HomeMy WebLinkAbout071-490-001PERMIT DESIGNATION: B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING
P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT
DEPARTMENT T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D -DEMOLITION BUILDING AND SAFETY
TY N600.1
ICa I 401b �+ v
INSPECTION RECORD
BUILDING APPROVALS
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ROUGH -IN
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WATER PIPING
SEWER LINE
APPLIANCES Q VENTS
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PERMIT NUMBERt
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ROUGH -IN
FIXTURES & APPLIANCES
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DESIGNATION SIG. DATE
BU7E , G iRCY DEPARTMENT OF PUBLIC HEALTH
Division.of Sanitation
695 Oleander Avenue '!
P. 0. Box 1100, Chico
343-4211, Ext. 51
MOBILE HOIt SITE
2430 Bird Street
Oroville
533-1230, Ext. 297
PROPERTY USE AU11MULATION
To: Butte County Health Department Date:
I a/m/the legal owner or person in charge of the following property:
(Property description, location," or address)
`..PA
:l w. I S*
frf ..�k� pt'Ac.1t'.f- (,n
and have the authority to give and hereby do give my permission to:
'to camp ( ; live in
( Name)
a mobile home (); on the above mentioned property, and.to construct, main -
f
tain and use such sanitary facilities as the Butte County Health Department
deems necessary. This permission extends' from to
(Date) (Date)
I understand that.under the provisions of the California Health and
Safety Code, it is illegal to charge rent for a mobile home on the above
mentioned property unless I hold a valid permit from the State. Division of
Housing to operate a mobile home park. I will not charge rent for the
placement or occupancy of a mobile home on this property.'
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.. ` GENERAL
Know All Men by These Presents: That I, �%'�
the undersigned lJointly and severally, if more than one) hereby make, constitute and, appoint
my true and lawful Attorney for me and in my name, place and stead and for my use and benefit:
(a) To ask, demand, sue for, recover, collect and receive each and every sum of money, debt, account, legacy, bequest, Interest, dividend,
annuity and demand (which now is or hereafter shall become due, owing or payable) belonging to or claimed by me, and to use and take any
lawful means for the recovery thereof by legal process or otherwise, and to execute and deliver a satisfaction or release therefor, together with the
right and power to compromise or compound any claim or demand;
(b) To exercise any or all of the following powers as to 'real property, any interest therein and/or any building thereon: To contract for,
purchase, receive and take possession thereof and of evidence of title thereto; to lease the same for any term or purpose, Including leases for
business, residence, and oil and/or mineral development; to sell, exchange, grant or convey the same with or without warranty; and to mortgage,
transfer In trust, or otherwise encumber or hypothecate the same to secure payment of a negotiable or non-negotiable note or performance of any
obligation or agreement;
(c) To exercise any or all of the following powers as to all kinds of personal property and goods, wares and merchandise, choses In action
and other property in possession or in action: To contract for, buy, sell, exchange, transfer and in any legal manner deal in and with the same; and
to mortgage, transfer in trust, or otherwise encumber or hypothecate the same to secure payment of a negotiable or non-negotiable note or
performance of any obligation or agreement;
(d) To borrow money and to execute and deliver negotiable or non-negotiable notes therefor with or without security; and to loan money and
receive negotiable or non-negotiable notes therefor with 'such security as he shall deem proper;
(e) To create, amend, supplement and terminate any trust and to instruct and advise the trustee of any trust wherein I am or may be trustor
or beneficiary; to represent and vote stock, exercise stock rights, accept and deal with any dividend, distribution or bonus, Join In any corporate
financing, reorganization, merger, liquidation, consolidation or other action and the extension, compromise, conversion, adjustment, enforcement
or foreclosure., singly or in conjunction with others of any corpniale stock, bond, note, debenture or other security; to compound, compromise,
adjust, settle and saiisfy any obligation, .secures or unsc:,ured, ore:i7 by'or to me and to give. or.acceot any property and/or money whether or
not equal to or less in value than the amount owing in payment, settlement or satisfaction thereof;
(f) To transact business of any kind or class and as my act and deed to sign, execute, acknowledge and deliver any deed, lease, assign-
ment of lease, covenant, indenture, indemnity, agreement, mortgage, deed of trust, assignment of mortgage or of the beneficial Interest under
deed of trust, extension or renewal of any obligation, subordination or waiver of priority, hypothecation, bottomry, charter-party, bill of lading, bill
of sale, bill, bond, note, whether negotiable or non-negotiable, receipt, evidence of debt, full or partial release or satisfaction of mortgage, judg-
ment and other debt, request for partial or full reconveyance of deed of trust and such other instruments in writing of any kind or class as may be
necessary or proper in the premises.
Giving and Granting unto my said Attorney full power and authority to do and perform all and every act and thing whatsoever requisite,
necessary or appropriate to be done in and about the premises as fully to all intents and purposes as I might or could do If personally present,
hereby ratifying all that my said Attorney shall lawfully do or cause to be done by virtue of these presents. The powers and authority hereby con-
ferred upon my said Attorney shall be applicable to all real and personal property or interests therein now owned or hereafter acquired by me and
wherever situate.
My said Attorney is empowered hereby to determine in his sole discretion the time when, purpose for -and manner in which any power herein
conferred upon him shall be exercised, and the conditions, provisions and covenants of any Instrument or document which may be executed by
him pursuant hereto: and in the acquisition or disposition of real or personal property, my said Attorney shall have exclusive power to fix the terms
thereof for cash, credit and/or property, and it on credit with or without security.
The undersigned, if a married woman, hereby further authorizes and empowers my said Attorney, as my duly authorized agent, to join In my
behalf, in the execution of any instrument by which any community real property or any interest therein, now owned or hereafter acquired by my
spouse and myself, or either of us, is sold, leased, encumbered, or conveyed.
When the context so requires, the masculine gender includes the feminine and/or neuter, and the singular number Includes the plural.
WITNESS my hand this-- :�7 Z day
t•s
State of California,
r. •i i _r. .. C�
County of tC 1 7C
On ��// ��:/ r_/ �y� _
_., be�ffoorre me, the undersigned, a Notary Public in and for said
_-_,.._.
State, personally appeared
_ s2. -e----"'
known to me to be the r`erson__ whose name _,.4_ —_ subscribed to the within instrument and acknowledged that—, i,1
executed the same./-
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_ I. J. XIBODEAUX
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Witness my hand a 3
h•liYl' \!t1' I'UIIL.IC — Cnl.11 UIdN1A
Notary Public In and,for said State.
rich.?:u'AL OFFICE IN �
l`I ': COUNTY
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO K
7 County Center Drive — Orovi Ile, California 95965 .05603-.
05 {�- f� 3 -'
Telephone: X34-4541 (�J (J
APPLICATION AND PERMIT
autnorize representatives of the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
X��1v i l�Cl 4Vl On_� Date /
Signature o Permitee or Agent
Receipt No. zo ! 2 1; — 61 (_-, —
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/PUBLIC WORKS
Building permit expires Dafd L__y ? �
\ I
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng A ress
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE 2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. Loni^9
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
ee
W.
a i o
Fire Dept.
Fire Zone Use Permit
Building sewer
EQA
Parking Parcel
PI ns Declaration
Parcel Map
60R/W
'
Improvements
Im p
Lawn sprinkler system 2.00
Bldg. Ions Recd
Parcel Approval
Plans proval
Permit Fee
$
f
$ 3
NEW ❑ ADDITION ❑ UTILITIE OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE v $3.00
_9 cow
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures baba
Receps., switches & fix outlets 2025
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. FanorF.A. Furn. Motor 1.00
Evap. cooler, gar. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
0'-0
Mobil Home F ilities 5.00
•
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
O
$ i
MECHANICAL
No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑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.
PERMIT FILING FEE
$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relatinq to buildinq construction, and hereby
TOTAL PERMIT FEE
$ O �`
autnorize representatives of the county of tsutte to enter upon the
above-mentioned property for inspection purposes.
X��1v i l�Cl 4Vl On_� Date /
Signature o Permitee or Agent
Receipt No. zo ! 2 1; — 61 (_-, —
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/PUBLIC WORKS
Building permit expires Dafd L__y ? �
\ I
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: LUMPKIN RD
Owner:
PeIYTllt NO: $�%-13$5
APN: 071-490-001
CLARK,
TOMMY & DOROTHY
Issued Date: 06/26/2007 By KCG
Permit type: MISCELLANEOUS
1975 ROSE ST
Subtype: Electrical
OROVILLE,
CA 95966
Expiration Date: 06/25/2008
Description: ELEC POWER TO RES WELL
(530) 990-5499
Occupancy: Zoning: TM5
Contractor
Applicant:
Square Footage:
MIKE HURST ELECTRIC
CLARK, TOMMY & DOROTF
Building Garage Remd]/Addn
15 OAKCREST DRIVE
1975 ROSE ST
OROVILLE, CA 95966
OROVILLE, CA 95966
(530)589-5330
(530)990-5499
Other Porch/Patio Total
FEE INFORMATION
DBE Single Phase Service-Resid $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B3657
LICENSED_ CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
MIKE HURST ELECTRIC 335967 / C10 / 03/31/2007
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a s fined statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
X
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil than five hundred
06/26/2007
penalty of not more dollars [$500];
Please check one of the following:
Contractor's Signature Date
❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑ I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 the Labor
AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
of Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier. State Fund Policy Number:713-0011127 Exp. Date:03/1412007
Contractors License Law.).
(This section nee not a competed if the permit is oror on2fiundred dodollars ($100) or ess.
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
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 Workers'
Compensation laws of California, and agree that if I should become subject to the workers'X
06/26/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
pros s.
X06/26/2007
I hereby certify that I have read this application anc state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
SignatureDate
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
o y owner or a t or' d to a the prop rty owners behalf.
06/26/2007
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Nuffe oT Per ee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ, code)
6owner 1-1 Contractor OR; DAgent for Owner ❑Agent for Contractor
FILE COPY
Lenders Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530)5')8-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OF APPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name
f' ame
Mailing Address q ' 71 �0
City Uf
State
ip Gy
L
Phone L
Fax
E-mail %� �53 %^ q�
CONTRACTOR
Name NO O
Address
City
City
State
Zip
Phone 5 • D
Fax
E-mail
Phone
Lic.# 335a
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT Sl NATURE
X 24 (
PROJECT• •
Property Adaress
PERMIT
NO.
BIN #
WORK R'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
s
c
UTILITIES FOR MH
PERMIT NUMBER - B 2603:,273 P,E
t
P
E
PERMIT EXPIRES
OWNER Harold Moore.
CONTR: 4 owner
+,. LOCATION (A.P. 71-05 :+5--
s Lumpkin Rd. , at new road' sectio 7/10 mi.
so, of Feather Falls -(1000-'for sin C.F.LeFee,
4
j� tr r
t c .
F
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COUNTY 0 . BUTTE
Department of Public Works
BUILDING INSFfcCT.IAM RECORD '
Zoning _
-Setback
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents E
Framing
Plmg. Topout
Rough Elec. t
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation &.Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final I
DATE
REMARKS OR,CORRECTIONS
OV