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HomeMy WebLinkAbout025-200-132ON OTT :ORCHARDS USE. PERMIT 12/18/91 4 CERTIFICATE OF MERGER AP# � - aux) r., AP 25 _20 ) 3a Onstott Orchards e/s Larkin Rd. ap ox. 2 mi. so. of Ord Ranch Rd., ridley CONTR: Sierra Roof & Acoustis,Chico Permit 3526-75B (reroof) 25-20- 1738 Larkin Rd, Gridley Permit#2916-88B,P,E,M(addition)S 25-20-+% Contr: N,Drt Malley Elec Permit#2636-89 repair fire damaged elec ser/pump ho e) ContR: 25-20- chter PErmit#3037-89B(demolish /pum house) , 25 -20 --*O- larl, 'ContR: Bob FicPErmit#3153-89B ild , fire dmg�11'add to-bedroom ContR: 25-20-Jgg- orth Valley Electric PErm' 3986-89E(2 ele ser S IZZ,� ONSTOTT, Fre_ 606-66B_ s- . I - e/s Larkin 2 mi. no. Oro -Gridley ., Gr: CONTR: Burl Woodward,.P.O. Box 677, Grid: (repairs and reroof) I 3L 25-20-ta: Permit#99-88A(A_rig� ult_ ral Bldg Exempj,- stg of orchard equipment_7_7=:. CERTIFICATE OF MERGER .9- 1 0 O 13.E -QW'NENT o�UTTF0 Department' of Public Works 0 0 C o u n t y o f B u t t e O O J. Michael Crump. Director LAND DEVELOPMENT DIVISION O 0 7 County Center Drive CSU N'(y Warner C. Phillips, Asristant Director Oroville, CA 95965 lC (530) 538.7266 Wpp�` (FAX) 538-7171 August 14, 2002 Gregory Correa 1740 Larkin Road Gridley, CA 95948 Re: Certificate of Merger - AP 025-200-131 & 132 V Dear Mr. Correa Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on July 16, 2002, under Serial Number 2002-0036383, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: "Building Division Environmental Health Dept. Richard Sannar AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 LANDS BEING MERGED: 2002-0036383 Recorded Official Records County TE Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:05PM 16 -Jul -2002 CERTIFICATE OF MERGER AP NUMBER(S) 025-200-131 & 132 SUBDMSION / PARCEL MAP: BOOK 139 PAGE_f.L--BLOCK - LOT(S) BOOK PAGE BLOCK LOT(S) REC FEE 16.60 Fay Page 1 of 4 As of the date of recordation, those lands noted above are merged to create 2 parcel(s) of land as described in Exhibit(s) A & B attached hereto. Az- /.C,,— JULY 9. 2002 MIKt CRUMP DATE Director of Public Works OWNERS' CONSENT TO MERGER THE UNDERSIGNED, as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibits) A & B attached hereto. ALL SIGNATURES MUST BE NOTARIZED: ()IASTv'TT C-X->ckA4p,DS � a cov-porc,. ion G✓ SIGNATURE 3,eC (ANDREW W. EVANS) SIGNATURE DALand DevdopmentOpOlcatlon Forms\Certlf. Of Merger -LD 1530 (10/01) y/ /'r Ao Z - DATE DATE CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT State of California County of 6I)iw ss. On before me,L y ` 'Officer fl o+ntl1 D to ameand Title of Officer (e.g.. Jane Die. Notary Public personally appeared ftnA mA) w • L- Vans- , Name(s) of Sioner(s) JULIE GAREWAL ComrKLdWon # 1282M Notay Public - CalffC"ft .Butte County MVCa=.5VmNw21L 04 Place Notary Seal Above proved to me on the basis of satisfactory evidence to be the person(,9'J whose name(p) is/erg subscribed to the within instrument and acknowledged to me that he/&heAWii -executed the same in his/her/thetr authorized capacitypesT, and that by hisl4w;Uei; signature(kon the instrument the person(,sa; or the entity upon behalf of which the person(' acted, executed *the instrument. WITNESS my hand and official seal. 111JR&Y, 61 a iffwu_ I SignaTure-orWotary 15u6lic OPTIONAL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: _ Capacity(ies) Claimed by Signer Signer's Name: Number of Pages: ❑ Individual ❑ Corporate Officer — Title(s): Top of thumb here ❑ Partner — ❑ Limited ❑ General ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Re senting: 0 1999 National Notary Association - 9350 De Soto Ave., P.O. Box 2402 - Chatsworth, CA 91313.2402 - www.natonatnotary.org Prod. No. 5907 Reorder. Call Tol4Free 1800.876-8827 i EXHIBIT "A" Parcel 1 of that certain Parcel Map recorded on February 29, 1996 in the Office of the Recorder of Butte County, California in Book 139 of Maps, at page 57. Together with the following described parcel: Beginning at the Northwest corner of said Parcel 1; thence N00002'25'W 20.00 ft.; thence S89036'56'E 137.66 ft.; thence Southeasterly 264.15 ft. along a tangent curve, concave to the Southwest, having a radius of 170.00 ft.; thence tangent to said curve S00035'20"E 169.37 ft.; thence S6000734"W 5.74 ft. to an angle point in the East line of said Parcel 1; thence along the boundary of said Parcel 1, the following three courses: (1) N 0035'20'W 171.92 ft.; (2) Northwesterly 233.07 ft. along a tangent curve, concave to the Southwest, having a radius of 150.00 ft.; (3) tangent to said curve N89036'56W 152.52 ft. to the Northwest corner of said Parcel 1 and the -point of beginning. LANDS � cptre5 9/so //004 ce r Y n0�+1[��('�tl�/�. L.S. 4835 F CAL y EXHIBIT "B" All that certain real property situate in the County of Butte, State of California, described as follows: Beginning at a point on the North and South half section line of Section 32, Township 18 North, Range 3 East, M.D.B. & M., which is North 1° West 1605.6 feet from the quarter section corner on the South line of said Section 32 and running thence North 1 ° 00' West 843.3 feet; thence North 60 26' East 169 feet to the East and West half'section line of said Section 32; thence North 00 32' West 1936.2 feet to the Northwest corner of the land formerly owned by William Onstott; thence South 880 20' East along the North line of the land formerly owned by William Onstott, said line being coincident with the South line of the land now or formerly owned by Rayman and Goldstein, 2811.9 feet to a point; said point being marked with a concrete monument 6 inches square and 3 feet long set in the ground; thence South 16° 34' East 371.1 feet to the West bank of Feather River; thence down and along the West bank of said Feather River, South 40 30' East 171.9 feet; thence South 80 50' West 218.7 feet; thence South 14° 10' East 263.0 feet; thence South 21 ° 11' East 240.7 feet; thence South 170 30' West 70.2 feet; thence South 6° 40' West 450.2 feet; thence South 14° East 451.5 feet; thence South 200 16' East 125.0 feet; thence South 260 33' East 576.9 feet to a point; thence leaving said bank of said river South 890 00' West 3371.6 feet to the point of beginning. EXCEPTING AND RESERVING THEREFROM, the following described property: Parcel 1 of that certain Parcel Map recorded on February 29, 1996 in the Office of the Recorder of Butte County, California in Book 139 of Maps, at page 57. ALSO EXCEPTING THEREFROM, the following described parcel: Beginning at the Northwest corner of said Parcel 1; thence N00°02'25"W 20.00 ft.; thence S89036'56'E 137.66 ft.; thence Southeasterly 264.15 ft. along a tangent curve, concave to the Southwest, having a radius of 170.00 ft.; thence tangent to said curve S00035'20"E 169.37 ft.; thence S60°07'34"W 5.74 ft. to an angle point in the East line of said Parcel 1; thence along the boundary of said Parcel. 1, the following three courses: (1) N00°35'20"W 171.92 ft.; (2) Northwesterly 233.07 ft. along a tangent curve, concave to the Southwest, having a radius of 150.00 ft.; (3) tangent to said curve N89036'56"W 152.52 ft. to the Northwest comer of said Parcel 1 and the point of beginning. y� ices 9/6 04 �AIC� L.S. 4835 OF `A*0 END OF DOCUMENT UT o� p oDepartment of Public Works 0 °� �UTTF - \ . � �� ° 0 County of Butte ° ° J. Michael Crump, Director 0 0LAND DEVELOPMENT DIVISION / 0 0 � 7 County Center Drive CS Warner C. Phillips, Assistant Director Oroville, CA 95965 yUN �(530) 538-7266 A�tic VV (FAX) 538-7171 June 27, 2002 Gregory Correa 1740 Larkin Road Gridley, CA 95948 Re: Application for Certificate of Merger A.P. Number(s) 025-200-131 & 132 Dear Applicant: On JUNE 26, 2002, the Department of Public Works made the finding that the Certificate of Merger on the above referenced property is exempt from environmental review, and approved the project. This action will be final if an appeal is not filed with the Clerk of the Board of Supervisors within ten, (10), days of the date of this letter. You or any interested person must do so in writing, with the appeal fee of $50.00, to the: Clerk of the Board of Supervisors, 25 County Center Drive, Oroville, California 95965, prior to 4:00 p.m. July 8, 2002. If there are no appeals, we will submit the Certificate of Merger to the Butte County Recorder's office, for recording. We will return the original certificate to you after recording. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart.Edell Deputy Director SE/mm cc: Environmental Health Department Richard Sannar, 556 Little Avenue, Gridley, CA 95948 Building Division s- PLANNING DEPARTMENT 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7601 December 18, 1991 Onstott Orchards 1740 Larkin Road - _ - Gridley, CA 95948 - CERTIFIED MAIL, - Re: Use Permit, AP 025-2007100 Gentlemen: Enclosed is.your validated Use Permit No. 91-18 to allow a 3.3 acre homesite segregation on property zoned A40 located on the northeast corner of East Gridley Road and Larkin Road, Oroville. Should you have any questions regarding this matter, please contact this office between 10:00 a.m. and 3:00 p.m. Sincerely, D4rcher irector of Planning BAK:bd ' Enclosure cc: Department of Public Works (2) fir,, G�gnd e� Environmental Health Department of Forestry USE PERMIT BUTTE COUNTY PLANNING COMMISSION December 18, 1991 . DATE: (Certified Mail Rec.) 91-18 PERMIT NO. AP 025-200-100 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Onstott Orchards is hereby granted a Use Permit in accordance with application filed: 4/22/91 to allow a 3.3 acre homesite segregation on property zoned A-40 located on the northeast comer of East Gridley Road and Larkin Road, Oroville. 1. Failure to comply with the conditions specified herein as the basis for approval of application and issuance of Permit, constitutes cause for the revocation of said permit in accordance with the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code Sec. 24-62. 2. Unless otherwise provided for in a special condition to this use permit, all conditions must be completed by the Permittee within 12 months of the delivery of the countersigned permit to the Permittee. 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the Permittee, the permit shall become null and void and reapplication and a. new permit shall be required to establish the use. 4. The terms and conditions of this permit shall run with the land and shall be binding upon and be to the benefit of the heirs., legal representatives; successors, and assigns of the Permittee. SPECIAL CONDITIONS: 1. Parcels to be created pursuant to Chapter 20 of the Butte County Code and Subdivision Map Act. 2. Prior to the division being effective, the owner or owners of the property included in the approved development plan shall execute and cause to be recorded in the office of the Recorder a . covenant binding upon the original owners and their heirs, successors and assigns, which disallows additional dwellings from being located on the agricultural property or the agricultural segregation parcel. The agreement shall run for a period of 10 years. Termination of the agreement shall be made in accordance with Section 24-54 of the Butte County Code. I The two dwelling units, shown as guest house (1) and apartment (2) on the site plan, are accessory to the main residence and may not be rented. 4. Applicant must also comply with all other applicable State and local statutes, ordinances, and regulations. I hereby declare under penalty 'of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. Dated: Applicant NOTE: Issuance of this Use Permit does not. waive requirement of obtaining Building and .Health Department permits before starting construction, nor does it waive any other requirements. CC: Department of Public Works (2) Health Department Department of Forestry I Butte County Planning Commission Chairman DEVELOPMENT PLAN DATE 2 USE PERMIT VARIANCE A A M 3. - � CPI 0 t N 4 � jjj b � . L 5.J. 6 W npl Z ASV i t 0) � I ASV U # 2916-88 _ 393.7-89 it PERMIT NO. 315-R9R,P,F_M PERMIT EXPIRES OWNER ONSTOTT ORCHARDS CONTR. Bob Fichter ASSESSOR PARCEL 25-20-100 LOCATIOtJ772 Larkin Rd, Gridley F r7 Temp. Power Pole 1 Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service `� c Called PG&E JOB FINALED (Date) — Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196.Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville —Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE ER 3-Cq MIT 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. N Inspector Date !. l 27 _ t_ COUNTY OF BUTTE t `DEPARTMENT OF PUBLIC WORKS 196 Momorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile —"Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 �4 CORRECTION NOTICES 36_ R 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 1. when correction of work is completed. If you have any question pertaining to this mat er, or need additional explanation, please contact this office immediately. Aj ",O i ,CCT"/o-J I' Inspector Date = OK " b=NdtOK ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / PV ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s ' 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date 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 - Dead Men -Lining 8. Gas and Electricity Tagged 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 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Encl osu res -Panel boards- Ins. to Main in Conduit Card -131 Date Card -131 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test ' Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date k = VK 0 = Not OK - = Not Applicable = Not Ready Date UNati 6. RESIDENTIAL. (Single and Duplex) z. FLOOR (Plans) OK except #'s 5g -Setbacks; -Easements -Flood -Slope Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. De .Gacage�So .Steel-/ /" Ftg. Depth tort hresD€cks; Soils -Steel-/ /"Ftg. Del waits -,-Main; Steel- Blockouts-Wrapped N"'s-Garage; Steel-Blockouts-Wrapped Slab; Steel- D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 44-�e7TOM-fmchors-Regulator-Service Test 12.-ElectAo-, +)nderg round 13_P4en4m,s-& Ducts; Clearance-Material-Supprt-Ins. 14.^fkders=Stti's-Anchor Bolts -Joists -Vents -Cripples 15:-kwAaatia Card -B1<100 Date ) ,:IZ-rd-B1 Date Card -81 k Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16 Water Ht. Verit ccess-Combustion Air -Baffle U -7 ­Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 3a SbawBr Pan• Test, First Floor -Tub Access -29-Test-TVl5-W_9hower, 2nd Floor -Tub Access (24!Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 1i23'Elec. Receptacles Spacing -Lights & Switches at Doors 4'2�f._ Size Boxes & No. of Conductors -Stapled L25. R mex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water ce Circdts in Kitchen & Conductor Size/G.F.I. 3$._Su.bfeed-tWn-7S1ze­/- / ga. Cu or AI-A.C. Wire Size / /ga. 'Cu or Al 2 c. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. _,Insulated Neutral Yes No 1130. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. tioines ose i ht -Shower Light -Spa Light 1,33 -Smoke Detector Card -81 Date -. and -B1 Date Card -B1 Date and -B1 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 urnace-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 C,dY-ti Date Card -B1 Date Card -B1 Date Card -B1 Date Date FRMING (Plans) OK except #'s Sills, Proper Material & Anchors Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 1•_Bearing Walls over Girders & Floor Nailing 2. Draft Stop in Walls (rat proof) 3. Oe Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Date FRAMING (Continued) Fjangers-Post Caps -Anchors -Connectors cA.. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. ALrEi' tace ies r Type A Flue -Fireplace Throat Clearance . Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles LATBdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _5��Protection Framing roperty Line Firewall & Openings k52 -.-Ext. Doors -One T -Check Garage -3rd story, 2 exits Headroom -Rise -Run -Landing -Fire Protection 4. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers t -55 -Siding -Nailing Veneer o es - rip Screed -Fd. Vents-Underflr. Access . Glazing Area -Glass Protection -Skylights -Plastic ailing -Bolts _ 59. Insulation -W s- g. 60. Infiltration -Wal Is-Wndws Card -BUS Dateji _-b4WCard-B1 Date Card -B1 Date Card -B1 Date Date FI AL (Plans) OK except #'s " ). Ext. Steps -Door & Sidelight Protection -Landings 2 moke Detector 3. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection :Bidroom Exiting 5 G.F.I. & Bath Fixtures & Tub Access -Spa 6. Elec. Tris a *er reaker Sizes -Labels -677: 6tahz-& Ra11s teve; Clearances -Hearth 69. od Panel; Int. & Ext. Jas hid 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance i+ 71. Elec. Outlets & Receptacles at Kit. Counter 7-2-Ga*age-Fire-Goor, Swing -Landing -Closer a-Az�crctin-GaTg e- Damper 1,44 -Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Ib., Elec. & Mech. Equip. Listed for Location e in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. k Construction -Post Caps 79. wl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive,❑ Yes 01-I� Walks 13 Yes 1_Jo; Planters ❑ Yes 840 wn-ims nnect, Electrical, Plumbing 3. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. r_ Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House L-87'.._Glass P� r,tion 16 7 - Corrections f revious Inpections 89. Cis Te -Meters Tagged; Gas -Electric 0315 -Water & Sewer Connected -C/O to Grade -HD Approval 91. Enerqy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 c,p Date 1" -,Card -B1 Date Card -B1 Date Card -B1 Date Card -Bt Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit iob site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERA�1� N0� ASS SSOR-PA CEL NUM (� ZONING BUILDING PERMIT o N TELEPHONE SQ. FT. OCC. BUILDING VALUATION O. MA LING AD RES rk`n CON CT R*S ME TEL HONE CONTRACTOR'S MAILING ADDRESS- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 rSolar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL 74P Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New❑ AdditionRemod UtilitiesQ Installationo 0 er Describe work: F19 L/ ` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 S AMP OR LESS 10.00 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 Main service EA. ADO'L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.tr OR ADDNS. ACC. BLDGS. , 2/z¢sgft NEW CONSTR MULTI -OUTLET NON.RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU OUTLETS OR FIXTURES p 20050C eAL®3o Ex. Occup. OUTLETS IIRESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. 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 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. 1 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 1i Z > Signature of A plican — 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 hei ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE , TOTAL FEE$ Ll 6) C? HA2 CUA PARK SCHL ILD PAR HD Issue This permit is hereby issued under sions o e Butte Count .Code and/or wor ndi ated above r which f DI OF PU Y P MIT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviPke,.Cal,' rnia-95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT�'.� N� ASSESSOR�CEL NUMB O ZO N y BUILDING PERMIT a iz O ER •-� /jt t O �•+�v TEL ONE S0. FT. OCC. BUILDING VALU ION OWNER'S MAI ING ADDRESS I,,T�� N AC OR'S NAME pH�/ CONT S MALI G ESS A._,6ADD .� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ rri ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESs9 � � L f Permit it f $l PLUMBING PERMIT Filing Fee 10.00 Each Trap 3 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 5 Each qas water heater or vent 5.00 S USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GW lE 0.00e TYPE OF WORK New ❑ Addition 4VRye-model k Utilities ❑ Installation ❑ Other ❑ Describe work: 1�7�%/-/i%C�le /!'L/Q�� _ 1p— A00 -7b Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR L Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): � 'Nam licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS n and Profess i s Code an;l my license is in full force and effect. No. 7 Classification % I, as the owner, or my employees with wages as their sole compen- El 1, 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.pI OR ADDNS. ACC. BLDGS. �2Osgft NEW CONSTIR ULTI.OUT LET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. ( EX. Occup\OUTLETS OR FIXTURES 20 @License EALO gO EFIXED APPLNS. K Occup. OUTLETS (RESID ) EA. ) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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 10.00 Heating Coolin g Hood 3,00 Ventilation -3-. .r 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, judgmepks. costs, and expenses which may in any way accrue against I oun n risequence of the granting of this per Date �� OOOSO of pplicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0"d a d de olition r construct- ion of structures over 3 stories in height. q 31 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAZ I 9CUAPARK I SC2e I FV I PA/ PD HD Issu hi s permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PET EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date p �� 2 �� J�"0 Receipt No. d 6 , /s-02, S, WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, 6 p N P� 11�N. .,-� , ���.r-„ ,,. -..-.r.: x F"'^t. Jnr -t.. �^ �.,�rr Ne�.i,g�'.+",,.^a+.. �'x, v,,, r S�-�' Sy-A+ts{✓.[-r;.,.�",y.., *^..w..r*, �S:+sem '� 1t .Sl..:..."..s— .-:,e5 �,..,. r.,,«n,.,c. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC '4 {WORKS - BUILDING DIVISION K 4v--- � " - 7 COUNTY CENTER DRIVE - OROVILLE,'X`MFrORNIA 95965 - TELEPHONE: 916/538-7541 ;r� PERMIT APPLICATION DATA SHEET ( / Permit No. OWNER A. P. Proposed Building Use r ,Building I''nspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... A87. Statement of Intent for Non -Heated and AC Buildings .............. . Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions...................................................... . 10. Fees of $ ........................ 11. hico Urban Area fees paid ....................................... Parkfees paid .................................................... ��Z School District fees paid .............. Sanitation approval from Health Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) _ 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, proce s as follows: Mail to owner. Mail to contractor. - Telephone and hold for pickup at _office. Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri 1. Index permit for above items No. 2. Additional items required: Date iksupince: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone_jnail_counter by .date Contractor, designer, owner, was advised of a Plans checked b, Date required data by—phone _mall—counter by date Y Plans approved by _Date goo Sets of plans on hold in . File cabinet AP folder 48 )1-,3 � qs�g� Copy—DPW . C Id /0- ) TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 65)z7&kW -0/ — - / I -.c2 Owner Location AP# Plan Approved for: Sewage Disposal � Water Supply. Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. Other aA-V A n n NOTE * * * IV Sanitarian 4aDa •�w`s�t`"c,��^'a'�nivfP*i"'"'"t'��"''`�2'fi��F+i" S )'�'{'%�iPPiT�fR'�c�`�'.`,F.feYa'+Av.�r.�.r �s* BUTTE COUNTY SCHOOLS DEVELOPM;FNT FEE CERTIFICATION FORM (one Fornr'pl t4u' i=lding) , A.P. Numberc'1�d — l0V Building Department No. School District G-4_-QDL�\) City Q County FM Jurisdiction Property Owner Project Location/Address Subdivision Lot Number Residential Development: s. o ® Sq. FootageC(Jq�v4s6C' # of Living MHI Addition (Group R) { Units _Zr �l P Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) r _- • 9 Building Depi e0feftiftative a e District Id No.169 r a c/U School District certifies that !� (Applicant Name) '(Phone Nu ber) (Street Address) / (City) (State) .(Zip Code) has complied with the requirements of Resolution No. by the payment of $ CJ representing square feet. _": � � 2; ScWbol District Representative D to PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88) ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ff ASSESSOR PARC NUMBER (,/,/� ^O ZIN in BUILDING PERMIT OWNER TELE HONE SQ. FT. OCC. BUILDING VALU ION OWNER'S AILING AD RESS 17 C T ACTOR'S NAME �/G�JJ��•1 LEP�E, 66 66 C,A N RACTOR'S MAILING ADDRESS © &= Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 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 ADDRESS T Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE ,�/ SF [:1 Duplex ❑ Mobilehome❑ Other rVMp tws(— SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00e TYPE OF ��e� New ❑ Addition /m�oodee, Utistallation❑ Other❑ Describe work: _ -'•1 ;/ A6' use _P_,1 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR Main service 6100AMP ORSLESS 10.00 Main service EA. ADD -1- 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Coe and my license is in full force and effect. License No. Classification �/ El 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.& OR ACDNS. (ACC. BLDGS. Ih¢sgft NEW CONSTR. MULTI—OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 20®501 a AlO 30 FIXED APPLNS.OR EX. Occup. OUTLETS (REST D .) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ave placed on file with the County of Butte Building Department 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. Contractor MECHANICAL PERMIT Filing Fee 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, indem 'fy and keep harmless the County of Butte against all liabilitie , dgm costs, and expenses which may in any way accrue against n Vonsequence a granting of this permit. X T Date Agent ❑ Sig to -of App4cant — Owner El ContractAn:ep An OSHA permit is required for excavations over and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAZ CUA !A71_ FLD PAR PD u This permit is hereby issued under sions of the Butte County. Code and/or work indicate above or w Ich fees I EC OF UBLIC BY PERMIT EXPIR S Date the applicable provi- resolutions to do have been paid. WORKS �j� Date `�/� �/ Receipt Na WHITE-D.P.W., YELLOW-A33l9 SOA, PINK -INSPECTOR. GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMI NO, 7 County Center Drive - Orovlllor California 95885 - Telephone: 818/538.7541 (/o APPLICATION AND PERMIT ASSESSOR PARCELZON e, BUILDING PERMIT OWNER AJG-ri TELEPHONE .SQ. FT. DCC. BI 11 VALUATI ^ OWNER'S MAILING App? ^O 42/ C0-723T..'S¢N^AMME� TELEPHrb gt CON OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS G�,P {IJ4 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each gas water heater or vent 5,00 USE OF STRUCTURE SF ❑ DDuplex[]Mobilehome❑ Other /'//qul"'D /&W7- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition E]_ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: 4� /t %-� l/zz:el j Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 /O r CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.( DWELLING OCCUP.SI , ACC.LTB OUTLET h2sgft New CONSTR. NO N.RESID .BRA CH CIRCUITS) 2.50 ea /POWER APPARATUS 6 (POWER OUTLET CIR. / Ex. OCCUp\OUTLETS OR FIXTURES 20050t SACS ao FIXED APNS Ex. OCCUp. OUTLETS PIRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 IC14M �/ g 7 Is Permit Fee $ . S 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. Contractor 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 1s 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 -menti ned property for inspection purposes. 4ag save,*nlemnifyrankeep harmless the County of Butte against aljudgmd expenses which may in any way accrue agCounty •of the gra Ing of this permit. X Date ")e Sipplicant Co tractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE oceu P. CON ST.TYPC SCHOOL PLOOD PARCEL PD HD 139UE This pe •t is hAreby i d under sions By)le C ode and/or work • c t T ab f PUBLIC B Y ' Pa.Date PER IT EXP RES Date the applicable provi- resolutions to do fees have been paid. WORKS/ f% r'�y /y /�r ct Receipt No. _�w� �" WNITE-D.P.W., YELLOW-ASBE350R. PINK -INSPECTOR, GOLDENROD-APPLI CANT , �� 1 � ri�` i ..1..4-•:�%'..'u,-.ih_.V...�"""..:-4>!+.. � -. L>.z ;w- :. �f," :'."1A�NY �T�•��..�y�,�,-'Q'`vY.Mw.+warr�{u..+c..--.•�sr ' - ..-...r-e*vr---+ COUNTY OF BUTTE - DEPARTMENT.OyyF_ PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALI`�ORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No.._Z OWNER S Lo �JCc�� EA�W 'r} A. P. /o./�,^C—��) -- 0 Proposed Building Use ��/��f ��C��T Building Inspector Date—�7�— 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) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ ........................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................ . 13. Sanitation approval from Health Department ... 14. City of Chico plumbing permit ....................... * * * .......... `:4 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 47.Impr ements may be required. Dr` eway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to re -Inspection for ��-F�i t required ......Building Inspector (Date) .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. 26. r Wh n.. ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone —I�� si/ and hold for pickup at Q a office. Deliver w/inspector. Other Applicant /Date Copy, of plans sent Health Dept., Fire Dept„ v 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---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked.by Date Plans approved by Date Sets of plans on hold'in File cabinet AP folder Copy—DPW COUNTY OF BUTTE C DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 J 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE to S-til-o-tf Nj eu i OWNER 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. ' M IFLl'IT -4a ///� moi. L. is.iJi y ej IILUI uate - - ttttttottttttttt� 117- e6�/COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.j County Center Drive - Orovlllo, Cofllfornla 95985 - Tulophone: 916/53(3.7541 1 ./ I 0 - APPLICATION AND PERMIT A33ES3 R P RCEL NUMBCA -, ZON BUILDING PERMIT OWNER ,-J�P �' TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C /7:22 CONT AC OR'S NAME TELEPH0 �a CO C OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN c Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �Aflr� O� ' Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF [:]Duplex❑ Mobilehome❑ Other /` as o!!Q �7(�t/� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S-1 G JW I 10-00ea TYPE OF WORK New❑ Addition Remodel[] Utilities❑ Installation❑ Other > Describe work:`—C���jP_C y%pit�t�.><1tCl 4fCr-C% 11S1_/__Z_ 64=e�3 - - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS .00 w � 1!2:.:5 Main service EA. ADD•L too AMP 0vL) 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 �ILJIEX. 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.EI OR AODNS. ( ACC. SLOGS. '/20sgft NEW CONST R. TI.OUT LET NON.RESID BRANCH CIRC ITs - 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. Ex. OCCUp\OUTLETS OR FIXTURES 20030! SALO 30 QCCUp. OUT LETSFIXED P(RESID IREAJ 2.0� Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 E ;ei , J Permit Fee $ S[. WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. zQ 1 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. Contractor MECHANICAL PERMIT Filing Fee 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 County of Butte to enter upon the above -menti ned property for inspection purposes. I also agr save, indemnify an keep harmless the County of Butte against all liabi ti judgments, cos nd expenses which may in any way accrue again County s ce of the gra Ing of this permit. 7f D X v Date Sig a of Applicant — Owner ❑ Co tractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ !' OCCUP. COH3T.TTPC SCHOOL RL000 PARCEL 'Pa HD .3,:E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D!R CT R PUBLIC By PER . iT t=XA da ES nntP the applicable provi- resolutions to do fees have been paid. WORKS Da " Receipt No.44� f 4 -- - -,- LL^v. -1-11--- _.,, __...__ .--..-..... FOR M 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner �/% Climate Zone l� Permit # 316-3 -' Floor Area /6 The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZbNE 16 APPLIES TO NEW AREA CEILING R-30 R-3 O WALL R-11 R-19 FLOOR R-11 R-1 m SLAB R-7 R-7 a GLAZING U-.65 (Dual) U- 65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST -'..36 Shading Coefficient LOOSE FILL INSULATION (Density) AINFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone'16) o DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 AP LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT O MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 NIEMEN [. 13 ❑ ❑ *2 HEATING. VENTIIATING AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP , Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope nrl,or (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump Btu/hr (cooling capacity at 95°F) Other (describe) (seasonal EER) EER t DOMESTIC WATER SYSTEM (6) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following. Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P,S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administ ration Code. 4Ze' -SI-NgATURE g0FBU1LDING SIGNER OR APPLICANT *1 [. 13 ❑ ❑ *2 HEATING. VENTIIATING AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP , Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope nrl,or (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (cooling capacity at 95°F) Electric Heat Pump Btu/hr (cooling capacity at 95°F) Other (describe) (seasonal EER) EER t DOMESTIC WATER SYSTEM (6) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following. Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature °, cooling load BTU *2 Submit T.I.P,S.E. chart or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administ ration Code. 4Ze' -SI-NgATURE g0FBU1LDING SIGNER OR APPLICANT 5/89 RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX & MISC. ONLY) Bldg. Permit # OWNER V /? C7 A.P. # M?•5 GENERAL &1� 'Zoning requirements: . (sideyards and number of permitted living units). Valuation. �-3l5j-lans signed by designer. %-. Energy Design and Compliance. xisting violations on property. Items on data sheet. �� .`to ►� PLOT PLAN ,1 ----"Complete parcel size and dimensions. c3,s Setbacks, sideyards, easements, etc. !� Other buildings or structures. Grading, fills, drainage. L-5. Flood hazard. -e Special conditions on creation map or compliance document. -a! FAU & FAS road setback. FLOOR PLAN /Complete to scale plan with dimensions. , Required windows for light and ventilation (Sec. 1205). Vii: Required windows for second exit (Sec. 1204). 4- Skylights (Chapter 34 & Sec. 5207). ,5 -.---Human impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1207). ­7--�_GFCIs in baths, garage, and exterior outlets (Article 210-8). 8./Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater,.heating and cooling equipment, other electrical or was equipment, and plumbing fixtures. 4(-- Garage firewall, door size, and closer (Sec. 503(d)(.3)). x-1-'1 - 3'0" exterior exit door (Sec. 3304(e)). —replace and wood stove location, alcoves, and clearance. J-3--"S-moke detectors (Sec. 1210). STRUCTURAL DETAILS a. -.----Foundation plan complete enough to construct building. 4-2! Floor construction details complete enough to construct building. %-3--"-Elevations and wall construction details complete enough to construct building. . Roof construction details complete enough to construct building. r5— Fireplace construction details and calcs if necessary. MISCELLANEOUS ITEMS TO LOOK OUT FOR ._k5�§ltairway details: landings, rise and run, head clearance, handrails (Sec. 3306). --2: Guardrail details (Sec. 1711 & 3306(j)). 3_.--1B_rick or stone veneer (Chapter 30). 5/89 RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOKOUT FOR (CONY D) Exterior plaster - weep screeds (Sec. 4706). 3! Proper roof pitch for roof covering (Chapter 32). Roof covering type - (fire hazard). �• Rafter ties or bearing ridge beam. "�6arage door or porch header sizes. Adequate bracing. -� .Living area over garage - complete 1 -hour separation required on garage side including supporting walls and posts, etc. .141.'�'T­wo exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716). -L2-.—Attic access and ventilation (Sec. 3205). 15. Underfloor access and ventilation (Sec. 2516). 44 -Combustion air for fuel burning appliances. ise requirements on duplexes. X16: Adobe soils - special foundation design. -1-7'.IRetaining walls requiring design. -1-8-.-In-usual shape, size, or split level house requiring lateral design. mkt' dashing at all exterior openings. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral 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. ASSE OR PARCEL NO. ZONING /0 OWNh'A0 ice' OWNEFj�S D RESS � , I) r 7 LOCATI NOF BUILDING USE UILDING © ® ec ka ✓`c m61 tif� SIZE OF STRUCT E140 'X ` SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF C R NG FLOOR PE ESTIMATED COST OF CONSTRUCTION AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as folio S. FRONT j ^ 4L 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. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 11) 15- Permit Fe Receipt No. as;;;-, A --Z'".4 Signature of Owner The above described AG Building is exempt from a building permit. Director of Public Works By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant In s)C�, 40 �" °� FORM '7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Owner Climate Zone Permit #' 2q/6 - Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING R-30 WALL R-11 FLOOR R-11 SLAB R-7 GLAZING U-.65 (Dual) SHADING SOUTH - OPTIMUM OVERHANG al) or 1.36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows,. caulking) V 99 (1-g a n�-6.) - DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING -KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 L *l HEATING, VENTILATING. AIR CONDITIONING SYSTEM (A) Heating + ❑ Central Gas Furnace (brand and',model number) SE , Btu/hr (heating capacity) ' ❑ Heat Pump (brand and model number) ACOP" Btu/hr (heating capacity at 47°F) ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1' (B) Cooling ❑ Electric Air Conditioner . (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump ' EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ (A) Gas Only Gallons (brand and model number) (tank size) 13 Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) 13* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation heating load BTU elevation factor x heating load . maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved_ system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. X—�ITUR BUILDING DESIGNER OR APPLICANT REP 005-88- 043428 STATE E. RENEWAL COMPENSATION NJ INSURANCE 8-98-99 F FUND HOME OFFICE ENDORSEMENT AGREEMENT SAN FRANCISCO . ,EFFECTIVE JANUARY 1, 1988 TO JANUARY 1, 1989 ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME ONSTOTT ORCHARDS 1740 LARKIN ROAD GRIDLEY, CA 95948 ANYTHING IN -THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS THAT IN CONFORMITY WITH THE POLICY SECTION ENTITLED ^.'RATE CHANGES', PREMIUM EARNED AT MANUAL RATES SHALL. BE MODIFIED j BY 129% IN ACCORDANCE WITH THE CALIFORNIA EXPERIENCE RATING PLAN. NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE IHELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS,' CONDITIONS, AGREEMENTS OR LIMITATIONS. OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: DECEMBER 31, 1987 1 1 AUTHORIZED REPRESENTAT� PRES (DENT SCIF FORM 10217 (REV.7-84) 2510 i STATE HOME OFFICE SAN FRANCISCO ANNUAL RATING ENDORSEMENT COMPENSATION i IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING FUND IN THE CONTINUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW. ' HERE ARE YOUR NEW RATES POR THE PERIOD INDICATED. IF YOUR NAME OR ADDRESS SHOULD BE CORRECTED OR IF INSURANCE IS NOT NEEDED FOR NEXT YEAR, PLEASE TELL US. IMPORTANT THIS IS NOT A BILL CONTINUOUS POLICY 5-88 J CALIFORNIA FARM BUREAU FEDERATION, SEND NO MONEY UNLESS STATEMENT IS ENCLOSED A CORPORATION THE RATING PERIOD BEGINS AND ENDS AT 12:01AM PACIFIC STANDARD TIME I ONSTOTT ORCHARDS RATING PERIOD 1-01-88 TO 1-01-89 I 1740 LARKIN ROAD UNIT 43428 GRIDLEY, CALIF 95948 DEPOSIT PREMIUM $12,679.00 i MINIMUM PREMIUM $50.00 PREMIUM ADJUSTMENT'PERIOD QUARTERLY R NJ NAME OF"'EMPLOYER= ONSTOTT ORCHARDS TOTAL ESTIMATED ANNUAL PREMIUM $30,000 11.99 7.17 13.12 12.09 22.08 17.79 4.41 13.12 22,08 7.26 7.56 10.08 6.50 14.72. 4.50 COUNTERSIGNED AND ISSUED AT SAN FRANCISCO DECEMBER 11, 1987 POLICY FORM K 1L SCIF FORM 10242 (REV. 7-84) (OVER PLEASE) �1 n nP IAI A CORPORATION CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE TO 01-01-89 ' i FARM EMPLOYMENT j 0016 i ORCHARDS. 0044 COTTON FARMS. 0034 .POULTRY RAISING, EGG PRODUCTION I 0036 DAIRY FARMS. i 0038 . FEED YARDS 1 0171 i FIELD CROPS. 0041 ROPS . • � • POTATO CROPS.- 0034 0034 SHEEP RAISING AND HOG FARMS 0038 — STOCK FARMS. 0040 VINEYARDS. 1 0005 NURSERYMEN ' 0172 TRUCK FARMS. i I0035 FLORISTS --CULTIVATING OR GARDENING ! 0050 FARM MACHINERY OPERATION --BY CON— TRACTORS --INCLUDING YARD EMPLOYEES I� 0079 STRAWBERRY CROPS TOTAL ESTIMATED ANNUAL PREMIUM $30,000 11.99 7.17 13.12 12.09 22.08 17.79 4.41 13.12 22,08 7.26 7.56 10.08 6.50 14.72. 4.50 COUNTERSIGNED AND ISSUED AT SAN FRANCISCO DECEMBER 11, 1987 POLICY FORM K 1L SCIF FORM 10242 (REV. 7-84) (OVER PLEASE) �1 n nP IAI e `PERMIT NO. 3526-75B - a P E M "MH UTIL. "PERMIT NO. � PERMIT EXPIRES --�-� OWNER Onstott Orchards CONTR. Sierra Roof & Acoustics,Chico LOCATION (A.P. 25-20-100 ) e/s Larkin Rd. approx. 2 mi. so. of Ord Ranch'Rd., Gridley I Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB �` Y FINALED l (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF,PUBLIC WORKS ' BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roo ' g Sewer Garage IS Fixtures Footings araV Water Htr. Stemwall Slab rov. forsi r handicapped Heaters A pliances Carport Footings Conformance ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough i Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. I Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground i Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC ORK'S l �� 7 County Center Drive — Oroville, California 95965�� w Tel vhone: -534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sig ature of Permitee or Age t Receipt No. A(201 White-D.P.W. — Yellow -Asses or — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Iding permit expires Date 272r7 ` % BUILDING `e Owner Onstott Orchards SQ. FT. OCC. BUILDING VALUATION 3072.00 Mailing Address Larkin Road Gr Telephone No. Fireplace Contractor Sierra Roof and Acoustics Total Valuation Mailing Address P.O. Box 052 Permit Fee Plan Checking Fee &/or Penalty Chico, Ca. Tel hone No. 34L-1863 Permit Fee Building Address Larkin Rd., Gridley, Ca. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Located off 99E cemetar Ord Ranch Each Trap 1.50 Rd. o to Larkin turn south 2 miles on East Repair drainage or vent piping 1.50 Water piping 1.50 side. Roofing main house. Each gas water heater or vent 1.50 A. P. No.Gas Zoning &Planning piping system 1•- 5 outlets 1.50 Each additional outlet .30 F9(ds_ I t-cr- Saaita>iow Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 -.�Fdg--fltaos$�'d I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE; $3.00 built up asbestos roof•: - 'Mala sMice incl ltymeter r Additional lme'te�' ,'''each 1.00 Sub -panel 02 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y 2 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Sierra Roof and Acoustics Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 248732 Classification C-39 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California: Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability .for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. j� I certify that in the performance of the work for which this, c u permit ,is issued I shall not employ any. person in any manner so as to become subject to the Workmen's Compensation Laws 'of t California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating - Cooling t Ventilation Hood! t " 2.00 ,Permit Fee $ $ I*certify that I have read this application and state that "the above ' information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby t TOTAL PERMIT FEE $ 28 00 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sig ature of Permitee or Age t Receipt No. A(201 White-D.P.W. — Yellow -Asses or — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Iding permit expires Date 272r7 ` % PERMIT NO. 291 PERMIT EXPIRES OWNER ONSTOTT ORCHARDS INC CONTR. unknown ASSESSOR PARCEL 25-20-100 LOCATION 1738 Larkin Rd, Gridley Temp. Power I Called PG Temp. Elec. Se Called PG Temp. Gas Sei Called PG&E — JOB FINALED (Date) Signature 1. =. OK 0 = Not OK otReaable= NdyMOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -B1 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -131 Date 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 - Dead Men -Lining 8. Gas and Electricity Tagged 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 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 Card -B1 Date Card -81 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -131 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Dei 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-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -131 Date Card -131 Date Card -131 Date Card -131 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 -81 Date Card -131 Date 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 Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -131 Date Card -61 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 -131 Date Card -131 Date Card -131 Date Card -131 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 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 Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Cig. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -131 Date Card -81 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-Mech. 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 -81 Date Card -B1 Date Card -131 Date Card -81 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) NA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT .. . U , *4r 7ZJ on, ASSESSOR PA(C EL No UMBER Z°"' 00 BUILDING PERMIT ow D �PIC_, TEL PHONE SQ. FT. OCC. BUILDING VALUATION O ER's AIL G AD RESS EEO& (� /� C N R CTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CO S RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee S AR HI ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 f!l Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR E m/0 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF;4 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Al Permit Fee $ le._ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC OR ADDNS. ACC, BLDGS y:0Sgft NEW CONSTR I -OUTLET NON-RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS tr (SINGLE OUTLET CIR. 1 0@50t Ex. OCCUp OUTLETS OR FIXTURES .2AL030 FIXED PR EX. Occup. OU LETS (RESID )EA.J 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® 1 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 10.00 Heating ` Cooling g Hood 3.00 Ventilation, permit Fee = 06 Contractor I certify that 1 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 County of 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..J X& Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRE ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYP _ JSCNo L I FLOOD V PARCEL I PD �. ND ISSD This permit is hereby issued under sions of the Butte County Code and/or WOfk indicated above for which TO F PUBLIC By PERMIT EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS D e ` 2 Receipt No. a WNIT[•D. P. W., TlLLOW-Atre[S'JO R, PINK-INeP LCT OR, GOLDEN ROD -APPLICANT "rC(iUNTY OF BUTTE - DEPARTMENT OF,.PU)BLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 / PERMIT APPLICATION DATA SHEET ►►')) Permit No. OWNER Oy-sfo 7" %, (!5Ire-%iia reAS A. P. No. S ` d C) Proposed Building Use 5�a'� / ector 6 '✓ Building Ins5/2"-ald Date At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED APPROVED 1. All items.have 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. Plans with Energy Design Compliance Statement. , t . , . 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.. . . . . . o!� �. Sanitation approval from 0-0 V� �Q Health Dept. 11:0Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) - 15. Improvements may be required. . . , , , , , , , , , 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17Id. I , (Dote) ui ing nspec or Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of Engineered trusses in duplicate (required prior to plan check). When ou issue the permit, process as follows: Mail to owner, Mail to contractor. Telephone and hold for pickup atnr-?) office, Deliver w/inspector. Other �..si o �i O•� c,C�2t Applicant !�'::�Date - 9- i; - & R Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted pri r to pell itis nce: ( ' cle new item not checked above). 1. Index permit for above items No. / 2. Additional items required: Contractor, designe owne was advised of above required data by"phone--jnaiI—counter bA&2?-2Zte 11 4Vi Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by �1 —Date -9- /,-/ Plans approved Date OF 01 Sets of plans on hold in 16ile cabinet AP folder Coov—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /2 d tel•-�. Owner Location AP# Plan Approved for: Hold final for:. Sewage Disposal Final clearance O.R. for: Clearance for _ bedroom mobile home. Other Water Supply `✓ P/ Water Supply Water supply NOTE.4f -L *** Sanitarian Dade 1740 Larkin Rd. Gridley, CA 95948 j ONSTOTT ORCHARDS (916) 846-2858 September 19, 1988 To Whom It May Concern, Gregory Correa is a duly authorized agent and may sign -Purchase Orders and Contracts for the corporation known as Onstott Orchards. Signed: Annabel Onstott, President Onstott.Orchards, Inc. ' 'i COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An. "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) YzL 2. I (have/have not) }A JG- 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 V34L--3r 3-) Contractors License No. _15Z 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 IA"nL 'f ,"„1 Address )n CaC lk'_Taor,n City -6n4ul 1 Phone G,+Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: l Property Owner�c'(-�` ic��„c�n...i, b•. �r,,.., Social Security Number Date 9/S, 7 ?,' 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.. '`s``�I�li��y,,.y'�,�•.,y,viir�x�`;Y�aa��r�i�.! _�x�"`.:�i41%`"E.,��.4Hti:� ?,�T ,S:S.S�az'L3si.��'1`d�"y+�'.'t''k�` �ILr w�.��1< BUTTE COUNTY SCHOOLS DEVELOPi*4ENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number J/,�' t�o ^/ Building Department No. School District Ci- LA ,/ _ CityCounty [N] Jurisdiction I � -�- Property Owner Project Location/Address ,� r Ki h1 Mel Subdivision A' Lot' Number Residential Development: Sq. FootageC55 6 # of Living MHI Addition (Group R) Units Commercial/Industrial: New Sq. Footage Addition (Including Exterior Roofed Areas) ho/v Date District Id No. /. School District certifies that Annlicant Name) (Phone Number (State) (Zip Code has complied with the requirements of Resolution No. by the pa ment of $ representing," square feet. / ::::Yi Scho District Representative 4Dafe PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL . FEE (5/88)