HomeMy WebLinkAbout066-080-04566-08-45 _
Larry Rile
205 Cascade Dr, lotlr57=CC��1, Magali
ti contr: Fisci Br s. , Par ad is'
i Permit 1235-77P,E(util ,MH) t
.. _ _ELEC . ' a_!....
r ~ GAS t)::7
SUPPURT StRUCTURE REQ . .gyp '
'5 COMPACTION TEST REQ.
AP '66-08-45
Pernlit 3491-77MHI 7 z Zf7�
CONTR: Chico MH Ser-v; Chi `
t IS SUED 1
1'
contra H.Don Darby, Magalia , r,
Permit #3700�77B,P new open deck & t
h_ private garage/MH)
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2010-0040632
\� OAa�c• � Recorded I REC FEE 17.88
RECORDING REQUESTED BY Official Records I TAX 77.AB
Mid Valley Title & Escrow Company Countyf► of
Butte
AND WHEN RECORDED MAIL DOCUMENT TO: III= J. GM I
Thomas Berryman and Margaretha Berryman Couty Clerk -Recorder]
6310 Ponderosa Way 0010119 -Nov -819I co Pap i of 2
Magalia, CA 95954
Space Above This line for Reaoroees use Only
A.P.N.: 066-080-045 and 910-023-259 File No.: 044,2-3650571 (HG)
GRANT DEED
The Undersigned Grantor(s) Dadare(s): DOCUMENTARY TRANSFER TAX $77.00; QTY TRANSFER TAX $;
SURVEY MONUMENT FEE;
x computed on the consideration or fug value of property conveyed, OR
computed on the corrAeration or full value less value of liens and/or enamteraeces remaining at time of sale,
x unincorporated area;. [ ) Qty of , and
FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, Paula C. Hartson, Successor
Trustee of the Paul 3. Carson Uving Trust who acquired title as Kathleen 3. Miller, Trustee of the
Paul J. Carson Uving Trust
hereby GRANTS to Thomas Berryman and Margaretha Berryman, husband and wife as joint tenants
the following described property in the Unincorporated Area of County of Butte, State of California:
PARCEL I:
LOT 167, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES COUNTRY CLUB
ESTATES UNIT 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE
COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 14, 1971, IN BOOK 38 OF MAPS,
AT PAGE(S) S7, 58, 59 AND 60.
EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON
SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE
FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT
NO DAMAGE SHALL BE DONE TO SURFACE OF SAID LAND.
PARCEL II:
t A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C, D, E, F, G AND H (THE COMMON AREA) OF
SAID PARADISE PINES COUNTRY CLUB ESTATES UNIT 1 AND THE LOTS DESIGNATED FOR
COMMON AND RECREATION AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION
FOR UNITS IV, VI, VIII, X, XI, XII, XIII, XIV, XV.
Mail Tax Statements To: SAME AS ABOVE
a�
Grant meed - continued
Date: 11/08/2010
A.P.N.: 066-080-045 and 910-023-259 File No.: 0402-3650571(HG)
Dated: 11/08/2010
Paula C. Hartson, Successor Trustee of the
Paul J. Ca iving Tybt
qu1aZC*Ha soh,'Successor Trustee
STATE OF I. 1 _ )5S
COUNTY OF ek LV lk
On 1 before me, rlu • Notary
Public, personally appeared
who proved to me on the basis of satisfactory evidence to
be the person(s) whose name(s) is/are subsuibed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on
the instrument deckjadthat she sig , the entity n behalf of whiun the n ) ct ,exec instrument., AND
serre ha fm e� wLntazya pucposes tom,*
AG
W1TI E�S.S my hand and official seal. �Q' Hs"'
el
�OTAq j, •�
Sig re
-Ain
9 "
**.
•..«..•
OF WASN��
My Co mission. Expires: i �TI tQ This area for ofi/aal notani7/seal
Notary Name::IkA&' ITAV,1& Notary Phone: P-0
Notary Registration Number: County of Principal Place of Business: Dig
Page 2 of 2
STATE OF CALIFORNIA
BUSINESS, TRANSPORTATION AND HOUSING AGENCY
DEPARTMENT OF, HOUSING AND COMMUNITY DEVELOPMENT
! DMSION OF CODES AND STANDARDS
REGISTRATION AND TITLING PROGRAM
BILL OF SALE
SECTION I. DESCRIPTION OF UNIT
This unit is a (check one):
x❑ Manufactured Home/Mobilehome ❑ Commercial Coach ❑ Floating Home ❑ Truck Camper
The Decal (License) No.(s) of the unit is: LAU6076
The Trade Name of the unit Is: CALYPSO
The Serial No.(s) of the unit is: 61723A 617236
SECTION II. STATEMENT OF FACTS
For the sum of thirty thousand dollars ($ 30;000.00 ) and/or other valuable consideration in the
amount of n/a , the receipt of which is hereby acknowledged. I/we did sell, transfer and deliver
to Thomas Berryman and Marqaretha Berryman
Buyer
on the cid day of NyV , , 20 10 , my/our right title and interest in and to the above-
described unit.
SECTION III. SELLER'S CERTIFICATION
I/We certify under penalty of perjury under the laws of the State of California that the following is true and correct: (1) I/we
are the lawful owner(s) of the unit, and (2) I/we have the right to sell it, and (3) I/we guarantee and will defend the title to
the unit against the claims and demands of any and all persons arising prior to this date and (4) the unit is free of all liens and
encumbrances, except for the lienholder shown below*, whose lien presently exists and has not been paid.
Executed on at Puyallup WA
Date C/ty State
Date
Signature of Seller
Signature of Seller
Date
SECTION IV. LIENHOLDER'S INFORMATION
NOTE: The space below is NOT for liens created by the buyer in this transaction.
*Lienholder n/a
Address
Street Address or P.O. Box Oty State Zip Code
HCD 475.1 (11/00)
.STATE OF CALIFORNIA • BUSINESS, TRANSPORTATION AND HOUSING AGENCY ARNOLD S CHWARZEN EGGER,Governor
DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �o�stNc t�
Division of Codes and Standards G
p
W
Title Search 3caF
DEv��
Date Printed 10/15/2010
Decal #: LAU6076 Use Coder SFD
Manufacturer: GOLDEN WEST Original Price Code: AEX
Tradename: CALYPSO Rating Year:
Model: Tax Type: LPT
Manufactured Date: 00/00/1977 Last ILT Amount:
Registration Exp: Date ILT Fee Paid: '
First Sold On: 07/22/1977 ILT Exemption: NONE ,
Serial Number HUD Label / Insignia Length Width
61723A CAL050916 52' vti 12' \`�a
61723B CAL050917 52' 12' .
Record Conditions: PPF Exempt
Voluntary Conversion to LPT
Registered Owner:
PAUL J CARSON LIVING TRUST 082288
13890 CASCADE DR
MAGALIA, CA 95954.
Last Title Date: 05%17/2001 l
Last Reg Card: 05/17/2001
Sale/Transfer Info: Price $42,500.00 Transferred on 12/04/2000
Situs Address:
13890 CASCADE DR
MAGALIA, CA 95954 t
Situs County: BUTTE 1
Inactive Decal/DMV
DMV SE6876, DMV SE6877
Open Escrow:
MID VALLEY TITLE/ESCROW CO
7084 SKYWAY
PARADISE, CA 95969-3954
Escrow File No: 3633081 HIS
Pending Buyer: JOAN HAMILTON
Dealer Name: None Reported
Escrow Opened On- 10/15/2010. Expires on: 02/12/2011
*** END OF.TITLE SEARCH *�`*
I
✓J
3700-77B P. E
PERMIT NO. > >
PERMIT EXPIRES
OWNER
Larry Riley
CON TR.
H. Don Darby, Magaiia
66-08-45
LOCATION (A.P.
)
205
Cascade Dr., lot 167, PPCC#l, Magaiia
;y
rti
�j
1
L!
,
idP
r
J'
}
' E
Temp. Power Pole
r;
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
¢.
JOB%
FINALED 7' /
(Date)
�
(Signaturep
f
k
ti
Fix
Bond
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath '- Ventilation Permanent
Door Closer Final Final now
MOBILEHOME UTILITIES ------------------ Elec_ Servicejt, Elec. Pedestal
Water Piping Sewer Gas Piping
OWL�LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS'Oji CO RECT ONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding n
To out
0 7.
Slab
Roof SheathingO 1_
Water Piping
Piers
Roofing
Sewer
Garage
4 Fdn. Vents
Fixtures
Footings
Stemwal l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping & Test
TemD. Gas
Slab
Final
Sanitation
Patio
FIREPLA E
Final
_ y. _
Footings
Footing
ELECTRICAL)///
Fix
Bond
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath '- Ventilation Permanent
Door Closer Final Final now
MOBILEHOME UTILITIES ------------------ Elec_ Servicejt, Elec. Pedestal
Water Piping Sewer Gas Piping
OWL�LEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS'Oji CO RECT ONS
(NOTE: An entry must be made on this form each time you visit the job site.)
� f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
�. 7 County Center Drive — Uroville, California 95965 � /'� /'tl � ^7 �
N Tel ephorw,:' 534-4541 S(///U / /
APPLICATION AND PERMIT A
above-ment' d property for inspectiori purposes. v yry y
A
X 'ate, _-77
ignature of Permitee or Agent
Receipt No. 01
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 LIC WORKS
By Date — L
Bu ing permit expires Date �'-�i - ?
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
dz 00
C C �
00
Telephone No.
Contractor ,O
Fireplace
Total Valuation ,B U
Mai I ing Address
Permit Fee Q
S
le hone No.
Plan Checking Fee &/or Penalty
Permit Fee T
PLUMBING No.1 @ I FEE
Building Address
2i
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1,50
C�
Water piping 1.50
Each gas water heater or vent 1.50
A. P.
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes Sa Ion Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
parcel M 60' R/W
Imp vements
Lawn sprinkler system 2.00
BI y. Plans Rec'd
Parcel A gravel
P1 ans Approval
Permit Fee $ Q
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 6100 AMP ORSLE55 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home n Others IdJ
Main service OVER eoov
100 AMP OR LESS 25.00
.Main service EA. ADD'L 100 AMP 700
/�JV•�
(
OR ADDNST ( ACCLBLDGS. &) 2¢sgft _O
NEW CNSTR MULTI.OU L T
NON -REST D, (BRANCH CIRCUITS)2.50ea
NEW CONSTR POWER APPARATUS &
NON.R ESID. (SINGLE OUTLET CIR,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style n
4
Ex. Occup(OUTLETS OR FIXTURES) BAL 21
y✓
EX. Occup. FIXED APPLNS, OR "
p•( OUTLETS(RES EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification �
Misc. Wiring 6.25
Permit Fee
❑ I am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I 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
� INorkmen's Compensation Insurance.
❑ I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood2.00
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 RIIttP to ant, innn fI e
TOTAL PERMIT FEE/
above-ment' d property for inspectiori purposes. v yry y
A
X 'ate, _-77
ignature of Permitee or Agent
Receipt No. 01
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 LIC WORKS
By Date — L
Bu ing permit expires Date �'-�i - ?
2353-77P,E
PERMIT
NO.
PERMIT EXPIRES
.','OWNER
Larry Riley
CONTR.
Fizci Bros., Paradise
LOCATION
(A.P. 66-08-45
205
Cascade Dr., lot 167, CC#l-, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.-2 Z/0% F
ii
Called PG&E
Temp. Gas Serv.
Called PG&E
10 B
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF,,PUBLIC WORKS
BUILDING -INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
A PLUMBING
Se ck
F ewall
S 1 PI In
ForAv
Pa ets
Nt Floor
Mai Bid .
Rest om Finish
2n Floor
Fo tins
Wlndo
3rd Nloor
Stem all
SidingTo
out
Slab
Roof Shea in
Water PI
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footin s
Garage Vents
Water Htr.
Stemwa l l
Insulation
Heaters
Slab
Carport
Footings V
Prov. for phsical
handicap e.
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
PatioF
REP ACE
Final
Footings
Footing
ECTRICU I_
Reinf. Steel I Final . / I Fixtures
Bond Beam/ \I /FIRF SPRINKI F9k I untnm
M
Servl
tsrgpwn
C00YIng
Tjfmp. Pole
F nish
D is
nder round
Inferior Lath
entilation
Permanent
oor Closer
Final
Final
MOBILEHOME UTILITIES
------------------ Elec. Service
x&zrn Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME IN A
I - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRkCTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
a. Electrical.
A. Is service large enoitglk to provide adequate amperage to•mobilchome (must equal rating of
mobilehome (aith a :;rinia;:um of 100' amp) 'and other facilities on lot, i.e., water pumps,
gara-e, cabana, cr:c.? Yes t/ No
1�. Is there. proper clearances. -around panels? Yes/ No_
C. Is power supply .cord or feeder assembly properly fused? YesLL.ZINo_
D. Is continuity test satisfactory as per the following procedure? Yes 0__
1. De -energize electrical wiring, system of the mobilehome at the pedestal.
2. Flake 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
• , _ ,. ,
a�,ply ttie other Ic. au to each To, .1,e, -j yl -Le supply cori�liiCto'i, iiteliiulltg iieui'rai.
5. All nor. -current, carrying metal par,ts 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
teL shall then be n.ade between the ,grounding electrode and the chassis of the
1110bilehome. Upon sati_sfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
;,0, Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign -off card and t.a, services.
MOBTLLi! ML DATA
Manufacturer and/car Namestyle
Length S
t��idth--Z—
Vehicle Serial No.
State Identification No.
Adci Ltional Informat:i.on or Corrunents:
f.
'NOBTi_LIiOMI, INSTALLA'T'ION INSPECTION CEiECK LIS`['
1. Is the.. mobilehonit� loc'lted jai.i_,( required separation from lot lines and buildings and generally
conform to plot plan? Ya:� f� No
Doc -i, the mobileehome have required clearances above ground? (Sec.5085) Yes t1ZNo
3. Are footin,s and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) YesC/_ No
4. Is the mobilehome level.? (Sec. •5088) Yc�-s:1/ No�
5. If mo/ethan a single unit, are crossover connections properly installed? (Sec. 5088)
Yes I No
5. Water.
A. Is fl xi_ble connector of adequate size and properly installed (1/2" TD min.)? (Sec. 5566)
Yes No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesy No
C. Backflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No
B. Does it have minimum per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running 3 gallons of water through each
fixture including trashing machine standpipe? Yes_ No
D. If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Piping and Gas Vents
A,' Connector - Is mobilehome connected to the gas siipply 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 mobil home gas line inlet without reductions other than the mobilehome
connector. YesJf 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 k_ No
COUNTY OF •BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OroviIIe, California 95965 P
`/7
g/_�Telephone:534-4541 �" /�
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Xx Date
Signature off Permitee or Agent
ceipt 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 P BLIC WORKS
By Date17
uilding permit expires Date 7 ?S
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor r
Total Valuation
Mai I i ng Address y
Permit Fee
Plan.Checking Fee &/or Penalty
�
elephone No.
L
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE 1$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
-- L/
Each gas water heater or vent 1.50
A. P. No. — — S
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es
Jflf�.
4api--&4en
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. lans Recd
Parcel royal
Plans pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
in �/ �� �j
Main service s0ov OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ACDNS. ( ACCLBLDGS.CCUP. &) 20sq ft
NEW CONSTR. MULTI.OUTLET
NON-RESID- ( BRANCH CIRCUITS) 2.50ea
NEW CONST. POWER APPARATUS &
NON- R
RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style
le of:
Ex. Occup(OUTLETS OR FIXTURES) 0@@1
SIAL
Ex. Occup. FIXED APP LNS. OR
P. ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
B �y_� /
License No. ���y�f1 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
k 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
O,
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Xx Date
Signature off Permitee or Agent
ceipt 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 P BLIC WORKS
By Date17
uilding permit expires Date 7 ?S
JCOUNTY OF f3UTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
D - --� 77
"OW,5 co
9 .
BUILDING
Owner /
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor `
Total Valuation
Mailing Address S/,>
Permit Fee
Plan Checking Fee &/or Penalty
Telephone Nq._
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
-Ie1015__ d
Each Trap 1.50
/
Repair drainage or vent piping 1.50
Water piping
yew 7 29/ Zoning V rification OnIl
Each gas water heater or vent 1.50
A. P. No. I�S —
Tan
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es W. Sa on Fire Dept.
Fire Zone
Use Permit
Building sewer -6-68
EOA
Parking
Plans
arcel
Declaration
parcel Ma p
60' R/W
Im rove ents
P
Lawn sprinkler system 2.00
d� ans Recdarcel
Approval
Plans Approval
Permit Fee $20
$ 27 074
NEW ❑ ADDITION ❑ UTILITIES OTHER EJELECTRICAL
No.1 @ I FEE
PERMIT FILING FEE $3.00 (�(�
Main service, 100 AMP ORV OR LESS5.00 u
Main service EA. ADD'L 100 AMP 2.50 d
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
AM SQ. FT. MINIMUM
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 2(Zsgft
NON -RES D R. ( BRANCH CIRCUITS) 2.50ea
Wpp C�.
P MOBILES
NEW C O N ST R. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of 'for- usiness & Professions Code under the name
St Ie f °
y
Ex. Occup(OUTLETS OR FIXTURES) BA@.@1
EX. OCCU FIXED APPLNS, OR
p•(OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 106
� //
License N /P Classification r���
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ `j
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
/ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance. ,
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
+2.00
Hood
P rmit Fee $
$-
7-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
�sf/
'17, s
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above- entioned property for inspection purposes.
XX —Date /6
\ Signature/of Perrmiteeee 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.
DI TOR 0 PUBLIC WORKS
By—�` Date J
tg permit expires Date _ _'--7�-%d