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Home My WebLink About042-030-033Y2( r 042-030-033 PERMIT#98-0133 COOPER, Lavoyle 2924 Alamo Ave., Chico 31,0' 4 Cont: Executive Homes Mobilehome Utilities �/ ELECTRIC Dp1p GAS JJ&-hW0 Q GGt0 COMPACTION TEST REQ A/C SUPPORT STRUCTURE REQ 1k/0 042-030-033 PERMIT#98-0134 COOPER, Lavoyle 2924 Alamo Ave., Chico Cont: Executive Homes Mobilehome Installation �a I ✓ ��cx) E.H. USE ONLY Plot Plan AttachedE.H. Floor Plan Attached r 00 Sca to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance )3 Owner Location APAP Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O: K. for:, Health Specialist 8/92 Date RESIDENTIAL ' 042-030-033 � PERMIT#98-0133 COOPER, Lavoyle 2924 Alamo.Ave., Chico iCont: Executive Homes 40"�W 14 Mobilehome Utilities, 3_: ela - rL PERMIT NO. PERMIT EXPIRES OWNER t CONTR. ASSESSOR PARCEL LOCATION OFFICE COPY Address_?��z / dzogma GAS ./0 Meter By Date �� ELECTRIC Meter By h6cy Fes/ •so,oe wxtiGr- afprovo-4 Fye„. {le 4,114 1 , Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E _ Temp. Gas Service Called PG&E JOB FINALED (Date) Signature V SOK O = Not OK Not Ap • = Not Ready ble MOBILE HOMES Date MOBILE -NOME UTILITIES (Plans) OK except #'s ing�uirements - Setbacks - Easements i special MH Support Sketch G -Sewer; location -Test -Fall -CSO -Concrete 4. WaWrimcatlon-Test-Easement Needed (Sketch) S!Electricty; Location-Clearances-Gmd-/ /Amp -Concrete s�tion-TestWrap; ,i_0itYL l �'INaSj,. A--fL/ /LPG IrWeTl Clearance & Disconnect 8. Utility Clearance Date CrdB-l& Date Card B-1 Date Card 13-1 Date Card B-1 Date MOBILEMOME INSTALLATION (Plans) OK except #'s I-,*&ni2 Requirements- Setbacks Easements O'nya UL-Spacing-Maniage Line J -Tr. -s; MH Test -Demand Valve -Connector city; MH Test-Crossovers-Breakert-Clearances am;MJasWalWex Connector 6�l+Patteer MH Test -Regulator -Connector . ater and Sewer Connected -C/O to Grade -HD Approval I 8. Gas and Electricity Tagged s -Type -Installation Cert. 1 its; Insp.-Sketch f"re-r—tof Occupancy -*-Permanent Foundation Only: License Decal Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 AW GA/6t.c�� ae -- No MISCELLANEOUS' Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning RequirementsSetbacks-Easements 2. Footings; SailsStze-DepthSpacng-Conn ectors-Steel 3. Decks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rftra.-Connectors Shthg.1RIg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.: Sils-ArrchorsStuds-Rftrs-Trusses 9. Siding; Nailing-VeneerStucco-Mesh 10. Root,, Shthg-Roofing 11. Ext; Steps -Doors -Landings 12. Braced Wal[Panels Date Card B-1 Date Card B-1 Date Cana 8-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Ste&Connections-Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GA 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip.aieater 8. Elec.; Grounding; Equip. w/8 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓= OK �. O= Not OK RESIDENTIAL'(Single & Duplex) - = Not Applicable Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-FloodSlope 2. Fig., Main; Soils-Elec. Gmd. / P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ p Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-BlockoutsWrapped 6a. Hold Downs and Special Anchors . 7. Slab, SteelWrapped 8. Piers -Fireplace Ftg.Sted 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & 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 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; Sae & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meeh. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) 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 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. Bdnn. Windows or Exiting Doors -Sill Hgt. & 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-Underfir. 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-Conector- In Garage; Above Floor -Ducts -Meeh. 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 & Recepticales 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-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.FI.)-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 0 Yes 82. Following Instld./Drive 0 Yes 0 NoNNalks 0 Yes 0 No/Planters 0 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 Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas-Eleciric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 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: MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: o'f o 3 PERMIT NO.: q r Owner's: Name: Ownees: Z�/ /Gedt�1 C1 %iftty Cas'ifdCG NN Address: Mobilehome %L ff jf T WO0 Year of CJ Manufacturer Manufacture: j serial number C,4%'[.. i1 .1 71 A ?LR �� 'Z-- Insignia or RA 0l or V.I.N. HUD number: Official approving installation: Date: qr -If the mobilehome is moved or relocated, the.mobilehome installation acceptance shall, become invalid. This form shall not be used,when the mobilehome is installed on a foundation system. 5.1313 White -Owner, Yellow -Installer, Pink-Bldg.,'Gold-Assessor 'r 2 < r... ;.�.Y. .?w �?, .;tis w'r'�._f _f..:'K... �_5�.. ...gip 1.3.-..,. �'_... ... ..:: w'�1`..., . .a...u_ .tt �.. .a . _i♦ ., e.- ... 5 pit t•�' ,.a ._ .... ., ..._ �.I CONTRACTORS VERIFICATION I certify that I have installed the Central Pier Anchoring, System as per the installation instructions. I have made no modifications to the anchoring system or the building structure. Company Name: Executive Homes Contractors Lic# : 640583 Date: jl� Aka, /Q 2 S�ignature:� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION _ 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMI No. (Rev.12/96) APPLICATION AND PERMIT - . ASSESSOR PARCEL NUMBER 42-03-33 � ZONING SR -1 BUILDING PERMIT OWNER LAVOYLE COOPER r�L71 NE720 ll��ll o SO. FT. OCC. BUILDING VAL I N OWNER'S MAIL1136 EALAMO AVE CHICO CONTRACTOR'S XECUTIVE HOMES 891-6992 CONTRACTORS 042 ESPLANADE CHICO CA CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS ^ ALAMO AVE �L Energy Plan Checking Fee $ $ CHICO CA PERMIT FEE $ 0 Lor No. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome * Other SPECIFY 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 01 Installation ❑ Other ❑ Describe Work: MHU 3 BEDROOM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ' Mobile Home 920.00 60.0 PERMIT FEE S 80,00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service **'AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ii 9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code, and my license IS In f II force and effect. License Class t— Lic. No. L p U 05i&j OE WNER-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 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. /,�f. 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 worker ' compensation insuranceier and olicy number are: Carrier r- err Policy Number 1 H o—zt (The above sectioAs 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' 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. X �� ^ �'_ _ Date Signature of Applicant - ❑ Owner ❑ Contractor ent An OSHA permit is required for excavations over 60",deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 46.00 NEW CONST. DWELLING OCCUCUP. SO EL oR ADDNS. ( & ACC. BLDS. 3.5¢FT: NEW CONST. MULTI -OUTLET N.LESID. ANC C @7.50 POWER APPARATUS & SINGLE OUTLET CIR. x. Occu OUTLET OR FIXTURES BA0 @ "o Ex. Occup. ouiLEEOrSA REES,6.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.0 Misc. Wiring 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 1fkAO HAZ. D. FEES I FLOOD cDF ._ AR PD HD ISSu This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ��" " EXPIRES ONITE-D.D.S.-B.D. the applicable provisions Resolutions to do work been paid. D /to[ (� 96 Dei rReceiptNo. ZZ�yPERMIT CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 Ft ...�+(�r•.•rr. ��^+a �,•,-tf�d1��•iMi',. `�`+•�'rn�p�►m`MY�i m�"•��i ' ' E'a"'f�Y�7��7�i"°�'►"r'�' °f,YR+�`'� .1�4��'M „ftri�', -a., � .,7! �'�:' v. �i Y.i 5a2 � r`. COUNTY OF BUTTE DEPARTMENT OF DE fIAWENT SERVICES - BUILDING DIVISION 7 Cdtf4f, CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 e Fr PERMIT APPLICATION DATA SHEET r OWNER: L 4 VO Coo a ^- ASSESSOR PARCEL NUMBER: Proposed Building Use: M H tJ d Building Inspector: (_ Date: ?o /5fs At time of permit application, I was advised the following data must be submitted prior to permit cessin and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ 03. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 04. Engineered plans, 3/4 sets, 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. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees.----------------------------------------- =--------------- ❑ 13. Flood elevation certificate. ------------- -------------------------------------------------------------------------- / Sanitation and plot plan approval (_H1 t-"iealth Department.------------------------------------------- 1115. ------------------------------------------❑15. City of Chico plumbing permit. ---------- ------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 111 . --------------------------------------------- ❑/17. Planning approval for (A) Use: (B) Parking: -------------------------- 8. Contact Land Development about ZImprovernents, ❑ Drainage, Legal Parcel. ----------------------- n ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------- 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) - -------------------------------------- 24. Letter of signature authorization. ------------------------------------------------------I-------------------------- 6 5. Recorded copy of Agricultural Acknowledgment Statement. ------------------------"-N-------------------------- 1326. --------------------- ❑26. Letter of intent on building use. ----------------------------- ZL ---------------------------------------------------- 027. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits.---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 1130. Other: 6 you issue e p rocess as follows EY to owner, ❑ ail to contractor. Telephone / and hold for pickup at t ly/ 1 ' office. ❑ Deliver with inspector. ApplicantC ' `%1Mt,,.4 �i: . 11Q Date: 1 IDC119 Copy of Haz-Mat form sent ❑ Health Department, 13Fire Department, 13Air Pollution Date: By: `' ` Copy of plans sent ❑ Health Department, ❑ Fire Departme Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ' ❑ mail, ❑ Building Division counter, by Date: f- 3 Y 5�signer, owner, was advised of the above required data by ❑ phones ❑ 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, design M of the above b ❑ phone, ❑ mail, ❑ B ding ivcounter, by Date: Plans reviewed by: Date: Plans approved by: Date?�" •� -Sets of pl❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 1 a 3E.H. USE ONLY Plot Phu Attached 1-/ V/ > — —�► FIw Plm Attached Sect to B.D TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage Disposal V'--- Water Supply: Clearance for 7- bedroom mobile me. Other Final clearance O.K. for: NOTE: Specialist 8/92 AP# Public Private Well (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF 0EVELOPMENT SERVICES -BUILDING DIVISION •7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARCELNUMB ® ZONING _ BUILDING PERMIT OWNERTELEPHONE )' q SO, FT. OCC. BUILDING VALUATION OWN �U DRESS � ly co CONT TOR"' NAM LEPHONE COM _ �INQAD J ESS `LELE'NNDOER/\�Llk-I 1/ ' CONSTRUCTION LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER/V LICENSE NO. Filing Fee ` $ ARCHITECT OR ENGINEER'S AIAIUNG ADDRESS I Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS �n O,^ LC.I r t- �(/ / Energy Plan Checking Fee 5 I atl—PERMIT FEE : 3 LOT No. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.'00 USEOFSTRUCTURE SF Duplex ❑ 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ �OAdddion Describe Work: - �� 362 -r Gas i in s stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 a00V OR LES9 Main Service 200A OR LESS ^7 23.00 (i 3 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 force and effect. I- License Class t)A t Lic. No. (V �QL� OWNER -BUILDER DECLARATION v I 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 Main Service 200A TO L000A 48.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a Acc. eLDs. SO 3.50' S. ,.,ON -RESEW LIDT M T.,I U CLET T S @7.50 POWER APPARATLS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURE BAL°':50 Ex. Occup.ours AEsID.oREw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 10 Misc. Wiring 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. IF1 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' ordc mpensation IrLsuranc_e crier an policy numbAr are: Carrier 0 n `O 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.) ❑ 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' 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 fort with +complwithno a provisions. X __ Date // ��of Signature of Awner ntractor ❑ Agent An OSHA permiexcavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL'PERMIT Filing Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ �'� if HAZ. D. FEES IMP FLOOD 1 COF PARCEL PD HD ISSUE This permit is hereby issued under 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. Date De 10 Receipt No.-�—�^�`11' -- 1 WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 2. 03 3 V COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES- BUILDING DIVISION 7 Gounty Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT o. (Rev. 12/96) APPLICATION AND PERMIT ,�3 ASSESSOR PARCEL NUMBER 42-03-33 ZONINGSR-1BUILDING PERMIT OWNER LA VOYLE COOPER TELEPHONE 91-0720 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2936 ALAMO AVE CHICO CONTRACTOR'SXECUTIVE HOMES TELEPHONE 891 6992 CONTRACTORS MAILING ADDRESS 3042 ESPLANADE CHICO CA CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ �. BUILDING ADDRESS ALAMO AVE. Energy Plan Checking Fee $ $ CHICO PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF �f' Duplex ❑ Mobilehome X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New,C' Addition ❑ Remodel ❑ Utilities ❑,/ Installation z Other ❑ Describe Work: M14TI� D O J ✓�� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service '..,v, ss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Ilin full force and effect. I OU License Class Lic. No. \ 1 `_ � 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 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( d ACC. BIDS. SO 3.SItFT: rNioN- ESIDEW T MAUNLTI.OUTCU @7,50 POWER APPARATUS SINGLE OUTLET SIR. Ex. Occup. OUTLET OR FIXTURES zo p Loo BAL p .s0 Ex. Occup. ouT ED rs Aao) ERA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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. 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 work compensation insurance rrier a d policy num er are: Carrier �1 A 40eJ— f (4 (�'t\[A MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) ❑ 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' 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. „• — X _ D to _ - C� Sig ure of Applicant - ❑ Owner ❑ Contractor T 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 I $/(," Energy Inspection Fee $ occ CONST. TYPE TOTFEE $ HAZ. D. FE FLOOD CDF JKPAJAWPD HD ISS This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date Q 3 q8 PER EXPIRES ON 312 3 / �a e Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I 7+R'h .f• ./µ+11f Rtl fp„gyi t^c+.f +-,f^fff. e.N Nn' 4w res rJ ICOUNTY OF BUTTE— DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION ^ �n J `""""'-•�) ' 7 COUNTY CENTER DRIVE - OROVILIE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: Lam'y oyl.? ,` oR�peA, ASSESSOR PARCEL NUMBER: 2 - 03 - 3-1 Proposed Building Use: - 3Aa #YH I Building Inspector: ( Date: / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All iiems have been submitted ----------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, 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! --------- 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- 117. --------------------------------------------------- ❑7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑�8 Hazardous Material Form. ----------------------------------------------- -- p ----------------------------- gf anufactured Home data and installation instructions includin ie Down S ecificatrons.---------------- - . ImQactfees_as..shown on the attached schedule.-----------------------------------------------------------------�T`j�'—� ❑ 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. ---------------------------------------------- ❑ 1/7. Planning approval for (A) Use: (B) Parking: --------------=----------- Contact Land Development about Improvements, ❑ Drainage, _ Legal Parcel. ----------------------- -� Encroachment P`emiit for driveway (construction approval prior to occupancy). -----------; ---------------- ❑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) - -------------------------------------- ' 100'224 �Yetter of signature authorization. -------------------------------------------------------------------------------- f5. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- El. 20. Letter of intent on building use. ----------------------------------------------------------------------------------- 07. Mhnu factured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- E130. -------------- ❑30. Other: ------- When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Telephone and hold for pickup, at office. ❑ Deliver with inspector. Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Air Pollution Date: By: + Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ O er: Dole: By: 1. Index peimit application for the ove item numbered: ❑ Plan Check List 2. Additional items required: 4::o7n_tra_ct_o'iVdesigner, owner, was advised of the above required data by' phone, ❑ mail, ❑ Building Division counter, by Date:- r- � onesigner, 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 o phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designAson7d s 'sed of the above uired data b ❑phone, ❑ mail, ❑ B it ' g io counter, by Date: Plans reviewed byDate: � 3' �% Plans approved by: Date: 3 - Sets of pin ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by>,; Date: Yellow Copy - Department of Development Services; Building Division. ^i�N*.Y'.:47"�Hl'`^....iF11i,: fYi7..'1... lr,r-.i ''f'''..''.':fYj�:.i�-rt•'-f S 'i``r'r'1;q�.::.3iYi^'ro. �n'�=%:11r ..�-• _ S `^i :i�:. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE :CA 95965 TELEPHONE (916) 538=7541 . SCHEDULE OF FEES DUE OWNER # yZ _ 0:r 3 3 PROPOSED BUILDING USE Na.j 3- H DATE REC # DATE REC 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ -- Revised Plan Checking Fee ....... $ SCHOOL DISTRICT FEES C,y 5D (paid at District Office) A6��3.SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ 36 � Units Commercial (sq.ft.)... x $0.03 = $ Sq.Ft. &C44—URBAN AREA FEES (paid at Building Division) Residential (per unit) . _� x- 1 b 70 = $ 1470 2 #Units Amt. 4 Commercial (sq. ft.), •.. x =$ Sq. Ft. Amt. _Q 5. RECREATION DISTRICT FEES C4Pa (paid at District Office)�� 6. THERMALITO DRAINAGE DISTRICT FEES $425.00 (paid at Building Division) 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 changed during the plan checking process. APPLICANT /1,1nt"� o ` >D �c'CC_.� DATE �G Original -Owner Copy -Building Div. (Rev. 12/96) (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBSY O !A a ZONING S� BUILDING PERMIT OWNER TELEPHONE q RgQc SO, FT. OCC. BUILDING VALUATION OWNERS MAIUW ADDRESS A L `+ I 00 COM TOR'S NAME C TELEPHONE COMTORS MAI'"UNO AD�DRE�SS U//LI ��1 � - CONSTRUCTION TEA �r LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGIJER. /ENGI LICENSE NO. Felin Fee $ 20.00 ARCHITECT OR EER'SSMMAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ �f1, ®$ PERMIT FEE ' $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.'00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFV Each Trap7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New I`ddition ❑ Remodelely❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: r �J J� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service i..Aoa.ss 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, and my license Is in full force and effect.POWER r License Class �° H % Lic. No. l0 L oS� � OWNER -BUILDER DECLARATION 1 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 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. a A.C. BLDS. so 3.52FT: NEW CONST. MULTI"OUTLET 7.50 NON"RESID. C APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FUTURES anL� "00 Ex. Occup. ouiLEEOTS RES o.GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I.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. 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'ompensation insprance carrier and policy number re: Carrier S-5 I o rY V< _a4j 1) y`a 0 Policy Number I tx) _—f:t— (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 131 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 if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date_ Signature of Applicant --10 Owner Contractor ❑ Agan An OSHA permit is req for excava ions over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation -Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ NAZ. p. FEES IMP I FLOOD I COF PARCEL PD HO ISSUE 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. Date Date ReceiptNo. - WHITE • D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT 98-007155/ ANIP WHEN RECORDED MAIL TO: / ' Recorded l BUTTE,COUNTYBUILDING DIVISION Official Records I 7 COUNTY CENTER DRIVE OROVILLE CA 95965 County Of l Butte / Candace J. Grubbs l `` Recorder I 110:57am 26 -Feb -98 / Rec Fee 8. 00 IHF 2.00 Check 10.00 ; PUBL XX 2 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: See A4 _+O,ches� - Date: oZf a %I Q $ PROPERTY OWNERS: �J' _�!_ •: - 0k,stte pecKCr, wetness State of California ) County of avx'tte ) On 2-2(e-9? before me, �0 t -�1 C 1 personally appearedty\ r � � +-, e eLK personalh' known to me ( ) to be the person(s) whose names) ishwe subscribed to the within instrument and acknowledged to me that•lae/she/the; executed the same in "[her/their authorized capacity(ies.), and that by I*Wher/thvir signature(&) on the instrument, the person(s) or the entity upon behalf of which th er on(o) acted, executed the instrument. JAY P. MILLS F WITNESS my hand nd official seal. D COMM. / 1160650 > NOTARY PUBUC-CALIFORNIA N COUNTY OF BUTTE w Signature /- � Seal: My Comm. Expires Nov. 6, 2001 A.P.=yz-o3- ou cS-()Q4- CcCiLrg• L- a� U NOTE TO RECORDER: DO NOT RECORD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: A.A. - I 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) Being a portion of Lot 3, according to the official Map of Cussick Tract, recorded on November 27, 1895, in Book 1 of Maps, at pad 48, filed in the office of the Recorder in said Butte County, State of California, and being more particularly described as follows: Commenting at the most Southerly corner of said Lot 3 in the center of Alamo Avenue; thence Northwesterly along said centerline North 37 55 for total distance of 324.0 feet; thence North 52 30 East and parallel with the Southernterly line of said Lot 3, a distance of 240.0 feet to the point of beginning thence from said point of beginning conutining North 52 30 east a distance of 280.0 feet; thence South 37 55 East and parallel with the centerline of said Alamo Avenue, a distance of 162.0 feet' thence South 52 30 West and parallel with the Southernterly line of said Lot 3, a distance of 280 feet; thence North 37 55 West and parallel with the centerline of said Alamo Avenue, a distance of 162.0 feet to the point of beginning. Together with a 60 foot right of way for road and public utility purpose, the centerline of which being more particularly described as follows: Commencing at the most Southerly corner of said Lot 3 in the center of Alamo Avenue, thence Northwesterly along said centerline North 37 55 West - distance of 162.0 feet to the point of beginning; thence from said point of beginning North 52 30 East and parallel with the Southerly line of said Lot 3 distance of 300 feet and the end of said centerline. J to gr~M fbbtllo --odi of E 10'.110 noifloq r, is -,gsIA 1n { Aoc".8 ni U:18f V&' iedm6)voH rio b5bho:)s{ ,vtclrjo`) stu8 bice ni TsbIQ:)-,q gri# #o 5-DRIO siif ni boti} t84 Gs b9di;-.) :gib viisfuDirisq siorn ' riisd brit simobis) i.-)I'Dw?, ;r �JGIfC�+ sri# R -,i E #o -a bise Io tsrrzao vh-wlfuo? 3aom M.1 #r) prriirisrrrrrio-D bii2 �,1f�t�Ls '(�'i a :'df }�C�j'� ::�r, i # -.-uri-.gvA Off` s'A �o s•.�r16M b1se io snil th:*qf; iig4Iuoa stit rijiw ts((s req bns fc;69 UE Sc di,to;'i -:�3ri5tf# pr'rirtrilps d To Inion gri# of #O-0 O.Ot,5 0 ,9-ma%b t3 E ;o.i 6 leca 0e. U dplo�l pn#nijuno� pnin ipsd Io Inioq bis mo -ii dliw tsflmcq bars 12w", � rC^ duluo?, 9:.)n'3rit 0.088 3o t D,Drwp-ib ` 14°a1 0.,g6I Io s:nsfaib s evnsvA ornsIA hise is enif •ttzG#t;�t �ror. srif ti�i�r �4�Iis�sc{ bns 1 C1 (� riiuo �7n tr1� f?.ew tP SE ria -,011 s-1mij ,$3s1 081S." io s krrsf?,ib s ,F- Ao..j bise 'to s:)nefc-ib s .sanavA orrjsi/, bis,-- %o erritiotrr9:) srji r liw 1911s-rsq bpF-, .pninnip3d Io inloq ��rb , G.SCII io t1�i4i3 �i3cuq bns beo-, iol yew ;o vif ih foci! at3 s rlfiw iarijrjpo r �J,shjni.tisq 3iom pfii: d rihidw Io snifi-elosa 5:31 ,-PC,glt.jq ::.��.►ofto� 2Si bycit�s�.tsk� 5ri3 ni f; io,' bise 30 1amol vilstiluvp fao;.s a:#i is pniol`:srn rIOD bise Dnois 4jis#po vrfjioKI spnsdi .eijnD,!A ornr>IA Io 3nioq t fif of f: 0.aZ) t io oanrfeib - festa �� . i t ri7-tof'i snij rsfrss Oc: Sc ri9-roKI pninn,psd to fr.;oq bise moil w:)n!gdj -,priinnipod to jo *�ns:ipib I'L #o_# bi>✓; Io sni.1 yhe djuc.8 crit r-ifiAv feftisq brrs 7cG-i y .grtil-rQfny� bsse its brrs ts:Ii bras is -31 ON r.F . BUTTE COUNTY PARRS DEVELOPKENT FSS CERTIFICATION FORK ,r CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number(s) Property Owner - ",e 7"' Project Location/AddressJ�(,n0 ' Subdivision Lot Number(s) Residential Development: (check one) New Development _Alteration/Addition Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units ( ► Comment: Buildin Department Representative Date Chico AreRecreation and Park District(CARD) certifies that e � __ 1. (App iicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) _has complied with the requirements of Butte Co. Resolution No. 90=140 by payment for dwelling units @ $1,189 for,total payment of CARD Representa(t-J?ve Date PAID BY CHECK NO. REMARKS: BANK NO. PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink -=CARD park.fee (form revised 11/90) Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. WIMP 4 9 fir; .ti>�'�'Y`✓�Wv`;"1"`-'-'""�' :.`y�j""" �.m+ow=-r•s- '�'^'m•^y,+�..cp.�:14Yr: �:h �c;-w�'R;W"4'—�►.�,�;'�F.r4-•-,fie.-•--�....�a+. `r,�'" `�-i�"`. "-i�-•..-�i-�`.'�T'.-L". `.� e, BUTTE -COUNTY SCHOOLS IMPACT FEE* CERTIFICATION FORM (One form per Building) School District. �G('`j Building Department No. A.P. Number i��-�,�— Jurisdiction: City ® County Property Owner fu Property Location/Address�3� Subdivision Lot No. Residential Development IXJ Sq. Footage 9!>/ 4"• No of Living Mobile Home Addition (Group R) -Units Installation { Commercial/Industrial ' Sq. Footage New ,Addition (Including Exterior ' , -'� a�y� .• :t„� � Roofed Areas) 91 Building'Departr r nt Repr s ntative 0 tt ' Date (Floor Plans;,reviewwehed by School District Personnel) District Identification No. (� �� School District certifies that (Q (Applicant (Street Address) (Phone Number) (City) (State) $ (Zip Code) has complied with the requirements of Resolution No. / % �fi by payment of $ p?� representing ";," y ��y: {: ,i square feet. FBL21026 ' $ �. %f - �t f MITIGATION $ , School District Representativef e. „��; Date✓` ._ .... .� ......,..,.. r. Paid by Check # `` ' Remarks: 3c 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(x), 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 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) feeform.xls (2/97)dmm �• • y, QM .Goe'�, 9 �'-C//S I ANL' WHEN RECORDED I\4AIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 NOT c jpAmp ps i OMINAL DOCUMENT 98 -00 7155 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, plo�ying, 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 Count), of Butte, State of California, described as follows: See AA-�O-Ckes. • Date: oZ f a %I 9 PROPERTY OWNERS: �� C �-�• 4• L. T3kai r G1Ar,st-;e 'p.ec-Ker-, witness State of California ) County of aLk tte ) On 2 - 2(Q ^ R? before me, K; O ka.c'y u L personally appeared ( (' '�'�'► E' ��LK �� personally known to me ( ) to be the person(&) whose name(t) ishwe subscribed to the within instrument and acknowledged to me that4te/she/tbw�-executed the same in fiiis/hcr/gwir authorized capacity(!&&), and that by h4efher/their signature( on the instrument, the person(%) or the entity upon behalf of which thq, per on(0) acted, executed the instrument. WITNESS m�` hand nd official seal. c„)01V JAY . MILLSD COMM. # 1160650 NOTARY PUBUC-MFORNIAJom UMY OF BUTTESignature / G Seal: y Comm. Expires Nov. 8, 2001 A. P.-' I 0 3 - C); -o NOTE TO RECORDER: DO NOT REfY)RD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: W A.A. - I 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. (The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property ov%•ners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 2'5 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday - Friday) ti Being a portion of Lot 3, according to the official Map of Cussick Tract, recorded on November 27, 1895, in Book 1 of Maps, at pad 48, filed in the office of the Recorder in said Butte County, State of California, and being more particularly described as follows: - Commenting at the most Southerly corner of said Lot 3 in the center of Alamo Avenue; thence Northwesterly along said . centerline North 37 55 -for total distance of 324.0 feet; thence North 52 30 East and parallel with the Southernterly line of said Lot 3, a distance of 240.0 feet to the point of beginning thence from said point of beginning conutining North 52 30 east'a distance of 280.0 feet; thence South 37 55 East and parallel with the centerline of said Alamo Avenue, a distance of 162.0 feet' thence South 52 30 West and parallel with the Southernterly line of said Lot 3, a distance of 280 feet; thence North 37 55 West and parallel with the centerline of said Alamo Avenue, a distance of 162.0 feet to the point of beginning. Together with a 60 foot right of way for road and public utility purpose, the centerline of which being more particularly described as follows: Commencing at the most Southerly corner of said Lot 3 in the center of Alamo Avenue, thence Northwesterly along said centerline North 37 55 West - distance of 162.0 feet to the point of beginning; thence from said point of beginning North 52 30 East and parallel with the Southerly line of said Lot 3 distance of 300 feet and the .end of said centerline. LAND DEVELOPMENT c9�'" - �(I s� '✓`�/0 BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Permit No. - OWNERS NAME: PPJNT LAST NANIE FIRST COUNTY ZONING I)141 'f NUMBER: ( / Ll — (/'0 'O DESIGNATION: FLOOD ZONE: FLOOD MAP: APPROVED: V CONDITIONALLY APPROVED: 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: WC ISSUE -Q 2/ZS�%�' /969 ae �5-e4 IVO CWVIRoys MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES 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 BUILDING DIVISION UNLESS OTHERW/SENOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. _ 2. Maintain a ft.building setback from right-of-way/centerline of _ 3. Comply with Zoning code for building setback from road. 4. Maintain a 100 ft. leachfield setback from all existing wells. 5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. —7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. __ 8. Connect to a public water supply. _ 9. Connect to a public sewer system. _ 10. 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. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. _ 14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Pron(bg Dhdskn. _ 15. 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. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 19. 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. _ 20. 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. 21. 22. 23. 24. 25. 26. . 311.118 3JN3Wd0 UNf100 8661+0833 ®3A1333V LD 7/96 CAWP51 \FORMS.K\BLDGPERM.CLR is r l gill a r ,: jnitaorrlq installation c,Y it G , aq3� R I a-►��Qv f t is t"VI crf lumli ci 'i Otis Mi : � off fhe +o at 09 grimes cnJ it h unlavgvl tk )41-,) an 4ma :s or alferaf ions on %ame aft, vd 'l a permission T "rom the Departmeatc mIN Litt E,MIT10 1111 . ---r �I 1 10 Jl' S,. J 4] o Co, gMUCTURES, AND w��SFmm OVER��t< g 'fit HAS S-HIr' .l BES aID . s g WE e 1 L BE L ' tTI -XCEFT "TURES AND BQUIP�AEW OF FoiR A 2 FTds } 3.57 .. . wi Mgt on the job at allnos or p i t from the uopaerm, ve Cd F jA5 y 1. Owner's Name: I— a_ ,:+ �J l .i I _ ..1 �1� f �f�'w 2. Assessor's Parcel Number. I,,-? r 3. Installer's Name: C � C�,I ��J # (:�, '�L�9Jc 0 4. Is the site currently under permit? Yes[ ] No[], Permit No. 5. Is the site an existing site? Yes[ ] No (] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? 1 ) Amperes. 7. What is the mobilehome site circuit breaker rating? KD Amperes. 8. What is the electrical rating of the mobilehome site? Amperes. 9. Is the main service remote from the mobilehome site? Yes[x] No[ ] If it is, what is the rating? 'z-Oo Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[{] NoIf yes, please identify the load and size: a) The mobile home site: Load- WSJ Amperes- V b) The main service: Load- Amperes- 11. Type of gas service at mobilehome site: Natural[ ] Propane[)o] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: p inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? Z) (ft.). 14. What is the mobilehome gas demand? 0-- B.T.U. * *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). rtcv�.r.�a i nim rr,iuvu i Arri,i�.A a aviv t }Pi 1 S In May 1995 8.5 l Mobilehome Manufacturer: Manufacture Year: ( 9 l if other them single wide, furnish Setup Model Number: Length: 1- ) (ft.) Tagalong or Expando Size -2 (ft.) x -0.. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete block[.)] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 Line 1 Line 2 �,� Line 2 Main Beams Line 2 ............................................................................................... ine 2 Line 3 Line. l Line 2 ................................................................................................ Main Beams Line 2 ....................................................... ........................ ........ Line 1 ................................................. ine S Tag or Triple ine 4 ine 1 Line 1 Piers: Size minimum: x Spacing maximum: ` From ends-maximu ` Line 2 Piers: Size minimum: x I -L4 I. Spacing maximum: -3 ` From ends -maximum] ` Line 3 Roof loads: Size minimum amem Location (from front): Line 5 Roof Loads: Size minimum: Location (from Line 1 Opening Size minimum: x` Each side of openings with width over: ` Line 4 Piers: Size minimum: ] x Spacing maximum: n From ends-maximu '4t OVER 44� LOW • . mmm '4t OVER 44� I �i WA7 rAPE ¢F1apr ok/ NMI. zmv p Jr ITO ITP- 1, a 14