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Home My WebLink About047-050-009047-050-009 PERMIT#96-2383 MAPCO FARMS Bennett Rd., Chico MH Util/Ag Worker Unit,(, L ELECTRIC ��(20 C'o GAS LINE (I COMPACTION TEST RE AA SUPPORT STRUCT RE) FPI — QL-p 047-050-009 PERM 6-2384 MAPCO F4F]IS C BennetE Rd., h, MHI 14 U. #1 . 0*/Ag Worker 047-050-009 PERMIT#96-?385 MAPCO FARMS Bennett Rd., Chico MH Util/Ag Worker Unit #2 S// 91�7 ELECTRIC 0-00A GAS LINE -3/V" COMPACTION TEST REQ �4,) SUPPORT STRUCT REQ .0 0 047-050-009 PERMITY96-2386 MAPCO FARMS .. Beff6ett Rd., Chic �MHI/Ag Worker Unit #2 ml mowl-A 5,1 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 -PHONE (916) 538-7541 APN: 0 5D PERMIT 1\10z� Owner's: /j i mu Name: Ownees: 1� �,, o * 77 (_5 Address: Mobilehome �__/ Z/ Yearof Manufacturer Manufacture: Serial number 41 7C)03 Z Insignia or or V.I.N. HUD number: Official approving installatior4 Zpj Date: 7 441 If the mobilehome is moved or relocated, the mobilehome Installaflon acceptance shall become invaild.;This form shall not be used when the mobilehome is installed on a foundation system. 51313 White-Owner,'Yellow-Installer, Pink -Bldg., Gold -Assessor CO UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orovill6', Caljornia 95965 - Telephone (916) 538-7541 P RMIT NO. APPLICATION AND PERMIT V(, ASSESSOR PARCEL NUMBER 047-050-009 ZONING A40 BUILDINGPERMIT OWNER MAPCO FARMS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7385 BENNETT RD CONTRACTOR'S NAME OWNER TELEPHONE 343-4095 CONTRACTOR'S MAILING ADDRESS _____rOWN Fireplace CONSTRUCTION LENDER Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 2� BENNETT RD PERMITFEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap - 1 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pu mp water heater 23.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome Yff Other SPECIFY Water piping 15.00 Each gas wateF—heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer - 15.00 _F_d� -F§ TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation )CI -"Other 0 Describe Work: MH 1 #2 &6 -12� -3yL Mobile Home W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 2 0.'0 0 OR LESS Main Service 6.000VA OR LESS ) 23.00 Main Service 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, asowner of theproperty, or my employeeswith wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) 0 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 forthwit7ho 1ply With thgolsevisions. 's'O' X Date Signatu e f pplicant wner �Contractor 0 Agent An OSHA itis required for excav ons over 60" deep and demoli /ion or construction of structur over 3 stories in height. NEW CONST. DWELLING OCCUP. so OR ADDNS. . . & ACC. BUDS. 1 3.50 Fr. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR OUTLET OR FIXTURES 20 @ 1.00 Ex. Occup. ( SALQ .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee Is 100-00 Energy Inspection Fee Is OCC CONST. TYPE TOTALFEE$ 143.00 a — I I HAZ. MCDF P;PCL HD I ISSUE 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. By �Iul" Date- 3,31.1.7 PERMITEXPIRESON 3-3t -qg (Date) ReceiptNo. 206256 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I COUNTYOF BUTTE - DEPARTMENT O�F.QEMLOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA95965 -TELEPHONE (91'6)538-7541 VE-LMIT APPLICATION DATASHEET OWNER 11-T 0. -0- -Z - _Building Inspector Proposed Building Use Date 4ell At time of permit application, I was qdvised th6 following data must be submitted prior to permit processing and/or issuance: DATE RECERIED BY I . All it ms have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..... 4. Engineered plans and calcs, 3/4 sets, w Lth, wet signature on plans . ............ 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check) . .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... 10,.,Fees of $ .. ...................... ...................... Impact fees as shown on attached schedule. ................. f5. California Department of Forestry plan approval/fees . .......... . ........ Flood elevation letter (100 year flood by California Engineer. A 17/* . pet.",Cl. Zy. KC ..... Sanitation and plot plan approval Pte -0 Health Department . ............ City of Chico plumbing permit. .................................... 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage . ........... 19. Driveway permit (construction approval required prior to occupancy). P*re*4 � 'C'. A r6�dest 20. Pre -inspection for required. t. B.,Itng Inspector Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23,-, wner-Builder Verification (Given to owner Mail to owner . ........... Recorded copy of Agricultural Acknowledgement Statement . ................... Z� 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road ...... 27- Letter of intent on building use . ........................................ tDobilehome utility clearance . .......................................... ocumentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 3& 34. When you issue the permit, process as follows: Mail to wrier. Mail to contractor. Telephone and hold for pickup at C C-0 office. Deliver with inspector. Other Parcel Creation A ppli Acreage cant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. -4 Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. _ Ot�dr Date By_ The following data must be submitted pri t Permit issuance: (C�ircle new 1. Index permit for above items No. RIO, 2. Additional items required: checked above). Contractor, designer,�as advised of above required data by :�Q phone — mail Counter by M t1t: Date Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by _ Date Plans checked by SG�cq Date. Plagsapprovedby 113 Gq..ts Date Sets of plans on hold in File cabinet )!gn AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF DEVELO04kl�T SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER pe�- A.P. # -0* PROPOSED BUILDING USE DATE 21 a SCHOOL DISTRICT FEES (paid at District Offlice) - 2. SHEREFF FEES (paid at Building Division) Residential. .'.� ..". ", /,. X--�-6 = � unit amt. Co=erciaI (sq.ft.). x 3. m 5. URBAN AREA FEES. (paid at Building Division) Residential (per unit). x #units amt. Conunercial (sq.ft.). . x sq.ft. RECREATION DISTRICT FEES (paid at District Office) THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) SRA FIRE INSPECTION AND PLAN CHECK $89-00 (paid at Building Division) 7. WATER TENDER FEES TRATT-A-1-JON # Sf Ginaid at Building Division) H E R E 8. JCSA 87.TRAF71C FEE .......... CK):(paid at Building Division) 9. At time of peMli:* �liidafion, I was advised'the above fees are require d to be paid prior to issuance of 'the pe mt. Ix CANT *�u DATE A171 RESIDENTIAL PERMIT#96-2385 MAPCO FARMS ?7738?6- Bennett Rd., Chico :MH Util/Ag Worker Unit #2 OFFICE COPY' Address 7,31,9y GAS Meter By Date 0 ELECTRIC MA7eter By Dateiii-iJ JOB FINALED PIy) 17A � — Signa"U.-Ime V�01(, - - 0 = Not OK Not Applicable Not Ready MOBILE HOMES - Easements &oEfectrigl�ty; Locabon-aearances-Gmd-/ /Amp -Concrete 6 -la' -s; Location -Test -Wrap- /L'tL / tv� : VLP(G ;elffell Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date 11 Carda-1 Date Card B-1 J� Date MOBIL540ME INSTALLATION (Plans) OK except #'s V.n��rements- Setbacks Easements Lof'&14�s� Size -Spacing -Marriage Une L.Z-*tr MH lbiMrossovers-Breakers-Clearances LsoOrSin; MH Test-Fall-�lex Connector JwVAter; MH Test -Regulator -Connector &AWrer and Sewer Connected -C/0 to Grade -HD Approval 8. Gas_�Wfj5p�y Ilagged jaoqre U9#e_s-1Vpe-lnstallation Cert. jj,.4?6r-t of Occupancy v ly DateSj,j-ej'] C.rdB-1 Date Card B-1 V. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1 . Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connectc)rs-SteeI 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connecfions-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B -I Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Ughting, Distance-GFI 5. Elec.; Pool Ughting; 15 Volts -GA 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/6 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 OK 0 = Not OK RESIDENTIAL (Single-& Duplex) - = Not A- li-bl- V NotReady Date UNDERFLOOR (Plans) OK except #'s I . Zoning-Setbacks-Easments-Flood-Slope 47. Cling. Joist-Rftr. Ties-Purfin-roff Brac.-Truss-Shfing.-Rfng. 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P'Ftg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ J'Ftg. Depth 5. Stemwalls, Main; Steel-BlockoutsA(Vrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic 7e-nts-Rafter Outriggers 9. D.W.V; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Proteclion-Skylights-Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Pienums & Ducts; Clearance-Mater.al-Support-Ins. Brace Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Ext Steps -Door & Sidelight Protection -Landings 17. Water Htr; Vent -Access -Combustion Air Baffle 64. 18. Water Pipe; Test & Anchor -Nail Protection 65. 19. D.W.V; Test Fittings & Anchor -Nail Protection 66. 20. Shower Pan; Test, First Floor -Tub Access 67. 21. Test Tub & Shower, Second Floor -Tub Access 68. 22. Gas Pipe; Sixe & Anchors 69. Stairs & Rails Date Fireplace or Stove, Clearance -Hearth Card B-1 Date Card B-1 Date Elec. Outlets at Wood Panel, Int. & Ext. Card B-1 Date Card B-1 Date Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance ELECTRICAL (Permit) OK except #'s 73. 23. Fixture & Transformer Clearance -Ins. Protection 74. 24. Elec. Receptacles Spacing -Lights & Switches at Doors 75. 25. Size Boxes & No. of Conductors Stapled 76. 26. Romex Installed Close to Edge of Studs & CJ 77. 27. Equip. Ground made Up w/Mech Fastners-Bond Gas & Water 78. 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 79. 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga Cu or At 80. 30. Rancle Circ. / / ga Cu or Al -Oven Circ. ga Cu or At Insulated Neutral 0 Yes 0 No 81. 31. Service -Riser Conductors & Ground -Main Disconect 82. 32. Equip. Clearances Panels-Motors-Mech. Epuip. 83. 33. Clothes Closet Light -Shower Light -Spa Light 84. 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date Water Well, Disconnect, Electrical, Plumbing Card B-1 Date Card B-1 Date Exterior Elec. Trim, G.F.I. Receptacle -Underground Card B-1 Date Card B -I Date Ventilation Throught House MECHANICAL (Permit) OK except #'s 89. 35. A.C. Ducts Insulation & Support 90. 36. Vent Fan, Exhaust above insulation 91. 37. Condensate Drain & Overflow, Size & Grade 92. 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 93. 39. Attic Access & Platform if Furnace in Attic Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Plans) OK except ft 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 Ceiling s -Stairs -Cha sers-Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Con6nued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purfin-roff Brac.-Truss-Shfing.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. 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 7e-nts-Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Proteclion-Skylights-Plastic 59. Shear Walls; Nailing -Bolts 60. Brace 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 -C lea ra nce-Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. 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-RRY In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-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 InstId./Drive 0 Yes 0 Nofflalks 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 -Electric 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: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75% RMIT NO. 0 — --)AL APPLICATION AND PERMIT , 1�s ASSESSOR PARCEL NUMBER 047-050-009 ZONING A40 BUILDING PERMIT OWNER MAPCO FARMS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7385 BENNETT RD _T__ONE CONTRACTORS NAME OWNER 1343-4095 CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIKNOWN Total Valuation Is LENDERS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS BENNETT RD PERMITFEE $ 23.00 __7�1_ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome)b Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities IX Installation 0 Other 0 Describe Work: MHU #2 Mobile Home I S I GI W 1 @20.00 60.00 PERMITFEE 80.00 Contractor ELECTRICAL PERMIT Filing Fee 2 O.'o 0 Main Service '%o -Ov, -0 �R, L -E -s -s 23.00 23.00 Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 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. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. & ACC. BLOS. so 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 'L FIXED APPLNS. OR Ex. Occup. ( DU.TLFTS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 9Q 00 Misc. Wiring 23.00_ PERMITFEE $ 63.001 Contractor - WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 0 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 wor rs compensation provisions of section 3700 of the Labor Code, fort with comply with th"o provisions. X Date Signature/ -J Ap licant JV�-07,9er 0 Contractor 0 Agent An OS ermit is required for excavations over 60" deep and demolition or construction of stru �t�es over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST. TYPE I TOTAL FCC 166.00 HAZ. I D. FEES I 1p, LO CDF P7 ;�J _;� 7 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. By Date_?_.3�M7 PERMITEXPIRESON -2 Y--!7 8 (Date) ReceiptNo. 206256 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT Z COUNTYOFBU.TTE-DEPARTMENY FbIEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE,CALIFO'RNIA95965- TELEPHONE (916)538-7541 N, PERMITA. PPLICA'ATIONDATASHEET OWNER No. Oc/ 7 Z� 1'K 7"' 7, tnr Proposed Building Use Building Inspec. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECIENED BY 1 . All items "have been submitted . ..................... .................. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .................. ........................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings. .................... 8. Engineered truss details and layout in duplicate (required prior to plan check) . .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... 10. Fees of $ . ......................................... 1 J.. Impact fees as shown on attached schedule. ................. -49 California Department of Forestry plan approval/fees ............. Flood elevation letter (100 year flood) by California Engineer.. Sanitation and plot plan approval Health Department. ....... 5. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Developmental bout (A) Improvements (B) Drainage . ........... 19. Driveway permit (construction approval required prior to occupancy), .0 :0 20. Pre -inspection for required. to Building In 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans. Compensation Insurance . ........................... 71 - Awn r -Builder Verification (Given to owner , Mail to owner----) . ........... cAR964 Recorded copy of Agricultural Acknowledgement Statement . .................. ?.I 1 -4 7 U—r�26. Letter of signature authorization . ................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road . ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ........................................... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... -Plan heck list., ...... L&� .......... U06,r Le, - hf* 34.- 1 When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other /17 Parcel Creation /0 Acreage Applicant (IL4� zf:l� Date Copy of Haz-Mat form sent Health Dept. Fire Dept. --- �Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Oth7) -Date By The following data must be submitted 1. Index permit for above items No. 2. Additional items required: to permit issukn(�e: (Cirile new item not checked above). Contractor, designer, owner, was advised of above required data by _phone — mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by — Date Plans checked by Date A -2 8- j 7 Plans approved by (-a a ael.S- Date A22& — 7 144 Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works :2 O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires May 31, 1996 FEDERAL EMERGENCY MANAGEMENT AGENCY" NATIONAL FLOOD INSURANCE PROGRAM - ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the. proper insurance premium rate, and/or to support a'request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I BUILDING OWNER'S NAME I POLICY NUMBER WiArco FA rLm 2 1 1 STREET ADDRESS (including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER Nr -_i,1 i A v-. TT rWAt) & toPlZnie CA- 6r-- ON L- C—r4-V-lE_K- I I OTHER DESCRIPTION (Lot and Block Numbers, etc.) `�101410 '1112� 41 5� - CITY STATE ZIP CODE fl� U T-rE 60 U I'l -T -f 6,A L IF. SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 4 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION 1 (in AO Zones, use depth) e.,F 1p -T. 9 e).) k% 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): El NGVD'29 0 Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I 1 (4 . L(� feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level — . 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation ofH I i I L1 feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I U feet NGVD (or other FIRM datum -see Section B, Item 7). (c).E.11RIVI-Zonb-A (without BFE). The floor used as the reference level from the selected diagram is(EA* Ud_.'fWf__a6_ove_nX_-_FE-> Cb-6I6.w__ff1f(6_�e-ckT-on-e) ...,_;the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LU. LJ feet above El or below El (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? El Yes 0 No El Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: El NGVD'29 1�1 Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: El Yes [X No (See Instructions on Page 4) Q - _d____ 5. The reference level elevation is based on: El act-ua-l-rc-o-n-st-r-uwct"ionM[K coornst-rautrRifi-on- rawi�n=g5 (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) . �Ttie-elevation of the lowest grade immediately adjacent to the building is: I I I I I G 19 . LOJ -feet NGVD (or other FI RM datum -see Section B, Item 7). SECTION D COMMUNITY INFORMATIO1q, A", rei" DEPA, 1. If the community official responsible for verifying building elevations specifies that the referenc I% IC ind' -Td 'A-,Se.ct* -7c, 11% 1 �il " is not the "lowest floor" as defined in the community's floodplain management ordinanc vi 9-S J - " ' 'On on W't%4'e-JbKJn lttt F floor" as defined by the ordinance is: LJ feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, MAY 93 REPLACES ALL PRE%AOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30, AE, AH, A (with 13FE),V1-V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features -If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. / understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 100 1. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) [)QU6UA,1, i400<11<- Ize la, V? 0s I TITLE COMPANY NAME rU4 15-T E �Z, C- D C_ IV I L 1- 1-16 1 VDF- IZ- L-AHI)t)lq -,UI?_VeyII4r, wc. ADDRESS CITY s TAT E ZIP P -0-50y, Isss WIL-"Ws c A. c) Se-) 68 SIGNAT7 DATE PHONE C)- I Co -9 S+- 70 9�,r_, Copies 44ould b de of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: N.F G . E,5-TAr5LI1vHED III Ac"R_0AIjC_G_ wrTI4 5U -TTI:-, 6oUliT-r 6TAHOATLO" UTIL-1 7 -IN 6 TH L- 19 5 Ib FLOO r) 10 r -o rL t1l AT 10 1,1 . IZAZ- F E 17_1� 1,1 cE C-_ L 6 v A -r I c) H o F iUO-0 G r-- 7 A, 1' -114 1:-, '-2 IT C- . ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE -WE -E `NC FR-EFEIRENCE1 BASE LEVEL FR E R El LEVEL FLOOD I LEVEL I ELEVATION 41 BASE R _EF _ER _EN CEj . . ..... ENT ADJ BASE FLOOD FLOOD LEVEL ELEVATION REFERENCE ADJACENT E ELEVATION LEVEL GRADE . ET: ADJACENT: GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 AGRICULTURAL AFFIDAVIT EMPLOYER Employer M.A.PCO FARMS – Phone q I G_ Z�,S -176 . -1 G Employer's Address p.0. BO -A GO,7 ()RLAtAQ.CA 959GB Name of Property Owner Property Owner's Address IG4 )1ALLom6P_0ZA.. - aSAOF- t4A �.CA. C1 i lo -7 Owner's Assessor's Parcel Number.c),*-1 060 -06q, -0o 0 Parcel Size i gg Ac. FL1014 D PF PRlf 10 N SEAALP OF MApkrC 1PA R VA 15 do declare, subject to the penalty -of perjury, that I am the employer of QUA0AU.)PF_ CCikTEZ. A040 At4GEL C0$ZT5?_ address (present) 7 3 �,5 'BIE N N F -M R0 C�-tico , Cot and that I will be employer under Section 24-305.020 kgc. 0,1* o, for at least thirty-two (32) hours per (a) to (g) week - AP YT Signed: Environmental Health Approval: Permit Description and Number— AfAl Datelssued 3-2-7-77 —By Date d: Planning Approval: -P-D 2- �7, A6-._7_"�)VJP_L_L_1fv6- L_)Iuj-T-��_ Date. 6-1 q Zone A -Ll 0 Dwelling on AP# C)il-) - 0 S 0 - 0 (-) 1� By iv / 1,/ 6- j) I p-/ , Crop/Commodity Produced LA) V -/-s AGRICULTURAL AFFIDAVIT EMPLOYEE Employee GUAC)AL.0 e Cop.-rez., Phone 315-3667 CA.. q 59 2 1? Employee's Address (Present) 73 5 BENt4ffrT -RD., C4tm Name of Property Owner MA2C.Q FAR�AS Property Owner's Address p.6 B6'X (061, Q9.LAr4 0. CA qS- q Owner's Asses s-or's Parcel N'umber 0,+7. 066- 00q 00 .0 Parcel Size I Sq Ac. GtJA1DA.LLJ;>F. C4�62:rez do declare, subject to the penalty 'of perjury, that I am theemployee Of MAPCo'FA;%MS address (present) and that I will be employee under Section 24-305.020 for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signec Environmental Health Approval: Permit Description and Number Datel.ssued— 3-2-7-077 —By_ Planning Approval: Dated: Date )q–q6 Zone A– Z� Dwelling on AP# 0��O – By v I (,- I C) PJ 7,2 J0 fj pi Crop/Commodity Produced /qL-W L)T <�, 13 eo AGRICULTURAL AFFIDAVIT EMPLOYEE - Employee AgGELA Gog-TE7_ Phone BG(07 Employee's Address (Present) 13 19 BEII NM RD. C "'Lco tcA . Q G Cl Z 9 Name of Property Owner MAPco FARmS Property Owner's Address P.6.B6,)c-G07, ORLAND, CA 95965 Owner's Assessor's Parcel Number 0 &*j 76�n-f&oa-060 Parcel Size L aq Ac. 1, ANGP.L A, COFC�E Z do declare, subject to the penalty of perjury, that I am the employee of MA 2C.0 FAR MS address (present) and that I willbe employee under Section 24-305.020 for at least thirty-two (32) hours per _(a) -to (g) week for at least sixteen (16) weeks per year on AP# Signed: Dated4T I-OX61-P 6K V Environmental Health Approval: Permit Description and Number 4�7-0570-00? Datelssued 3- 3 )-'?7 By A 0, 0K 0 Planning Approval: Date 8_1b)_,�)42 ZoneA- 1�0 Dwelling on AP# 6 - 00 By Crop/Commodity Produced �J a L_�v o All (foe� 0 ic-- GfZi4NT 2CE-9 1,T L t�- f7t 'A REVSDENTIAL 047-05&�009 PERMIT#96-2383 MAPCO FARMS Be nnett Rd., Chico MH Util/Ag Worker Unit #1 OFFICE COPY AeD Address ? GAS Meter By— Dateq:�� LECTRIC L eter By Datdq NJ JOB FINALED (Dat e) A Signature — (L=�& I C 4�1 V=OK * ' ' ' 0 = Not OK 10. Roof; Shthg-Roofing Not Applicable Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s to6'ning Requirements - Setbacks - Easements 9,8�; Special MH Support Sketch Loge—wer Location -Test -Fall -CIO -Concrete &�Wr, Location -Test -Easement Needed (Sketch) &e-Eft-Fcity; Location-Clearances-Gmd-/ /Amp -Concrete UweVs, Location Y st-Wrap; lt'ft. / /Nat. orls XG 3r4reff Clearance & Disconnect 9L�It�yclearance Date Card B-1 \1 Date Card B-1 Date Card B-1 Date Card B-1 I IT, [*1 :1 VZo9jV Requirements- Setbacks Easements 2e`1�4ptinqs; Size-Spacin;bMaryiage Line LJOR:FjqEity; MH Test -Crossovers -Breakers -Clearances ,T'Train: MH Test -Fall -Flex Connector ��er; MH Test -Regulator -Connector ��ater and Sewer Connected -C/O to Grade -HD Approval 8. Gas an icity Tagged .A� §)-�QwrTs`TvDe-lnstallation Cert. of Occupancy Card B-1 Date Card B-1 Card B-1 Date Card B-1 a M19CELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Foobngs; Soils-Size-Depti-Spacing-Connectors-SteeI 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connectons-Splice-Deca�Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except Fs 1 . Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Usted 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/6 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TestWater Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 v1 = OK 0 = NotOK': RESIDENTIAL (Single & Duplex) Date Not App ca e Not Ready Date UNDERFLOOR (Plans) OK except #'s lr-;F.ning-Setbacks-Easments-Flood-Slope 48. 2. Ftg., Main; Soils-Elec: Gmd.-/ /Ftg. Depth 49. 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ P Ftg. Depth 50. 4. Ftg. Porches & Decks; Soils -Steel-/ PFtg. Depth 51. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 52. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 53. 6a. Hold Downs and Special Anchors 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 7. Slab, Steel0rapped Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 8. Piers -Fireplace Ftg.-Steel Siding -Nailing Veneer 9. D.W.V; Fall -Fitting -Test -2 Way C/0 -Sewer Test Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 10. UF Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Glazing Area -Glass Protection -Skylights -Plastic 11. Water Pipe; Test -Anchors -Regulator -Service Test Shear Walls; Nailing -Bolts 12. Electric Underground Brace Wall Panels 13. Pienums & Ducts; Clearance-Mater:al-Support-ins. Insulation -Walls -Ceilings 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Infiltration -Walls -Windows 15. Access & Ventilation 16. Insulation Card B-1 Date Card B-1 Date Date Date Card B-1 Date Card B-1 Date Card B-1 Date Card 6-1 Date PLUMBING (Permit) OK except #'s Smoke Detector 17. Water Htr.; Vent -Access -Combustion Air Baffle Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 18. Water Pipe; Test & Anchor -Nail Protection Bedroom Exiting 19. D.W.V; Test Fittings & Anchor -Nail Protection G.F.I. & Bath Fixtures & Tub Access -Spa 20. Shower Pan; Test, First Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 21. Test Tub & Shower, Second Floor -Tub Access Stairs & Rails 22. Gas Pipe; Sixe & Anchors Fireplace or Stove, Clearance -Hearth 71. Date Card B-1 Date Card B-1 Date Card B -I Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Garage Fire Door; Swing -Landing -Closure 23. Fixture & Transformer Clearance -Ins. Protection A.C. Duct in Garage -Damper 24. Elec. Receptacles Spacing -Lights & Switches at Doors Wtr. Htr; Vents -Clearance -Comb. Air Connector-RR.V In Garage; Above Floor-Mech. Protection 25. Size Boxes & No. of Conductors Stapled , Plb., Elec. & Mech. Equip. Listed for Location 26. Romex Installed Close to Edge of Studs & CJ Elec. Receptacles in Garage (G.F.I.)-Romex Protection 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Insulation -Foam -Looked in Attic 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI Guard rails & Deck Construction -Post Caps 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga Cu or Al Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 30. Range Circ. / / ga Cu or Al -Oven Circ. ga Cu or At Insulated Neutral 0 Yes 0 No Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect Stucco Brown -Finish 32. Equip. Clearances Panels-Motors-Mech. Epuip. A.C. Unit Disconnect, Electrical -Plumbing 33. Clothes Closet Light -Shower Light -Spa Light Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 34. Smoke Detecto Water Well, Disconnect, Electrical, Plumbing 87. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Corrections from Previous Inspections 35. A.C. Ducts Insulation & Support Gas Test -Meters Tagged, Gas -Electric 36. Vent Fan, Exhaust above insulation Water & Sewer Connected -C/O to Grade -HD Approval 37. Condensate Drain & Overflow, Size & Grade Energy Compliance Certifiicate-Othi�r Certificates 38. Furnance-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 Date Date Card B-1 Date Card B-1 Date Comments at Final: 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 prool) 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-Purfin-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. Bdrm. 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 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-Mech. 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-RR.V In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-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 No/Walks 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.Fl. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certifiicate-Othi�r Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B -I 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: C) ly 0:50 - 0 PERMIT NO.: Owner's: M 4�9(0 171-41`7' Name: Owner's- 07) Address� Mobilehome 87 &vl)l y /1144 xa) (I Year of I Manufacturer Manufacture: Serial number 3L4 Insignia or or V.I.N. HUD number: Official approving installation: Date: L,6 If the mobileho me is moved or relocated, the mobilehome installation acceptance shall become Invalid. This forrh shall not be used 'hen the mobilehome is installed on. a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold-Asse I ss,or COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ^40co OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. ?L)t C'�'r /,t/ 7411, .%2 A Date-(1—Zq-6(7- Inspector " REV 10/92 Date 'L _ff --7,, - inspector -REV 10/92 I;OUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVUCES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County&nter Drive, Oroville, CA - (916) 538-7541 74fbliott Road, Paradise, CA - (916) 872-6307, 0 ECTION NOTICE IC R 96-7- 'A OWNEA PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, this office immediately. please,contact 4A Al"), 10171)uf�ft (;A s' 7& 57 -ro (2 A 06 �21' PRL-)U*(0& co A-, )(IA*" C' I -ro 07, /0 nou I '.Oolvle A 6 (Alou C� TP/70c, 7c, F&to, 9/Y5- 0'��' '517-k P_ 00 deW Ay/ xlv�W'o /Vor 6/10 5'0 1 L A Date 'L _ff --7,, - inspector -REV 10/92 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, rialiforn'?a 95965 - Telephone (916) 538-754k)/ EERMIT NO. APPLICATION AND PERMIT. — �71a-cQma ASSESSOR PARCEL NUMBER 047-050-009 ZONING A40 BUILDINGPERMIT OWNER MAPCO FARMS TELEPHONE SQ. Fr. OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS XH 7385 BENNETT RD _FTELEF CONTRACTOR'S NAME NWKNX OWNER �NE 343-4095 CONTRACTORS MAILING ADDRESS JOHN Fireplace I CONSTRUCTION LEINDER UNMOWN Total Valuation i$ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS T-WIL BENNETT RD PERMITIF . EE $ 23.0@1 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME ARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome EX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities IX Installation 0 Other 0 Describe Work: MHU # 1 -Ao, I Wkrkez— Mobile Home I S I GI W 1 @20-00 60.00 1 PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filina Fee 2 0.'0 0 Main Service 2000V OR LESS OA OR LESS 23.00 23.00 Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, asowner of the property, ormy employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. & ACC. BILDS. so. 3.5g! FT. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS - @7.50 PO ER APPARATUS J & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 BAL 0 .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00_ PERMITFEE 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($i00) or less) 0 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, forthw/Ch fomply withn thn pr visions. X Date 144 f Co Signature f A plicant __070 r 0 Contractor 0 Agent 'c PPI ol An OS� rmit is required for excavations over 50" deep olition or construction . �va of str 4tt es over 3 stories in height. Mobile Home Installation Fee Energy Inspection Fee $ OCC CONST. TYPE AL FCC TOT 4 %. 166.00 D. FEES CDF This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date- 9.7 _4? q _jcq (Date) ReceiptNo. 206256 I WHITE-D.C.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT N. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Pla PI= Anschad Yes - Mw Pin AMwW Yf5- Unt to B.D. 1-23 F,7 AIAPW i -"ARMS '7395 fe1VVZ-77,"RQ- 7- 0,56 - oo' ? Owner Location AP# Plan Approved for: Sewage Disposal x Water Supply: Public Private WeU_x_ Clearance for 2, - bedroom mobile homes. Other Hold final for: Final clearance O.K. for: NOTE: Fnviror4ental ealth Specialist R/92 1 -2 -?-F7 Date COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CALIFORNIA9596, -7541 PHONE (916)538 PERMIT APPLICATION DATASHEET OWNER A No. Proposed Building Use _Building Inspector --eQ Date 1611 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY All items have been submitted . ..................... 1*1�/ .................. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans . .......... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ........................................... -%-. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check) . .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ........... 10, Fees Of $ . ......................................... impact fees as shown on attached schedule. 3. ................... 21� alifornia Department of Forestry plan approval/fees . ............. lood elevation letter (100 year fl ed y Qarifornia Engineer. Ajt--v Sanitation and plot plan approv� �W7 Health Department. .'.*.*.* ........ 15. City of Chico plumbing permit . ............. ** ...... 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A)Improvements (B)Draiinage ............ 19. Driveway permit (construction approval required prior to occupancy). p;,;4�doA r6�uew- 20. Pre -inspection for required. to Building Inspector -(Date) 21. Contractor's license information. (No., Name Style, Classification) . ............... 22. Certificate of Workmans Compensation Insurance . ........................... 9q Own- --Builder Verification (Given to owner Mail to owner ............ Recorded copy of Agricultural Acknowledgement Statement ..................... ?--Ji-17 25. Letter of signature authorization . ............................. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road ...... 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance ..... : ..................................... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits ........................................ heck list. . - 19 Plan ... .. .... _112LA� J�x A '34 When you issue the permit, process as follows: Mail to o er. Mail to contractor. Telephone and hold for pickup at (Z C -D office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date A0 /�, �9-01 Copy of Haz-Mat form sent Health Dept. . Fire Dept. — eir-Pollution Dald, Copy of plans sent Health Dept. _ Fire Dept. Other� �� - - . Date By_ The following data must be submitted 1. Index permit for above items No. 2. Additional items required: to permIU!Lsuance: rcle hev� ftem�:not checked above). Contractor, �Downer, was advised of above required data by/ _�,- phone — mail Counter by r, Date Contractor, designer, owner, was advised of above required data Ky — phone — mail Counter by Date Plans checked by crk-wrt" Date I ' Plans approved by en A-TZJ� Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSORPAFICELNUMBER C)� -2 rO MNIM 446 - BUILDING PERMIT OWNER /�V,4 F (L-0 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUPQ ADDRESS 73d:< - CONTRACTORS NAM TELEPHONE CONTRACTORS MAIUNQ ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENUMEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAJUNG ADDRESS Penalty $ BULDINGADDRESS A,,- F-771 PERMITIFEE $ 3 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRJUCTURE SF [3 Duplex 0 Mobilehome Ot-Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYP OF WO Pp�_, New 0 Addition 0 Remodel* Utilities stallation 0 Other 0 Describe Work: Mobile Home /f 09'R @20.00 C05 — — - PERMITFEE 1— 1 0_0 —11 Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service 6000V OR LESS 20 A OR LESS __23.00 20- Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as owner of theproperty, or my employeeswith wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as.owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 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: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) 0 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 - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. NEW CONST. DWELUNO OCCUR OR ADDNS. --- & ACC. UDS. so. 3.5c Fr. NEW CONST. MULTI -OUTLET NON -RES 0.__ BRANCH CIRCUITS @D7.50 POWER APPARATUS & SINGLE OUTIJET CIR. OUTLET OR FIXTURES 20 @ 1-00 Ex. Occup. ( SAL R .50 FIXED APPUNS. OR,, Ex. Occup. ( OUTLETS (AESID.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2�0- Misc. Wiring 23.0 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE. $ Contractor Mobile Home Installation Fee is Energy Inspection Fee Is OCC CONST. TYPE TOTALFEE$ It /,a HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON the 'applicable provisions Resolutions to do work been paid. Date (Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I 010, .4 O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires May 31, 1996 FEDERAL EMERGENCY MANAGEMENfAGENCY NATIONAL FLOOD INSURANCEPROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER M A, r c a FA tLm,? STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER NE�JHL-,T*T IZOAD APPIZO�,. 1,14 Hit_e" \,VL: -"-T or- PHL- cxEEKI OTHER DESCRIPTION (Lot and Block Numbers, etc.) ,�, a U -T14 -I b L- I\ P N C) +-7 - 0 50 - Do,) CITY STATE ZIP CODE RulT& 60ILIIA_T�r 6 A. 1. 1 F. SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (in AO Zones, use depth) 0 (o 00 17 0100 19091 k 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): F] NGVD'29 DOther (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level — . 2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation ofH I I I IJ feet NGVD (or other FIRM datum -see Section B, Item 7). (b). FIRM Zones Vl-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I L] feet NGVD (or other FIRM datum -see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is 1_e4�_ L �5WO77 03 ve [X—o—r7 below 0 (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LJ_J. LJ feet aboveEl or below 1:1 (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the community's floodplain management ordinance? 0 Yes El No 0 Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: El NGVD'29 Dq Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: El Yes N No (See Instructions on Page 4) 5. The reference level elevation is based on: El actual construction (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate will be required once construction is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: I I 1-1-ISI-9--�LU)7febtNGVD(ogMyUlTIFEGONTY Section B, Item 7). "I nM._ nFPAQTW-o`EN, T SECTION D COMMUNITY INFORMATION rvk 21 n 1. If the community official responsible for verifying building elevations specifies that the reference level i A K'S 'C' is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's "lowest floor" as defined by the ordinance is: I I I I I LJ feet NGVD (or other FIRM datum -see Sewunnj Itef4). 2. Date of the start of construction or substantial improvement ]RI 't, CORY FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION S. .- 6 SECTION E C EUTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al -A30, AE, AH, A (with BFE),Vl -V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features -if the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. i certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. / understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 100 1. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) DOG16LkS 3. H6L\/jj<_ Me- e_ % 17 0 16 1 TITLE COMPANY NAME [Ze a I e_, 7 e R_iE ID ClyiL� EkAiHL-C-IL LkH11011 esuIZVE-YING 1, It,, C_ ADDRESS CITY STATE ZIP .0. Noy- ISSS SIGNATURE DATE PHONE ", _��Zl )iu -c)s4-- 70% I I - r-.,, - C) ce Copies shouloe mad"f this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: f -;5,T A Q AL1147' 5TA44I:)AR4)`, ..> M Ac" fLDAj4c_E w I J'H j`1Su-rTL:-. e U Tl%- I Z_ IN 6 -M e 19 156 FL�qo D iN F:6iztiA-TIw4 , IZE r -e K E H C-�L ELEV0,71CII4 oF I t - a 0 . 0 1� - e , T A T 114 L- e-,, I -T E . ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A V A A v ZONES ZONES ZONES ZONES ZONES FR _EF E R -E `NC_Ej PASE LEVEL REFERENCE LEVEL FLOOD LEVEL ELEVATION BASE ADJACENT FREFERENCE BASE FLOOD FLOOD �LEVEL GRADE ELEVATION REFERENCE ADJACENT ELEVATION LEVEL GRADE ADJACENT.':. GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 Mobilehome Manufacturer: elye � L u =" , 01. Is/k '.' Manufacture Year: Z 9,?6 If other than single wide, furnish Setup Model Number: Width:,_j (ft.) -Length: ag Expando Size� --(ft.) x (ft.) 4 __jj& (A.) T ' along'or On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. ---- FOOTINGS: Wood pressure treated or fqundation'grade,�X] Other: er SUPPORTS: Concrete 616�&N . Oth' Provide Tie Dowill Specification s_ for iU Mobilehowes: se — Pier Footinp Sizes and Location -., , -- - SINGLZ"WWIK MULTI -WIDE Line I ....................................................................... ......................... Line 2 Main Beams Line2 ..................... ........................................................................ Lint I ------- ......................................................... . .......... . ......................... main Beau ................................................................................................ .......................................... ....... 5 Tag or Triple ine 4 M ................................................. Line 1 Piers: Size minimum: r i x r Spacing maximum: From ends -maximum Line 2 Piers: Size minimum: X Spacm*-g maximum: From ends-maximuml Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line I Line 2 Line 2 Line 3 .Linc2,. Line 2 Line I Line I Openings Size minimum: x Each side of openings 7 --------- I with width over: Line 4 Piers: Size minimum: x Spacing maximum: From ends-maximuml --M FILE COPY SIR M � 6, a-; q Lz) J� 75 4P -3 - Ft t -f, CoPA MAL -2 1. Owner's Name: XLA /L1 Le 4V 6 2. Assessor's Parcel Number:— 0 4 7 0_4'o QQ 9, .3. Installer's Name: 4.' -'Is the site currently under I p - eii;it'? Yes[ !No;X] Permit No. 5. Is the site an existing site? Yes[ NoKj. , (If yes, fiirnish two plot plans). 6. 'What is the'electrical ratingofthemobilehome?_,��Q Amperes. 7. What is -66 mobilehome site circuit breaker rating? leo Amperes. 8. What is the el ectrical rating of the mobilehome site? 4jQ Amperes. 9. Is the main service'remote from the mobilehome site? Yes[ NoN I If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ I NoD( If yes, please identify the load and size: a) The mobile home site:- Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Naturaff I PropaneM None[ 12. Size. of gas, pipe .at 'the mobilehome site from the meter or 31 It ..tank: inches. 13. What is the gas pipe length from the meter or tank to the mobHehome?_,M_(ft.). 14. What is the mobilehome gas dernand?. 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). THE OTHER SEDE OF THIS FORM MUST BE COMTLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION j -COUNTY OF BUTTE -DEPARTMENT OF DEVELdOMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, CAiiornia 95965 - Telephone (916) 538-7541 N APPLICATION AND PERMIT' q �2 - Jl� e7. ASSESSOR PARCE� NUMBER 047-050=009 ZONJI A/�n BUILDING PERMIT OWNER MAPCO FARMS TELEPHONE SQ. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 7385 BENNETT RD CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace I CONSTRUCTION LENDER UNMOWN Total Valuation !$ Filing Fee $ 20.00 LENDERS MAJUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 4F BENNETT RD PERMITFEE $ 43.0@ -W PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 0 Duplex 0 Mobilehome ]0 Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.0 Gas piping system I - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New 0 Addition 0 Remodel 0 Utilities 0 Installation EX Other 0 Describe Work: . M14 #1 Mobile Home IS I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 2 0.'0 0 OOV OR LESS Main Service :6100A OR LESS 23.00 Main Service 200A TO 1000A 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 0 1, as ownerof theproperty, ormy employeeswith wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST DWELLING OCCUP OR ADDNS. & ACC. BLDS. so. 3.5it FT._ NEW CONST. MULTI -OUTLET — NON-RESID. BRANCH CIRCUITS @7.50 PO ER APPARATUS ( & SINGLE OUTLET CIR Ex. Occup. ( OUTLET OR FIX`TURES 20 @ 1.00 BAL Q .50 Ex. Occup. I FIXED APPLNS R k OUTLETS (REs16.)OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITIFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performanceof work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITIFEE $ Contractor 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.) 0 1 certify that in the performance of the work for which this permit is issued, I shall nol 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,,C^ mply With tho )p provisions. X Date Signature of pplicant Ow 0 Contractor 0 Agent R11 An OSHA p mit is required for cavations over 60" deep and demolition or construction � p I of structur s over 3 stories in height. Mobile Home Installation Fee Is 100.0 Energy Inspection Fee Is occ CONST. TYPE cc It TOTAL HE %w 143.00 HAZ.0 IMP IdLOOD _ Z IJ I CDF -11 This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have B y Z6_,4-2� PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date r 3 (Date) ReceiptNo. 206256 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSPECTO R GOLDEN ROD -APPLICANT COUNT-YOF BUTTE - DEPARTMENT OF i1pgutiPMENT SERVICES - BUILDING DIVISION OWNER 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 'TITELE',PHONE(916)538-7541 PERMIT APPLICATION DATASHEET Z UIMA Proposed Building Use CAW -0-1--r A P. No. Oq7 -OSD Building Inspector Date-,/ / 4!��p a f I 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 items have been submitted . .......... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed ' by preparer of plans . ........ ...... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8 -Engineered truss details and layout in duplicate (required prior to plan check) . .... Mobilehome data and manufacturer's installation instructions, 2 sets . ........... 10., -Fees of $ . ............. 44. impact fees as shown on attached schedule. L F�-7 ................ W7 1 *? California Department of Forestry plan approval/fees . ........... .......... Z�'-D Flood elevation letter (100 year flood) by California Engineer. 1K_ &4!&4M Sanitation and plot plan approval Health Department . ............. T5. City of Chico plumbing permit . ................ m ........................ 16. Plot plan and business license approval from City of Biggs/Gridley . ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage ............ 19. Driveway permit (construction approval required prior to occupancy) ............. Irel,spectim request 20. Pre -inspection for required. to Building Inspector (Date) -21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance ........................... 23. Owner -Builder Verification (Given to owner Mail to owner ............ - 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road ...... '77. Letter of intent on building use . ......................................... ,,Mobilehome utility clearance . .......................................... Documentation of legal access . ...................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. ;�7 Deliver with inspector. Other A Parcel Creation Acreage lApplicant Date 1,o /�Y- 9-6 Copy of Haz-Mat form sent Health Dept. - Fire Dept. — jAir Pollution Dat6 Copy of plans sent Health Dept. _ Fire Dept. Othe7 Date By_ The following data must be submitted 1. Index permit for above items No. 2. Additional items required: ance: (Circle new item not checked above). 1. Contractor, designer,��as advised of above required data by _20 phone mail Counter byv_ Date 3--3(!!e7 Contractor, designer, own , er, was advised of above required data by _ phone mail Counter by — Date Plans checked by tb sox 3 Date -L� �Owq Plans approved by Ii h S oers -Date -3.31-5-7 Sets of plans on hold in File cabinet ;ci AP folder Copy - Department of Public Works 5 1 cjs� N COLNTY OF BUITE DEPARTMENT OF DEVELOPN9fNT SERVICES - BUILDING DMSION 7 COUNTY CENTER DRrVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER — A.P. PROPOSED BUILDING USE DATE Z- 9. OTHER At time of pe rmit application, I was advised the above fees are required to be paid p or to suance of the DATE 14111 REC. # DATE REC KI.- ,STRICT FEES SCHOOL D C5, (paid at District Office) 2. SHERIFF FEES (paid at 19 li�D�Ivisioti) Residential. �)o to -t unit amt. Commercial (sq.ft.). X 7 3. LJRBAN AREA FEES (paid at Building Division) Residential (per unit). - x #11nits amt. Commercial (sq.ft.). x sq.ft. amt. --Lk4. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of pe rmit application, I was advised the above fees are required to be paid p or to suance of the DATE 14111 COUNTY OF BUTTE- DEPARTMENT OF Df_VELdPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Calffornia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL. NUMBER 0 q 7 - 0J`Q_ e) d 5� zomh;�_ BUILDING PERMIT OWNER TELEPHONE SO. Fr. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS :2 7 R-9 CONTRACTORS NAME ot") f.\, cr,� iaEPHOkE 3q3 —40 -�r CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER Total Valuation Filing Fee $ 20.00 LENDERS MAKING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCMrTECr OR ENGINEERS MAJILING ADDRESS Pena4 $ SUMNOADDRESS 7 IfC. PERMITIFEE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRIJ.CTURE SF 0 Duplex 13 Mobilehome 12-10-ther SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system I - 5 outets 15.00 Building sewer 15.00 TYPE OF WORK New [3 Addition 0 Remodel 0 Utilities 0 Installation Other C3 Describe Work: Mobile Home 7[TFd� 7W @20.00 PERMITFEE, Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service 600V OR LESS 200A OR LESS 23.00 Main Service 200A TO 1000A U 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penafty 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 Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: [3 1, as owner of the property, ormy employeeswith wages astheir sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. OWELUNG OCCUR OR ADONS. & ACC. BLDS. so. 3.50 Fr. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS @7.50 POWER APPARATUS SINGLE ovrLu ciFL Ex. Occup. ( OUTLET OR FIXTURES 20 @ 1.00 SAL Q .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID .) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) 0 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 - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations 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 PERMITFEE. $ Contractor Mobile Home Installation Fee Is ,/60— Energy Inspection Fee Is occ CONST_ 11 TOTAL FEE$ HAZ. I D. FEES I IMP FLOOD I CDF PARCEL I PO HO I ISSUE This permit is hereby issued under tne of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. —Date (Date) ReceiptNo. WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I R7 �Pi 047 C)�5-0-00q cc I 014NER fi� PERMIT 04 6 --Z-5(55 Mll UTIL.CLEARANCE DATE INSPECTOR ELE, TRIC GAS Support Stric. Compaction Test. eq. ;�gervice Size Other Load Type Pipe Length YES NOEYES NO Zoo IWAat— _Size Mobilehome Manufacturer: elye j, L uQ4 ey S/K Manufacture Year: If other than single wide, furnish Setup Model Number: Width: jj� _(ft.) Length:___J(6 _(ft.) Tagalong or Expando Size� — (ft.) x� (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grad-"'/] Other: SUPPORTS: Concrete blockM Other: Provide Tie Down Specifications for all Mobilehomes: h i;fs e -,a Pier Footings Sizes and Location SINGLEWIDE MULTI -WIDE Line I ine I Line 2 Line 2 ............................................................................................ Main Beams Line2 ................................................................................................. ine 2 Lind I Line 3 Line 2 ............................................................... ; .................................. Main Beams Line 2 . ................................................................................................ Line I ................................................. ine 5 Tag or Triple ine 4 ................................................. T ine I Line I Piers: Size minimum: r i x r tCl'. Spacing maximum: 1 ' From ends -maximum] I Line 2 Piers: Size minimum: x Spacing maximum: From ends-maximum:l Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): May 1995 Line I Openings Size minimum: x Each'side of openings with width over: I I Line 4 Piers: Size minimum: x Spacing maximum: 4 From ends -maximum] 4 FILE CQP'Y 16-2-386 e MAL -2 675 t 4V 6 1. Owner's Name: kLA/vl 2. Assessor's Parcel Number:. 0 4 7 06-0 QQ 9 1 3. Installer's Name: 4. Is the site currently under permit? Yes[ I NoVj Pern-fit No. 5. is the site an existing site? Yes[ No 'XI (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome?_,�00 Amperes. 7. What is the mobilehome site circuit breaker rating? /&0 _ Amperes. 8. What is the electrical rating of the mobilehome site? 40 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ I No1V I If it is, what is the rating? Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ I NoIX I If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ I PropaneM None[ I 12. Size * of gas pipe at the mobilehome site from the meter or tank: �/� 11 —inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? —PC). (ft.). 14. What is the mobilehome gas demand? 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). THE OTHER SEDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION -?*Z- APPROVED Butte County Environmental IseaM pW 0// 7- 0, 0 /-23-77 sisl JL -6,;/- RLE COP 6 - 2-3 V� V-� Aw APPROVED Butte County Environmental IseaM pW 0// 7- 0, 0 /-23-77 sisl JL -6,;/- RLE COP 6 - 2-3 V� V-� AGRICULTURAL AFFIDAVIT . EMPLOYEE Employee GUApALUpe Cogrp& Phone Employee's Address (Present) 7 a 85 BEN, iq ffTT -R D., c4t cn CA, q 592 1? Name of Property Owner MAPco FARiA'S Property Owner's Address 8 8)i 601 QSLAr4 0. CA - qg, q 4 :3, Owner's Assessor's Parcel Number 0j+1 - 068- Parcel Size I N Ac.' GOADALUPE Q6WrEZ .do declare, subject to the penalty of perjury, that I am the employee of fAAq(;6' p,&p address (present) and that I will be employee under Section 24-305.020 for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signe Z�e- 6did Idd..ezo- Dated: Environmental Health Approval: Permit Description and Number J'O&Z-1 AA�l 47-os-o-.go,9 Datelssued By Z Planning Approval: Date (53 - ) 4 - q Zone' A- 1-/ 0 Dwelling on AP# By f�2�)::2 PIt4 ) 0, ., k-- - T Crop/Commodity Produced kl, In, L- f V u -J, * -, (D 1-� -? - ac��o - oo C� — 1 C; I I C)/\-) AGRICULTURAL AFFIDAVIT .. EMPLOYEE' Employee AuGELA . co Rrez Phone 89,3 - 3G(07 Employee's Address (Present) 73 JG BEIjNM PI>., C"'tCQ CA . QIG329 Name of Property Owner MAPco FmzmS Property Owner's Address P.0.86,9 -G07, ORLANDiCA 95965 Owner's Assessor's Parcel Number'o &*J 0'0q -oo 0 Parcel Size t Rc? -Ac.' 1, _A4GmL A. Cc=rE 7 do declare, subject to the penalty of perjury, that I am the employee of K&Aj�C,�o F: A p, rA S address (present) and that I will be employee under Section 24-305.020 (a) to (g) week for at least sixteen (16) weeks per year on AP# Signed: Environmental Health Approval: for at least thirty-two (32) hours per Dated &I Permit Description and Number 41PAI 7 - 0,5'0 - 06 9 Datelssued /-a3- 97 By Planning Approval: Date P -) - c:) 6 �) -/ L -Zone -A - 2�6 Dwelling on AP# D"/ By I Crop/Commodity Produced __1/ J�) L-A) 0 7 AGRICULTURAL AFFIDAVIT EMPLOYER Employer -MAPCO PNIRMAS Phone Employer's Address P,O. Bo -g-(007 OPLAtqQ-.CA C?f59G3 Name of Property Owner,MApco FA_fZVV%_S. .,Property Owner's Address 7g4 VALLQV\AARe)i5A SAOF NA CA. cliio-7 Owner's Assessor'sParcel Number c),�q - t)G0 -001, -00 0 Parcel Size I gq Ac. 1, -FLON 0 PF P, RI(I 0 N E AALP 0 F MA, pC,6 IP& JZ M declare, subject to the penalty of do perjury, that I am the employer of GUACAU.JPE CC5TE7_ A,$40 At4GEL COP_'-rf_:Z_ address (present) q 3 g,5 &E N N F -M RD C�tlr_o , cA and that I will be employer under Section 24-305.020 Agg o,%. c, for at least thirty-two (32) hours per, (a) to (g) week for at 1!ea!550�) weeks per yp" AP# 0 4-7 - ogn - 0 0,? -00 () Signed: Dated: r - Environmental Health Approval: Permit Description and Number acll A6v Datelssued /- 2 3- �77 —By Planning Approval: -P—C) CL Zc,7 A 6- C--L_L_') N'6- L �)A, i -T- Date Zone A - Dwelling on AP# By r-'77 Ci,�-, Crop/Commodity Produced i� LAJ 1_3!J AGRICULTURAL AFFIDAVIT EMPLOYER Employer MAPCO FARMS —Phone Employer's Address P.O. eo-g 607 QkLAND, CA 959GB Name of Property Owner M Ap Co F,&,_R yv� S ..,Property Owner's Address '764 VALL6r%A R&Q�ZAJJ PASAOF NA ..CA - cl i I o-7 Owner's Assessor's Parcel Number 0 . �-7 - 060 -009, - 00 0 —Parcel Size I S9 Ac.' 1, -FLIOND PERR'l-ON SEAALP OF MApc,6P&JZvNA15 do declare, subject to the penalty of perjury, that I am the employer of (�UAOALUPE CQVTF_Z XV40 A&4GEL CoOZTEZ. k address (present) 7 3 T �5 BE N r4 C �,tl CO , ce, and that I will be employer under Section 24-305.020. Agc, o, for at least thirty-two (32) hours per (a) to (g) week AP# 04,7_0E6_06c?_06() Signed: Environmental Health Approval: Dated: Permit Description and Number 7 Datelssued /- 2 3-F7 -By Planning Approval: -�:� C! �7, L i -T- Date G, Zone,4-J-/(-, DwellingonAp# <7--) By P I r,- TC---�_�,, Xf A" j f3 fJ Crop/Commodity Produced I-0 i-� L A,1 L-1 AGRICULTURAL AFFIDAVIT EMPLOYEE Employee AiqGF!LA.GoP,-rF-7- Phone 89"3 - BG(07 Employee's Address (Present) 6 BEI -i (,AM RP IA . tC-0 CA - QG c? -Z9 Name of Property Owner MAPCo FA;zmS Property Owner's Address P.O. B&X'G07, 0FLA N 0 , CA 959 (6 5 Owner's Assessor's Parcel Number' -�6oq -o6 o Parcel Size L 89 Ac.* -ANGeL A. CowE 7 do declare, subject to the penalty of perjury, that I am the employee of MAI�Co j: AFtM.S address (present) and that I will be employee under Section 24-305.020 (a) to (g) week for at least sixteen (16) weeks per year on AP# for at least thirty-two (32) hours per Signed: &�2 Dated Environmental Health Approval: Permit Description and Number Datelssued By Planning Approval: Date ZoneA-LI6 Dwelling on AP# By Crop/Commodity Produced f'� L -)U 0 T AGRICULTURAL AFFIDAVIT EMPLOYEE Employee GUApALUpp, (:�Og-rpZ, Phone 913-BG67 Employee's Address (Present) 73 85 BErv4ff'a CL-;, Cn CA'. q592 Name of Property Owner MAPcn- PAP -MS Property Owner's Address P.6 6X (0 c)7 Q9.LAr4 0. C;A . qg"q 4 3 Owner's Assessor's Parcel Num'beroa+?- 0SA_ 00q -66'0 Parcel Size I eq -Ac'. _t;UAQA.LLJPF_ Q6saez - do declare, subject to the penalty of perjury, that I am the employee of MAPCo . PARMS address (present) and that I will be employee under Section 24-305.020 – for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signe Dated: 12 Environmental Health Approval: Permit Description and Number 91 Datelssued 1-23- 9;7 —By Planning Approval: Date C-91; zone A Dwelling on AP# By Crop/Commodity Produced k,,� t� (-- /V L) –J. -, C) L) -� - oc��o - C� — 1 C '; I [,-)/Ij APRj30 '96 11:06 AM ND DEVELOPMENT P o cj e 0 ILLPIIM%3 C VIVIUMIVICIMIAL ItALI - I& t: t1l PA I I k; L E A RA C E Buycrmq PermIt No. S OWNERS A.P. , NAME: VPCO' Fz7r-ms NUMBER: FNNT LAST MAW FMT COUNTY ZONING o-o-dr2Z7 DESIGNATION:_/� FLOOOZONE: ;Z,'Q17eA1S' FLOOD MAP: '/0C;'9 APPROVED! CONDMONALLY APPROVED: A930LVE PROBLEMS PRIOR TO APPROV'AL; PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: _ YES — NO LEGAL ACCESS REQUIRED: _ YES — NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: —YES — NO COMM ENTS/CON DITIONS: r)IC.5p J. .8e"74e70' MAP INFORMATION: 3 IA16 DATE OF RECORDING LOT -5 J I / BOOK 6? PAGE 2- b COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR -TO 800K 17 OF MAPS AT PAGE 23): —YES - X NO . IF YES, MARK APPROPRIATE ITEMIS) BELOW; > _<-/k A. Construct road to CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: 8. Meet parcel 3izo rcquirod by zone. _ C. Meet current E.H.D. requirements. ALL AFECS rO B -c PAID TO THE BUILDING DlVf$ION UNLESS 0 THERWISE No )( 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a _ ft.building setback from rig ht-of-way/centerline of —3. Maintain a 100ft.leachfield setback from all existing wells. 4. Maintain a _ ft. leachfield setback from 5. Pay water tender fees in the amount of $_ to Battalion Number 6. Meet the Fire Safe Regulations of Butte County.and P.R.C. 4290. 7. Connect to a public water supply. 8. Connect to a public sewer system. of the Butte County Fire Department. Automatic fire suppression sprinkler system$ 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 130, unless a pressurized community water system, with hydrants that meet Fife Department specifications, serves the parcel. — 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 11. Meet the requirements of the Department of Fish and Gaine for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at .916-355-7010. APR 30 '96 11:06 AM Page I 13. A traffic mitigation fee for each now or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. p*Vmaw p ben ada to do Phwwft Dhiskn. 1 �L All new resi0intial buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety: Wbft hOMC3 shall be constructed on a permanent foundation system which complies.with, the eismic Zone 3, requirements oi the Uniforni Building Code. 15. Deer Mitigation fees are to be paid' -lit-such fees have been adopted by the Butte County Board of Supervisors. )c 18. Pay school impact mitigation fees. X 17. A development impact fie for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte County Code.' 18. Wood stoves and firepisceInserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1.988 as almended. 19'if:anV cultur4i re4fdOrces pre*encountered during -ground disturbing activitiis, all work shall diase in the a�ea pending 'examination of the ifte by a professional archaeologist, This person would then be -abld to .'assess the site significance and suggest appropriate mitigation measures. X 20. O&W 44 I -/f 7-' 4/;, e r7'0� ,X— 2 1 n 12' V"O' h -J aZZrall C" —22. —23. 24. A:O LN-TYdOIG�30 ONVI 31ins,16,ki,moo 9661. .9 1 G111233U LO 9195 - CAWP5I%FORMS.i%GLDGPCFtM.CLA I A:O LN-TYdOIG�30 ONVI 31ins,16,ki,moo 9661. .9 1 G111233U LO 9195 - CAWP5I%FORMS.i%GLDGPCFtM.CLA I FrOM : JIM & MARIE&LONG A L401�L 'r77: RqqA�d at thd request of j, PHONE NO. : 818+577+7532 Nov. 25 1996 01:36PM P02 Return to mall.Tax swemw .............. W. larre .......................... 921 Wntra da W ' ................................................. !�7 ......................... .Saoramentoo Cal -if. ...................................................... 73630-7977-C 20817. RECORDED AT The R T Of CU NY OROA(r I jq It '17 2 - -,a. palpt _!Z- 0 - 'clock M. OPPICIAL RECORDS OF BUTTE COUNTY,- CALIFOWA G M Gem. *corder r6p CIO QUIT CLAIM DEED !W-WESI"UM ALLQY..?RODTTCTS COMPANY.. a Partnership d 0a quit. claim unto %;PCO FARMS$ a Limited Go-Partner3hip all that real 1)roperty situate in the County of Butte State of California, described as follows: TAB 01M ONE.: Lot -"All as shown on that certain map entitledt "Dicy J. Bennett Ranch Number 1119 which map was recorded in the office of the County Recorder of the County of Butte, State'of California, on November 8, 1919 Inulame 5 of Maps, at Pag# 28, containine 12. 31 acres more or less, EXCEPT the North 30 feet. 2AROEL TWO: T-.o't I as shown on. that certain map lit, which map was recorded In the of Butte, State of 0allfornia, on page 28, containing 60 acres, more EXCEPT the North 30 feet. PARCEL THREZI Lot 3 as shown on that certain map lit, which map was recorded In the of Butte, State of California, on page 28, containing 60 acres, more PARCEL FDV-R- entitled, "Dicy J. Bennett Ranch Number office of the County Recorder of the County November 8,.1919 In Volume 8 Of MaPst at or less. entitl9do "Dicy J. Bennett, Ranch Number office of the County Recorder of the County NoVember 8, 1919 in Volume 8 of Maps, at or lose., Lot 2. aff shown on that certain Map entitled, "Dicy J. Bennett Ranch Number ill 0 which Map was recorded in the office of the Recorder of the County of Butte, State of California, November 8, 1919 in Book 8 of Maps, at page 28. EXCEPTING THEREFROM. the Northerly 30 feet thereof. And whcri recorded mail to: Building VMision #7 County Center Drive Oroville, Ca. 95965 97-002613 lof C*MPARED WITH JAN -2 7 1997 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESEDENTUL 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 Count -v of Butte. State of California. described as follows: Date-. PR State of California County of i -os .,Qr) On 0&,4 2,2 9 9�, before me, personally appeared known to me (ox -pm within instrument and acknowledged that by his/her/t4m+r signature(s) on executed the instrument. I WITNESS my hand and official seal. TY ottq r, I-* *'Cal-aa6sf*ef&roU �-�c) to be the person(s) whose namc(.!P) is/am subscribed to the to me that he/"they executed the same in his/her/thgir authorized capacity(ics), and %e instrument, the person(&) or the entity upon behalf of which the persorv'-4 acted, DELIA H-ER—RERA- COMM. # 1063618 f - Notcw PUAc - Calftffdo Signature Seal: i LOS ANGELES COUNIV WMV Comm. E)Pkw MAR 19.1999 -Own— - -� U"# NOTE TO RECORDER: DONOT RECORD THIS SIDE A.A.- 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT -j - - Instructions for recording Agricultural Statement of Acknowledgement: e5 eD 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 vour deed. If vou 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 if more space is required). 2. Property owners must sign in the presen6e of � 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 Nvill 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: $6.00 - lst. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00am. - 3:00p.m. (Monday - Thursday). Arl, M13H k'.J 401 YMUO:) �3.13 ZM A n I OVER LANDON ENGINEERING 103 . S. . PLUMAS AND SURVEYING, INC. P.O. BOX 1325 (916) 934-7055 / FAX 934-4158 WILLOWS, CA 95988 MUNICIPAL HIGHWAYS AGRICULTURAL LAND SURVEYS em December 23, 1996 MAPCO Farms c/o Mr. John Fleming 1542 W. 5th Street Chico, CA 95928 RE: 10 -Year Flood Elevation for APN #047-050-009 Bennett Road Approximately 1-1/4 Miles West of Pine Creek, Butte County, California Dear John: Please reference my letter of October 16, 1996, in regards to establishment of the 100 - year flood elevation based on the 1958 flood information provided by the Butte County Public Works Department (copy enclosed). A copy of the proposed plot plan is also enclosed for your reference. It is my understanding that the 1958 flood was assumed to be the 50 -year flood occurrence and that the 100 -year flood is obtained by adding two feet. Normal flood frequency curves for streams in the Sacramento Valley yield a difference between the 10 and 50 -year flood depths as twice the difference of the 50 and 100 -year flood depths. Using the above assumption of two feet of difference for the 50 -year and 100 -year storms would yield a four foot difference for the 10 -year and 50 -year storms ' or an elevation of 160.6 less 4.0 = 156.6 for the 10 -year storm. I feel that the original county's assumption of two feet of difference is probably, and appropriately, on the safe side. And an assumption of two fe�t of difference between the 10 -year and 50 -year storms would also be more appropriate. This would yield an elevation of 158.6 for the 10 -year storm and indicate.that the existing orchard elevation of 159 is above the anticipated 10 -year flood elevation. To be on the safe side, and allow for positive drainage away from the leach field location, I would recommend placing a minimum of one foot of imported soil in the area of the leach field and the proposed structures. If I can be of further assistance in this matter, please do not hesitate to give me a call. I 3 Sincer ly, 'y g `�D glas Holvik I SII C C E 27031 I N C 6(0 LANDON ENGINEERING 103 SOUTH PLUMAS STREET and P. 0. BOX 1325 (916) 934-7055 SURVEYING WILLOWS. CALIFORNIA 95988 0 R P 0 R A T E 0 MUNICIPAL 0 HIGHWAYS . . 0 AGRICULTURAL 0 LAND SURVEYS. October 16, 1996 Mr. John Fleming c/o MAPCO Farms 711 Hazel Street Chico, CA 95928 RE:. Flood Elevation for APN 047-050-009 Bennett Road Approximatel�- 1-1/4 Miles West of Pine Creek, Butte County, California Dear John: In accordance with the 1958 flood information acquired from Butte County Public Works, -and based on. a field survey iconducted by this offic ' e, we offer the following information in regards to establishment of the 100 year flood elevation: Approximate river post mile location at right angles to the flood plain = 156.6 Approximate 11958 flood elevation = 160.6 Adding 2 feet for the 100 year flood elevation = 162.6. Adding 1 foot for the lowest finish floor elevation = 163.6 A reference elevation of 160.0 was set at the site therefore, the lowest floor elevation should be set a minimum of 3.6 feet above the reference elevation. Upon completion of construction, the lowest floor and adjacent ground elevations should be shot and an elevation certificate completed. If I can be of further assistance in'this matter, please do not hesitate to give.me a call. Sincere) D);o,u' as Holvik e 4= 070 g 70.3 a 0 0 pt, E. r4 N I.-::. -r T +1 A7 0 0 0 0 0 a 4, 0 VO 0 i:; w -T I c; TANK 0 0 0 T . 0 o 19 IL kPH 04-7-0150-004) 16LA 4OL-V I Ir L. Er, pil? I X),l SEPTIC. PERMIT.;,. APP-L.l-'CATI.0.N;' LANDON APCO:-FARMS7 ENGINEERING ,-.7385 BENNETT. ROAD ..and SURVEYING I�IBUTTE COUNTY' CALIFORNIA I N C 0 R P 0 R A T E 0 - WILLOWS, CALIFORNIA 95968 (916) 9U7M 1 .103 SOUTH PLU#As STeEp j PllqL- APPRA*,'14MILE. z4o 0 'Z 3 06 uj 06 0 L�o-T L- o'T I BUTTE -COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORK CHICO AREA RECREATION ADD PAA]K DISTRICT Assessor Parcel Number(s)_0477 Property Owner 41AP�50 Project Location/Address -7 13 e-,) /L,/yr--r r Subdivision Lot Number(s) Residential Development: (check one) New Development Alteration/Addition —Lmobilehome(s) Non-Re*sidential to Residential Total Number of Dwelling Units -Comment: Building D)Spr&rtr�&t Representative Date Chico,Area Recreation and Park District(CARD) ceri`iiies that I (Applica t --Name) (Phone Number) 7) 1 (Street Address) City) (State) (Zip Code) has complied with the requirements of Butte Co.'Resolution No. 90-140 �y paym . ent��f.6t�,C fidv$elfrir�g units @ $1,189 for total payment of $ Date PAID BY CHECK NO. REMARKS: BANK NO. 11-35- 1-2-1 Q PAID BYZAN- Q/�61 RECEIPT NO. t7 014_5 Distribution: White --Applicant -Pink--CARD park.fee (form revised 11/90) Yellow --Butte Co. Building Dept. V Goldenrod --City of Chico Building Dept. 1 111,051% 12' �. 42 PH 010,107845 CHECK $2379.00 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School Districtc 4/ 1 Building Depar'tnent No. A.P. Number Jurisdiction: city X County Property Owner OA P66 CAat;--- Property Location/Address :2 -3 &!5 13C _V7777 V. if, subsequent to the oCT1001 District Representative signing MIS BuRe County ochools I pact ree 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. Subdivison Residential Development Commercial/Industrial. Lot No. No. of Living IVIHI Addition Units New Addition Sq. Footage 9�� V (GrouVR) Sq, Footage .(Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) 4, District Identification No. & 1,n -M Ru a k�2 Z([k'114 School District certifies that opplicant) S st, treet Address)' (Phone Number) z -Code) J ty . I(,,, has complied with the requirements of Resolution No. (0 by payment of $ L10 representing �quare feet. AB 2926 $ FULL MITIGATION $ P��2 - //—<--!? i6tAebbresentativck I Date Paid by Check# BankNumber IL -35-17-16 Paid by Cash -�� 1. 0 - I I " -, y'J ?,—, Remarks: t , r 1,. f i - White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm k O.B. - I Attention Property Owner: An "o";Mer-builder�,,Ouilding permit has been applied for in you' r name and bearing your signature. Please complete and return this information at your earliest 'opportunity to avoid unnecessary delay.in.pfocessing and issuing your building pe=t- No building permit will be issued iiriffl tlisV6fificati.oh is riceived. 1. 1 p ersonilly'plan to provide th . e..major labor and materials for construction of the proposed property improvement: YEMI'l NO[ 2. 1 HA�VEVJ HAVENOT[ signed an application for a building permit for the proposed work. 3. 1 have contracted -with.,the 'f6UOwm*g person (fnTi) to provide" the proposed construction: NAMM: ADDRESS: C=: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan to piovide portions of this work, but 1 have hired the following person to coordinate,. su provide the major work: pervise, and NANM: ADDRES&.. C=: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK xTow Ap�� ?/6 P4 I'm Q _94�e SIGNED: PROPERTY OWNER:— SOCIAL'SECURITY Nj R: DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our off -ice before we are permitted to issue the permit. OVER O.B.- I W WE rx 11 !, - Q, .. . N4, Dear Property Owner An application for a building permit has been submitted in your n-nme listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner-buildee you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are pemnally performing their own wodL If your work is being performed by someone other than yourselt you may protect yourself from possi"ble liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to putthiir license number on aH permits for which they apply. If you plan to do your own work, with the exception of various wades that you plan to subcontract. you should be aware of the following information for your benefit and paotectiow' 0 If you employ or otherwLse engage any persons other than your immediate family, and the work Cincluding materials and other costs) is $300 or more for the'entire project. and such persons are no.t licensed as contractors or subcontractors, then you may be an employer. 0 If you art an employer, you must regista with the State and Federal Crovanments as an employer and yoi are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance. disability insurance costs, and unemployment compensation contribution& 0 There may be financial risks for you if you d� ri6t: carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, ciontract- the Internal Revenue Service (and, if you wish. the U.S. Small Business Administration). For more ;pecific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are 'not licensed contractors are allowed to perform their work personally or. through their own employm without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons profeising to be contractors is to secure an "ownerbuilda" building perrnit� erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento. CA. 95814. Plem complete the "Owner Builder Verification" on the reverse side of this form so that we can confurm that you are aware of these matters. The building permit will not be issued until the verification is returned. S hachail C. Vl;� ZCB.�O Mmmier, Building Inspection NOTE: This Owner -Builder Infomiation is required by Section 19830 of the California Health and Safety Code. OVER -0 0_R__ 7 Attention Proper Owner:.,, An "owner-builder"x,-building p�rrriit has been applied for in your name and bearin your Please complete and return this -information at your earnest . opportunity to avoid, unnecessary delay -in. piocessing and issuing'your building permit. No building permit will be issued uriiil this-'v�6fifi6iiioh'is"re-'ceive'd. 1. 1 person'ill� plan to provide the �major, labor and materials for construction of the proposed pr�opeM unprovernent: YESP(] NO[ 2. 1 IIAVE[)�.] HAVE NOT[ signed an appheation for a building permit for the proposed work - 3. 1 have contracted the 'f6llowing pe"risbn"(firrii) to- provide -the" proposed construction: NAMM. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. 1 plan. to provide portions of this work, but I have hired the following person to coordinate,. supervise, and provide the major work: NANM: ADDRESS.]. CITY: PHONE: CONTRACTOR'S LICENSE NO. S. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK MAIM r1AA_e1_ 6ovireo 3 O.� �?9_5 /\J SIGNED: PROPERTY OWNER:, SOCIAL SECURITY R: W JM, DATE: > Az� NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 0 VE R -0 O.B.- I WNMI, Dear Property Owner An application for a building permit has been submitted in your narne listing yourself as the builder of property improvements specified. For your protection. you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourse4 you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put thiir license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract. YOU should be aware of the following information for your benefit and protec on: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (Including materials and other costs) is S300 or more ibr the'entire prqject� and such persons are not licensed as contractors or subcontractors. then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and yoi are subject to several obligations including state and federal income ta:x withholding. federal social security taxes, workers compensation insuran=, disability insurance costs, and unemployment compensation contributions. 0 Them may be financial risks for you if you d� xiot carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, ciontract -the Internal Rev=ue Service (and. if you wish. the U.S. Small Business Administration). For mom qxxific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the. strucaim is intended for sale, property owners who are 'not licensed contractors are allowed to perform their work personally or. through their own employees, without a licensed contractor or subconwactor, only under limited conditions. A frequent practice of unlicensed persons profeising to be contractors is to secure an "ownerbuilder building permit. erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they am performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street. Sacramento, CA. 95914. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm, that you are aware of these matters. The building permit will not be issued until the verification is returned. S michail C. Vlcu,,2, C.B.O. Manaier, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORK CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) 6C4_7 -0S_0-46 P roperty Owner 44A-4,1 Project Locat.ion/Address -3 daf— Subdivision Lot Number(.$) Residential Development: (check one) New Development Alteration/Addition � Mobilehome(s) Total Number of Dwelling Units' Comment: o 4, � biRlding DekaA6�nt P&resentative f DaXe ChicolAreA Recreation and Park District(CARD) certifies that " Ir (Applica t -Name, q 8. �6) . (Street Address) �b / . d, �,-) * (City) a (Phone Number �te) (Zip Code) Non -Residential to Residential has complied with the requiremie�iqts,,,of Butte Co. Resolution No. 90-140 by 'A' p a ym'Oh'tt :-Id - - llin_-g units V:$�,&89 for iotal payment of 11017 Y2 CARD Representati"v-e PAID BY CHECK NO. REMARKS: Dftd I r B K NO. PAID BYSCAF�-_��(�q t h t"o RECEIPT NO., Distribution: White --Applicant Pink --CARD park.fee (form revised 11/90) 1, 1 5' 9 6 ) I*. -z 0, Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. 111/fl-5/96 12:42TM 0011AV8415 CHECK $12378.00 I BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District -cg 6,1 Building Department No. A. P. Number Jurisdiction: County. City Property Owner_ Property Location/Address I if S"- 1'3_6 Al",f- -t- Subdivison Lot No. Residential Development Sq. Footage F2, V No. of Living MHl Addition (Group R; Units COT7rcial/Industrial Sq. Footage New Addition (Including E�xte—rior Roofed Areas) EruildiEg Deparrmern't Repr&ntative Daie (Floor Plans reviewed by School District Personnel) Identification No. School Vstrict certifies that Far 14 lt4r� (Applicant) D -Y . v (Street Address) (Phone Number) (City) (State) (Zip Code) has'complied with the requirements of Resolution No. (04�1-6(4 by payment of $ representing square feet, M Paid by Check # Remarks: Bank Number Paid by Cash AB 2926 ;0 FULL MITIGATION $ 11 Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project.may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm 2� And %vhcn recorded mail to: Building Di-,ision #7 County Center Drive Oro,,ille, Ca. 95965 I Rec Fee I Cash Recorded I Official Records I County of Butte Candace J. Grubbs Recorder 9:18am 27 -Jan -97 12.00 12.00 PUBL XX 3 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESEDENTLAL 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: Date: PRO State of California County of -64 an -w -/-e 'S On' Ali 191,6 before me, D -e /1 0— IVO 74a A- A personally appeared Jarnxs �u. k,91-7!�g personall,% known to me =si to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/sWthey executed the same in his/he-r4their authorized capacity(ics), and that by his/Jww4their signature(&) on the instrument, the personW or the entity upon behalf of which the person W. acted. executed the instrument. WITNESS mv hand and official seal. DMA HERREM COWA * IM3618 Notary Pubic — Cal*mft Signature e,- -- S c a 1: LOS ANG90 COUNIY *my Comm. rairm MAR 19,1999 or -/n NOTE TO RECORDER: DO NOT RECORD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOIN'LEDGItMENT Instructions for recording Agricultural Statement of Acknowledgement: e5 e� 1 . Insert the legal descripti2n 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 ty ped in the space provided or attached on a separate sheet if 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: $6.00 - lst. Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00am. - 3:00p.m. (Monday - Thursday). . ....... ...... V OVER FROMI I I M� & MAR I E&LONG 4t�,A St '&d si ihd request of PHONE NO. : 818+577+7532 Nov. 25 1996 01:36PM P02 Return to Millf TRX Swomot T ...... ..,.. mapeo, F&rins o . . . arii' 921 4ntrada W' ................................................. �x i ........................ .Saoramento.'Cal-ifo .................................................................... 73630-7977-C QTJIT CLA11M DEIZED MAGNESIUTM.AL.L�Y �RQDTJCTS COM-PANYt a Fartnerihip d oe quii claim unto UPCO FA*RMSo a Limited Go -Partnership all that real property situate in the County'of Butte State of California, described as follows: :i FAB orm 0 NE: Lot "A" as shown on that oartain map entitled, "Dicy J. Bennett Ranoh Number ill t which map was recorded in the office of the County Recorder of the County, of Butte, State of California*, on November 8, 1919 ln.V6,jkl�je 8, of Maps, at page 1 28, containing 12. 31 acres more or less, EXCEPT the North 30 feet. .PARCEL TKQ: I FLq ahown on that certain map entitled, "Dicy J. Bennett Ranch Number 1110 which map was recorded In the offioe of the County R000rder of the County' of Butte,'State of california, on November 8, 1919 In Volume 8 of Maps, at page 28, containing 60 aores, more or less. I EXCEPT the North 30 feet. Lot 3 as shown on that certain map entitled, "Dicy J. Bennett Ranch Number Vt , which map was recorded In the office of the County Recorder of the County of Butte, State of California, on November 8, 1919 In Volume 8 of Maps, at page 28, containing 60 acres, more or less., PARCEL _R Lot*2, aig shown on that oertain Map entitled, "Dioy J. Bennett Ranoh Number ill, which Map was recorded in the offloe of the Recorder of the County of Butte, State of California, November 8, 1919 in Book 8 of Maps, at page 28. EXCEPTING THEREFROM, the Northerly 30 feet thereof. REC�fORDED AT T11 RepIT Of P', NY j O,WLL CU 0 %L ET C st—UE2 min. papt—& a. 'Clock A. V lA1<Z__.f_ 0 o OPPICIAL RECORDS OF BUTTE COUNTY,- CALIFOftNIA G A scorder 112, AV, By.m2e .2 ownw-IR&FICK101 Fee S_f�� QTJIT CLA11M DEIZED MAGNESIUTM.AL.L�Y �RQDTJCTS COM-PANYt a Fartnerihip d oe quii claim unto UPCO FA*RMSo a Limited Go -Partnership all that real property situate in the County'of Butte State of California, described as follows: :i FAB orm 0 NE: Lot "A" as shown on that oartain map entitled, "Dicy J. Bennett Ranoh Number ill t which map was recorded in the office of the County Recorder of the County, of Butte, State of California*, on November 8, 1919 ln.V6,jkl�je 8, of Maps, at page 1 28, containing 12. 31 acres more or less, EXCEPT the North 30 feet. .PARCEL TKQ: I FLq ahown on that certain map entitled, "Dicy J. Bennett Ranch Number 1110 which map was recorded In the offioe of the County R000rder of the County' of Butte,'State of california, on November 8, 1919 In Volume 8 of Maps, at page 28, containing 60 aores, more or less. I EXCEPT the North 30 feet. Lot 3 as shown on that certain map entitled, "Dicy J. Bennett Ranch Number Vt , which map was recorded In the office of the County Recorder of the County of Butte, State of California, on November 8, 1919 In Volume 8 of Maps, at page 28, containing 60 acres, more or less., PARCEL _R Lot*2, aig shown on that oertain Map entitled, "Dioy J. Bennett Ranoh Number ill, which Map was recorded in the offloe of the Recorder of the County of Butte, State of California, November 8, 1919 in Book 8 of Maps, at page 28. EXCEPTING THEREFROM, the Northerly 30 feet thereof. 77-P753'2 Nov. 25 1996 01:37PM PO4 JIM & MARIE&LONG PHONE NO. 81b+0' DICK J. BENNETT RANCH NO.' M. A 8. 8 L05 .30 SA /0 7,F... r ffdA& ,40,qe par K4] 8EIVIVErr &0409 RIS 39-62 DICY BENNE,rT- A.\ V 4 125.25 Ac. Z409 -,fjU'rfll CCRIMI-y' TITLE Ci - "t a '"r-ly (4 t!!o Oicy J. 8enneff Ranch No. / M.O.R. 8k. 8 Pg. 28 g "s I t ThJs set of plans am -d specifteatloms MUST be kept on the job at all times and it is unlawful to make any clianges or alterations on same -.Athout vvritten permission from ULO Department of Public Works, County of Butte. NOTE: All Materia_JLs'&,JVor_kmansb_ip Shall Be 1n Accordance with Recognized Good Practices and of a Quality Prescribed for the Specified -use in the Unffomn Building, . Plumbing & MechajaicaJ Codes and the National Electrical Code, AND PLUMBING SLECTRICAL, ME _CHANICAL, - CHECKED 0— CONSTRUCTION ( N I pLAN CURRENT EDITION SHALLCOMPLY WITH -OF NEC , UMC AND UPC - LA 0 0 A tr ;a qr k] 0 a 0��!; -,of 11-Y./ - Z"'Wow !P.P-)rA/ 0 0. r r lt717_71.1 =9'—�77 am, 4 LIT :F-9-YA/ 1110 A/ 15Z dr 10 r 7 Z_ WAiNd _S AND STRUCTURF EASEMENT2 -BUTTp Co)UHITY ALL OVERHANGS S FIE SIDE AND -r- - T BACK F ET RFAF, pp.0 ERTY LINES AND FT. FROM THE T -LL BE cn F a ERLINE SHA FT. FROM THE FIOAD C _N ;TRUrTURES AND EQUIPM04T EXCEPT CLEAR OF S foR A 2 FT. EAVE OVERHANG' U 11 1his set of plans sx-d speciftcations, MWT be kept on the job at all times and it is unlawful to make any changes or alterations on same -ju-11thout wvitten permission from the Department ef Public Worka, Coi-inty of Butte. N"GTE: AU Materials & * Workmanship ShaU Be In Accordance with Recognized Good Practices and of a Quality Prescribed for the Specifted use m the Uniform Building, Plumbing & Mechanical Codes and the National Electricai Code :ELECTRtCAL, MECHANICAL, AND PLUMBING CONSTRUC-9.014 ( NOT PLAN CHECKED 2i sHALLcommy wrrH CURRENT EDITION OF NEC, UIVIC AND UPC. 0--7!; Jof O�All/ . ew r J r '. .i:—. � .v 0 a4 0 N3 UJ - > 8!9 0 IL co VIJOW-_7 7 17 0 4C It M. M. 7— Z- _Z7--- 'Z Z L ------------ ALL STRUCTURES UIPMENT INCLUDING .. ... . .... ...... U L L� OVE A L.3E CLEAR OF ALL EASEMENTS. A SET BACK OF FT. FROIM THE SiDE AND C)p FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 Fr. EAVE OVERHANG. 0 & ---- '7JvA1A10t aww ,.#P BUTTE CWHIFY BUILDM APPiiv�E'V- Ar VIJOW-_7 7 17 4 L -L 4b Go 4C It M. M. 7— Z- _Z7--- 'Z Z L ------------ ALL STRUCTURES UIPMENT INCLUDING .. ... . .... ...... U L L� OVE A L.3E CLEAR OF ALL EASEMENTS. A SET BACK OF FT. FROIM THE SiDE AND C)p FT. FROM THE REAR PROPERTY LINES AND FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 Fr. EAVE OVERHANG. 0 & ---- '7JvA1A10t aww ,.#P BUTTE CWHIFY BUILDM APPiiv�E'V- Ar