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068-160-037
I APPLICATION FOR CERTIFICATE . OF MERGER APN# D lob 1/P 0 0 37. E 06 CERTIFICATE OF MERGER AP# ob$-t- 037 IOb ��-16-37 J. Dawson SIS ro Quincy Rd., app.750'E.of Glen Oroville Permit #-79B,P,E,M(new single family) 68-16-37 Pertriit#3520-82B(lst, 2nd,. & 3rd ra1 & add wood stove)SF 3 /D NEW OWNER 68-16-3 LOYAL R. CONDE 4053 Olive Hwy, Or He Permit#800-84B & 5th renewal/779-79 transfer- o permit SF) - 68-16-37 er t��461-85B(6th renewal/779-79)SF — - ---68-16-37 rl _ Contr: Jeff Lancaster, Oroville Permit#431-85B(add open decks/SF�/�� Ffr��3110 7 68-16-37 jPermit #557-868(7th- renewal.:/77.9-79) 3� Department C o u n t y J. Michael Crump, Director Warner C. Phillips, Assistant Director March 27, 2003 John Ziglar 4053 Olive Highway Oroville, CA 95966 Re: Certificate of Merger AP-_ -160-037 &_106 Dear Mr. Ziglar: of Public o f B u t Works LAND DEVELOPMENT DIVISION BUTTE 7 County Center Drive COUNTY Oroville, CA 95965 MAR 2 7 2003 ( 538 (FFAX) ) 538--71717171 DEVELOPMENT SERVICES Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on February 28, 2003, under Serial Number 2003-0012547, in the office of the Butte County Recorder: If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, I: Stuart Edell . Manager, Land Development Division SE/kp Enclosure cc:. ✓ Building Division Environmental Health Dept. Michael Mooney Michael Evans AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 LANDS BEING MERGED: 2-1211213—iZi 121 1 2.E5-4� Rmcorded -11 f F Hecorrier ROSIEI AR"'Y D'ICP,-S0'4 Pssisi;En` �t7'l�sH;4 28—Feb-21003 CERTIFICATE OF MERGER AP NUMBER(S) 068-160-037, 106 SUBDMSION / PARCEL MAP: BOOK PAGE BLOCK LOT(S) t:3r`73r'.� maps i of °, BOOK PAGE BLOCK LOT(S) As of the date of recordation, those lands noted above are merged to create 2 parcel(s) of land as described in Exhibit(S) A, B attached hereto. FEBRUARY 25, 2003 MIKE CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER THE UNDERSIGNED, as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(S) A, B attached hereto. ALL SIGNATURES MUST BE NOTARIZED: SIGNA RE 1 S NATURE / D:\Land Development\Application Forms\Certif. Of Merger -LD 1530 (10/01) z �b C/ DATE DATE STATE OF CALIFORNIA COUNTY OF Butte P, M E On October 29, 2002 before me, Michelle A. Miller, Notary Public personally appeared John F. Ziglar and Lorraine M. Ziglar personally known to nie (or proved to nic on the basis of satisfactory evidence) to be the I)crson(s) whose names) is/are subscribed to the within instrument and acknowledged to me that he!sheAhey executed the same in his/her; their authorized capacity(ies). and that by his/her/their signalure(s) on the instrument the persons) or the entity upon behalf of which the per sons) acted. executcd the instrument. WITNESS my hand and official seal. Signature rThiS 1•,-d IYL!�,U�! nnWr,a:.�;,'. HC HELLE A. MILLER Commission 01351456 . ' n Notary Public - California w Butte County My Comm. Exp. APA. 15, 2006 Title of Document Certificate of Merger Date of Document No. of Pages Ocher signatures not acknowledged MICHAEL MOONE Y 5 A MADRoNE A vE. CIVIL ENGINEER OROVILLE, CA 95966 RCE 20647 (530) 533-2131 EXHIBIT A Ziglar east parcel All that certain real property situated in the Northeast one quarter of Section 15, Township 19 North, Range 4 East, MDM, unincorporated area of Butte County, California, and being more particularly described as follows: COMMENCING. at a point on the East line of said Section 15, North 00007130" East, a distance of 526.5 feet from the one quarter corner between Sections 14 and 15, Township 19 North, Range 4 East, MDM, said point being at the Southeast corner of the parcel of land described in deed from Nora McKee to the Board of Education of the City of Oroville, California, recorded June 10, 1948, in Book 474, Page 475, Official Records; thence along the South boundary of said parcel, South 89°47' West, 355.0 feet to the Southwest corner of said parcel; thence along the westerly boundary of said parcel, North 13010' East, 215 feet, more or less, to the South line of the Old Oroville-Quincy Road; thence westerly along the South line of said Old Oroville-Quincy Road, a distance of 300 feet to the Northwest corner of that parcel of land described in deed from M. F. Sturgeon, et ux, to Howard G. Young, et ux, recorded August 12, 1955, in Book 787, Page 16, Official Records, for the TRUE POINT OF BEGINNING of the parcel to be described; thence from said True Point of Beginning, continuing along the south line said Old Oroville-Quincy Road, in a westerly direction, 165.00 feet; thence South 06007'14" West, 214.14 feet, more or less, to the North Line of the Olive Highway, as described in deed from Arthur McKee, et al, to the County of Butte, State of California, recorded June 28, 1949, in Book 288, Page 105, Official Records;, thence Easterly along the North line of said Olive Highway, 135.0.0 feet to the southwest corner of the above mentioned Young parcel; thence along the west line of said Young parcel, North 13010' East, 225.0 feet, more or less, to the True Point of Beginning. Containing 0.78 acres, more or less. The Basis of Bearings for this description is.the South boundary of the above mentioned Board of Education parcel, taken as South 89047' West. All new structures must meet the Fire Safe Regulations of Butte County and Public Resources Code 4290. „ MICHAEL MOONEY CIVIL ENGINEER RCE 20647 5 Madrone Avenue, Suite A Oroville, CA 95966 PHONE: 530-533-2131 FAX: 530-534-0902 EXHIBIT B Ziglar west parcel All that certain real property situated in the Northeast one quarter of Section 15, Township 19 North, Range 4 East, MDM, unincorporated area of Butte County, California, and being more particularly described as follows: COMMENCING at a point on the East line of said Section 15, North 00007"30" East, a distance of 526.5 feet from the one quarter corner between Sections 14 and 15, Township 19 North, Range 4 East, MDM, said point being at the Southeast corner of the parcel of land described in deed from Nora McKee to the Board of Education of the City of Oroville, California, recorded June 10, .194.8, in Book 474, Page 475, Official Records; thence along the South boundary of said Parcel, South 89047' West 355.0 feet to the Southwest corner of said parcel; thence along the .westerly boundary of said parcel, North 13010' East, 215 feet, more or less, to the South line of the Old Oroville-Quincy Road; thence westerly along the South line of said Old Oroville-Quincy Road, a distance of 300.0 feet to the TRUE POINT OF BEGINNING of the parcel herein described; thence from said True Point of Beginning, continuing along the" south line of said Old Oroville-Quincy Road, in a westerly direction 300 feet, more or less, to 'its intersection with the easterly boundary of the parcel of land described in deed to C. W. Wallace, recorded March 12, 1924, in Book 201 of Deeds., Page 400, Butte County Records; thence southerly along the easterly line of said parcel to its intersection with the Northerly line of the parcel described in deed from Arthur C. McKee,. et al, to the County of Butte, State of California, recorded June 28, 1949, in. Book 288, Page 105, Official Records; thence along the northerly line of said parcel described in said deed in a southeasterly direction to the Southwest corner of that certain Parcel of land described in deed from M. F. Sturgeon, et ux, to Howard G. Young, et ux, recorded August 12, 1955, in Book 787,* Page EXHIBIT B Page 2 16, Official Records; thence along the west line of said Young parcel, North 13010' East, 225.0 feet, more or less, to the True Point of Beginning, said. True Point of Beginning being also the Northwest corner of the above mentioned Young parcel. EXCEPTING THEREFROM THE FOLLOWING DESCRIBED PARCEL OF LAND: COMMENCING at a point on the East line of said Section 15, North 00007130" East, a distance of 526.5 feet from the. one quarter corner between Sections 14 and 15, Township 19 North, Range 4 East, MDM, said point being at the Southeast corner of the parcel of land described in deed from Nora McKee to the Board of Education of the City of Oroville, California, recorded June 10, 1948, in Book 474, Page 475, Official Records; thence along the South boundary of said parcel, South 89047' West, 355.0 feet to the Southwest corner of said parcel; thence along the westerly boundary of said parcel, North 13010' East, 215 feet, more or less, to the South line of the Old Oroville-Quincy Road; thence westerly along the South line of said Old Oroville-Quincy Road, a distance of 300 feet to the Northwest corner of that parcel of land described in deed from M. F. Sturgeon, et ux, to°Howard G. Young, et ux, recorded August 12, 1955, in Book 787, Page 16, Official Records, for the TRUE POINT OF BEGINNING of the parcel to be described; thence from said True Point of.Beginning, continuing along the south line said Old Oroville-Quincy Road, in a westerly direction, 165 feet; thence South 06°07'14"" West, 214.41 feet, more or less, to the.North Line of the Olive Highway, as described in deed from Arthur McKee, et al, to the County of Butte, State of California, recorded June 28, 1949, in Book 288, Page 105, Official Records;, thence Easterly along the North line of said Olive Highway 135.00 feet to the southwest corner of the above mentioned Young parcel; thence along the west line of said Young parcel, North 13010' East, 225.0 feet, more or less, to the True Point of Beginning. ALSO EXCEPTING THEREFROM the Westerly 25.0 feet thereof measured easterly of.and parallel with the West boundary line, as conveyed to Verona L. Walker, by Grant Deed recorded October 23, 1981, in Book 2668, Page 144, Official Records. The Basis of Bearings for this description is the South boundary of the above mentioned Board of Education parcel, taken as South 89°47' West. All new structures must meet the Fire Safe Regulations of Butte County and Public Resources Code 4290. END OF DOCUMENT v p Svc vim'k Department C o u n t s J. Michael Crump, Director Warner C. Phillips, Assistant Director February 6, 2003 John Ziglar 4053 Olive Highway Oroville, CA 95966 Re: Application,for Certificate of Merger AP�68-1.60-037 & 106 Dear Mr. Ziglar: Public f 6 u t Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville. CA 95965 (530) 538-7266 (FAX) 538-7171 On February 6, 2003, the Department of Public Works made the finding that the Certificate of Merger on the above referenced property is exempt from environmental review, and approved the project subject to the following condition: ENVIRONMENTAL HEALTH DEPARTMENT CONDITION: 1. Provide sufficient evidence that the newly created vacant parcel will be able to met the minimum requirements for a sewage disposal system. We will record the certificate after the Environmental Health Department verifies that the condition has been satisfied. Should you appeal the decision of the Department of Public Works, please submit your appeal, in writing, with the appeal fee of $50.00, to the Clerk of the 'Board of Supervisors, 25 County Center Drive, Oroville, California,, prior to 4:00 p.m., February 18, 2003. If there are no appeals, we will submit the Certificate of Merger to the Butte County Recorder's office for recording and processing, and we will return your certificate to you. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, �,Z— " Stuart Edell Manager, Land Development Division SE/kp cc: Environmental Health Department Building Division . Michael Mooney Michael Evans BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS LAND DEVELOPMENT DIVISION TO: Mike Vieira, Manager, Building Division FROM: Stuart Edell, Manager, Land Development Division RE: John Ziglar, Application for Certificate of Merger AP 068-160-037 & 106 i DATE: January 15, 2003 We have received an application for the property described below. We are reviewing the application for completeness and, if complete, for conditions of approval. Comments from your department/division/agency regarding completeness of the application and/or possible conditions of approval are requested. Should you not be able to respond in the time frame given, or if you have any questions, please do not hesitate to give us a call at 538-7266. Thank you in advance for your time and efforts. This is an application for a Certificate of Merger to modify the boundary line between 2 parcels located on the North side of Olive Highway, approximately 900 feet west of Tyme Way, Oroville area, on property zoned HH=C (Highway Commercial), General Plan designation of LDR, identified as AP 068-160-037 &'106. It is within Supervisorial District No. 1. YOUR COMMENTS, IF ANY, ARE REQUESTED NO LATER THAN FEBRUARY 5.2003. IF NO COMMENTS OR COMMUNICATIONS ARE RECEIVED BY THAT DATE, THE ASSUMPTION WILL BE MADE THAT YOUR AGENCY HAS NO COMMENT. COMMENTS: (Attach additional pages if necessary) By: Dater, D:\Land Development\Application Forms\Comment Sheet 7 County Center Drive - Oroville, CA 95965 - (530)-538-7266 - FAX (530)-538-7171 DEPARTMENT OF PUBLIC WORKS � BUTTE COUNTY UNIFORM APPLICATION ArrLIUAN 1 : rroylae agent Inrormation on Otner siae: APPLICANT'S NAME ( If applicant is different from owner an affidavit is required ) John Ziglar ASSESSOR'S PARCEL NUMBER(S): 068-160-037, 106 ADDRESS: 4053 Olive ---Hwy. CITY, STATE, ZIP CODE L p Oroville, CA 95966 NAME OF PROPOSED PROJECT (If any) TELEPHONE ( 530) 534-9668 LOCATION OF PROJECT ( Major cross streets and address, if any) 4053 Olive Hwy. GENERAL INFORMATION REQUIRED OWNER'S NAME(S) TELEPHONE same as applicant ( ) ADDRESS: CITY, STATE, ZIP CODE ZONE GENERAL PLAN EXISTING LAND USE SITE SIZE ( In square feet) H -CJ L f)!L Res . and vacant 1 + acre EXISTING STRUCTURES (In square feet) PROPOSED STRUCTURES (In square feet) 2200 s.f. +- none at this time ( Check One) . ( Check One) ❑ PROPERTY IS OR PROPOSED TO BE SEWERED ® PROPERTY IS OR PROPOSED TO BE ON PUBLIC WATER M PROPERTY IS OR PROPOSED TO BE ON SEPTIC ❑ PROPERTY IS OR PROPOSED TO BE ON WELL WATER I At'rLIL:A 1 IUN KtUUt51 tU I ❑ LOT LINE ADJUSTMENT 9 CERTIFICATE OF MERGER DPn 11=r`T r1G4Z(`RIDT1nK1 FULL DESCRIPTION OF PROPOSED PROJECT ( Describe number and size of resulting parcels) Project proposes to relocate (-nTnTnnn ir)t-, lintm wpstpriy to add existing driveway to parcel with house. Applicant lives in house,, owns vacant parcel and will sell in future. MERGER. SUBDIVISION/ PARCEL MAP: BOOK(S): PAGE(S): BLOCK(S): LOTS(S): I VYYI4LI1 1 I IVIN I I CERTIFY THAT I AM PRESENTLY A LEGAL OWNER OR THE AUTHORIZED AGENT OF THE ABOVE DESCRIBED PROPERTY. FURTHER, I ACKNOWLEDGE THE FILING OF THIS APPLICATION AND CERTIFY THAT ALL OF THE ABOVE INFORMATION IS TRUE AND ACCURATE (if an agent is to be authorized, a cute a Ag t Authorization). DATE: `1 l'1 o t- SIGNATURE:y DATE: SIGNATURE: DATE: SIGNATURE: DATE: SIGNATURE: Note: Notification sent only to applicant and agent. Written reauest required for additional nntifiratinn AGENT AUTHORIZATION To Butte County, Department of Public Works: Michael G. Evans 570-5498 Print Name of Agent and Phone Number 1 Nice Place, Oroville, CA 95966 Mailing Address is hereby authorized to process this application on my/our property, identified as Butte County Assessors Parcel Number(s) 068-160-037, 106 This authorization allows representation for all applications, hearings, appeals, etc. and to sign all documents necessary for said processing, but not including document (s) relating to record title interest. Owner(s) of Record (sign and print name) John F. Zialar 4Pn Name i. nature Print Name Signature Print Name of Applicant (if other than owner) Michael Mooney Civil Engineer Civil Engineer or Land Surveyor: Lorr ne M. Ziglar Print Narhe/ Print Name signature Signature of Applicant (if other than owner) Print Name of Civil Engineer/Land Surveyor and Phone Number 5 Madrone Ave., Suite A, Oroville, CA 95966 Mailing Address FOR OFFICE USE ON Y Date received: �' �U0_3 Total amount rece" ed:$ I (0 ` Receipt No. I �D�'l ll� Taken B Land Dev. $ Plan. $ V i Env. Health $ Make checks payable to Butte County Treasurer RECEIVED D:1 -and DevelopmentkAppiieation FomutApplicadon for LLA d MERGER JAN 0 8 2003 COUNTY OF BUTTE LAND DEVELOPMENT DIV. SCJ . �Uc y DEO V�� L E Q �� SGA IX w Y, so ,l L1wC YlG�tj L` D /z/ VERGER APPS LCAT/off Toff✓. 4oS3 CX IPE �qvdy. OR-OV14c.,E, c.ARECEIVED APIV 0:�)g-/(a0 -437 /0& JAN 0 8.2003 jJTD i-AIND DEVELOPMENT D . ,C d- Pk, CPA 2CU ���1 /✓ICFd4CL /✓IOUs/E'/ G J/� E �✓(�/l/e �-lam � C -t: ZOC�Q J �. 3,3 zr3/ Moi/, oz Nj ( �•> cam.. r�C . — � C�`�-35 hG . � '`� �� L1wC -IL L` D /z/ VERGER APPS LCAT/off Toff✓. 4oS3 CX IPE �qvdy. OR-OV14c.,E, c.ARECEIVED APIV 0:�)g-/(a0 -437 /0& JAN 0 8.2003 . ;UNTY OF BUTTE i-AIND DEVELOPMENT D . Pope WoN OG sFcr�o�./ �S� r �q ,✓, R 4 E y rr o iy , cJnii�vc oR-r1 .4ret7l, �3urfF co.� c4, Pk, CPA 2CU ���1 /✓ICFd4CL /✓IOUs/E'/ G J/� E �✓(�/l/e �-lam � C -t: ZOC�Q J �. 3,3 zr3/ Moi/, oz i 80084 PERMIT NO. !_43.1-85B / � PERMIT EXPIRES ( OWNER LOYAL R. CONDE CONTR. Jeff Lancaster, Oroyille ASSESSOR PARCEL 68-16-37 LOCATION 4053 Olive Hwy, Oroyille Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Sei Called PC JOB FINALE[ Signature A J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECK VE CARPORTS, ETC. (Plans) OK except k's Zo Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch ngs; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) . Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date -BI and -BI Date Card -BI Date Card -BI Date Card -BI Date - Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date POOL (Plans OK except k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exce t#'s _Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58, Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation-Foo am -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive E] Yes ❑ No; Walks E] Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except k's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. 32. 33. A.C. Ducts; Insulation & Support Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except k's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss--Shthnq.-Rfn_q_. Fireplace Ties or Type A Flue -Fireplace Throat i Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California P5965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 3% - ASSES OR PARCEL NUMBER 46_ ZONING , BUILDING PERMIT OWNER / r & TE„__HONE L ��J{/J�(' S l SQ. FT. OCC. BUILDING VALUATION O OWNER'S AILING_A DRESS CONTrC O 'S NIiME TFtLEPHONE S CONTRAC DR'S M(/• IN A DR SS Fireplace CONSTRy TION L NDE UNKNOWN Total Valuation $ O Filing Fee $ 10.00 LENDE✓R''SS� MAILING ADDRESS Permit Fee $ 3 OO ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee .$ rs1 O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ s'S BUILDINGADD ESS Itt� � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 r Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Addition❑ Remodel El UtilitiesEA Inst Ilation❑ Other Describe work: ky, It 5 o Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADONS. ACC, BLDGS. 21/2Qsgit CONTRACTORS LICENSE LAW I declare un er`penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Pode and my license is in fullforce land effect. t License No. - Classification ' " �'a 1 ❑ 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 CONSTR. ULTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTPOWER APPARATUS & NON.RESIR D. (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES BALOg OQ FIXED APPLNS. OR EX. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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, judgments, costs expenses which may in any way accrue against said County I conse ence of he granting of this permit. X_ !d _ r— Date Si n;�r of A lira owne. g d pp 1 ❑ Contractor ��Agent ❑ An SH__ permit i required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ J OCCOP, GROUP I TYPE OF CONST.PARCEL PD D ISSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI R OR OF BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS ate Receipt No. C 3a�1� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 800-84B transferea from j.'Dawson 779-79 & k3520-82 PERMIT EXPIRES— 3/5/8& OWNER — LOYAL R. 6ONDE CONTR. owner ASSESSOR PARCEL 68-16-37 LOCATION 4053 Olive Hwy, Oroville OFFICE COPY Temp. Po—, Address — Called Pi GAS �By— Date Temp. Elec. ELECTRIC Meter By )PI Z— Dajtef�—S�—A Called P, Temp. Gas Service Cal led PG&E JOB FINALED (Date) 10 Si V = OK O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) _ 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures ^ 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOB ILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test=Demand-Valve-Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.: Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Pert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable *: = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK exceptk's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /'' Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers - 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7. B. Piers -Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except p's Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection x!59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ - 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter. Date ELECTRICAL Permit OK except H's 67. Garage Fire Door; Swing -Landing -Closer 6 , A.C. Duct in Garage -:Damper - _ 20. 21. Fixture & Transformer Clearance -Ins. Protection69. Elec. Receptacles Spacing -Lights &Switches at Doors Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location - 22. 23. 24. 25. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72, 73. Insulation -Foam -Looked in Attic E] Yes Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes - _26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI - - 27. 28. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 75. 76. 77, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- _ 30. Clothes Closet Light -Shower Light - 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ----------- 79. Water Well; Disconnect, Electrical, Plumbing -_-_-._ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 � Date_ Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Perry -it) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates Condensate Drain _& Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI-_ Card -BI 35. Attic Access & Platform if Furnace in Attic ---- - - - - - - Date -- - Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Dale FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: - 37. 38. 39. _Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) 40. 41. 42. 43. 44. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-136rlin-Roof Brac.-Truss-Shthn.q.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic Access Size & R_om_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows_ or Exiting Doors -Sill H_gt. & Dimensions _ Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) .� 350 v,1 PERMIT NO. 779-79B,P,E,M PERMIT EXPIRES OWNER J. Dawson owner `CONTR. 1LOCATION3(A:a6-37 [[,,� •� , SIS Oro Quincy Rd., app.750'E.of Glen Dr., Oroville Df` -F D4"vf? A&x'� JvS7— P:457� \\ Fo X, L(�//.n.J(� !� Doccv✓Sv�� �a j c =j 4 Temp. Power Pole— oleCalled CalledPG&E (,> 1, Temp. Elec. Serv. `0'�3"� Called PG&E 4N OST Temp. Gas Serv. Called PG&E JOB { , FINALED (Date) (Signature) t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS" BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 'S"7 Firewall Sol[ Piping Forms Parapets 1st Floor - .Z Jr Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out - Slab Y— Roof Sheathing Water Piping RierS4 5r Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall 30 Insulation Heaters Slab « GProv. for physically Appliances handicapped Crport Conformance of ex. Gas Piping &Test Footings structure Temp. Gas Slab Final ' Sanitation Patio FIREPLACE Final Footings Footinq ELECTRICAL Masonry Walls .Throat Rough Relnf. Steel Final i Fixtures Bond Beam FIRE SPRINKLERS I Motors Framing Test Water Htr. Stucco Final i Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES------------------ Elec. Service Elec. Pedestal ` Water Piping Sewer Gas Piping =E ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE " `b REMARKS OR CORRECTIONS J)Ve-A1 S7,,A/,ZJ S `77/ iD.5 ��/ /I" / o ' /,V69 L" G (NOTE: An entry must be made on this form each time you visit the job site.) Owner: Z o k- / '�l (-1 Q AJ /9 1- Permit No 4)16 /, V S ) Y a o - N1.3',4 , E� M� LOCATION ENERGY C•ERT•IF ICAT ION DESCRIPTION OF INSULATION ROOF Material z ✓ III Ri 4AL Thickness(inches) 1(e EXTERIOR WALL Material �/13/= B' A S° Thickness(inches) .� CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum Thickness(inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) 4 FLOOR, SLAB Material Cff AA A- At Y-- Thickness(inches) Width(inches) FOUNDATION WALL Material 0r/+,'tA � Thickness(inches) i A. P. No. Brand Name (�/GA %/A //�/7-.�,1-: VD' Thermal Resistance (R Value) Brand Name (115 ,/>?rA.'Iyr1� ED Thermal Resistance(R Value) /) Brand Name Thermal Resistance(R Value) Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name 0 A4..S 00 R rl j Iv 0 - Thermal Resistance(R Value) J1 - /gyp Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. X RM kAble, /OWNE STATE CONTRACTORS LICENSE NO. x SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. r -�? 0 O NP r= /V,4 F 0 (Please print) STATE CONTRACTORS LICENSE NO. SIG OF GENERAL CONT CTbR OWN&R DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center DLive-.OLoville, C.alifornia•95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. da- � ASSESSO P � N BER ZONING BUILDING PERMIT OW TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNE AI G ADDR S D Yrn A TO 'S NA E TELEPHONE- ELEPHONE _ CONTRACTOR'S MAILING ADDRESS CONTRACTOR'S Fireplace CONSTRUCTION LENDER- - -' UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee -)L_ $ .d ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty g $ d ARCHITECT OR ENGINEER'S MAILING ADDRESS Permi fee $ D-0 BUILDING ADDRESS I V UMBING PERMIT Filing Fee 10.00. Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 - USE OF STRUCTURE SFE/ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Ho e S G W 0-00e TYPE OF WORK New Additio Remod9l Utilities❑ In tallation❑ 0 er ri a work: r DescV _ Permit Fee $ t Contract ICAL PERMIT Filing Fee 10.00 OR LES Main service 1°o°o AMP 10000AMP10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 1 2/20sgft 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 CONSTR ULTI.OUTLET 2,50 ea NON•RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS & NON•R ESID. \SINGLE OUTLET CIR. ESLD. Ex. O UTNGLE OR FIXTURES 9A 50 300 FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ r aU Contractor on A#NACAL PERMIT Filing Fee 10.00 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. Heating Cooling 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, costs, and expenses which may in any way accrue against said County •n consequence of the granting of this permit. X Date •� r a 5ignatUr Applican — Owner ❑ Contractor ❑ Agent ❑ An O$ 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 $ TOTAL PERMIT FEE $ C OCCUP. GROUP I TYPE OF CONST. F JPARCFLJ PD D SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which EC R OF PUBLIC By 02Date��� PERMIT EXPIRES Ate the applicable provi- resolutions to do fees have been paid. WORKS i �-' Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i pp9N, COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. , Please complete and return this information in the envelope provided'at, your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. J personally plan to provide the major labor andma erials for construction of the proposed property improvement (yes or no) _- S 2. 'I (have/have not) signed an application for a building permit for the proposed work. 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,.and provide 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 S igned : Property Owner Social Security n er � ? Date 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 permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cialifornia'95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 1 ASSESSOR PARCEL NUMBER 68-16-37 ZONING BUILDING PERMIT OWNER LOW R Conde TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 4035 Olive Hwv, OroVIlle CON7R TO 'SNME TELEPHONE CONT OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee z original $ 81.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 91.50 BUILDING4035 Olive Hwy, Oroville PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF S Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10-00e TYPE OF WORK New K Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 6th renewal/779-79 — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Previous renewal/800-84 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2th2Sgft 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 CONSTR ULTI.OUTLET 2.50 ea RESID. BRANCH CIRC ITS _NON. NEWCONSTR. ( POWER APPARATUS & 1 NON .R ESI D. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 6A ®50C FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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. 1 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. X Date --I--11— ks— Signa a of Applicant — Owner,® Contractor ❑ Agent F] 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 $ TOTAL PERMIT FEE $ 91.50 OCCu P. GROUP I TYPE OF CONST. PARCEL PD HD 93UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which RECTO UB 100 By PE IT PIRES gto 3/5/86 the applicable provi- resolutions to do fees have been paid. IC WORKS ^Date Receipt No. C� 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSP CTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of -Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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) V e S 2. I (have/have not) signed an application -for a building permit for the proposed work. 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, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted persons to provide the work indicated: (hired) the following Signed: Property Owner Social Security nuiotr Date 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 permitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California -959E5 - Telephone 916/534-4541 APPLICATION AND PERMIT V/ uy� ASSESSOR PA CEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE Q i OWNER'S A LING ADDRESS ©3S I:i V t 14wv. D P -o v I LLQ SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME 7 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS Total Valuation Is Filing Fee Permit Fee , $ 10.00 $ 5 V ARCHITECT OR ENGINEER LICENSE NO. j ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty $ $ $ BUILDING ADDRESS_ 1 Permit fee $ SD 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 L� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00 P;1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 (� Main service 600V OR LESS 100 AMP OR LESS 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 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) L] 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.9( CC.LDGS. , t A ) NEW CONSTR. ULTBI.OUTLET 2.50 e.50e NO N.RESID BRANCH CIRC ITS a POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu z0®s0C p OUTLETS OR FIXTURES BAL030 FIXED Ex. Occup. OUTLETS P(RESID.)REA.) 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 FiIingFee 10.00 Heating Cooling 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, judgments, costs, and expenses which may in any way accrue against sa' County in consequence of the granting of this permit. ', %� Date � �� _V v Signarre Applicont — Owner 22"-Contrcctor ❑ 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 S TOTAL PERMIT FEE $ / s occu P. CONST.TYPE FLOOD PARCEL I PD ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOA OFOPJCBLIC SY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS e� Date Receipt No.::ST%C WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT GREGORY J. BRISLAIN; INC., J.Df_ZINK, INC. 1 ALBERT J. LENZI. JR. BRISLAIN & ZINK ATTORNEYS AT LAW A PARTNERSHIP OF PROFESSIONAL CORPORATIONS 555 EAST AVENUE CHICO.. CALIFORNIA 95926 (916) 895-1234 March -3, 1983 Butte County Department of Public Works #7 County Center Drive Oroville, CA 95965 Re:. Joanne Dawson, Assessor's Parcel. Number 68-16-37, Building Permit to Expire 5/5/83 Dear Sir/Madam: Your office granted a building permit to my client,. Joanne Dawson, for work to be performed on her residence at the above -parcel number, which is located s/s Oro Quincy Road, approximately 750 feet east of Glen Drive. Mrs. Dawson is in the process of obtaining a dissolu- tion of marriage, Butte County case number,.79690. Her son is presently. attempting to work on the house and to complete all.necessary improvements.. The building permit presently is set to expire on March 5, 1983. Because.of the dissolution and the consequent interruption in the work, by this letter, we are respect- fully requesting an extension of the building permit. Sincerely, BRISLAIN & INK Greg ry Br slain GJB:lm cc: Joanne Dawson -:r - '► f t -o File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information J) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & Pcl. Maps Permits COUNTY OF BUTTE - DEPAR-TMENsT OF PUBLIC WORKS 7 County Center Drive - Oroville, Galifornia 95965 -Telephone 916/534-4541 APPLICATION "AND PERMIT PERMIT NO. ASSESSOR PA��°RCEL U BE - , _71v.. 3 ZONING BUILDING PERMITOw, �-T �fi(�l/St�/V T PHONE r SQ. FT. OCC. BUILDING VALUATION . A)D ijr5 OWNER'S MAILING ADDRESS ' A 0 , '60X i o�/� O,�o(//GL-E CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 1 Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ /-, D00 , 00 Filing Fee $ 0.00 LENDER'S MAILING ADDRESS Permit Fee 72. $ 2 50 ARCHITECT OR ENGINEER LICENSE NO. P pE2AR7' 1_5 00 Pe $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 2 .SO Bul ADDREESS /�Gv �� ��� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 1/ Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF LLy Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W In! TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: — 2NIP 3� ,��tl lc�r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 � f Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( OCCUP,& OR AODNS. ( ACC. BLDGS. I 2/20sgft 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 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) 1 ❑ 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 CONSTR ( ULTI-OUTLET NON.RESID. `BRANCH CIRC ITS 2.50 ea NEW CON ST SL (POWER APPARATUS &1 NON -RESID. SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES aA @gsoa FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities' 15.00 Misc.aWiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 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. Heating Cooling 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 Countyof 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. X Date Signat a f•Applicant — Owner ❑ Contractor ❑ Agent An OS permit is required for excavations over 5'0" deep and demolition or construct- res over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCOP. GROUP I TYPE OF CONST. IFARCELI PD I HD I ISSUE This m't is hereby issued under ty Code and/or sioWne wofot which OF PUBLIC ,ByDate�� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / �� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 -Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing 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. Ihave/have not si ned an a licati n f ,a building permit for the proposed work. 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, and provide the major work: Name -Address ICity 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 S igned : Property=ureitfn6mber_ r 1 / Social Se Date 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 permitted to issue the permit. /7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT cc �cNicacnlallvcA VI u1c Vvwlly " oullc [L CIIICI uNun ult: above-mentioned property for inspection purposes. Date 2 �r3 `iCl Signature of Permitee or Agent C^ Receipt No. / b e- 6 3 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. DIRECTQFkOF PUBLIC WORKS BY / Date J �- Z ��Ullng permit expires Date BUILDING Owner J S t3 �• SO. FT. OCC. BUILDING VALUATION Mailing Address cLl S- qo 6y rlsh e)/ Telephone No. Contractor Mailing Address Fireplace Total Valuation 11/ //!L Telephone No. Permit Fee Building Addressr a Plan Checking Fee&/or Penalty Permit Fee 67 / 6-3 PLUMBING No. @ FEE PERMIT FILING FEE v $3.00 Each Trap 1.50 13 :520 epair drainage or vent piping 1.50 P. No. 3 � / 6"3 Zoni g 8 �'lannl sEach Water piping 1.50 e,c-e) gas water heater or vent 1.50 _ �6 F s W SaoKn I Fire Dept. FireZone Use Penni Gas piping system 1 -5 outlets 1.50 r -v EOA Parking Plans Parcel Declaration Parcel Ma 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. s Recd Parcel p roval Pla Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ - y 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 Main service OV100ER AMP600v OR LESS 25.00 Main service EA. ADD•L 100 AMPS 1.00 NEW CONSDWELING' OR ADDNST �ACCLBLDGS.0C E, 20 sq ft 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 st le of: Y NEW CONSTR MULTI-OUTL T NON•RESID BRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS 11 NON -R ESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTI-RES �t?@25c BAL�1 EFIXED APPLNS. OR x. OCCUp• 2.00 OUTLETS (RESID.) EA� 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 $ 6 3.60 $ Gj Ko WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor 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 o as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3.040 Heating CC)d Cie.) Cooling ad Ventilation Hood 2.00 Permit Fee $ / 3 $ 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 Land Development Fee $ TOTAL PERMIT FEE cc �cNicacnlallvcA VI u1c Vvwlly " oullc [L CIIICI uNun ult: above-mentioned property for inspection purposes. Date 2 �r3 `iCl Signature of Permitee or Agent C^ Receipt No. / b e- 6 3 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. DIRECTQFkOF PUBLIC WORKS BY / Date J �- Z ��Ullng permit expires Date To: Building Department From: Envirormiental Health Subject: Sanitation Clearance Vwner Loca on A-P.# Plans approved for: Sewage idsposal (/ Wates Supply Hold final for: Final clearance Q.X. for: Clearance for a 6-2-- bedrocm, ambdEle how e . C . er Clearance for addition of Sanitarian Water , S-anply Water Supply date i COUNTY OF -BUTTE - DEPARTMENT -OP PCUBLIC WORKS - BUILDING DIVISION ,.7, f;ounty Center Drive — 0roville, California 95965 — Telephone: 534-4541 PERMIT APPLICATION DATA SHEET / Permit No. OWNER 0�tu A.P. No. Proposed Building Use 1) Permit fee based upon: Complete Contract Price "r DPW Valuation Other (explain) n A Building Inspector Date Z" / 3" 7 ci. At time of permit application, I was advisedthe 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............................................................... Complete plans in 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see j addressbelow)................................................................................................. _ 15. Pre -inspection for required. Pre•inspec. request to 16. Other bidg.inspector (Ate) W en you issue the permit,, process as follows: h� Mail to owner , �/ Mail to contractor. -Telephone t t,�lr�' cable i'' and/ olc( for pickup at 0.i6 v V office. Deliver w/inspection. Other �,•/ Applicantl/114Gke �i/�u u�GL'> Date o? -/0- �I- Copy of plans sent Health Dept., ✓ Fire Dept., Other Date— During ateDuring the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circl 1. Index permit for above Items No. .� 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By- T Date Z 27 Flans checked by 11111-17-- Date Plans approved by f %. Date OTHER: r—, /r1P1A1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIICATI•DN AND PERMIT ASSESSOR PARCEL NUMBER 68-16-37 ZONING BUILDING PERMIT OWNER Dawson TELEPHONE SO. FT. OCC. BUILDING VALUATION 4th ren Wal OWNER'S MAILING ADDRESS P.O, Box 1045, Oroville _ CONTRACTOR'SNAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN c� Total.Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 2 of original $ 81.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 91.50; BUILDING Oro Quincy Rd, app 750'E Glen Drive, Oroville SS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets _ 5.00 USE OF STRUCTURE SF M Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W TL.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 4th renewal/779-79 — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 _ p last renewal/3520-82 Main service EA. AOD'L 100 AMP 2.50 NEW CONST ( DWELLING OCCUP.&)OR S. 21/20SQ ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y 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 CONSTR.( UL'r'-OUTLET NON-RESID `BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 2o�s0rc; Ex. Occup(ouTLETs OR FIXTURES HALO 2''. Ex. Occup. OUTLETS.((RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation -- Permit Fez $ Contractor I certify that i have read ;his 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 againstOCCUP. al! liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ?C Date Signature of Applicant — Owner ❑ Controctor u 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 $ TOTAL PERMIT FEE $ 91 -50 GROUP TYPE of CONST. F IPAP.CFLI P ISSUE This permit is hereby issued under sions of the Butte County Code and/or v.,ork indicated above for which DIRECTOR OF PUBLIC By{� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date jj,S' ��� __3Z51,)QQ4____ Receipt No. _^ WHITE-D.P.W.. YELLOW-ASSZSSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT