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031-281-102
\ ` v -----^� ---=�/- - -' /»~��� ���� _ ^ / ' ^ 031-281-102' 00-0537 116 Feather Ave., Oroville Old Bala, South) Feather Ave. 1501 West of Middlehoff' Cont: old Balaz obileho Utilities IQO Thermalito rELECTRIC 67 GAS contractor; Sunbea.m Coast, COMPACTION TEST/KEQ. —7f 6 00 031-28-1-10 00-1080 ' /F S� 0 E OROVILLE 14 ` . � \ , ` ' �.~ mss, I RECORDING REQ.UESTrYD BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2000-003;3 152 Recorded I REC FEE .00 Official Records I CONFORM .00 CoBYYUnty TTE f I CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Maureen 10:17AM 25 -Aug -2000 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DERRALD L. BUIS AND ISHA S. MESSER REAL PROPERTY OWNERILESSOR PO BOX 6023 MAILING ADDRESS OROVILLE, BUTTE, CA 95966-6023 CITY COUNTY STATE ZIP 830 FEATHER AVENUE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also propertyowner, write "SAME") MAILING ADDRESS CITY couhrrY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 0-1080 (530)538-7541 ING RMIT N TELEPHONE NUMBER iGl_— 08/24/00 S19NATURE OF LOCAL AGENCY OFFICIAL DATE IIXECUTIVE HOMES DEALER NAME (if not a dealer sale, write "NONE") 92081 DEALER LICENSE NO. FLEETWOOD 1999 SUNCREST 548-313 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLXI7A/B22201SC12 48'X 25'8" RAD1158039/40 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 031-281-102 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #031-281-102 All that certain real property situate in the County of Butte, State of California, described as follows: Lot II in Block 57, as shown on that certain map entitled, "MAP OF THERMALITO, Butte County, Ca", which map was filed in the office of the Recorder of the County of Butte, State of California, June 8, 1887. NOTES RESIDENTIAL PERMIT NO. 031-28-1-102 00-1080 BUIS, DERROLD & MESSER, ISHA 830 FEATHER AVE., OROVILLE M/H ON PERM FND THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR`MUST RETRIEVE) (2) STATEMENT OF FACTS(ONLY ON NEW MH'S) P[ T. T%R.T_aY&RLAT A•I3R_ ' 60-0537 SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY 1 Address GAS Meter By Date ELECTRIC Meter By &V Date JOB FINALED (Date)» 6 Signature /= OK 8. 0 = Not OK - = Not Applicable, MOBILE HOMES = Not?Ready. Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Ext.; Steps -Doors -Landings 2. Soils; Special MH Support Sketch 12. 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/. /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE H9ME INSTALLATION (Plans) OK except #'s CIC/ ootings; Size -Spacing -Marriage Line 3. Gas; MH est -Demand -Valve -Connector 4. Electr'city; MH Test -Crossovers -Breakers -Clearances rain; Test -Fall -Flex Connector ater; MH Test -Regulator -Connector 0/,Aater gad Sewer Connected -C/O to Grade -HD Approval 4A_,ffa-s and Electricity Tagged tallation`Cert. ts; InspSkefetr- 11. Cert. of Occupancy 12. Permanent Foundation Only: License Decal Date=K Card B-1 W Date Card B-1 Date Card B-1 Date Card B-1 �2-ZJ1,SG1z. C� /J MISCELLANEOUS Datb DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors F; s 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _ Date $ FINAL (Plans) OK except #'s Y� 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ./= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date 46. Underfloor (Plans) OK except #'s Date 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-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped Date 8. Piers -Fireplace Ftg.-Steel Date 9. D.W.V.; Fall -Filling -Test -2 Way C/0 -Sewer Test Date 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 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 63. PLUMBING {Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Kit. Fixt. &Appliance; Ground -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptac es Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & C.J. 77. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 78. 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 80. 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes Q No 81. 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 82. 33. Clothes Closet Light -Shower Light -Spa Light 83. 34. Smoke Detector Date Card B-1 Date Card B-1 Date 46. Card B-1 Date Card B-1 Date 47. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Date 55. Card B-1 Date Card B-1 Date 56. Card B-1 Date Card B-1 Date 57. FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rffr. Ties- Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. &Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing-Landing-Clos.ire 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes 0 No/Walks 0 Yes Z) No/Planters 0 Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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: �;r,yi,_ �w..,3::.tIri..,r..�'� r N �'t.i. �.. '� ' r�..�,...�ii'Y"f:..•�.N,+... �*"�.-�'rii;. 1.. r COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice 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. Date l Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE ER C) U� PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please c000ttact this office immediately. f . -. ;i 0 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES _BUILDING DIVISION NOTICE Post this lob card In a safe, conspicuous place. Do not remove until all required inspections are made and building Is approved for occupancy. Plans must be available on the job. site. A.P. No. _ 03.1-28-.1-1.02 -----E0-0--1080 Owner _ BUIS, DERROLD & MESSER, ISHAN + Contractor 830 FEATHER AVE.; OROVILLE M/H ON PERM FND Permit No. PERMITTEE MUST CALL FOR INSPECTIONS Piers Underground Conduit Pre-Gunite Underfloor Plumbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Rough Electrical Rough Mechanical Framing Shaver Pan IR .......... InWation DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY sse. Info�rtatfon 24 Hr 1sp :::, g Oroville - 7 County Center Drive 538-7541 538-7636 Chico - 411 Main Street 891-2751 891-2834 I Revised 7/94 io6368 THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE: (916) 533-0740 FAX: (916) 533-9243 N2 - 2091 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: 830 Feather Avenue Owner's Name: Derrald Buis Date:April 31 2000— 000Address:P•0. Address:—P.O.Box 6023 Acct. No.: Oroville, CA. 95966 A.P. No.: 31-281-102 Phone: 534-5454 New Unit: 1 Applicant/Agent: Harold Ria Balaz Adding Units: Address: 6900 Lincoln Blvd. Fees: Phone: 533-1190 Permit: $ 30 00 T.I.D.: 600 Preliminary Review By: Date: Ext. Fees: " Remarks:' Connection fee will be thost-app] i abl P at SC -OR: —IDDD— 00 time of connection to the sewer collector system -Lateral: 75 00 Clean out up to grade required at property line. Other: Total Fees: 1705 00 Amount Paid: 1705.00 Collected By: S. Fox Finaled Date: -�? ZDto a Location: Size Line: li 4 Q C. 6, i J Signature. of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File: (R.F.C.) Blue Book: Paid SC -OR: Meter Book: (S/C HG's) Rev. 5/95 %i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION S_ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ff(Rev.12/96) - APPLICATION AND PERMIT �r,/y ASSESSOR PARCEL NUMBER . 031-281-102 ZONING AR BUILDING PERMIT OWNER DERRALD BUTS & TSHA ME SER TELEPHONE 534--5454 SO, FT, OCC. BUILDING VALUATION - .OWNER'S MAILING ADDRESS PQ BOX 6023, OROVITLE 95966 1232 CONTRACTOR'S NAME TELEP:iONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ 245-50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 93 00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex IR Mobilehome ❑- Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EX Other ❑ Describe Work: MH ON PERM FOUND Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 020.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 R LE 800V0Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( g ) and my license is in full force and effect.P License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. CV . I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWEWNG OCCUR OR ADDNS. ( a ACC. UDS. SO 3.5¢FT: NEW co MULTI.OUTLEr NON-R61D. ia7.50 OWER APPARATUS d SINGLE OunET _,R. Ex. OCCU ourLEr OR FDCTUREs BAS @ I.50 Ex. Occup. Oflxus R DOER 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent'to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Policy Number (The above sections need not be completed if the permit is for work of a valuation �of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' co pensation provisions of section 3700 of the Labor Code, I shall f h ith c ly ith those provisions. X_Z46Date n--JL� `' D ig ture of pplicant - ❑ caner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FE HAZ. D. F I OOO CDF CEL pD HD ISSU This permit is hereby issued under of the Butte County Code and/or ave ZA= PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. -7 Z� Date < /ZWHIReceipt 71Z- Dafe No. WHITE-D.D.S.-B.D. TE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,"~ �r��i.i' w�;ci�+.S�������^�"'`'1�.�:+"v�Yi'}j ;��, �•�;.!'{�.( r�(7R ��',..�4 lv ��-'r-%`.�-� .r .'.-•-.:•.•�. COUNTY OF BUTTE - DEPARTMENTO�F,� DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO��tl' CALIFORNIA 95965 - TELEPHONE (530) 538-7541 yam, PERMIT APPLICATION DATA SHEET OWNER: f -C lS �' ' I 1 eSS Gly ASSESSOR PARC ER: w r Proposed Building Use: (� 1 Building Inspector: Date: At time of permit application, I was adv' d the following data must be submitted prior to permit pro essing and/or issuance: Date Received By ❑ 1 items have been submitted -------------------------------------------------------------------------------------- ot � �cJ lot plans, 3/4 sets, signed by the preparer of plans. ---------------- ❑3 • omplete plans, 3/4 seg signed by the preparer of plans. ------= --------------------------------------------- / 1—�� C��ineered plans, V*fels, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ azardous Material Form. ---------------------------------------- ------------------------------------------------- anufactured to d ins afiio/n instructions ' _ _ � • ' 'atiet�.------------------ d eesof $ - -`� -St-� --- -----------=------------------------------------------ S 00 Impact fees as shown on the attached schedule. ------------------- ---------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- - ❑ 17. Planning approval for (A) Use: - (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Iinprovements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- El 20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- E124. ------------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 026. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.--------------------------------------------------------------------------- 2 3 g ions and/or e i ed p g ant Deed, H. Tit heck to H.C.D $ O �� :--------------- 1SZ,,Z'"��' Other: L � =- 'f f ) When you issue .. tp asfollows ❑ Mail to owner'Mail top ntractor. L�1 Telephone and hold for pickup at o • ce. ver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, o Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Depent 4r- Date: By: 1. Index permit application for the above items numbered: Q41an Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, o mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Buil Divisio counter, by a'te Plans reviewed by: `f N(� NjQ Date: Plans approved by: _ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: ,,,,//// Date: Yellow Yellow Copy - Department of Development Services, Building Division. �lJ� i Dr%&2.5 /°.Oy%l P pp COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER &k"5cv PROPOSED BUILDING USE ' ► -4A BUILDING PERMIT FEES Sr " -- Balance Due ................ $ -- Additional Fees Due ......... $ O311-10� A.P. # DATE I to® D RECEIPT # DATE REC 4 '`' / -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES Le1� (paid at District Office) i 3. SHERIFF FEES (paid at Building Division) -7� Residential ........ �- x $360.00= $ .Q v 3C91-70 JP Units Commercial (sq.ft.)... x $0.03 = $ k Sq.Ft. (� 4. URBAN AREA FEES (paid at Buildin Division) Residential (per unit) . x� _ $ cS ��'� -5CD17 #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) . THERMALITO DRAINAGE DISTRICT FEES J $510.00 (paid at Building Division)I %� 4V16 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be change during the plan checking process. APPLICANT DATE Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) ......pp .............................................. G Residential Development \� Sq. Footage No of LivingMob�� dome Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)' Commercial/Industrial Building Department R 0 New Addition s - Sq. Footage (Including Exterior Roofed Areas) 61 Date (Floor Ptanereviewed by School District Personnel) District Identification No. � 10007, �Ki�S ;.�� /�SCh001 DIStfICt certifies that --j J ��L - /�C ) J �l ✓�v� ��� �� l .._ u (Applicant) i (Street Address) (Phone Number) e (City) (State) (Tip Code) 1 /Jl�j irj -'n < iC has complied with the requirements of Resolution No. �l t/�—> by payment of representing square feet. AB 2926 S School District Representative P BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM G`J Gi Date , (One form per Building) % �i Paid by Check # �:.1 / Remarks: i> School District! (j„ « i, �f % l; - Building Department No. A.P. Number ��J �' Jurisdiction: City County Property Owner J i Property Location/Address l Subdivision Lot No. ......pp .............................................. G Residential Development \� Sq. Footage No of LivingMob�� dome Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # '(No foundation inspection)' Commercial/Industrial Building Department R 0 New Addition s - Sq. Footage (Including Exterior Roofed Areas) 61 Date (Floor Ptanereviewed by School District Personnel) District Identification No. � 10007, �Ki�S ;.�� /�SCh001 DIStfICt certifies that --j J ��L - /�C ) J �l ✓�v� ��� �� l .._ u (Applicant) i (Street Address) (Phone Number) e (City) (State) (Tip Code) 1 /Jl�j irj -'n < iC has complied with the requirements of Resolution No. �l t/�—> by payment of representing square feet. AB 2926 S Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you frim challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act 10EQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm School District Representative P Date , % �i Paid by Check # �:.1 / Remarks: i> l *� r s , Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you frim challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act 10EQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm a: .a 92 6 DD BUTTE COUNTY SCHOOLS IMPACfi FEE CERTIFICATION FORM (One form per Building) School District , ( Building Department No. A.P. Number �j� jga --e�ci Jurisdiction: j City County Property Owner Property Location/Address Subdivision Lot No. �• Residential Development No of Living Mobile Home Units Installation Commercial/Industrial New Addition l / I AI /l A IdirYg Department R .................................................................................................................. i Sq. Footagelqq ,a. Addition/ *Supplemental to (Group R) Conversion Permit # '(No foundation inspection); Sq. Footage (Including Exterior Roof d Areas) 49 2�n Date Paid by Check # I Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Diitrict is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm — moor dans reviewed oy school uistrret versonnell 010008 District Identification No. Y� I 1 S`ebool District certifies that (Applicant) 2M I (StreetAddrress) (Phone Number) /w (City) has complied with the requirements of Resolution No. (''State) //� )05-90 5`90 (Zip Code) ` by payment of $ representing �9 square feet. AB 2926 FULL MITIGAT $ •fib 07 ;?,N b0 School District Representative Date Paid by Check # I Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School Diitrict is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm June 30, 2000 Derrold Buis/Ishe Messer P.O. Box 6023 Oroville, CA 95966 Department of Development Services Building Division 7 County Center Drive Oroville, CA 95965 (530) 538-7541 (530) 538-2140 FAX Parcel Number: 031-281-102 Building Permit Number: 00-1080 This office reviewed building plans for the permit application referenced above. The plans examiner's comments are listed in Part I below. Please respond in writing to each comment in Part -I by completing and returning the enclosed PLAN REVIEW RESPONSE FORM. Indicate which detail, specification or calculation shows the requested information. Additional response information is included on the response form. Your complete and clear response will expedite the recheck and approval of this project. If more than one party is responsible for plans, all party's must respond on the PLAN REVIEW RESPONSE FORM. PART -I Provide additional information and/or make revisions to plans, specifications and calculations as follows: /Parcel is in an area of the county known to have highly expansive soil conditions. Provide a soils test giving an index rating for the soil. If rating is 20 or over your engineer must design a foundation for the conditions. li�t, ?Mt Plan check will continue upon receipt of all of the above items. Additional comments may be generated from your response above where the plan documents were incomplete, inconsistent or not adequate to depict code compliance.. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Fridays. PART -II The items identified below must be submitted prior to permit issuance. These items were noted at the time of permit application on the PERMIT APPLICATION DATA SHEET. 1. Complete and return the Butte County School Impact Fee form. 2. Pay sheriffs fees of $0.00 3.. Pay Urban Area fee of $595.00 4. Pay Thermalito Drainage District fees of $510.00 Sincerely, Martha Whitney Plans Examiner N ---1 ' -- - - ----- - ----- - ----- (,E) 5ToN6 1p) �Pjl� a7 W „T,d , Ty M-7) !� HooK-vaa 1?3a viS i t; RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 25 -Aug -2000 2000-0033152 Has not been compared rith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. DERRALD L. BUIS AND ISHA S. MESSER REAL PROPERTY OWNEMESSOR PO BOX 6023 MAILING ADDRESS OROVILLE, BUTTE, CA 95966-6023 CITY COUNTY STATE ZIP 830 FEATHER AVENUE INSTALLATION MAILING ADDRESS, IF DIFFERENT OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write'SAME') MAILING ADDRESS cm MOM STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 0-1080 (530)538-7541 UNG RMICN TELEPHONENUMBER �- 08/24/00 SI ATURE OF LockL AGENCY OFFICIAL DATE ECUTIVE HOMES DEALER NAME (if not a dealer sale, write'NONE') 92081 DEALER LICENSE NO. FLEETWOOD 1999 SUNCREST 548-313 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAFLXI7A/B22201SC12 48'X 25'8" RAD 1158039/40 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 031-281-102 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PMC - Applicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 00-1080 Address or location of unit: 830 FEATHER AVENUE, OROVILLE, CA 95965 Legal Description of Real Property: A.P. #031-281-102 SEE ATTACHED i (x) Mobilehome/Manufactured Home O Commercial Coach ' Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DERRALD L. BUIS & ISHA S. MESSER Owner's address: PO BOX 6023, OROVILLE, CA 95966-6023 INSIGNIA OR HUD NUMBER: RAD1158039/40 SERIAL NUMBER OR V.I.N.: CAFLXI7A/B22201SC12 MANUFACTURER'S NAME: FLEETWOO OFFICIAL APPROVING INSTALLATION. { DATE: 08/24/00 PHONE: (530) 538-7541 H.C.D. 513C ' i i t BUILDING PERMIT NUMBER: 00-1080 Address or location of unit: 830 FEATHER AVENUE, OROVILLE, CA 95965 Legal Description of Real Property: A.P. #031-281-102 SEE ATTACHED i (x) Mobilehome/Manufactured Home O Commercial Coach ' Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: DERRALD L. BUIS & ISHA S. MESSER Owner's address: PO BOX 6023, OROVILLE, CA 95966-6023 INSIGNIA OR HUD NUMBER: RAD1158039/40 SERIAL NUMBER OR V.I.N.: CAFLXI7A/B22201SC12 MANUFACTURER'S NAME: FLEETWOO OFFICIAL APPROVING INSTALLATION. { DATE: 08/24/00 PHONE: (530) 538-7541 H.C.D. 513C ' i LEGAL DESCRIPTION A.P. #031-281-102 All that certain real property situate in the County of Butte, State of California, described as follows: Lot II in Block 57, as shown on that certain map entitled, "MAP OF TIIERMALITO, Butte County, Ca", which map was filed in the office of the Recorder of the County of Butte, State of California, June 8, 1887. WHEN RECORDED, MAIL TO: DERRALD L. BUIS ISHA S. MESSER 830 FEATHER AVE. P.O. BOX 6023 OROVILLE, CA 95966 APN: DOCJJ,MENTARY TRANSFER TAX S 7-9. Computed on the consideration or value of property conveyed; OR _ Computed on the consideration or value less liens or encumbrances remaining at time of sale. COGY of Document Recorded 06 -Apr -2000 2000-0012344 Has not been compared with original BUTTE COUNTY RECORDER Signature of Declaring or Agent determining tax - Firm Name APN: —100_ GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BENNY M. SMALL of 2610 Ithica Street, Oroville, California 95966 hereby GRANT(S) to: DERRALD L. BUIS and ISHA S. MESSER of 830 FEATHER AVE., P.O. BOX 6023, OROVILLE, CA 95966 the real property in the unincorporated area of the County of Butte, State of California, described as: Description: Lot II in Block 57, as shown on that certain map entitled, "MAP OF THERMALITO, Butte County Ca.", which map was filed in the office of the Recorder of the County of Butte, State of California, June 8, 1887. State of California } County of Butte }ss. On 3 _2'I - CC'' before me, V� Mt t..f_ `c:��' , personally SHARIN L. MILLER appeared i S t IO-MY Comm. 91198919 ,�nn personally known to me or roved to me On the basis NOTAAY PUBIIC•CAlIFOANIAp y p Butte County of satisfactory evidence) to be the person(s) whose name(s) . Comm. (10193 Oct. 18 2002 '' is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my'hand and official seal Signature (1��-tom `� . \�ri,� ti.�3 MAIL TAX STATEMENTS TO: DERRALD L. BUIS and ISHA S. MESSER P.O. BOX 6023 OROVILLE, CA 95966 STATE OF CALIFORNIA N'0s BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING PROGRAM'^ STATEMENT OF FACTS This unit is a: [Zf Mobilehome E] Commercial Coach EJ Floating Home El Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) M I/We, the undersigned, hereby state: "The unit is being placed on a foundation system in accordance with Section 18851 of the Health and Safety Code" I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed (City) O'k- (State) 5oyQ. JW n . C� City t. State HCD 476.6 (REV 9/9]) c �� ` NOTES RESIDENTIAL PERMIT NO._ _ 031-281-102 "` 00-0537 BUIS;'Darrald Feather Ave., Oroville Cont: Harold Balaz Mobilehome Utilities SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature v�v ✓ = OK 1. 0 = NotOK Date - = NotApplicabler M^K2 ILE HOMES = Not Ready _ Date MOBI OME UTILITIES (Plans) OK except #'s 1. Z o n i equire, ments-Setbacks- Ease ments 6. oils; tial MH Support Sketch Footings; Size -Spacing -Marriage Line ewer; Location -Test -Fall -C/O -Concrete 3. er; Loeation-Test-Easement Needed (Sketch) la Gas; Location-Test-Wrap;A /" L'ft. / P Nat. or / /"L-tt.7fJ /'LPG Clearance Date 1. Card B-1 Date Card B-1 Date Footings; Soils -Size -Depth -Spacing -Connectors -Steel Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg.-Frg-Bracing 1. Zoning Requirements -Setbacks -Easements 6. 2. Footings; Size -Spacing -Marriage Line Electric 3. Gas; MH Test -Demand -Valve -Connector 9. 4. Electricity; MH Test -Crossovers -Breakers -Clearances Roof; Shthg-Roofing 5. Drain; MH Test -Fall -Flex Connector 12. 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 i MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance-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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 /= OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (: Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning-Setbacks-Easements-Flood-Slope Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Fig., Porches & Decks; Soils-Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel-Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers-Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall-Fitting-Test-2 Way C/O-Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test-Anchors-Regulator-Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance-Material-Support-Ins. Brace Interior/Exterior Wall Panels 14. Girders-Sills-Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date ` ' Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent-Access-Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor-Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor-Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor-Tub Access G.F.I. & Bath Fixtures & Tub Access-Soa 21. Test Tub & Shower, Second Floor-Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance-Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing-Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Meeh Fasteners-Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle ! / ga Cu or Al-Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes 0 No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service-Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive 0 Yes L) NoMalks J Yes Q No/Planters O Yes 0 No 33. Clothes Closet Light-Shower Light-Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exiaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors 41. Walls Studs-Nailing Spacing & Braces-Plates-Sound 42. Bearing Wal's over Girders & Floor Nailing 43. Draft Stop it Walls (rat proof) 44. Fire Stops, Furred Ceilings-Stairs-Chasers-Tubs 45. Headers & Beams-Size & Bearing Ungle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access-Soa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor -Mach. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 60. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive 0 Yes L) NoMalks J Yes Q No/Planters O Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Giade-HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. �(Rev.12/96) APPLICATION AND PERMIT 00_r 0,q-03 r7 ASSESSOR PARCEL NUMBERZONINO n BUILDING PERMIT OWNER TELEPHONE!` SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTORS NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTIONIEND LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fllln Fee $ jXQ�O Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDINGADDRESS GROVILLE FEATHER AVE., Energy Plan Checking Fee $ $ PERMIT FEE $ 23.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )ff Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe Work: Gas i in stem t - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home P IWEVE920.00 PERMIT FEE $ C90. 00 ELECTRICAL PERMIT Fling Fee 20.00 600VOR UES Main Service zoOA OR LESS 23.00 23.0 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full Qrce and effect. License Class ^� Lic. No. L/ �Q �/� Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. OWEwNG OCCUP. OR ADDNS. ( a ACC. Bins. sa 3.5¢FT; RIESID.. MULTI.OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 00 BAS @':w Ex. Occup. OFlxLInE°s AEslo) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE6 3 DU— $ ' WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �tify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �r X _ �d% �`�] Dates % -COC) Signature of Applicant - ❑ Owner C ntractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ , Energy Inspection Fee $ occ CONST. TYPE TOTA FE"/—,6/00 HAZ. D. FEES I FLOG -_ CD P . L HD u This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Dat 1 0 are Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,cam 'r f «u.,�..�.R" � �v''ax'F�?!"�3'�.N'I�fr'f.�1:�4.�rCi��"7�A,+�...i'a'�'Xti.•nlv•'�+a�.^.rti..., ..� . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • `a 7 COUNTY CENTER,D)3LE - OROVILIEE, CALIFORNIA 95965 -TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET V OWNER:,/ill ! j ASSESSOR PARCEL ER: a3 �D - Z--. Proposed t3ui�g Use: A-1 ku Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: I Date Received By ❑ 1- ms have been submitted.------------------------------------------------------------------------------------- lot plans, 3/4 sets, signed by the preparer of plans. -------------------------------------------- I ---------------- ❑3. Complete plans, 3/4 sets,' signed by the preparer of plans. ------------------------=---------------------- -w- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be §hown on'plans.` : ' ...... ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ,.r ❑ 6. Energy Desi r liance and supporting documentation. ----------------------------------------------------- ❑ 7. Statement of 6Ion-Heated and A/C Buildings. -------- ------------------------------------------------ ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El 10. Fees of $` - ------------------------------------------------------------------------------------- 1111. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- Mood elevation certificate. ---------------------------------------------------------------------------------------- anitation and plot plan approval epartment.------------------------------------------ — 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 7 lanning approval for (A) Use: (B) Parking: -------------------------- 8�. ©fact Land Development about Improvements, ❑ Drainage, Legal Parcel. ------------------------- d`l y. Encroachment Permit for driveway (construction approval prior to occupancy). ��-1-`------------ ���7 ^� ❑20. Pre -inspection for required. Request to Building Inspecth on (Date) �,-- ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------ --------- E122. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 24. of signature authorization. -------------------------------------------------------------------------------- rded copy of Agricultural Acknowledgment Statement. ------------------------------------------------- 6. Letter of intent on building use.---------------------------------------------------------------------------------� - 027. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑ 28. Existing violations and/or expired permits. ------?--------------------------------------------------------------- . 029. 0433 A, ❑Grant Deed, ElM.H. Title, ❑ Check to H.C.D $ .--------------- / E130. Other: _---- ___ When you issuethe 'errmit, ro as follows El Mail to owner, ❑Maiailloconttractor. , ETelephone u ��17� and hold for pickup at C7M- office. ❑ Deliver with inspe" ctor? Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Departmen4-,1p.Other:�� n /7 Date: Date: 1. Index permit application for the above items numbered: Plan Check List 2. Additional items required: - IV Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the abover data by ii phone, ❑snail, ❑Building D' ision counter, by Date`; )) Plans reviewed by: � Date: - LO Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 410 GRAND AVE. OROVILLE, CALIFORNIA 95965 PHONE 533-0740 -74an� You! N? 25195 TRANSIT I - AMOUNT H E C K S 410 GRAND AVE. OROVILLE, CALIFORNIA 95965 PHONE 533-0740 -74an� You! N? 25195 anhhwii- THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE NO OROVILLE, CALIFORNIA 95965 1� TELEPHONE: (916) 533-0740^ FAX: (916) 533-9243 SEWER SERVICE APPLICATION AND CONNECTION PERMIT [Service Address: 830 Feather Avenue Owners Name: Derrald Buis Date: April 000 Address: P.O. Box 6023 Acct. No.: 90. Oriv*ile, CA. 95966 A.P. No.: 31-281-102 Phone: 534-5454. 1 New Unit: l Applicant/Agent: Harold Bin Balaa Adding Units: Address: Fees: A. , Phone: '�. Permit: $ 30 60 T I.D.: 600 00 Preliminary Review By: Date: Ext. Fees: Remarks:' Connection fees.will he those applicable at ts.QN1OR: 1000 00 time of connection to the sewer collector SYste+ •Lateral: 75 00 Clean out up to grade required at property line. Other: + Total Fees: 1705 00 Amount P "+`: Collected By: Finaled By: Date: �+ ' •' .' .•,rf Location: _ ' °7 - r � '�,.:�'�`�, F�f Y.i� .. a • Size Line: ` Signature of Owner/Agent: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON COMPLETION Date Billed: Computer: Paid SC -OR: A.P. File- Blue Book: Meter Book: Paid SC -OR: (S/C HG's) Rev. 5/85 �l6/ CCV ❑ APPROVED CONDITIONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit #: C50- `� % Date: -24- Genera/Information p Owners Name: bi\r--XQ L� c?, U i s Parcel Acreage: Owners Address: Building Site Address: 7--)-1 A-V _ Properiylnformation :permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial J; Mobile Home ❑ SFD ❑ Residential Accessory ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel ❑ Septic ❑ Well ❑ Other Zone District: JAI — R Date of Zoning Ordinance: General Plan: Development Agreement: Use Permit: Variance: Parcel Is In: Land Conservation Agreement A No ❑ Yes, check use Minimum Acreage: _ Nitrate Action Plan in No ❑ Yes Violation Area No ❑ Yes Specific Plan �N0 ❑Yes ❑Chico ❑ D2N Enterprise Zone faNo ❑ Yes, check use Floodplain &No ❑ Yes Zone: No ❑ Yes Watershed Protection Zone Proposed Use Complies With: General Plan Zoning Proposed Use Re°uires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit Commercial/Industrial/Multi-Family Uses: Parking: ❑ Parking'Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes Applicable Setbacks: ❑ Cohasset Panel Number: O O C— ❑ Accessory Building Use Zoning Code Street & Highways Fre Prevention 7 Subdivision Ma Front 's 0 VL Side Side street Rear Hei°ht --i' Dnvironmental Health issues - Septic Permit Review: Well Permit Review: Land Development Review: larcel Created by: ❑ Deeds Permit C/earafiCe Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed Reference: Legal Access Required: ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: Map Date of Recording: Lot: /0 Block: S% Book: Page: 40'r -6 sv/1Orvi t a A/ vtrc� sp� q��,rclj� • :onditions That Must be Met Prior to Issuance of Permit., ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Creation Deed ❑ Comply with condition no. of conditions of approval for the ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Other F-�%UTV AIO .LN]IN013A30 dNVI 3J1118 J0 UN1100 OOOZ 6 Z M C13AI303H ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. •' I C \ N.r -f - A -i AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 06 -Apr -2000 2000-0012345 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established 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: Date L State of California County of -5tel C.t � q C� J PROPERTY OWNERS: On 41'�-/ D O before me, 5 IA Ipt 1,1�- k) L. C-4 1 L L personally appeared J).-_r_de A L% L . -t,�", n 2_,-, el SSS P Personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that be/slWthey executed the same in ies/!t<r/their authorized capacity(ies), and that by lis/llrr/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal Signature�� `� , �/`(�gS2,,�, Seal: ��' SHARIN L. MILLER N Comm. # 1198919 r�pp NOTARY PUBLIC • CALIFORNIA YI Butte County A.P.4 0 31 — c76 I — 10.!) MY Comm. Expires Oct. 18, 2002 "; Lot II in Block 57, as shown on that certain map entitled, "Map Of Thermalito, Butte County Ca.", which map was filed in the office of the Recorder of the County of Butte, State of California, june 8, 1887. ff 4 8UrTE- COU N I i RUM DING - DEPART MEN" A P p R 0 V F q 1.66 ot)-*o 53 7 -?,W HCC--- m A. P. # OWNER_ PERMIT # DD ..�) ,�3 MH UTIL. CLEARANCE AT INSPECTOR ELECTRIC GAS SUPPORT STRUCTURE COMPACTION TEST REQ. SERVICE OTHER PIPE SIZE LOAD TYPE SIZE LENGTH YES NO YES NO 2uu,�o a,414 d4� c�� ;.w t Raz --