HomeMy WebLinkAbout026-100-006.,
I
p
26-10-6 t
�-oward Martz
N/S'96a illa, app.500'E.of Occident
i,
Ave.,Palermo!
Permit #3300-8 P (ut it . ,MH)
ELEC . ��'01-0 CD
GAS Q ! ..-
SUPPORT STRUCTURE REQ. �)
COMPACTION TEST RE -
X20-6
contr: G,etne Schmitt, V4na
Permi3481 I
I sued �
M
G
�� 1 Y��r-v0 ,
__ _._ 1
�P
' PERMIT NO. ,E/�
PERMIT EXPIRES �/ L -x&2 ,
OWNER Howard Martz
�.—
CONTR. owner
26-D6
ASSESSOR PARCEL
LOCATION NIS North Villa, app.500'E.of .
Occidental Ave., Palermo
tr
r,
r
Temp. Power Pole
J
Called PG&E
Temp. Elec. Service1,61
Called PG&E
Temp. Gas Service
Called PG&/
JOB FINJD (Date) �(
�; Signature
J• = OK
0 Not OK
= Not Applicable ''MOBILEHOMES
= Not Ready
i
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (P s OK except N's
Date..
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
YL—r-ning Requirements -Setbacks -Easements
1; Zoning Requirements -Setbacks -Easements
oils Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3 we Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
Location -Test -Easement Needed (Sketch) ` t
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5.` electricity; Lo ion -Clea ces Grnd. /Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
k,-£ras"tt7Lati6h-Test-Wrap:/ /"L"fL/ Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors -
tility Clearance-
7. Elec.
Caret
Date Card -BI Date
Card -BI
Date Card -BI Date
C rd -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBI HO E INSTALL TION (Plans) OK except k's
Date
POOLS (Plans) OK except N's
. Zgning Requirements -Setbacks -Easements
1. Setbacks -Easements
Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
a -Valve-Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -lining
je"Electricity; MH Test -Cross' s -Bre -Clea ces
4, Elec.; Receptacles and Lighting; Distances-GFI.
ra' t -F -Flex vector
5. Elec.; Pool Lighting; 15 volts-GFI
ater; MHT -Re tor -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
ater and Se Connected- / rade-HD pproval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas Elec
xits; Insp.-Sketch
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes- Enc losures-Panelboards, Ins. to Main in Conduit
0 o Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test .
C -I
to Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OIK .
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL, (Single and Duplex)
Date
UNDERFLOOR Plane OK except#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
--
63.
64.
Fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except #'s
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
69.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
20. Fixture & Transformer Clearance -Ins. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic C] Yes
73.
Guard Rails &Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu qr Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes 0 N
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors .& Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
77,
78.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts: Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
_
Date -_ Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
Proper Material & Anchors
_
37.
38.
39.
_Sills;
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing__
Draft Stop in Walls (rat proof)
_40.
_
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps-Anchors-ConnectorsUrl
Cing. Joist-Rftr. Ties-Pln-Roof Brac._-Truss-Shthnp.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
_
_
45.Attic
Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47.
_
Garage Fire Protection Framing11
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the Califor is Administrative Code, Title 25, Cha ter 5 under ermit
number - J forthe following location: ME 0.- v tF%a
A� cA- 0C.C,-10 =1 AV p_ d e Y EM b
Owner #-1 U k x `Sl&r e4 t' V.jj. Z--
Owner's Address-'�-i-39 � 1'i d
S op'�) r P"t, V 1
Mobilehome Mfg. _,F�y- d Model FV R Year
Insignia No.,21'41<3 QD OSS* Serial No. loo A
It is hereby certified for occupancy at the above described location and
may be occupied. • , I
Director of Public Works
Date By 4
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211', Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
R ECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector Date
i
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
RRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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 th s office Immediately.
,.-,1 4-17 -r7 . -j-/7/,7. . i
Inspector -/ / . /w �� ��y /� Date 9—/ !S rl
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P MIT NO.
7 County Center Drive - OGpville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESS FR PARCEL NUMBER
—/D--
ZO
BUILDING PERMIT
O WNE
®uioi dv� S
TELEPHONE
3_O
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILIN ADDRE 5
�33% Nes C�r. o
CONTRACTOR'S ME
TELEPHONE
C TRACTOR'S MAILING ADDRESS
. �• doC Z _/ 474.0jF2_1
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
—�
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$4(% C
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ Ci- Ca tJ
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
�►
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each pas water heater or vent
55.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeR( Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallatioA Other ❑
Describe work: sy�
D/ �('d 'TJ�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGSCCUP.y�
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
License No. 3 la 3 a 3 Classification C� /
❑ 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 CONSTR. -OUTLET
NON-RESID BRANCH CIRCUITS) 2.50 ea
NEW CONSTR. /POWER APPARATUS &)
NON.RESID. \SINGLE OUTLET CIR•
Ex. OCCUR(OUTLETS OR FIXTURES_ BAL2i
IXED APPLNS, OR
Ex. Occup.(ourLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
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 shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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-mentioned property for inspection purposes.
I also agree to save, inde ify an keep harmless the County of Butte against
all liabilities, judgments, osts, nd ex nses which may in any way accrue
against s County in con que 'e of granting of this permit.
%� Date �^ g� �/
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 $ OP U
TOTAL PERMIT FEE ���/ 0�
Occup. GROUP
, TYPE OF CONST.
I-FZ7D
HD
98u
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
B
P EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. _015r4� 3
WNITE-D.P.W., YELLOW -ASS 1850 R, PINK -INSPECTOR, GOLDENROD -APPLICANT
FA
}
1, r
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
r 7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: 116 ulAe 9 f A P t 7
2. Installer's name: G1 ,6/f S 6 2y
3._ Is the site currently under permit? Yes /P/ / No
(If yes, furnish permit number 33 da ) OR
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the,mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes No
(If no, clarify )
5: What is the mobilehome electrical rating? ----------------------- /•�-o Amps ~
6. What is the mobilehome site service rating? --------------------
Amps
7.. What is the mobilehome site circuit breaker rating? ------------- °�, /,S' Amps`
8. Is there any other electric load to be served by the mobilehome
siteservice? --------------------------------------------------- Yes No
(If yes, identify the load and size: ('U(Load) 30 (Amps)
9. What is the mobilehome site gas pipe size? ----------------------, .(in.).
10. What is the type of gas service? ----------------------------- Natural 77 LPG
11. What is the gas pipe length from meter or tank to the mobilehome?
12. What is the mobilehome gas demand? ------------------ ------------
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft.°on LPG.)
(ft.)
(BTU)
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. IFIV w./515f furnish Setup Model No.3gYear S/
Width ,241 (ft.) Box Length le ' (ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
Footings (check one)
Single 12"^1. Wood either
A A pressure treated or
foundation grade.
6.1
(ft.)(in:) (in.) (in.) ❑
2. Other: (specify)
Center support Center support
locations* footing sizes Supporte (check one)
(in.)
y1: Concrete block.
'� �� CSI o1y"x 3p' ❑ .2: Other. (specify)
(in.) (in.)
*----Tagalong or Expando,'
36 K30 show support details.
(in.) (in.)
q6- ''
(ft.)(in.)
(ft.)I (in.)
�'•/'�x30 �
(in.) (in.)
a 9'X 30
(in.)I (in.)
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
12"° -- Typical Support
(in.) (in.) Footing Size
Max. Pier Spacing
/ , D ., I -- Max. Overhang
(ft.)(in.)
�3�o��g�
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS kRMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
• ao
APPLICATION AND PERMIT
ASSESSOR PA CE y y,UMB
2�—/(/—
ZONING
�Z
[DING PERMIT
OWN ,CD "ARTZ
/�(7j
ELfPHONE
SO. FT. OCC. BUILDING VALUATION
N�R Q��� j }2�, �7�
o w✓ 33% 1 L 1 Nay AIL�C� /✓^V 6 L�t�C�J (/7
CONTRACTOR'S NAME
T LEPHONE
,
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEN R
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING JKDbRESS
Permit Fee
$
ARCHITECT OR ENGIN
LICENSE No.
Plan Checking Fee
$ ,00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIyy �RE;U47r, ALL �nP -
PLUMBING PERMIT
Filing Fee 10.00
C/e V ' .,ma7�yL-, - /B/v/E--
of 062 DC—A)�Repair
Each Trap
2.00
drainage or vent piping
5.00
/g je/(,(�
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each gas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome Other
SPECIFY
Building sewer
00
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other ❑
Describe work:
Permit Fee
$Q_ C
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR101 OR LESS5.00
L ov
Main service/EA. ADD'L 100 AMP
2,50
NEW CONST. LBLDGS.LING CCUP y)
OR ACDNS. \ ACC
2�sgft
CONTRACTORS LICENSE LAW
I declare under Shalt of perjury
penalty p I y (check one):
ElI 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
XI, 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 CONSTR. I-Ov LET 2.50 ea
NO .RES,., BRANCH c,Rc ITs
NEW CONSTR. POWER APPARATUS e1
NON.RESID. SINGLE OUTLET CIR. I '
EX. Occup OUTLETS OR FIXTURES BAL@1
IXED APPLNS. OR
Ex. Occup.(pUTLETS (RESID.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00 �Q()
Misc. Wiring 7.50
41 77 _/ u r L7
Permit Fee $ , �(
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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.
1 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 liabiliti s judgments, costs, and expenses which may in any way accrue
against s ounty in c uence of the granting of this permit.
X .C�f 3�— 8�
' Date
Signature of Applicant — Own r Co actor ❑ Agent ❑
An OSHA permit is required for excovat ons over 5'0" deep and demolition or construct-
ion of structures over 3 stories in he'ght.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
H
ISSUE
This permit is hereby issued under
sio_ns of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid..
P
WORKS
Date—� Q�
2—�—a Z
Receipt NO.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT BUTTE
FOR RESIDENTYAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit. 34 Ali N19 ' I
QLARK A. P�F-i_ao,
6,
The property described herein is adjacent to land or included QLERK=REQ
within an area zoned for agricultural purposes, and residents of
FLic
this property may be subject to inconveniences or discomfort.arising
from the use of agricultural chemicals, including, but not limitedito herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally 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 ofiCalifornia
described as follows:
X
4
w7kll //////
Lot 5 in block 19 lying westerly of Western Pacific Railroad, of the Palermo CitrusTract,
Sub Divison Number 2, according to the offical map there of, filedlin the office of the
County.of Butte, State of California, June 84h, 1888
Date: PROPERTY OWNERS:
State of California n this the 31st _ day of
County of Butte SS. before me, the undersigned Notary
appeared
01 04 a-
OFFICIAL SEAL
L �
JACOUELIN LiCUJANS
PUBLIC-CALIFORNIA
UB I
Y PUBUC-CALIFORNI��
L 0
MO:NOTAR BU IFC R
MLPlInCIL
01fL t
Ir Un
plincipw offlo in BUTTE County
0
1. JW4
My CWMhoo &4*n Asq. 21, 04
Present A.P. NO. Z6 -1e,94
ust , 19 81
lic,, personally
Howard Martz
Ada Fern Martz
known to me to be the person(s) whose� name(s) arp
subscribed to the within instrument a I nd acknowledged
that they executed the 'same 'fo the purposes CMC=
therein contained. CIO
IN WITNESS WHEREOF, I hereunto set myihand and official C7)
seal. I U1 ,
Notaryu 31C
Jacquelin L. Evans
END OF'POCUNMENr-
i