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026-134-010
'026-134-010 • • - 2346 Esperanza, f. -ILLENBERG `,'David- & Barbara 2346 E§ppranza,-Pdlermo (FIRE REPORT) C. ont: ntegrity Homes, Inc. -EN i , • • .. _. . . t..i Da z.. I .a'•� • ' • •JLL�• 3� ( ity 4tr •, �'2Y)'' ;a�% [`, J'" :-.� �:,p' xer"•a:... �'Ai5'!;::Y' Wa'"` �k ,.iiF ''I.+;� n�ia4a,�'_ '`r •;� L".r'aFd-Cx �.y.: �� `r ?';' .er ',4 . �. •;qne .:§:�"T•.r. ., .?D.rf .i; n°^..: ,,,,�el'.vs' AS,Ll;'.:W>•:tva,... .{ t•:r: g '.j��, i.Y .,. All .•j' :T:w[F..,, ws '4i'':'I •'.,}:::'' %'s YY` • ifi. `. :"+% ':'$ da.. q"'".fir. `!r'+ x S' .,:.., �h. i>• :n ;�I, {' t� 'r= r... •FtitF::�•.�r.. s,. d �;j` $. c M .I+',.1' �•y� l_k, h;'.i:%':sµ,,..5,7 �'a.Fr o o • • . ��:.�.i<'�:• :. a';.rr`rcE�s :'�''• ''t '1� •rF;:. 1 {�. ..,ga r', >E��`3 .�.,,J".r•,: j :.�o��. .?' :;v'r:.:sS:!''•' ..:s. :e'.91�: . *rt'.s:.i<•>}'. :ak�"y �;;� . �-:1 `yr' �'MR, ..,'...��:;�:,�.��•:�:'>c •�.':: `:: i' ,).... '',.'S""`tiy.••,: !.; ::.�t :'{'�:tr..,i:,i,:r�! 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JR S ... _ .r a., .. ."57::••..•'i,':`•,� '� t•it 'r [� d r. n.- �r.t'' .. ,a .. v r .., d� i �. ,..,. .., >ci� �.r, .. ter.. r:... ;.��,?'i:y ,: •,�,?::'�. .. : R' .t' ':. ti.+4;: .�i5�' :j;' i• s. ":'��y°'t "��'�.Y,, „qtr..:. ..: �'�r.�rr} .M d� C' e'..��:..,s. � :�' •:F.. 'q;::'4.� '-,'iiJ.f,: ''� '�:.:..1f,, .. .ir %,%.3r'ti'.•;;r'.'•'• :.'.?!}.r r';. ','re ��{ :k I .�.., .., 5:�i ..iy ,♦+., y.�_:, is �• _ .NL,, .r�K\� ,,?-� ..4i,`,Y?. �u�.ir: y. . _ ,k, 1 a ':: ;� _ ,' J �__ _^� �; _ 'Sr� ' _J..,.J ;. .. �` i -: j RESIDENTIAL ✓ = OK O= Not OK = Not Applicable ' = Not Ready Date UNDERFLOOR (Plans) OK except #'S 1. ZoningSetbac ks-Easments-FloodSlope 2. -Ftg., Main; Soils ,-Elec. Gmd. / P Fig. Depth 3.. Fig. Garage; Soils-Steel-Elec. Gmd/ P' Fig. Depth RESIDENTIAL (Single & Duplex) 4. Ftg. Porches & Decks; SoilsSteek/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors . 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UF. Gas Pipe; Size Anchors =Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance-Mateiial-Support-Ins. 14. Girders -Sills -Anchor Bolts.loistsalents-Cripples 15. Access & Ventilation 16. Insulation 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #s 17. Water Htr; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shover, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors Date Card B-1 Date Card B-1 Date 46. Card B-1 Date Card B-1 Date 47. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 50. 25. Size Boxes & No. of Conductors Stapled 51. 26. Romex Installed Close to Edge of Studs & C.J. 52. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI { 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service Riser Conductors & Ground -Main Disconect 57. 32. Equip. Clearances Panels-Motors-Mech..Epuip. 58. 33. Clothes Closet Light -Shower, UghtSpa Light 59. 34. Smoke Detector 60. Brace Interior / Exterior Wall Panels 61. Date Card B-1 Date Card B-1 . Date Card B-1 Date Card B-1 Date Date MECHANICAL (Permit) OK except #'s Card B-1 Date Card B-1 35. A.C. Ducts Insulation & Support Card B-1 Date Card B-1 36. Vent Fan, Exhaust above insulation FINAL (Plans) OK except #'s 37. Condensate Drain & Overflow, Size & Grade Ext Steps -Door & Sidelight Protection -Landings 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet Smoke Detector 39. Attic Access & Platform if Furnace in Attic " Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date 70. FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing.Walls over Girders & Floor Nailing '43. Draft Stop in Walls (rat proof) 44. ,! ire Stops, Furred CeiGngsStairs-Chasers-Tubs A.C. Duct in Garage -Damper 45. Headers & Beams -Size & Bearing , Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill HgL & Dimensions 51. Garage Fire Protection Framing 52. Properly Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54: Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit Fat. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliancereplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -CAO to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMEN;r-OF'&EVELOPMENT SERVICES -BUILDING DIVISION,- " _. 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 / PER (Rev.12/96) APPLICATION AND PERMIT _ ASSESSORPARCELNUMBER . 026-134-010 ZO " BUILDING PERMIT . OWNER DAVID ILLENBEK TELEPHONE 511-0984 SO, Fr, OCC. BUILDING VALUATION OWNERS MARINO ADDRESS . 2700 CONTRACTOR'S NAME INTEGRITY HOMES,.TNC, TELEPHONE 1533-4403 - -. CONTRACTORS MAILING ADDRESS IXTKNRTTYXNN 1740 FEATHER RIVER ORD CONSTRUCTION LENDER LENDER'S MAILING ADDRESS - —Fireplace Total Valuation $ ARCHrrECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23-00 BUILDING ADDRESS 2-346 ESPERANZA Energy Plan Checking Fee $ PALERM0, CA $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other MUTT SPECIFY_ Each Trap 7.00 Solar or heat'*pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel Utilities Installation ❑ Other ❑ Describe Work: MnMobile Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home 920.00 60 00 PERMIT FEE $ 80.00 ELECTRICAL PERMIT Fling Feel 20.00 - 500VOR LESS Main Service 20.A OR LESS 23.00 l2:3 - 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ISI II O e and effect. h-� �+ Q License Class Lic. No. ! ` (\ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under, Sec. Business and Professions Code for this reason Main Service 200A TO +000A 46.00 NEW CONST. DWELLINGoccuP. OR ADDNS. a ACC. BLOB. so 3.5¢Fr: EW CONST. NON-RESID. BANcH MULTI- ctgcurrsOUTLET 97,50 POWER APPARATUS s SINGLE OUTLET CIS. Ex. Occu OUTLET OR FIXTURES so p I.00 SAL 50 50 Ex. Occup. olF1T�ELErS�RESIo.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring- 23.00 PERMIT FEE $ X 63.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insurance carrier and policy number are: Carrier C.L(-/- Policy Number - - (The above sections need not be completed if the permit is for work 6f a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and.agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall comply with those ovist n fo72" /% X _ _ e _ Signature Applicant - ❑Owner ❑ ConVactor Agent An OSHA permit is required for excavations over 60" d e and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling\ Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE HAZ. ® D. FEES IMP �- COF PARC PD _ HD This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. r�6 WHITE-D.D.S.-B. CANARY -ASSESSOR PINK-INSPEC OR GOLDENROD•APPLICANT . -; �-. _. _ -�-; � , _ n- � ,� ,. 1, , ' � , .� � ft - � � L, � _. .. � � , � _ _ �s _ t� � -� - � .: .'- � � .. - t' - � ' { F. � � - shy ` � n _ ` .. .. � _ '� . _ r - _ , � • .' • � l � '� J ' r � - - , ., � 1, M� " � _ _ � _ 4 r _1 , J - �` _ � - _ � � I r - � - .. 3 �t. I r� � - � _ _, -. �1 ._ r -, _ _ _ _ _. .. .. ._ ._... � ., - .. __. _..._. _ ._. a� C 1 ��t�":.� r,��y :� *y w� ��c,- Ap � y a ,� �;"��es it '�rr�`,�'{.Le'S"''$hr yi�3`t n`'��� �?"y,�'.' *r�aaw �i�s,�. °c--r ^•m,, _`ryr{tr'I •�NiY�^'•�.'ii r'rP`S''�»'�y�1�Y'hA;�.�� �y'�'lS�r, y',�v;.. t'`.•�'r:r'�'� P ' ..di��i't �iY ,�s!'a"S�'�;j.'J'Y'S° �Vr.4..hf�•a��:�i�'r .f'��.,jya�,.;;,�;` e..�". .. COUNTY OF BUTTE - DEPARTMENT O INUTLOPMENT SERVICES -BUILDING DIVISION •'r' f .7.'COUNTY;CENTER DRIVE`- OROCALIFORNIA 95965 - TELEPHONE (916) 538-7541, PERMIT APPLICATION DATA SHEET OWNER: ASSESSORPARCII Proposed Building Use:. Building Inspector: Date:--,6,—it-� At time,of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .----------;-------------- -- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ----------=------------------------------------------=------ ❑3. Complete plans, 3/4 sets, signed by ihe'preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.-------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- El 7. ,Statement of Intent for Non-Heated;and A/C Buildings. ----------- ---------- '------------------------------------ ❑ 8. Hazardous Material Form.-------------------------------------------- ------------------------------------------------ El 9. --------------------------------------------'❑9. Manufactured Home data and installation instructions including Tie Down Specifications.------- =-==- ❑ 10. Fees`of $ ------------------------------------------------------------------------------------- ❑ 11 Impact fees as shown on the attached schedule.-=---------------------= " 1112 : i0 Dep Departmc:44Forestry pl n approval/fees. --------------------------------------------------------- ❑ 1 . Flood elevation certificate. 2----------=--=-------==`-=------------------------------------------------------- --- Sanitation and plot plan approva /AX 1[Idl Health Department. A--M44,164- /0-4�---- 60- El 15. City of Chico plumbing permit:------------------------------------------------------=-------------------------- -- ❑ 16. Plot plan and business license approval from the City of Biggs.-------------------------------------- r p 17. Planning approval for (A) Use: (B) Parking: �. =--- ' U i & ontact Land Development about El Improvements, 13�� Drainage Legal Parcel --------------- :________ �. Encroachment Permit for driveway (construction approval prior to occupancy). -------- E120`. Pre-inspection for, required-Request to Building lnspector. on 4. - i' (Date), p21. Contractor's license information. (Number, Name Style, Classification): ------ ------- 022. Workers' Compensation carrier and poli umber., ------- '------------------------------------------ : ❑23. Owner-Builder Verification (Given to owner El, Mailed to owner 0) - -------------------=----------------- ' r ❑2�tter of signature authorization.---------- _ f `t 5. Recorded copy of Agricultural Acknowledgment Statement.-------------------------------------------------- p' U, ❑26. Letter of intent on building use. -----------------------------------------------------------=-------------=------=-- ❑27.'Manufactured Home utility clearance.--=----------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.------------=------ ❑29. ❑433 A,.❑Grant,Deed, ❑ M. k to H.C.D $------ 0. Other: Q �------- When you issue the permit, rocess as fo ows ❑ Mail to owner, ail to, ntractor. Telephone Jr33-1 d 3 and: hold for pickup at U office. ❑ Deliver with inspector. APPh / Date: D Copy of.Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered.' ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone,_ ❑ mail, ❑ Building Division counter, by Date: Contractor; designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by:Date: lQ Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. I E.H. USE ONLY Plot Plan Attache } + Floor Plan Atta hed Sent to B.D.�� TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP# Plan Approved for: e a e&�posal Water Supply: Public Private Well Clearance forL���n. �'O�er Hold final for: Final clearance O.K. for: NOTE:. Environmental Health Specialist 8/96 6 -77 Dat COUNTY OF -BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION -T.!06 'iti �ty Center Drive - Oroville,. California 95965 .- Telephone (916) 538-754 PERMIT NO. (Rev. 12/96).11 �APPLICATION AN,D PERMIT ASSESSOR PARCEL NUMBER 026434-010 :fir• ZONING: - ARMH.11 o., BUILDING PERMIT OWNER - -`. - DAVID BARBARA ILLENBERG "533-0284- SO. FT. OCC. BUILDING VALUATION, ' .. OWNERS MAILING ADDRESS 2700 MY TO OROViLLE, 95765.` ' t CONTRACTOR'S NA, MET INTWRITY HOMES INC♦ 533—x+403 CONTRACTOR'S MAILING ADDRESS1740 FEATHER RIVER BLVD OROVILLE, 95965 CONSTRUCTION LENDER Fireplace - LENDER'S MAIUNO. ADDRESS Total Valuation $ ,AR CHITECT'OR ENGINEERc�. ..� LICENSE NO. Filing Fee $ 20.00. Permit Fee $ ARCHITECT OR ENGINEERS; MAILING .ADDRESS Plan Checking Fee $ 7 BUILDING ADDRESS ' 2346 ESPERANZA Energy. Plan Checking Fee $ $ - R PERMIT FEE s 43.00 LOT NO. S UBDNIS ION'S NAME PARCEL MAP PLUMBINGPERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex.❑ Mobilehome © Other I - f -:. SPECIFY ' 7 ;Each Trap 7.00 .Solar or heat;pump water heater 23.00 Water piping 15..00 Each - as water heater or vent $15.00 - ` TYPE OF WORK 1 New 0 Addition ❑ Remodel ❑ Utilities ❑ Installation T Other ❑ I Describe Work: MH INSTALLATION le-- /r Gas piping system 1 - 5 outlets 15.00 Building sewer"' 4sfT 1 5.00 Mobile Home, S "G W@20:00 PERMIT FEE $ ELECTRICAL`', PERMIT :I:,, Fling Fee 20.00.:. Main Service z00o LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm .under penalty of perjury that I am licensed under provisions of -Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full forceand. effect. License Class Lic. NO. OWNER -BUILDER DECLARATION r' I hereby affirm under penalty of perjury that I am exempffrom the Contractors License Law for the following."' reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will, do the work, and the structure is not intended or offered for sale: ❑ I, as owner of the property, am exclusively contracting with licensed contractors to _construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main. Service To IOWA 46.00 f NEW CONST. DWEwrm OCCUP. OR,ADDNS. ( 6 ACC. eLOs. t3.5¢F°. .ON MULTI -OUTLET @7.517RCLITS' NoµaEos _POWER APPARATUS - ` SINGLE OUTLET CIR , EX. OCCu OUTLET OR FOCTURES 20 Q I.50 - and p .so FIXED APPLNS.OR Ex. Occu . ouTLETs RESIo. EA v 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 . Misc. Wiring23.00 . PERMIT FEE $ WORKERS` COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent. to -;self -insure for workers' compensation, as provided for by section 3700. of'' the Labor Code, for the performance of the work for which this permit is issued. M. 1 have and will maintain viorkers' compensation insurance, as -required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My. workers' compensation insurance carrier and policy number are: Carrier UNICARE _ _ MECHANICAL PERMIT • : Fling Fee 201.00- Heating Cooling Hood 6.50,• +; . Ventilation PERMIT FEE $ Policy Number _ V 7 (The above sections need not be completed if the permit is for work of a valuation of one. hundred dollars ($100) or less.) .❑ I certify -that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation , provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. � X _,�_e J `'! '_,.€ Q �ate ��i' -- Signature of Applicant - ❑OwnerContractor ❑ Agents An OSHA permit is required for excavat o s over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST, TYPE TOTAL FEE $ '143.06 HAZ. --- D. FEES IMP FLOOD r/ CDF v PARCEL -- .-.:.-• ,PD, • -- HD .— SS E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have /�_' By /tr'L M y j�k.L�/t} PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. (j . Date rt 6'J i Date 1 Receipt NO. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES "BUILDING DIVISION -7 COUNTY CENTER DRIVE OROVILLE, CA 95965—PHONE (916) 538-7541 APN PERMIT NO.: — - 97 :/1 -oiv.1 -0- Owners: Name: -b.AV;,!(` 4- "u,I)el-4 Owners: Address: :934/(, 9 Mobilehome Year of Manufacturer CA a -,V" IManufacture: Serial number Insignia or -7* -7 '7 orV.I.N. 19% 2- l ivyq HUD number: 72-A- 3 6 2 Official approving installation: Date: 'F77 If -the irnobilAdirihe Is movid.orrelo6ated, / i P i not be,used Aen'theim obe hOFT� e1i I nli S' 17 Who 4� 6 1 Ii fi-b'm�e-.'l n*sUl I A o'n- - acice'p'6n..,.6fl �Wo i invalid Thisi" s6'1 I i on a foundation, 5136 Bldg oIa Assessor.! .veer` Yellow Installer Pink COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION. 1 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 �,,,f� MIT NO. (Rev. 12/96) APPLICATION AND PERMIT / �- ASSESSOR PARCEL NUMBER 026-134-010 - ZONING ING 1 BUILDINGPERMIT OWNER DAVID & BARBARA ILLENBERG T533 -0284. SD. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2700 WY 70 OROVILLE, 95965 CONTRACTOR'S NAME INTEGRITY HOMES, INC. T533-4403 CONTRACTORS MAILING ADORES J s1740 FEATHER RIVER BLVD OROVILLE, 95965 - CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ -2-346- E5;12ERANZA 6 PERMIT FEE $ 43.00 LOT NO. SUBDIVISIONS N11 ME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P Other SPECIFY Each Trap 7.00 Solar or heat:pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 7// Other Describe Work: _ MH INSTALLATION /� /��� Gas piping system 1 - 5 outlets 15.00 Buildingsewer . 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 - Main Service '0' OR LEss 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. . ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under, Sec. Business and Professions Code for this reason Main Service 200A To t000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. so 3.5¢FT: NoµliesloT MULTI-OUTLETTS @7,50 PoNwELEPPARArus d R A ,R SIGOUTLET S Ex. Occup.OUTLET OR FIXTURES 204 1'00 BkL o .30 Ex. Occup. ouTEEE s REs o,oERA� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier UNICARE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number SA50-0397-1 5117 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued; I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort ith comply with those provisio s. ` X _ to / �1 /7 _ Sign re f Applicant - ❑ Owner Contractor ❑ Agent/ An OSHA permit is required for excava o s over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. – 1 D. FEES .IMP _ FLDOOCDF CEL PO HD S E This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By /Dat PERMIT EXPIRES ON (O provisions to do work paid. e 2 6__6/ Q - 6 to Receipt No. 222151 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . _... �,, i,K•,y.-c.,•nrw�•YW..+:Mt r vuaLW' eKw •� wi •+f��l «°%--.,�. rn! M1. C _K.4Y �� I .1C, r . - .f. a� �,_.,..��. ...J }�.. ... a. _r .. ., ... _. _. - � - 1 � � _ .. � � _ _ _ .. i , ' ... 1 - . 1. .. ' _ _ '1' � .• � � 1' � �� .- 1 ' _ � .. .. ... � .1- '..Ili .'li �. a �. .� _, , i ��t: _ ri e 1 �. � _ 'Ir .phi.. � - 3v�,�S.� ',.1 'k . i. _. _ _ _ �` .. T :1700.. � � � %1 �:: _. _ .� .. ._ _... __ .. -. _ � Mfr . iT1 ,. i 1. ... .-. � .. ., � ..r'.. .. .. U, � 4 f .. .. � i • S • � ..�' � ,_ � _.. ..-ir L ,. ... +'tf 'r"�,�'G7a1,+�' q'r r.t�'D•^.Jt'r ya' I..iy �Yfina 1N- 2r':; -alr� ^� 4ltA- r�c�'s.Y,jf"°t''. �,:.�P':.^'.'�d"rY'�+'3',.7vro-.��,,,, `�.^f' �`-- i,r: "'l�, �: �e"Y•,�•:.`,�. -. COUNTY OF BUTTE DEPARTMENT OF DE LOPMENT.SERVICES - BUILDING DIVISION. 7 COUNTY CENTER DRIVE - OROVII:L'E� RNIA 95965 - TELEPHONE (916) 538-7541 PE"IT APPLICATION DATA..SIIEET OWNER: v @ ASSESSOR PARCEL NUMBER: oz — ! ''' — Proposed Building Use:.. Building Inspector: Date: At time of permit applicationJ__ i -was advised the following data must be submitted prior to permit processing an&or issuance: Date Received By ❑ 1. All items have been submitted .--------------------------------------=--------------------------------- ------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of.plans. ----- ------------------------------------------,--=--------- ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan 'review) No faxes!------------------ 06. -----------------❑6. Energy Design Compliance and supporting documentation. --------------- - --------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------- a ----- --------------------------------- Material Form. I]10. Fees of $ --Q; pact fees as shown on the attached --------------------- El 12. California Department of Forestry plan approval/fees----------------- ❑ 13. Flood elevation certificate. ------------------------------------- -------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------- ------------------ ❑ 16. Plot plan and business license approval from the City of Biggs. --- " O 17. Planning approval for A Use: (B).Parking� -------------- ----------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. --�t---------------- ❑ 19. Encroachment Permit for driveway construction approval prior to occupancy) ---- ❑20. Pre -inspection for required. Request to Building Inspector on, ' ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------- =- ❑ 22. workers' Compensation carrier and policy number. -------------------------------------------------- --------- L-123. Owner -Builder Verification (Given to owner ❑, Mailed to owner 11) - -------------------------------------- ❑24. Letter of signature authorization. ------------------------------ 112 ----------------------------- ❑2 . Recordd copy of Agricultural Acknowledgment Statement. (Date) tt of intent on building use.---------------------------------------------------------------------------------- anufactured Home utility clearance. ----' ---------------------------------------------------------------------- 28. Existing violations and/or expired permits .'------------------------------------------------------------------- -.. ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- F-1 3 0. --------------❑30. other:. s. ------- y When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. �. ElTelephone, and hold for pickup at fice. ❑ Deliver withlinspector. Applicant: `� Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ' Po. ��6,te: By: Copy of plans sent ❑ Health Department; ❑ Fire.Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner; was advised of the above required data by ❑ phone, ❑. mail, Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone,- ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, [],Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. e: COUNTYOF. BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 959653ELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER A.P. # PROPOSED BUILDING USE /Ej% DATE REC # DATE REC 1. BUILDING PERMIT FEES . -- Balance Due ................. $ -- Additional Fees Due ... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee $ SCHOOL DISTRICT FEES y^,%`�,.� .5 (paid at District Office) M<3SHERIFF FEES (paid at Building Division) sidential ........ x $360.00 = .$�/ /� `�-'� Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)-. x = $ #Units Amt. Commercial (sq.ft.) .. z _$ . Sq.Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees -are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT ` DATE Original -Owner Copy -Building Div. (Rev. 12/96) ;0 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT -OF DEVELOPMENT SERVICES 1469 Humboldt Road,,Chico CA - (916) 891-2751 7 County Center Drive, Orovilie, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 IR CORRECTION NOTICE 97 PERMIT No , -,..A routine inspecti �t r.�tht-tKe�following-violations of Butte County Ordinances exist at the above address and sho uld be correci�'&-Please notify this office when correction of work is completed. If you have a�y questions pertaining'tothis matter, or need additional explanation, please contact this office immediately. 0 4- -W7 Date inspect,or REV 10/92 REQI) I OF COWANCHORS FOR EACH SIDE 8 END WIOTH LENGTHIII TYPE 'IEOOWNS TYPE nEDOWN5 SiNCLE WIDE TO;,I4 x)'-38' 38'-57' 57'-78' 2 3 4 2 2 2 OoUBLE TO 28 TRIPLE , - 'NIDE , f0'.:az, . •0._38.. Z 6• JB' -57' 1 .3- 4 6 ; o?�_ /0 Y-�/cl �1 ae---o /�-� /Z)C-) X)o II%d �4 ��119,7 q 7—Ic;2/d "� 0 59195-D BURNAP AVE 3 57181 E 59171 E E ------------- ----------------------------- 28465-F BUTTE AVE 6 26451 T 28465-A TE ---------------------------------------------------- 52205-3 BUTTE AVE 3 52205-C NO 52205-D MI --------------------------------------------------- 25505-F C ST 5 18491 LI END Remarks: PO 53235-L C ST 2 CHICO 53235=R E Remarks: E. --------------------------------------------------- 61165-B CABALLO WY 3 60193 HI 60193 HI ---------------------------------------------------- 58205-H CABRILLO DR 3 58205-Q WHI END Remarks: .06 •r rl 1. Owner's Name: ), i/ ' .X_ A 2:.: Assessor's Parcel Number: O cA4 -13J -CIO -000 3.,.' Installer's Name: _ e S _U0 C_, 4. Is the site currently under ermit. Yes No Permit No. /tel Is�the+site an existmg:srte? Yes [X . No[ ] (If yes, furnish two plot -plans) 6..: What is the electrical rating of the mobilehome? amperes. 7. What is the mobilehome site circuit breaker rating?_ D0 Amperes. 8:, What is the electrical rating of the mobilehome site?, 6 G Amperes. _ mobilehome site? Yes No If it is what is service r from the 9.`Is the main sern emote o , the rating? Amperes: 10 Is.there, any other electric load to be served by the mobilehome site electric service (i.e., well, garage etc.)? Yes[ ] No[ ] If yes, please ,identify the load and size: a) The mobile -home site: Load - Amperes- d b) , The main service: Load- Amperes 11. Type of gas service at mobilehome site: Natural[] Propane[ ] None[ ] 12:: Size of gas pipe at. the mobilehome site from the ; meter or . tank:inches. 13^: What is the gas pipe length from the meter or. tank to the mobilehome?. 14. What is the mobilehome gas demand? B.T.U.* *(This information is not .required if the pipe length is. Tess than 6 .feet on- natural gas or , less than SO feet on propane). THE°OTHER SID_ E OF THIS FORM MUST BE COMPLETED IN ORDER TO -PROCESS THIS PERMIT APPLICATION May 1995 8.5 J Mobilehome Manufacturer: a A � 2;. 2 i o P�-- Manufacture Year- If other than single wide, furnish Setup Model Number: wdth:(ft.) Length:ft.) Tagalong or Expando Size (ft.) x On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. - FOOTINGS: Wood pressure treated or foundation grade[x] Other: SUPPORTS: Concrete block[ X Other: Provide Tie Down Specifications for all Mobilehomes: SSC-(°�/"'/ �S Pier Footings Sizes and Location SINGLE WIDE PAULTI-WIDE Lina 1 0 . 1 Line 2 Lina 2 ...................................................................................... .......... Main Beams - Line2....................................................................................:........... e 2 Line 1 Line 3 Line 2 .......................................................................................•--.....-- Main Beams ................................................ ........................................... Line 2 Line 1 ............................................. C5 Tag or Triple e 4 line Line 1 Piers: Size minimum: r I x Spacing maximum: ` From ends -maximum: 4` Line 2,Piers: Size minimum: x (36]. Spacing maximum: . O ` From ends -maximum ` Line 3 Roof Loads: Size minimum Location (from f;ent): r-,-CLT- Line ear Line S Roof Loads: Size minimum: Location (from front): Line 1 Openings ,vl,4 Size minimum: [ ] x [ ]. Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` OVER 14 JUhI96 FR I Q9 Q8 AIf F. 01 r q ,=e �. .� Y-}E t p� -� .-£ �.�'. _ 1. '� •.� +` + r ':,F, '��' "`1'J'� „t � '� . : 7 •yam . f+t �';. _.° � + , - :: y w � c :.� � _ s F •,' - R Ile F. tt a t ,r'., AL3-.: e ''v ,'.• t. �.., t C b r µ p FF E - �,,$fly jae J a gy4Y�.il fA i"4f«..rS TA dt RAMW t F ¢�� r � ` z � rT'� � - 'A} � - - � - :. i!? 411 • . .41 411 +j{':i `•e '7 r'r L i• 4';" s * Vit. �," � '•'j� j{L�� a� ... •. - � � � -r,- - . p 1 tip. •r:. � • t 'f , . rr � •.1 D }r • - A LAND DEVELOPMENT . - . •'. ... , - .. .. , ' 97-1.218 BUILDING / ENVIRONMENTAL HEALTH. - PERMIT. CLEARANCE Building Permit No. , OWNERS Get-►�oN�1e I`.L}�/J/�/. �`' A:P a NAME. " ." DAVID. ,TLLENBERirs " NUMBER, 026-13-4-010 PRINT LAST, NAME RkST - - - - r`- • . - COUNTY ZONING DESIGNATION: T 1 FLOOD ZONE:. . FLOOD -MAP. `TB0 APPROVED: CONDITIONALLY APPROVED:. �' RESOLVE PROBLEMS PRIOR TO APPROVAL:% y� PARCEL CREATION BY DEEDS 'OR ' MAP ' 1o7 S �- Zo DEED INFORMATION: ESPIE i?/4iV Zi( DATE OF.CREATION: DEED REFERENCE: LEGAL ACCESS:PROVIDED:, YES, NO, LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES, NO -COMMENTS/CONDITIONS: MAP INFORMATION: �i�-L �121y o Ci T Z d 5— 7 NO.. DATE OF RECORDING LOTS ZD BOOK COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR -TO BOOK -,1 7 MAPS`AT PAGE 23): -YES NO IF YES, MARK APPRO,PRIATE.ITEM(S) BELOW: 13U,JLT . A. Construct road to B: Meet'parceFsize required by zone. 'C.' Meet currenf E.H-.D. requirements.' CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BEPA/D TO THEBU/LD%NG DIVISION UNLESS OTHERW/SE NOTED. 1. Maintain a 50 ft: building setback from centerline of. road. _ 2. Maintain a ft building setback from right-.ofof —3 Comply with Zoning,, code for building setback from road. ` _ 4:' ' Maintain a 100 ft. leachfield. setback from all existing wells. _ 5. .Maintain a ft leachfield.setback from 6. Pay water tender, fees -in the amount of 5 " - to'Battalion Number of the Butte County Fire Department., . . _ 7. Meet the Fire Safe .Regulations of Butte'County .and P.R.C. 4290. 8.. Connect to a public water supply. 9. Connect_ to a public sewer system 10. Automatic fire suppression sprinkler systems shall be installed in ell residential structures in accordan60with thd'National ` re Protection Association Standard for the installation of sprinkler systems in one and two family dw,elJngs and mobile, homes,`NFPA Standard 13D, unless a pressurized community water, system, with -hydrants that meet Fire Department specifications, serves the parcel. _.1.1. Pay,T.D.D. (Thermalito° Drainage District) fee'in the amount of '$ 12'. Meet the requirements of the Department of Fish -and Game for the preservation of oak -trees. (See rphone' number below)2, ` 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to die Plug Dhftkn• _ 15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be ,paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. — 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21 22. 23. 24. 25. 26. 'Ala 1NMd013A34 aNVI 3.W19 J0 AINnoo 1661 Z 1 (13/U333H LD 7/96 C:\WP51 TORMS.K\BLDGPERM.CLR x 5-, ; 0, jam OORDER NUMBER, RA,.'Ja R.U.'JINCIDENT-NO- ' T� DATE FIRE,NUMBERE - PORT REO .J'�R:Y�,JNO, r. 1'thru. p v 'A �IFC-18(1/80)- Rid fN:'LdtAA0N`, fl 2 I MILESNATIONAL SECi TO,WNSH 1_tll�P�991,x:�,;W`1,11 1� DIRE in«'11ETC. Ito VTYPE -k it*E F.1/EG DIRECT,;; 'To GO TO 10'_ EN [DFAL�E ALA' �-MD GC, PROTECTIO Op ACRES BURN :' 1�li z RtSP6NSkBib OE Ar, 4' ' TY(X T "6R I' Wiv CDF-111 Y F 4A 46' , 'I E -RE6Ft-j*D.P.R*1' STA UTOR ROF""STATE SIBILITY S ON f 14; WILDL AND U HREATENE SCH OTHER 4-4 Ir 3�1,Li,UN 'OTH ,V _j -Y AA, &I 7 LOC . . ... ............ U81F8ll S 6 �(�IRA� �l i"j<,>,pl, ;P.Rl" l:A S v__ p ' 'U" RA HER AL K fV" V 4 E OR LESS R OTHER A" . 8 , CAU EdbipmtkT' ❑64604iii A U—Dw start ACRES 6❑ Lj.❑It 300 999 ACRES ay rl M4��W)L j50THER/MISC.',,: _V4 ':!io&-o Z, ❑G6000 ACRES OR Oil -ONLY), "U'l ti IN �z ="3' � , ;14� z �1"2506R&T'-JW66 STAY ,, (D.RECR ATION- MESTIC;_', V, tE]OfHE INDUSTRY- COMRCL. RANC H -FARM D ump WI N f A D • [3 RDA ON ILD UTILITY, RAILROAD []OTHER iTY; 'ELECTRIC .E] yfiL . ....... .. . .........L. X: x DAMAGE (1 b OR*ONLY)"' [NO DAMAGE IN INjumb'er of ' 8 DAME N arest I0 0 ) I . . R EV'6URN-0 TA, *04Veh/Dw19 'l TIMBER &/OR' NMI', 4 YOUNG GROWTH, ..... . wiLDLAND VEGETATION ., W.P.RS", . ;�: 6as +fit ki4ib , iI vp (Other than T& Y G) FED THE AGRICULTURAL PROD - �4 (Other then TA YO) TOTAL D WELLINGS 8/OR CONTENTS" OTHEWSTRUCTURW' 8/OR CONTENTS VEHICLES Ti *&'CONTEN '01 'OTHER 140 iOTAIC ..... . . . . . . . . . ti I�I STATIJTION .,�-A .. , R EV'6URN-0 TA, NMI', 4 ., W.P.RS", . ;�: 6as +fit ki4ib , iI R)� - , .OTHER �:,�474 FED THE �4 TOTAL ON ARRIVAL "I�i 00 VEGETATION SIZE ;p - DISTANCE! WEATHER" ,(ESTIMATE `ATSpq!fE!4 DIRECTION' Mpml N MPH. ti in l D - /7-8-3 ifo�va✓d S ti 7'cde c� �,;,i�r tj���ia�, � c �' � �� .� n a��z ^",.`:':,+.lock, ax�,r��wa,,ty'r�,r--�y�,�.a_ 09L' Dov( �O- L -'.: •,OOL .OS X09 �Ob t -.HOZ — - F _ ,- .: _. - = -- - - - - ._... _. -.. •i'-_- ._ CSS---- _._.__ - .- - _ -_ _.. _ ._ _ _. _a __ , - .. r- HOZ a� f O 2N 0 3> _ - t , - c-- - - - - t 7 I f - {r s =--- I a . � i0 f d -Y Al, - LA j. i- i -- - --- - 1 E { .on, •\y { + , t f - _ - 0p f.. I — APP.-ROVE-D�---:- -.. Butte County' _ _ - - Environrriental -Health i >� 1 - - i _ , Datei -. 'Signature -` .. _. ,OOZ C, S� And when recorded inlul•to:t Building Division 47 Count,, Center Drive Orovillc. Ca :9 965.P97 :NOT Co Wtt�. •. t ., .' ORIGINAL DQCi1MENT AGRICULTURAL STATEMENT OF, ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded piiorto issuance'of a building permit. The propem described.herein Js: adjacent. io:.land or _included, within an area zoned; for agricultural purposes, and residents of this propert ..may be subject. to. inconveniences .or discomfort from the use of agricultural chemicals. including. but not limited to herbicides. _pesticides. and fertilizers: and from the pursuit of agricultural operations. including,. but not. linuted to cuitivauon- plowing; spraying; pruning,..and harvesting i%,hich occasionally generate dust, smoke, noise, and odor. Butte County has established. agricultural purposes and residents Mthin said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal. neeessarn farm operations. All that real -property situate in the County of Butte..State of California. described as follows DESCRIPTION TH•E•.,LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE,STATE OF ; CALIFORNIA,' COUNT Y'OF- -BUTTE, AND 'IS DESCRIBED-AS'FOLLOWS: LOTS, 15•, '.16', 17, 18, 19 AND 20, IN BLOCK 30, AS SHOWN ON THAT. CERTAIN MAP -ENTITLED, "MAP OF THE TOWN OF PALERMO, BUTTE COUNTY,}' CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER"- OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA.- ON FEBRUARY 17, 189.1, IN BOOK 5 OF MAPS, AT PAGE(S) 4. Date-. CO l� PROPERTY OWNERS: DAVID ILLENBERG ' /�J u/�u/LGC� /> r °��iflA,ic-C/� liARtiARA 1LL1;NI3ERG State.of California ) County of -BUTTE ) On '6/,11/97hefureme, PENNY C. ENGLAND personally appeared DAVID ILLENBERG AND BARBARA ILLENBERG***** ry ' person ally . known.to me (or proved tome on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are-subscribed to the within instrument and acknowledged to me that helshe/they executed the same in his/her/their-authorized eapacity(ics), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf;of:yhich -the persori(s) acted., executed the mt crit. WITNESS"m an and official seal. PENNY C. ENGLAND. m 1079122 AMr CPS1 *arPu cal:Signatu 0; Mvll'�, Gauniy. e�a4omb L A.P.# Oa _ NOTE TO RECORDER: DO NOT RECORD THIS SIDE A.A. - I AGRICULTURAL STATEMENT OF ACKNOWLEDGENIENT Instructions for recording Agricultural Statement of Acknowledgement: I Insert the legal description of the properr in the space provided on the other side of this form. The legal description is the narrative description of -the property - which will be on "vour deed. If you don't have access to the deed, the Recorders Office can provide this infomation. ( The description may be handwritten or typed in the space provided or attached r on a separate sheet if more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 2 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $6.00 - 1st. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00a -m. - 3:00p.m. (Monday -Thursday). 97-021946 197-021946 197-021946 , 7-0G 1 946 I Rec Fee I IHF Recorded I Check Official Records I County of I Bu- .te I Candace. Grubbs I Recl rder I 10:40am 17 -Jun -97 I PUBL OVER 5. 00 2. O 7. 00 0 XX 1