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Home My WebLink About042-160-00542-16-5 R%LLD L. KOHL W/S cto Ave, z mi W Glenwood,Chico s Permit�� 1-84P,E(util, MH) „ELEC Vlk _ I5o A _ . . GAS 'G -vi -94 ELK�StiE COMPACTION TEST Rte- 1,30 SUPPORT STRUCTURE REQS_ 0 :73/9/8 Al oet 42-16-5 l _ ,Contra -Oak Hi. MH 'Service, Red Bluff Permit#64, 84NHI Issue 3--7- Y�v 042-160-005 05-3162 KOHL, FAMILY TRUST CHICO 2316 W SACRAMENTO ASE, Cont: OWNER MISC WIRING nU k," 05 n a a ��''� ��. '►'_ .sem^« _' � �f . `1 r } Butte County Department of Development Services. eurTe, naEn 7 County Center Drive, Oroville, CA 95965 (530)538-7601 vAvw.buttecounty neUdds ov_i-o' RESIDENTIALAPNPermitOwner !F" . — Site Address: 6 Cj Contractor - Type of Permit: �y Y L VA SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REtNSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED• O O f OK Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator S Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged '11 13 Tie Downs E-1Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/insignia Numbers Serial Numbers DATE D E C K S`C O V E R S`C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, GirderslJoists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn- Posts-Beams-Rftrs-Cnnctrs-Shthg . Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Ddors 7 Electric - 8 Frmg; Sills-Anchrs-Studs -Rftrs-Trusses 9 Siding; Nailing Veneer -Stucco -Lath 10 Roof; Shthg-Roofing Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/LUng; Distance-GFI 5 Elec Pool Lting; 15 volts-GF1 6 Elec Encisrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg Bakes-Encisrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr, Fencing Alarms 13 Bonding, Diving board or Slide Pool Drawing G = OK Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Opth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Opth• 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; SoilsSteel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub-Acc 6 Stemwalls Garage; Steel-Blockotits-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test ° ° e. 1.1 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd DATE IM E C H A N I C A L 13 Plenums & Ducts; CImc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn[Vent 115 Outlet 65 Attic Acc & Pitfrm if Furnace in attic 411 mss`. DATE= IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frpic Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Ctiannel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrtlr Acc 35 Glazing Area -Glass P rtctn-SkyLts-Plas tic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall Anis 3B Insultn-Walls-Ceilings 39 Infiltration-Walls-Wndws c` o'er o` o'er cT DATE JELECTRICAL 40 Fxtr & Tmsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndrig Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz 9 ❑ CU or ❑ AL AC Wire Sz ga ❑CU or ❑AL 48 Range Circ , Q CU or ❑ AL Oven Circ ga ❑ CU or ❑ AL Insulated Neutral EjYes ❑No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrnrs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector DA o FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-CImc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sts & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door, Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters FlYes FNo 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb Appinc-Frplc-Clmc to Opngs 90 Wtr Well, Dscnn(:% Elec, Plmb 91 Ext Elec Trim, GFl Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 97 Energy Cmpinc Cert -Other Certs 98 Address Posted .99 Fire Sprinkler o'`0•`1 o`' li o` I-QU/BUTTE CE UENT LOGI INCIDENT NUMBER 13742 DATE 11/28/2005 EVENT NUMBE 14050 LOGGED B JAMC REPORT TIM 14:06 LOCAL FIRE NUMBE 110671 RO BURROW STATE FIRE NUMBER BI j CASE NUMBER IAerrAaas MEDICS LOCATION : 2316 WEST SACRAMENTO AVE PRA M2� ECC ❑ RP LOIS PHONE NUMBER 3434374 REPORT METHO 911 WILDLAND FIRES ❑ ESTIMATED ACRES 0 FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HO f.EMAIL BY LS TO[STM OTHER FIRE i 7 -DAY LOGGED INITIALS JAMC i MEDICAL AIDS PSA/OTHER ....... .............. HAZ MAT Billable Incident ❑ COMMENTS ATTIC FIRE EMD ❑ OES ❑ Interesting Event ❑ INCIDENT NAM �JKOHL - START DATE 11/28/2005 START TIME 12:00 DIAMOND # 5.0 CAUSE MISC LAND USE 11 DOMESTIC ACRES0� TYPE OF ACRE DIAMOND 5 ONLY $ DAMAGE TYP ALL OTHER DOLLAR DAMAGE 15000.00 SAVE M 200000.00 INJURIES/FATALITIE ❑ # CIVILIAN INJURIES 1 # CIVILIAN FATALITIES 0� # FF INJURIE F'-01 # FF FATALITIES 01 FC -40 INFORMATION ♦ i New Incident FC -4O ❑ DATE OF FC -40 INC J AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY � County Notifications EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053162, PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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. License Class : License Number: Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of thg Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under A ti_cle�e333000ff the Business and �Por 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Issued Date: 11/29/2005 APN: 042-160-005-000 Site Address: 2316 W SACRAMENTO AVE CHI Map Index: Description: MISC WIRING DUE TO FIRE Owner: KOHL FAMILY TRUST KOHL RONALD L & LOIS J TRUSTEES 2316 W SACRAMENTO AVE CHICO, CA 95973 Applicant: KOHL FAMILY TRUST KOHL RONALD L & LOIS J TRUSTEES 2316 W SACRAMENTO AVE CHICO, CA 95973 Contractor: License #: Architect: Engineer: Carder: Total Square Ft: 0 S. F. Policy, : Valuation: $0.00 Census Code: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 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. Date: d Applican WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hreb sued-uml r the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the Resoluf rk indicat above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: _ By — ` Date: Address: PERMIT EXPIRES ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that 1 am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes—. -7 _ I I i o /J 1 Print Naine:f9 �[/�% �� + Q� Signatur Date: -1%Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY* id OWNER INFORMATION Last Name B �^ First l Address3 City City �C a Statr �e I Zip?5 Phon& ^ �,CS 9 Fax E-mail Lic. # id CONTRACTOR Name lw Al Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class id APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE For office use only: Zoning Property Address a-_. S c. yq(--e� Flood Zone Cross Street SRA Yes INo Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K 1Fr1RMC\RI III NNr: Fr1RNAC\RlrinAnnlCuhRnmtc rinr. PERMIT NO. 053((e.. BP : - - BIN N PR LOCATION 1OJ_ECT 0 0 Property Address a-_. S c. yq(--e� I R Cross Street - - - - WORKER'S -COMPENSATION -- Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: Sheriff 5) Sq FT- Living arage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION . Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: ✓ Bldg Receipt #: Sheriff 5) SMTP l401 Other Date: � 1 � � � Total Paoe 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bidgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Lefler of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 Temp. Power Pi OFFICE COPY 11 Called PG&, Address Temp. Elec. Ser + —PERMIT NO. !!!' 211-84P,E(MH) , � Called PG&E ELECTRIC 7` Date �— t PERMIT EXPIRES Temp. Gas Servi c� ( OWNER RONALD L. KOHL t � t Called PG&E ( CONTR. Owner e JOB FINALED (Date) V i ASSESSOR PARCEL 42-16-5 LOCATION_ ATOS Sacto Ave, z mi W Glenwood, Chic �i r s. I Temp. Power Pi OFFICE COPY 11 Called PG&, Address Temp. Elec. Ser GAS _ Date !!!' Meter By , � Called PG&E ELECTRIC 7` Date �— ^t, Meter By Temp. Gas Servi c� y' k -- -- n t � t Called PG&E JOB FINALED (Date) V Signature I V- OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES r MISCELLANEOUS a:*... . cu Date MOB16EHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It's Zo�equirements;�Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements of peciat Support—Sk $1, 2. Footings; Size—Depth—Spacing—Connectors ewer ocation—Test—Fall- / —C crete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4 r-; Loc n—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas• tion—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7 -."Utility Clearance 7. Elec. Card -BI Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date ITOBILEHOME INSTALLATION (PWS) OK except p's Date _ POOLS (Plans) OK except N's Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 ctricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI ke"brain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector 'er 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ts; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test C d B-If6f.,f2atel Card -BI Date Card -B1 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date S''a 4+5 s _,oFbs- } J = OK 0 = Not OK Not Read cable = RESIDENTIAL (Single and Duplex) Ready Date UNDERFLOOR Plans OK except N's Date • FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /'• Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /•' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers - 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underf.IL.-Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolls 9. Gas Pipe: Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13: Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -Bl_-' Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door"& Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above_F_,loor-Ducts-Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access _- 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter - Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer r 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Alec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. _- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps - - 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No• 75, Following instld.: Drive El Yes ❑ No; Walks [I Yes E] No;' Planters ❑Yes- ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_- 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -------------- 79. Water Well; Disconnect, Electrical, Plumbing ------ 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date- Card -BI Date 81. 82. Ventilation throughout House Glass Protection _ - - Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval -_ 32. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates _ 34. Furnace -Vent; Access -Comb ._Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI .Ca ---- _ _ -------- ----- Dale -_ Card -BI Date Date Date- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors Comments at Final: 37. 3_8. 39. _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub - 41._ 42. 43. 44. Header _&_Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors _ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. 4_6. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm._Windo_ws or Exiting Doors -Sill Hg_t. & Dimensions 47. _ Garage Fire Protection Framing V (NOTE: Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. AF Q Inspector � - Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE., OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number t6y 5r-14- for the following location: ,mac L,.j Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. 5%7-'VI5r Serial No.,'�--/-2 Q"1:;�-' It is hereby certified for occupancy at the above described location and may be occupied. -, Director,of Public Works Date '''" �% By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE R 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. Inspector_._ . Date L COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 89;-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 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. Inspector___,. Date V/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -- Orov+lle, California 95965 Telephone: 534-4541 , APPLICATION AND PERMIT owner Ronald L. and Lois J. Kohl Mailing Address Rt. 2, Box 217 Chico, CA 95926�h� Contractor Oak Hill IVES Mailing Address 550 Antelope Blvd. Red Bluff, CA 96080 7hT1 Building Address Rt. 2, Box 217 W. Sacramento A Chico, CA 95926 u s t A. P. No. Y-, —16 —s— Zoning & Planning Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit A Parking Parcel Parcel Ma 60' R/W Im rovem nts Plans Declaration p p Bldg. Plans Recd Parcel A royal Plans Ap royal NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 14EI 1A1,56Y R rho roe - Single Family ❑ Duplex ❑ Mobil Home Q Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Oak Hill_ Services License No. 29549 Classification C-61 ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Ag Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. OCC. I BUILDING VALUATION /0, OF 4V Fireplace $ Total Valuation @ FEE Permit Fee Ian Checking Fee &feHf 1_ !t+ty / f}� Permit Fee 1 2.50 PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. 1$3.00 @ FEE PERMIT FILING FEE Main service soot/ OR LESS 100 AMP OR LESS 5,00 Main service EA. ADD'L too AMP 1 2.50 Main service OVER 600V 100 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1 1.00 NEW CONST. DWELLING OCCUR. !e OR ADDNS. ( ACC. BLDGS. 22Sgft NEW CONSTR. (MULTI.OUTL T NON -RES,,,` BRANCH CIRCUITS) 12.50ea NEW CONSTR.POWER APPARATUS a NON.RESID. SINGLE OUTLET CIR. Ex. OCCuo(OUTLETS OR FIXTIIRES, BAL BAL�1 Ex. Occup.(OUTLETSP(RESID.)FIXED ALNS.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 1 6.25 Permit Fee $ MECHANICAL PERMIT FILING FEE Heating Coo I i I II Ventilation Hood 2.00 Permit Fee Atl $ Ov $ ad Land Development Fee $ TOTAL PERMIT FEE $ Q DO This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC R OF BLIC WORKS By Date IT - Building permit expires Date 3-7— MOBILEHOME SUPPORT DATA If other than'single wide, Mobilehome Mfr.,/ ��,�_ Q furnish .Setup Model . No. • Year 1,94 / Width�(ft.) Box Length(ft.y Tagalong or-Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with.the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. _ 1..� . . .I •'t-••��• Footings (check one) ' Single ~V 1. Wood either AApressure treated or ` ow foundation grade. U (ft.)(in:) x (in.) (in.) EJ 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) 1: Concrete block. El 2: Other (specify) (ft.)(in.) (in.) (in.) X -----Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) Zia -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in..) (in.) �' �" -- Max. Pier Spacing (ft.)(in.) x -- Max. Overhang (in.) (in.)' (ft.)(in.) / - BUTTE COUNTY BUILDING DEPARTMENT APPROVED., z *If center piers are other than drawn above, rlrnn► 4n...7 onnni„n —A 7,.,.,..., .«. F1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Ronald L. and Lois J. Kohl 2. Installer's name: Uak hill Diobilehome Sales 3. -Is the site currently under permit? Yes /X / No (If yes, furnish permit number .Z//OR Is the site an existing site? Yes / / No /X / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /X / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 00 Amps 7. What is the mobilehome site circuit breaker rating?-------------�j 0 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No /),r,-/ (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- _(in.) 10. What is the type of gas service? ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS + 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 F` APPLICAfiION AND PERMIT PERMIT NO. t_ ASSESSOR PARCEL NUMBER ZONI G BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC, BUILDING VALUATObN OWNER'S MAILING ADDRESS G CONTRACTOR'S NAMF, ew TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ;F W Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ s 80 BUILDING ADDRESS ,Z 60 � 4 PLUMBING PERMIT Filing Fee, 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. tUB-IVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ DuplexOther SPECIFY Building sewer 5.00 Mobile Home S W 10.00 a TYPE OF WORK NewW Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Describe work: 6.0—a 9b M091LJEL _ +Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 lflitz ' Main service EA. ADD'L 100 AMP 2-.50 V NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sq ft CONTRA CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Businessz0es0e and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- saty6n'', will do the work,and the structure is not intended or offered j& sale. (Sec. 7044) 9?'1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) �❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR (MULTI-OUCRC ITS TLET 2,50 ea NON-RESID BRANCH I NEW CONSTR (POWER APPARATUS & NON-RESID• SINGLE OUTLET CIR. OR FIXTURES BAL030 Ex. Occup(o XED FIXED APP LNS. OR A Ex. Occup. OUTLETS (RESID•) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 / Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue againAt said Count i c n q en of th granting of this per it. 2 X 2:UO Date Signature of Applicant — OwnerContractor ❑ AgentEl An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. Mobile Home Installation Fee .$ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. t:" f PARC L P ND SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P,5 AIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -3-7 C Receipt No. J �D WNITE-D.P.W., YELLOW -ASSESSOR, PINK-IN3PECT0 R, GOLDENROD -APPLICANT AFFIDAVIT OFCOMPLIANCE WITH WITH COUNTY ORDINA\CE 2277_ (ADDITIONAL DWELLI\G IN SII\GU, 'r,"JII.Y RES IDE"TIt1i.. ZONES) Applicant LD �a' Da Le Zone � AP Bldg. .Permit N 'do declarer that the dwelling(Building Permit _ } at address (present) 1r�Zo ----- on AP i;//� -- o S —L____is intended _�- for the sole occupant}- of one adult or two adulterson P s Who are 60 years of age or over, and the area of floor space of the dwelling y unit does not exceed 64#0 square feet. I also understand that Violations of these provisions are sub' t}�e-pena.lt�.es provided in Section 2•!-63.1 of the Butte Count),subject t.o ,Code , . Signed.y2�� o 7 Dated.' Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT Of'�LrjAt fcGEi^` FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement �l be recorded prior to issuance of a building permit. JAN The property described herein is adjacent to land or included E LF,-- N1),,'a. within an area zoned for agricultural purposes, and residents of this CLLFiK ;^,i E,IiCR property may be subject to inconveniences or discomfort arising from 84 — 286 PFE, the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the. County of Butte, State of California, described as follows: X111 that certain real property situate In the.County bf Butte* State of Cal. *ornie, 'described as Tolle m a Lot 44, of. the; Second Subdivision of 'thee Jobn Bidwell Rancbe, according to the Official Hap 'of sant! SubQivision, reecooret in the office of ,the Recorder of the County of Butte* State of California, bote nber .19, :1900, an HAP Book S, at page •27. Date : / "-.,;L 7 - State State of apcuk a—ki k--) ) SS. County of (» 7L ) On this me, the PROPERTY OWNERS: the 7� day of 19 before undersigned Notary Public, persadally appeared L . 4<d h / ou,, Present A.P. No. �iID OF DOCUMENT 4@ OFFICIAL SEAL P 4 JANICE L. SMITH I> � / Personally known to me. _ Proved to me on the basis (/l'V�/w�.•,+ili7 4 NOTARY PUBLIC - CALIFORNIAI d BUTTE COUNTY 1 be f sat is actory evidence. My Comm, EXP. Oct, 15, 1966 1 to the person (s) whose name (s) _ su scribed to n ,��.��®•..I�OO®�� the within instrument and acknowledged that M executed the same for the purposes therein contained. rn IN WITNESS WHEREOF, I hereunto set my hand and official seal. IAh Present A.P. No. �iID OF DOCUMENT 11 A TO: Building Department FROM: Environmental Health, Chico SUBJECT: Sanitation Clearance Leh 10 C, l P.0xai-7 L+A-16--s. Owner Location cA4AP# d Plan approved for:. sewage disposal ✓ water supply Hold final for: , water supply Final clearance*O.K.,for: / water»supply 1 Clearance for Z— bedroo mobile home Other i Note*** Sanitarian Date AFFIDAVIT OF CO;JPLIANCE WITH COUNTY 'ORDINANCE 2277 (ADDITIONAL DWELLING IN SINGLE FAA I LY FES I DE)TI AL ZONES) 0 -, 0 Applicant-- � M6 La Zone Date J. �— � �,� AP A Bldg. Permit '# do declare, that the dwelling. (Building Permit ) at address (present) /f. �c�u on AP # %��, — / 6 _ O is intended for the sole occupancy of 'one adult or 'two adult persons who are 60 years of age or over,'nnd the area of floor space of the dwelling LTlit dues not exceed 610 square feet. I also understand that violations of these provisions are subject to the penalties provided in Section 24-63.1 of the Butte County Code. S i g n.. Dated l 2 .. T NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices anc4 of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes ind the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same With- out written permission from the Departmeht of Public Works, County of Butte. • _ ALMOND 02CH Aim U UOCAMQN MAP • EXIS'''�INC� 5'X10' ' �� SCAI..E SEP71G TA►.1K A setback of 5 ft. from the • property lines and a setbacl' aROPoSED S�wE�z.uti of 50ft. from the road IOo+ of ExIS1"IPJG • 3c." WAI-NUT ' centerline shall be clear of L.EEGH Ll"J structures or equipment except for a 2 ft. eave overhang. MI PFZ0R0!�)a0 M081LEH0ME WILL 6E SINGLEWIDE , O . E SUPPLIED f3Y SEPAP AZTI✓ -SF_=FZVIC E= P0L_e BY OW IJ E iZ AN D E9CI�+TIIdC� 3�4' Uj`� WA'P'1✓FP_ LI AJE Q- P� EX15TING 5e.WER _W • e A permit will be required forthet i� �</ installation (if the mobilehom. 0`� LINE 0RCHARD • �OTC-. MWIMUM S+{�E M0811,E • E1•oME _ �4O I'T2_ ' NtI� INt�M SI�� HnF�IL.0 05' AP 4Z- ICo ' POWEP, • PG. E. - $ E WAS E ' 51EPT t G T -A NJ I< WATER : W E.L_L_ • • I 8" WALNUT (-ro aE. 1ZEM04ED) • 414" MAPUISE c.11 coNCRF'f'E CURB ,T1/P. -11 JAN 23 1984 APPFZOxI M ATE PROPERTY LINE - Utility connections shall be within 4 ft. of the mobile -home, either • directly behind or within -the rear half of the roadside (left) of the mobilehome. . •---- W ELL_ ALMOtJD a� py2.1V EW AY 4.0" WAt-NuT r I SUUT°HEAST GORNEFi;. OF 10 P:GfZE _ BUTTE COUNTY CEW-rEKLIKIS AVE'. BUILDING DEPARTMENT APPROVED It FOR. MOMAJ-0 L. IGOH L.. A PLOT MAP S1-dOW I Q G THE ZOV'T`N EAST a...-S�a@S '�", FZT. Z.'E�ox. ? m GMIGO CA. C'ORtJEiz OF THE 10 AG2f� PAfZGEI.. �». Ch.kW R �.K [�G. 1;'3p3 11