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Home My WebLink About078-270-054BA J. DOIAN Y&-qLftL fir Wyandotte R-A,_proville, 1-contr: Moi -'le Home Center. Permit#2708-- P,E(util, NH) ELEC -; pao,044, - GAS 7634 -k - SUPPORT STR REQ & COMPACTION TEST REQ ermit#2856-86B(demol" SF) Contr: Center hw Per 2709-86NHI Is ed® • o�g-ago-oaf --O,v 1b 2 70 q IR C PERMIT NO. _ E(MH) PERMIT EXPIRES OWNER BARNEY J DOLAN CONTR. NH Center ASSESSOR PAR 36-073-24 LOCATION wrWyandotte, Oroville Temp. Power Po' = OFFICE COPY I Called PG881 Address, _ Temp. Elec. Se,. GAS Meter By D to i g Called PGF ELECTRI Meter By �� Dater Temp. Gas Seri_ Called PG&E _-- ----- --- -� --- -J JOB FINALED (Date) Signature t -OK. Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS Not Ready Date MOBIL OME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Zoning Requirements—Setbacks-Easements 1. Zoning Requirements-Setbacks—Easements oils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors Se r; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ p—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures bIGaS' Location—Test—Wrap:/ /"L"ft./ /"Nal.o iO"L" ft./L//'LPG 6. Carports; Windows—Doors 7 tiIity Clearance 7. Elec. Card-B< Date/O 2 f 8 and -BI Date Card -BI Date Card -BI Date Card -B1. Date Card -BI Date Card -BI Date Card -BI Date Date'- MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line Date POOLS (Plans) OK except R's 1. Setbacks—Easements 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 B. 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-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 a OK. 0 = Not OK Not Applicable } = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except N's Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Dept 3 Fig., Garage; Soils -Steel- / /'' Fig. Depth _ 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Ste_mwalls, Garage: Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V. Fall -Fittings -Test -2 way C/O -Sewer Test 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 _ DateCard-BI Date Card -BI Date- Card -BI Date Date PLUMBING (Permit) OK except i't's FRAMING (Continued) 48. Property Line Firewall & Openings 49, Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protecti 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test -Flings & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access Card -BI 18. Test Tub & Shower, 2nd Floor -Tub Access Card -BI 19. Gas Pipe: Size & Anchors Gard -BI Date _ Card -BI Date Card -BI FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Date Card -BI Date Date ELECTRICAL (Permit) OK except it's 20. Fixture & Transformer Clearance - Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. _ Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes __;No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts. Insulation & Support. 32. Vent Fan: Exhaust above Insulation 33. _ Condensate Drain & Overflow: Size & Grade 34. F trnace-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 Date FRAMING(Plans) OK except M'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. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. 44. Fireplace Ties of Type A Flue -Fire place Throat 45. Attic Access. Size & Romex Protection -Draft Stop -Ins. Baffl_e_s 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing FRAMING (Continued) 48. Property Line Firewall & Openings 49, Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protecti bb. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic F-] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas 'est -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com! tents at Final: ---- - -- ---------- - (NOTE Anentrymust be made each time you visit jobsite) 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. bb. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic F-] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection _ 83. Corrections from Previous Inspections _ 84. Gas 'est -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com! tents at Final: ---- - -- ---------- - (NOTE Anentrymust be made each time you visit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 ^ PERMITNO. Address or location of mobi lehome 91---0 � •_� d) t . Owner's name � '� ►n s Owner's address A\Csm 1) Insignia or hud numbers ? Manufacturer's name�t r# t•v+-� c-�1 tS }-r+`�'� r -f Serial number of V.I.N. , w .� Year of manufacture (1 �� (Official Approving Installation) (Dote IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 061 513BWhite - Owner, Yellow - Installer, Pink - D.P.W. ,•' L . COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 53411541 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. It you have any question pertaining to this 0 Inspector_ Date --— JCOUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS P RMIT NO. 7 County Center Drive - Oroville, Califofnia 3,5965 - Telephone 916/534-4541 D APPLICATION AND PERMIT ASSESSOR PAR EL NUMBE -Q 7 ,p2 ZONIN P_ BUILDING PERMIT OWNER� ^ A�UOWNER'S TELEPHONE SQ, FT. OCC. BUILDING VALUATION MAILING ADDRESS CONTRACTOR'S AME EPHONE ,;) e- al�2i.✓� 4-W `iSla3 CONTRACTOR'S MAILING ADDR S ,Q✓�2 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 1 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' / IT. 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - f Permit fee $ 15" QjL PLUMBING PERMIT Filing Fee 10.00 y, Each Trap 2.00 Solar or heat pump water heater 20.00 LOT DIVISIJON NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S 0.00 - TYPE OF WORK New Addition❑ Remodel ED Utilities Installation❑ Other❑ Describe work: _ Permit Fee $ q0,(% Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eOOV 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 —7 / ❑ 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) ❑ 1, 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.N) yZ2sgft OR ADONS. l ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) POWER APPARATUS 8 (SINGLE OUTLET CIR. 20050e ALO 30 EX, Occup(OUTLETS OR FIXTURES eFIXED APPLNS. EX. QCCUp. OUTLETS ((RESID )REA.7 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 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. 1 also agree to save, indemnkeep harmless the County of Butte against all liabili ' d ents costs nd expenses which may in any way accrue agai said y i ons nce of the r ting of this permit. ��_�/ Date (� Signature of Applicant — Owner ❑ Contractor ® Agent ❑ An OSHA permit is req ired 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 $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP! oO F, -PARC PD ND sur This mit is hereby issued under sio o the Butte County Code and/or w k i e'catedRabvee for which TOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7000 �G 2QJOC Receipt No. WNIT!-D.P.W.. YELLOW-ASSES30R. PINK -INSPECTOR, GOLDENROD -APPLICANT A 4 COUNTY OF BUTTE - DEPARTMENT OF�P1,113: 1C WORKS - BUILDINQ, bivISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 9`6/5344541 ./ PERMIT APPLICATION DATA SHEET r Permit No. OWNER ✓. l�0 4A A. P. No. Proposed Building Use All, /_�_v Permit Fee Based Upon - Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and./or issuance: DATE RECEIVED APPROVED 1. All items have�bew/ �bm`tted. . . . . . . . . . . . 2., Plot pla-hein duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . ��/,9. Letter of signature authorization. • . . . . . . . fWQ. Sanitation approval from 04,P 16L� Health Dept. _ 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . y. Pre -Ins ection for Required. BuildingPre-InspIn request to (Date) p q Building Inspector 8. Recorded copy of Agricultural Acknowledgment Statement . . d �. her D/1/(/6,,wFVPFiw I IND 01 0 G you4W t4- c as! II s� -PVMai A is '51) al to contractor. Telephone 03 and 6for pickup at A4,0'0,2 office. Deliver w/inspector. Other Applicant t T Date I Copy of plans sent Health Dept., Fire Dept., �.ther Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of applicati n circ a tem.) 1. Index permit for above Items No. 0 A6 2. Additional items required: eont:rac), Designer, Owner) was advised of above required data eI phone Mail Other By Date Plans checked by Date Plans approved by AFC4 Date Other: Copy—DPW s To: :;uilding Departcv:.r�t From: Invironmental }fe ;lth Subject: Sanitation Clearance F' uner Location AP// Plan Approved for: 'Sewage disposal tater upply Hold . final for: ';::ter supply Final clearance O.K. for: eater supply Clearance for bedro ,; n,oUil. home . Other N0 �Iffio Sanitarian Date /t . � '> ��/� /J{�///� /{ 'TO:- Building Department 2-t. 4. FROM: Encroachment Permit Section RE: Driveway Clearance ow er location AP # Driveway permit' /U ' has been issued for the above property. _ P Y• s•gnat re date r ` 1. a •t Y I� r ,) , ,,s$�+'f �� r •(f.(1 }. t1yit i}l,-3 l S a AGRICUL'117PA , S T.ATF21VIT OF ACKN WL.EDC- ?'IE:NT • s 1`0R PES I DGTJ1 I pL DEZ'E r ��T,��t'?'r•�htt rCv7p?�at �✓ ,, ., 1. , .b r i 't Jy) ;�}b t•T('�f r 'a'�r�... , ` „ X511• Y?5:t !ry`+/y itfis�r�i<j Section 26-81 of the Butlie County Code requires this acknowledcnt , be recorded prior' to issuance of a building permit. r �-t" ''s,t:: the property described herein is adjacent acent to land or included- P PAY � ` within an area zoned for agricultural purposes, and residents.of this propertymay be subject to inconveniences or disoomfort`'arising : `�J' from the f agricultural chemicals, including t �;•, but not 'limited' to herbicides, pesticides and fertilizers and from the pursuit of agricultural orlerations"including,41, but not limited to cultivation. Plowing, spraying, Pruning. and harvesting!which`;`coca": f '``;• .` , .r, • �r sionally generate dust, stroke, noise, and odor. Butte County has established.iagril� '4 tural zones which have as a priority use for productive agricultural'' purposes; ° andr" :s•. • • . • residents within said zones and on adjacent Property should be prepared to taocept inconvenience or discxmfort faun normal, necessary fam. operations. All that real property situate in the County of Butte, -State of California„' described as follcws : 4 r 'r. t,151 7, `3 Rr { r y t x � ' : t Axr`. rte.., .bs#.L•'S�. �rF.tJ:S c rt.?ri�+is \.. t ,. I a State of. ) on this the STATE OF CALIFORNIA COUNTY OF �J 4,el said Stale, personally ►ss. ILL 8 s �N�p PROPErdY CIINERS: 1 ' J r o 'A ( . �efore me, the undersigned, a Notary Public in and for /J4•/L J•et Al , personally known to me tv, pravb.. ,,, ,,... ,,....._ ___._ _. -- - - alLedihlpwitnesSW, WS-PCOnally-kne` ntome) to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said: at he/she resides (dJN' 7 that he/she OFFICIAL SEAL was present and saw �I/ --ar --” �" t�; DANIEL F. BUNT � ' i t NOTARY PUBLIC - CALIFORNIA �-�C, personally PRINCIPAL OFFICE IN known to him/her to be 1 ame persons escribed nd w �;,i;?'i BUTTE COUNTY executed the within Ins u ent, as a pa (i )there , s, n, at MY COMMISSION EXPIRES OCT. 11 1986 and deliver the same a d t at said part ie duly a nowle ged in the presence of s d af, ianI, that h /sIt /they 'xecut d the same, and that said ai lant thereupon party' lies') r ques ' subscribed his/ a e s a witnes h e WITNESS my h n tic I e r^ .----------- -- —.— (This area for official notarial seal) Signature__-- }tol1 r iIT Aic PtaL y 4t�t� 1iii and acknow tit,' A y • hand , and,,"of l �� i.' ": - s 't�3 ) r e J rw. J+r rjJJ�, I a State of. ) on this the STATE OF CALIFORNIA COUNTY OF �J 4,el said Stale, personally ►ss. ILL 8 s �N�p PROPErdY CIINERS: 1 ' J r o 'A ( . �efore me, the undersigned, a Notary Public in and for /J4•/L J•et Al , personally known to me tv, pravb.. ,,, ,,... ,,....._ ___._ _. -- - - alLedihlpwitnesSW, WS-PCOnally-kne` ntome) to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said: at he/she resides (dJN' 7 that he/she OFFICIAL SEAL was present and saw �I/ --ar --” �" t�; DANIEL F. BUNT � ' i t NOTARY PUBLIC - CALIFORNIA �-�C, personally PRINCIPAL OFFICE IN known to him/her to be 1 ame persons escribed nd w �;,i;?'i BUTTE COUNTY executed the within Ins u ent, as a pa (i )there , s, n, at MY COMMISSION EXPIRES OCT. 11 1986 and deliver the same a d t at said part ie duly a nowle ged in the presence of s d af, ianI, that h /sIt /they 'xecut d the same, and that said ai lant thereupon party' lies') r ques ' subscribed his/ a e s a witnes h e WITNESS my h n tic I e r^ .----------- -- —.— (This area for official notarial seal) Signature__-- }tol1 r iIT Aic PtaL y 4t�t� 1iii and acknow tit,' A y • hand , and,,"of l �� i.' ": - Y, . . All that portion of Lot in Flock 16 •a 3 s ,shown on that ;�rtaia tar entitlsd, "Yap of Villa Vercna, Butte f cunty, Calif orai '*i which. F•ap was ltled in the office of the Recorder of the County of Rutte, State of California, January 17, 1189 in Wall KapNo. 12, particularly. des-- cribed as follows: _ :''_ :►.div aL a. point in the East line of sand Lot 3, di`staat` thereon .':`.: 3onther1y 327.W feet fron'the Northeast corner of said Lot 3, which t .:'•b : ,'ms3,dy,Foint ot. be�inntng is identical with the Southeast corner of that . ;�.. i•; ?c+ rtaiivj roe or land described In'the : ,. a Deed from =.dv! n '•�'. Feall and a gl�i'� LM`?Se':urr and wit to ,• d parch 23, 19,6. and recorded y e ''da 4% 1piril 'B W6 fn *O 390: Of Butte County Official Reco ds, at. peg! ��t:&331 race .ontiauioe'rcn!!tier2y'.:a1cnE:said East line 121 00 feet] ,the •. • 1=idestr nd:{ :;par2]el t : Ute Soutti 'line of• sai3 :.ot.. 3., a�distarce `ot j09. feet toyi,ii't the4ce 3n` a.. of o th esterly to a. point ^-t' btraight li N r w ' = 2 nt�` of . satd.. -at .3, � which } the." ti::: ..ears 3outh 200 .,0 feet r .ra:.L 'ot' lacrl. described i� tfie be to*r a A k'�aforesafd • .. ._ .,,........: fin? •-,. `;;. j "bence.;i�artherl,� along the ',ester:y line of said Lot,' 3: ardistaace "oar A0 3,4 :tee, rt,— `t! i` Southiwest corner of the tract of land descried In the r"Dke3: to`1l�c0*0 "aforesaid- ' fh�nee' F.aster'a► alcmIt the southline: of 'said. 330A. '.f- e t ttpoint of besinning.... . ►fir i �iiF "E F • * Y .�!. �'a'X a.i. is �ifi" �..._._...Q.:?,•` `'':�; 1, .... : s" ''''.,...p• 5•�•y;:�:t "�t�--r•F Y '._y .r w. � ..:• re � rs= . tF -#-`. t.S y,/`C v. �'.'".`fa -.�• r�"2^e1' ( .Z: (`{" �•.:y':-Xlw.•• I. merit :µ'i �:j.. ». ��5: :.'-ilk. .j..-t�.i� ,�, �:,�.�. :. .:.�,�.' �•TK�li:r.<,:1<'.;':: A�. � ;'!�:' �,�, .�,. �4 •a. l" •afi tom. �•.N'bi/•�*•�� L,�,�. ,� - ., -") I AP# OWNER PERMIT'lk '7Q �� O M UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load 'T Pipe Size Length YES NO YES NO p y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R IT O. / 7 County Center Drive - Oroville, California 955135 - Telephone 916/534-4541 Q �/ APPLICATION AND PERMIT r� ASSESSOR PARCEL NyMBER _r( -07_3 —� ZONING �- BUILDING PERMI OWNER ^ _(/J TELEPHONE ,SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACT R'S N E L- Z-` ,ac ELEPHONE h 03 CO RACTOR'S MAILING AD ESS ER It/ /L - �. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ I Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DRESS Permit fee $ PERMIT Filing Fee 10.00 rPLUMBING Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USS OF STRUCTURE SF [:]Duplex❑ Mobilehom Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 1 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatione Other ❑ Describe work: 2—f¢J2 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Buslne$$ and Professions Code and my license is in full force and effect. License No. �/�i�S Classification C` �T ❑ 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 CONST. DWELLING OCCUP.y , � ) �22SQft OR ADDNS. ACC. BLDGS. NEW CONSTR. MULTI-OUTLET2.SOea NON-RESID BRANCH CIRC ITS (POWER APPARATUS el SINGLE OUTLET CIR. / z0050e EX. Occup(OUTLETS OR FIXTURES eALO 30 EX. OCCUp. OUTLETS FIXED PIRESID IREA.) 1 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 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 and xpenses which may in any way accrue agai said C y ' cquen the granting of this permit. all liabi ' Iu me tkoFe X Date ( Signature of A licant — Owner ❑ Contractor W 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 $ TOTAL PERMIT FEE $ Occup. CONST.TYPC I FLOOD PARCEL I PD 1 ND 1 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By i M P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Za Receipt No. WHITE-D.P.W.. YELLOW-ASSr33OR. PINK -INSPECTOR. GOLDENROD -APPLICANT - COUNTY OF BUTTE - DEPARTMENT,.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFO NIA 95965 - TELEPHONE: 91`+6/53�414541 PERMIT APPLICATION DATA SHEET `/ J /r Permit No. OWNER ✓' A� A. P. No. Proposed Building Use AJ14 Permit Fee Based/ "Iyon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector �— Date At time of permit application, I was advised the following data must be submitted prior to permit processing and./gr'issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2., Plot plans in duplicate/tr.iplicate. . . . . . . . . . . 3. Complete plans in duplicate/tri.plicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-InspIn request to (pate) p q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other When you issue the permit, pro ss as follows: Mail to owner. Mail to contractor. `Telephone 33`��3an hol for pickup at off ce. Deliver w/inspector. Other r Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 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 Date Plans checked by Date _ 3441 Plans approved by ate Other: Copy—DPW 1. Owner's name: 2. Installer's ne BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yep No _1 • (If yes, furnish permit number OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) ' 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and I clear of all setbacks and easements? Yes / No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- le)6 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- 1&-e) Amps: 8. Is there any other electric load to,be'served by the ,.. mobilehome siteservice?---------------------------------------------------- Yes No. (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ------- ------ 7 ,� (in•) 10. What is the type of gas service? --- :---------------------- Natural 7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if; pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.)` Q J X709 v BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT DATA -If other than single wide, / Mobilehome Mfr. furnish Setup Model No. Year )Width (ft.) Box Length (ft.) Tagalong or Expando Size ft. x _ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Single ' q(i. (ft.) ) Center support locations* 1% D (ft.)(in.) M �,q Io (ft.)(in.) 13.5" j (ft.)(in.) x 3v (in.) (in.) Center support footing sizes (in.) 136 001 (in.) (in.) 36 (in.) (in.) ti 3CPx 3d (in.) (in.) x30 (in.)l (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Footings (check one) t.l. Wood either pressure treated or foundation grade. 2. Other. (specify) Supports.(check one) 1: Concrete block. .2. Other. (specify) tagalong or Expando,' show support details. .2x_30 -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing `- -- Max. Overhang , •�yN�o�c- . /7/ ' , I TMS $0 kepi on the lQ, ob plans and specifications must �e at an times and if is unlawful to I I Oake any changes or alterations r�r;tten permission from on some without Mpe a �Ve4s, County of 8ufte. Prime of Public J07E; All Materials &' Workmanship j cordonce; with Recognized Good P Shall �. alit Practices and Unif'`go Y prescribed for the Specified , i rI�q �Bu;lalinc�, Plumbing III achanicai uC�e *e e Nat, al Electrical Code. and j Utility connecti s shall 4 ft, of the mobile come, e� - directly-be�ffind or w hin tka half of the roadside (le of the _. _...:. n iobilehgme. Yee ; 1 ' I mopoSOb -A4 x 48 MOBILE 80ME CENTER, INC. Contract r ;+ #2C -d etback of 5 ft. from e property lines and a setback ;of 50ft. from the road centerline shall be clear of structures or equipment except fear e 2 ft, eave overhang. �sFolloti be require or �. f i on of the mob;lehome. 70 VILDlN6 DEPARTMENT ' Telephone Message For--------------------------------------- From------------------------ -------------- of--------- Phone No.------------ ---------- =------+------- r Date----------------- Time ----------------- TELEPHONED ......... ❑ PLEASE CALL............ ❑ CALLED TO SEE YOU .... ❑ WILL CALL AGAIN ......... ❑ WANTS TO SEE YOU .... ❑ RETURNED YOUR CALL ..... ❑ Message: ------------------------------------- -------------------------------------------- ---------------=--------------- ------------ ---------------- ------------- ------------- ---------------------------------------=---- -------------------------------------------- -------------------------------------------- 3 First American Title 7 y� /9�� ,2� a� a� � 9� �. P�a� 8� 9,39 ��- �3� �9�� 9� P°9� Jaz � �o� -, i� -� ' - � �� -� ,� �� i �i i �� i� �� DECLARATION REGARDING ACCESS sw,PN6l Ttf Nr f' Gl v/L.¢� I, �/�/S' �,�04x� , applicant for a /%D�/C� permit from the County of Butte for.the parcel of land identified as Assessor's Parcel No. —3&-07-3- 2�L , declare that said parcel was created on by deed recorded in Book Official Records at Page in the office of the County Recorder of the County of Butte, and that I first purchased an interest in said parcel on or about 41� , 19�, and that at that time I was not aware of any facts that would cause me to suspect that said parcel may have been created without the access thereto required by law. I declare under penal/ty/ of erjury that the foregoing is true and correct. Executed this ! !O day of 0 at , California. Signe IV V e _ ,•�.Y- `_eat:=C_.!'�.s'tir.w_.._.1.-.-.tt �vssw re Z -k , --Li -IFOC _74-7 Ct 0 g 13 _3 AgreemOnt for SCIO of [o•.ol E1Pa?o kmcnimt dup A D. io 38 eases m llerte tw ld . dq Of 1,q . br and betwam ., .. ' CtJCDy SOS and LnLul gym. hL •1fa. .hsretnatta eaaad the inlay, aid t c BAMW ZAHM DOLj sed haetnahar egad the Duret. �� lQl.� mea hL vu,*. ' .: .. wlrrrrssarur 7Lat W seam, m ooaatdaattae et w. eoe'an.at. a� . eha borer herelaafter ooatatned, apes m aeu � tv vsK at and IMI emto the burs*. and !aW begatr .bur. the toaowmg dasertbed real property, attu■te m the avem Cwmb at Bvm . .. . state of Calltor"4 tweet: . ail All that. � erona�`Jett' Caa�tY Of 'Art 8 JA Block LOilito:ala• m that oert�p °aD antlflad 1&78 in lti1,i `lamp jJ2,pL tiCU]Ar .V deOf But* as � toa7ila. �� A. 80021,129 ata 1 127.00 foe Pout !a the fame line of said tot 3 Is Sdeaticu . the aorL`eaet Corner of anal tat 3, �+taet tha:aep _,Orth rlr. Sa th, Geed fr= tAt i Yuthaast corner ofd t o°rta.ta� °ld Point of begirmt,C meted Yarca 25 1 °ail mad Mite tract of land daaerib.d l^1.J0 feet ord^. a. N¢ 4,3. tsmas �op 4001 a7� an Bct�tees_ a dlate.oee �•�= ce 1'es n ;Hint; tusse��llaaaMid QetQt 3�m to a feet trm t..e SoUrve3t4cornear of Leatr int 3 vh;ch b°�ears�r_.th°1W f.eC ry aforeraidl tLenee Northory aloa act of lead QeseribW� 4t deed to . of 100.0 foot to:.tbe ;,oyt„ 4 �° 1loetery lima of a'r7 are 'traot�.�...T0.0'teet tcltb C°eltery a ty�a.`�au-f 11ae ataa�ald°d in tt, daed Point of bettiaaia¢.7 •u Additional Pa7sats may be mad• at arty tuna - . All deterred Payaom is shall ben Interest at the rate of 00 Pa Cent Pse ---,. R payable . 11mt LV and and It not allbearBo paid It shall. At the option of the Beller. be tided o the Yet mdPal b • like rate of Interest LL a any Installment at Principal Interest be not paid when due, than the whole d the principal and In!re_Bt_eha11 st the option of the seller. without notice, become forthwith due and payable.i and Interest at the times and In the manner es The buyer hereby agreto Pay sell herein mentioned. And the buyer turther agrees to do and perform the following: enta which become a lien on the promises. Taxes and aomsrnemta tar 1. Pay all lues and aaBessm . the current ft" year to be pro rated from data herant become a lla. the I Pay all Indebtedness incurred by the acts of the beer, on. or which may fxanlsa. o and with Use Payable A To Parotids. maintain and deliver o seller lire fnBuiann a policy may be • lied by seller uy to seller. The amount collected under any tire or other insurance Pallq racy applied an the purchase price or at option at seller the entire Amount essew n tea; default at any art thereof way be released o buyer. Such applleatoa es release +hall not Mrs o Cultivate. bripte. tertllls. Nmipw L To keep sad p, aDerti in goo Codltlom and repel+: may be reamy Dan - Prune and do all other sets which b the character or use rd Bald proDect7 . the esti—. bereia mat excluding the geaeal. awry. the esum _ Bay "A" R sukee W a:.:..,.. • Obtain the ard"Aa com- d the o0ar ar.. eaeestae�{- Ceswo7� _ ? ` •sts3re A A 31 NI 7. 7o Pay reasonable attorneys fee 1n the went that Cry d the possession d the abon awl �mder the reeov. destined Ween l or for the entoroemmt or breech d terms hereof, or to clear this • m7 d the greeueea t h say Ilea done a earned by the buy- front the to= L Said attorneys teen shall become due �t the time d Ming say such aetlo6 And the seller hereby agrees b do ad perform the F L In the absence of def cit, to permit,the buy- to remota taps-emfen d the sinews deaQ�el prcmLn from data herel L Lyes the full performaaoe by the buy-, of a¢ the teens and eeedltlota hutef, to axal m - cuts and delver to buyer a good and sufficient dead conerying the abuse described pts to the buyer. free and clear of all mnonbramn, may at suffered by the seller. It Is further hereby agreed: . L That the seller shall have the right tram Har to tear, b ant- +Aon the Irematmm for the pe_ P— Of inspeetloa 1 In the event that the buyer toile to keep said premises bee d Ummt lire ad an momtti or b Insure or b care tar said premises, as hereinbefore provlde4 Seller, without +alar, may pay al taxer, hens and ainsurance,mts, insuranpremium and eat d earmg for said Waml MI ar, and all pay.. ens may therefor, shall 6added b ad become a part of the purchase pekr and become ionone- dately due and Payable from buyer to seller and Shall bear interest at the rate of per tent per annum mw repaid. , 1 That upon request of seller, buyer win accept a dead will execute b seller a r_—we aa0°•°ybV meld peemla� b buy- and promissory und rote a voter. Secured by dead d trust upon the said premJsee for the full amount remaininggunpaid he Secured which note or motes and dead at be executed by such persons and be in such form se Is aattdaetory b seller and sha$trust al I d ainterest, correspond b the terms hered, . u to prtadpai be a rsh e• & That the Perform"" by the buyer of W the terms bered is • condltlon peeadmt whereen depends the performance Of the agreemma an the part of the Seller. a That the walver by the seller of any breach of my teres hued al no be a Wats- d any Subsequent or other breach hereof nor of my term a CodJtlon hare) 7. That In the event of the failure of the buyer to Comply with the whole w say at the terms hereof, the seller shall be released from all obligations in law or in equity to om thall be entitled b Immediate e1 said Iwereerlon thereof. ad the buyer Shah! forfeit ail rights hereunder and the seller shall retain all moneys paid hereunder as rent and compensation for the me ed occupancy of Said premium a That time to of the success of this agreement. 9. The Seller Al agrees that the BVj%V q at any telae "Us traWw or omrq this agreaatat of Hale. , IN WITNM WFEMW1 the Partin berate have executed this Instrument the dq and year am herelaabove written. -1,41 l / // �"x' s 22413 _— When recorded wtl to - - —_-- - Agreement _..........._ ... i for Sole of Real Estate ---- T , . Recorded at the Requea d - , MAf Z� HSS.. - . .t........ .... dr.. io.._.........e 'g ,Y to Volum._.. 5.3.�.........._....._..__._...d �,% . CC.t.Cse.r..J.; wr-.rJblf. } • ., ..._..1!_.t • C � .. ................ _...... _..___._ County Recorda . ETHu. lr. GSlt.b'� . •p..• �•..• . TITLE INSURANCE � � � •...-� GUARANTY COMPANY ode ��,.-�,..4-,:-;�.-A.,..-��---�:••�--....,.-„ �r ,:�., _ �-, F 4 r :e H •z ' "i � a� 1 t a 90 :.I COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P�R�M_IT :rJ ASS S OR PA CE NUM ER _ : - ZONIN BUILDING PERMIT o R o Gh TELE Ho E SQ. FT. OCC. BUILDING VALUATION OWN€R'S MAILI G ADDRESS _ /'/1. 6 CO AC TOR'S NSA/MSE IW 1`101 Y TELEPHONE C ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ p() ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS lfw6 O "YI Permit fee $ 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.gas water heater or vent 5.00 USE OF STRUCTURE SF (y Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New❑ Addition❑ Re del❑ Utilities❑ Installation❑ Other f I Describe work: �'hi►�! I 'T �f�_ _ 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): El 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 CONST. DWELLING OCCUP.ad ,/z�SQft OR ADONS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e\ SINGLE OUTLET CIR. z0050t EX. QCCUp OUTLETS OR FIXTURES .ALO 30 EX. QCCUp. OUTLETS (RESID )FIXED APPLNS. REA.1 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. �( 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. 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 aid County in cc se e e of the granting of this permit. Signature of Appli nt Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ,oo OCCUP. CONST.TYPEJ I IFLOODIPARCELI PD ND ss E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR F Pff/r— Byate PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS G� — Receipt No. WMITE-D.P•W.. TELLOW-ASSES OR. 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 at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property/ improvement (yes or no) c 2. I (have/have not) `/ /Fa,� 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 Signed: Property Owner Social Sec ritzy Number Date's -4 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before .we are per- mitted to issue the permit.