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HomeMy WebLinkAbout047-080-015r 1 y• � P LIP WILSON • 47-08-15 6311 a Hwy, Chico Philip L. Wilson Contr : M13,4ile Home Center ' +. p it#111 - � E��. u it MH) Unit I Certificate of Merger w D '�=- 47-08-15 047-080-015 & 16 GAS a �ContR: Richard Van Stavern 4 i SUPPORT STRUCTURE REQ. bFermit#14-70-89MHI �( Q Issued (Unit #1)_.__. COMPACTION TEST RE �-i� = . ContR:'• Mobile HomeCeer- ��� Permit#1117-89P,E(u MH) Unit c# - ELEC . a ; GAS (� ! SUPPORT CTURE REQ . r 1 COMP ON -15 TEST REQ. �/jtip Stave n Conti: Richard Van Stavern Permit31471-89MHI r - Issued (Unit #2 '¢. �._ •,r 3,,.y:� �ik '�k+u'Y+C;�'J1f�. �'�". �: ®�. i`tit�: • �' '� �i L Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Service / "Called PG&E} JOB FINALED'(Date) y Signature. s- S OFFICE COPY V" c.6 (Ga- M.6 PERMIT NO. - z2a PERMIT EXPIRES v OWNER PHILLIP WILSON Meter By CONTR. -Mobile Home Center ELECTRIC. ASSESSOR PARCEL 47-08-15 Meter By LOCATION 1 6311 Cana Hwy, Chico #2 Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Service / "Called PG&E} JOB FINALED'(Date) y Signature. s- S OFFICE COPY Address GAS? `. Meter By .-Date ELECTRIC. 5� Date r - Meter By Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Service / "Called PG&E} JOB FINALED'(Date) y Signature. s- S 0 = Not OK - = Not Applicable RESIDENTIAL (Single.and Duplex) = Not , Floody Date UNDERFLOOR (Plans) OK excep-t-#'s- Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post -Caps -Anchors -Connectors 2.'Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt- Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Cig: 60. Infiltration-Walls-Wndws Card7B1 Date Card -131 Date :7* Card -BI Date Card -131 Date Card -131 Date Card -131 Date - Card -131 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water -Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s ,17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight* Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 1 09. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air-Conhector- In Garage; Above Floor- Ducts-Mec h. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa, 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs & Rails Card -131 Date Card -B1 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C. -J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Flo'or-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 76. Plb., Elec. & Mach. Equip. Listed for Location 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. 1 nsul ati on- Foam- Looked in Attic 0 Yes 29. Range Circ. ga. Cu or AI -Oven Circ. ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instId.; Drive -0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle-Underg round 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -1 15 outlet 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 38. Attic Access & Platform if Furnace in Attic 90. Water & Sewer Connected -C/O to Graide-HD Approval 011. Energy Compliance Certificate -Other Certificates Card -131 Date Card -131 Date Card -131 Card -131 92. Rooting Certificate Date Card -131 Date Date Card -131 Date Card -131 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors Card -131 Date Card -131 Date Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE- A:n entry must he made each time vou visit inh �%itpl = OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES MISCELLANEOUS Date MID HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS, GARAGES, (Plans)OK except #'s +"Z 1. Zoning Requirements -Setbacks -Easements ,oKing 590iiements-Setbacks-Easements 2"Sgog'-s-pecial MH Support -Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI . m - I— -Test-Fall-C/0-Concrete 3. Decks; Girders and/or Joists-Decki ng-Braci ng-Stai rs- Rails —r,Location 4;'Water;_�ocation-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- !!��rlc ity; Location-Clearances-Grnd.-//6t,/ Amp -Concrete Shthg.-Rfg.-Bracing 4,"Gas; Location -Test -Wrap: / /"L"ft. 5. Alum. Awn.; Col umns-Con nections-SpI ice- Decal- Enclosures / P'Nat. orl-2:51"IL"ft.l*V" LPG 6. Carports; Windows -Doors 7. Utility Clearance T Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -BA& Card -131 fl?,l Date m DateS-1--6,9 Card -131 Date 10. Roof; Shthg-Roofing Date_,!�-/k&t Card -131 Date 11. Ext.; Steps -Doors -Landings &.r_rl%jMC 1110 1 #%LLj% i 1%jm krians) %jr% excepL ff S ning Requirements -Setbacks -Easements Dtings; Size -Spacing -Marriage Line s; MH Test -Demand -Valve -Connector ictricity; MH Test- Crossove rs-Break ers-C lea ra nces ain; MH Test -Fall -Flex Connector iter; MH Test -Regulator -Connector iter and Sewer Connected -C/O to Grade -HID Appri s and Electricity Tagged its: Insp.-Sketch Cert. of Occupancy t I I I Card -131 Date� Card -131 Date Card -131 Date Card -131 Date -C o C e _41 _71 /0 cc, C_ -7,74 41 I Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date POOLS (Plans) OK except #'s 1 . Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date L Card -131 Date Card -131 Date I MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE s r DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DANE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of mobi)le�h%omQe Owner's name P)AU. Owner's address f / C"141L 1 Insignia or hud number Manufacturer's name Serial number of V.I.N. 61'' 52 0 7 Year of manufacture X973 cial Approving Installation IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACd.EPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MO 8ILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE 1�d44 OWNER if/? -(-OD,f PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date 6 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /PERMIT NO, 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 //— APPLICATtON AND PERMIT 1011010ftw SSOR PARCEL N�fER ZO I BUILDING PER OWNEI W113CYN -D V\ It TCLEPHONE aLp_—r�s rz,­SQ. FT. OCC.1 BUILDI%jg&0eATION 0 r,JJN ' MA LING ADDRIES 0 1A /I . �Rw V �O �NR All C f 0 R'S WVVk, , o TELEPHONE CONTRA TOR LSMAILI G ADORE C F2140 'd�� I Fireplace CONSTRUCTIenq LE14DER 1UNKNOWN Total Valuation i$ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee rgy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 16311 T�a_ Permit fee $ PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF0 Duplex[] Mobilehom'eFX Other -1 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer ;C� 9:p� 5.00 Mob I I e Home I'S ad a 1) 0.00 eq -61) TYPE OF WORK New F� Addition E:1 Remodel E:1 Uti lities)Q Installation El Other Describe work: 1-� —_ I Permit Fee $ 62) Contractor ELECTRICAL PERMIT Fi I ing Fee 10.00 600V OR LESS Main service 100 AMPOR LESS_ 10.00 Main service EA. ADD -L 100 AMP 250 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): _9L I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profes andmriicense is in full force and effect. License Nnegl= I — Classification '47 C', __ . I 0 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. DWELLING- OCCUP.N) OR ADDNS. A CC. BLDGS. 21/20sqft NEW CONSTR. MrJ=1-5U_TC_F_ T _NON-RESID, BRANCH CIRCUITS) '2.50 e a I POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES .20 @ 50t AL@30t FIXED APPLNS. OR I Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F_� The permit is for $100-00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. to the W. C. laws of California. Not 6I shall not employ any person in any manner so as to become subject e to Applicant: If after making this statement, should you become suuJt;L;t to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Contractor MECHANICAL PERMIT Fi ingFea 10.00 Heating Cooling Hood 3.00 —Ventilation P ermit Fee $ Contractor certify that I have read this application and state that the above information 1 s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I alsp a e to save, indemnify and keep harmless the County of Butte against all ya ili ies, judgments, costs, and expenses which may in any way accrue s a ��din�stid Co� �t* onsequence of the granting of this permit. Date Signature of Applicant Owner D Contractor E] Agent' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heig�t. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE en occup. I CONST.TYPEJ ISCHOOL I F7RCEL I Ptrl- DylsUl V/1 IV", This permit is hereby issued under sions of the Butte County Code and/or work 'ove for which fees LIC By -. I PERMIT EXPIRES Date— , the applicable provi- resolutions to do have been paid. WORKS D I Receipt No. 121Z� — WHITE-D.P.W., YELLOW-ASOE330R. I -If -K -INSPECTOR. GOLDENROD-APPLI CANT COUNTY OF'BUTTE - DEPARTMENT OF,,--PUBLVWORKS BUILDING DIVISI I N 7 COUNTY CENTER DRIVE - OROVICLE�EALIF&OJJA.,95�,7 TEILEPMaUE��16/538-75411 PERMIT APPLICATION DATA SHEET Permit No. OWNER A�� P o. '4_7 ec oag 14,d�l ;2-, Building Inspi Date Proposed Building Use A ectoro At time of permit application, I was advised the following data must be submitted prior to permit processing a6d/or Issuance: DATE RECEIVED APPROVED 11 All items have been submitted . .. ................................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings"t .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ........................................................ 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid .............. Schoo . I . Di . s . trict . fees* paid ................. 1 1 Sanitation approval from C'n Health Department ... 11 �A 'it 4. City of Chico plumbing -perm .................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use:—(B) Parking: . ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-InspeC. request to 19. Pre -Inspection for required ..... I Building inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance ..................... 22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........ CA:' 23. Recorded copy of Agricultural Acknowledgment Statement ............ ,9 24. Letter of sign&re authorization ...................................... 25. Q_1__Qj1SN W L!�St= 26. k) When you issue the permit, process as follows: Mai I jo owner. —Mail to contractor. Telephone39.3—S6 11 and hold for pickup at AUA:g-, office. —Deliver w/inspector. Other ADblica Datev--v n —2'r Copy of plans sent — Health Dept., —Fire Dept., _' Other— Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 43 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---Mall—co Contractor, designer, owner, was advised of above required data by—phone—mall—c Plans checked by Date Plans approved by Sets of plans on hold in —File cabinet _AP folder ��Opy—DPW .6 by— date by— date —Date SL/- .21 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVEI,OPMENT Section 26-8. 1. of . the Butte County, Code requires Lhis acknowledgement be recorded 9 36 3:2 prior to issuance of a building permit. -89�013632 --'-:-,.:Rec Fee., 7-00� The property described herein is adjacent Cash. k,7. 00. to land or included within an area zoned Recorded. for agricultural purposes, and residents Official -Records.: of this property may be subject to incon- County.of. . - .,-1: PAMY SHOWN veniences or discomfort arising from the Butte ... :- , — --A use of agricultural chemicals, 'including, Candace -J. Grubbs but not limited to herbicides, pesticides, Recofder�.. and fertilizers; and from the pursuit f - 9:50am,17-Apr--89 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 esLablished ;1gricill- ,Lural. zones which have as a priority use for 'productive agricultural. purposes, and rvsideiii.,; within said zones and on adjacent property should be'prepared to accept sucli or disconform from normal, necessary farm operations. All that real property situate in the County of Butte,' State of CalifornJ'aii (lescribe(I ;is foll�ws: Date: 41niA�t PROPERTY OWNERS: Calif. 12th April 89 State of On this the day of before. me, Butte SS. the undersigned Notary Public, personally appe'ared— County of Philip Wilson E]Personally known to me. [:]Proved to' me on the basis .of satisfactory evi.dence. to.be the person(s) whose name(s) is subscribed to the within instrument and acknowledged Uiat he executed the same for the purposes therein contained. 1. N W 11 Z N. I 'S WHEREOF, I hereunto set my hand and official. seal.. O'FFICIAL SEAL DEBORAH A. LUNDBERG CALIFORNIA NOTARY PUBLIC Present A.P.- No. BUTTE COUNTY /Zie My commission expires Mar. 12,1991 Notary Ly ill ? - /J Alb. Ij FAI71 7j3 R -P,4p zv%,IFAS197.�o C,4 9 J,-/ S-4 8 9 -4 3 6,3 2 Deed VSVIA C57 ?of's 0064 two"0604 FOR A VAL'VARI.F CON'510fKATION.*Wrifm 04 -h" is bw"4 arkro"WiC4. TOJKMY ALSMG11T, also knovm as -,0.14 ALBRICHT, and. Ilom-LN 1. ALBRICHT, his Wife, C)!A=S V".ST JR., also known:ats CIRARLII: WST and -ROSE M. his Xif% 40 VFS%Irb, remp#. fe jc An4 fomer q*46b'm to A Califbrnib corpor^tiom, 'XI 0? C?IICOI 'TUCK # I . IM, Y,FRICD VIC'. j�oratad arc Ibe faftaw;ftl &WAIWd mj ?rqPmj 1 0 -mmy of of tho'gorthwast quartei Of VOctiOn 21f T&#mshio -:100 Acres Ranga 1 'Iest, !I*unt niablo AZS* And Mrididn.' and more. 23 North,. quaritr-of SAId, At tIIe,!IortII*3st carnor. of said.1k)rthwest 1 100 rodov thence scition 211 thdhC* West &long rhc� '"Ort"'" 'that" �.quarjsr, 160 ---rods. jjA&:Of-V&id northwest Sov;th parallel with the East jU3ttarj thont.0 Z4 St a lonj - the to tha South -lino Of sai-I 110 - rods. to t116 L166V line of.'.2a'i4 South line. of saij, ljorthwost quarter 100 th.-Blondeu­ the .!!Ast. line of said,13orthwest Jorthwest qIJ ztar;. LhQncO ginning qjarter 160 rods -to tba point of, be XCIPT1.10 TilrASTROn tho., . intarcst* ojr&ftt*4' to the Cou-Ity-of sutte by, dj.3d.,r0'4Oread Anril 23, 18741' in a !4ontqQ=rY, of Ructo Cemnty. .3nok 14 of 000at, at page S.02, P4cords. Dmfi__�j .. �1, 2qaL7S STAIt, Of CALIFORMA Aga COUNn or Opktra_33A , KaTcK 20, 197S %,.4. rwbloc-i6 604 Im "W c4mm &W stow. pr—W&P It AMCHT_ AkJL—aa---. ;a right, Aib :;or in$ s 4W _j )(no a X. Vast pan MOTAXY StAU *A #TAMP &,..kApd am so dp V"t MMA M�' slum qW F-007 Nme 41t004 a ftwwd# of 1101807 ago CWm WA^ L It" Tide Or6" No-- pjAIL, rAX *?,%jjcmAm'FS AS DJACCfJ[D A&OV4 tI.A Ir. S ) is". s -W) to APLI ro . �om 0 m 0 ;10 (-) n ;0 0 0 m;0 Q C) 0 rn z > r- m 0 0 C 0mo Q __4 " C: 0 3: m z 4 MENT OS5 coutv.r,, 0 p opplib, oiirr,_ APR 'e, , �4, 1989 I T AG,RICULTU1*1�kfi AFFIDAVIT E-IPLOYEE Employee Oscar Santos Phone 8,93-5846, 1 Employee's AddreSs (Present). 1118 Nord ave., Chico, CA 95926 #37 Name of Own,,�r_ Vest Family_Partnership Oyinaer's Address P.O.Box 755, Santa Maria, CA 93456 7 Owner's Assessor's Parcel 11o. 047-08-0-015-0 11,Uilding/Environmental Health Permit Description. and Number Date Issued -ool !"lanning Department Approval: Date Zone " Dwelling on.AP/r. _6.�cai Sa.nto_s_:-.__ do declare, subject to the penalty of perjury, that�-I am the employee of F�hilip Wilson 0. :?ess (present) 6189 Cana Hwy., Chico CA 95926 on jP#64,.7_:zO_8 -9 1 6��'.660 and that I will be employed under Section 24-21.2a, b, c, d,e,g. for at least (a) to (g) thirty-two (32) hours per week for at least sixteen (16) weeks per year on AP#�047-08-0-015-0 and others. Signed Dated 3/28/89- AGRTCULTU,1,,,Ari AFF1DAVIT E-IPLOYEE Employee Oscar Santos Phone, MMELOM Employee's Addre--s (Present) 1118 Nord ave., Chico, CA 95926 #37 Name of Owner Ves-t Family Partnershi2 Olimer's Addrdss P.O.Box.755, Santa Maria, CA 93456 7 oh,nerls Assessor's Parcel Vo. 047-08-0-015-0 Building/Environmental Health Perm.it Description and Number - Date Issued B Flanning Department Approval: Date- !kh on . D-io.yell-ing on APir ..... V L BY Dscar-Santos-: do declare, subject to the penalty of perjury, that—I am the employee of F�hilip Wilson --e.ss (present) 6189 Cana Hwy., Chico CA 95926 on AP.�047-080-016-000 and that I will be employed under Section 24-21.2a, b, c, d,e,g. for at least (a) to (g) thirty-two (32) hours per week for at least sixteen (16) weeks per'year on AP -a 04'7-08-0-015-0 and others. Signed Dated 3/28/89 T AF-FIDJ�.VIT E�IPLOY EPL 1-nployer Philij? Wilson Phone- 142-7 34j? 95926 ,MP.Ioyer's Address (Present) 6189 Cana Hwy., Chico, CA .iame of Drner YX Vest Family Partnership P.O. Box 755, Santa Maria, CA 93456 s Address -08-0-015-0 er s Assessor.'s Parcel �TO.Q47 U- a :uildin-/Environmctn' -ealth L:--rmit Descriptic.--AL anid 'Num",)-��r -D3te Issued BY— �Iannin--:- Department Approval: A t Z on e D-..iellin!:- on A .-Y Philip Wilson do declare, subject to the Oscar Santos -,��nalty of perjury, that I am the employer of '-"M, " 3 e. #37, Chd)co, CA 95926 — _;,, (present) 1118 Nord av on AP#, and that'I will be eniployer'u-nder Section 24-21.2a,b,c,dIeog, for at least (a) to W er year on thirt,y-two (32) hours pe--., !.Ieck for at least sixteen 1,16) weeks p' -;JJ 047-08-0-015-0 . and others. SignedK24- Eated 3/28/89 ..re.... ..crr.. }..wY.,..f v. lA.a,...-.i ..; . ... ' .. Y • . it'z ..ii7Y �� }�.'R. ke nt a 1, c Wie Chicken. February 21g 1989 TO WHOM IT MAY CONCERNS Please be* informed that Philip Wilson has permission to conduct business on the ranch owned by the Vest Family Partnership in Chico, Calif. =Yver truly, Charles B. Vest, Partner Vest Family Partnership CB/jc P.O. BOX 755 0 SANTA MARIA, CA 93456 0 (805) 922-3179 i� ELECTRIC GAS Support Struc. Compaction Test Re . Service Other Pipe YES NO YES NO Size Load Type Size Length /vs.v� 1-p� �/H 0?S .. e o .o b 3 � a ,o CA o� o � - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cailforn'ia 9596i - Telephone: 916/538-7541 APPLICATION AND PERMIT PER T NO' ASSESSOR PARCEL N6AjER v 0.Z 0 0 ZOn( 0, BUILDING PERMIT SQ.FT. OCC. BUILDING V.�gUATION OWNER T I ELEPHONE OWNER'S MAI�ING ADD 'SNAMF_ CXIWV ., 1U." wu TELEPHONE CONTRACTOR'S MAILING ADDRESS __T�OWN Fireplace CONSTRUCTION LENDER Total Valuation $ Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER _T_C�E NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [_1 DuplexF� Mobilehome[�� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FIG W�� 10.00 ea� TYPE OF WORK New F_� Addition Rem d I [I Utiliti [] I 0�, i I irs J nstaliationg Other Describe work: ,z YA I- Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 IIOOV OR LESS Main service 1100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S and Professions Code and my license is in full force and effect. License No. 44"1 a Classification F1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed contiact- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST' ( DWELLING OCCUPM OR ADONS. ACC. BLDGS. 21/20sqft NEW CONSTK MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50 ea I POWER APPARATUS IN) (SINGLE OUTLET CIR. _ Ex. Occup(OUTLETS OR FIXTURES 20050t . AL030C - _ OCCUP. FIXED APPLNS. OR I Ex. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00- Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): R The permit is for $100-00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in cons!quaace of the granting of this permit. X 6A� Date I` — 49 Signature of Applicant – Owner 0 Contractor F Agent El An OSHA permit is renired for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ 0 0 occup. I CONST.T YPEI Is V1 FILOODI _PA_R_CE_L_r­PD I NO I ISSUO' This permit is hereby issued under sions of the Butte County Code and/or work indicated above, for w ' h T F BLIC Bv r , -_ PERMIT EXPIRES bate the applicable provi- resolutions to do fees have been paid. WORKS Date3 _r__Lr__.02 — I L Receipt NO.- M.P9111 WHITE-D.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR. GOLDENROD-APPLI CANT Copy of plans sent — Health Dept., —Fire Dept., Other— Date The following data must be submitted prior to permit iss (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mal I —counter by— date Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date Plans checked by Date Plans approved by Date Sets of plans on hold in —File cabinet _AP folder Z Copy—DPW COUNTY OF BUTTE - DEPARTME' NT OFtFPUB-I!*TC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE�CALIFOIRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT- APPLICAT10h DATA SHEET Permit No.— OWNER A. 1:1. 0. Proposed Building Use— Building Inspector-aw .— Date_6� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .. ................................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparEV of plans 4. Complete engineered plans and calcs, with wet -signature on plans 5. Energy Design Compliance and supporting docunientation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ........................................................ 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11 Park fe s paid ..................................................... t7:) School District fees paid ............. Z Al; 9 1 �anitation approval from Health Department' 14. City of Chico plumbing permit ....................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use:—(B) Parking: . ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre-Inspec. request to Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ............................ 25. W 26. When you issue the permit, process as follows: —Mail to owner, —Mail to contractor. Telephone &7'7-C_(qb and hold for pickup at 6,e 4, office. —Deliver w/inspector. Other Applicani�, .1 Date (�—blJJ-7 V----- f �- / / - , Copy of plans sent — Health Dept., —Fire Dept., Other— Date The following data must be submitted prior to permit iss (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mal I —counter by— date Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date Plans checked by Date Plans approved by Date Sets of plans on hold in —File cabinet _AP folder Z Copy—DPW BUTTE COUNTY SCHOOLS DEVELOPMEUT FEE CER ' TIFICATION FORM (one Form per Building) A.P. Number400—( ment No. �_Building Depart School District City County MV 7z_ Property Owner /V, /� Project Location/Address (0,3 /1 of'q-" "9 Jurisdiction Subdivision A 1A Lot N&ber Residential Development: Sq Footage # of Living MHI Addition (Group R) Units. Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Rersonnel) �District Id No. /4_) School Di'strict cert�,fies that h) A, 44- -23 '5 Q (Applicant Name), (Phone Number) 62IS11 C (Street Address 41J 4�D ('C'ity) (State) (Zip Code) has compli.ed with the requirements of Resolution No. by the p-ayment of $ representing740 square feet. IS ool/District RepkerMfifativ,Z) Datd PAID --BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) • •. it#i�s sof. - -- - .. •-,....-..:w�-;. on. the ot, af r-11 �akc, ani, s _ nd '_t_is.. unlavdul ~nns os altrrr-IF ,..,...., eame wi+" o5UiI'E Ct7UNTT i 1/ 0 WILDING DEPARTOWi �' um me uepar#meat of pvwl 9f tom. i i N a Accordance with Recognized Good practices and - ., o�• a t:. Nt � ;. Uniform BUI. ing, Piur��bing &Mechanical Codec CUW - I Ar' om the sell�5 odin the road aC 01 oJ ha tern"� s men d Ovve��p_-.__ 404, .� v 0 3 f A permit will be required for the installation of , the mo i e ome. o5UiI'E Ct7UNTT i 1/ 0 WILDING DEPARTOWi �' BUTTE COUNTY'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name: 2A4�& 2. Installer's name: 3. Is the site currently under permi�? Yes No (If yes, furnish permit number OR Is the site an existing site? Yes No .(If yes, furnish two (2) plot plans.) A. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? ' YesT ---r- . No / / (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? ----------- ---------- 2—e �o s L 7. What is the mobilehome site clrc4t breaker rating? ------------- T_-V�,5b Amp s 8. Is there any.other electric load �o be served by the mobilehome site service? ------------------- I ---------------- --------------- Yes / / No J-L -f (If yes, identify the load �nd size- (Load)- -(Amps) 9. What is the mobilehome site gas pipe size? ----------------------- (in.) 10. What is the type of gas service? Natural LPG I --------------------- I -------- I 11. What is the gas pipe length f 12. What is the mobilehome gas'd meter or tank to the mobilehome? (ft.) -------------------------- (BTU) (This information not requilre, I or less than 50 ft. on LPq.)' if pipe length less than 6 ft. on na elfvti gas 00) VQ0 X, MOBILEHOME SUPPORT DATA �� " A If -other than single wide, Mobilehome Mfr. !fiat rj., oUe., M� = furnish Setup Model No. Year 11175 Width- (ft.) Box Length 42-,9 (ft.) Tagalong or Expando Size ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from -front of mobilehome unless otherwise specified. 1. Single Footings (check one) I N1 1. Wood either pressure treated or foundation grade. *If center piers are other than drawn above, 'draw in locations, spacing, and dimensions. Other (specify) Supports (check one) Concrete block. . Other (specify) agalong or Expando, how support details. pport ze Spacing sang d` OFFICE COPY Address .GAS c Meter By ' Date t ELECTRIC Meter By '"�� ' Date • i ' 4 • ft _ s i L Temp. Power Pole Called PG&E f Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) J Signature �!��` 1116-89P,E(MH) PERMIT NO. t . PERMIT EXPIRES PHILLIP WILSON ' OWNER Mobile home Center ` CONTR. t 47-08-15 ASSESSOR PARCEL y 6311 CanaHwy, Chico LOCATION • i' d` OFFICE COPY Address .GAS c Meter By ' Date t ELECTRIC Meter By '"�� ' Date • i ' 4 • ft _ s i L Temp. Power Pole Called PG&E f Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) J Signature �!��` MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. � Address or location of mobilehome Owner's name / Q � Owner's address t C. I ltMrlli ' tr'1� Insignia or hud number l �16�5 U J/up Manufacturer's name ,O.fliff Serial number of V.I.N. sa/ 2. to Year of manufacture (Official Approving Installation) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOB1LEHOME IS INSTALLED ON A FOUNDATION SYSTEM. ;`b 1 J% 513B COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT N0. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date �/ 4 '5f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chi.co — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE W(s0/\) >ll7- 5�1 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office whenZneaddiltional ork Is completed. If you have any question pertaining to this matteexplanation, please contact this office immediately. PrD0i P 4r-C_5SU r 4,eS4 1 Lu �v r l'A-.v . 4- G. rDvtfi�e_ _ C/P-2 -A I/I t h 13r 4- t ti M Q t �w l � r 1 ., to / / /1/..S �G �/i N a ,{ �1rc� V -rra/ /Pr 64e P5 (`Jc�i ld l Aj �'aa/C5 C. /%S' for /UD�Hf � .Sery 1 r o _r') r ti 44,4 �e e7C e r a +5 .vc eCi �l J J j 0 =&N 0 K = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDEFIFLOOR (Plans) OK except #'s 1. Zoriing-Setbacks;-Easements-Flood-Slope 2. Ftg.,-Main; Soils-Steel-Elec. Grnd.-/ Ftg. Depth 3:-Ftg.: Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 4 9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size ga. Cu or A[-A.G. Wire Size / /ga. Cu or Al 29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Liaht-Shower Liaht-SDa Liaht Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform If Furnace in Attic Card -B1 Date Card -B1 Date Card -B1 Date Cird-B1 Date Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors' 46. CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue-Fi replace -Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers' exits a Protecti on Outri gge rs 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Ac�cc�ea�s 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Cig. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64. Bedroom Exiting 66. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Pr;t-ec. 77. Insulation -Foam -Looked in Attic 0 Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 80. Following instld.; Drive -0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Openings. 84, Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/0 to Gracle-HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -131 Date 39. Sills, Proper Material & Anchors Card -131 Date Card -131 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing (NOTE: An entry must be made each time vnu viqit inh qitpl = OK 0 = Not OK ' = Not Readyiable MOBILE HOMES 4 MISCELLANEOUS Date MO HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s ing Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements . So' , pecial MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel er; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails Wa; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ncity; Location-Clearances-Grnd.-/100/ Amp -Concrete Gas; cation -Test -Wrap: / /"L"ft. / 'Nat. or/a-]/"L" ft./ "LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors tility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 r?, j_ Date58-61 Card -131 Date 10. Roof; Shthg-Roofing Card -131 n Date Card -81 Date 11. Ext.; Steps -Doors -Landings Date MOJ31LEHOME INSTALLATION (Plans) OK except #'s oning Requirements -Setbacks -Easements Card -131 Date Card -131 Date VjFootings; Size -Spacing -Marriage Line Card -131 Date Card -131 Date Q(QAs; MH Test -Demand -Valve -Connector &AFXctrl ity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s . D n; MH Test -Fall -Flex Connector 1. Setbacks -Easements ter; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability ter and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining s and Electricity Tagged xits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Card -B1 Date �6 Card -B1 Date Card -131 Date Card -131 Date 9. Health Department Approval t Q / O 6 S 41'i5� o i� 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -81 Date COUNTY OF BUTTE - DEPARTMENT Oj 7 County Center Drive - Oroville, California 95965 - APPLICATION AID PERI PUBLIC WORKS PERMIT NO.0 Telephone: 916/538-7541 1IT I/ - ASSESS PARCEL NUMBER L1, 7 1? — 45^1� ZONAG 41 BUILDING PE%fT OWNER L4/, -tit W TELE'PHONE SQ.FT. OCC. BUIJ"NG VAILATION OWeR'S AIL N DORE S CONTRAACTOR*SZ MIOILA 6�00 0 TELEPHONE 163t.7 Irl// - CONTRA R*9'MO%ILI G ADDRESS _2Z Ar&PwAM Fireplace i 1$ ICT UNKNOWN Total Valuation iling Fee $ _10:00— LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHIMENGINEER'S MAILING ADDRESS Penalty $ BUILD G ADD SS CNA -A, A d"e7 Permit fee $ PLUMBING PERMIT FilingFee 10.00 3 VL I I r. A& A 11-ap V�wry Each Trap 2.00 S,.OV71/ xl',60 OP C&dk-0A=dd2ee Solar or heat pump water heater 20-00 LOT NO. SUBDIVISION NAME PARCEL MAP F 1 Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFEI Duplex[] Mobilehome[X Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 4n� gs� 5.00 Mobile Home (I S VG RW P 10 - 0 0 e a�3'�)L CU TYPE OF WORK New[g Addition Ftemodelo Utilities A InstallationE] OtherF] Describe work: A4 A., Z�.y F__2A C- Permit Fee $ Contractor ELECTRICAL PERMIT Fi I ing Fee 10.00 'A Main service eOOV OR LESS 100 AMP OR LESS 10.00 /0. Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW '1/ I de la under'. penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business Vand Professions Code and my license is in full force and effect. License No. 9 Classification C_ - �r!z 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 1, as the owner, am exclusively contracting with licensed UUIILIIL;L- ors. (Sec. 7044) I am exempt under Sec.—, Business and Professions Code for this reason NEW CONST. (DWELLING OCCUP.aj) OR ADDNS. ACC.BLDGS. 21/20sqft NEW CONSTR. MULTI -OUTLET NO .RES'.. BRANCH CRCU ITS) 2.50 ea POWER APPARATUS.&) (SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTUREL A0 L@05300tq Ex. Occup FIXED APPLNS. OR . OUTLETS_(RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00- lc,�-00 Misc. Wiring 15.00 Permit Fee Contractor $ 4�� /7- (M WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F� The permit is for $100.00 (valuation) or less. Ej I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I Vaa�ge to save, indemnify and keep harmless the County of Butte against all liabili 'as, judgments, costs. and expenses which may in any way accrue a g 'ainst sa d CouDW lin-cons quence of the granting of this permit. 3 Z,�e PY —Date �4-11 - Signature of Applicant - Owner 0 Contractor E] Agenttl An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3-stories_in hei0t. Mobile Home Installation Fee $ Energy Inspection Fee TOTAL PERMIT FEE $ orcup* I CONST,TYPI11 ISCHOOLIFL;l PAR E:J PD No SUE I Z This permit is hereby Issued under t Co sions of the But a unty Code and/or work indicated above for which 0 0 444LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No._i_`) ta!Z& ---- W"ITZ-D.P.W.. YELLOW-Asl!IE330141. 4N.-.N.P.CTOR. GOLDENROD-APPLI CANT COUNTY OF BUTTE - DEPARTMENT OFIOUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLh_,,,&AL4F6,'�N'1'A 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATIbN DATA SHEET Permit No. OWNER A_A3. No. 4-7-rw - Proposed Building Use ak-L-l—,Q umj Building Inspector X-&. Date 7 ffgf Attimeof permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ............. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Energy Design Compliance and supporting documentation ......... 6. Statement oj Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ....................................................... 9. Fees of $ 1, . .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 1.? School District fees paid ................. i0z,-3, Sanitation approval from U -A I Health Department ... Z 6 14" City of Chico plumbing permit ...................................... 15. Plot plan and business lic ' ense approval from City of (see City for other requirements) — 16. Planning approval for (A) Use:—(B) Parking: . ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ...... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner 0, Mail to owner 0) ......... 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of s' gn�ture authorization ..................................... 25. 26. When ou i ssue the perm i t, process as f o I I ows: — Ma i I to owner. —Mail to contractor. Telephone 3qS___11_1_L_ZLand hold for pickup at Ok-�office. —Deliver w/inspector. Other Applican Datef��'V Copy of plans sent Health Dept., Fire Dept., Other— Date The following data must be submitted pri ermit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items -required: Contractor, designer, owner, was advised of above required data by —phone____rna 11 —counter -by — date Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date Plans checked by Date Plans approved by AL, Date —Sets of plans on hold in—File cabinet _AP folder . il, Copy -DPW TO: Building Department FROM: Encroachment Permit Section .f"RE: Driveway Clearance Lx, - / �/ /( , �5 - owner location AP # Driveway permit si ature has been issued for the above property. date Returu to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTTAL DEVE1,OPMENT SecLion 26-8.1 of the Butte County. Code requires this acknowledgement be recorded prior to issuance of a buil.ding permit. NOT COMPARED V4RH 014GINAL DOCUMRqT 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 incon- 13 63 2 veniences or discomfort arising from the use of agricultural chemicals, " including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agric'ultural operations including, APR 17 1989 but not limited to cultivation, plowing, spraying, pruning, and- harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ogrictil- Lural zones which have as a priority use for producti ve agricultural purposes, ond res'idew.,; within said zones and on adjacent property should be prepared to accept suuh iiiconvviiiciico or disconform from normal, necessary farm operations. All. that. -feal property situate in the County"of Butte, State of California, describt - -ti :I. -,- follows: Date: PROPERTY OWNERS: — Ves-/- State of Calif. On this the 12th day of April 19 89 Butte SS. the undersigned Notary Public, personally appeared County of Philip Wilson , before me, Personally known to me. E] Proved to' me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to'the within instrument and acknowledged that he fI7 executed the same for the purposes therein contained. IN WI'I S WHEREOF, I hereunto set my hand and official. seal. O'FFICIAL SEAL DEBORAH A. LUNDBERG . ij NOIARY PUBLIC - CtOFORNIA Present A.P. No. BUTTE COUNTY My commissian expues Mar. 12.199; Notary Pulilic IR 6 LIE 5 F,41-7 / 6�7 FV. (�x -7s-S' 's A /_4 /—', A, C4 9 Quildnim Deed L_ , "C%faillp VIT1.6 S"�&,Lmcg "evajor FOR A VALVARLF CONS10f KATION. P-0 Of -h" bt TOFMY AL317GLIT, also known as T0.14 ALBItICUT, and NOMA J. ALORICHT, hi3 wife, C)!ARLCS VMST JR-, also Irnownias C(ARLIt VrST %nd..)WSE M. VrS%hi S Wif etrse m,d fomew qtMm;m to I:E:;TUCNY FX1r-D C19,1=" 0? C711C01 California corporfittion, pin . co . rporated arc&''* -mmy of ante, low 10ADWIng Fr9jW"j Acres of the Ajorthwast quartei Of VOCtiOn .4st, !iOunt niablo Mail* And maridian,' and more. 23 North, Ranga lr,., . a- " . . . .. partiCularly 401C ibati as follows"to-Witt -quarter-of said Byr,VrIVIC at the, .1d,%st COrn*r-af.zaLd'?;nrthw4st .0 �jast jljonq thar_�!;orthlin* thereof log. rods j.. thence scztion 211 thenc 1607 So�zth p&rallel with the East jjna.Of-s&i4 Xorthwest quarter, m rod s to the South -lino Of sai-I flortirdest 1. quarterl than,.* t4st alonq the ... South line -of 33iJ 11Ort-hW02t qu.arttf 100 rods to the Z659 line Of--s8i4 Nofthvest quartary thonce :Ogth 8lOnq._,the_r.&st lino of p4id. Isorthwest, to tha-point of bagiantng... qjarter 160 rods :XC%PTr.1C. TIMUFRO:1 tile, interest' fliafttOd' to the Cou-Ity. of Butte by !4ont9cx-.*rV . 1074, in . , at A!, by dead .'ra'46rdad %.nril 23, 3nok 14 of 00ads, At page $02, PAcords of Rutte CmultY. Dmt4 March 2 STATZ Of CAUMAMA CQU.v" or 04 ;i�_rc� 20, 197S 104� 4".4 8 PONT r4k ia 6d4 I . Cow? &W Slow. P -01h RIGHT AkA 11 =109 V21S, 4r. _A1L4_21AZ1AS-1_vq#-tJ Lame to so to be 00 141'.0 4TIP4 0 P-MM46 d MONT :;Or I �? k ri.4—i'st "a X. Vast 04ft NOTAAV SgAA, 94 STAMP RIP t2h&A C. JOWha= 92UM V4"-QVJK PAIN61PAL 6"99 of 600M UJUNVA CCLWW — 04 9Wm WA L It"] r_ fd T -46W Ordwr me--- row — I . MA,I&_ T" &,r&j&MJMj$ AS 0049CTIED A&40V6 W $-A IQ 3 1 IROT 3P4W) 69 VLF IF1,45 Of V. Cd= 1/7 AP—fid— a -✓ OWNER PERMIT MH UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Other Pipe YESI NO YESI NO Size Load Type Size Leri th 0 0 0 oaa B .. Q, l - G o P . N �F 97 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIONAND'FIERMIT PER IT NO 'L ZO I G 0 � OWNER C14it LJ I Z- AOO' SQ. FT. OCC. BUILDING ASSESSOR PARCEL NUMBER 6 �-7 ZO I G 0 BUILDING PERMIT X..X OWNER C14it LJ I Z- AOO' SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS cwlco SNAME Va, abj�-. TELEPHONE ?7746f,9e CONTRACTOR'S MAILING ADDRESS 11+30 e-4RItol-4- i -A) MAeOIS41--_ Cq-. Fireplace I CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ (9 eg Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS WA&�q PLUMBING PERMIT FilingFee 10.00 0 Each Trap 2.00 Solar Water Heater 20-00 Water piping 5.00 LOT NO. 1 SUBDIVISION NAME ARCEL MAP 1P Each qas water heater or vent 5.00 Gas piping system I - 5 outlets 5.00 USE OF STRUCTURE SFO DuplexF� Mobilehorre[jr Other SPECIFY Building sewer 5.00 Mobile Home S I G I IN 10.00 e TYPE OF WORK New FI Add i t i on [:1 Remode tilities Installationig Other [:1 Describe work: alai Permit Fee $ Contractor ELECTRICAL PERMIT Fi I ing Fee 10.00 Main service 601V OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'I_ 100 AMP 2-.50 NEW CONST. ( DWELLING OCCUP.&) OR ADDNS. ACC.BLDGS. 21/20sqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): E9"', am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. J71!�78 — Classification C_— �(:7 El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F1 I am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTFL U "OU LE NO N.R.S,.. (MBIILANTC. CTIRCUITS) 2.50 ea NEW CONSTR. I POWER APPARATUS &' NON-RESID. % SINGLE OUTLET CIR. ) Ex. Occup(ouTLETS OR FIXTURES 20050t SAL030C FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI 0.) E A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Fi I i rig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. E] I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-inslure. �Zl shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor — 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all - liabilit.ies, judgments, costs, and expenses which may in any way accrue against sgid Couriity in consequence of the granting of this permit. X Va-'— 5� Date 6_/f_8 -F_ Signature of Applicant — OwnerEl �ontroctor [g' Agent[] An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. [:�� PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which E TO PUBLIC j4e*L By PERA EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -52 Receipt No.- TL/ CIL WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENTOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, &i�IP(51PINIIA'-95965 - TEL I EPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER 011 W, ISO !I A. P. No.. Proposed Building Use A� Building I nspector Date Attimeof permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ......................... ***'***'*** 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions ....................................................... 9. Fees of $ .......................... 1f). _/1 1. Chico Urban Area fees paid ........................................ Park fees pai .................................................. School District fees paid ....... 13, Sanitation approval from Health Department ... 14. City of Chico plumbing permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use:—(B) Parking: . ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre-Inspec. request to Pre -Inspection for required ...... Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner 11, Mail to owner 0) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the Tele Othe rmkt ocepss follows: -Mai I_ p _jo owner. -Mail to contractor. 61 and hold for pickup at C)60 office. -Deliver w/inspector. Applicant 7,04�t� Date Copy of plans sent — Health Dept., — Fire Dept., — Other— Date The following data must be submitted prior to peRKiUssuance: (Circle new item not checked above). 1. Index permit for above items No. A 2. Additional items required: Contractor, designer, owner, was advised of above required data by —phone ---mai I —counter by— date Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date Plans checked by Date Plans approved by Date Sets of plans on hold in —File cabinet _AP folder Copy—DPW - BUTTE COUNTY SCHOOLS DEVELOPMENTFEE CERTIFICATION FORM (One Form per Building) A.P. Number Oq-2, -0/-5'Building Department No. School District 0' _ City F-1 County Ml Jurisdiction Property Owner P Projec� Location/Address /V W'� CA; (0 Subdivision A] Lot Number Residential D7evelopment: Sq ' Footage7, D - # of Living, MHI Addition (Group R) -Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No.— Al 1A ie School District certif s that 1AJ I /Sopi -3c/c� —�_73.<,=_� (Applicant Name) (Phone Number) (0 1 � q � - /—nnil .4- 14'r'j L4 (Street Address) (City) (State) (Zip Code) has complied with the requirement,s of Resolution No. by the payment of $ representing square feet. �& n -A, ;14 Ar L ,,-,'Sch6ol District ReprdWdntat1.'ve Dat6 PAB'BY CHECK NO. REMARKS: BANK NO— PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) A -v rhis set of. p4ans., and specifko+ions MUST VV w at (ep� on Ad in! .011 times and if is unla4ul +c *b*4 any changes or alterations on some wiff"mi ission from the Depurhrwk Cj O;r7 -CAVA Accordance with Recoanized Good Practices and progtr;!-n-i � fnr +ht, Snpr*464 kj,;A +hP ;n Unilaml Building, Piumbing & Mec6aniccd Codei and �he N�tt "n Electeied Coc6 V -50—A. f '14n: A setback of ft. from the a setbac i;nzr and prop 50ft. from thE of 6�p ige COP Stru ctures or equipment ex F RQ'M Tor a v el 1-5 C, i6t -go- Oct ova le 'Ohs -7 -CAVA BUTTE COUNTY DEPARTMENT OF PUBLIC -WORKS 7 Countv Center Drive. Oroville. CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET. 1. owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes. No (If yes, furnish permit number OR Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 6. What is the mobilehome site service rating? --------------------- 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served by the mobilehome t *23MV SO Amps I2_6_ Amps I 'gow Amps site service? --------------------------------------------------- Yes Nol­f (If yes, identify the load and size: (Load) —(Amps) - 9. What is'the mobilehome site gas*pipe size? ---------------------- -(in.) 10. What is the type of gas service? ------------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? —(ft.) 12. What is the mobilehome gas demand? ------------------------------- (BTU) (This information not required if pipe length le!§s than 6 ft'. on natur gas or less than 50 ft. on LPG.) ew"Gm W. - ID v;,Oqq C4 MOBILEHOME SUPPORT DATA If ot�er than single wide, Mobilehome Mfr._ Xlk.441Z� furnish Setup Model No. Year Width- I I— (ft.) Box Length 424p (ft.) Tagalong or Expando Size --f—FE. 'x ft. (SHOW SUPPORT DETAILS BE)LOW) on all mobilehomes manufactured aAer October 7, 1973, furnish manufacturer's installa�,,ion manual and structural setup she�ts' (if not on -file with the County of Butte). All center supports measured from�front of mobilehome unless otherwise specified. Ar Single Footings (check one) FZ1,**'1. Wood either pressure treated or foundation grade. *If ce ' nter piers are other than drawn above, draw in -locations, spacing, and dimensions. . Other (specify) Supports (check one) Concrete block. . Other (specify) agalong or Expando, how support details. pport ,ze Spacing iang AR I' -U 1�111� T G F._� i P I 1 0 Y -r-:. 'La. I Employee Salvador Rosas Rwne none Employee's Address (Present) 6311 Cana Hwy., Chico, CA 95926 Name of Owner Vest Family Partnership oviner's Address P.O. Box 755, Santa Maria, CA 93456 Owne�.r's IIA-s�s�-�-s­`�'or's Parcel Vo.. Building/Environmental Health Permi t. -Description and Number. 047-08-0-015-0 Date Issued- _By. - Planning Department Approval: Date Zone " �AK;W,W iM .Dwelling on. AP/4,_ By Salvador Rosas do declare, subject,to the penalty of perjury, that—I aia the employee of Philip Wilson ,_,ess (present) 6189' Cana Hwy., Chico, CA 95926 on A!�#247LO80-016-000 and that I -will be employed under Section 24-21.­a,b,c,d,e,&g,, for at least (a) to (g) thirty-two. (�2) hours per week for at least sixteen (16) weeks'pe . r year on AP4 04'7-08-0-015-0 and others. ES i gn. e d Dated 3/28/89 74 AGRTACULIL'U'11101', M"Fl.,I)AULT I Fa_ilpilo'li Pf, Employee Salvador Rosas Phone none Employee's Address (Present) 6311 Cana Hwy., Chico, CA 95926 Name of Owner Vest Family Partnership Ovnaer's Address P.O. Box 755, Santa Maria, CA 93456 Owner's Assessor's Parcel No. 047-08-0-015-0 "D Buildi ng/Envi-ronmental Health Permit Description and Number, Date Issued Planning Department Approval: Da . te- 9//7/,EY_Zon . a &A10__ D-v!elling on AP# 4/7 - BY V Salvador Rosas do declare, subject to the penalty of perjury, that ---I aia the employee of Philip wilson Cana Hwy., Chico, CA 95926 on AP#047-080-016-000 .less (present) 6189 and that I will be employed under Section 24-21-2a.,b,c,d,e,8�g . for at. least (a) to (g) thirty-two (32) hours per week for at least sixteen (16) weeks per year on AP -u 047-08-0-015-0 and others. S i Sn e d Dated 3/28/89 A G :L)�!CU !/"L�!HZAL AF 'I,' I Dt*"V 1T E�IPLUY ER Phone 342-7352 Employer Philip Wi_1s0n 1-:mployer's Address .(Present) 6189 Cana Hwy., Chico, CA 95926 .4ate. of Ovmer Vest Family Partnership Owner's Address P.O. Box 755, Santa Maria, CA 93456 0-aner's Assessor.'s Parcel Vo.— 047-08-0-015-0 �-uilding/Environmental Health Permit Description and Number T_'Iate 7ssued 21anninr:- Department AT)Proval: Date -�Y By_ '7 D-..relling on R'F#, J Philip Wilson do declare, subject to the 1�e_lkalj:lcy of perjury, that' -I am the employer of -Salvador Rosas 6311 Cana Hwy., Chico,'CA 95926 on Ap#047-08-0-015. .-.ress (P.resent) L�nd that I will be un -der Section 24-21.2 a,.b,c,d,e,&g for at least (a) to U (16) v,,eeks per year on ,hir'k'-.y-two (32) hours pe-�� -,-7eok for at leas' sixt 047-08-0-015-0 and others. 0 L Da�ed 3/28/89 I e kentpcky Chicken. February 21, 1989 TO WHOM IT MAY CONCERNi Please be informed that Philip .Wilson has permissiop to conduct business on the ranch , owned by the Vest Family Partnership in Chico #-. Calif. Y r ver, truly, L' Charles B. Vest, Partner Vest Family Partnership CB/jc P.O. BOX 755 • SANTA MARIA, CA 93456 • (805) 922-3179 <1C ;i)O-c Department C o u n t y J. Michael Crump, Director Warner C. Phillips, Axsistant Director January 12, 2000 Philip L. Wilson 6189 Cana Highway Chico, CA 95973 f Public Works o f B u t t e Re: Certificate of Merger, AP 047-080-015 & 016 Dear Mr. Wilson: LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7683 Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on December 28, 1999, under Serial Number 1999-0053649, in the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, t" Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: /Building Division Environmental Health Dept. Richard Roper (993268) AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 LANDS BEING MERGED: I c-31 c3 S3 — 10 10 n Z3 r= �4 c3 Recorded Official Records County Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:17PM 28 -Dec -1999 CERTIFICATE OF MERGER AP NUMBER(S) 47-08-15 & 47-08-16 SUBDIVISION / PARCEL MAP: BOOK PAGE BLOCK LOT(S) BOOK PAGE —BLOCK LOT(S) REC FEE 16.00 CONFORM .00 Fay Page I of 4 As of the 'date of recordation, Ahose lands noted above are merged to create 2 - n'd'­­ s parcei(s) of la asd'&-c'rib-ed"i-n-Eknibit(s)*-A & Q attached hereto. DECEMBER 28, 1999 MIKE CRUMP DATE Director of Public Works PHILIP L. WILSON AND OWNERS'CONSENT TO MERGER BARBARA I. WILSON FAMILY TRUST, DATED 7-6-90 Philip L. Wilson -and Barbara I. Wilson AS TRUSTEES as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(s) A & R - attached hereto. ALL SIGNATURES MUST BE NOTARIZED: SIGNATURE SIGNATURE LD 1530 (1198) DATE q-,?() - .9 �F DATE $ '-� AMER, 0 I STATE OF CALIFORNIA Iss. COUNTY OF f3 U -r -Fc I On before me, "O -Y ZT, 81'ClWe-ll r0 0 7A A Y -Po �C personally appeared 1014z-L--i:ia I- &J—r-&5oiQ tsAiD DAIWAgA WIls6iJ , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Title of Document Date of Document Other signatures not acknowledged GI -5191 I (This area for official notarial seal) No. of Pages 3008 (1194) (General) First American Title Insurance Company EXHIBIT "A" DESCRIPTION All that real property situate in the County of Butte, State of California, being more particularly described as follows: Being a portion of the Northwest Quarter of Section 21, Township 23 North, Range I West, M.D.B.&M. and being the West Half of the Northeast Quarter of Section 2 1, Township 23 North, Range I West, M.D.B.&M., being more particularly described as follows: Beginning at the North Quarter comer of said Section 2 1, which point is in the centerline of Cana Highway and which point is the True Point of. Beginning for this description; thence leaving the North Quarter c ' omer of said Section 21 and the True Point of Beginning and running West along the North line of the Northwest Quarter of said Section 2 1 and the centerline of Cana Highway a distance of 95.00 feet to a point; thence leaving the North line of the Northwest Quarter of said Section 21 and running South parallel with the East line of the Northwest Quarter of said Section 21 to the South line of the Northwest Quarter of said Section 2 1; thence running East along the South line of the Northwest Quarter of said Section 21 to the Center Quarter comer of said Section 21; thence East along the South line of the Northeast Quarter of said Section 21 to the Southeast comer of the West Half of the Northeast Quarter of said Section 2 1, which point is also described as the CE 1/ 16 comer of said Section 2 1; thence leaving the South line of the Northeast Quarter of said Section 21 and running North along the East line of the West Half of the Northeast Quarter of said Section 21 to the Northeast comer of the West Half of the Northeast Quarter of said Section 2 1, which point is also described as the E 1/16 comer of said Section 21 and which point is also in the'centerline of Cana Highway; thence running West along the North line of the Northeast Quarter of said Section 21 and thebenterline of Cana Highway to the Point of Beginming. EXCEPTING THEREFROM A STRIP OF LAND 30 FEET IN WIDTH ALONG THE NORTH LINE OF THE PROPERTY DESCRIBED ABOVE, AS CONTAINED IN THE DEED FROM J.W.B. MONTGONIERY, ET AL TO BUTTE COUNTY, SAID DEED DATED APRIL 23,1874 AND RECORDED MAY 4,1874, IN BOOK 14 OF DEEDS, AT PAGE 502, BUTTE COUNTY RECORDS. �N X eo . �te;' %0 No. 5181 ak" % OF CAO EXPIRES 6-30-1999 A:EAST EXMIT"B" DESCRIEPTION All that real property situate in the County of Butte, State of California, being more particularly described as follows: Being a portion of the East 100 Acres of the Northwest Quarter of Section 2 1, Township 23 North, Range I West, M.D.B.&M., being more particularly described as follows: Commencing at the North Quarter comer of said Section 2 1, which point is in the centerline of Cana Highway; thence leaving the North Quarter comer of said Section 21 and running West along the North line of the Northwest Quarter of said Section 21 and the centerline of Cana Highway a distance of 95.00 feet to a point, which point is theT.rue.,Point of Beginning for this description; thence leaving the True Point of Beginning and continuin g West alongthe North line of the Northwest Quarter of said Section 21 a distance of 1555.00 feet to a point; thence leaving the North line of the Northwest Quarter of said Section 21 and running South parallel with the East line of the Northwest Quarter of said Section 21 to the South line of the Northwest Quarter of said Section 2 1; thence running East along the South line of the Northwest Quarter of said Section 21 to a point that bears Southerly and parallel with the East line of the Northwest Quarter of said Section 2 1; thence leaving the South line of the Northwest Quarter of said Section 21 and running North parallel with the East line of the Northwest Quarter of said Section 21 to the Point of Beginning. EXCEPTING THEREFROM A STRIP OF LAND 30 FEET IN WIDTH ALONG THE NORTH LINE ' OF THE PROPERTY DESCRIBED ABOVE, AS CONTAINED IN THE DEED FROM JW.B. MONTGOMERY, ET AL TO BUTTE COUNTY, SAID DEED DATED APRIL 23,1874 AND RECORDED MAY 4,1874, IN BOOK 14 OF DEEDS, AT PAGE 502, BUTTE COUNTY RECORDS. C ��4. -DR % -.0 No. 5181 EXPHtES 6-30-1"9 AVEST !4 W OA, Department of Public Works 0 C o u n t y o f 8 u t t e 0) 7 County Center Drive 0 0 J. Michael Crump, Director LAND DEVELOPMENT DIVISION 0 ) Warner C. Phillips, Arriftant Director Oroville, CA 95965 (530) 538-7266 (FAX) 538-7683 January 12, 2000 Philip L. Wilson 6189 Cana Highway Chico, CA 95973 Re: Certificate of Merger, AP 047-080-015 & 016 Dear Mr. Wilson: Enclosed please find the Certificate of Merger that was issued by the Butte County Department of Public Works and recorded on December 28,1999, under Serial Number 1999-0053649, in, the office of the Butte County Recorder. If you have any questions concerning this matter, please contact this office at (530) 538-7266, Monday through Friday, 8:00 a.m. to 4:00 p.m. Sincerely, Stuart Edell Manager, Land Development Division SE/kp Enclosure cc: /Building Division Environmental Health Dept. Richard Roper (993268) AFTER RECORDING RETURN TO: Butte County Public Works LAND DEVELOPMENT DIVISION 7 County Center Drive Oroville, CA 95965 LANDS BEING MERGED: 1 C_3C_3C_3_GDGD�ar=14C3 Recorded Official Records County Of BME CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 02:17PH 28 -Dec -1999 CERTIFICATE OF MERGER AP NUMBER(S) 47-08-15 & 47-08-16 SUBDIVISION / PARCEL MAP: BOOK PAGE BLOCK LOT(S) BOOK PAGE BLOCK- LOT(S) REC FEE 16.00 CONFORM .00 Fay Page I of 4 As of the 'date of recordation, -those lands noted above are merged to create 2 _ parcei(s) of land ''a's d6skribeid'in­ Ex. ni.b. it(.s-) "A & B — attached hereto. //X z 6 9�� � - — DECEMBER 28, 1999 MIKE CRUMP DATE Director of Public Works PHILIP L. WILSON AND OWNERS'CONSENT TO MERGER BARBARA I. WILSON FAMILY TRUST, DATED 7-6-90 Philip L., Wilson and Barbara I. Wilson AS TRUSTEES as owners of all that real property to be merged, do hereby consent and agree to the merger of such lands into that / those parcel(s) as described in Exhibit(s) A F, R - attached hereto. ALL SIGNATURES MUST BE NOTARIZED: SIGNATURE �IGNATURE LD 1530 (1/98) ,4y11_?,V DATE -'/ -,q e) - .9 3F DATE A M E R,, C, I STATE OF CALIFORNIA Iss. COUNTY OF j3u-r7-c I � On V30 bef&e me, "�2ii zr, i3idw-e-11 tjpTAAY lPubfie, personally appeared 11�14z-z- i:ta 1- W-vtsoto sAjD �AIWAgA --r. W11 ls6iJ , personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature Title of Document Date of Document Other signatures not acknowledged A A A A -A A A _A, A A A KARY J. BIDWELL < Coffwrft&%on1120ii7oMfrCF1S1 Notory Public "a County, Confonnio > MY COMiMillision Ev. NOV. 8, 2002 > (This area for official notarial seal) No. of Pages GI -5191 3008 (1'94, (General) First American Title insurance. Company EXHILBIT"A" DESCRIPTION All that real property situate in the County of Butte, State of California, being more particularly described as follows: Being a porfion of the Northwest Quarter of Section 2 1, Township 23 North, Range I West, M.D.B.&M. and being the West Half of the Northeast Quarter of Section 2 1, Township 23 North, Range I West M.D.B.&M., being more particularly described as follows: Beginning at the North Quarter comer of said Section 2 1, which point is in the centerline of Cana Highway and which point is the True Point of Beginning for this description; thence leaving the North Quarter comer of said Section 21 and the True Point of Beginning and running West along the North line of the Northwest Quarter of said Section 21 and the centerline of Cana Highway a distance of 95.00 feet to a point; thence leaving the North line of the Northwest Quarter of said Section 21 and running South parallel with the East line of the Northwest Quarter of said Section 21 to the South line of the Northwest Quarter of said Section 2 1; thence running East along the South line of the Northwest Quarter of said Section 21 to the Center Quarter comer of said Section 2 1; thence East along the South line of the Northeast Quarter of said Section 21 to the Southeast comer of the West Half of the Northeast Quarter of said Section 2 1, which point is also described as the CE 1/ 16 comer of said Section 2 1; thence leaving the South line of the Northeast Quarter of said Section 21 and running North along the East line of the West Half of the Northeast Quarter of said Section 21 to the Northeast comer of the West Half of the Northeast Quarter of said Section 2 1, which point is also described as the E 1/16 comer of said Section 21 and which point is also in the centerline of Cana Highway; thence running West along the North line of the Northeast Quarter of said Section 21 and the centerline of Cana Highway to the Point of Beginning. EXCEPTING THEREFROM A STRIP OF LAND 30 FEET IN WIDTH ALONG THE NORTH LINE OF THE PROPERTY DESCRIBED ABOVE, AS CONTAINED IN THE DEED FROM J.W.B. MONTGOMERY, ET AL TO BUTTE COUNTY, SAID DEED DATED APRIL 23,1874 AND RECORDED MAY 4,1874, IN BOOK 14 OF DEEDS, AT PAGE 502, BUTTE COUNTY RECORDS. DRf 0% iA, 0 \ No. 5181 OF CA00 EXPIRES 6-30-1999 A:EAST EXHIOBIT "B" DESCRIPTION All that real property situate in the County of Butte, State of California, being more particularly described as follows: Being a portion of the East 100 Acres of the Northwest Quarter of Section 2 1, Township 23 North, Range I West, M.D.B.&M., being more particularly described as follows: Commencing at the North Quarter comer of said Section 2 1, which point is in the centerline of Cana Highway; thence leaving the North Quarter comer of said Section 21 and running West along the North line of the Northwest Quarter of said Section 21 and the centerline of Cana Highway a distance of 95.00 feet to a point which point is the True ' Point of Beginning for thi's descr . iption; therice leaving the True Point of Beginning and continu ' ing West along the North line of the Northwest Quarter of said Section 21 a distance of 1555.00 feet to a point; ihence leaving the North line of the Northwest Quarter of said Section 21 and running South parallel with the East line of the Northwest.Quarter of said Section 21 to the South line of the Northwest Quarter of said Section 2 1; thence running East along the South line of the Northwest Quarter of said Section 21 to a point that bears Southerly and parallel with the East line of the Northwest Quarter of said Section 2 1; thence leaving the South line of the Northwest Quarter of said Section 21 and running North parallel with the East line of the Northwest Quarter of said Section 21 to the Point of Beginning. EXCEPTING THEREFROM A STRIP OF LAND 30 FEET IN WIDTH ALONG THE NORTH LINE OF THE PROPERTY DESCRIBED ABOVE, AS CONTAINED IN THE DEED FROM J.W.B. MONTGOMERY, ET AL TO BUTTE COUNTY, SAID DEED DATED APRIL 23,1874 AND RECORDED MAY 4,1874, IN BOOK 14 OF DEEDS, AT PAGE 502, BUTTE COUNTY RECORDS. r xo'�, D R "o 70 No. 5181 J> Qf OF *C'A* 0� EXPIRES 6-30-1999 A:WEST TrO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owndr Location AP# Plan Approved for: Sewage Disposal O Water Supply Hold final for: Final clearance O.K. for: Clearance for _ bedroom mobile home. Other NOTE * * * Water Supply Water.Supply ic" U -17T A IG L). I , - - Fuk -� A F -F I D11% V 1 T !�� L 0 Y- E 1:1 342-7352 Zmployer Philip Wilson Phone Hwy.11 Chico, CA 95926 L.Mployer's Address (Present) 6189 Cana iame of Owner Vest Family Partnership "�wner is Address P.O. Box 755, Santa Maria, CA 93456 047-08-0-015-0 .1-ner's Assessor.'s Parcel No. -al Health �-uildin /Environment Descrip�.-�on and 1:Tum-bc�r e rm i t. -�,a-,U-e Issued BY. .1anning Department knproval: Zo Date J zi e Dwellin�- on A .,y 7 Philip Wilson do declare subject. to the -y 0 f P'erjur-y, that I am the employer of -Salvador Rosas n e -LL a 4. -kL. Rv 6311 Cana Hwy.', 'Chico, CA 95926 (preselliu on Ap;u,.Q47-08*-0-015- I i-jill be emolover* under Section 24-21.2 a,b,c,d,,,8,g for at least z�nd tha LI (a) to -een 116) vreeks per year on -u-.-,s pe -n week for at leaa'.si--,c4 \1 ,hirty-two (32) h,� _U U !'�-:-�Ir"�-047-08-0-015-0 and others. 0-T Dail -ed 3/28/89 „J T �ZAT ., AFFIDIVIT A C; '�') - .1% E�TLOY ER --7�.ploycr Philip Wilson Phone Chico, CA 95926 :rpl.oyer's Address (Prezent) 6189 Cana Hwy., 1;ame of Owner XX Vest Family Partnershi .'wnerls Address P.O. Box 755, Santa Maria, CA 93456 --assor.'s Parcel ITO* 047-08-0-015-0 .,,mer s Ass :uildin-/Environmen.tal Health U Nu -ib r Descrip” c -n and 4 -.3te Issued BY. -�Ian-nin,r,:- 'Department kT)rroval: D.-rellim- on AP# -ate- Z on e CD ---------------- 7�y do declare, subject to the Philip wilson Oscar Santos - 1,y of perjury, that I am,the-employer of IJ. a.L. to (present) 1118 Nord ave. #37, Ch(bco, CA 95926 on ;.-And that I'will be enmT)Ioyer' u-nder Section 24-21.2a,bicidlerg, for at least (a) to �g) ixteen (16) weeks per year on thirt.y-two (32) hours p 1.1 e c. k for at least s : A -.Pt-'r�'�-047 -0 8-0-015-0 and others. SignedK .. Da�,ed 3/28/89 ;?