, California PHONE: 534-4541 RAI MOBILEHOME INSTALLATION.INFORMATI.ON Lot Facilities Mobilehome Data 1. Plot plan dimensioned, location of mobile 4 t Length Ss Width 2-6 -n Manufacturer I. „ern Yes No I Utility Vehicle Serial No. 5 -. :� -4- 5 2. Electrical.service equipment ampacity O O Conn Prt-i ons 44 I Circuit breaker ampacity !q p 2. Feeder.assembly ampacity / 20' Conduit size tr1 :EE: cy 0 w n w min M 1t +".., 1 m rr w ED rnt H Gas inlet size iOU . m iD a .ti.µ w w o Gas riser size_ �' N 0 rt 4. Drain inlet size d.( 4. Drain connector: describe on reverse side 5. Water riser size'IT `J --"---d Water connector: describe on reverse side 6. a s3 ---F—-a--------- 0 the rear 1/3 of the mobilebome 7ithin ps 4 feet of the left wall? Xes ►� No ,M Wind load z� If not, show dimens ions. above. (only for robilehomes manufactured after 7., Is the mobilehome clear' -Of -septic tank, October 7, 1973) MOBILEHOME INSTALLATION.INFORMATI.ON If so, specify *For plans and specifications of support system, see other side. Lot Facilities Mobilehome Data 1. Plot plan dimensioned, location of mobile 1.. Length Ss Width 2-6 and utility connections? Manufacturer I. „ern Yes No Vehicle Serial No. 5 -. :� -4- 5 2. Electrical.service equipment ampacity O O Insignia Control No. Circuit breaker ampacity !q p 2. Feeder.assembly ampacity Permanent Wiring Connection Conduit size Ampacity - - = Power supply cord (amps) Receptacle "' Ampacity Ain 3. Gas inlet size 3. Gas: Natural LPG Mobilehome connector size_ .- Gas riser size_ �' N Capacity 4. Drain inlet size d.( 4. Drain connector: describe on reverse side 5. Water riser size'IT 5. Water connector: describe on reverse side 6. Are utility connections located outside 6. Designed loads: the rear 1/3 of the mobilebome 7ithin ps 4 feet of the left wall? Xes ►� No Wind load z� If not, show dimens ions. above. (only for robilehomes manufactured after 7., Is the mobilehome clear' -Of -septic tank, October 7, 1973) leach fields and located tside public utility easements? Yes No 7. 'Manufacturer's nstallation instructions? Yes No � 8. Do you propose to do other work on the 8. - -- -- -"- -"" Will the mobile home be insta11ec1 on -a - property other than the mobilehome separate suppo structure? installation w ch will require a permit ? Yes Mn Yes No If so, specify *For plans and specifications of support system, see other side. ►n arts O c ADDITIONALCOIfi�.._%TS �2 �r Drain Connector, Describe 'A�y�o a� gL&1 010t WA IQS Water Connector, Describe p�e m 901�0 4 A d-0 LOAD BEARING SUPPORT AND 1 DOTING JNFOPd-IATION Pier Spacing Used Maximum Pier Load � O Maximum Column Load (multi -units only) Soil Bearing Capacity. 4 ` Footing Din -tension Used— j 2 )( '3O ! TYPE OF PIER- USED Steel Concrete Concrete Block V Other . TYPE OF FOOTING MATERIAL USED Pressure Treated Wood___ Concrete - Redwood (Grade) Other Approved Type LOAD BEARING S PORTS BUTTE COUNTY i . WHEN RECORDED, PLEASE MAIL THIS INSTRUMENT TO William J. Williams 1075 Space Park Way #4 Mountain View, Calif. 94040 Order - Escrow No. 19921-4395 Loan No. _ 0-b �p �ccPs� ;;urrw.L ICORDS �nUIIJ.IIRl/-(jLI FPV Y ME ANO ESCROW MNIPANY Llc 3 12 i PIN IS 710 L is 96542 23 •ei !✓L9ri/!7/i�a,C SPACE ABOVE THIS LINE FOR RECORDER'S USE TAX PAID The undersigned declares that the Documentary Transfer Tax payable hereon is $ E�r�pt�ted on full value of property conveyed. PLACE !NTERNAL REVENUE STAMPS IN �cmputed on full value I s Gens and encumbrances GRANT DEED remaining at time of sale. (6d_FV Signature of Declarant or agent —Firm NarCl@ FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JACOB W. MOREHOUSE , do hereby GRANT to WILLIAM J. WILLIAMS and MAE R. WILLIAMS, husband and wife, the real property in the unincorporated County of Butte State of California, described as: Being a portion of the North half of the Southeast quarter of Section 7, Township 23 Norte ' Range 4 East, M. D. B. & :i. , and more • particularly des- cribed as follows: C0`7jijEi3CING at the SCuthc-,rest corner o -F said :North half of the Southeast quarter of Section 7; tilenc alvcir the Sout:; lire thereof ?ortl 83° 13' 50" East, 630.48 feet to the true point of bec7in.ling nor t.Le parcel he -rein ilC:_i.rSaiC: n, 4 . L Xescri.bed, tcl l ; 260.00 feet, thence worth 83° 13' 50" East, 133.80 feet; thence'South 01° 461 1u'• East-, 260.00 1Cc1L V�r.I 1. ile �ivu:.ii ll.[:.: c'f .`. r+-`� -•�1 l.ii ii J •'- Southeast quarter of Section 7; thence along said Soutn line, South S8° 13' 50:; West, 183.80 feet to the point of beginning. RESERVING THTEREF O4 a non-exclusive easement for road purposes and public utilities purposes over the Nest 30.00 feet of the ivortil 60.00 feet of said parcel, TOGETIiER TJITII a non-exclusive easement for road purposes and public util- ities purposes over a strip of land 60.00 feet in width lying 30.00 feet on either side of a line beginning at a point in the West line of said parcel, which point bears South 0.11 46' 10" Fast, 60.00 feet from the Northwest corner of the above described parcel; thence North 01° 46' 10': West, 323.59 feet to a point in the South line of the Door_ -Luce County Road. Dated: July 2�., 1970 STATE OF CALIFORNIA COUNTY OF }ss. L 0s Ar.�c,FLEs J On 3uty 277 I cl70 -- before me, the undersigned, a Notary Public in and for said State, personally appeared 1 (je_o'? I"Ir,RE hk0LtSf: known to me to be the person whose name --- subscribed to the within instrument and acknowledged that ecuted the same. WITNESS m hand and official seal. Signature Jacob U'. Morehouse 0OFFICIAL SEAL _'- JAMES P. WEISSINGER NOTARY PUBLIC—CALIFORNIA �'ro PRINCIPAL OFFICE IN LOS A!:G:LES COUNTY My Commission 1 xv;reb May 12, 1974 auwunuunnr 11116 1111111.1111.1; ............ Name (Typed or Printed) ,t�. (This area for official notarial seal) MAIL TAX STATEMENTS TO: /t S-! L3 Q ✓� FORM 1002 Address Zip Code C= 0 0 CAI AP No. 058-09-0-061-0 END OF DOCUkJW 00 eount* q.iquw Gey OROVILLE, CALIFORNIA GENERAL CLAIM William J. Williams CLAIMANT: Coutolenc Road ADDR ESS: Magalia, CA. 95954 CITY &STATE: IMPORTANT: June 14, 1978 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to build. (Permit Appin. #2965-78B, Receipt #17752 459 -48 - Building permit fee ----- $24.00 Bet in 11-11 00 fee ----- Li AMOUNT OF REFUND DUE ------------------------------------------ $16.00 TOTAL $16,00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed'or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that ti4e i a Budget AppropiiaTun❑ or Specif�cBBoard ApOpvil 1p (Checkone) for the same. th Dated this .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. - Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. OBJ. CLAIM NO. INVOICE NO. I INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. -CLAIMANTS' All claims against the county must be itemized,. giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance, with above will expedite payment of claim, failure to do so may delay payment considerably. • r -CLAIMANTS' All claims against the county must be itemized,. giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance, with above will expedite payment of claim, failure to do so may delay payment considerably. Auto -Yr Mske Color. Purchased from Present.Girl friend or wife Live with her No. of childi Occupation Present Last known Employer CHILDREP lst namele lniE. D fitness FSD 116-1 COUNTY OF UTTER — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ^�G� Telephone: 534-4541 O'er/ APPLICATION AND PERMIT aurnunce represenrauves or the k ounry or tsutie to enter upon the above-mentioned property for inspection purposes. r i to .� D Signature rZ,3 ee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date 7 BUILDING Owner IQ��� SQ. FT. OCC. BUILDING VALUATION L O 00 Mailing Address leol, elep one No. Contractor Mailing Address Fireplace Total Valuation O pQ Telephone No. Permit Fee Building Address �^��� � !>U �-F P I an-Checki ng Fee &/or Penalty Permit Fee p `S 'O/d ^ �t/ ���f%G PLUMBING No.1 @ FEE rQ16y, O G��J7 Oit/ /1� £ PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 ,p A. P. No. (S_O J ✓ C7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel'Map 1 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 BI g. Plons Rec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 W/ s Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. 7i\ 22sgft 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: NEW CONSTR.S,.. -OUTLET NON.RESID ( BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS a, NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g L1� 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 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.1 @ 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 Land Development Fee $ TOTAL PERMIT FEE $ d aurnunce represenrauves or the k ounry or tsutie to enter upon the above-mentioned property for inspection purposes. r i to .� D Signature rZ,3 ee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date 7 I 1 t II__. --- — -- _ -- _ — ---- --- ----- --- r-xar s!•"...r.+w`STS'f�7K'.'!w�''r'1j'"r'-^YAC"Y_.!,ErA'..a+r�Te^'�,t�(S+'��r^.wl.t�r;•�-:.:^"5�;.`.5+�s. ... ,++.^•. :�-"'Y.,�...Y•�.,r� � _ �,-`., ,. .r -.. ,,. ..- .. ,-!. ,. <,•z,-y,•'E..,3.rr...'e�...,-.,,.,r. a �yr*+.x.:7-n>Iw.,.•i•, � _ i _ , , r , • , LL , , „ s a , ; , r l , {I r .: I - , u. e r : , »< - 4 , , < 7 t - l, , t + ( , r , e: e VO `` r . J < } - e- t: n wi , t i i • I 1 t II__. --- — -- _ -- _ — ---- --- ----- --- UI