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HomeMy WebLinkAbout040-170-1464 1 , = 17 AP /!�` �40-17—x& 4 j'Y Robert Hansen 40 Kenneth R. Hansen is• N/S pri.rd.,app,g00'E.of Cummings Rd,, ` - "- 800'N,61,Durham Oro Hwy; Durlia '"" (USE PERMIT to allow segreation of Permit �k 2-77p,E(util. MH) q homesite in A-5 zone on a/side Cummings ELEC,� $ Rd., 750' N. of Durham-Oroville'Hwy., GAS � '/�77 Durham - 4/16/81) 4 SUPPORT STRUCTURE -REQ. i COMPACTION TEST REQ, 40-17-_�Z`L" yt -: E contr: Lon's Mobile Home Serv,No. ,° 44, Highlands h Permit #1279=77MHI }�'G� YIA1177 , 40-17�9�' L� Kenneth/Hansen j App.689'E.of-Cummings Rd., 0 of rtcontr.!--N-o-rthstate DurhamOro Hwy Aluminum, Chico, !Hermit #5173-78B(fr�ees'tanding carport &- patio awniig/MH) ./ Vl i H: Y, i- r 4 1 , = 17 AP /!�` �40-17—x& 4 j'Y Robert Hansen 40 Kenneth R. Hansen is• N/S pri.rd.,app,g00'E.of Cummings Rd,, ` - "- 800'N,61,Durham Oro Hwy; Durlia '"" (USE PERMIT to allow segreation of Permit �k 2-77p,E(util. MH) q homesite in A-5 zone on a/side Cummings ELEC,� $ Rd., 750' N. of Durham-Oroville'Hwy., GAS � '/�77 Durham - 4/16/81) 4 SUPPORT STRUCTURE -REQ. i COMPACTION TEST REQ, 40-17-_�Z`L" yt -: E contr: Lon's Mobile Home Serv,No. ,° 44, Highlands h Permit #1279=77MHI }�'G� YIA1177 , 40-17�9�' L� Kenneth/Hansen j App.689'E.of-Cummings Rd., 0 of rtcontr.!--N-o-rthstate DurhamOro Hwy Aluminum, Chico, !Hermit #5173-78B(fr�ees'tanding carport &- patio awniig/MH) ./ Vl i H: el PERMIT NO. 5173-78B low PERMIT EXPIRES 'TOWNER Kenneth Hansen tONTR. Northstate Aluminum, Chico ,LOCATION (A.P. 40-17-30 App. 689'E.of Cummings. Rd., app'. 800'N cf Durham -Oro Hwy s d, A i, h Temp., Power Pole Called PG&E Temp. Elec. Serv. Cal ed PG&E Tem .Gas Serv. Called PG&E JOB FINALED (Date) ig ture) A Ai �� V [ , L V OLUCAM I COUNTY OF BUTTE — DEPARTMEJ4T OF, PUBLIC WORKS BUILDING INSPECTION RECORD sud anels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg., Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing ,Z. Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. �/ �� structure Appliances Gas Piping & est Temv. Gas Slab Final Sanitation Patio :FIREPLACE Final Footings Footing EL CTRICAL MasonryWalls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIlhI= SPRINKLERS Mntnm OLUCAM I r-inai I sud anels Mesh'MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ............. • .... Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION- - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 0 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE '-- G!L--PARTMENT OAF PUBLIC WORKS 7 County Center Drive - 00roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Bite to enter upon the abov`may/' mentioned property for inspection purposes. ��- X e $i 011ure of Per ee or Agent Receipt No. ®Il 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 OLE PUBLIC WORKS By_ Date i—f i ding permit expires Date ����7 BUILDING 71 1 Owner SQ. FT. OCC. PUILDING VALUATION Mai I i ng::Qddre`,ss J� Tele h e Contractor - Mailing Address Qo2 � A- Fireplace Valuation Te.�p�one No.Total p Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee -Uc PLUMBING No. @ FEE 0001 PERMIT FILING FEE $3.00 Each Traci 1.50 Repair drainage or vent piping 1.50 A. P. No. / —3o Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F 1 S t on FireDept. FI re Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking ParcelEach Plans Declaration I Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 � Bldg. P 4- ns Recd Parcel Approval anT's Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑� Others ❑ Main service EA. ADD'L 100 AMP 2.50 �( Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGS.CCUP. !) 20sgft 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: _ NEW CONSTR BRANCH CIR T NEW CO I CONST ( BRANCH CIRCUITS) 2.50ea NEW CONSTR /POWER APPARATUS&J NON.RESID. \SINGLE OUTLET CIR. Ex. OCCUD(OUTLETs OR FIXT11RES B �,@j FIXED APLNS Ex. Occup. (OUTLETSP(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 4P-774-6 01r Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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 Wo en'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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 1 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 Land Development Fee $ TOTAL PERMIT FEE $ 4- p authorize representatives of the County of Bite to enter upon the abov`may/' mentioned property for inspection purposes. ��- X e $i 011ure of Per ee or Agent Receipt No. ®Il 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 OLE PUBLIC WORKS By_ Date i—f i ding permit expires Date ����7 BANKOFAMERICA VI=ST.SACRAMENTO OFFICE April 18, 1977 County Department of Public Works #7 County Center Drive Oroville,.California 9.59.65 Re: Escrow #86-822 Hansen, Robert K. Dear Mrs. Denney: I am writing this letter per our phone conversation.of April 15, 1977. Enclosed you will find a copy of installati.on.permit No. 40-17-30 which covers the inspectors-signature and date- atework workfinalized. However, we would like a copy of the.Certif.icate of Occupancy to complete our files which you made mention. was available.apon request. Therefore, please find a Cashiers Check in the amount of one dollar andtwenty fire cents ($1.25) to. cover cost of same. A self addressed. envelope is enclosed for your convenience in forwarding the.document. Thanking you. Sincerely, Luella Hershberger (Mrs.) Escrow Processor LH: 4/20./77 . Dear Mrs. Hershberger:. Re above, I am returning the cashiers-check to you and the.copy.of the job card showing our inspector finaled the installation; however, you will note the inspector also made a notation thereon that a wa'ter.clear- ance is required from the Butte County.Health Department, 695-Oleander Ave., Chico, to final the permit and we must have this clearance before t sQ the chargefora copy of n tfie issue a Certificate of Occupancy� certificate, when it is-issued, is U0. r yrs .)Dd�l ene_4'+ BUTTE,COUNTY BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION • 817 JEFFERSON BOULEVARD • WEST SACRAMENTO, CALIF NIA 95691 -7A 428- 7._.OR ERMIT N0. PERMIT EXPIRES OWNER Robert Hansen, `CONTR. owner_ LOCATION (A.P. 40-17-30 N/S pri.rd.,800'E..of Cummings Rd., 800'N.of Durham Oro Hwy, Durham 'A1 i it ✓ $; i ' a 1 Temp. Power Pole _ Called PG&E Lemli EIec. Serv. _ Z3 "7 7 Called PG&E Waam"as Serv. s',L� 7 Called PG&E FINALED (Da e) i ature) -E. ., !.' � � �� � v � � � %� � 1 � r �� � , ��, � .� 1 � 4 l� ; � K � � •� � � 1 1' � t i t '� '�+ , .. x "'� � � � � f ., i 1 i� ,,� r � J� �, � .. \� � f , �. • � � � . .� .. �, ~ - ._ r , � . ., . �. _ _ .. _� _ � - � COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS` BUILDING INSPECTION RECORD DATE --REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) '•iOE31i,'EHO rt' UISTALLATION INSPECTION CHECK DIST No with required separation from lot lines and buildings and generally requiredtclearances above grouna? (Sec,.5085),Yes�o_ --771S properly; sized, spaced, and braced as per a ed plans? (Note in- shackles.) ' (Sec. 5082'& 5083) Ycs ' _ o ' ('Sec. 5088) Yes fi No t, are crossover connections properly installed?.,(Sec..5088) of adequate size and prope'rly'installed (1/2"' ID min.)? (Sec. `5566) {" ng withstand working pressure, or ,50 lbs, air test?, Yeshl/ No 1-111W7 7 not StaVN0_,I California approved, does station have backflow device l lve? Ye , /f fi Schedule 40',.DWV and have flex connectors at each end? Yesl--" No ' per foot slope and is it properly supported? Yes i% No in.drainage system after running 3-gallons of water through each Lng machine standpipe? Yes IPINo ; f Californiaapproved, does station have required trap and,,.verit? 8. Ga's Piping and Gas Vents A. Connector - Is-mobilehome connected to the gas si,pply.iaith an approved 3/4" minimum mobilehome connector not more than 6-ft'.•.,long? Note: All piping is to be at least as, large as the mob_ile ome gas line inlet-without reductions other than the"mobilehome r, connector. Yes No B. Test OK-as per following procedure? Yes, No " 1: -Open all' appliance conne'c+torrvalves".�_ r. - ... 2. Shut off appliance burner and•plot�valves. 3.. Air test with manometer to 10"-14" water column, or test.with slope gauge ,(minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop: ' 4,• Cop._nect: gas meter to mobilehome witli connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes. No 9. .. v �/r Electrical. A. Is service large enough to provide adequ:lte amperage to mobilehome (must equal ratI ng of mobilehome ciith a ::;inivum of .100 amp) and other facilities on lot, i.e. , water pumps, garage, cabana, etc.? Ys _j/ No_ I l;. Is them proper clearances around panels? Yes_Z No C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? YesiNo 1. De -energize electrical wiring syste:a of the mobilehome at the pedestal. ! 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. I 4. Connect one le.. -id of a test instrument to the mobilehome grounding conductor and' _,...... _ pP y ' apply Llie OiuC ii:ad to eauu ❑obilCLWlllt Sii 1" CuIIuuCtO'i, illi iiulltg Yle,lLrai. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, .alter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. i 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity to<;t shall then be made between the grounding electrode and the chassis of the rlobilehome. UDOlt sat-i_sfactory completion of the electrical tests, the lot or site service equipment may be approved.for energizing. 1,, 'ob card si-ned b Health Department for water and sanitation? // /�� J y �� 1.1.. If everything okay, sign off card and ta; services. 11 'MOBILEMtIL•' DATA Manufacturer and/car Namestyle Length �Width aZ- (` Vehicle Serial No. State Identification No. r.dii Ltional Infoz-mation or Comments: 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 requirements of the California Administrative Code, Title 25, Chapter 5, under permit numbed f���i�= 77 for the following location: Owner ALL. Owner's Address - s �- j' Mobilehome Mfg �i� --� Model Year .y Insignia Serial No It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date `� �—/ y -2 2 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED -� COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS f,• _ 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autho ' epresentatives of the County of Butte to enter upon the abo a-=Permi ection purposes. Date �� oft It Receipt No. 1(4 C) y/ 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 0 PUBLIC WORKS ey Date 3 —71-77 ilding permit expires Date' 3--2 1 _ 7 BUILDING Owner F ` OQ- SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor '� Total Valuation Mailing Address (/12 12 1201, Permit Fee Plan Checking Fee &/or Penalty 5- Telephone No. -Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 & 10 ig./2 $0 ©F Each Trap 1.50 P_n�� LL /Yr► h K. �7 Repair drainage or vent piping 1.50 Water piping 1.50 d(le" AU W U X linry, Each gas water heater or vent 1.50 A. P. No. o- �% -�o� Zoning a Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F // W -C. I gentTaTiTon TFireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I ParcelLawn Declaration I Parcel Map 60' R/W Improvements sprinkler system 2.00 Bldg. U .ns Rec'd Porce pprovol PIons pprovol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �►-7 �/ Main service 1000 AMP ORV OR SLESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Main service OVER s 25,00 100 AMP O OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONS. OR ADDNST ( DACCLB DGWELING OCCUP. &) 22sgft NEWCONSTR. MULTI -OUTLET NON .RESID. % BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. 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: Ex.. Occup(OUTLETS OR FIXTURES)50 @2` BAL@101 Ex. Occup. (OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.91 L q -y Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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.$ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 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 �%�i !� So -- TOTAL PERMIT FEE $ 3C1 autho ' epresentatives of the County of Butte to enter upon the abo a-=Permi ection purposes. Date �� oft It Receipt No. 1(4 C) y/ 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 0 PUBLIC WORKS ey Date 3 —71-77 ilding permit expires Date' 3--2 1 _ 7 MOBILEHOME SUPPORT DATA Mobilehome Mfr. -5/ Setup Model No, r Year Width (ft.) Length _S (� (ft.) - Expando' Size ft.x ft. (Draw 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). S I Center Center Support Support Footing Sizes Locations (in.) �in.) AT4 (in.) (1n•) a: I - 0J *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) 7-1 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify: Supports (check one)- / 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify - ' Typical Support 6Y-x2g/J Footing Size z MSpacingr (ft.}-011ri.) Max. J Overhang (f t-OT.in._) ,sv',E GAUNT �tJ1LDIN�' DE?ARTMEN`T AP P R®\/ED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: /�f ®61412fl- M 3. Is the site currently under permit? Yesj� No ( If yes, furnish permit number ��� — % 't% ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 75;Z No ( If no, clarify_��` 5. What is the mobilehome electrical rating? --------- - i ---------- s 6. What is the mobilehome site service rating? h��U 7. What is the mobilehome site circuit breaker rating? ------------- e�� rs 8. Is there any other electric load to be served by the mobi site service? --------------------------------------------------- Yes (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- /� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG L 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.) '%,V COUNTY OF P,-UTTL* DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ��P- 7 7 A41 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ` 3/-77 Signature of Permi/tee or Agent i Receipt No. 1 6 /0 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 VF'PUBLIC WORKS By Date ui lding permit expires Date BUILDING f Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 9,1912,8P—#! ��0 ! 5_� Telep ne N// Fireplace Contractor 0 ta-4' Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty •Te, Telephone No. Permit Fee $ Building Address nUi4'uo PLUMBING No. @ FEE PERMIT FILING FEE $3.00 f� i O F P"kr,� O Each Trap 1.50 OF 1, -qAM OPE 0 Repair drainage or vent piping 1,50 Water piping ®-- _ A 144M �oninq eri#icafion Ort Each gas water heater or vent 1.50 A. P. No. yQ r- % 3 Q Gas piping system 1 - 5 outlets5ff f d Each additional outlet .30 F tl%JL S n F' eDept. Fire Zone Use Permit Building sewer Qr EQA Parking Plans Parcel Declaration rel p 60' R/W Improvements provements Lawn sprinkler system 2.00 BI P ec'd ;014?orcel Approval Plan proval Permit Fee $ 3-3— $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 �tSi Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVERAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 /� 500 S . FT. MINIMUMOR NEW CONST. DWELLING OCCUP. & ADDNS. ACC. BLDGS. 2�Syft NEW CON T NON•RESIO R. ( BRANCH CIRCUITS) 2.50ea ��//'�► p [�' EOR MOBILES NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR• 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: Ex. Occup(OUTLETS OR FIXTURES) 50@25 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 :::::] I I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ �S 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. 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 $ $ 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 no TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ` 3/-77 Signature of Permi/tee or Agent i Receipt No. 1 6 /0 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 VF'PUBLIC WORKS By Date ui lding permit expires Date Co LAND OF NATURAL W EA.LTH AND BEAUTY. max_ PLANNING COMMISSION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 PHONE: 534-4601 April 16 , 1981 CERTIFIED - RETURN RECEIPT Kenneth R. Hansen 1935 Warnock Way Durham,. CA '95938 Re: Use Permit AP 40-17-141 & 142 Dear Mr. Hansen: , Enclosed. is your validated Use Permit No. 81-18 to allow the so regation of a homesite on zoning "A-5" (Agricultural - 5 acre parcels) located on the east side of. Cummings Road, 750 f^et north. of the: Durham Or-oville Hight%ray, 'Durham area.. If you should have any questions.concernin.g this matter, please feel free. to contact this office. Sind erely, Bettye` lair. Director of Plarrir:,g BB:jc Enc. cc: Butte County Health.Dept. Dept. of. Public Works (2) Fire Department l - Page 1 of 2 USE PERMIT BUTTE COUNTY PLANNING COMMISSION DATE (Registered mail receipt) • F3'1-18 • PERMIT NO. ouN 40.-17-141 & 142 ASSESSOR'S PARCEL NO. Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: Kenneth R. Hansen is hereby granted a Use Permit NAME in accordance with application filed: Dec. 23, 1980 to allow the seareaation of -a homesite . on zoning (date) located on the E side of Cumminas Rd.. 750' N of the Durham Oroville Hwv.. Durham area. 1• -Failure.to comply with the conditions specifies herein as the basis for approval of appli- cation and issuance of Permit, constitutes cause for, the revocation of said permit in accor- rJ dance with the procedures set forth in the Butte County Zoning Enabling Ordinance. 2: Unless otherwise provided for in a condition to a use permit, all conditions must be com- pleted by the permittee within. 12 months of the delivery of the countersigned permit to the permittee. .ti 3. If any use for which a use permit has been granted is not established within one year of the date of receipt of the countersigned permit by the permittee, the permit shall become null and void and reapplication shall be required to establish the use. SPECIAL CONDITIONS: 1. The parcels shall be created pursuant to the Requirements of the State Subdivision Map Act & Chapter 20 of the Butte County Code.' r 2. Any development is to meet Environmental Health Requirements. 3. Prior to the division being effective, the owner or owners of the property included in the approved development plan shall execute and cause to be recorded in the office of the Recorder of Butte Coubty a restriotion binding upon the original owners and their heirs, successors and assigns, which disallows additional dwellings from being located on -'-I hereby declare under penalty of perjury that I have read the foregoing conditions,- that onditions,that they are,�n fact the conditions which were imposed upon the granting of this use permit, and that I�agrito abide fully by said conditions. Dated: NOTE: Issuance of .this va and Health Departmer any other requ-ir" enti CC: Health Department Department of Public Works (2) .Fire Department Applicant ince'cloes not waive requirement of obtaining Building permits before starting con truction, nor does it waive Chairman of Planning Commission BUTTE COUNTY PLANNING COMMISSION A Ait age 2 �of '2 USE PERMIT DATE (Registered mail receipt) 81••18 PERMIT NO. 40-17»141 & 142 ASSESSOR'S PARCEL NO. Pursuanttothe provisions of the Zoning Ordinance of the County of Butte and the special conditions set forth below: . Kenneth R. Hansen is hereby granted a Use Permit NAME in accordance with application filed: Dec. 23, 1980 to allow the seCre¢atiOn of a homesite'on zoning "A-5" (date located on the E side of Cummings Rd. , 750' N of the Durhm Orovi-ll -R�m. . Darham area. 1• Failure to comply with the conditions specifies herein as�the basis for approval of appli- cation and issuance of Permit, constitutes cause for the revocation of said permit in accor- dance with the procedures set forth in the Butte County Zoning! Enabling Ordinance. r c2. Unless otherwise provided for in a condition toga use permit, all conditions must be com- pleted by the permittee within 12 months of the delivery of the countersigned permit to the permittee. L 3. If any use for which •a use permit has been grantea�is not established within one year of the date of receipt of the countersigned permit by the permittee, the 'Permit shall become null and void and reapplication shall be required to establish the use. ! SPECIAL CONDITIONS: the property until either of the follavriztg occurs: a. _The property is rezoned to any otherjzone; or b.) At :least ten (10) years has'elapsed From the date of recordation and'the.Plenning Commission finds circum- stances regarding said property and tither properties in the area have changed sufficiently to reconsider the restriction. _ ' I 4. The applicant must .also comply with all other applicable State and local statutes, ordinanoes, ands regulations. I hereby declare under penalty of perjury that I have read the foregoing conditions, that they are in fact the conditions which were imposed upon the granting of this use permit, and that I agree to abide fully by said conditions. S ' Dated: Applicant NOTE: Issuance of this variance does,not waive requirement of obtaining Building and Health Department permits before starting construction, nor does it waive any other requirements. CC: Health Department Department of Public Works (2) Fire Department Chairman of Planning Commission F