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041-590-003
CONV AG BLDG TO SINGLE FA 41-59-3 150-89 8/5/93 y MIL RD, John: 0 NIL44't j 1J R 0 Ap- f e,' 2660 Cherokee Road, Orovil•le' � " -/3 (Ag Bldg)1 �: �, • i. j �' . { j 041-590-003Y PERMIT#95-2214 MILLARD, JOhnt & Lauri lQ7! 2660 Cheroke_d Rd., Orovil_le Cont; _D & D Mobile 3� on Perm Fnd I 03 coli -59 0-111, I i r M j ../............- ' 03 coli -59 0-111, C"l 4 RESIDENTIAL -s_ 041-590-003 PERMIT#95-2214 , MILLARD, John & Lauri 2660 Ch erokee Rd., Oroville Cont; D & D Mobile MH on Perm Fnd a A OFFICE COPY Address GAS Dat v 3�5' Meter By �/ ELECTRIC Date /Lyr,--� �7 Meter By 38 JOB FINALED (Date Signature J J=OK 0 = Not, Q , !j Not Reyable adMOBILE HOMES Date ' .•a' MOBI OME UTILITIES (Plans) OK except #'s ' 62g Requirements -Setbacks -Easements er; Location -Test -Fall -C/O Concrete Location -Test -Easement Needed_ (Sketch) Elec icity; Location-Clearences-Grn /Amp -Concrete Gas; LocatioTest-Te / /" L" (t. / /"Nat. o_A!ft Wap ©V41i Clearanc Disconnec 8. Utility Clearance !Date pzr *-C-ard B- Date Card B-1 Date �- .Card " Date Card B-1 Date t•MOBI HOME INSTALLATION (Plans) OK except #'s Requirements -Setbacks Easements a1 . Fo 6s: Size -Spacing -Marriage Line MH Test-Demand-Valve—Connector 'tf EI•ricity; MH Test -Crossovers -Breakers -Clearances D*rlr MH Test -Fall -Flex Connector Wat ; MH Test -Regulator -Connector ater and Sewer Connected -C/O to Grade -HD Approval + 8. Gas and Electricity Tagged. "^ 9. Exits; Insp.-Sketch 10. Cert. of Occupancy ,i Dat Q Q Catd 1311- 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; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' =, f Date UNDERFLOOR (Plans) OK except ti's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------- ----------------------------- 17. Water Pipe: Test & Anchor -Nail Protection --------------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection -------- ------------- - ----------------- -------19.-Shower Pan: Test, First Floor -Tub Access --- - -- - 20. Test -Tub & Shower, Second Floor -Tub Access ----------- - ------------------- 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 -------------------- --------------------------------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----------- --------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled =--------- - ----- ------------ ----------------------- - 25 Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water --- -- ----------------------------- -------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------- ------------------------- 28. Subfeed Wire Size / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No -------------------------------------------------------------------------- 30. ------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect ------------- ---------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light -------- ----------------------- ---- -- -- -- --- -- 33. Smoke Detector ----- ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ----------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except 4's 34. A.C. Ducts Insulation & Support -------------------------------------------------------- 35. Vent Fan Exhaust above insulation ------------ ----------------------------------------------------------- 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- ----- ---------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic Date------------- -----B_1--------------Date------------------ Card-B_------------ Card --------------------------------------- --------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's ------ 39. Sils. Proper Material & Anchors --................................ -................... -...... 40. Walls-Studs-Nailing.Spacing & Bracing -Plates -Sound ------------ ------------------------------------------------------- 41. Bearing Walls over Girders &Floor Nailing ----------------------------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) ------ - ------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------------------------------------------- 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55 Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic _ 58. Shear Walls; Nailing -Bolts 59.- Insulation -Walls -Ceilings ------------ 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 ------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ---------------------- ------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection --------- ------------------- 64. Bedroom Exiting ----------------------- 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels ----------------------------------- ------------- 67. ------------ - ------------67. Stairs & Rails _ 68. Fireplace or Stove. Clearances -Hearth -------------- ------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ------------ - - 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ----------- ---------- ------------ --- --- 72. Garage Fire Door Swing -Landing -Closer 73. A.C. Duct in -Garage -Damper -- ----- - - ----------------- 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. . In Garage; Above Floor -Meth. Protection ------------------------------------- - 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7;. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor- ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No----------------------- _ 81. Stucco: Brown -Finish ---------- ---------------------------- -- - 82. A.C. Unit: Disconnect, Electrical, Plumbing 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing -- ----------------------------------------- ---- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground --.. - -------- 86. Ventilation Throughout House --------------------- ------- ------------------------ -- - 87. Glass Protection -------------------------------- -------- - 88. Corrections from Previous Inspections ------------------------- ------------------- 89. Gas Test -Meters Tagged Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------ -------------------------------------- Date -----...----------------------------Date Card B-1 Date Card B-1 -------------------------------------------- --- ---- Date Card B-1 Date Card B-1 -- -- ---------------------- Date --------------------Date Card B-1 Date Card B-1 Comments al Final: S Q . COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION Ja 7 County -Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 4� C7 J' ASSESSOR PARCEL NUMBER 041-590-003 ZONING t BUILDING PERMIT OWNER JOHTd & LAURI MILLARD 53HON2 68 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 2660 CIIEROKEE RD OROVILLE 95965 114461,776-00 CONTRACTOR'S NAME D & D TELEPHONE 532-3303 CONTRACTOR'S MAILING ADDRESS ' PO BOX 259 LOS MOLINOS 6055 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Fee 12 $ LLECT ARCHITECTOR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 2660 CHEROKEE D PERMITFEE $ 277. 25 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDNISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Water piping 15.00 19.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New X7 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ PER PERM E0UNPIATION Mobile Home S I GI W @20.00 4 PERMIT -FEE S Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service OOOV OR LESS ( 20011 OR LE ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in full force and effect.Ex. License Class C 117 Lic. No.41/ / Sit OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .SO Ex. Occup.FIXED APPLNS. OR (OUTLETS (REBID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.00 Contractor 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. � I 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 Z E/�lI tl, MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number Al .3 7,20 G 6 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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' 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 fo TyIth comply with those provisl X Date _ / 2 s _ Signature of Applicant - ❑ Owner 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 OTAL FEE $ 385.25 HA2. FEES P =OOD-��HDScompensation This permit is h y issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate a v or w ich fees have been paid. J /�^ Z� _qL By yam" Date J PERMITEXPIRESON Z`- /6 (Date) ReceiptNo. 185505 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �vw�vi��4+'h+Pwi.4°�vf�-.a,('yh'��-HVrdti:yf�1"rT":y."t^rs�'^,�i'�'.'k'.; wr��i�;f��'9.'}'�nY�`6r'�.»yk5':r 'wi i'e.Sw:s�.'T� 7,r�nl•^F> .. n'IX ,�r.cs'ri`GN.�IF..,y. • iY L �"'" COUNTY OF BUTTE - DEPARTMENTdFDE�/ELOPMENTSERVICES -BUILDING DIVISION N 7COUNTYCEERDRIVE - OROVILLE, �ALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Inspector Date At time of permit application, I was adv) ed the follows �" data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY All items have been submitted. .... r..... ..... .............. Plot plans, 3/4 sets, signed by preparer of plans. wlcemvrvE ,j..9Ro. Sl±o�.!/� Complete plans, 3/4 sets, signed by preparer of plans. . .............. 4. Engineered plans and calcs, 3/4 sets, ,with wet signature on plans . ............. 5. Hazardous Material Form ......... .:................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $ ......................................... . mpact fees as shown on attached schedule. . . t> California Department of Forestry plan approval/ ees. ..... d elevation letter (100 year flood) by Californi ngineer. .................. 14. Sanitation and plot plan approval G Health Department . ............ 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . 20. Pre -inspection for Pn:ans1ectim request p required. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ............ 4. Recorded copy of Agricultural Acknowledgement Statement . .................. / G_ 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use, .......................................... , 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access . .................... ' 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits. ... ,; ................... :................. Applicant Date S /•z' SS� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prio to. e i 's a e: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Co . rectorC%Ns,signer, o rier, was advised of above required data by K phone —mail Counter by Date Q -2/-2.S Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Dategi-8iAd Sets of plans on hold in File cabinet fAP folder Copy - Department of Public Works TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan AttaeLed —� Floor Plan AttecLed Seat to B.D. Owner Location AP# Plan Approved for: Sewage Disposal `� Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. fof: Environmental Health Specialist Date 9 Y . G At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE. - COUNTY OF B(T11E — DEPARmcm OF DEvFLOiP! NT SERVICES — BUILDING D1=ON - - - . (916) 538541 . - - . 7 COUNTY CENTER DRIVE, OROVILL-E CA. 195965 = TELEPHONE -7 PROPOSED. BUILDING USE REC. # DATE REC 1 SC300L DISTRICT FEES O X D ( paid at District Office) .......... 0 0 0 0. 0 0 0 0 0 0 0 0 0. 1 • SHERIFF FEES (paid at Building Department) x Residential...... unit amt. Commercial (sgft) z �$ sq. ft: amt. .3.- URBAN AREA FEES (paid at Building Department). Residential (per unit) # units amt. Commercial (per sq -ft) x sq.ft. amt. ILA4. RECREATION DISTRICT FEES 5. (paid at District Office) ......................... DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. �6.. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... s (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE. LAND DEVELOPMENT J rBUILDING_/ ENVIRONMENTAL HEALTH -PERMIT CLEARANCE Building PermiiNo. ��r NAMERS NUMBER: PRINT LAST NAME FlRST COUNTY ZONING FLOOD MAP: 3 r% Q DESIGNATION: u- FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR TO APPROVAL: DEED INFORMATION: DATE OF CREATION: PARCEL CREATION BY DEEDS OR MAP DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: J p DATE OF RECORDING /-&Z Z / LOT / BOOK �O PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES 10 NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. k\ 4. Maintain a SU ft. leachfield setback from S su�/� c �✓LI}-��" 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount`of $ in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the PAmv ng DAdskn. as stated _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. - - X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. /-- l?/s r7/,Zs Tif c' Gls�`G�i7-y 21. 22. 23 24. 25. LD 9/95 - Q \WP5 1 TORMS. K\BLDGPERM.CLR BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District /71 S' Building Department No. A.P. Number ��'.S9y '�d� Jurisdiction:, CityCounty Property Owner � Property Location/Address U z�l U y E Y Lot No. Residential Development �F'' , 0 No.-o'I Living MHl Addition Units Subdivison Commercial/Industrial Sq. Footage // T Iq (Group R) 0 Sq. Footage AI..... A.4.4i4.1_.. District Identification No. 9 6 0 0 3.1 School District certifies that L Yw, h & xJ ' (?pplicant) (Street Address); " • (Phone Number) ' (City) a (State) ' : (Zip Code) has complied with the requirements of Resolution No. �05` g� by payment of $ representing gg square feet. =B2L9 $ TIGATION $ 91 V Paid by Check # Remarks: Umblo Bank Number Ct Paid by Cash — t 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 (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) feeformmkl („isa)amm • r, w y 195-031546 And when recorded mail to: SEP 1 l U Q 1 �Q� Building Division. - I" 1 J #7 County Center Drive NOT CQMP/\1t�D Vlflitt OrovHle, Ca. 95965 CAlidMA AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires 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: Parcel 1, as shown of that certainparcel map, recorded in -the Office of The Recorder of The County of Butte,'State of California, on February 26, 1987, in Book 105 of Maps, at page 85. Date: Ci - / 3 PROPERTY 0 WNERS: State of C is ) County of (-tfA-- ) Do '?- /3 -- 9S before me, D GU I)6e LoR-T _M1 L. L.41Ru personally appeared s% D ersaually known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed: .to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorize capacity(i}as), and that by his/her/tbeir sibliature(s) on the instrument, the person(s) or the entity upon behalf of which the rso s) acted, executed the instrument. WITNESS my hand and official seal. TARA J. GUDGEON " • pt oaei. Commission. ^1053734 tGfrCPS1 Nolan) Public iigDature Q/t Butte County, Czlifoen 4 ::.,,•.1 My Commission Exp. MAR. 0, 1999 � �" 041 - 59o- 003 RECbRDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME BUILDING DIVISION STREET 7 COUNTY CENTER DRIVE ADDRESS OROVILLE CA 95965 CITY. STATE and ZIP 95-037368 1 95=03.7368 195-037368 ,-95-0373681 Rec Fee .00 I Total .00 Recorded Official Records I County of 1 Butte I Candace J.Grubbs I Recorder I 11:46am-24-Oct-95 I COMS -XX 1 _ . --- ACE 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 dote 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. JOHN L AND LORI MILLARD REAL PROPERTY OWNER/LESSOR 2660 CHEROKEE ROAD MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CRY COUNTY STATE ZIP SAME UNIT OWNER (If also property owner, write "SAME'l MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION FLEETWOOD 1995 MANUFACTURER'S NAME CAFLS 17A/B17990SK12 BUTTE COUNTY BUILDING DIVISON LOCAL AGENCY ISSUING PERMIT.ond CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 9 214 (916) 538-7541 BUI IN N TE HONE NUMBER 10/23/95 SIGNATURE F LOCAL AGENCY OFFICIAL TE NONE DEALER NAME (If not a dealer sale, write "NONE'l DEALER LICENSE NO. DATE OF MANUFACTURE 49'X24' 3493B MODEL NAME/NUMBER RAD848066/848067 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #041-59-0-003 PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 26, 1987, IN BOOK 105 OF MAPS, AT PAGE 85. HCD FORM 433(A) Rev. 8/91 WHITE—Countv Recorder CANARY—NCO PINK—Applicant GOLOENROO—Building Oept. BUILDING PERMIT NUMBER: 95-2214 . Address or location of unit: 2660 CHEROKEE ROAD, OROVILLE Legal Description of Real Property: A.P. #041-59-0-003 PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 26, 1987, -IN BOOK 105 OF MAPS, AT PAGE 85. [X]Mobilehome/Manufactured Home [ ]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: JOHN L AND LORI MILLARD Owner's address- 2660 CHEROKEE ROAD, OROVILLE, CA 95965 INSIGNIA OF HUD NUMBER: RAD848066/848067 SERIAL NUMBER OR V.I.N. CAFLS 17A/B17990SK12 MANUFACTURER'S NAME: FLEETWOOD YEAR : 1995 OFFICIAL APPROVING INSTALLATION: DATE: 10/23/95 PHONE: (916) 538-7541 H.C.D. 513C RECORDING RIZOLIES'IEV MID VALLEY TITLE 6 ZSCROW CO� ESCROW 11109949 A.P. (141-59 0-UO3-0 ! AND WHEN RECORDED MAIL TO 1 Nem. Add ' Addr.ss t.. � SL St... RAY L. DAHLGREN ANN E. DAHLGREN 2375 ATLAS PEEK ROAD. NAPA, CA. 94558 SHORI ruNrA uccu yr resat, ...�.� .. �•—•••••- - -- - - between This Deed of Trust, runde this 15TIl `toy of DECEMBER 1989 "JOHN I;.-MILLARD' AND LORI MILLARD, HU5bAND'AND' b11-l!'l:';'"-" -'- `' herein eAFJ TRUSTOR, whose address is le,t„) (zone) 46 Yew Dawn Circle Chico 95928 CA fsletela utumber edd '.trier) 114id Valley Title and Escrow Company, a corporation, herein celled TRUSTEE, and RAY L. DAULGREN AND ANN E. DAHLGRFN, HUSBAND AND 411FE , AS JO Fein TENANTSNT le 1 E crlctaltY, Witnesseth: That Truslor IRREVOCABLY GRANTS, 11ANSFFER . AeSIGNS [O TRUSf1ECOUtItyIN sCallfOrnlaT, WITH ode cWER r1>BdSALEA •as: that property in PARCEL 1, AS SHOWN ON 'MAT. CERTAIN PARCEL MAP, RECORDED LN THE OFFICE F OF F TH RRE ORDER 7F HEBCOKNIY5 F BUT.: ATATE PACE 85AL1hORNIA, ON MA TOGETHER WITH the roma, irsucs and profits thereof, SUB•ILCT, 11OWEVER, to the right, purer and awhnrity given to and :onferred upon Beneficiary by paragraph (lli) of the provisionsincorporvlr:l herein by reler—t:c to collect and apply ouch rents, issues and profit.. For the Purpose of Securing: I. Performance of each ugrtrnv:nt of •(rumor intorpmatud by reference or contained herein. 2. Pay ment of the indebtedness cvidcncrd by one promissory note of even date herewith, and any extension ur TUoCwaI thereof, in the principal sum o1 c 1 R _ ryU.Q..�D-- executed by Trustor in Ensor of llrnnc�iory or order. 3. Payment of such further sums us the then record owner of said property hereafter muy bnrrow Irom Bcncficiery, when evidenced by unol,cr note (or notes) reciting it is so secured. To Protect The Security of rhis Deed of 'frust, Trustor Agrees: By the execution and delivery of this Deed of Trust and the Note secured hereby, thst provisions (1) to (14). Inausive of the fictitious Deed of Trust recorded October 23, 1061, In Book 1145, at page 1, Official Records of Butte County, shall be and they are hereby incorporated herein and made un Integral part hereof for ull purposes as though bei, forth herein at length. --- — T xE--wjderstgned*Trustur• requests that a copy of any 3fotiou ul Uufault.alld. of.any !lolicc.df. $ale.isereunder be -mailed to him at his address hereinbefore set forth. 1 � i Signah>u�e of�T�r�astar - STATE OF CALIFORNIA, l SS'— COUNTY OFIIt1tt-a O Decenlber 27_,_ 1989 before me, the under- JOIIN'a.. M17.L91LD signed, a Notary Public in and far said County and Slate.. pewon.liy sppe.red--jD1l1L-L-_Mj)lard ana _1,pTi Mi I I arra_ �:__ , kni •n to ow Or proyod to inn ta, 11!0basis of sattafacuuy ev'( It to be the person 5 hose nuxn ar ubec Led 1 the within !1 —cuted by a Curpoeation,the Corpo.ation Form a/ .ecu ed the same. A'knuurlydgrnent must be used. instrument end eek owl SO Ills—_ ---.-- WITNESS my ben an 011ie! ■ s. MC'MEL F. HUNT ^�rlr l7l6d1mYtYWO®�0111i11®111 1 (Seal)C1 I>; '•��'�r;`'•'i'�'•a• NOTARY PUGL'UCAUFORNIA t¢ Signauuc - m ,,,, C ' �;r Bu1G; county Dv1ie1 C. Hun ,°, �4i o-,. �iy Uortnosaion Bxphas Oct. 1,1 900 U Name iTyped or Printed) D Notary Pubbe in and for.ud County and State ryyn dtdasruamataas®mmlelartaralarsBroOt$j _ END OF DOCUMENT 99-0512375.00 Rec Fee 5.00 Tata1 Recorded Official Records County of 8ut.te MIDVALLEY TITLE CO. Candace J. Grubbs Recorder J 1 8:00am 28 -Dec -139 nc OCAITC SHORI ruNrA uccu yr resat, ...�.� .. �•—•••••- - -- - - between This Deed of Trust, runde this 15TIl `toy of DECEMBER 1989 "JOHN I;.-MILLARD' AND LORI MILLARD, HU5bAND'AND' b11-l!'l:';'"-" -'- `' herein eAFJ TRUSTOR, whose address is le,t„) (zone) 46 Yew Dawn Circle Chico 95928 CA fsletela utumber edd '.trier) 114id Valley Title and Escrow Company, a corporation, herein celled TRUSTEE, and RAY L. DAULGREN AND ANN E. DAHLGRFN, HUSBAND AND 411FE , AS JO Fein TENANTSNT le 1 E crlctaltY, Witnesseth: That Truslor IRREVOCABLY GRANTS, 11ANSFFER . AeSIGNS [O TRUSf1ECOUtItyIN sCallfOrnlaT, WITH ode cWER r1>BdSALEA •as: that property in PARCEL 1, AS SHOWN ON 'MAT. CERTAIN PARCEL MAP, RECORDED LN THE OFFICE F OF F TH RRE ORDER 7F HEBCOKNIY5 F BUT.: ATATE PACE 85AL1hORNIA, ON MA TOGETHER WITH the roma, irsucs and profits thereof, SUB•ILCT, 11OWEVER, to the right, purer and awhnrity given to and :onferred upon Beneficiary by paragraph (lli) of the provisionsincorporvlr:l herein by reler—t:c to collect and apply ouch rents, issues and profit.. For the Purpose of Securing: I. Performance of each ugrtrnv:nt of •(rumor intorpmatud by reference or contained herein. 2. Pay ment of the indebtedness cvidcncrd by one promissory note of even date herewith, and any extension ur TUoCwaI thereof, in the principal sum o1 c 1 R _ ryU.Q..�D-- executed by Trustor in Ensor of llrnnc�iory or order. 3. Payment of such further sums us the then record owner of said property hereafter muy bnrrow Irom Bcncficiery, when evidenced by unol,cr note (or notes) reciting it is so secured. To Protect The Security of rhis Deed of 'frust, Trustor Agrees: By the execution and delivery of this Deed of Trust and the Note secured hereby, thst provisions (1) to (14). Inausive of the fictitious Deed of Trust recorded October 23, 1061, In Book 1145, at page 1, Official Records of Butte County, shall be and they are hereby incorporated herein and made un Integral part hereof for ull purposes as though bei, forth herein at length. --- — T xE--wjderstgned*Trustur• requests that a copy of any 3fotiou ul Uufault.alld. of.any !lolicc.df. $ale.isereunder be -mailed to him at his address hereinbefore set forth. 1 � i Signah>u�e of�T�r�astar - STATE OF CALIFORNIA, l SS'— COUNTY OFIIt1tt-a O Decenlber 27_,_ 1989 before me, the under- JOIIN'a.. M17.L91LD signed, a Notary Public in and far said County and Slate.. pewon.liy sppe.red--jD1l1L-L-_Mj)lard ana _1,pTi Mi I I arra_ �:__ , kni •n to ow Or proyod to inn ta, 11!0basis of sattafacuuy ev'( It to be the person 5 hose nuxn ar ubec Led 1 the within !1 —cuted by a Curpoeation,the Corpo.ation Form a/ .ecu ed the same. A'knuurlydgrnent must be used. instrument end eek owl SO Ills—_ ---.-- WITNESS my ben an 011ie! ■ s. MC'MEL F. HUNT ^�rlr l7l6d1mYtYWO®�0111i11®111 1 (Seal)C1 I>; '•��'�r;`'•'i'�'•a• NOTARY PUGL'UCAUFORNIA t¢ Signauuc - m ,,,, C ' �;r Bu1G; county Dv1ie1 C. Hun ,°, �4i o-,. �iy Uortnosaion Bxphas Oct. 1,1 900 U Name iTyped or Printed) D Notary Pubbe in and for.ud County and State ryyn dtdasruamataas®mmlelartaralarsBroOt$j _ END OF DOCUMENT TATOF FORNIA DEPARTMENT OF HOUSING-ANDLCOhMMUNITY DEVELOPMENT '} DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit is. a: ® Mob-i'lehome E] commercial Coach � Floati:ng Home � Truck Camper Decal (L.icense) No.(s), Trade Name Serial No.(s) -- I/We, the undersigned, hereby state that the unit described above: -7 S Z1414WG11U <r ter/ 1�49K5? 4�5 Affiant further agrees 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 on — a /— 95- at Date (City) (State) Signature of each affiant Printed name of each affiant Address -:2 gz y 3 City ��D /ii �hP State G� HCO 416.6 (Rev 11/86) [� a' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi I le — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any. question pertaining to this matter, or need additional explanation, please contact this office immediately. Date 7 / Inspector coo'F BUILD VING DEEPTttE 0 , 0 _o?_l.� l.� O C_�'�� � Idol • � Si 6 -moo 3 - ��� Lc� p 0 CD 'i ! � 4 �� ��� y � ,� s • � — > � '� — l r Y� COUNTY OF BUTTE BUILDING DIVISION e DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751' r 7 County Center Drive, Oroville, CA - (916) 538-7541. 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER /,' L (=,Q PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,_ please contact this office immediately. Date Inspector !: REV 10/9 6 4. AG'a ••I�+F-�13P lii +Yt.. 'r� - ih 1' k..A�. �.�.�2-rRYS' i\.w+rr.a�- S'�.°i{ �'fl+ s � 6 o i s �� �g a° ��.a� _. m t , eaae, _� }�°�. m a m 0 _�� a j a S F yyq 4 C k�' i 0 ' ;, ''✓`"p�:i.''F':.. r�.a;-r,. y . - r ° u °., ',tea �'y q ::- i >� �t . . - o 'g� . a � N'���""9#F1�s.9CLMT ice`'"i��i1�' .:J. -s►'�' �F.0 - o ., : s .. .b a�n � o. °a x.11 w, f..��syn �. �f'?�,�" S _.�.� � .y;,.L ,.c.. .'S - L) . , �` � 1 14 14 ti 1 � � r PC, 140) NON cl, tO ry cri go -b (o 452-81 58( V Cb LA ro DERRICK 0 58944 - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7 AGRICULTURAL BUILDING EXEMPTION PERMIT H, PERMIT NO. /.571 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. /-59-r o-003 ZONING OWNER -JO#/V / 1- . £ L6R/ M,LLA�D /7,V PHONE NO. 89GO _ayzs' OWNER'S ADDRESS /-/(o NOW 0,4u)A) C/kGLE Gf//GO C,,4 95928 , LOCATION OF BUILDING 2660 (fH6;0OK-----6- AOAD oo,QoLI/&. Ic- 0�0 9S-96 USE OF BUILDING r SIZE OF STRUCTURE X 2 — -38 SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDING wdoo ROOF COVERING FLOOR TYPE G01tfl;"05/770 A✓ �VPM44 a r0a � ESTIMATED COST OF CONSTRUCTION /5-(fo , as - AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: I-. FRONT SIDES REAR .S AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date G't /�gE� 27 /969 Permit Fee - $25.00 Receipt No. S1 1 J Signature of Owne'r;�A The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant - FLOOD PARCEL P.D. ROOFING ISSUE Director of Public Works By Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING'DIVISINN 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIGN-DATASHEET, - Permit No. OWNER A.' P. No. Proposed Building Use Building Inspector Date At time - permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: • - ' DATE RECEIVED APPROVED 1. All items have been submitted. C' Z 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation ' instructions....................................................... \ 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health. Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17.,Planning approval for (A) Use: (B) Parking: ...... ' 18= Improvements may be required. Contact Land Development Section DPW ` 19. Driveway permit (construction approval required prior to occupancy) t 20. Pre-lnspection,for. "" required Pre-Inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. - -- 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0).. y.. 24. Recorded copy of Agricultural Acknowledgment Statement ......... y 25. Letter,of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. N Telephone and hold for pickup at office. Deliver w/inspector. �V11 Other Applicant Date Copy of plans sent Health Dept., Fire Dept,, Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above requi Contractor, designer, owner, was advised of above requl Plans checked by Copy—DPW Date 'data by_phone---nall—counter by .date 'data by_phone_mall—counter by date I'i:gtw�:+•' f `.Plans approved by 'Date Sets of plans on hold in .File cabinet °'-AP folder COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: 'COUNTY OF BUTTE BUILDING DIVISION" DEPARTMENT OF DEVELOPMENT SERVICES' ' r> 146.9 Fittrnboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA.- (916) 538-7541 ' 747 Elliott -R oa?,,-Paradise, CA - (916) 872-6307. y ;` CORRECTION NOTICE ` ,! ! fifi rc r Z 6 6o 04e,.,-0 dee ,'41 y -- OWNER - PERMIT NO t A routine inspection indicatesthatthe following violations of Butte County Ordinances exist at,) . the above address and should be corrected. Please notify this office when correction of work # is completed. If you have any questions pertaining to this matter; or need additional explanation,, .1 1 please contact this office immediately. #, •• 'hs871�/Q' IIT- ] rA, 0C3 r`fb�d' l �.. Date . ^' Inspector' f REV 10/92 t ' VIOLATION CHECK LIST Owner � ,Co -L -z= Owner' Address��e_ ' Owner's Phone No. Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. Specific Plot Plan with C/V Noted _yes no Penalties Required 1st. Notice Sent 2nd. Notice Sent ate Date Comments and/or Determination Disposition For Citation Citation Date (Date) Department Recommendation to Court Court Action Notice of Violation Recorded Date) G��