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027-250-025
/ �� �T-- ---------�---- - ` . ° ` Heien r 'Cur ELECX...,mo A GAS tho COMPACTION TEST RE SUPPORT STRUCT REQ 2806 Almy. Oville er ` ' nr-T r ' i RESIDENTIAL _ c�P -7 J XH7 597 P,E 92- { 27-25-25 , SHANAHAN, Helen, 2806 Almy, Oroville cont: Robert Current (mh utilities) 5 , M II i.. OFFICE COPY 1 � � Address �1 �',.¢►� GAS D -ie Meter Bye ELECT Dat Meter By JOB FINAL Signature RESIDENTIAL _ c�P -7 J XH7 597 P,E 92- { 27-25-25 , SHANAHAN, Helen, 2806 Almy, Oroville cont: Robert Current (mh utilities) 5 , M II i.. OFFICE COPY 1 � � Address �1 �',.¢►� GAS D -ie Meter Bye ELECT Dat Meter By JOB FINAL Signature %I; = OK O = Not OK Not = t Ready MOBILE N MOBILE HOMES Date MOBIV_HOME UTILITIES (Plans) OK except #'s (/T. Zoning Requirements -Setbacks -Easements oils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete Water; Location -Test -Easement Needed(aetch) 5. Electricity; Location-Clearences-Grn mp-Concrete A/J $!^�as; Location -Test -Wrap: / /"L"ft. C.// /"Nat. or/ /"L"ft./ /"LPG & Disconnect Utility Clearance Date rd B-1 Date Card B-1 Date t Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s X11. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line a� t— -6asi MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector ater and Sewer Con ected-C/O to Grade -HD Approval 8. Gas and EI C ty Tagged x1ts; Insp.-Sketch ert. of Occupancy uaie taro n- i 1 Date Card B-1 Date Card B-1 4 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card 6-1 Date Card B-1 Date Card B-1 J OK O = Not OK = Not Applicable Not ReaRESIDENTIAL (; ' =dys-' Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ft's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------- --- -- - ---------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --------------- --------------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ---------- --- - ------------ ---- 19. Shower Pan: Test, First Floor -Tub Access 20.--Test-Tub & Shower, -Second Floor -Tub Access ------------------------- ------------------ 21. Gas Pipe; Size & Anchors ---------- ------ ---------=--------------------------------------- Date - -Card B_1 ---- Date - Card B-1 ----------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's - 22. Fixture & Transformer Clearance -Ins. Protection ----- ------------------ - - - - - - 23.-Elec. Recept-acles Spacing -Lights & Switches at Doors - 24. Size Boxes & No. of Conductors -Stapled ------------------------------- -- _---------- 25. Romex -Installed Close to Edge of Studs & C.J. ----------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water ------ - - ----------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI --------------------------- ---'------------------------- 28. Subfeed Wire Size ! ga. Cu or AI-A.C. Wire Size / ! ga. Cu or At --------------- --------------------------------------------- 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ---------- - - ---- ------------------------------- ------- ------ ------------------- 31. Equip_Clearances Panels_ Motors_ Mech. Equip_ ------------ -------- ----------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------- ----------------------------- - ---- -- - - 33. Smoke Detector -------------------------------------------------------------------- -- Date Card B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except fr's 34. A.C. Ducts Insulation & Support ----------------------------------------------- 35. Vent Fan Exhaust above insulation -------------------------------------------------- ------------- -------------------------------- _____________ 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -------------------------------------------------------------- - 38. Attic Access & Platform if Furnance in Attic -------------------------------------------------- ..-------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 I-------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except fr's 39. Sils. Proper Material & Anchors ------ ------------------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---- ---- ----------------------------------------------------- J: ----- 42. Draft Stop in Walls (rat proof) - ---------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------- --------------------- ----------------------------- T'r 44. Headers & Beam -Size & Bearing - 3inglg & Duplex) Date • FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr_ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm.'.Windows or Exiting Doors -Sill Hgt. & Dimensions _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings ------------- --------- ------- ____ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr.`Access _ 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ------------------ ----------- _Date ________ Card B-1 Date Card B-1., Date Card B-1 Date Card B-1. Date FINAL (Plans) OK except If's _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting ------------------------------- --- 65. G.F.I. & Bath Fixtures & Tub Access -Spa -------------------------------- 66. Elec_ Trim & Subpanel_Breaker Sizes & Labels 67. Stairs & Rails 63 Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance ------- --------------------- ----- - -- 71. Elec. Outlets & Receptacles at Kit. Counter ----------- - -- ------------- - --- 72. Garage Fire Door: SwingLanding-Closer ---------------------------------- ------ 73.--A.C.-Duct in -Garage -Damper ------------------------------- - - 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection -------- -------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes -------------------------- 78. Guard Rails & Deck Construction -Post Caps ----------------------------------- - 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ------------------------------------------------- 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters _-0-Yes ❑ No _ 81. Stucco: Brown -Finish ------------- 82. ----------------------- --- 82. A.C. Unit: Disconnect. Electrical, Plumbing --------------------------- - 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ---------------- 84. Water Well: Disconnect, Electrical, Plumbing ------------ -- ------------------------- P -- ---- 85. Exterior Elec. Trim; G.F.I. Rece tacle-Under9 round - ---------------- --- 86. Ventilation Throughout House - - - - - - - - - - -------------------- ----------------- 87. Glass Protection -------------------------------------- - ---- 88. Corrections from Previous Inspections -------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric - __...------- ---------------------------- - -- 90. Water & Sewer Connected -C/O to Grade -HD Approval ---------------- 91. 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: MOBILEHOME INSTALLATION;ACEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTYxCENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 5313�.-.'754Q, PERMIT NO. Dm/ Address or location of mobilehome '.-! Owher's name AJ 5'/4,4 4Zo4=d p c* Owner's address Insignia or hud number A-t� , 1�i73 ?71 �1 Manufacturer's name rw->L /) Serial number of .I.1�} 7 1�'� 1�/`j/Year of man facture `.' IF. THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION"', t ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE ? MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. r 5138 W iteOwner, Yellow -Installer Pink -DPW - Ai, «a • 6 a•+- w:au..a -• �.w t: �,. Y:. a.:.,<a c, c-'• srs, d ..s u< e s ._ .< .. r..aA:; �:. .�.. -i" COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Z OWNER s^' 7'7 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. A COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT Aa3E380R PARCELNUMBER . ' 27-250-25 Z " A 5 BUILDING PERMIT OWNER MICHAEL SHANAHAN TELEPHONE 33-9130 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2806 ALMY OROVILLE CONTRACTOR'S NAME MOBILE M TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2806 ALMY OROVILLE, Permit fee $ 35.00 PLUMBING PERMIT — Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S G W 615.00 TYPE OF WORK r New ❑ Addition ❑ Remodel ❑ U i ities [:1Installationt_, Other ❑ Describe work: 3 BDRM MH I �_�j �/]' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200V OR LESS 00A OR LESS 18.50 Main service 20CATo IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare nder penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force anvvvd��� effect. /Y` License No. (� �I'D �— 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.N) OR ADDNS. \ ACC. BLDGS. / 3.6Q sq.ft. NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRCUITS) /� ` 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20 75 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) I 3.00 Temporary service 15.00 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. 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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to ave, indemnify and keep harmless the County of Butte against all liabilities I dgments, co and expenses which may in any way accrue against said o my in con q nc of the granting of this permit. X Date%3�/��' Signot a o Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is requ ad for excavations over S'0" deep and emolition or construct- ion of structures over 3 toriesin height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ 105.00 HAz 0FEES IMP FLOOD OF - -- PARC PO FID ISSU This permit is hereby issued under the sions of the Butte County Code and/or work indicated b for fees D R ��U)uhIC By IT EXPIR Date applicable provi resolutions to do j have been paid. WORKS Date 9PER Receipt No. 110097 105.00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD -APPLICANT COUNTY OF BUTTE.- DEPARTMENT OF PUB t 7 COUNTY CENTER DRIkE -"OR VILLE, CALIFORNIA PERMFf A`pPLICATIGNcC "IC WORKS - BUILDING DIVISION 95965 -TELEPHONE: 916/538-7541 ATA SHEET /,, Permit No. �l _ OWNER IMC/ G (2 �/1C11)17OV ICI G1 A. P. No. 27— � S7V S LLJJ/ Proposed Building Use I ! Building�lnspector 'Date 3'�3—c�2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: f DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer'of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 17. Statement of Intent for Non -Heated and AC Buildings .............. B. Engineered truss details and layout in duplicate (required prior to plan check)::]W' 9. Mobilehome installation data including manufacturer's installation a instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... _x`12. P rkfe,,es paid i ........................................ School District fees paid.... 14. Sanitation approv 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. Improvements may be required. Contact Land Development Section DPW f 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, Classification) ... 22. Certificate of Workmans Compensation Insurance .................. / 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 4. Recorded copy of Agricultural Acknowledgment Statement ......... qr26. Le r of §i ture thorizatioo�q �.. ��/6 -92. of-P./Y ee �S �� • -#. '! - 7. £ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 3 "C(�0� and hold for pickup at office. Deliver w/inspector. Other_ ::::1 Applicant Copy of Hdz-Mat form sent Health Dept. Fire Dept.Ir Pollution Date Copy of plans sent Health Dept. Fire Dept. Othe Date By The following data must be submitted prior 1. Index permit for above items We,m!�,_ 2, Additional items required: it issuance: (Circle new item not checked above), www , designer, owner, was advised of above required data bye phone___nail—counter Contractor, designer, owner, was advised of above required data by_phone_mail�c6unter by date Plans checked by Dat ?—=Plans approved by ��< Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW a ?-/7--9,1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. 7 County Center Drive - Orovllle. California 95965 - Telephone: 916.536-7541 APPLICATION AND PERMIT ASSESSOR PARCEL MISER 2=5—-f^ ZONI G r BUILDING PERMIT OWNER I r= S� d+ TELEPHONE S3 3 30 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ' ? U G A /.,Y, �- dL.O vz, l (. L ct 5'ri CONTRACTOR'5 NAMETELEPHONE L4 C�..e,v s 1 q y10 CONTRACTOR'S MAILING ,�AD/DRESS j U �l/a (�4 Vc tQWS �- 01 Qc( 09-tAlIC Fireplace CONSTRUU'CTT`'IIONNTLENDER UNKNOWN _ADDRESS Total Valuation $ LENDER'S MAILING Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS o G 1.�•. - ©20 ��� s�� Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome)( Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S FGTWT @ 15.00 TYPE OF WORK New a Addition ❑ Remo/ndel E]Utilities [I Installation i Other ❑ Describe work: -3—<J_ tw 1'-t Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 Main service 20CA To 1000AI 37.50 CONTRACTORS LICENSE LAW I declare u - der penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and my license is in fu l force and effect. License ;Jo. 4 Classification `�% FII, 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 OCCUPM OR ADONIS. ACC. BLDGS. // 3.60 sq.tt. NEW CONSTFL MULTI.OUT LET NON.RESID BRANCH CIRC 1T5 @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 @ 764 FIXED Ex. OCCUp. OUTLETS P(RESID )NSRE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g '15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-1 T.he permit is for $100.00 (valuation) or less. l,(-Q/I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 id Count in cons quence of the granting of this permit. XDates%��y - Signoture of Applicant — Owner ElContractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over�3 storiesin height. Mobile Home Installation Fee S �, Energy Inspection Fee $ occ CONST TYPE TOTAL FEES °v HAz DFEES I IMP FLOOD COF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. I( / n2 / - to` � —T-- WHITE-D.P.W.. TELL0W-A5eE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT Tbjs got of plans and spee2flce►tiaoga 14iUOTbe- kept on the -job at �.Il times and it is unlava" to make any changes or alterations an same without writtea germ.i�eiori Frain ttie akrLmesita� PuDILo-. --------- ._... _..__------ Workaj COMAW of Bis. C? J S C, G --- T/V ,'I I(OM AU M, SUMWO !f Warlmnanshdp. MIW'Bs to Aaoordanoe with Recognized (food Praotiow and of a Quality Prescribed for the 8pecif ed was In the Uniform Building., Plumbing * Meob•nlW -- --- — - Ubfte_iud_WO_WW0iW Meotrioat Coda: Location of structures & D R y w c C equipment shall be -as stV*ln & clear of all easements. fo AC - i C n q a, 5qj .� G �l P BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,'Or6ville, CA --- PHONE: 538-7541., MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �A-V-(. &±1A t! A tf A tJ 2. Installer's Name: e,C 1 � C�. 3. Is the site currently under permit? Yes No F-1 (C !?.fat 5,T (If yes, furnish .permit numberoowt;ri / t ) OR Is the site an existing site? Yes No (If yes, furnish two plot plans.) 4. Will-'th'e mobilehome b*e located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating. ------ zooAmps 6. What is the mobilehome site service rating? ------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- Zoo Amps 8. Is there any other.electric load to be served by the service? Yes No 1�4 mobilehome site -------------------------------- (If yes, identify the load and size: .(.Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- /r in. 10. What is the type of gas service? -------------- ----- a ura 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft: on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT A P P R O V ED r MOBILEHOME SUPPORT DATA If other than single, wide,` __ Mobilehome Mfr. `''G� ��I 1 furnish Setup Model No. (d'��/9^ Year �Z-5� Width d� --�`) (ft.) Box Lengthi(ft. ) Tagalong or Expabdo Size -C�'_ ft, x _ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)U 1. Concrete block. -1 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE n — i ane a { C _ — — Line 2 Main Beams j~ Line 2 — — — — — — — — — — — — — — ,y t.in � Line 3 .4 ---� ----- --- +-Li"—e 2 — — — — — Main Beams — — — — � tine 2 J Line 1 — — — — — — — — — — — =Line � Tag or Triple —. — — — — — —. — — — — Tine 4 , r Line 1 Line 1 Piers: Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max- ------- dine-2tPters-: Siz Tti------------- `Spacing=Max^`------- From-Efids-Max.------- ' S ze Min------------ zH� A� .rte ttocarion=(From Fronv) _ l" Line 4 Piers: Size-Min------------- Spacing-Max.----- --- ,k From Ends -Max.---- - Line S Roof Loads - Size -Min ------------- Line 1 Openings: Size -Min- ------------------ "x Each Side of Openings With Width Over -------- 4 Line 3 Piers: (Under Bearing Wall Only) Size -Min ----------- „ Spacing -Maxi _ __C__ From Enda- ----------- Size -Min ------------ -- ,,4 u tSpacing -Max.- -- , From Ends -Max -------------- '- " 1 AWA! ®� Location (From Front)I Y AP V4 7 OWNERNEZ I Al S PERMIT, f MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Compaction ' Struc. lTest-Req. Service Size Other. Load Type Pipe Size Length YES NOI YESI NO ` COUNTY OF BUTTE - GEPAR'TMENT OF PUBLIC WORKS / 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PAR4EL NUMBER 27-25-25 ZONI S BUILDING PERMIT OWNER HELEN SHANAHAN TEL HONE 533-9130 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2806 ALMY OROVILLE CONTRACTOR'S NAMETELEPHONE 749-8802 .` CONTRACTROBERORCMRRENGADDRESS 2928 HAMILTON ROAD # 30 MARYSVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 4.64G— Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2806 ALMY OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMELL t IFI S PARCEL MAP w��l S` Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeD Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home 615.00 45.00 TYPE OF WORK New ❑ Addition ❑ aemodelEl Uti lities [n Installation❑ Other ❑ Describe work: wdqe Lg Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions 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.N\ OR ADDNS. l ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTR ULTI.OUTLET NO N•R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES 20 @ 76 FIXED APLNS. Ex. Occup. OU LETS PIRESID IKEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains ai Co my in onsequence%oo the granting of this permit. X�rt ✓v�J��z4 ` Date Signature of Applicant — Owner❑ Contractor X Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL E $ 128.50 HAz I DFEES I IMP I FLo CDFPARC PD HD ISSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indic d above for which fees have been paid. DI OF PUBLIC WORKS PERMIT EXPIRES Date z ate Receipt No. 109800 128.0 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT H,. -,w . , .. �/Zwkrr"�^�. '+ iY,Y� _e4�; »•, •-T`. ._ ...�.•-w� •Y T,ry,�• ••.•+���r; •�� r"•rf'ry`.#�.�• . •.•' w. , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 V o, PERMI'�pAPPLICATION DATA SHEET LJ Permit No. OWNER oetea cS6006(AC41 A. P. No. Proposed Building Use /1/1 111 U Building Inspector �� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........ . ....................::: : :: 2. Plot plans in duplicate/triplicate, signed by preparer of plans. 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 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 11. Chico Urban Area fees paid ....................................... Parkfees paid .................................................... 13• Schoolppistrict fees paid .............. 14. Sanitation approval from fin/' `t C 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: ...... 8. Improvements may be required. Contact Land Development Section DPW C 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 ... 2 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 2 A&67 6. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone 533 - ql 3 U and hold for pickup at office. Deliver w/inspector. er �Q Appl icant .z1 Date 3 — 5-- c/ i Copy of Hdz-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 i uance: ircl ne item not cbecked above). 1. Index permit for above items No. 2. Additional items required: R� , Contractor, designer, owner, was advised of above required data by_phone_--jnall—counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by ��- Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building DEpartment FROM: Environmental Health SUBJECT: Sanitation Clearance COUNW OF WWII BUILDING DEPT MAR 6 1992 C BUIL BUIL T 6518882 - e � e- (IV �w 1�11 aro v c2,7—os -�� Owner Locatio AP# Plan Approved for: Sewaqe Disposal Hold final for: Final clearance O.R. for: Clearance for Z bedroom mobile home. Other dx NOTE � Sanitaria Water Supply Water Supply Water Supply Date TO: Building Department FROM: .Encroachment Permit Section RE: Driveway Clearance ble/ey 5h4 *7a c4 C ` % res �ve Z 7- Z # owner location 7-5`AP �� Driveway permit /4.awe 40ael n b 04"t Af4�- �ea s ig naeu re has been issued for the above property. 3- L -�Z date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR P^ARRCQL NUMBER ZONING - BUILDING PERMIT . OWNER Alelen TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S NG AD ass 2 1. l/1"Jm, of ( Cc, , CON7 T R•S NAM e C'v rren ioc- TELEPHONE 7Y oZ CONTRAC�TOR'S MAI CING AO REBS .r� 2 / ZL�� GI!/ (�///e Fireplace CONSTRUCTION LENDER, UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2Q Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FilingFee OrOU) (e_'_ CC', . Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each Qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex*[] Mobilehome[ Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S1 G W V @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtilitiesX Installation❑ Other ❑ Describe work: Permit Fee $ 6 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 6200A 00A OR LESS OR LESS 18.50 5-0 Main service 200A TO IOOOAi 37.50 CONTRACTORS LICENSE LAW I declare under penalty of check one): P Y perjury Jur Y( ) ❑ 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- satiori, 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 OC CUP. y\ OR AODNS, l ACC. BLDGS. I 3.64 sq.ft. NEW CONSTR. U I.OUTLET NON-RESIO BRANCH CIRCUITS) @ 5.00 /POWER APPARATUS s\ %SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES 20 tV 76d dAL_ 4r4 FIXED Ex. Occup. OUTLETS PIRESID.IREA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood _ 6.50 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant – Owner g pp ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories In height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P occ CONST TYPE TOTAL FEE $ %� g 5v a HAz 1 0FEES I IMP I FLOOD COF I PARCEL PO HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 0 C? 0 .� !'� ,Sp Receipt No. C7 U n NITC•D.P.W.. TCLLOW-A3e93e011, PINK-INSPCCTOII. GOLD CNPOD-APPLICANT Return to DPW AGRICULTURAL STAMMIT OF ACKNOWLEDGEM`JT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code property requires this 'acknowledgement be recorded State prior to issuance of a building permit. ' follows:� The property described herein is adjacent BUTTE COUNTY RECORMA to land or included within an area zoned CJ1.I for agricultural purposes, and residents )��1� ,3) of this property may be subject 'to incon- veniences or discomfort arising from the ACCE P—m—n- FOF)), RECORCN-,NG use of agricultural chemicals, including, AF u:01.Aek . but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, 2 1449,. but not limited to cultivation, plowing, spraying, pruning, and harvesting which TK occasionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows:� h� E6�S- Jod �'ee�- o ? v� 3 c� naQ l - CJ1.I l . �n yo�' (( ) ry )��1� ,3) C) n fti�� c e�f'7,1 �1� nf,J� << c�pp f f fh -S (i1 �J � iV��� iOh /VGA. 3 0 , d TK U f 1 -tO C_o )0, J C v Lk F x c We- t-; ��-I, �,Q� F�� tti �. SO f11 90fz e_T aiIDate:19Z PROPERTY 0.1\`ERS: 2ti3— 99a State of )'SS. County of n u ) SANDRA LEE SEAMAN T COMM. #953383 NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY ^, , a My Comm. Expves Jan. 18, 1996 Or, this the day of.�19 before me, the undersigned No�ary Public, personally appeared personally known to ne. Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within instrument and acknowledged tha executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. Ll I a 7 —,Z -' —;� S _4 �?Wa_ Notar� Public J AGRICULTURAL AFFIDAVIT Employer 51 �'C AL) Tc -J A gy /4 4,4 N Phone Employer's Address (Present) A L en y Q o vi /! /Z G.- 9s- Name of Owner— �/� I C rj �. /-} S 4 ti ,A N Owner's Add -ess A L ✓, y Cl) Q oC, -4- X5`7 Owner's Assessor's Parcel No. Building/Environmental Health Permit Description and' Number f, Date...Issuedt B y Planning Department Approval:. Date i l: ��? Zone -S Dwelling on ?� "Z -l- S14 A N .4 H r4- rV do ..de .,, v J V V WV VLl y. 'penalty of per jury, � that i am the emplo7er of /n 1 /, L /_C.e(,J,4d Sf/,4Nq f add-ress (present) g Fb Len / 0koui //c C-4 on and that I will be employer under Section 24-21.2 for at least (a) to g thirty-two (32) hours per week for at least sixteen (16) weeks per year on' S i gn e dV mj,- . xc.t,.►, J� ,D�il,,,,1 alt Dated l %— %�--- AGRICULTU&kL AFI'IDMrIT a •2' . G L z c��2� S 9A NA k A n/ Fhone 33 �� Eva i aTee t'1 I P• r =pio-yee's Address (Present) a-F6G 4 Lmy O RC) VCit- ?5�76� ,, Sf{ f} cv .4 l*4 A)Name Or Cvmer rZ �/� �� ( A Owner's Address � S�c� �o A L .n y C) ,e dy, n 0 -a.erI s Assessor's Parcel No. 1,q/-' �Z- �� o25 Luildina-/Entri rerental Health ; Per=it Description and Vunber �:�© L4 •N �; I .. Date issued �� t�A-k L-fA: 1 B� • � Planning Department Approval. Data / „ ZG� 'J�'I C� I TO' on ate?• L �_ L/GJ_•v�• ... c �. I, is L /z a w�2c� s H A^1,414a,✓� � io:.,declar.e , 'subject to Z ie �. ".. �e^aO_ ve=v'� 7 t.__�`� aT, ..;ie a^"' Oyee o �� Lr A/ --5-14 Rf�AA,' �� ad-iress (present)_and that I will be emplo7ed under Section 24-21.2 C7 for at least �a) ro g) ,�e^ (16) weeks 'per ?e3r or- a eass:(G) ^OLr� ler �eor fOr Sigaed� Dated 4 �s1iLVL�• IVLJI IIVMLJ If. _. I.. 9998 '0W PLACERVILLE RD. L=�T SOW LOCATIONS .. I [N49DAI 8/23191 491DAI-00 I OF I 1W. WRAMENTO. CA 95827 ORA4Yh4G MODEL NU6:8ER DATE kEvcSEO PAGE $hEFT I G �, ` z. �„r • '74,Yi+tl'�'loYC i , s,. ,. ,ur--•z..s,�:sr:^ry,}. BUTTE COUNTY SCHOOLS ,DEVELOPMENT FEE CERTIFICATION FORM. ( 0ne Form° per Building) f A.P. Number2.7"2-5-0 ! ZrS� Building Department No. School Dist ric& 01' 1 �(cl City County Jurisdiction Property Owner C, VG 14 Project Location /Addressu�O�p /4�1�y�;ci _ ; ,a Onoyl �l 2 Subdivision Lot Number a� Rene' ential Development: J'Z OF 091' Sq. Footage II BUDDING DEPT MAR 1 # of Living HI Addition (Group R) 6 1992 Units Commercial/Industrial: a a Sq. Footage New Addition (Including Exterior ` Roofed Areas) - c Date ildinepart Represnt'ie" , ...I(Floor Plans reviewed by School District Personnel) p; Di rict Id No. 92041.5 P -PV W t J ivC,i C1 % School Disttict certifies that Q-A oul (Ap lican Name) r' , (Phone Number{), ` (S eet Addres )40 �'ty) (State) y < (Zip Code) has complied with the requirements of Resolution( No Wb the payment oT $ o �Q ` /b r resentin--g) �6o�quare fe t /? I' (/ School District Representative PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH Date z bL-h�� " white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 92-12951 Return to DPW AGRICULTURAL S T ATEIMT OF ACRNO19LEDG MM FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code 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 92-012951 1 Rec Fee 5.00 for agricultural purposes, and residents I Cash 5.00 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 I of agricultural operations including, Recorder but not limited to cultivation, plowing, 8:01am 26 -Mar -92 I PUBL MP 1 - 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 discomfort from normal, necessary farm operations. All that real .property, situate in the County of follows: f_ 1 )31 �9 S�awh on a Butte, State of California, described as h J 0,_ I I +� 1-0,-� L, 1, IV 1 f ca f S (Abd 1 V It -g l'O h/I/O a a/ - 4 e- 1/ Y-1 TXACI) 13 L-t.�%e ooh �� I ,, a f f /'c .ee o f -H n C - {Ja /2. X x'10 ' l �%� vl S %/AS K e c a x J eel / lv - A e . C a LA, D� /J C4 j .S't^-re oT CA Ii or2VV)�c�') oh ,Td.N o,a� 5 X Ce- ti n y I -A -e X -e Fx avn f -h e So LA 0 le e e -t e� Date: - PROPERTY OWNERS: 5 aha�►av� /9c7a sz= jA.4� State of On this theC�� day of. , 197 �-, before me, the SS. undersigned Notary Public, personally appeared County of 8 u1Lf=) Present A.P. No. ri'— A5 Notar Public EN® OF ®®CUMENT SANDRA LEE SEAMAN T D Personally known to me . Ej Proved to me on the basis ' comm. #953383 � of satisfactory evidence. e® ' NOTARY PUBLIC• CALIFORNIA 3)to be the person(s) whose name(s) is 0. BUTTE COUNTY a My comm. Expires Jan. 16, 199E 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. ri'— A5 Notar Public EN® OF ®®CUMENT V) w¢ 0 0 CO � (L z U. =) 0 0 � LU Q