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HomeMy WebLinkAbout028-160-004V A. P. 28 -16 - BERTHA M COOK ST app.. -J. mi. off sA..of Rd. o Kings Ranch Rd. Bang p .............. -Permit 2645-73P2E 20 (utilities for mobile 28--16-4 7 -1001 90E' BL SUBDIV. LOT BLOCK -,CRONIN,. _'Ro'bert-' 4;,5^qJ. !' TYPE OF app� -1 PERMIT ._4 M of - LaP�fe� On s--- PERMIT NO. PLAN NO. DATE IS I `rng _. Rnch -Rd,-'Ban or w pr2 L 9 Opole foi��Kell, ci' 28:T6 04 3325-90MHI CRONIN,"Robert 8682 Kings Ranch Rd, Bangor (installation/MH) U -USE PERMIT TV -RADIO-TV ANTENNA REMARKS S/W-SIDEWALK NOTICE S_ SIGN PERMIT PERMIT DESIGNATION: B -BUILDING 4 DEPARTMENT OF P-PLUMBING BUILDING AND SAFETY T -TRAILER E -ELECTRICAL U -USE PERMIT TV -RADIO-TV ANTENNA V -VARIANCE S/W-SIDEWALK NOTICE S_ SIGN PERMIT HM -HOUSE MOVING EP -ENCROACHMENT 0 - DEMOLITION 600.7 a INSPECTION RECORD BUILDING APPROVALS F,K w fm ws IL z I z zo O OInI- t.iQ UOZ oLL� J O ILrc z UJ trW ay z W U. z Q IL K _O tr<Fa I - -J K O le 1Q- FJ '� K� Ow 0:0 Fw-g ?n. K� OW E1- wQ L W RU ZO om U WA Dia ,ij 05 LL U Q J 1. 1ILI L Q Z v SIG. " DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE �h SIG. DATE SIG. DATE SIG. DATE SIG. DATE PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS I, FINAL J lf,'E ,CTRICA L A PPROV ALK PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL fKIf&Inff. we#1111i161w. rwjw;lci] wu I PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE kEgIDENTIAL 6-04 3325-90MHI y Jai CRONIN, Robert. f 8682 Kings Ranch Rd.Bangor (installation/MH) 1 fl Address— GAS ddress—GAS Meter. By_ ELECTRI Meter By _ JOB FINALED (Date) Signature OFFICE COPY d=Ok O = Not OK -=Not Applicable ' Not .Ready, MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"Uft. / /"Nat. or/ NL" ft./ /"LPG 7. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBU HOME INSTALLATION Plans OK except #'s ng Requirements -Setbacks Easements 2. F otings; Size -Spacing -Marriage Line G MH Test -Demand -Valve -Connector 4. EI icity; MH Test -Crossovers -Breakers -Clearances r rain; MH Test -Fall -Flex Connector ter; MH -Test -Regulator -Connector 7 .Water and Sewer Connected -C/O to Grade -HD Approval ` 8 s and Electricity Tagged 9 zits; Insp.-Sketch 10. Cert. of Occupancy Da!J&Z Card B-1 Date Card B-1 Dae Card 13-1 Date Card B-1 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; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mash 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 B-1 Date Card B-1 Date Card B-1 'J OK 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 B71 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 0 Yes 0 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 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation &Support 64. 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 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 17 A�.-- OWNn -- 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 Date Inspectord MOBILEHOME INSTALLATION ACCEPTANCE jjj�- COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 3, PERMIT NO. , =2- 1,/ 14 ao Address or location of mobilehome Owner's*nam e Ce Owner's address Insignia or hud number A. I- 3(o /7 S -- C r 4 A)l Manufacturer's name 01 Z.) Serial number of -V , I , N Year of manufacture -� I Ir %-r - - Q/ * 'L / 0 - /CZ4 - (Official Approving Installation) (Date) IF.THE MOBILEHOME'IS MOVED OR RkILOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED,ON A FOUNDATION SYSTEM. Owner, -Ye I low.—In st Iler, Pink -, D�P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND—PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 28-16-04 ZON BUILDING PERMIT OWNER Robert Cronin TELEPHONE 679-2554 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 8580 La Porte Rd. Marysville, CA CONTRACTOR'S NAME Mobile Home Center Inc. TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1838 Feather River Blvd., Oroville CA 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 15,db Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee x U7 � $,8682 PLUMBING PERMIT Filing Fee 10.00 yy�� 8(a2 ICda13 r 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 X❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 10.00e TYPE OF WORK New❑ Addition F] Remodel❑ Utilities _Installation CX Other❑ Describe work: ���` _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1$o AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): IR I am licensed under p prOVISIOnS Of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. License No. 261905 Classification C47 F]I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.tr OR ACDNS. (ACC, BLDGS. , 2/z¢sgft NEW CONRES, RANCH NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 2ALO30 9 ALO 30 FIXED Ex. OCCUp. OUTLETS P(RESID )REA.) 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. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-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 aga'mst said County in consequenceof the granting of this permit. � X� ^� Date 9-17-90 Signature of Applicant — Owner ❑ Contractor EX 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 $ 5 00 Energy Inspection Fee occ CONST TYPE , TOTAL FEE $ HAz CUA PARK SCHL F-1 P ISS This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO OF PUBLIC BY PER&1VT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date r!'-Z-7^Q� Z7^2/- -Receipt No. Al 3 619 WHIT[-O.P.W.. YELLOW-ASS[SSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT �1 "'Y'L+wi ^`� � �s t ♦ 1' a.. • 1� i,r r; r. �t�.h+`ti`*n.7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE- CAUI,ORNIA 95965 - TELEPHONE: 916/538-7541 O'. L, .9 PERMIT APPLICATION DATA SHEET Permit No. OWNER/ ���f �JLGM,!/h ? A. P. No. 2� (°- 04- Proposed .Bu i ld,ing Use %ii ti</ 8A (,-11141X SIF Building Inspector Date 9- 2 /" 9G At time,bf�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 . ........................ .......... 1Q V- 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 ......... x 7. Statement of Intent for Non -Heated and AC'Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 0 k- 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... Park fees paid 01IDIU NS • School District feespaid.............. 7 Sanitation approval from 13616 Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from,City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for requirod Pre-,nspec.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 ......... `Lf 9U itu 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _1---- Telephone 533-4403 and hold for pickup at 6 office. Deliver w/inspector. Other 1 Applicant � .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 iss ae (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: i 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 _mall—counter by date Plans checked by Date lans approved by AJ Date6 Sets of plans on hold in Copy—DPW File cabinety AP folder N � .. TO, FROM: SUBJECT: Buil-dinc Department Environmental Health Sanitation C1 earance c� 0 LIS Owner L.ocation A?# ?-Ian .Approved for: Hold final for:- Sewaqe Disposal 1� Water Supply -7 7 - Water Supply Water supply cinal clearance O.K. for: Clearance !or —3 bedroom mcbile Other Aj- Date Sanitarian TO: Building Department FROM: Encroachment Permit Sec'tio-n RE: Driveway Clearance 2 29 - location AP # owner Driveway p . e r m i t -t7XI R/W has been issued for the above property. ------------ 4 date si;a2ture ......... COUNTY OF BUTTE - L%.'art-ment of Public Works 7 County Center Drive, Oroville, CA 95965 OTJNER_-BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-754.1 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have no signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. -I pian to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following perscns.to provide the work indicated: Name Address Phone Type of Work Signed:01 Property Owne Social Securi y4mber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. C3 I AJ O W E t C I S X10 F2G+,A Cv Pnmfbs<-v Sc�i'iC G .w4�a�T. �iTll y- { �ar�s. and specifications MUST b@ Ch1§ # p.. jat @►.k Mmes and it .is unliMUl t® ton ® With,. -W of ms's. NOTE, --AD Maferials A. Workmanship Shd Bo jjJ-1- ACCOMOnC@ wifh Recognized Good Praaf cw of a gwlify prescribed for fhe Specifiehgise in Ufltf6azi Bui;ding, P!un%-,ing f; Mechonlc' c COci O tt from the kat �y _ �W Ck of setba� Aa iin8s and a o� fpm the �gnte�i�e ��prctert � tt.. fats+ °�Nt�'�� BUTTE COUNTY 8ULLOING DEPARTMIENI <C APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: �Gl�F2 / &, ONIIV mobilehome electrical rating? --------------- /6 4 Amps 6.- What is the mobilehome site 2. . Installer's Name: L,& 7. What is the mobilehome site circuit breaker rating? ----- lU a Amps 8. Is there any 3. Is the site currently under permit? Yes No ` (If yes, furnish permit number ) OR mobilehome Is the site an existing site? Yes Yes No No (If yes, identify the load and size: 1,41,- 64, (Load) Z d (Amps) (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach -� (in.) 10., What is the n --------------- ----- fields and clear of all r setbacks and easements? Yes 1 No (If no, clarify 11. What is 5. What is the mobilehome electrical rating? --------------- /6 4 Amps 6.- What is the mobilehome site service rating? ------------- Zc'/y ' Amps; 7. What is the mobilehome site circuit breaker rating? ----- lU a Amps 8. Is there any other electric load to be served by the P" mobilehome site service? -------------------------------- Yes No i (If yes, identify the load and size: 1,41,- 64, (Load) Z d (Amps) 9. What is the mobilehome site gas pipe size2.--------------- -� (in.) 10., What is the type of gas service? --------------- ----- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? --------------------------------------------- (ft.) * 12. What is the mobilehome gas demand? ---------------------- (BTU) ,it. *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft..on LPG.) BUTTE COUNTY 'k SUILQNNG DEPARTMEN1 APPROVED MOBILEHOME SUPPORT DATA ,/ If other than single wide, _ �tobilehome r1fr. ,yt�/D/y furnish Setup Model No. (.t 3 Year 6 "z Width(ft.) Box Length__j:�L(ft.) Tagalong or Expando Size ft. x- ft. On all mobilehomes manufactured after October -7, 1973, furnish manufacturer's installation manual and structural etup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. F] 2. Other (specify) SUPPORTS (check one) 1. Concreteblock.F 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Line l aLine 1 Line _ _ r Main Beams Line 2 _ • _ _ _ _ _ _ _ _ _, _ _ _ _ Line 2 Main Beams Tag or Triple L1nP 4 — — — — — — — — Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. ------------------ �. x Spacing -Max. _ Each Side of Openings From Ends -Max. ------- ' " With WSidth Over --------- Line 2 Piers:�7 1 Line 3 Piers: (Under Bearing Wall Only) Size -Min- ------------ �-C .,xTil, Size -Min ------------------- Spacing-Max ---------- ------------------Spacing-Max.--------- S ,_ „ Spacing -Max---------------- - From Ends -Max.------- '- " From Ends -Max -------------- Line 3 Roof Loads: Size -Min------------- " ,.x 3 c , „x �„ 4 ,�� .. „x „x x „x x Location (From Front) 01- 011 " Line 4 Piers: Line 5 Piers: (Under Bearing Walls Unly) Size -Min - „x „ Spacing -Max.--------- ,_ Spacing -Max .--------------- From Ends -Max.------- n From Ends -Max -------------- Line 5 Roof Loads: Size -Min. ------------ x "x Location (From Front) A3VtiAc� lr^,'y.'��1j.1 ,^��;'9TH"1"*,:`,..'�._{.}YC'�""�'�sf��'i��x y�-``�"�S°vi7'..Sa�,qiA'L����'''.�.�"�`rp::n�,.-i!0..PR�...•`'�•.�(y'y�..`z'.-rrw•-*r+.�'.-.....ex,am...-7...,-rw'^W1'.+•-v-.,Fp�r,..v.'.v..�+i BUTTE COUNTY #SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per `Building] A.P. Number 28-1.46- 04 'Building Department No. School District p. dll)I011i ELL City n` County © Jurisdiction ' Property Owner 6rMlM Project Location/Address & g �f%tn, � Pamr^On= t2m'd G6uraor t� Subdivision- +{ Lot Number Residential Development: a Sq. Footage ji % t # of Living MHI Addition (Group R) Units f: (0 4' `F 'a..-"KCommerc-ial/Industrial`.Y'i New 'Addition (Including Exterior Roofed Areas) "Building,:Dei?artment Representative Y Date (Floor Plans reviewed by 'School�Dist;rict Personnel) is ict Id •No. tt 10080 .. '/• `-// � i� \_ Kms/ .. �1 hool District certifies that ' I J 0110, (Applicant ame) (Street Addres )-`` . �•�' (C ty) '(Stat has complied with the requirements of Rei byZpayment of $ represl / School bisEr-i-TE Re re.sentative PAID BY CHECK NO. REMARKS: BANK NO PAID BY CASH (Phone.Number) Lkpadi A ea) (( Zip Code) o '{ io No. Ming square feet. Date 9? a_ 0 white -applicant, yellow -building department, pink -school district 7 SCHOOL.FEE (8/88) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-.6307 CORRECTION NOTICE T 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. -\ (­'� A - 4 1 .Czut�'/ q — — --, ^ Inspector JLVE Date y a �A°" PRE -INSPECTION ' OWNER: A(�,�-�7� DATE - 'G v LOCATION: API), //4 ,wr. ®r -F Os dr- -zAP0Z7r- RD ® �r # CONTRACTOR: p�,r/.�c/K� ZONING ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- PRE-INSPECTION FOR: DATE TO INSPECTOR PERMIT HISTORY: NONE AS FOLLOWS: ��.ae-CO - 73 -- .coo 40A,&6 -Z_ TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED 0 HAS ELECTRIC F:D HAS GAS U HEATED -COOLED PERSON CONTACTED OTHER COMMENTS: ACTION RECOMMENDED: 0 ISSUE � HOLD FOR OTHER: HAS SANITATION FACILITIES, BY DATE 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 28-16-4 ZONING A5 BUILDING PERMIT OWNER Robert Cronin TELEPHONE SO. FT. OCC. BUILDING VALUATION .679-2994 OWNER'S MAILING ADDRESS 5151 Franklin Blvd, Sar ()5,920 CONTRACTOR'SNAME nwnpr TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 approx 21;mi off of LaPortp Rd on KinR-, Rqnrh Rd Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other power for well SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00. TYPE OF WORK New ® Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: power pole for well circuit _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 10,00 Main service EA. ADD'L 100 AMP 2.50 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. License No. Classification I, as the owner, or my employees with wages as their Sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 oR ADDNSCONST. DWEACCLLIN GSCCUP.tr\ / 2'/20sgft NEW CONSTR.MULTI-OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea /POWER APPARATUS tr\\ (SINGLE OUTLET CIR. / 1 5. 5,00 Ex. Occu p OUTLETS OR FIXTURES Z0@50t .ALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 , 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �yirin 9 15.00 Pre Ins Permit Fee $42.50 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. I01 I shall not employ any person in any manner so as to become subject Imo! 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify keep harmless the County of Butte against ities judgments, co s, nd expenses which may in any way accrue aid unty i e e of the granting of this permit. / Date '-- of Applicant — Ownerl Cantraator ❑ Agenr Vnt 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 $ HAZ CUA PARK SCHL FLD PAR PD Ho 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. 63863 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, aOLDENROD-APPLICANT COUNTY OF. BUTTE - DEPARTMENT.O? PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY'CENTER DRIVE - ORO,VILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Dp Permit No. OWNER A. P. o. ./6_ Proposed Building Use Alo-c— _<�qetrzr- la -e- Building Inspector Date S 4 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 $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 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. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (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. 27. When you issue the permit, process as follows: Mail to owner. all to contractor. )C T e I e p h o n e and hold for pickup at office. Deliver w/inspector. Other AppIicant ".Date a 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_-nail counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security ber Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and.returned to our office before we are per- mitted to issue the permit. U COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965, 'Telephone: 534-4541 ' ` APPLICATION AND PERMIT duuwnce teprcZ5e111duve6 of the uuunty of tsurte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. I @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures Receps., switches & fix outletsb.1 PE 10 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp.or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ duuwnce teprcZ5e111duve6 of the uuunty of tsurte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Thompson Associates P. O. Box 6120 San Jose, California 95150 September. 5, 1.973 t . Mr. Lloyd, Sweet . 'Or.oville City. Offices.. Building Dep�artme.nt 7 County...Center. Drive . Or.oville,.. C.aliforni,a 95965 Re;. Mobile Home Installation -.Bertha Cook De r Mr. Sweet: This.let:ter shall .serve to. define .those areas of. unaccepted. work, and s.et..for:th a .s.che:d.ule. for. completion of same, pursuant to our. .te.lcon .this. date.: A,'Ele.ctr.ical ground wire must be affixed to the galvanized' cold water: - line with an approved type, fitting. B. The baCom of.electrical meter_bax shall be a maximum of:75 inches,from.the ground (or platform extending minimum of .three .C3 ), feet. from pole.) C. Sanitary linee.xte.nding.from unit. to septic tank to be '.under.ground. D. Cold water. inlet. to. have .gate. valve shut-off and. flex connector. :E. Sewer connection to. have two.flex connectors installed between clean -:out - and mobile. uni.t,. Item ."A" has been taken care ..of 6 - Please ..send y.our'F'ield Inspector to.. verify the. hook. -up ..and is.s.ue...your. standard. yellow temporary electrical hook-up .ta.g. Also, please .advise Mr. - Blair of 'the Telephone (408) 227-3800 September 5, 1973 ' Mr.. Lloyd Sweet Oroville City Offices Page Two P.G.&E. Company 0533-1121) upon issuance of the temporary card allowing their company to complete the power hook-up. Items "B" and "C" shall be brought into conformance with code requirement by September 23, 1973 (two weeks) by backfilling the subject area with topsoil.. Items "D" and "E" shall be completed by September 20, 19.730 We would like to request final inspection on September 249 to close your outstanding building permit and place our facilities on permanent status. Thank you again for your courtesy on our behalf, Sincerely, Ralph Thompson RT/dg cc: Bertha Cook Tom Cook Lorraine Holmes Mr, Blair9.P,G.&E.. w: l September 5, 1973 ' Mr.. Lloyd Sweet Oroville City Offices Page Two P.G.&E. Company 0533-1121) upon issuance of the temporary card allowing their company to complete the power hook-up. Items "B" and "C" shall be brought into conformance with code requirement by September 23, 1973 (two weeks) by backfilling the subject area with topsoil.. Items "D" and "E" shall be completed by September 20, 19.730 We would like to request final inspection on September 249 to close your outstanding building permit and place our facilities on permanent status. Thank you again for your courtesy on our behalf, Sincerely, Ralph Thompson RT/dg cc: Bertha Cook Tom Cook Lorraine Holmes Mr, Blair9.P,G.&E.. COUNTY OF BUTTE DEPT OF PUBLIC WORKS 1� EP 1 1 1973 .0 t, i. (roe A-&��� e;pArp ose cA - 95-1 6940s) 18, 1972 the salary increase proposal. He acrease for the employees. Request his feelings concerning the salary it is not right to continue to give t jobs when there are people that are adigan and seconded by Supervisor Maxon as proposed with the exclusion of the Chairman Gilman. ae elected officials and department Chairman Gilman said that action should ance. Supervisor Ladd felt the elected COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W RKS ,[[ 7 County Center Drive — Oroville, California 95965 / 5-17-3 P Telephone: 534-4541 .t APPLICATION AND PERMIT aumunce representanves of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ( �r �' Ltr ` — DEQ-' Date �' '13-73 Signature of Perm,J��e o Agent Receipt No. �" �66/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date2— l— Building permit expires Date2=.. k- =2_ BUILDING Owner ��j SQ. FT. OCC. BUILDING VALUATION Mailing Address a Telephone No. Fireplace Contractor Total Valuation Mai I Ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address / _ PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Z tv Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,yam Each gas water heater or vent 1.50 ,y'v �— A. P. No. ��— 1p ..+ zoni 44 Gas piping system 1 - 5 outlets 1.50 Each additional outlet 30 Fte<a o ' ire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Ions Recd PaAeF—Kpproval I 'PHt7ffApproval Permit Fee $ O $ O �' NEW ❑ ADDITION ❑ UTILITIES OTHER E] ELECTRICAL No.1 @ FEE PERMIT PERMIT FILING FEE 1$3.00 - Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 x Water Heater or Space Heater 1.00 Light fixtures 20 19 25 baI(d10 Receps.,switches & fix outlets X2.01 223 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities .00 Temp. Power Pole License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ GU $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ C aumunce representanves of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ( �r �' Ltr ` — DEQ-' Date �' '13-73 Signature of Perm,J��e o Agent Receipt No. �" �66/ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date2— l— Building permit expires Date2=.. k- =2_ Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9.0 4 13 8 3 s FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 90-041383 i R e c F e e The property described herein is adjacentCheck 7.00," to land or included within an area zoned Recorded ` for agricultural purposes, and residents Official Records of this property may be subject to incon- County of veniences or discomfort arising from the Butte ' use of agricultural chemicals, including, Candace J. Grubbs but not limited to herbicides, pesticides, Recorder ; and fertilizers; and from the pursuit 8:53am 26 -Sep -90 ; X" 2 of agricultural operations including, but not limited to cultivation, plowing; 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: .. •k. . Date: -9 d WNE S: / ��rNCss'. State of ) _ On this the day of i' T9', before me, SS. the undersigned N tary'Public, personal-ly, ap•peared-,' County of C] Personally known to meL Proved to me on•t'hg-basis of satisfactorq}evdence. to be the person(s)'whose subscribed to the within.instrument and cknowledged that executed the same for the purposes ter in contained.. IN WITNESS WHEREOF, I hereunto set my hand and offit al seal. r Present- A.P. No. 2,Sf - / - L ( Notary Public END OF DOCUMENT 9D-4 1383 STATE OF CALIFORNIA )ss. COUNTY 0 A — Pj, joign blic in and for >1 On before me, the undersigned, a Notary Pu' C C1. E said State, personally appeared persona Ity-':,. 0 known to me bn i-,% pjersonaUy*4;GwPAQfAe) to be the person whose name is subscribed to the within instrur�en.f, as" ed and said: a witness thereto, who being b y me duly sworn, depos C-,7, That h /ske resides in (00,W L I Aj —1 E L-1 that he/ -%he LL sent and saw was pre �Lo (D personally A. COLL"Irki-'.. -F CYNTHIA known to himM;w to be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal NOTARY PUBLIC -CALIFORNIA Butte County 6T and deliver the same and that said party(ies) duly acknowledged An in the presence of said affiant, that he/sheAbay executed the 0 My comfrdwon EKpires Oct. 30,1992 same, and that said affiant, thereupon at the partys(ies') request, 0 subscribed hisAw na e as a itnessLeto, 0 r w C0 WITNESS hand& offici al. L Lo Signature (rhis area for official notarial seal) �A E I Order No. 1256S§* $01MUTA C The land C�ferred to herein is described 04 follo"441 All that certain real property situate In the county of Uuttee state or Call r nia, datcribed as 1011owst PARM 1: EDGINNING at a atake in centorline of road, from which the quarter auction corner between Sections 5 and 8, ftwnohip 17 Worth# "nq* 5 East. M,D.13. & X., b0*C8 South B19 III West 1135.14 fact, !�Ajd stake holn' z ta 0 identical with the most Westerly corner of that cot in Tract Of land descxLbod in Deed Uom We J, Lowrey and vif*j to Lela 1, ROW0, dated 0 October 24f 1946 and recorded February 13, 1947 In book 416 of Butte *n County i0feicial Recorda, at pAge,300; tbence $outh 220 261 30" East along 0 the centel line of roid and along tbo Southwesterly boundary line of said 0 Rowe Tract, 635.00 feet; thenoo Worth 6:0 '51' East 712.90 feet, more or 0' less, to the Northeasterly boundary line of "14 Ro��* Tractl thence aXong the Northaastorly boundary line of SaO Row* Tract, North 27* 34' 30" West 63S,65 feet, fr4re or less, to the most Northerly corner of CALGI Rowe Tract bnd to a white stone in a stone mundl thence along the North line of said Rowe Tracte' and along a fencoline, South 6SO 51' East 656 feet to the point of beginning.