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026-242-034
���.1atiti....- . ,,,'. Pr.r�: - - '-• --....,ems,",;. .-. '+-""'..---l.x� _ _ .. - .' ,y-'-. jq s r 26-242-Q - - ETHEL SMITH 7747 Occidental, Palerm ContR: Skilled Builders, P �,' PErmit#3783-88B,P,E,M(new single family) ` �fA �•• 26-242-47;,� .. r r Contr: Skilled Builders, Palermo PE rmit#131-89B(add carport)SF 37c;2�/ W, Pr. ... ,. ... t�, ....... .. .. .. •. .,.. :, ..w. ,<...._ .... ,>.. .4...v,. ,, 4. r. .. a--, •l.r M., •<. '�L. .✓`: f :;a a!'+'� �w^� �,'.. e. t ` q T .a �r.. ., .:., .. ..:. .... .. a.,.$., -F. �, w, .,. ._•.r_., .Z. ,�., r-. .. ..,9. s., ,ru :i.:.+ rs - [s f� lr '^F,. r,:�:.'�f.;..r_ ��t� .Y�s-. r. fi'dr.-:. �i. ... � .. jl . � z, ......c .,• .A, +ve J• _ •.:+. a C-. t - a - !I�•�.. ,ti i� ;!• � .k .L ,oR�� ..1� . v ; iii,• � i iV����. .:e -: :i�` f `:1 f� �R �rY..i lr: �`t /� .���,.� +�5. �,_.�r � 'i .:I �'� .13t !� �'�`a�•.. "::/ W'"k �''; R�_* 1 PERMIT NO. 3783-88B,P,E,M PERMIT EXPIRES OWNER ETHEL SMITH CONTR. Skilled Builders ASSESSOR PARCEL 26-242-32 LOCATION 7747 Occidental, Palermo x . i a y t t ' J M. ' PF Temp. Power Pole . Called t Temp. Elec Called Temp. Gas Called JOB FINAL r f Signatu =OK 0=Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ PV ft./ /"LPG 7. Utility Clearance Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning .Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected-C/O.to Grade -HD Approval 8. Gas and Electricity Tagged ' 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -61 Date Card -131 Date Card -61 Date Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning'Requirements-Setbacks-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Card -131 Date Card -131 Date Card -61 Date Card -61 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -81 Date Card -81 Date =OK o Not OK RESIDENTIAL (Single and Duplex) -=gNoI.ApRlicable •• _ Not Ready Date.. UNDERFLOOR (Plans) OK except #'s q!Zoning-Setbacks;-Easements-Flood-Slope. : tg., Main; Soils-Steel-Elec. Grnd.-/ •/" Ftg. Depth 3. ge; Soils -Steel-/ /" Ftg. Depth 4. flV., Perches -&Decks; Soils -Steel-/ /"Ftg. Depth Stemwalls, Main; Steel- Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped r8�i rs-Fireplace Ftg.-Steel Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation F • Card-BiQo DateJAJ1WGardzB1 Date Card -131 Date b-- Card -131 Date Date'PLUMBING (Permit) -OK except #'s 6. Water Ht. Vent -Access -Combustion Air -Baffle p1l. Pipe; Test & Anchors-Nail.Protection, t -${M. D.W.V.; Test-Fttngs,& Anchors -Nail Protection 9.9-ehyWe--r-Fan; Test, First Floor -Tub Access 29. Testi &Shower, 2nd'Floor7Tub Access . 1. Gas Pipe; Size ,& Anchors Card -B1 Date p -,r and -81 Date' ' Card -131 Date Card -61 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 3. Elec. Receptacles Spacing -Lights & Switches at Doors i -Boxes & No. of Conductors -Stapled �-� omex Installed Close to Edge of Studs & C.J. 6. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28-6rrbfeed-Wire-434e / / ga. Cu or Al-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No X30. Service -Riser Conductors ,& Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 3kClothes Closet Light -Shower Light -Spa Light 1-133. Smoke Detector Card- Date and -B1 Date Card -61 Date and -81 Date Dat ECMANICAL (Permit) OK except #'s . A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B Date Z Card -B1 Date Card -B1 Date Card -131 Date Date FR ING (Plans) OK except #'s ills, Proper Material & Anchors 0. ails Studs -Nailing, Spacing & Bracing -Plates -Sound Be ng Walls over Girders & Floor Nailing (� raft Stop in Walls (rat proof) �kre Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearina Date FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors Ing. Joist-Rftr. Ties-Purlin-Roof Brac. r ng.-Rfng. 0. e A Flue -Fireplace roat Clearance 8. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions �§ ire PFMcttun7Framing 51-PropwtTGne Fi7ewall & Openings Ext. Doors -One T -Check Garage -3rd story, 2 exits room -Rise -Run -Landing -Fire Protection 454-F ywood on Roof Overhang -Attic Vents -Rafter Outriggers 15&. -Nailing Veneer 5. St - d -Fd. Vents-Underflr. Access L -57 -15 -lazing Area -Glass Protection -Skylight$ -Plastic Its nsulation-Wal Is-Clg. 60. Infiltration-Walls-Wndws Card -B1 �p Dat4�/Z- d -B1 Date Card -131 Date Card -B1 Date Date FIN lans) OK except #'s ' . Ext eps-Door & Sidelight Protection -Landings Sm9keZetector u -mace; Vents -Clearance -Comb. Air -Connector - In arage; Above Floor -Ducts -Meeh. Protection e 0 Exiting �J..&-Bath Fixtures & Tub Access -Spa ,60EIe2. Trim & Subpanel;_Breaker Sizes -Labels fairs & Rails ' ce or Stove; Clearances -Hearth ec. utlets at Wood Panel; Int. & Ext. -& Appliance; Grnd. -Air Gap -Cooking Clearance- . lec. Outlets & Receptacles at Kit. Counter 2 �Zsara.n�e_Fire Door; Swing -Landing -Closer -73:-A-C Vuct1n-Garage-Damper tr. Htr,; Vents -Clearance -Comb. Air-Connector-P.R.V.- In G rage; Above Floor-Mech. Protection �/5 ., Elec. & Mech. Equip. Listed for Location -icEle,Receptacles in Garage; (G.F.I.)-Romex Protec. s lation-Foam-Looked in Attic ❑ Yes d Rails & Deck Construction -Post Caps - Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes a -Ne Walks ❑ Yes ale, - Planters ❑ Yes ❑ No -$a. ee Brown -Finish nit; Disconnect, Electrical, Plumbing ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opprngs. ater .Well; Disconnect, Electrical, Plumbing terior Elec. Trim; G.F.I. Receptacle -Underground twIventilation throughout House Gla s -Protection orrections from Previous Inpections est -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval nergy Compliance Certificate -Other Certificates n vnny v-un.a is Card -61 ate •� rd -131 Date Card- Date and -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-27,51,: 7 County Center Drive, Orovi Ile — Phone: 538-7541 r. 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE VAIN VNER PERMIT NO. 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 F matter, or need additional explanation, please contact this office immediately. y •s off. ,1 1 vi A Inspector 1A,7 Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 r 7 County Center Drive; Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE ER 7 PERMIT NO. 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 matter, or need additional explanation, please contact this office immediately. Inspector DateAQ'— Q'` l q ^ (FW1 ENERGY INSTALLATION CERTIFICATE Building Owner Building Permit # Building Location DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material_ Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type )_ Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED ,p Material Thickness(inches) Z FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name 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 Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insula tion was installed in the above building, is consistent with approved building department plans and attachments and con- fore ireme�s of Chapter 2-53 of State of California Energy Requir,ment FIRM NAME/01+nER STATE CONTRACTOR'S LICENSE NO. a't'e� ? 9j SI TURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, as shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. Ski //e a 3u ; / J re -_-5 BUILDING CONTRACTOR/OWNER (Please Print) IRiM NAME) Z� ATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. wiz. / 7 DATE 61 STATE CONTRACTOR'S LICENSE NO. NATURE OF HVAC CONTRACTOR/OWNER D E THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 J/ o - APPLICKT16N KNO PERMIT ASSESSOR PARCEL NUMBER Qa — a'-/ 2-- 0 3 ZONIN �(/ BUILDiN ERMIT 11 OWNER - 4--7,Ael TELEPHONE �53359J 2- SQ. FT. OCC, BUILDING VALUATION % q /00 V rz- 3 a o OWNER'S MAILING ADDRESS CONTRACTOR' NAME Sk-1 Ze "'; ,5 TELEPHONE 33 � 5 CO�j'' TRACTOR'S MAILING ADDRESS ,/J %'� �e X _5a& / c. ��J /rs 0 �G S l6 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ O� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ya . 5 D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /J, d—b Energy Plan Checking Fee $ 2 3 o --p ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 29 7 PLUMBING PERMIT Filing Fee 10.00 . -% 9 CG i de C.L. Each Trap 2.00 0.&-0 Q lei 44 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 5.0'0 Each qas water heater or vent 5.00 e-0 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 , o--0 Building sewer 5.00 ,•r0 Mobile Home S I G I W 0.00 ea TYPE OF WORK New Addition[] Remodel❑ Utilities[] Installation❑ Other[] Describe work: . h. f oL-f Permit Fee $ 0-0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 :5� 900V OR LESS Main service 100 AMP OR LESS 10.00 /D, O'0 Main serJice EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �f 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 L1 ❑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) ❑ orsa s the (Sec. owner, am exclusively contracting with licensed contract- 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR ADDNS. ACC. BLOGS. ,' o /20sgft NEW CONSTR. I.OUTLET NON.RESID .BRANCH RA C CIRC I S 2,50 ea /POWER APPARATUS .&) (SINGLE OUTLET CIR. EX. Occup(OUTLETS OR FIXTURES 20050t - SAL@30 DAL@ 30 FIXED APPS Ex. Occup. OUTLETS (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 onsent 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating 25,0-V-2 Lt 6 pct W rL,ro, c- Cooling F1/0-42 L( ov 6PAA, Hood 3.00 Ventilation permit Fee $ �-0D 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 agains aid Coin in con qu ce of the granting of this permit. Date �� Si oture of Applicant — Owner ❑ Controctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECT ion of structures over 3 stories in h i ht. Mobile Home Installation Fee $ Energy Inspection Fee It$ c TOTAL PERMIT FEE $ , occu P. CONST.TTPE ISCNooL FLoo This permit is hereby issue under sions of the, But County Code and/or work indicated above for which R OF PUBLIC By- PER IT EXPIRES. Date PAR L PD No Is3U the applicable provi- resolutions to do fees have been paid. WORKS 17—Date b^J��� Ij&_! 7 Receipt No. oZ-7 _3 L � a 0 Ut�.,S-(7 I WHITE-O.P.W.. YELLOW-ASSCSIOK. K-INSPKCTOR. GOLDENROD-APPLI ANT "mow` uv rcir�,..:. �i1d'Yit.'.r �.i 9�` r. ytf�`,� ' . jl`j;'�'�;j',,t/vs�!s_�?r4%j��la`t'i/'•R'r-'Zn7y�,r } c «-•-- -r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ! �---- 7 COUNTY CENTER DRIVE = OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER `/Vl i Lt A. P. No. 0 2� -' 2 -LI Z - O 3 . Proposed Building Use /V�°� ��F Building Inspector 4131 Date ��'- 2 - 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 been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and Cain, with wet signature on,plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings.. . 8. Fees of $ . . , , 9. Letter of signature authorization. . . . . . . . . , i 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.) r,f 14. Owner -Builder Verification (Given to owner, Mail to ownerE]) ,iJ _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Prspec. request to (Date) 17 e -In . Pre -Inspection for Required. Building Inspector ecorded copy of Agricultural Acknowledgment Statement. .:Driveway Permit. 2 Plot plan approval from city of k). When you issue the permi , process as follows: Mail to owner, ail to contractor. Telephone .533 S:5 and hold for pickup at12�L' office, Deliver w/inspector. Other r. Applicants Date r Jr Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: J Contractor, designer, owner, was advised of above required data by_phone--naiI—counter by date Contractor, designer, owner, was advised of above required data,by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 7�e owner Driveway permit 1 e- 4'eW i s i ature G 7 * e�) :f,- c , Jan location AP # has been issued for the above property. date TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance �' • s rte,`.' "' 4 G Owner. Location AP# Plan Approved for: Sewage Disposal ; Water Supply f Hold final for: Water Supply Final clearance O.R. for: Clearance for Z bedroom meb4+e home. NOTE *** Sanitari Other Water Supply Mid Valley Title a Escrow Com an 7020 C SKYWAY 1 y PARADISE, CA 95969 Affiliated with First American Title Insurance Company Please Direct Reply to: Phone 916 877.4471 601 Main Street - - - - Post Office Box 3039 ff ❑Main Office, Chian 2295 FEATHER RIVER BLVD. CHICO, CALIFORNIA 95928 ❑ Branch Office, Paradise OROVILLE, CA 95965 Phone 916 533.6680 Telephone 916 893-5644] Branch Office, Orooille Re:. Misc. escrow #312800 December,5, 1988 TO WHOM IT MAY CONCERN Dear Sir/Madam, It is hereby understood and agreed that the purpose for the recordation of that certain Quitclaim Deed (recorded 12-5-88 under serial # 88-041088) is to reverse the transfer of title wick occured with the recordation of that certain Deed of Gift, recorded 2-27-87 under serial #87-7666 and that certain Deed of Gift, recorded 7-4-87 under serial #87-20322. The recordation of the Quitclaim Deed is with no consideration to JOHN.:_ot--YONG SMITH. Sincerely, all 1N • • � � Omer No. Escrow No. Loan No. WHEN RECORDED MAIL TO: ETHEL VICTORIA SMITH 7747 Occidental Ave.' Palermo, CA 95968 88-041088 I R e c Fee 5.00 Check 5.00 Recorded ; Official Records ; County of Butte ; Candace J. Grubbs ; Recorder ; 11:08am 5 -Dec -88 RB 1 SPACE ABOVE THIS LINE FOR RECORDER'S USE MAIL TAX STATEMENTS TO: NO CONSIDERATION DOCUMENTARY TRANSFER TAX $....None ..................:........... ...... Computed on the consideration or value of property conveyed; OR Same AS Above ...... Computed on the consideration or value less liens or encumbrances ' rams' at /JW ®nature of Declarant or Agent datermininil tax — Firm Name HN THOMAS" SMITH 9UITCLAIM ®EE® FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, JOHN THOMAS SMITH and YONG MI SMITH, husband and wife f do hereby REMISE, RELEASE AND FOREVER QUITCLAIM to ETHEL VICTORIA SMITH the real property in the M*XWXX unincorporated area County of Butte , State of California, described as BEGINNING AT A POINT 317.8 FEET NORTH OF THE SOUTHWEST CORNER OF ""''LOT ..4 IN . BLOCK R99 OF,• SUBDIVISION .NO. 2 OF7THE PALERMO • CITRUS TRACT ACCORDING TO THE MAP OF,'PAL•ERM0/1 AND 2 RECORDED SEPTEMBER 1888 NORTH 5 FEET THENCE EAST 91 FEET FOLLOWING ,'EXISTING,FEIVCE LINE SOUTHWESTERLY'12 FEET THENCE WEST 12 FEET,THENCE NORTH 9 FEET AND WEST -,75 FEET TO POINT OF BEGINNING. r•.r Roturn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Se(.ti.on 26-8.1 of. Lhe Butte County. Code requires this acknowledgement be recorded prior to issuance of a building permit. All. that. real property situate in the County of Butte, State of California, dc.•scr.ibed .is f ol.l.ows : s -PP Date: , + �/ ERT OWNERS: State o fI�. SS. County o f OFFICIM. SEAL t DOROTHY A WISE NOTARY RUBIIC-CAUFORAIIA �• � BUTTE Mill TY MY COMH1551Or1 EXP ALIG.'1.1992 On this the day of 19 before me, the undersigned Notary Public, personally appeared Lff Personally known to me. (�j Proved to me on the ' bels i s of satisfactory evidence. to be the person(s) whose. name(s) /& subscribed to the within instrument 'and acknowledged Lhat. i executed the same for the purposes therein conLained. IN WITNESS WHEREOF, I hereunto set my hand and off.ici.al. seal.. Present A. P. No. .� Lary ulil i c The j)r. operty described herein is adjacent 88-040267 ;. Rec Fee 5.00 to land or :included within an area zoned ; Cash 5.00 for agr:i.cul.tural purposes, and residents Recorded ; of Lhi.s property may be subject to incon- Official Records ; veni.ences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs ; and ferLJJJ •rers; and from the pursuit Recorder ; of agricultural operations including, 12:49pm 29 -Nov -88 ; RB 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has esLabl.i.shed ogrir111 Lural zones which have as a priority use for productive agricultural purposes, and residew r: within said zones and on adjacent property should be prepared to accept such incconvenicncr or d:isconform from normal, necessary farm operations. All. that. real property situate in the County of Butte, State of California, dc.•scr.ibed .is f ol.l.ows : s -PP Date: , + �/ ERT OWNERS: State o fI�. SS. County o f OFFICIM. SEAL t DOROTHY A WISE NOTARY RUBIIC-CAUFORAIIA �• � BUTTE Mill TY MY COMH1551Or1 EXP ALIG.'1.1992 On this the day of 19 before me, the undersigned Notary Public, personally appeared Lff Personally known to me. (�j Proved to me on the ' bels i s of satisfactory evidence. to be the person(s) whose. name(s) /& subscribed to the within instrument 'and acknowledged Lhat. i executed the same for the purposes therein conLained. IN WITNESS WHEREOF, I hereunto set my hand and off.ici.al. seal.. Present A. P. No. .� Lary ulil i c DESCr2IPTION EXHIBIT."A" f ORDER NO. 25542-0 All that certain real property situate in the County of Butte, State of California, described as follows: The Northwest one (1) acre of Lot 4 in Block 99 of Subdivision No. 2 of the Palermo Citrus Tract, according to clap entitled "ANap of Palermo and Subdivisions 1 and 2 with addition to No. 1 of the Palermo Citrus Tract, which Mag was filed in the office of the Recorder of the County of Butte, State of California, September 17, 1888. EXCEPTING THEREFROM the Northerly 10 feet thereof. ALSO EXCEPTING THEREFROM that certain parcel of land heretofore conveyed by Deed from Jb1m C. Lange to William Kish dated June 26, 1943 and recorded, June 28, 1943... in Book'318 of Official Records, page 339, and more particularly described as follows: The Southeast half of the Northwest 1 acre of Lot 4: commencing at the Southwest end -of slough and run Northerly along slough to property line. to ALSO EXCEPTING Timet M that certain parcel of land heretofore conveyed by Deed from o John C. Lange to Walter Galloway -dated September 18, 1943 and recorded September 20,E 1943 in Book 317 of Official Records, page 1019and more particularly described as follows: Beginning at a point 208.8 feet north of the Southwest corner of Lot 4; thence „� North 100 feet; thence East 75 feet; thence South 100 feet; thence West 75 feet to point of beginning. 4 • AP No. 026-24-2-0181-0 - END OF OOCUMEW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 Ethel Smith c/o:Skilled Builders P.O. Box 526 Palermo, CA 95968 With reference to the above subject: " Attached is: PHONE: 916-538-754). DATE November 23, 1988 RE: Building Permit Application#3783-88 A.P. # 36-242-32 Application for .permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER X We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr.., Oroville' Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department,. 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. X_ Recorded copy of deed showing parcel legally created Recorded copy of agricultural acknowledgement statement. L1 OTHER_ We need verification of properly created parcel prior to permit issuance Should you have any questions concerning the above., please contact this office. Yours very truly, William Cheff Director of Public Works j .F, Glander JFG/aj Chief Building Inspector i Don ■ - .LICENSED LANU(^�V SURVEYORS a S SO V I a e S. ii A CALIFORNIA CORPORATION 12-01-88 A. P. # 26-242-32 Job "#88-102 7747 Occidental Ave. Butte County Building Dept. 7 County Center Dr. Oroville, CA 95965 attn: Jim Glander (916) 534-9587 P.O. BOX 986 - OROVILLE, CA 95965 100 GOLD DREDGER DRIVE We were advised by your department the flood plane elevation for the above referenced parcel is 148.0 feet._ We ran levels from the Palermo "4" corners to the subject property and established a T.B.M. on the Northwest corner of the concrete wall, painted fluorescent red. This elevation is 147.76 feet. There_ to be 12'" above the flood plane the elevation of the floor should be 1.24 higher or 149.0 feet. Thank you. Sincerely, Michael Mooney_:. RCE 20647 _. tilrebuir�er� FEATURING CUSTOMER SATISFACTION P.O. Box 526 • Palermo CA 95968 533-8559 'NOTE:—All Materials & Workmanship shall 1,9 0 Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in 16 Uniform Building, Plumbing & Machanical Codhs OI 4e National Electrical Code, See Master Plan on file for building plans. S3 8r A setback of 5 ft. from the property lines and a setback of 50ft. from the road This set plans a�ri xrlr`.:t;.. " 1 -"UST i centerline shall be clear of keMt an the jo ct -�lt '---- + - ` 7l IMul tal make any cbe ge,s,••,P withod structures or equipment exceptNonpermission r . the f�epartmert of PAM; for a 2 ft. eave overhang. Mwks, County of asst 9t Cl ear A anti ease#,%vwfz I 1 U3 > C: + PERMIT NO. 131-89B a 190 PERMIT EXPIRES ! 4 OWNER ETHEL SMITH CONTR." Skilled Builders ASSESSOR PARCEL 26-242-32 ;LOCATION 7747 Occidental Ave, Palermo w 1 I t 1 1 i. E I Temp. Power Pole r� Called PG&E_ a • Temp. Elec. Se Called PGA Temp. Gas Sen 1 t Called PGA i JOB FINAL•I?O r Signature = OK 0 = Not bK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P' ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date ISCELLANEOUS Date DE S,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s ing Requirements -Setbacks -Easements 4-27 Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3� Girders and/or Joists -Decking -Bracing- airs -Rails i eood Awn.; P s -Bea s-Rf s Co .-_ .ShEhg.-Rfg!Br 'cing 5.A4um: Awn.; Columns -Connections -Splice -Decal -Enclosures 1- . -&FPer-t&=W P.dows=D,00rs 7. Ekes. - 8..Fr-mg;-Si tts-Anch,ors-Stud s-Rftrs-Trusses 9 S.idimg=Nailir�erreer-Stucco-Mesh c_10�_Roof; Shthg-Roofing 14-Ext--9teps=f76 o rs- Land i n g s Date MOBILEHOME INSTALLATION (Plans) OK except # s 1. Zoning Requirements -Setbacks -Easements Card -B1 Data-7.M7Card-B1 W Date3 2. Footings; Size -Spacing -Marriage Line Card -B1 Dat Card -131 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval -3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -B1 Date 8. Elec.;Grounding; Equip, w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures- Panel boards -Ins. to Main in Conduit Card -B1 Date Card -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -131 Date Card -61 Date = OK* 0 = NotOK RESIDENTIAL,(Single and Duplex) - =Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth. 4.,Ftg.,.Porches & Decks; Soils -Steel-/ /"Ftg. Del 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped - 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card=B1 Date Card -131 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -Bi Date Card -131 Date . I Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors, 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liqht-Shower Liqht-Spa Liqht Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A'Flue-Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. &.Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -.Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59, Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) �., .y �. . -... -r � .;�:.-...:v. moi. ,..: ..ti .. .;,. ..,�: �. �.--.x,�� yw-.,._ --r_ --.. .. �. _ .. _ _'•,,,`�. .. .r._�.. ., .. � , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPET 0 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541. Zzlw APPLICATION AND PERMIT ASSE O PAn UMB R �+ Cfi- ZONI G BUILDING PERMIT o ER TEL P NE SO. FT. OCC. BUILDING VALUATION O N R'S Y41 LIN DDRESS eLr C RA OR' NA ` TEL j��yQpNE �R C\ VV CO RA O A ING ADORES A:t"r Fireplace CONSTRUCTION7 LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ SE Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A q Permit fel PLUMBING PERMIT' Filing Fee 10.00 1 Each Trap 2.00 pa i 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 USE OF STRUCTURE SFX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New❑ Addition Remodel , Utilities❑ Installation❑ Other[ - Utilities Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 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 f rce and effect. S`� 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.8d , OR ADDNS. ACC. SLOGS. ) /20sgft NEW CONSTR U I.OUTLET 2.50 ea NON.RESID .BRA C CIRC ITS POWER APPARATUS S (SINGLE OUTLET CIR. ) z0050t EX. OCCUp�OUTLET3 OR FIXTURES 1.20050t ALG FIXED P Ex. OCCup. OUT LETS (RESINSR D )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. Eg-l'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 g 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 agai said CouXt'encec sequof the granting of this permit. J p� I Date QdA/ nature of Applicant — Owner ❑ Contractor 3`Age An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCu P. t CONST.TYP! ISCIIOOLIIIOIIPAICILI PON, ND i 9UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE O F PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ' 3 '-��� ��3CC11s//to��rii/e��s Receipt No. �V(oc — WHIT!-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT .I.+w�.-^' -�.«r.+.s......'i'��:►�•ri.'^,:Y...rgi-�'�• +���Y,:.. ...1�i.%�'T1��11v��7:�i.i+.+:N�".u(�Yj�1`•:.it`�i."'7:.�.�` � . ..� V �' wa ry- .. V - - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE:- ORO;27LEyg%LJFORNIA 95965 - TELEPHONE: 916/538-7541 � PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No.J� 141, Proposed Building Use, ✓� - x,�Bui;lding Inspector Date r 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 been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) i 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ ........ :................. 10. Chico Urban Area fees paid ........................................ } 11. Park fees paid ..................................................... i 12. 13. chool Distri tl fees paid ................. Sanitation approval from Health Department ... 14. City of Chico plumbing. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) ! 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... t' 19. Pre-Inspec. request to Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. e 26. ` Whe ou issue the permit, process as follows: Mail to owner. Mail to contractor. . Telephone�'S- ,�,���CJ and hold for pickup at 0 -Ing office. Deliver w/inspector. i Other Applicant'21,11 ( ,� Date f/ ' "r" -. Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted -prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_-mail—counter by ' date Contractor, designer, owner, was advised of above required data by —phone _maII—counter. by date Plans checked by Date Plans approved by— Date / C� 2e9 Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance kw` (��QCYJ,&ta C2 r Owner. Location AP# Plan Approved for.: Sewage Disposal G Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other 1` NOTE * * * Sanitarian Dat S � � FEATURING CUSTOMER SATISFACTION P.O. Box 526 • Palermo CA 95968 533-859 . NOTE:—Ali Materials & Workmanship shall Ik t Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in v6 Uniform Building, Plumbing & Machanica) Codes fie National Electrical Code. 2q— 3 See Master Plan on file for bulldino glans. S3 Sr A setback of 5 ft. from the ' property lines and a setback Y of 50ft. from the road set ,plans and sem, ,;;:, . °- -s MUSTbd centerline shall be clear of x kept ©n the to ct CA) �'' -"' "' '' •,1lnwful to structures or equipment except $ make a"y chtmq or elf-- - .. Ie withod w len permission r . the Deparfmont of Pubes s for a 2 ft. eave overhang. Works, County of But ' it claw opt as eas.o ewlLtr 0 IOC QC cu�" C C m jy �. '' 1 rn