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028-400-025
0 28-40- ,.p.E j ISCHOENFEL ..Horst &' Hannelor•e + 121 Bangor Tr; Bangor` - 028=.40=0-025 92-19I mh utilities , , _ LERENA,_Sam & _C� - . -� 1-21 - - ELEC Bangor- _Trail -,-Bangor ' GAS a� 7 Ag •Exemption Pei mi COMPACTION TE T REQ J =farm .e ui m ` ' SUPPORT STRUCT REQ '028 400=02 "';>,� ` r f _ . 5 ,ft 4kPERMIT#96'32k SCHOENFELDT; ,Horst 1`0 nn Hanne rew tom` FJ i _ 4 ' j a. , y''f '!,°•� 11 Bangor Trails, 28-4025 9 � s ,MHI -Ag. ExemptlPermit-ShPI SCHOENFELDT, Horst &-Hannelor 121 Bangor Tr, Bangor contr:. Feather`'River mes , mhi _ e. .,,yy ',.k ,,f 3 f ► .. "' :fir,.. n1 L ^ of `028400-'025' ' ' `64!'6995 LERENA, his ,, Q 121 Bangor Trail, Bangor .y.�" Contr: Lou Turold Ex mh on Perm Fnd �� ol r' RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1999-00235217 Recorded Official Records I REC FEE "00 I CONFORM County Of .00 JT CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Vickie 10:43AN 02 -Jun -1999 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, ob INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. IRIS LERENA REAL PROPERTY OWNER/LESSOR PO BOX 422 MAILING ADDRESS BANGOR, BUTTE, CA 95914-0422 CITY COUNTY STATE ZIP 121 BANGOR TRAIL INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR, BUTTE, CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (ifalso property owner, write "SAME") MAILING ADDRESS CRY CODNIY STALE ffi UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-0995 (530)538-7541 BUILD G PE TELEPHONE NUMBER 6/2/99 SIGNATURE OF LOCAL AGE DATE NONE DEALER NAME ff not a dealer sale, write "NONE") DEALER LICENSE NO. FLEETWOOD 1992 SPRINGHILL MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLNI7"13778SH 60'X 26' RAD624179/80 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED A.P. #028-400-025 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Budding Dept. LEGAL DESCRIPTION A.P. #028-400-025 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I• PARCEL 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WOODHILL RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 2, 1983, IN BOOK 91 OF MAPS, AT PAGE(S) 54 AND 55. PARCEL H: NON-EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER DIABLO VIEW DRIVE AND BANGOR TRAIL, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WOODHILL RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 2, 1983, IN BOOK 91 OF MAPS, AT PAGE(S) 54 AND 55. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. 7 1� i COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1-70 /4,1 % 41 111 0 A,110 ^�)_ REV 10/92 NOTES j. t C; 4- i3 t it �4 t s JOB FINALE[ Signature ry RESIDENTIAL 028-400-025 99-0995 PERMIT NO. _ . LERENA, Ins 121 Bangor Trail, Bangor Contr: Lou Turold Ex mh on Perm Fnd py 6-- Z/ _®� -- THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: �J) LICENSE PLATES) or DECAL�THE INSPECTOR MUST RETRIEVE) ,2) STATEMENT OF FACTS�.ONLY ON NEW MH'S) INSPECTOR TO VERIFY SERIAL & LABEL #'S 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY %.. ✓ = OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 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;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Discorinect 8. Utility Clearance 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Date 10. Card B-1 Date Card B-1 Date 11. Card B-1 Date Card B-1 Date MOBILYHOME INSTALLATION (Plans) OK except #'s Braced Wall Panels g Re cements -Setbacks -Easements Ug:Q05 ' s; Size -Spacing -Marriage Line as; MH Test -Demand -Valve -Connector Card B-1 Date Card B-1 4. Electricity; Test -Crossovers -Breakers -Clearances Card B-1 Date Card B-1 5. Dra_0110rH Test -Fall -Flex Connector FINAL (Plans) OK except #'s ater; MH Test -Regulator -Connector Setbacks -Easements 7. Water and Sewer Connected -C/O to Grade -HD Approval Soils; Compaction -Structure Stability 8. Gas and Electricity Tagged Pool Structure; Steel -Connections -Thickness Dead Men -Lining 9. Tie Downs -Type -Installation Cert. Elec.; Receptacles and Lighting, Distance-GFI 10. Exits; Insp.-Sketch Elec.; Pool Lighting; 15 Volts-GFI 11. Cert. of Occupancy Elec.; Enclosures; Conduit Entries -Terminals -Listed Permanent F undation Only; License Decal Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Dat Date v L Card B- Date Card B-1 Card B-1 Date Card B-1 Health Department Approval 10. MISCELLANEOUS 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- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-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-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /= OK 0 =C OK = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits r 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date Ext. Steps -Door & Sidelight Protection -Landings PLUMBING (Permit) OK except #'s 64. 17. Water Htr.; Vent -Access -Combustion Air Baffle 65. 18. Water Pipe; Test & Anchor -Nail Protection 66. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 67. 20. Shower Pan; Test, First Floor -Tub Access 68. 21. Test Tub & Shower, Second Floor -Tub Access 69. 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date Card B-1 _ Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Meeh Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or Al Insulated Neutral O Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive J Yes 0 No/Walks Z) Yes' No/Planters ❑ Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain --& Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearina jingle & Duplex) Date FRAMING (Continued) - 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits r 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes 0 No/Walks Z) Yes' No/Planters ❑ Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: 1 V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION D 7 County Center Drive • Oroville, California, 95965 • Telephone (530) 538-7541 PE MIT NO. (Rev.1'2/96r APPLICATib 'AND PERMIT �9-� s ASSESSOR PARCEL NUMBER 028-400-025 ZONING A BUILDING PERMIT OWNER LERENA, IRIS TELEP679E 2023 ON SO. FT. OCC. BUILDING VALUATION 1560 R 84,240 . OWNER'S MAILING ADDRESS P.O. BOX 422, BANGOR, 95914 CONTRACTOR'S NAME LOU TUROLD k916) TELEPHONE 296-1674 CONTRACTORS MAILING ADDRESS ` % G L �0 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is 84,240 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 97219 $ 986-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2300 BUILDING ADDRESS 121 BANGOR TRAIL, BA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 19.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX M11 ON PERM FND Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ 50,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service p OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: ❑ I, 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. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. �❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.50FT. NEW ReSIDT MULTI -OUTLET 97.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES .00 BAL Q �. 0 Ex. Occup. GuTI��;s(RRL.16.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' a laws of Cal' rnie, and agree that if I should become subject to the aworkercopensation provisions of section 3700 of the Labor Code, I shallply wit ose provisions. Date natant - ❑ Owner ❑ Contractor ❑ Adeqf PAnnOSHA permit is required for excavations over 60" deep and demon Ion or constructionAhTAtj� of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TO AL FEE $ 37 .00 HAZ. D. FEES P FLOOD Jo0fDF pAj1C D ISSUE This permit is hereby issued under the applicable provisions of the Buffe County Code and/or Resolutions to do work indicated above for which fees have been paid. By ate / 7� PERMIT EXPIRES ON o� f v I Date Receipt No. 264947 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT -ti...- . :�;..� ..-.� "-f" r �r 1 r� t'+•f•rtil�....t1 �,. r r.-� t: _ .,rti�L..t '�- ti COUNTY OF BUTTE -DEPARTMENT OF DF,V�f jL MENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, PERMIT APPLICA 95965 - TELEPHONE (530) 538-7541 ON DATA SHEET OWNER: Q 4 (/La- ASSESSOR PARC NUMBER: -4()o_- Q.D• _ Proposed Auilding Use: EN 11 ag 16 J Building Inspector: Date: At time of permit application, f was adviso the following data must be submitted prior to peii4ft p ess g and/or issuance: Date Received By ❑ 1. All items have been submitted --------------------------------------------------------------------------------------- 112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- 115. ------- ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6.'Energy Design'`Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- 118. Hazardous Material Form. --------------------------------------= i-------------------------------------------------- 119. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $-------------------------------------- ----------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------------ ------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. -------------------------- -------- --------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. -----------'`' l�l 7. Planning approval for (A) Use: ®K.1_ (B) Parking: -----�-------------------- --- S —1 "?-- 1Q 140 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.------------------- 1119. ------------------❑19. Encroachm'e'nt Permit for driveway (construction approval prior to occupancy). ---------------------------- Pl. . Pre -inspection for required Request to Building Inspector on (Date) Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------- - ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑). ❑ 24. Letter of signature authorization.------------------------------------------- E125. -----------------------------------------❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------- 1126. Letter of intent on building use. -------------------------------------------- :. ❑27. Manufactured Home utility clearance. ------------------------------------- 028. Existing viol tions and/or expired permits. ------------------------------- 029. ❑433 A,KG,ran ElM. . Title, C3 Check to H.C.D $ E130. Other: r k When you issue the permit yprocess as follows ❑ Mail to owner, ❑Mail to contractor. �elephone (P/'7— o` and hold for pickup at ce. Deliv ith inspector. Applicant: Date: -2 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: r Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter,, y ~ Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D n counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: ' Date: VAl—, f'n. - T-1-,+___+ - — - - KECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 02 -Jun -1999 1999-0023507 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBQ,EHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. IRIS LERENA REAL PROPERTY OWNERILESSOR PO BOX 422 MAILING ADDRESS BANGOR, BUTTE, CA 95914-0422 CITY COUNTY STATE ZIP 121 BANGOR TRAIL INSTALLATION MAILING ADDRESS, IF DIFFERENT BANGOR, BUTTE, CA 95914 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write 'SAME') MAILING ADDRESS BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 99-0995 (530)538-7541 BUILDING PE TELEPHONE NUMBER 09 39a� 6/2/99 SIGNATURE OF LOCAL AG DATE NONE DEALER NAME (d'not a dealer sale, write *NONE,) DEALER LICENSE NO. crff Boum STATE rm UNIT DESCRIPTION FLEETWOOD 1992 SPRINGHILL MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLNI7A/B 13778SH .60'X 26' RAD624179/80 SERIAL NUMBER(S) LENGTH X WIDTH MSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #028-400-025 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PBVK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #028-400-025 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: PARCEL 3, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WOODHILL RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 2, 1983, IN BOOK 91 OF MAPS, AT PAGE(S) 54 AND 55. PARCEL H: NON-EXCLUSIVE EASEMENTS FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER DIABLO VIEW DRIVE AND BANGOR TRAIL, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "WOODHILL RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 2, 1983, IN BOOK 91 OF MAPS, AT PAGE(S) 54 AND 55. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. BUILDING PERMIT NUMBER: 99-0995 Address or location of unit: 121 BANGOR TRAIL, BANGOR, CA 95914 Legal Description of Real Property:. A.P. #028-400-025 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: IRIS LERENA Owner's address: PO BOX 422, BANGOR, CA 95914-0422 INSIGNIA OR HUD NUMBER: RAD624179/80 SERIAL NUMBER OR V.I.N.: CAFLNI7A/B13778SH MANUFACTURER'S NAME:'FLEETWOOD YEAR: 1992 OFFICIAL APPROVING INSTALLATION: DATE: 6/2/99 PHONE: (530) 538-7541 H.C.D. 513C - Order No. Escrow No. Loan No. WHEN RECORDED MAIL TO: I Cash Recorded I Official Records I County of I Butte 1 Candace J. Grubbs I Recorder I 2:42pm 12 -May -97 I PUBL 9.00 XX 2 6-0 ria SPACE ABOVE THIS LJNE FOR RECORDER'S USE THE UNDERSIGNED GRANTOR DECLARES MAIL TAX STATEMENTS TO: DOCUMENTARY TRANSFER TAX Sh,i19�j S �}-BpUC Computed on the consideration or value of property conveyed; OR Computed on the consideration or value less liens or encumbrances remaining at the time of sale. The undersigned Grantor declares AP i/ Q' _ l�O� ,�� Signature of Declarant or Agent determining to - Firm Name RANT DEED ( G1 FOR A VALUABLE CONSIDERATION, receipt of whichis here acknowledged, ff� V,& SPC Scf�C7v�E1�T S %E7COArT- S 01e Y1 v1ti(-;- ! o I /v - It hereby GRANT(S) to bf /S 1'�-5 1-�4e/6z A9. the real property in the City of UNINCORPORATED County of6ui%;, State of California, described as See - /�- a -f 1-a ale-ol. Dated MAY 12, 1997 SellerSignature STATE OF CALIFORNIA COUNTY OF YUBA } S.S. On - 9 7 before me, personally appeared 'r�?< I personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature A. HENRIKSON tn Comm. 11111911 fn YI NOTARY PUBLIC • CALIFORNIA Yuba County MY Comm. Expires Nov.19, 2000 ti DES CRI PTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, L'OUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 3, AS SHOWN ON THAT'CERTAIN MAP ENTITLED, "WOODHILL SUBDIVISION", WHICH MAP WAS RECORDED IN RECORDER OF Tp'E COUNTY. OF PTE�iBUTTE, STATE OF THE S£BER 2, 1983, IN BOOK 91 OF MAPS, AT PAGES) 54 AND 55. CALIFORNIA E PAR 7EL II • NOR -EXCLUSIVE CEMENTS FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES CERTAIN MAP EBT IVIEW DRIVE "D BANGOR TRAIL, AS SHOWN ON MAP WAS RECORDED IN THE 0 FICEOOF THE RECO DERODHILL RANCH OFVTHE CO WHICHOF BUTTE, STATE OF CALIFORNIA ON SEPTEMBER 2 THE COUNTY OF MAPS, AT PAGE(S) 54 AND 55.� . 1983, IN 800X 91 OF EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN_ STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT RFnTnTRATTnN6 rARn- MnATI runmr MANUFACTURER NAME/ID TRADE NAME MODEL DOM DOT DFS SPC EXPIRATION FLEETWOOD HM INC/09534 SPRINGHILL 56048 02/06/92 02/13/92 07/27/92 E U SERIAL NUMBER LABEL/INSIGNIA NUMBER WEIGHT LENGTH WIDTH ISSUED ISCC EXEMPT USE ITY1 I CAFLN17A13778SH RAD624179 015300 000720 000156 08/18/97 104 SFD LP 2 CAFLN17B13778SH RAD624180 018600 000720 000156 E U BANGOR R S TOTAL 3 G A 4 L FEES 5 PAID 6 $25.00 A LERENA IRIS 0 PO BX 422 D BANGOR CA 95914 R E S S E R LERENA IRIS E G i M PO BX 422 S *A T I E L BANGOR R E D 0 S 121 BANGOR TRL." WI N T E U BANGOR R S L E G A L i F U I NR I S 0 T R L I E S N E H C 0 0 L• N D D E R IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. .2 THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 01-225-Ot 0100028 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-754J1�"� PERMIT NO, C Address or location of mobilehome /c Owner's name Owner's address y/n Insignia or hud number Manufacturer's name al nu$%er of V.I.N. Cie C �'� 1 3?ar7o9-5*cteiry ving Installbtion (Date) " 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. nstaller, Pink - D.P.W. r REV 11/91 i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 y 747 Elliott Road, Paradise, CA - (916)872-6307 CORRECTION NOTICE OWNER PE , r NO.; ' 4 A routine inspection indicates that the following violations of Butte County•Ordinances exist at' - the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter,,oi need additional explanation, please contact this office immediately. r C) +c f7 �.. r REV 11/91 i COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, GA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction. of work is completed. If you h ve any questions pertaining to this matter, or need additional explanation, please contact this Xffice immediately. # ` /_ -f /( FIA .. �/ 1 r 7 (.s/ 4 l.(r Date 7 �Z O�/� z Inspector All is � REV 11/81 ��ls�`"�✓ �Y4i-'1.•� ji 4Y?4`Y+.r--✓"• . .:.i1w . r � J -,. - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work iscomple d. If you have any questions pertaining to this matter, or need additional explanation, PI ontact this office immediately. • r Ulf ' �a7' � I'V �'� � . U Do )P Cg D, �v/fu T - 10,6 KS C40;-VIIIAC-E 67" T 1 } Date L -s — Inspector REV 11/91 • RESIDENTIAL " 28-40-25 92-2175 P,E SCHOENFELDT, Horst & Hannelore 121 Bangor Tr, Bangor mh utilities OFFICE COPY Address i GAS .g ; Meter By Dat ELECTRi �� e Meter By Dat JOB FINALED Signature _ J=OK + r O = Not OK =Not Applicable Not Ready MOBILE HOMES ' = oning Requirements -Setbacks -Easements Soils;,Special MH Support Sketch er; Location -Test -Fall- /0 Concrete ater; cation- t -Easement Needed (Sketch) ; Location -Clear ces rn -/ /Amp -Concrete as; Location-TW—W ft. / /"Nat. o0Lf3'L"ft./)(/"LPG i 7. Well Clearance & Disconnect !� 8. Utility Clearance i Date — rd B-1 A Date Card B-1 Date �- and B-1 Dat Card B-1 Date M BILE HOME INSTALLATION (Plans) OK except #'s 1_1, ! gping Requirements -Setbacks Easements j Fo gs; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector lectri ity; MH Test -Crossovers -Breakers -Clearances rain L+ -Test -Fall -Flex Connector r; H Test -Regulator -Connector 7. nd Sewer Connected -C/O to Grade -HD Approval t �3as-and Electricity Tagged k,*' -9. Exits sp.-Sketch Cert. of Occupancy Date B-1 Date Card 8=,1 Date Card B-1 Date 'Card -B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not QK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg`., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks;'Soils-Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped, 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permil),OK except #'s 16vWater Htr.: Vent -Access -Combustion Air -Baffle -------------- ------------------------- 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection ----- ------ --- - ----------------- - - -19. Shower Pan: Test. First Floor -Tub Access --- -- 20. Test Tub & Shower,.Second Floor -Tub Access 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 --------------------- -------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. -Protect ion 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. Fasiners-Bond Gas & Water - - - ---------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --- - ---------------------------------------------------------- 28. Subfeed Wire Size ! r ga. Cu or At-A.C. Wire Size ! / ga. Cu or -Al -- ---------------------------------------------------- 29. Range Circ. ! r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --------------------- ------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------------- ------------------------------ --------------- 31-. -------- - --------------------------------- 31. Equip Clearances -Panels- Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------------- 33. -------------33. Smoke Detector ---------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------- - ------------------------------- Date . Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34.--A.-C.- Ducts Insulation & Support 35. Vent Fan Exhaust above insulation ------------------------------------------ - --- ----- - --- - ----------------------- 36. ------------------------------------------------------------------------ 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------------------------------------------ - -- 37. Furnance-V-ent: -Access-Comb.---Air-Return -Air Vent -115 outlet- ------------------------------------------------------ - 38. Attic Access & Platform if Furnance in Attic Date --------------------------- - ---'---------- -----------=------- Card B-1Date Card B-1 ------- ---------------------------------- ------------------------------------.._. Date Card B-1 Date Card B-1 3 Date FRAMING (Plans) OK except #'s h t 39. Sits. 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. Headers & Beam -Size & Bearing 1 >ingle & Duplex) 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 , e.. 51. Property Line Firewall & Openings_ 52. Ext. Doors -One 3' -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 ProtectioT-Skylights-Plastic'_ ' 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ---------------------------- ---------------------------- Date _ _ _Card B-1 _ _ _ Date ..-.-Caid B-1 Date Card B-1 Date ''Card,13-1. Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ---------------- 63. ---------------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. Stags & Rails ----------------- -- --------- - 68. Fireplace or Stove: Clearances -Hearth 1 - 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 -Meeh. Protection ------------ ---------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76 Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------- 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-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House - -------------------------- 87. ..----- --------87. Glass Protection ------------------------------ 88. 88. Corrections from Previous Inspections ------------------------------------- -- ------ 89. Gas Test -Meters Ta99 ed; Gas -Electric ._.._..____. ____-__---___-___-.--_ 90. Water & Sewer Connected -C/O to Grade -HD Approval --------------------- ---- ------ - --- 91. Energy Compliance Certificate -Other Certificates ------ ------- - -------------------- - --------- --- Date Card B-1Date Card B-1 --------------------------------------------- - ---- Date Card _B- 1 Date Card -B-1 Date Card B-1 Date Card B-1 Comments at Final: AP `.._ OWNER'�Q�/V a PERMIT.' ,# t M UTIL.CLEARA�5E DATE / INSPECTOR C ELECTRIC GAS Support Struc. Compaction Test -Req. Service Size Other Load •Ty e Pipe Size Length YES NO YESI NO C c� COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916-'538-7541 -. APPLICATION AND PERMIT PERMIT NO. 92-2176 ASSES OR PARCEL NUMBER 28-40-25 ZONING A5 BUILDING PERMIT OWNER Horst & Hannelore Schoenfeldt TELEPHONE 589-5628 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 265 Lost Horizon Dr. Oroville 95966 CONTRACTOR'S NAME Feather River Homes TELEPHONE 1673-3614 CONTRACTOR'S MAILING ADDRESS 880 Onstott Rd Yuba City CA 95991 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS n 121Baaor Trail Bangor Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: MEI (mh u #92-2175) _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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.&) OR ACDNS. l ACC. BLDGS. 3.60sq.ft. NEW NON-RESIDI BRANCH CIRCMULTI-OUTLEUITS 5.00 POWER APPARATUS SINGLE OUTLET CItr R. I Ex, Occup( OUTLETS OR FIXTURES 20 76 A EX. Occup. FIXED OUTLETS PIRESID IREAJ I 3.00 Temporary service 15.00 Home Facilities Mobile Ho 15.00 Misc. g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 9/i shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Penult 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 said County in�on equence o the gran ing of this permit. X Z -/�,� Dat Signature of Applicant — Owner Contractor ❑ Ag t ❑ 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 S 70.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEES 10 00 HAz DFEES IMP FL oo CDF PARCEL PD HD IS This permit is hereby issued under the sions of the Butte Coun Code and/or work indicat ab f which fees 1 OF PUBLIC By C:r— PE I EXPIRES Date -24F_—!C7 applicable provi- � resolutions to do have been paid. WORKS Date%�i�% Receipt No. 117191 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT y COUNTY OF BUTTE PARTMENT OF PUBLIC W6F48t- BUILDING DIVISION 7 COUNTY CENTER DRIVE;,,-oOROVILLE, CALIFORNJA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICAtIO_IV DATA OWNER ',�) C h Qe til i�'e U f - Proposed Building Use = Building Inspector SHEET A. P. No .I?Z - 21�6`�(U-2-,S- Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1. All items have been submitted......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ................... . 8. Engineered truss details and layout in duplicate (required prior to pla heck) 'L 9. Mobilehome data and manufacturer's installation instructions, 2 setoee- Mlt-iA�pe� ' Fees of $ . .......... . Impact fees as shown on attached schedule. ��0. f-I(.6(�f ......... 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. .... . ....... . 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). Pre -Inspection rege� 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style,, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . 23. Owner -Builder Verification (Given to owner ,,iMail to owner _)............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... n 32. I c errq5 feg ck't. .. 33 ............................�- 34. Whe,�you issue the permit, process as follows: Mail to owner. Mail to contractor. i/ Telephone58q-56ZS and hold for pickup at office. Deliver with inspector. Other Parcel Creation_ Acreage Applicant Date �'"p ZZ �Z r Copy of Haz-Mat form sent / Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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 _ mailr by _ Date Plans checked by Date Plans approved by un eDate 7 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per BJilding) School District �iRo l[(J - ----- - - Building Department No. A.P. Number g kr�_� Jurisdiction E- �] City E:0 County Property Owner t�o�¢S f ANNE R67-.__5_CI� iU�c�L n % Property Location/Address J�. % (j _ R 1414L Subdivison Lot No. Residential Development �] �] 0 Sq. Footage No. of Living . MHl Addition (Group R) Units Commercial/Industrial Sq. Footage New Addition (Including EAenor,;:,A Roofed Areas) 4�-Z 2, q Z• Building Dep a nt Repres ative Date (Floor Plans reviewed by School District Personnel) 92,0495, District *Identification No. School District certifies that (Apple ant) Loa__ (Street Address) - (Phone Number) (City) (State) .(Zip Code) has complied with the requirements of Resolution No. by payment of $ ,zy representing �'� _ - square feet. School District Representative Date Paid by Check Number 5-2 marks: Bank Number Paid by Cash - -_ If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project. is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS a, 7 County Center Drive - Orovil'le, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. -7 ASSESSOR PARCEL NUMBER ASSESSOR ZONINfj.� ff[[�JiJ BUILDING PERMIT oW R ELO E C E �a TELEPHONE 62-e SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ?G57' L,OSi o _eTQ 6G CONTRACTOR'S NAME/ ZU 67I PHgNE1' CO TRACTOR'S MAILING ADDRESS f ' n o L , t) C ( r(� C/ t 99ly Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0, Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Ir. t` 1` -0 /v v���( Permit fee $ ' PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW7 1 @ 15.00 TYPE OF WORK 5 New l i Addition ❑ Remodel F7,ti litie Insiallation ther Describe work: �', Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOAI 37.50 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 ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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.si\ OR ADDNS. ( ACC. BLOGS. // 3.64sq.ft. NEW CONSTR ULTI.OUTLET NON -REST BRANCH CIRC ITS /�1 5 00 l: (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 Ex. Occup. OUTLETS IIFIXED RESID )NS KEA,) I 3.00 Temporary service 15.00 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 15.00 Heating Cooling Hood 6.50 I 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 said County in consequence of the granting of this permit. X Date Signature of Applicant — 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 S O �v Energy Inspection Fee $ occ CONST TYPE TOTAL FEES b5 HAz 1 OFEES I IMP I FLOOD I CDF I PARCEL PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT t' r 1 Receipt No. I l 1 WHITE-D.P.W.. YELLOW-^SBC330R. PINK -INSPECTOR. GOLDENROD -APPLICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT t Section 26-8.1 of the Butte requires this acknowledgement prior to issuance of a building FOR RESIDENTIAL DEVELOPIMF_NT County Code be recorded permit. The property described herein is adjacentrS r3 I to land or included within an area zoned GG G I for agricultural purposes, and residents me. to me on the basis of this property may be subject to incon- Recorded I veniences or discomfort arising from the Official Records I use of agricultural chemicals, including, County of 1 but not limited to herbicides, pesticides, Butte I and fertilizers; and from the pursuit Candace J. Grubbs I of agricultural operations including, Recorder I but not limited to cultivation, plowing, 10:38am 26 -Jun -92 I spraying, pruning, and harvesting which 92-28341 Rec Fee Cash PUBL C_ t 8.00 \ 8.00 XX 2 occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real.property. situate in the County of Butte, State of California, described as follows: L r/ Date: 49L24/q 2,- PROPERTY OWNERS: F1'itlkL1 L6)&E V 01Y 9&AJ /=CLUi f 14OR- 9 T State of ) On this theeday of ,/ UN's- 19 2 ; before me, the SS. undersigned Notary Public, personally appeared County of 3vnw- ) o2� cL rrg � SG F7 U �j Fc f) 7- Av0 Present A.P. No.�� otary Pub /DANISG /-to e7 - F. HUN? J�r Personally known to [:] Proved EL DANIEL me. to me on the basis NOTARY PUBLIC -CALIFORNIA a of satisfactory evidence. "m But* Cou"ty�o a My commission 64reg0oL 1, 1904 be the person(s) whose name(s) -h llubscribed to the within ® for instrument and acknowledged that ®aaaaaaasssstssssssssss•s� ecuted the same WHEREOF, I hereunto set the purposes th; n cont4a-A,ed. ? r—N7S �/ � �/ � / / my hand and o f'cial s al. Present A.P. No.�� otary Pub r' ^ • 1 A. s � 4 :.•� ice." t ... .♦ a ,( 1 el, 92-28341 ORDER NO. BU -128173-3 DESCRIPTION ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, -DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 3, AS SHOWN ON THAT CERTAIN .,MAP ENTITLED; "WOODHILL RANCH SUBDIVISION", WHICH MAP WAS RECORDED, IN THE OFFICE OF' THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER 2, 1983, IN BOOK 91 OF MAPS, AT PAGE(S) 54. AND 55. PARCEL II• NON-EXCLUSIVE EASEMENTS FOR INGRESS AND .EGRESS AND FOR PUBLIC UTILITIES OVER DIABLO VIEW DRIVE AND BANGOR TRAIL, AS. SHOWN ON THAT CERTAIN MAP ENTITLED, "WOODHILL RANCH SUBDIVISION", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE. COUNTY OF BUTTE, STATE OF CALIFORNIA, ON SEPTEMBER, 2, 1983, IN BOOK 91 OF MAPS, AT PAGE(S) 54 AND 55. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN.THE BOUNDS OF PARCEL I, DESCRIBED HEREIN. EN® OF DOCUMENT COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. �7 I � ASSESSOR PARCEL NUM R 28-40-25 ZONING A 5 I BUILDING PERMIT OWNER HORST & HANNELORE SCHOENFELDT TELEPHONE 589-5628 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 265 LOST HORIZON DRIVE OROVILLE 95966 CONTRACTOR'S NAM_Enn TELEPHONE CONTRA[ OR''S{)MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES. BANGOR TRAIL Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL A-Av MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: ME II Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 18.50 200A OR LESS Main service 200A TO IOOOA) 37.50 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 .Jo. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) � l, 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 OCCUPM 3.64sq.ft. OR ADDNS. ACC. BLDGS. II NEW CONSTR ULT'.OUTLET @ 5.00 NON.RESI BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS.Fl EX. OCCUp. OUTLETS (RESID )REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 9 15.00 Permit Fee $ Z-18, 5 — 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. ,�( L _I I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cggs uence o t g ting of this permit. X Date ' v Signature of Applicant — OwnerContractor ❑ Ager ❑ 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL 9E $ 128.5 HAz I DFEES I IMP r-- FLOG CDF PARCH c� PD H Issu This permit is hereby issued under the applicable provi sions of the Butte County Code and/or resolutions to do work indic v r which fees have been paid. OF PUBLIC WORKS – By DatePERMIT EXPIRES Date 7 G—Q; Receipt No. 117191 WHIT[-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTEEPARTMENT OF PUBLIC WO - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 ,8 PERMIT APPLICATION DATA SHEET OWNER SCL 0 -f- �e CJIf I A. P. No. Proposed Building Use M k U Building Inspector IM— Date Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY e1, items have been submitted. .......... .......................... . Plot plans, 3/4 sets, signed by preparer of plans . .......................... . Complete plans, 3/4 sets, signed by preparer of plans . ...................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................................ 11. Impact fees as shown on attached schedule. .1S.G Kay./...... 6. -z•z -.9z, 12. California Department of Forestry plan approval ees. ....................... . AA Flood elevation letter (100 year flood) by California Engineer. . . 1 . Sanitation and plot plan approval - Health Department . ............`� City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: `. ........ Contact Land Development about (A) Improvements (B) Drainage. . f✓Driveway permit (construction approval required prior to occupancy). .. . Pre-Inspecti.on re.que. Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . ......................... . aOwner -Builder Verification (Given to owner Mail to owner _). . . 4.: Recorded copy of Agricultural Acknowledgement Statement . ..................2 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When issue the permit process as follows: Mail to owner. Mail to contractor. Telephone �.Sd6Z�3 and hold for pickup at office. Deliver with inspector. Other Parcel CreationI –� zz-yz Acreage Applicant / Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Depk Other Date By The following data must be submitted prior to 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). 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 _ mail ounter by_ Date Plans checked by Date Plans approved by Date Q2 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovillet California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBE R _ 0 _ ZONING BUILDING PERMIT OWNERTELEPHONE AA1 FCo F SC 14a - E( OILS + H . SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Cost Ho i isle- Cc, . "4 CONTRACTOR'S NAME TELE HONE CON R CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ O'b Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF[:] Duplex[] MobilehomeN Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remo/de'l ❑ Utilities Installation Other ❑ Describe work: M l"7 aF Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. IFDWELLING OCCUP.B) OR ADONS. ACC. SLOGS. 3.6$sq.ft. NEW CONSTRMULTI-OUTLET BRANCH CIRC ITS @ 5 00 POWER APPARATUS e SINGLE OUTLET CIR. ) OCcupNON.RESI Ex. �OUTLETS OR FIXTURES 20 1; 7614 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.I EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 50 Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 accrueHAz against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor [:1 Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3in height. Mobile Home Installation Fee S Ener Inspection Fee $ 9Y P occ I CONST TYPE TOTAL FEE $%,`t OFEES IMP I FLOOD I COF I PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date rstories Receipt No. 11719 l WNITC-D.P.W.. YELLOW-A3e[330R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works .7 County Center Drive, Orov-ille, CA 95965 OWNER -:BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return.this information -at your.earlie.st.opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be.issued until this verification is received. l?"' I personally plan to provide the major labor and materials for.construction of. the proposed property improvement (yes or.no) � S 2 ✓ I (have/have not)signed an application for a building permit for the proposed work. .3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone- Contractor -s - 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 Contracto-rs- L.icense. 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: �11 Property Owner Social Security Number" Date %1(o -49 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. TO e Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance �gN6�� T �L 28 -VD ED �-U lU« AP# Owner Location Plan Approved for: Sewage Disposal 'Rater Supply Hold final for: Water Supply ^anal clearance O.R. for: Water Supply clearance for —4 --bedroom mobil home Other NOTE *** ��- - Sanitarian /Date Lr` ce I10 4O i. �`9Z`2�75 BUT'T'E COUNTY BUILDING DEPARTMENT APPti 01� SAN c /Z pA9 K WI Locatior► of structures & equipment shall be as shovM & clear of all easements. This set of plans and specifications MOST bf kept on the job at all times and it is unlawful ti° make any changes or alterations on same with. out written permission from the Department of Public Works, County of Butte. NOTE -,AD Materials & Workmanship Shall Be to Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. O-- .._._.-.._...-. -_r 5.03 AC. 2 S L 0 S i IqvR/ ZON TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance 6wn r location _ Plan Approved for: Sewage Disposal Hold final for: Final clearance O.R. for: Clearance for -oL bedroom mobil ome. Other NOTE *** Water Supply Water Supply Water Supply Sanitarian Date ` Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 8- R�(6 ~ FOR RESIDENTIAL DEVELOPME,(R NT T T COUNTY OFFICIALIE RECORDS By Section 26-8.1 of the Butte County Code requires this acknowledgement.,\,-plff'f '/SHOWN be recorded prior to issuance of ..a building permit. � DOCUMENT • 8'7.2'7'726 6 L O M The property described herein is adjacent to land. or included PM 1: 08 within an area zoned for agricultural purposes, and residents of this CANDACE property may be subject to inconveniences or discomfort arising from ���f3as the use of agricultural chemicals, including, but not limited to herb ic ide%E%ZVtcg@rAgE and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Paq -.s SEE ATTACHED LEGAL DESCRIPTION Date : July 31, 1987 PROPERTY OWNERS - �J ` State of Ca. ) On this the 31 day of July 19 87 before SS. me, the undersigned Notary Public, personally appeared County of Butte ) MIKE J. RILEY************************************ / / Personally known to me. /X� Proved to me on the basis of satisfactory evidence. ■ to be the person(s) whose names) is subscribed to ®QAi�O�LA ®.MASTELOTTO ■ the within instrument and acknowledged that he e NOTAYPUBLIC-CALIFORNIA o executed the same for the purposes therein contained. 13 tt MyCommi"i"E etre sept. 7,1 : IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. �� Tv �S DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described as follows: onorri t . Parcel 3, as shown. on that certain Map entitled, "WOODHILL RANCH SUB- DIVISION", which Map. was filed in the Office of the Recorder of the County of Butte, State of Californi.a, on September 2, 1983, in Book 91 of Maps, at Pages 54 and 55. RESERVING THEREFROM non-exclusive easements for ingress and egress and for public utilities over Woodhill Drive, Diablo View Drive and Bangor Trail, as shown on the above described Map. PARCEL II: Non-exclusive easements for ingress and egress and for public utilities over Woodhill Drive, Diablo View Drive and Bangor Trail, as shown on that certain Map entitled, "WOODHILL RANCH SUBDIVISION"; which Map was filed in the Office of the Recorder of the County of Butte, State of Cali- fo.rnia, on September 2, 1983, in Book 91 of Maps, at Pages 54 and 55. EXCEPTING THEREFROM all that certain property lying within the bounds of Parcel I, above. END OF DOCUMENT i; � `' 011 I 1(.47.( c �� 4-0 �. ?) I 'I Ln v Lf) ' I 'J I N -3*W � Z lV I' A/ BUTTE COUNTY BUILDING DEPARTMENT APP R OVED Ay �gNc('/Z PARI<W 9 This set of plans and specifications MUST be kept on the job at all times and it is unlawful tc- make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte NOTE -,AH Materwls & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. Location of structures & equipment shall be as shown & clear of all easements. o/N 28-4-0-2 TiR A / L 5-o3 rl C: 2 �5 L0ST I-1vRl7'ON 7 �! d .moi r �/ 1•_ i c BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET C -1`I vim-( ;L� {�.: � Y �� �-G.w • �, 1. Owner's Name: N/3MVZ [ (q,_c -� l-1Dlz S° i SC gCC-AlF4LD 7- 2. Installer's Name: I�Ae Y061.7 Cl T�Z r� 3. Is the site currently under permit? Yes _ �. No (If yes, furnish permit number ) OR Is the site an existing site? Yes F] No F-1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes © No (If no, clarify 5. What is the mobilehome electrical rating? --------------- -,D Amps 6. What is the mobilehome site service rating? ------------- Z.� Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the --------------------------------- Ye's a mobilehome site service? No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipd'size-? --------- (in.) 10: What _is the t e of as service ------ type. g ?--------- ---- Natural D_ LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- 7 C) (ft.) 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required ifs pipe length �s�s®��.�pft. on natural gas or less than 50 ft. on LPG. � 1�j NEXT PAGE MUST BE COMPLETED TO PROCESSL-PERMIT'APPLICATION.-�\ MOBILEHOME SUPPORT DATA _ If other than single wide, Mobilehome Mfr. LCC woo r)furnish Setup Model No. `, Year, i, Tagalong or Expando Size_ft. x ft. Width (f t.) Box Length c J (fes.) 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). FOOTINGS (check one) x�l. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)El1. Concrete block .02. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE Main Beams' Line 2 • � Main Beams - .. Tag or Triple Line 1 Piers: Line 1 Openings: Size -Min. ,Ix I. Size -Min. ------------------ „x o Spacing -Max. - ------- I Each Side of Openings -. _ From Ends - Max .------- '- " With Width over --------- u Line 2 Piers: Size -Min- ------------ Spacing -Max. rr- --- c-- �- u From Ends -Max -------- Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ 5c Spacing -Max---------------- From Ends -Max .------------- Line.4 Piers: _ Size -Min .------------ ,k „ Spacing -Max.--------- From Ends -Max. ------- Line 5 Roof Loada: Size -Min:' ------------ location (From Front) Line 5 -.Piers: (Under..Beazing Walls Only Size -Min .------------------ 'k Spacing -Max. --------------- From Ends -Max .------------- "X x 'k X ,k Ix IN x BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PE T NO. Agricultural building is defined as follows: Agricultural building is a structure designed and c structed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure s, all not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. _ 0 C-) ZONING OWNER OWNER//, PHONE NO. 7 907 0� 3 OWNER'S ADDRESS Pn d o t,, q2 a.� LOCATION OF BUILDING USE OF BUILDING// Lo F4U/ /'ve S- OGGC SIZE OF STRUCTURE / x SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME JL STEEL CONCRETE OTHER (Specify) TYPE OF SIDING l ROOF COVERING FLOOR TYPE wo wallsrL- E TI ATED COST OF CONSTRUCTION $ AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows:r t 1 1 < 5J AV" ab 1' 6 FRONT _ SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with t r q lr ment n of ct ah time an b occupancy. Date Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt fr m a building perm' Receipt No. l 9 q '7 `2 Z FLOG I PAR 'a P.D ROOF ISSU Manager Building Division By—,�C'Date 3 9 b White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant . ' COUNTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION " 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET 11 OWNER#ar5 A vveldre .SCY6D o v /-e I 4- A. P No. 1- " y0 ^ oZS Proposed Building Use u�`V �.V Xei1i► %- Building Inspector A4 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ' DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .... ...... . 5. Hazardous Material Form . ............................... . . . i .j 6. Energy Design Compliance and supporting documentation. .........�!. ! ....... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... ' 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Depaftment of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval Health Department . ............ l 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . Pn:anspedion request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . /-)I4. Recorded copy of Agricultural Acknowledgement Statement .. �`_"�1- 25. Letter of signature'authorization. ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31.. Existing violations/expired permits . ...................................... 32. Plan checklist...................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office.-� Deliver with inspector. Other Parcel Creation �. Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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 _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -- TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.;L9 c+ ,r ZONING OWNER,,a ! PHONE NO. n �S OWNER'S AD KESS O r Q S LOCATION OF BUILDING[ie S P USE OF BUILDING I ra U r S g SIZE OF STRUCTURE X = r'I ASO. FT. TYPE OF CONSTRUCTION: �\ WOOD FRAME -4-STEEL CONCRETE fLOTH�)ER(S ec'Ify) TYPE OF SIDING ROOF COVERING tA& FLOOR TYPE slA $ ESTIMATEDT OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: /! FRONT -�+''` SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requireme I effect at that ti and before occupancy. Date Signature of Owner Permit Fee - $50.00 The above described AG Building is exempt from a bui ing permit. Receipt No. 19,5-970 FLOOD PARC I P.D. TROOFy IS E Manager Building Division By Date /m a- y' Z -- White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant