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027-130-014
27-13 1'4: 1224=90P,E O��vl2� OI ES, ,Janice J d3.2 /ob Hill Ave Oro"ville - 7 - 027`'130 ostrction F 014' 5-02A. ,,Contr:-,,Belaz BESTITES-UANICE iLYNCH, ' (utiliies%MH)T t : _ ' ,319 KNOB HILL AVE . OROVILLE t N EL_ ECC' '" - ' , .k I , , AG EXEMPT BLDG -EQUIP r, & - SUPPLY.;, STG- 1 = DD J" GAS' -` +"#COMPACTION TEST .RE ldlaS�g' (SUPPORT STRUCT RE e ' 1 Perm -90MHI { r�. a],lation/MH) ,.. - i,� 1 .. •~ - - �. _—".r"'_' :a. � is o ' 5 Y BUTTE COUNTY DEVELOPMENT SERVICES Complainant: _ Address: Phone Number: Other Comments: Inspector must draw a plot plan with all building locations: Additional comments from Inspector: � �� .; �" , � :,ti "� _. � -. y.. Iwa .. �' _1YI �� � y .. d' - a. � tlF S�'1 n n'` - � f ti ,y .� t' 1� yr � t:' ' 1T �� �� ;x s,. f�r� r ... . { �� i f t �.` _ ." � 1 YY Y Fta �y. �� ��- j � .�. N r �r i�. _ 1 �" � � j * ) �s�L� � A f " � � �- F j 7 '� y�' ,.'r< � _ i ' ,. ^t; '� C l } N - - C M ♦ '• A r .. .' � �' �'. "� .. H,'a�.4 .. {9 . 'BUTAING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES ` 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMI©�� Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. O �� ._ 1 ©_ O I l ZONING A5— OWNE 1° ISI � tICL ''l , P ONE NO. ('11p- OWNER'S ADDRESS LOCATION OF BUIL IN ® ` APAP -Ox S USE OF BUILDING . eL SIZE OF STRUCTURE ��//„„ ' x — ' SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME —Y, STEEL CONCRETE OTHER (Specify) TYPE OF SJQING ��o'�"QOCLA F R OVE ING Sp�4 S LOS FLOOR TYPE n kq ESTIMATED CAST OF CONSTRUCTION $ •� C8 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: Ss 50 . 5 FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Dat A m . � 994 Permit Fee - $60.00 �r Receipt No. 153'f 9 -s Signature of Owne The above describer -AG Building is exempt,from a building permit Manager Building Division By • White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant FL I PARC L I P.D ROOF G ISSUE Date 9 +' ^rJSTK•�Mh �YVi�.. ,tit'ty.�K�et..nl-^x'tC°rtif'.('t 0� m'"t' io �' IT- w•n+.nC.•'._.e+�1r••^r�+-n _ .�S;�:o- y COUNTYOF BUTTE - DEPARTM Euio-4EVELOPM ENT SERVICES -BUILDING DIVISION r • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA.95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /v G / S T/ Proposed Building Use Building Inspector Date S 3 At time of per ' application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer.of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form. ........................................ 6. Energy Design Compliance'and supporting documentation. ......... . 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... -- -. 8. Engineered truss details and layout in duplicate (required prior to plan check). .. _ 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. U Fees of $........................................ . 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by,California Engineer ......... . 14. Sanitation and plot plan approval Health Department. ........... . 15. City of Chico plumbing permit . ................... .:................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Preanssppection request Pre -inspection for z required. .. to Banding Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance. .....r ....................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24. Recorded copy of Agricultural Acknowledgement Statement. I ................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ........................................ 32. Plan check list . .....................`............................... . 33. 34. When you issue the permit, process as follows: V Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creationt Acreage Applica a .. Date Copy of Haz-Mat form sent Health Dept. Fire Dept. " Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone _mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works /Z/ RESIDENTIAL 1224-90P,E ' SITES, Janice Knob Hill Ave, Oroville Contr:.Belaz Construction (utilities/MH) 6=9-4� /l9 cry I2�4 0% i! ` OFFICE COPY j �Add ess l 1 } ._d GAS _� Dated 1 i Meter ELECT RI aft Meter By ? JOB FINAIED (Date) — Signature it OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES Plans OK except $rs Zoning Requirements -Setbacks -Easements xSoils; Special MH Support Sketch 14'.` Sewer; Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Needed (Sketch) Electricity; Location-Clearances-Grnd-/ /Amp -Concrete -Wrap: / /" L"ft. Nat. or/ /"L -ft./ /'LPG titity Clearance f Date /0:ip Card B-1/YI Date Card B-1 Dat2� 6 _ '� Card B-1 Date Card B-1 Data �� MOBILE HOME INSTALLATION Plans OK except #'s Zoning Requirements -Setbacks Easements 2 otings; Size -Spacing -Marriage Line .s; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector W r: MH Test -Regulator -Connector /> Water and Sewer Connected -C/O to Grade -HD Approval .Gas and Electricity Exits; Insp.-Sketch Cert. of Occupancy Date Card B- I MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sits-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 10. Roof; Shthg-Hoofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 O O = Not OK - = Not Applicable ' = Not Ready RESIDENTIAL .(Single & Duplex) - Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic, 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61, Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes O No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes 0 No; Walks ❑ Yes D No; Planters ❑ Yes 13 No 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE ' DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT N0. � '- Address or location of mobilehome Owner's name o: A e l CE Owner's address Insignia or hud number Manufacturer's name Serial numbef/of V.I.N. // Year of manufacturefc //'Ii�z/l I-- rofficlial ApproGin1g Installafionl (Date) IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. i -5138 white Owner, Yellow;;Installer Pink= D.P.W COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Wad, Chico — Phone: 891-2751 7 County Center Drlve, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 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. Date i Date COUNTY OF BUTTE _ r -- DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phon'e: 891-2751 , 7 County Center Drive, Oroville — Phone: 538-7541 • 747 EI l iott'R'oad; :Parad i se — Phone: 872-6307 CORRECTION NOTICE /-1 �J 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. - ++ 7 ,f i F , Date %1�1� Inspector Tom^ COUNTY OF BUTTE - DEPARTMENT OF,,PUBLIC WORKS T Cbunty Center Drive - Oroville, California A965- Nlephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. _1E36&5 --q0 / .--r-\ ASSESSOR PARCEL NUMBER 27-13-14 ZONING A-5 BUILDING PERMI OWNER Ben Lynch & Janice Stites 415/ TELEPHONE 458-4670 SO. FT. OCC. BUILDING V LUATIO OWNER'S MAILING ADDRESS P.O. Box 5073, Pittsburg; CA CONTRACTOR'S NAME Executive Homes TELEPHONE 891-6992 C'ONTRACTOR'S MAILING ADDRESS 3042 Esplanade, Chico Fireplace CONSTRUCTION LENDER' UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 319 Knob Hill Ave. Oroville Permit fee $ 35.00 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 pas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[-] Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W F 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationlK Other ❑ Describe work: 1J1 "-f2i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR L Main service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): C9 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full forc a`d ffect. No.-�67d1a Classification T FlI, 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 ADDNS. ( ACC. SLOGS. 2h¢sgft r, NEW CONSTR. M ULT' -OUTLET NON-RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 0@50License 2AL@ eL930FIXED APPLNS Ex. DCCUp. OUT LETS RESID IREA.') 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 FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilit' dgme costs, and s which may in any way accrue against Id unt nce o granting of this permit. Date �Or� yr lican — Owner ❑ Contractor ©gent ❑ Signature /il An OSHA t is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 45.00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 70.00 A A HAz -7— CUA --^ PARK ^ FLD PAR PD vryl HD Il SSUE Th;s permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 1"22 74172 WNITE-D.P.W.. YELLOW -ASSESSOR, PINK•INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT. OF C,40RKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541 4 � PERMIT APPLICATION DATA SHEET Permit Nc OWNER � /1-1111V/.v� - 0..No. Proposed Building Use / Building Inspector 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 caics, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions........................................................ 10. Fees of $ ........................ r 1 . Chico Urban Area fees paid ....................................... 2. Park f es aid 13. ��' School District fees paid .............. 0 14. Sanitation approval from 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. Irhprovements 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 (Date) 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. 2 Whe you issue the It, r as follows: Ma'llto vomer. Mail to contractor. Telephone and hold for pickup at -office. Deliver w./inspector. Other Appl is Date Copy of Haz- Mat corm sent Health Dept. A"_YV Fire Depf. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By a �' The following data must be submitted pri 1. Index permit for above items No. 2. Additional items required: toear it issuance: (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 above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by �—Date -33 -9 \ Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF `PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 • APPLICATION ANDPERMIT ASSESSOR PARCEL NUMBER PCI A BUILDING PERMIT OWNER '9TELEPHONE SO. FT. OCC. BUILDING VALUATION if e USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets . Building sewer Mob le Home I S I G JW I 5.00 5.00 10-00e4 TYPE OF WORK EL I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationx Other ❑ Permit Fee CONTRACTOR'S NAME (��1 � � � �� - T � J TELEPHO/N Eby Describe work: Contractor CONTRACTOR'S MAILING ADDRESS ELECTRICAL PERMIT Filing Fee 10.00 340 — t743.6;, 10.00 Fireplace Main service EA. AOD'L 100 AMP 2.5'50 CONSTRUCTION LEN ER UNKNOWN Total Valuation P5 ,/Z¢SQh LENDER'S MAILING ADDRESS OR ACDNS. ACC. BLDGS. NEW CONSTR. ULTI.OUT LET Filing Fee $ 10.00 • Permit Fee $ _SINGLE OUTLET CIR. ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ DA@30 ARCHITECT OR ENGINEER'S MAILING ADDRESS ❑ I, as the owner, or my employees with wages as their sole compen- Energy Plan Checking Fee $ sation, will do the work,and the structure is not intended or offered Temporary service Penalty $ for sale. (Sec. 7044) BUILDING ADDRESS 1?0 Permit fee $ Mobile Home Facilities 15.00 PLUMBING PERMIT Filing Fee 10.00 ❑ I am exempt under Sec. Business and Professions Code Each Trap 2.00 for this reason Permit Fee Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 Each qas water heater or vent Heating 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets . Building sewer Mob le Home I S I G JW I 5.00 5.00 10-00e4 TYPE OF WORK EL I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationx Other ❑ Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.5'50 CONTRACTORS LICENSE LAW NEW CONST. .DWELLING OCCUP.&) ,/Z¢SQh I declare under penalty of perjury (check one): OR ACDNS. ACC. BLDGS. NEW CONSTR. ULTI.OUT LET 2.50 ea 5ZNON_RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Business BRANCH CIRC ITS /POWER APPARATUS R1 / / and Profession`Js/Code and my license is in full fo a and effect. _SINGLE OUTLET CIR. License No. 7� Classification Ex. Occup( OUTLETS OR FIXTURES DA@30 ❑ I, as the owner, or my employees with wages as their sole compen- INSR Ex. Occup. OUTLETS IXED (LRE SID.) D IE A.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the am licensed Mobile Home Facilities 15.00 as owner, exclusively contracting with contract- ors. (Sec. 7044) Misc. Wiring 15.00 ❑ I am exempt under Sec. Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for 5100.00 (valuation) or less. Heating �g I have placed on file with the County of Butte Building Department y� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of occ CONST TYPE Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi ludgme ts, costs, and expen which may in any way accrue HAz CUA PARK scHL r�o PAR Po HD ISSUE again said oun consequencef gra 'ng of this permit. %� Date %��C �" �� This permit is nereby issued under the applicable provi- County sions of the Butte Code and/or resolutions to do Signet 'e o Applican Ownen Contfactol.& Agent ❑ work indicated above for which fees have been paid. .An OSHA,permit is required for excavations over 5'0" deep and demolition or construct. DLRECTOR OF PUBLIC WORKS ion of structures over 3 stories in eight. Receipt No. By Date ' PER417 cxplpFc mato BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, 0 oville, CA '.PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner.'s Name:%3�'/(� .[ %1l/�i� 1�3 i1/ le E . ii%T,� S; 2: Installer's Name; �XFTI!/°> 3. Is the site currently'under permit? Yes No.. * - F] .--(If yes, furnish permit i,,umber 1004,90 ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes -No' (If no, clarify 11. What is the gas.pipe length from meter or tank to the Y� mobilehome?--------------------------------------------- f ( t ) .. . * 12, What is the mobilehome gas demand? --------------------- (BTU) *(This information not required if pipe. length less than 6 ft. on 3�0 .�7 �9O natural gas . or less than. 50 ft. on LPG:) BUTTE COUNTY BUILDING DEPARTMENT iL.. �� • .. I $ 'yPP R O W E® x/90 /� 5. What is the mobilehome electrical rating? --------------= �� Q Amps 6. What is the mobilehome site service rating? ------------- �Q (� Amps 7. What is. the mobilehome site circuit breaker rating? ----- ! ®� Amps 8. Is there any other electric load..to be served by the mobilehome site service? ------------------ -------------- yes, � No (If yes, identify the load and size: 06// (Load) ! (Amps) 9. What is the mobilehome site gas pipe size? -------------- 3 �7 (in.) 10. .What is the type of gas service? ------------------- Natural LPG 11. What is the gas.pipe length from meter or tank to the Y� mobilehome?--------------------------------------------- f ( t ) .. . * 12, What is the mobilehome gas demand? --------------------- (BTU) *(This information not required if pipe. length less than 6 ft. on 3�0 .�7 �9O natural gas . or less than. 50 ft. on LPG:) BUTTE COUNTY BUILDING DEPARTMENT iL.. �� • .. I $ 'yPP R O W E® x/90 /� MOBILEHOME SUPPORT DATA If other -than single wide, Mobilehome Mfr. (J furnish Setup Model No. Year f Width (ft.) Box Length y Q- (ft.) Tagalong or Expando Size ft. x ft.. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if no t..on.file with the.County of Butte). FOOTINGS (check one)Wood-pressure treated or'foundation grade. 2. Other (specify) SUPPORTS (check one)�'r. Concrete block. 2. Other (specify) Pier'Footing Sizes and Locations ,....,, S I NC I.E-WIDE MULTI -WIDE i 4-- 1 . li^�3 Main Beams _ o Line 2 � 1.1..0 7 • Main Beams� • Line 2 . .amine _1 = Tag or Triple I Line 1 Line 1 Pier": Ltne 1 OoeninRe Size -Min. ---- uX n Spacing -Max. , „ Each Side of Opening" Fr, mi End" -Max.------- �_ �� - With Width Over --------- n i_�nc c r�eret Line J Piers: (Under Bearing Wall Only) Size -Min. ------------ --- q „x 3 .. t7 " Size -Min .------------------ „x „ Spaci„g-Max.--------- n Spacing -Max. - -------------- From Ende-Ma - From Ends -Max .------------- Line_ ! F4x�f laude: lot � Size -Min.------------ . „x „ Lneatlon (From Front) ,_ - �- n Iine 4 Plebe; Line S Pier,:1 (Under Bearing Walls On y Slzc-Min------------- • Size -Min.- ---------------- ynclug-Max•----- . , „ Spacing -Max----------•----- , From End" -Max.------- From Ends -Max .------------- , Linc 5_ Hoof loads: Size-Mlu.------------ Iocatlon (From Front) I.X "x X COUNTY OF BUTTE - DEPAF�TMENT OF PUBLIC WORKS 7 County Center Drive - Orovil el , California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ,^ ASSESSOR PARCEL NUMBER HX X %A 27-13-14 ZONING A5 BUILDING PERMIT OWNER Janice Sites (415)458-4620 TELEPHONE SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 5073 Pittsburg,CA 94565 CONTRACTOR'S NAME Balaz Const. 1534-1190 TELEPHONE CONTRACTOR'S MAILING ADDRESS 3070 Lewis Ave. Oroville 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 KHill Ave, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Orovillp Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP J- Z� Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeZy Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S W I 10.00e 20.00 TYPE OF WORK New Addition Remodel❑ Utilities Installation❑ Other❑ Describe work: 2 RR _ Permit Fee $ 30.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 2.50 CONTRACTORS LICENSE LAW nder penalty of perjury (check one): I d��nd am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. �`'' up, ' I License No.� ! L4 - Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.& A New 2�z¢sgft CONSTR.( ULTII.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS& (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20�BOQ .20@030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 37.50 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ,fes I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again said Cou ty ' co equence of the granting of this permit. ? X Date o Sign tore of Applicant — Owner E] C tractors 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 $ occ CONST TYPE TOTAL FEE $ $2.50 HAz .— CUA PARK SCHL FL PARI PD D XSS This permit is nereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI OF UBLIC WORKS �� llvfzi, By natp/ PERMIT EXPIRES Mte Receipt No. 64145 WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT A COUNTY OF BUTTE - DEPARTNlhwf�dF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,.CALIAAIA.95965,.- TELEPHONE: 916/538-7541' PERMIT APPLICATION DATA SHEET 1// Permit No. ti OWNER �,4�F . Z?�5 A. P. -No. Proposed'Building Use /!'l�`/ �} Building InspectorDate -7 t At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED i 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 . . w, 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form ............ .............................. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ........... ...................... 12. Park fees paid .................................................... 3. School District fees paid .............. 4. Sanitation approval from eQ--- Health Department,_ .4 15. City of Chico plumbing permit ................................. 16. Plot plan and business license approval from City of (see City for other requirements) 17.f Planning approval for (A) Use: (B) Parking: ...... PVT1:�" Improvements may be required. Contact Land Development Section DPW r Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, ,Classification) ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement .. 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. = TeIephone and hold for pickup at G— office. De,l,iver w. /inspector. (—'Other " Applicant KaDate` A. L Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date , By— The y The following data must be submitted prior to permit ;ss ance: Circe new item not checked above).:' 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone—nail counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Buildznv Department FROMr Environmental Health SUBJECT: Sanitation Clearance ;k- Owner Location AP.# Plan Approved for: Sewage Disposal Water Supply �✓P// Hold final for:. Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobil home. Other COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUM=� 3` 1� ZONING BUILDING PERMIT OWNER S F 9!s TELEPH E " SD. FT. OCC. BUILDING VALUATION OF/R'SMAILING �DORESS k6 CA q�S6S`� CONTRACTOR'SSNAME3Chit SAI-4r— TELEPHONE -�% o CONTRACTOR'SS3 MAI IN A DRESS Fireplace CONSTRUCTION LENDER UN OWN Total Valuation 3 Filing Fee 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking l=ee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee , $ / ✓� PLUMBING PERMIT Filing Fee 1oA ` 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 ❑ Duplex❑ Mobilehome,(� Other '"'TT SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.0 TYPE OF WORK New ❑ Addition Remodel❑ Utilities Installation❑ Other ❑ Describe work: :d— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 AMP V OR ORSLESS 10.00 l% Main service EA. ADD'L 100 AMP 2.50 z CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ,/pal I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneSS ✓� and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.& OR AODNS. C ACC, SLOGS. 21/:Csgit NEW CONSTR. 1ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea ER APPARAUS R POWT �SINGLE OUTLET. CIR. Ex. Occup( OUTLETS OR FIXTURES P� eALe3o BAL@30 FIXED TPLNS- EX. Occup. OUTLETS PIRESID IREA.) 2.00 \ Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ EJ 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 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3/stories in. height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ g HAZ CILIA PARK SCHL FLD PAR PD HD IssuE This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. �L WHITE-D.P.W.. YELLOW- ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT To QRo ✓/LLE V U51 be M 04 pians and 9pe¢i�icati�ons M ro ?s+ReeA+o Z �� v iRis ob at all tion®s and it is unlawful tc c Rv3s� '� Ce� on the j on same withou4 zany chsa�g�a 0' 04 of `���, wn 3, rn the DOP"tn"Ot Pe►IbE�t �.� n NOriCS, counly 51TE Locta7'rOn4 MSP lee t� _ CPA ..,,r �: 1.214 the VOW YU �a,ecCc i �a ec E L ti (,.0/ 4C. y eo c ti CO do OQ g Xp �p L• i' oQ3 Q.00 Q) 8 .' :. = K ...:...... ... . Re _.k -o -DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESI ENTIAL DEVELOPMENT 'Section 26-8.1 of the Butte County Code a ; requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned 90-018874 Rec Fee 7.00 for agricultural purposes, and residents Cash 7.00 of this property may be subject' to incon- Recorded veniences or discomfort arising from the Official Records use of agricultural chemicals, including, County of but not limited to herbicides, pesticides, Butte and fertilizers; and from the. pursuit Candace J. Grubbs of agricultural operations including, Recorder but not limited to cultivation, plowing, 11:31am 9 -May -90 1 BG 2 spraying, pruning, and harvesting which occasionally generate dust, smoke; noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and .residents within said zones and on adjacent property should be prepared to accept such inconvenience -or-d-isconform from normal, necessary -farm -operations.. - - -. - _.1-_._.- - _-- -:- All All that real property sit in the County of Butte, State of California, described as follows: 'Z- 1Pc( , bMeUr QQA— ."% PROPERTY OWNERS: State of ) On this the day of ,.19 before me, SS. the undersigned Notary Public, personally appeared County of ) ® Personally known to me. F] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged that executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. ��.-��3�1� Notary Public • ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES.1 NO YES I NO \\• i �°ti��iaAi"�'h"�'4ri!`� Y:LlJ�t4'�.�0.�'S'`.'�i*�`�'"Y.•"'�»�r+�7'���-w'�;'���iL`�?�.TQik"jF�.''�.'-'^F�ej"`?WSh�"'�"5��=�t'hi+l.'i"'�I'-'+Y'1►`Sc,Fit"^`•"r+r;'''r'�'•t7�'y%HS'`-,.rte jiv+y.r' BUTTE COUNTY SCHOOLS DEVELOPMENT„FEE CERTIFICATION FORM ( One Form per Building) A.P. Number 1 — Building Department No. School District _ }City D. County Jurisdiction Property Owner u Project Location/Address Subdivision Lot Number "Residential Development: Sq. Footage # of Living MH• Addition (Group R) Units .Commercial/Industrial: OSq. Footage y�T w- Addition (Including Exterior Roofed Areas) /A 0 Building Department Wpr n A i v e Date 4 (Floor Plans reviewed by School District Personnel) trict Id No. 4a3 910-099 F-�pL�X.,QJSchool District certifies that WV C_ (Ap 'cant Nam (Phone Number) .(Street Address) (City) (State) (Zip Code) has complied with the requirements of Resolution No. old by th payment of $ p %.;, representing 1_�W square feet. School istrict Representative Date ®GG4=�C J PAID BY CHECK N0. REMARKS: CGL � �m�o l/Xi BANK NO PAID BY .CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88)- .I z. T. 1 E N.R. �4 E. M.D.E. &I . 27 13 1655 170, N ��G a so 583 G, 1 17 A 1 291 10.&AC. .7 j11 E y O .{ �b 6-02AC ti opT� - 91 N 1 !4 jF o P a - o ss3s I l c 9A 68 "TAC. 1483 3r 2 /6. ' r 1 • / 6.00 AC I 1 12 r 1413 I5 I 2j2 Its 1 20 0. ,A6 -A 6.27AC 203/Ac N 2 ®C. I 6� 1 1 3 a' N • ,yy3 5.02 O 41 2 //7 20,01 Ac 2 21 85 �fp O \� ' PM 107-7 c Obi O 2 ►`�. t i� _ 4 w�j 56 55 20.01 Ac ; 11 23 20.0/ Al 10 A C r 1682• � i 4b 27- 17 5 20.05 Ac 2d 1 ►.. 24 20.01 Ac °' w 20.01 Ac 1565.6/Ile 2L34At o- �� .01Ole/ i 41" .4 25 20. 0/ Ac ib e7 —MjeR£A#A1M1PXBLEOAKR/06£SU!ON SUBDIVISION UE OAnRIDGE 0 .-3 ' 757.87 /3 C ty of Butte, Calif. \ •H :., "- tT FORTUNE ACRES UNIT 1 A M.O.R. 23,23A, 24 U&II REV/SED. 6 91 BLUE. OAK RIDGE SUBDIVISION '121 M.D.R. 72/77 2-26-91 LOTS V.9