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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 2m Ir 2 IL Z Z O OtAi. UOZ O U. -I LL ZI UJIr w U.y Z W rc Z ¢ 4 I O= W~Q Z J D= W~Q F J Ow WNQ J a Ow F Q WJ a �Y Z J ZJ O U WJ DQ W Q� c�- W U w yl LL SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PERMIT NUMBERS SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL &T ff of Ow #414[IIIlow.,IaJ;'cII %I/1C PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL �iIhYNmfff. Ie/x0lAF ►`/FJJ001 %I/!C 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.' pzc .. ` 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./- PIItUel�10111tre1e.ln�. �..1t nlYILY]E�ni N�UrrIt1Y111 �_y - _ I. J. XIBODEAUX rk r a(I. I. 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 14 Commission Eztrires hb�embcr 17;'10%4' � mouaerautcatrl�erseneu[��laeccyt�,otr>f�ritroetsnai�q i L.� '�`•. J. 1'.tI r; jl.q I, T, �, �,: llv,r\v,1(ddt 'n'J` �>.!J j `nu-l,k'., r �.,. • •,,f ..• 't:: •' S9\'• A ✓ a.'.A �. t F Q {?ry!t t py�"RN'�.,Y ♦1' ?�,�,f t� i Ii itt,y�kn"•y. i?\._\a?,.\a..l,.r<.'.'.'.eA'.'`��'�.\+,4?Tb?:4:i'��a..".'.a.aa✓;Cd;t�Jy.N.':f'•fl.F'��7,Y...1?I�A�kt`+!�^+,..^�:.i".A,.i�eN,l..r�A.>;r�n_.Q,�.Y���iP;�;T'!.y�r�r ,]r .c3; POWER OF ATTORNEY—GENERAL 'This standard form rovers rnnsf mund probtrrns In the Grid indivmvd..Aefore von pian, rend it. fill In all bin ' WOLCOTTs Fonts 1400—Rcv. In. r:2 , J n..., ,h,,• i... - ,„ l!", . , .." , H'.n ., ,\ri :1. 0•, 0!,n•,r,'< !1tnr:s fur % it ppm t•s 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 t + I 1 v V 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