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HomeMy WebLinkAbout043-690-0393-o90 039 A.P T^ ^" ,^ RS OHN EIAETS �sOak-Park Oak Park Ave; app. 135°' ---east of---- f- ' Rose Ave., Chico .4� 7L Permit 19-73B,P,E,M ( new recreation bldg.) `eQ cAJ LOT BLOCK:12560-91B SU - d443 -&:c O -a39 1 TYPE PERMIT NO. PLAN NO. D AUBREY, •Randy SSUED PERMITIT 1954 Oak Park Ave, Chico cont: Gary Lex (reroof/sf) 3�,9 REMARKS PERMIT DESIGNATION: B -BUILDING DEPARTMENT OF P -PLUMBING T -TRAILER BUILDING AND SAFETY E- ELECTRICAL U -USE PERMIT TV - RADIO -TV ANTENNA V - VARIANCE S/W-SIDEWALK NOTICE S- SIGN PERMIT HM -HOUSE MOVING EP -ENCROACHMENT D - DEMOLITION 600. 1 9l INSPECTION RECORD BUILDING APPROVALS fm W D IL Z z DIa U O Z oILD I J 4 z IrW Z F zy W Z - Q 4 gx ma H J Z °x xQ F J � °F x W a y Za °FY rc I W a N �a rcu U O Om V �a 05 IL 5 d Ir IL J a 2 a � SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DAME SIG. DATE SIG. DATE SIG. DATE SIG. DATE 1221,111 W-1 It PERMIT NUMSERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES Q VENTS FINAL L+b ,'7'Klf:A/, APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MINCl+;LLANF,(NIR APPRnVA/,C PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE �S.J .-j T ,± 'L 47ah.•, to :Y`. 1� 1w .7 N i. :� � '-Ti ala TfM yi'� '<•1Y 4 '..,"tv��! .. �` '�P{'-it +iY '-1 .._ .,� ... yam COUNTY OF BUTTE - 4EPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 / Telephone: 916/538-7541 � APPLICATION XND-PERMIT ASSESSOR` A. C EL NUMBER 42=20-39 ZONIN BUILDING PERMIT OWNER Rand TELEPHO E 343-2970 SQ. FT.OCC. BUILDING VALUATION g7@ 60 1,500.00 OWNER'S MAILING ADDRESS 1954 Oak Park Av.e Chico CONTRACTOR'S NAME Gary Lex TELEPHONE 345-9270 CONTRACTOR'S MAILING ADDRESS 13061 Centerville Rd., Chico Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation $ 1, Juu. 00 FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. _$7,00 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee S , 35.00 PLUMBING PERMIT Filing Fee 10.00 1954 Oak Park Ave. Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: Reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW erpenalty of perjury (Check One): I lrn'licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Cod�et a d my license is in full force and effect. License No. �/! �/ � Classificati on. �/ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, 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 CONST. DWELLING OCCUP.pt OR ADONS. ( ACC. BLDGS. , /Z¢Sq ft NEW CONSTR ULTI-OUTLET2,50 NON-RESID BRANCH CIRC ITSam ea POWER APPARATUS e SINGLE OUTLET CIR. ) EX. OCCUp�OUTLETS OR FIXTURES 20®30t 22@030 Ex. Occup. OUTLETS ED PRESID )REA.) 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 f'Consent to Self -Insure. •IJ ' 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 shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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. 11) 1 also agree,>t.isave, indemnify nd keep harmless the County of Butte against all liabilities.,>judgments, cosj, and expenses which may in any way accrue against sa d County in consequence of the granting of this permit. -- 7� y- X D,ete / 9 Signature of A plic nt - Owner ❑ Contractor RjoO Agent ❑ An OSHA permfiis required for excavations over 5'0" deep and demolition or construct- ion of structureover 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ 35.00 HAz CUA PARK SCHL FLD CDF PAR PO ) HD. ISS E This permit is hereby issued unser the applicable provi- sions of the Butte County. Code and/or resolutions to do work 21'd'lated above for which fees have been paid. DIFEC OR OF , UIBZIC WORKS /P� ��W, I!j[j SI( B, Date �1 PERMIT EXPIRES Date / ,, ra""— Receipt No. 96668 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AkO PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 42-20-39PHO ZC5mING BUILDING PERMIT OWNER - Ayu rey TELE E 343-2970 SO. FT. OCC. BUILDING VALUATION 25' @ 60 1,500.00 OWNER'S MAILING ADDRESS 1954 Oak Park Av.e Chico CONTRACTOR'S NAME Gary Lex TELEPHONE 345-9270 CONTRACTOR'S MAILING ADDRESS 13061 Centerville Rd., Chico Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation 1$1,500.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 25.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ " 35.00 PLUMBING PERMIT Filing Fee 10.00 1954 Oak Park Ave.. Chico Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF © Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W. O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Reroof Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 - Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I decla ,rp4hder penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$ and Professions -Code a d my license is in full force and effect. / License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, 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 CONST. DWELLING occuP.� OR AD NS. ( ACC. BLOGS. , /20sgft NEW CONSTR ULTI.OUTLET NON, BRANCH CIRC ITS 2.SOea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20050t BALD 30 EX. OCCUp. OUTLETS ( FIXED PRESID )LINIS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 Consent to Self -Insure. I 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 shall be deemed.revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ LContractor 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. 1 also agree save, indemnify Ind keep harmless the County of Butte against all liabili ' judgments, and expenses which may in any way accrue against d ounty in conseq nce of the granting of this permit. X T / y_ 9 Signature of A plic nt — Owner ❑ Contractor Agent ❑ LU� a An OSHA perm) is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ' Occ CONST TYPE TOTAL FEE $ 35.00 HAZ. CUA- PARK SCHL FLO CD F PAR PD ) HD• ISS E This permit is hereby issued unoer the applicable provi- sions of the Butte County. Code and/or resolutions to do work i cated above for which fees have been paid. DI;VR OF U IC WORKS 00JQ B Da � PERMIT EXPIRES Date Receipt No. 96668 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT °� e �k r to ��`�j?a;i!'r"7�'Y%�d'r tir�r-•-v COUNTY OF BUTTE - DEPARTMENT;P4 PUBLIC WORKS -BUILDING DIVISION es: 7 COUNTY CENTER DRIVE - OROVILLES'�A4W,5)RNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �< %tIDA. R,4111,_ '!�Y Proposed Building Use 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 APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.......... ............................. 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ............. ....................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of M (see City for other requirements) .17. Planning approval for (A) Use: (B) Parking: ....... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec.request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... .f 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant _.Datej;��, Copy of Hdz-Mat form sentHealth Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. • Fire Dept. Other Date By The following data must b S,bmi+tA��ior to permit issuance: (Circle new--i-tem-not-c'hecked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—jnail—counter by _.date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califarnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSES 09.FARCEL NUMBER �;/ _049_oo-- <9- (f) ZONING BUILDING PERMIT oN R f / TELEPHONE SO. FT. OCC. BUILDING VA TION r / OWNER'S M ILIN PpOR ESS�/ CONTRACTOR'S NAME Z TELEPHONE CONTRACTOR'S MAILING ADDRESS / �b&/ 7& -PC (�J[�� Fireplace CONSTRUCTION LENDER dit/E UNKNOWN Total Valuation Is FilingFee $ 1p,00 LENDER'S MAILING ADDRESS Permit Fee $ , QQ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILD)qA, ADDRESS O n Permit fee $ 'O PLUMBING PERMIT Filing Fee 10.00 t! Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF/y Duplex Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare u er penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Bu$Ines$ and Professions Code �a°nd my license is in full f roe and effect. License No. ��J /�✓� Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.ad) NEW CONST.( ACC. SLOGS. / OR ACDNS. , hQ$git NEW'CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS .&) (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20P60t e ALO 30 FIXED APLNS. Ex. Occup. OUTLETS (RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 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 of Consent to Self -Insure. I 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 shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation penult 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 County of Butte to enter upon the above-mentioned property for inspection purposes. indemnify d keep harmless the County of Butte against I also&bd all lients, c and expenses which may in any way accrue againn copse a ce the granting of thispermit�.7 X D te�rd-`i�` Signature of Ap ica — Owner❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0•• deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE $ HAz. CUA I PARK I scHL FAD I cDF PAR PD j HD• ISSUE Th;s permit is hereby issued urger sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-ASSE350R, PINK -INSPECTOR. COLD ENROO-APPLICANT PERMIT NUMBER B 19-73BxP�E.,M p E PERMIT EXPIRES OWNER John Ey-raet.-, CONTR: owner VIOCATION (A.P. - .42-2n-39 n/s Oak Park Ave. -app. 135f east of Rose Av( Chico c�l DATE REMARKS OR CORRECTIONS I- 7- ')- -7--2 7' h 10 c k J.'Pvr7 5 75 CZE �ia 4cj� j�� �` � �o� "�� �� 0 Ila hoccs y o iC 40 V e COUNTY OF BUTTE l 1Z �c i -r 9 - C c Or6t/GCLt C1oi2� J v cclie Department of Public Works BUILDING INSWECTI" RECORD Zoning t ' Setback Forms Foundation Piers & Girders —"? Fireplace —� Lu6 Rgh. Plum ung �� , Z� Bond Beam ' Lath & Plaster Rein. Steel Gas Piping & Tes09Jr:.ffi c. '13'7 Found. Vents Framing Plmg. Topout Rough Elec. 4� Z� % Wtr. Htr. Furnace�,�0 7% Kitchen Vent Firewall Garage Ventg Sanitation & Water ELECTRIC GAS BUILDING Temporary -�'�� Temporary Cert. of Occup. Final �� Final _ _—!::7 — Final '%—" % DATE REMARKS OR CORRECTIONS I- 7- ')- -7--2 7' h 10 c k J.'Pvr7 5 75 CZE �ia 4cj� j�� �` � �o� "�� �� 0 Ila hoccs y o iC 40 V v i.c! -� C�' s cv � l 1Z �c i -r 9 - C c Or6t/GCLt C1oi2� rf .t7®I' �-o�' Su .b �lzi%�C d ' .y . v cclie 1a,5 l I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 19-77 County Center Dr vp—'.OroviIIe, California 95965 Telephone: 53? -1230, Ext. 259 APPLICWTION AND PERMIT ` BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address O` Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ 00 p� Building Address �I� S C PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 6G Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Q — Zoning piping system 1 - 5 outlets 1.50 $ Each additional outlet .50 Fire Zone Fire Dept. a Planning Building sewer 5.00 Plans / Fees ` W. C. � R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ I FEE PERMIT FILING FEE $3.00 C6, Main service incl. 1 meter Additional meters, ach 1.00 USE OF, STRUCTURE Single Family ❑ Duplex ❑ Others Sub -panel (12 or ess) (morethan 12) ZS V Range, dryer or water heater 1.00 ' ' Oven, Cook -top or space heater 1.00 Light fixtures 20925 i Rdci9ps.,swit hes&fix utlets MR 6".0-0 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the of California Business & Professions Code under the name style of: x. Fan or F.A. Furn. Motor 1.00 rEvap. ole ggar.disp.orD.W. 1.00State ditioner or heat pump Water pump Misc. wiring License No. Classification Ell am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 3 ` $ a 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. MECHANICAL No.1 @ I FEE PERMIT FILING FEE $3.00 OD Heating Cooling Ventilation Permit Fee $100 I certify. that I have read this application and state that the above infor on is corr I a to all County Ordinances and s I in b ilding construction, and hereby author' e r pr e f ounty of Butte to enter upon the above, entioned property o ins ction purposes. X Date J-3-72 Signature of/Permitee or Agent Receipt No. [6/7 _ White-D.P.W. - Pink -Inspector - Goldenrod -Assessor - Yellow -Applicant jtate Fee for Str ng Motion Instrumentation f�rogrom $0.07/$1000 Evaluation $ TOTAL PERMIT FEE ��yy $ 0 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By Date %– � r� Building Permit Expires ��� e' 7 -•- 171,0 , OR PARR 1.7 I certify _t1), I t us otimcr of -Chet rarrty,acruired by decd in Vo1L'.-le P :1gL % D�j� , if: l+ i�il hecorc;s of Eutte County, (11 10 -0- 0,3 - 0 ), i am requcstin�; perrr,ission to build or install, an additional living unit on this property. I will.:not;divide the afore mentioned prbperty for sale, lease, rent, or financing unless all applicable. -land -division -laws:-add,map• requirements -are complied -with. - I am conversant with.the present zoning reguA. lations affecting the. aforementioned property, and declare that I shall not violate :same. I` represent that the proposed use of the additional living unit is. f col. 6.1 ai /39i /� PO ,,/1 and --that further I -shall --not,-change this proposed use of the--- additional living unit unless and until *I recwritten ritten approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and 311535 et seq of the Business and Professions Code that if I, finance the area on or adjacent to said in the future, sell, lease, or improve.lent without fully complying with the applicable laws and ordinances, that i shall be guilty of a misdemeanor and therefore, SL'o j eC to the aforesaid penalties and imprisonment pursuant to .law. Further, -,this statement shall -be--properly. -acknowledged and -recorded at -the request ---of.-:he.-Counr.y---.of...Butte. • NOT C© .fir"„",ED WITH 0FF!G!AL.RE00,,QS ORIGINAL DOCUMENT BUT„`;, r^t!. �r�"�, k@� .. . ,der COUNTY RM Aaaress FEE%. jL0228 /_3 J -�.� "Da to STATZ G -F Cn-_- y 0 ti IA CObT1= 0 Butte On thiS third day of . January ; 197 3 , beforeme, Brenda Estes a idotary Public in and .for pile COLnZ,' or _ Butte State of California,, residing therein, duly anz! S Orn, personally appeared John A. Evraets __ known to me to be the person whose nnr-,,c s SUG:;C itiid to the within inStrument and acknowledges to me that ^Te- e ccut:ed 'the Same. D 1,r7IT:: e.S S WIIZR EOFc'lVt'. h hereunto ZeUnt=o -sCt my hand and 1ir. If ixCd fir)• or 'tes=�;�.:u,� `,"'lit i i c� �It r of Butte the+ -day and year in this {�'"' y-,*�. Y r. L,.•I,r .— rA,.IFc',FN,A �— Aly for.iot: Ernir�s (7acan,l,rr i3. ;973 gren�a.�E'sZes' �,� D'-f3-G90 -039 � - � ,kit kgs -��.rz -