HomeMy WebLinkAbout028-310-01628-31-16
C & BARBARA TROSIN
S/S orte Rd, 2500'N of Upham Rd
Ban.gor
Permit#1638-84P F-(util MH)
ELEC A
GAS 6-ZE-gV
COMPACTION -TEST -RE.
SUPPORT STRUCTURE RE
Contr:Cal Oyler Ser 28-31-16
Permit#20,,36,8-,.l
Issued
1 Ao4.4
4' *
I
FA
7i' -
7�j
/ LI, L
i
0
PERMIT NO.
PERMIT EXPIRES
OWNER CHRIS & BARBARA TROSIN
CONTR., owner
ASSESSOR PARCEL 28-31-16
LOCATION S/end pri dr, S/S Laporte Rd, 250
N Upham Rd., Bangor
j
OrrICE Copy
Address ----
G Date------ 'I
�je�eB Date
F T
UECTS
EC IC
Meter By
Temp.,Power Pole
Called"Pd9,E'
Temp. Elec. Seryice
Called PG&E
Temp. Gas Service
Call edPG&E
JOB FINALED (Date)
Signature
%11= ;OK
0 = Not OK
Not Applicable MOBILEHOMES
Not Ready I
MISCELLANEOUS
Date MOBILEHOME UTILITIES (Plans) OK except #'s
? 1. Zoning.Requirements-Setbacks-Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements-Setbacks�Easements
'2-.�Oils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3--S6-wer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
X-e-Wa-fe—r Locat i on -Test- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
Location-Clearances-Grnd.-l-," �--O Amp -Concrete,
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6,-G'a-s; ��orr-Test-Wrap: / /"L"ft./ P'Nat. 'LPG
6. Carports; Windows -Doors
Z-4AM-ty Clearance
7. Elec.
qgo��� �-?5__aCard-Bl Date
Card -BI
Date Card -BI Date
C�rd-Bl Date / Card -BI Date
Date MOBILEHOME INSTACLATION (P&fs) OK except #'s
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
y2oning Req u ire ments-Se tbacks- Easements
1 . Setbacks- Easements
2:.�botings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
IZElectricity; MH Test -Crossovers- Brea kers-C I earances
4. Elec.; Receptacles and Lighting; Distances-GF1
C�rain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15,volts-GFI
41`Water: MH Test- Reg u lator-Con nec tor
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
,�.-Water and Sewer Connected -C/0 to Grade -H I D Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
Ar Gas and Electricity Tagged
05rn its; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enc I osures- Pane [boards- Ins. to Main in Conduit
44tr- Cart. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Caj4-1 Date I, 7-qr-gard-Bl Date
Card -BI
Date Card -BI Date
Card B -I Date Card -61 Date
Card -BI
Date Card -BI Date
;Z . '45TY $4 44
I
%I = OK
0 = Not OK
- = Not Applicable
* = Not Ready RESIDENTIAL (Single,and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning req u ire ments-Setbac ks- Easements
48.
Property Line Firewall & Openings
2.
3.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
49.
50.
Ext. Doors -One X -Check Garage -3rd story, 2 exits
Stairs; Width -Headroom -R ise-Run-Landing-F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- /- /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Stee I -B lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protect ion -Sky] i ghts-P last ic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
9. Gas Pipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date C&rd-BI Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
59.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15, Water Pipe; Test & Anchors -Nail Protection
16.
17.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL (Permit) OK except #'s
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing-Landi ng -C loser
68.
A.G. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P,R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic [:) Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construct I on- Post Caps
26.
Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth C-learance
Looked under Floor 0 Yes
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or At,
Insulated Neutral OYes El No '
75.
Following instid.: Drive 0 Yes 0 No; Walks C-) Yes E] No;
Planters E]Yes 0No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane I s-Motors-Mec h. Equip.
77.
78.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepi.-'Clearance to Opngs.
30. Clothes Closet Light -Shower Light
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts; Insulation & Support
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Ta-gged; Gas -Electric
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -Bi
Date Card -BI Date
Card -Bi
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -Bi
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except #'s
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
CIng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfng.
44.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protect i on -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the =ement.s
of the California Administrative Code, Title 25, Chapter 5, permit
number PA50--1f'Q_for the following location:
Owner—,
Owner's Address 0
MobilehomeMfg. Model Year
Insignia No. _2 ltf', Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Direc,tor of Public Works
Date 7' By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
I
COUNTY OF BUTTZ
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise —.Phone: 872-2961, Ext. 57
CORRECTION NOTICE
_2 12 F
- - _= V1
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. It you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
Inspector
Date
.0
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS'
196 Memorial Way, Chico — Phon;: 891-2751
7 County Center Drive, Oroville — Phone: 534A541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
i4v
IV
Inspector
Date
COUNTY OF BUTTE - DEeARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT 0.
ASSESSOR PA CEL NUMBER
ZONING
BUILDING PERMIT
OWNEVr
TELEPHONE
SQ.FT. OCC. BUILDING VTLUATION
OWNER'S MAILING ADDRESS
C,"TR CTOV NAME
UX 4 - VkG(,-A \C
TELEPHONE
/a
�NTRACTOR'S MAILING ADDRESS
bo'? Co
Fireplace
INSTRUCTION LEN R
N,,j 76d 1, Clef #16f UA4
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LvE-VDER'S MAILING ADORE
v) 0 1& o -Y, / Ps� 6 (Z Lx-,
Permit Fee
$
AJRCHITECT OR ENGINEER
SE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS/
-a � 0 (D "
PLUMBING PERMIT
FilingFee 10.00
op
T
1J,4 V7.71 J 10
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Each qas water heater or vent
5.00
Gas piping system I - 5 outlets
5.00
USE OF STRUCTURE
SF [] Duplex[] MobilehomeNL Other SPECIFY
Building sewer
5.00
Mobile Home S I G I W I
110-00eii
TYPE OF WORK
New n Addition E:1 odeICJ Utilitieso InstallationA OtherF]
Describe work: =r 4- /6 _�? V--Z(f--
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST DWELLING OCCUP.&)
OR ADDNS. ' ( ACC. BLDGS.
21/20sq ft
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 nd effect.
License No. ell 76 e 3 Classification
El 1, 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 contraict-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR.(MULTI-CIUTLET
N.N.RES'D. BRANCH CIRCUITS) 2.50 ea I
NEW.CONSTR. (POWER APPARATUS.&')
NON RESID. SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES 0@50t
1.2AL0300
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
]XI have placed on file with the County of Butte Building Department
I -a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-Ingure.
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.
Heating
Cooling
od
3.00
Venti lation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes. -
I also agree to save, indemnity and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai ce of the granting of this permit.
X inpisequen 4_,,g Ve.Z
YZlr/�_� Date 27
Signature of Applicant — -"Owner ID Contractox AgentEl
An OSHA permit is required for excavations over 5'0"-&eep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 7/. IId
0 CCUP. GROUP
I TYPE OF CONST.
I V
F_
I PARCELI
PD
I 1fo
I j7luE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
0 0
DI CT R F BLIC
By � :7 . _ _K _Date
PERMIT EXPIRES Date—
1
the applicable provi-
resolutions to do
fees have been paid.
WORKS
6::;2-(1 -
10—
Receipt No. .15-1 C( -)—
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
�4 3 A'I
BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville. CA.
PHONE: 534-4541
MOBILEHONE INSTALLATION SHEET
owner's name:
2. Installer's name: e_?404
3. Is the site . currently under permit? Yet; No
(If yes, furnish permit number 16 _!i.
Is the site an existing site? Yes] -No
Ow— x—
(If yes, furnish two (2) plot plans.)
4. Will th . e mobilehome be . located at least 5 ft. away from septic tank and leach fields and
clear of.all setbacks.and easements? Yes LZ
No
(If no, clarify
S. What is the mobilehome electrical rating? ---------- r ----- I ------- Amps
6. What is the mobilehome site service rating? --------------------- Svc) Amps
7.. What is the mobilehome site circuit breaker rating? -------------
8. Is there any other electric load to be served by the mobilehome
siteservice? -----------------------------------------------------
(If yes, identify the load and size:
(Load)
/ b D Amps
Yes =
No77�—
(Amps)
9. What Is the mobilehome site gas.pipe_size? ----------------- ; ------
10. 'What is the type of gas service? ----------------------------- Natural 7,7 LPG 7:7-
11. What is the gas pipe length from meter or tank to the mobilehome? (ft.)
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.)
MOBILEHOME SUPPORT DATA
D If other than single wide,
Mobilehome Mfr. furnish Setup Model No. _9419.? -6 Year 961
Widt (ft.) B ox Lengt (ft.) Tagalong or Expando Sizet5�j���ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973,� furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
(in.) (in.)
mobilehome unless
otherwise specified.
(f t.) (in.)
Footings (check one)
-Single
Wood either
Max. Overhang
rzAl A
pressure treated or
(ft.)(in.)
ma -
foundation grade.
(ft.)(in.)
(in.) (in.)
2. Other'(specify)
Center support
Center support
Supports (check one)
locations*
footing sizes
7"
(in.)
Concrete block.'
ilfi#=011
APPROVED
E]. -L Other.. (specify)
(ft.)(in.)
(in.) (in.)
*--Tagalong or Expando,'
show support -details.
(ft.)(in.) (in.) (in.)
x
;701 -- Typical Support
(in. (in.) Footing Size
(ft.) (in.)
(in.) (in.)
Max. Pier Spacing
(f t.) (in.)
Max. Overhang
(ft.)l (in.)
(in.)l (in.)
(ft.)(in.)
BUTTE COUNTY
BUILbING t)F-PARTMENT
APPROVED
*If center piers are
other than drawn above,
draw in -locations,
spacing, and dimensions.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, CalifQrnia 95965 - Telephone 916/534-4541
APPLICATI-ON.AND PERMIT
PERMIT NO.
T
ASSESSOR.JPIRCEL NUMBER
. X
ZOaG
BUILDING PERMIT
OWNER (,,"
TELEPHONE
SQ.FT. OCC. BUILDING VAL%J6;AJJ
OWNER'S MAJI-ING A R SS
ZWt�, I A
CONTRACTO� NAME
A6d&ZL
ZV 9
CONTRACTOR -S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
4V&A—
UNKNOWN
Total Valuation $
Filing Fee
$ —TIT—O0
—
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 010
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ JS,6-0
&PIJILPING ADDRESS
PLUMBING PERMIT
Fi I Ing Fee 10.00
--A —ivy —7 1 it
Pd,
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
1
SUBDIVISION NAME
PARCEL MAP
1
Each qas water heater or vent
5.00
Gas piping system 1 5 outlets
5.00 1
USET STRUCTURE
SF [:1 DupIexFJ Mobilehomel Other SPECIFY
Building sewer 4
5.00
Mobile Home 119 1 M
10-00el
TYPE OF WORK
New [—I Addition [:] R emode I [] Utilities Q( InstallationD Other E]
Describe work:
Permit Fee
$ 40,0
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&)
OR AODNS. ACC.BLDGS.
21/20sq ft
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
1, 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)
0 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. MUANTCIOUTLCT
NO , , EIR CR . ITS)— 2.50 ea
N.REr
NEW.CONSTR. POWER APPARATUS.&)
NON RESID. (SINGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES 20@50C
SAL@ 300
FIXED APPLNS. OR %
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
_T_
P�AVIV I ff- F,
Permit Pee $ 50
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
R The permit is for $100.00 (valuation) or less.
E] 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.
shall not employ any person in any manner so as to become subject
o 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
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information-
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
al liabill1jes, judgments, costs, and expenses which may in �any way a crue
aga it
ingst"d County in consiMuence o he granting of this perm t
X -4 �4 Z
Signature of Applicant Owne Contractor F� Agent D/
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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE — GON5T.
PA
.7
S E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECF9 OF PUBLIC
Bv
P041T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_J
Receipt NO_ 95 5,
A 6 —
WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK -INSPECTOR, GOLDEN ROD -APP L I CANT
00,
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT #FF1Pj#j, q -Cop
FOR RESIDENTIAL DEVELOPMENT
M5 REQUESTED S
Section .26-8.1 of the Butte County Co de requires this acknowledgeme t
be recorded prior to issuance of a building permit. RAY
The property described herein is adjacent to land or included nox
within an area zoned for agricultural purposes, and residents of this 0
be * n fro IR4 8,5.( FEE
property may subject to.incon,veniences.or discomfort arisi g m ),I
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit 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 agricultural zones which have as a
priority use for productive agri-cultural purposes,�and residents within said zones and on
adjacent property should be prepared to -accept such inconvenience or disconform from normal,
--,necessarv--f arm-operat ions. ---
The land referred to herein,is.described as follows:
eal property situate in th
All that -certain r e County f utte, State
of California, described as follows:
A portion of Section 13, Township 18 North, Range 5 East, M.D.B. & M.,
more pZrticuliary described as- follows:
1 7
311GINN-ING at the quarter section corner of Sections 1.2 and'13, said
Township and Range; running thence East along the Sec -t -ion line between
said Sections 12 and.13, 495.0 feet; thence at right -angles, South 5 ' 28
feet to the Southeast corner of the parcel of land describ.ed in deed -to
L. C. Phillips., et ux, recorded in Book 561. oil' Butte County Official Record' s
at page 272 ' ind th�C point,of beginning of the here -in described parcel;
thence at. right angles West along the Southerly boundary of the'L.C.
Phillips parcel to the Southeast corner of the parcel of land described.
in deed to Joseph Franco et ux,'recorded.in Book 1945 of Butte County
Official Records at page 224; thence con t i n u i ng' W6,:zterly 'along.'Joseph
Franco p8Xrcel to -the Southwest corner 6f said Joseph Franco parcel.also
b C4 11g
L. a point on the North and South center line of said,Section 1";
thence South along �aid.North and South c'enter lilne,-775.5 feet to the
Southwest corner of the- Morthac8tcivarter of the North�,,,est civarter of said
Section 13; thence -East 495 feet along the Southerly boundary of the
Noithwest qua -r -Ler o� the- NorthvTestquartcr of said Secti'on 13 to the Soul--.1-we
corner of the land.descrAitied as 1:�arcel 2 in D --cd to Henr, Devetter E�t UX;
recorded in 13ook:1665 of Butte County.Official-Records at page 440;
thence North alorig the Westerly line of Parcels I and.2 of said Henry
bovetter parcel 775.5 feet to the point of beginninq.
4,z_&.4 1'2 41 -
Personally known to me. Proved to me on.the basis
of satisfactory evidence.
to be the person(s) whose bame(s) subscribed to
the, within instrumen ' t and acknowledged that --IAev
�0" Co�"'DOCUMENI executed the same for the purposes therein contained.
01LIGIN4 IN 14ITNESS WHEREOF, I hereunto set my hand and official seal.
100 77—
Notary Public
Present A - P. 'No. OAR -,f/- 0 -,&6 -0
W
k
NOTE:—All Materials & Workmanship ShjTN,3eQn
Accordance with'Recogn ood Fractices a
of a quality prescribed for. the S ped se in the
Uniform Building, Plumbing & Mechanica es
and the National Electrical Code.
Asetback of 5 ft. f rj
property lines and a
of 50ft. from the roz
,C"*M-ne shall be cl
�jduyes or equipff
T_ , 2 T�. eave overl
Utility connections
4 ft. of the mobile
divedly behind or
th,al, lie iroadsk
M -6VA"
the
r of
Th-Im se of plans and specifications MUST be
k�qcnfha job at all times and it isItunlawful to
e—,,n hano I erations on same w*-
�_y c ges or a It
ej, zqzffnission rorn the Departmerd'Of
ff
,out vvrittt��
�Plu �J-
PtY Of Butte -
1 be within
e, either
un therear
4 1
0 Of Ville, C �q
-Pj
500 SQ. FT. MINIM
FOR MOBILES
Wv_
A permit will be required for the
installationof the'Mobilehome.
1 �5s_ S '
BUTTE COW ITY
BUiLDING DEPARTMENT
APPROVED
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