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047-320-058
,________�.�_--.....__ KEITH CRANE 47-33;2-� �i�� Box 451, Keefer Rd, Chico d '� / � L� � Contr: Robert Schrader �� (-� Permit ��2725-84B (reroof &�iiio'k�de� t�sr � ��Oj� i � 47-32-� NEW OWNER: CHARLES &JOAN IE SHIELDS —��-8 Permit ��596-86E(ele for well &future �__�- r lot developments ��Q '�/a � g '� 47-32- � " .CHARLES,.SHIELDS..._. .., _ ._ _.._._ . - 4161 Keefer Rd, Chic Permit�k3489-86P,E til, MH) ELEC /� SUPPORT S UCTURE REQ_ /11 COMPAC ON TEST REQ__ 47-32-� � _ 2992-89E _, ._ SHIELDS, Charles &Joan 4161 Keefer �Rd, Chico � (elec/well) J � ��� -�Z r 047-32-0-058 00-1277 MOON, BOB �' L`�L HEIDEROSE LANE, CHICO CONTR: OWNER NEW SINGLE FAMII.Y 047-320-058 OS -2174 DUGGAN, MIKE 14081 HEIDE ROSE LN, CHICO Cont: ADONIS POOLS POOL MSTR 01-507 ►t, 'J I � ;,; ,�t , _.�* :� Ok - FI M_0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT NO. BPO52174 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 09/09/2005 APN: 047-320-058-000 the Business and Professions Code, and my license is in full force and effect. License Cl ss: ✓ Li IS Number: Site Address: 14081 HEIDEROSE LN CHI Date: Contractor: G Map Index: Description: NEW POOL MASTER 01-507 OWNER•BUILDERDECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a OWner: DUGAN MICHAEL J & JENNIF•ER•=A• _•,w=.•• e = •: •_.....y permit to construct, alter, improve, demolish, or repair any structure, prior , r to its issuance_ also requires the applicant for such permit to file a signed statement lhai'he or she is licensed pursuant to the,provisions of = 14081, HEIDIR6'SE LN ; the Contractor's State'License Law (Chapter'9 commencing with Section 7000) of•Division3 of the Business and Professions Code) or that he or t CHICO, CA ; she is exempt therefrom' and the basis for the alleged exemption. Any 95.973. , ; . ; violation of, Section 7031.5 by any applicant for a permit, subjects the • applicant.to,a.civil.penalty.of not more than five hundred dollars ($500).): ❑ I, asowner•of•the property, or my employees with wages as their sole compensation, will do the work, and the structure is not „•, intended.or„offered,fQr.sale,($ee_ 7,0,44, ,B„usiness,and,�rofessions„ „__ •,.,, , „, ,„•., , ,,,,.�,_„ _,,,,,,,,,, , -y ,,,•„ „ „ „ •• • Code The Contractors' State•License Law does not apply to an Applicant: ADONIS POOLS owner.of.property who •builds or improves thereon,, and who does pp such work himself or, herself onthrough his or her own employees, provided that; such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 12 PHEASANT RUN COURT yearof completion, the owner -builder will have the burden of CHICO, CA 95973 proving that he or she did not build or improve for the purpose of 530-891-1197 sale.). .,17,.,A as„owner_of„the„property, am. exclusively ,contracting with . licensed contractors to construct the project (Sec. 7044, Business and Professions Code.., The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for•such projects with a contractor(s) licensed Contractor: ADONIS POOLS pursuant to the Contractors' State License Law.). . • - - ” ” .'.. `.... ❑ ..,I'am+E4empt under Article 3 of the Business and Professions Code 12 PHEASANT RUN COURT CHICO, CA •95973 ' bate: ° ' Owner: 530-891-1197 . '.a: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #`..266839 ❑ I'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 - r❑ t have and will maintain: ,worker ''.I_1 compensation-.,.-"',.. insurance, as -Architect: -, .., ..._., •,.•....,.... , r. _., a .. ,.. ,.. .......... „ ,....,.,.., Engineer: required by Section 3700.the Labor Code, for the performance of thevork for which this permit is issued. My workers' compensation ._insurance carrier and policy number are: Carrier Total Square Ft: 0 S. F. Policy ti: Valuation: $0.00 ❑ I certify,that in'the'performance of the workfor which this permit is Census Code: issued....t-shall not'employ'any, person' in any manner so as to become subject to the workers' compensation laws of California, and .agree 4hat" if I. should become subject to the workers' compensation- provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'Applicant;,,• ... ',/'',iL ,l�)"f./2".J'.. .mj—°,E)' r. WARNING:. railure'to'secure workers' compensation'coverage is unlawful, and `shall subject an employer to criminal penalties and one •-- •- - •• u, •.., . hundred! thousand 'dollars ($100,000), in addition to the cost of compensation,,- damages as provided for in Section 3706 of the Labor code, interest, and attomey's,fees. 3:�� ... .., . <.. . ..... .... .. „,... .., ..... : -:f . CONSTRUCTION LENDING AGENCY I hereby affirm that'there is.a construction lending agency for the'. This permit ishere y iss ed under the applicable provisions of the Butte Count Cods . nrUor Resolutions to orV ' dicated bove for which fees have been paid. ^ /> performance of the work for which this permit is issued (Sec 31)97 Civ.) `'� "j�- Name: By Date: PERMIT EXPIRES O G Address: 111 D to D I hereby, certify: that. the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordancewith Section 19827.5 of California Health &' Safety Code is not applicable to the scheduled construction of this project. O Attacfied are copies of the required E.P.A. notification forms. .- Ihereby certify jhat I, have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county, entl state laws relating.to building construction. ,(acknowledge it is unlawful to alter the substance of any i Lform document of Butte County. Thereby authonze representatives of Butte County to enter up th bove mentioned property for inspection purposes. .c Pnnt Name ! G I UP Signature: — Date: _ x'., ❑Owner.:. - ❑Contractor ❑ Agent for Owner XAgentctor for C ntra o Contractor . .... , ... - ...+...h..+ ...P�'.,..v .. y. j•. i�-`.�'�...-+ter.-..�.,.v�:�,- �, %n4�a._,_,. ,,.{-'.,. ..-,.: '�`--^"•�..,,., ... -. ... COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ,. 7 County Center Drive, Oroville, CA'951965 Phone (530)538-7541 Fax (530)538-2140 d- PERMIT APPLICATION DATA SHEET OWNER: U- ,5i' Y_\ "s ASSESSOR PARCEL NUMBER Proposed Building Use: O o ' 61)n Permit Technician Date: (� o5 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in o- er to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed; in duplicate. ❑ 11. Letter of intent for non-residential buildings r ❑ 12. Hazardous Material Form �i 13. Acknowledgement of building permit application without required clearances. ❑ 14. Other R inin ' ems needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15 Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 16. Fire Sprinklers............................................................................................ ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... ❑ 19. Erosion Control Plan Required........................................................................ 0 20. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 21. City of Chico Plumbing permit........................................................................ ❑ 22. Site plan and business license approval from the City of Biggs .............................. q 23. California Department of Forestry Ian approval ❑ paid. Sent by: 24. Planning approval for (A) Use: ` (B)Parking: (C) Parcel Check:..s:c�... 0 25. Contact Land Development about _ Improvements, _ Drainage .................:...... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 29. Worker's Compensation Carrier and Policy Number .......................................... ❑ 30. Owner -Builder Verification ( _ Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO ......................... ❑ 36. Other: '�.. ❑ 37. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: D Date:�I 6� 1. Index permit applicatiorMor the above items numbered: ({ J / Plan Check Letter 2. Additional items required -? �t Contractp�r,,gesigner/ onr, was advi'se`d of the `above data by b phone, ❑ mail, ❑ counter, by Date: Contractor, designer, -ow'n'er-_, was advised�f the above data by ❑„ppene; -❑ mail, ❑ counter, by Date: ContractorOesign r, o�uner. weas advised Qf;th� bov de ata b�EI phone,' ❑mail, ❑counter, by Date: Plans reviewed by: a I C�� J) kDate: Plans approved by: Date: 0 Structural reviewed by: 1 Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division E.H. USE OAI Piot Plan Attached i Floor Plan Attached Sent to S.D. ! TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Sewage Disposal._ Water Supply: Clearance for dwelling. Other I` L !j Hold final for: Final clearance O.K. for: NOTE: C Private Well,, Environmental Health S cialist . Date 8/96 Q) N A7]3.15 E (R) Ta.IC N aPS8'IS E (�1f)) mar N 873]•05 E 79.02• ® N 71'21'l5 E M 72.71• © G ..01'2721 B .1170.00' L - 29.72• @ a 8737'98" W (R) am ® N 0722W V (R) 82.0 o R -2O .1oz��laYl pAl N 7T2t.t6 L 96G']Yt�pO 15apo • lR1 I M. Z J.P. OT 20.3 PER (R) FO JI M. IV R.B LS. ]3M ' I' PER (Ra) .3 333a 9 32.41' ( — % FeF l M. / ID �i 30 L9 3376 g Zi IN as M. 3/a• P.I.P. I I � $ I I NOTE P ►►� $ _ I $ I W S ►r I a Gp I w 88 I A jI I I PARCEL 1 I 1.78 ACRES I 1 I 1 N 8732'25 B � (1q 175.67'; ti I � I g I PARCEL 2 9 P�]/�a•) 0' R 1.01 ACRES I _ I I I P ]/R' ID L7 3335 ' $ I q PARCEL Q3 1.01 ACRES Y$� I !+fA+ N_123128' E ) (Y) 17a.ez� R. 1660] 1 %r tP LS 3336 PER (V _ � 0 W a 8 LE Al."n Ls PER x rya) F Q. q�$ EL S PARCEL $ g 3/) B LS 33]0 2.00 ACRES g . SEE ORAD. 'IY �8 _` 12' WIDE STORY DRAIN E9YT. Pa (R9) i R. 1660] 1 (V la• WIDE DRAERACE YT S9Pot (R8) �I I W zLo � rn LE Al."n Ls PER x rya) F Q. Q O to a; z � gq �8 _` 12' WIDE STORY DRAIN E9YT. Pa (R9) i ----- "'Y 7u-�17a.1e• -------- YONVI�iT PER N ev32.2e N a➢32'27 E (� 171.10' ((R,pS NOT N 8W83'OO• E (e5) YONUYENT PER RECD= N 9736'00" L IRS) \ (N.N2.B3•NmS) NOT \ vER NW CAR LOT a IR5 SEE DETAIL "A" WILDFLOWER ESTATES c 118 MAPS pp13 G SR W.C. C ► SET W.C. r A p 8 . 3/a) IF RCE 93300 $ $ (ryNBa � $ 8 x _ x 131.1• N e73227 E (H)mta' J DETAIL .' N.T.S. BASIS OF BEARING THE EAST LMR O. LOTS 1e-15. BODE EN 80.. YAPS P0. B2, TAASN BETWEEN POINTS WMCATBD a N oO31.3Y W NOTES: A) SO -OW NIDE EASOOM MR ROAD AND P1IS11C U1UAi1Le, TO BE RESERVED 0 DEED FOR THE BEN7W R OF APARCAA. AND 0 HEREBY Or90AED MR DEDICATION TO THE COONTT O. BOTTL. BI W.T . NIDCD DOLS NOT Erym RECORD TRLE D11pBST (9 END. ON THE AODDIONAL YAP SHUT. C) AIL lAliD7 LTD70 NORT®G.T O► }if8 NOBTtl IDfE OF PARCH. ONE (E�TEA D) L DL®SD TO THE COUNTY Or EIRE 08. / 93- 5 SCAIB 1" I00• VICINITY MAP N.T.S. UN r, . ,! axgBurp�;rf�oQ� iAVF H � N0. AEB •� �gP LEGEND • mum mffu NT V ww"im j SET ]/Y RLBAR. LS. aloe o PORT DSmmu oNLT (R) - SOON e0. YAPS PACE 92 (R2) - SOON O0, YAPS PACE SO (R9) - BOOK 80. YAPS PACE N (RO - BOOR N. YAPS PACE SI (RS) - Bwx Uta, YAPS PAGE 13 (ES) - BOOR b, YAPS PAGE SB M AeAsvRm P.I.P. - PLUCGED HON PIPE I QE' a• WOODEN TRICE N eva•as e M J DETAIL NB" N.T.S. SURVEYOR'S STATEMENT THIS YAP ►AS PIDTAR® By WE OR UNDER YT V=AT o BASED UPON A ►®D SDRTLT 'L l CONrORYANCi WITH THE BL911QRIINN79 OT 1516 EUBINVISION YIP ACT AND'CLL OROU/ANCL AT THE REQUEST OP RHIETH C. L07HARDT CO JAN. a2, 1982. I H NSOT STATE THAT TIM PARCEL. YAP SU89TLNTYLT ALL N YB TO TRE APPROVED OR CDNDMOIIAILY APP80VID TG711TL YIP, T ANT ALL ANS, NTB SHOWN HEREON ARE OP T10 CHAAALIYIi AND OCCVPT T!0 P09TOAS B7DICATE9. THE YONUHHITS ARB 9UTIIC�lT TO o/AE1i TNR 9{IRTEY TO BE RLTRAm. SEP. 0/30/96 /�gTpry�yDH. .E. 1x.09 COUNTY SURVEYOR'S STATEMENT L THE 11NDBR9iQbD, DO !�f STATE THAT 1 HAVE RE ONED TBD PARD YIP, THAT TIH HUBDNHION A8 R10WN Cl SUBBTANTWA.T Ia SAIR AS T APPEARED ON 111E TRIIATIYE YAP, AND INV APPROTtD ALIERA7I0118 T168601, AIA. PROVLffiN9 O➢ 1709 CHAPTER AND Or ANY LOCAL OBDINANCm APPIECABIL AT 718 1O0 0➢ APPROTAL Or 1ffi TENATIYE NAP SAVE SEEN CONPLD9 WfM AND THAT 1 W aA7v.® THAT TIH YAP H TLCDUCAILY CORRECT. DATE o%.9a P. 3/]1/23 � � TOR' RB C.L. a2E6 RI RECORDER'S STATEMENT .ULD DAT Or r AT I6$U, AT 8%01 . K. 0 BODE 0➢ YAP.. AT PAGE - AT THE BE9VEOT Or Ai INAf R . SERIAL NUMSES W - O &I 99 CANDACE L GRUBBS COUNTY RECORDER. COUNTY Or BUTTS D�UI1 MISDER PARCEL MAP A PORTION OF LOT 7, "HOLMES TRACT', BOOK 6, MAPS, PAGE 36, LYING IN C SECTION 30, T23N, RIE, M.D.M., UNINCORPORATED AREA OF BUTTE COUNTY, CALIFORNIA To KENETH C. IENHARDT NOTE, AN Ar.IDATT Or 07faR9Rt➢ o flHNB CANCUBpWT,T BECoppED IN TUBS OFFICE a TBE BUTTE COUNTY RECORDER UNDER aHDAL 21"ZO Yl 40rV7 06 9 SHEET 1 OF 2 91-062 5K) i WML V e• AOODER IEIICE N 87a2.2Y 8I7a.le' YONUYENi Pah // N a7SY26 a 10' IIR Re Nw f N 8719'06 a ReI7a.) m(o�xa ONT PER REOp� N eASe•06 E IRO) �8Eo0VCAED) NOT N 4792'16 a (Y) O.M' NA coa INT Y (Re SEE DETAIL "A" _ WILDFLOWER ESTATES 118 MAPS BASIS OF BEARING TRE EAST L= Or LOTS 12-13, BOOS W. YAPS PG, 22, as TAM REROI EPOM" INDICATED AS N 07".3Y v loop SET A.C. NOTES: F�1R ED. 9/i P.IA. sEr W.C. A) W.ar Ami EAYTT IDB WAD AND PMC UT MIS. _,CTI (��• -T 1 BE RESERVED m7Yfli°PD®I°6NDevrrL m De °INA WVIIA°TL�w , g S y/ (g� $ c IWt[8 oM T" \ DEWL N 8732'26 E M 174.16 — 'X I ' S9 I �R R.T.S. B) INFORKATRIN ON TEUS SHEET KRUM RELATED TO SEi BACK LUTES"OE*PHEDETER mf® ML RIM RDIEC78 9D7•' fl. (el _Q p. hl'1111 I �\ 2Y.TION PORAm DUOIXO 1O CONDIMN9 u w MDAM w I�M. 2• LP. LU ¢849 PER (0) l ..j ►61 1 J NOR 'A' MIND or TmB YAP AND Is NO O"WED TO APPPLT RECORD Trru DNERWT. C) ALL LANDS LYING WRnWMT OF THE NORTH INR oP PARCEL ORE (IODSPOI WADI II D TO TH6 COANTT 01 BUTTE O.R. ROPER ER 9] b/ G 8CA18 1' IW' N 8793.15 B (Rj TP.IB' AA N 2793'15 E ((IQ) T°.OW Y 2793'07 C D 72.02' N 71'21'16 R (1) n— I g $ o LEGEND ED. 30' P RCE 188°9 PEII NI) © D 01'Y7'21- A I i I g �p L. 22!9.00 • TOVW YONVYOR 19 iNDICAIED r SET 1/6 REBAR. Le. 4200 A. 9/a• P J ,V) O bb'. zO O 8 879799' A (R) Y0.00' O PDDR Dv1Ymm1ID ONLY acs. t4W3 ,yL++ 1 i (ai] `Q cCa car \ �„ W(r ® N OOY2.26 7 M) 02.30' (R) - BOOR W. YAPS PAGE 22 M. 1//6 9x0 11' R9 L8. 9 I PER (81) M. ! P LU 99 3 90 g �� I ggg 1 68 • ;Y (/) w .7 R - 2A (aa) - BOOK E 00. YAPS PA88 (BJ) - 200E W. WE PAGE 20 PER () J Q ?• (Aa) - 800E W. YAPS H P—ARCELL I P' PAGE 91 ACA&9 ` 1I O N1.78 (Re) - BOOK 119. NOR PAGY 19 - WOE Ae. RAPS PAGE e2 �C• z M IR,RAEW g N eP9Y'Y6 .6 a P.I.P. - PLUGGED MON PDB ED.. 3/4' P 0 3990 g PER (11) 170. T ',g 9.8.8.E BYw1RT SETBACK INR ' (R) .s ' � r I v BA.L 9Un=G aarOAOI INR , • P.D.AN. PRs-DETW1mlED APA. am Wcmox � I I g PARCEL g g 2J ED. 3/a-) P R.O.E. PER 19809 NOTES: 1.01 AtRB9 ((R2 D) 9RO711D 1Nf PPEB7S}UIDC CUL7VAAL YATOOAIB ®pC01M1E8W D G P0GIELT OPOIA7TORE. 113. A01R BWVID CEL4E BD®IATO,T INCIAN 0► TRE SITE AND YATEBIIALS BY A °NAWIW. SE .00dIREPLCMN ' I DTTO THERE PABCUS WT 6E 900MC7 TO PATYENT w A PER TRE BUTTE �w 1 1 N evSH96 E COUNTY IM MM MKD AT TNR TRO, OWINCE 0, w A BunNixa PERNIT. o' I I / P L9 83 ODI) 38 dd P. [V $ RS CV CQ Rj O) 1 PARCEL. 3Q 9 i 1a• AmE D(AmAINAGE 1.01 ACRES ESYT PW a ul V) D(Y) 1 M3/) P L9 3]]01' I7a.22� i Po19� LION' 9334 PER (W) F (n I to 4 as0 z PARCELTOO �gAg P Ls 3333 laics $ - PN�9() -6 REE MAR, BONN S I`` PBFA(10; DRADI LTYT. WML V e• AOODER IEIICE N 87a2.2Y 8I7a.le' YONUYENi Pah // N a7SY26 a 10' IIR Re Nw f N 8719'06 a ReI7a.) m(o�xa ONT PER REOp� N eASe•06 E IRO) �8Eo0VCAED) NOT N 4792'16 a (Y) O.M' NA coa INT Y (Re SEE DETAIL "A" _ WILDFLOWER ESTATES ))MAE 'B' N.T.B. ADDITIONAL INFORMATION SHEET TO PARCEL _ MAP A PORTION OF LOT 7, "HOLMES TRACT". BOOK 8, MAPS, PAGE 36, LYING IN SECTION 30, T23N, RIE, M.D.M., UNINCORPORATED AREA OF BUTTE J COUNTY, CALIFORNIA C FOR aENETH C. LENHARDT r - c SHEET 2 OF 2 91-062 118 MAPS 13 as £ SET A.C. A. sEr W.C. N a (n0) P Ea 13300 8 8 $ c >; lsl.u• sa.aa• (1q " DEWL N 8732'26 E M 174.16 — 'X e�/ea�ioeavYa IXAUV yEyp R.T.S. ))MAE 'B' N.T.B. ADDITIONAL INFORMATION SHEET TO PARCEL _ MAP A PORTION OF LOT 7, "HOLMES TRACT". BOOK 8, MAPS, PAGE 36, LYING IN SECTION 30, T23N, RIE, M.D.M., UNINCORPORATED AREA OF BUTTE J COUNTY, CALIFORNIA C FOR aENETH C. LENHARDT r - c SHEET 2 OF 2 91-062 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVH.LE: (530) 538-7636 • CHICO: (530) 891-2934 OFFICE #: (530) 538-7541 A FEE WILL BEBEQUIRED AT TIME OFAPPLICATION OWNER Name Address /h`D TV ev l 5'G' AN City State C zipg5y7 Phone Fax E-md CONTRACTOR Name ` Address • city swtGA z9 Phone q/ % Fax _ E-mail Lic Ilos' GSL 7 ARCHWECT GINE Name -� Lj�C,i� �1 IVt Address 13 icL 7 G► -tit LA NJ 6 city G k� 1 C 0 State GAz'P c>1 Phone ,,qZ.— ! ,5& Fax t'�- — $'3-7 Z E-mail license t wnber (090:5 APPLICANT NAME F Name &DU M IS POLIOS Address 12 P 0 6AC-,A-& 'c' P- W -J Gi CRY c' O t C O State CA 7 9 6q-7 Phone 1 Fax E-mail UK odsr ing Flood Zane SRA I Yes I No Oce I Type Const Subdivision Name L i< M Book tLl2-6 Page [-1 Lot# 't A�mer _ (�t�tiv�S Date f - F, ` o OVER FOR UPI3MI I I AL Kc4lutrcmr-n 10 PERrvtrf NO. BPI �1 LOCATION Q AP" 0,V 7. 3v�1% © 5-J Property / ddress/,,,,yT71;'/dL� S� cross stet 4-ee ek WORKER'S COMPENSATION Pay Nurnber 0() ( °� Z can* S j A i C COMo° 10S. RAND Hhiring artyorte other than license wnhactors, a CB1t csft of workers co�easadon mustbeshawn att9ra 6me ofperm#issr�arroe. LENDING AGENCY Name Address jLAqj�p{ion or Scope�Dgr�c Sq. Footage Structure Buift without Pernllb ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a pennit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refimds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not Received by. Amount: SRA Receipt#: Sheriff �-' 3 ✓ SMIP Date. 10 Tool 0,- 4 ^f'7 REV 4-30-04 Butte County Department ol"Developnent Services ,�"T 0 7 County Center Drive — 4. ° ° <. ,- Oroville, CA 95965 ` o 00 (530) 538-7601 Telephone °„ '�- '�� ° (530) 538-7785 Facsimile BUILDING PERMIT APPLICATION WITHOUT REQUIRED CLEARANCES I request and authorize the Building Division to process this building permit application through the plans examination process WITHOUT first obtaining all necessary, related permits and clearances from other regulatory entities, including but not limited to, Planning, Environmental Health, Land Development, County Fire, and Agriculture. I hereby acknowledge: a I need to submit applications for septic and/or well to Butte County Environmental Health immediately. 0 I an: required to bring the approved Environmental Health site plan and approved sanitation clearance to the Building Division as soon as clearance is obtained 9 I am responsible for notifying Development Services, in writing, to stop processing of the application and to arrange for disposition of plans The Building Division will process the application through the plans examination process, as submitted, without input from other regulatory entities that could prohibit issuance of the building_ permit or require submission of amended building plans to the Building Division. Once the plans examination process begins, there will be no refund of plans examination fees. Any changes requiring submission of amended plans to the Building Division will incur additional fees. ' Within one year from the date of application for a building permit, all other required permits and clearances from other entities must be obtained for the permit to be issued. Failure to obtain these permits/clearances will void the application. Typically other required permits/clearances include, but are not limited to, verification the parcel was legally created, adherence to. all mitigations and conditions imposed on the parcel at time of creation, as well as zoning requirements, legal access, and applicable set -backs and environmental issues (fire, agriculture buffer zones, and habitat/species). Please print:®� 1 00�l � a Applicant Name: % APN: t�,z Building site address:! < Permit No.: I have read, understood and accept the terms and conditions as expressed herein as indicated by my submission of the above -referenced building permit application and my signature below: r / G A PLI T DATE Copy to Applicant/EH/File K:Forms/BidgPennitwithoutClearances 020705 w:f 0 °-- Department of Public Works C o u n t y o f B p t t e' ® J. Michael Crump, Director LAND DEVELOPMENT DIVISION ®/ Storm Water Management Program l 7 County Center Drive Oroville. CA 95965 1$�C1C WOF�S (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase 11 Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement jLESS THAN T ACRE1 Project Description: Project Location and/or Parcel Number: By signing below, I, the project owner/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a .Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: L,,s than 1 Acre 11PDES & SWPPP Compliance Certification Butte County Storm Waw Management Program Revised 5/24/04 NOTES RESIDENTIAL I 047-32-0-058 -00-1277 PERMIT NO. -MORTON, BOB - L HEIDEROSE LANE, CHICO ! CONTR: OWNER NEW SINGLE FAMILY N � z _ OFF'CE COpy Address GAS Meter gy Mete CB RSC date Cate SPECIAL CONDITIONS CHECKED • BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY y t f � 6l ��G��ts,✓�if � �► Address 1 GAS Date----- Meter ates i Meter T , ELECTRIC Date +, Meter ey _ JOB FINALED (Da r"� Signature Ip ,j i i I Ik � \ � i RESIDENTIAL I 047-32-0-058 -00-1277 PERMIT NO. -MORTON, BOB - L HEIDEROSE LANE, CHICO ! CONTR: OWNER NEW SINGLE FAMILY N � z _ OFF'CE COpy Address GAS Meter gy Mete CB RSC date Cate SPECIAL CONDITIONS CHECKED • BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY y t f � 6l ��G��ts,✓�if � �► Address 1 GAS Date----- Meter ates i Meter T , ELECTRIC Date +, Meter ey _ JOB FINALED (Da r"� Signature ✓ = OK 0 = Not OK - = Not Applicable MOBILE HOMES = Not Ready Date ' MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ PLPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Fbotings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date FINAL (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, Distance-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- Enclosures- Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Readv RESIDENTIAL (Single & Duplex) Date jkQegWor (Plans) OK except #'s U�Fif _x -(7L -12. Ft ain; Soils-Elec. Grnd.-/ /" Fig. Depth Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. F ., Porches & Decks; Soils -Steel-/ r Ftg. Depth (9j7 5. Stills, Main; Steel-Blockouts-Wrapped 1 6-Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold s and Special Anchors lab, Steel -Wrapped 8. Piers -Fir a Ftg.-Steel -0-.<_V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 30. Range Circle ga,Qu or Al -Oven Circ. / / ga Cu or At ,insulated Neutral Yes ❑ No 3tl1. Service -Riser Conductors & Ground Main Disconnect 3K. Equip. Clearances Panels-Motors-Mech. Equip. 31S.' Closet Light -Shower Light -Spa Light 36/'Smoke Detector Date Card B-1 571 Date Card B-1 Date Card B-1 Date Card B-1 Date )XECHANICAL (Permit) OK except #'s 3 C. Ducts Insulation & Support 3 Vent Fan, Exhaust above insulation 7. Condensate Drain & Overflow, Size & Grade 8, urnace-Vent Access -Comb. Air -Return Air Vent 115 outlet 3 Attic Access & Platform if Furnace in Attic Date Card B-1 �j Date Card B-1 Date V Card B-1 Date Card B-1 Date,FRAMING (Permit) OK except #'s 4 ,Sit Proper Materials & Anchors 4 Is Studs -Nailing Spacing & Braces -Plates -Sound 4 Bearing Walls over Girders & Floor Nailing 4 Draft Stop in Walls (rat proof) 44lFire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45.headers & Beams -Size & Bearing Date 16. Insulation 46. angers -Post Caps -Anchors -Connectors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING EPermit) OK e s Water Ht t-Acces - om - on Air Battle er Pipe; Test & Anchor -Nail Protection 1 V.; Test Fittings & Anchor -Nail Protection IDN q n SrShower Pan; Test, First Floor -Tub Access Y Z,_, 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 56/Sidi ailing Veneer Date C1%.4-- Card B-1 0-7 Date Card B-1 Date Card B-1 Date Card B-1 Date)ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection 29 EI94/ Receptacles Spacing -Lights & Switches at Doors 5 ize 5dXes & No. of Conductors Stapled omex Installed Close to Edge of Studs & C.J. 27. EAuj. Ground made up w/Mech Fasteners -Bond Gas & Water 28 2 ppliance Circuits in Kitchen & Conductor Size GFI Date% J 29. iubfeed Wire Size / / pa. Cu or AI-A.C. Wire Size le / adD or At 30. Range Circle ga,Qu or Al -Oven Circ. / / ga Cu or At ,insulated Neutral Yes ❑ No 3tl1. Service -Riser Conductors & Ground Main Disconnect 3K. Equip. Clearances Panels-Motors-Mech. Equip. 31S.' Closet Light -Shower Light -Spa Light 36/'Smoke Detector Date Card B-1 571 Date Card B-1 Date Card B-1 Date Card B-1 Date )XECHANICAL (Permit) OK except #'s 3 C. Ducts Insulation & Support 3 Vent Fan, Exhaust above insulation 7. Condensate Drain & Overflow, Size & Grade 8, urnace-Vent Access -Comb. Air -Return Air Vent 115 outlet 3 Attic Access & Platform if Furnace in Attic Date Card B-1 �j Date Card B-1 Date V Card B-1 Date Card B-1 Date,FRAMING (Permit) OK except #'s 4 ,Sit Proper Materials & Anchors 4 Is Studs -Nailing Spacing & Braces -Plates -Sound 4 Bearing Walls over Girders & Floor Nailing 4 Draft Stop in Walls (rat proof) 44lFire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45.headers & Beams -Size & Bearing Date 11 FRAMING (Continued) 46. angers -Post Caps -Anchors -Connectors 4t' -Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting.-Rfng. 481 Fireplace Ties or Type A Flue -Fireplace Throat Clearance 44. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5 . Garage Fire Protection Framing 5?� Property Line Firewall & Openings 5a. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits _%4__SWirs; Width -Headroom -Rise -Run -Landing -Fire Protection 55 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56/Sidi ailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Uff 58. Glazing Area -Glass Protection -Skylights -Plastic - 7-� 59.;19hear Walls; Nailing -Bolts Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date% J Card B -1 S/ Date Card B-1 Date r Card B- Date Card B-1 Date FI AL (Plans) OK except #'s E to - oor & Sidelight Protection -Landings e Detector urnace nts-clearance-Comb, Air -Connector - In a Bove Floor -Ducts -Mach. Protection 6 e om Exiting G.F Bath Fixtures & Tub Access -Spa lec. Trim 4.Subpanel, Breaker Sizes & Labels 69. Stai Rails 14UooFireplace or Stove, Clearance -Hearth 71. Elec-OMIets at Wood Panel, Int. & Ext. Tj_�Kt. Fi Appliance; Ground -Air Gap -Cooking Clearance f3. tlets & Receptacles at Kit. Counter 94"Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Gar e; ve Floor-Mech. Protection ec. & Mech. Equip. Listed for Location lec. eptacles in Garage (F.F.I.)-Romex Protection sulation-Foam-Looked in Attic 80. Gupd<ls & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes P ( 84f. Following IDstld./Drive ❑ Yes 0 NoMaIVs ❑ Yes 0 No/Planters 0 Yes 0 No to Disconnect, Electrical, 8V -!Exterior Elec-Trim, G.F.I. Receptacle -Underground 88. Ventil n Throughout House ass Protection 90. orrection om Previous Inspections }�* V. Gas st-Meters Tagged, Gas -Electric ater & Sewer Connected -C/O to Grade -HD Approval 93. Ener ompliance Certificate -Other Certificates 9 d -dress Posted Date/&4-.25" 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: LOERKE INS, : LATION CO., INC. INSULATION CERTIFICATE Heiderose I Chico Number and StreetCitv County Subdivision Lot 58 77777LffNumber DESCRIPTION OF INSTALLATION 1. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type Fiberglass Batts Brand Name Johns Manville Thickness (inches) 13" Thermal Resistance (R -Value) R38 Loose Fill Type Fiberglass Brand Name Johns Manville ` Contractor/s min. installed weight/ft sq. .659 b. Minimum Thickness 16.25" inches. Manufacturer's installed weight per square foot to achieve Thermal Resistance (R Value) R38 3. EXTERIOR WALL Material Fiberglass Batts Thickness (inches) 3.5" 4. RAISED FLOOR=` MaterialFiberglass Batts Thickness (inches) 5. SLAB FLOOR / PERIMETER Material Thickness Perimeter Insulation Depth (inches) 6. FOUNDATION WALL Material Thickness (inches) DECLARATION Brand Name Johns Manville Thermal Resistance (R -Value) R13 Brand Name Johns Manville Thermal Resistance (R -Value) Brand Name Thermal Resistance (R - Brand Name Thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Energy Efficiency Standards for residential buildings (Title 24,Part 6, California Code of Regulations) as indicated on the Certificate of compliance, where applicable. C.L.#499150 6 a5-� Item #s C80(gintu�re�, Date Item #s Signature, Date Item #s Signature, Date W LOERKE INSULATION CO., INC. Installing Subcontractor (Co. Name) Or General Contractor (Co. Name) Or Owner Installing Subcontractor (Co. Name Or General Contractor (Co. Name) Or Owner Installing Subcont � ctor_ (Co. Name) ) Or General Contractor Co. (name Or Owner 4 S —COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 ERW NO. APPLICATION AND PERMIT / vt ff ASSESSOR PARCEL NUMBER 047-32-0-058 ZONING BUILDING PEEtMIT OWNER BOB MORTON iAELEPH T893 N3346 SO. FT. OCC. BUILDING VALUATION 955n R 137,700.00 OWNER'S MAILING ADDRESS 3006 ESPLANADE STREET CHICO 9 5 Ig 11 17,244.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace A 1,500.00 LENDER'S MAILING ADDRESS Total Valuation $ 16c -no6-oo ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 853.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS HEIDEROSE LANE CHICO Energy Plan Checking Fee $ $ 1408 PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP 12847 PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF h Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 11 7.00 Solar or heat pump water heater —77-00 23.00 Water piping 15.00 15 00 Each gas water heater or vent 15.00 TYPE OF WORK New 31� Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW SINGLE FAMILY DWELLING MASTER 97-1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ' 00 Mobile Home s G WT- @20.00 ' PERMIT FEE $ 157.00 ELECTRICAL PERMIT Fling Feel 20.00 "OOVOR LE Main Service 20.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ull force and effect.POWELER License Class 4 S Lic. No. 4z C Y�� l) OWNER -BUILDER -UE�TION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWEwNG OCCUP. OR ADONS- CCou�TL SET 3.5Qso 122.7 NEW CONST. MU NOµRESID, CU @7.50 APPARATUS 8 SINGOUTLET CIR. E7(, OCCU OUTLET OR FIXTURES B20 @ 1.00 Ex. Occup. ourEtDrs R� D.oEE 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ 165.75 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. — I 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' comperlsation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating 09 Cooling ' Hood 25.00 6.50 Ventilation ' PERMIT FEE $ 85.50 Policy Number s - (The above section need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' 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 fo hwith comply with those provisions. X ___ Date (� �• (J Signature o Applicant - Owner -Y!LContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ R1 CONST. TYPE VN TOTAL FEE $. 25 :HAftZ.JD. I"°D CO CEL PDcompensation 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 Da tc PERMIT EXPIRES ON 2 d Date Receipt No. 294348 215 .00 f , c/5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR LDENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES :. 7 County Center Orlve - Oroville, California 95963 - Telephrne a� I_m) APPLICATION AND PERMIT BUILDING DIVISION ;5.3()) 538-7541 PERMI 0-- /9,177 we 4diAaca NUYsa L/ 2 ,p BUILDING PERMIT O 13 ! G� �-U / - 93 334 (11. SO. ,' I OCC: BUILDING VALUATION asst-- -..� ®O ]wN(A'7 �d ORass S 5T tG CONr%AGTOR'! CONMACIOR7 wa,NG A001111IMS CONlTRUCnON ueoot Fireplace 4I p-� LZNoora kvAjw Aoope Total Valuation S O crp ARC"MOT OR O Ni M Mama NO. Filing Fee 2o. Permit kFee S , 6-0 AACWMC'T OR 0111MM S ways A0010=8 Plan Checkin Fee S , C., SULONGAOORasa Energy Plan Checking Fee S _ G' A!C U PERMIT FEEI : - &-10 LOT No' /a�0R1eOiN7 y PLUMBING PERMIT Fling Fee 20.0 Each Trap lr 7.00 '7 U8EOFSTRUCTURE SF Duplaot O Moblehome O Other arecsv Solar or heat pump water heater 1 23.00 Water piping 15.00 , �o Each gas water heater or vent 15.00 o -o New 04cidition O Describe Work: TYPE OF WORK Remodel ❑ Loom O installation O Other O � �l� r -Y i zZ'97— Gas piping system i - 5 outlet 15.00 opo Building sewer 15.00 s� Mobile Home ' S j GI WI @20.00 PERMIT FEE S / S / ELECTRICAL PERMIT Filing Fee 20.0c. ums Main Service zooA oq LESS 23.00 cep Ii ,• / � rtL Main Service 2WA TO 1000A I 48.00 NEIN CONST. OW9120 ce. OCCUP. SO ^ ' OR ADONS. �. i Aaws. 3.5¢xNEW CotaT. NON•RE910. YUITFOVTI,Er @7.50 POWtA A"A"TW � 6 S OurLer dR EX. Occup. OunFT OR Fwrupm au 1.w EX. Occup. Ox*- ow. en1 5.00 Temporary Service 1 23.00 Mobile Home Facilities I 20.00 Misc. Wiring 23.00 PERMIT FEE • S MECHANICAL PERMIT Fling Fee I 20.00 Heating Cooling Hood 8.50 5 0 Ventilation la_ I q'S0 1e -o PERMIT FEE S 5, C^i Mobile Home Installation Fee S Energy Inspection Fee $ v -e7 cI Xt Al nve TOTAL FE $ 37 MAI. 1 0. Rao I 1Yftprl cop i P op NO I MUE This permits 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 PERMIT EXPIRES ON Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION .7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERtM1ITAPPLICATIONDATA SHEET OWNER: &14/",4,,r .) ASSESSOR PARCEL NUMBER: &'7— 3,� 5 ' Proposed Building User Building Inspector: n� �Date: At time of permit application, I w adviied 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 the preparer of plans. ------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- ❑ 6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings ------ 118. ---- ❑8. Hazardous Material Form. ------------------------------------- ❑9Manufactured Home data and installation instructions including Tie Down Specifications .----------------- . Fees of $ / ._ \ ------1Z;7- - - - - - - - hn act fees as shown on the attached schedule. ----- __ _��___�__--- ----- �alifornia Department of Forestry plan approval/fees. - --- -- -;� � --------- -------- 1113. Flood elevation certificate.----------------------------------------------------- ------- --------------------------- y a' Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. Cityof Chico plumbing permit. ----------------------------------------------------------------------------------- A ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- 1119. ---------------- ❑19. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------ 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner-Builder ---------------------------------------------------. ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 13) - ------------------ ❑24 tter of signature authorization. ------------------------------------------------------------- 5. Recorded copy of Agricultural Acknowledgment Statement. ------------------------ ----- ❑26. Letter of intent on building use. --------------------------- =------------------- ---------------- ❑27. Manufactured Home utility clearance. -------------=--------------------- -------------------- ❑28. Existing -,violations and/or expired permits. -------------------------------------------------- 029. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) Whee ou issue the permit, process as follows El Mail to owner, ❑Mail to contractor. Telephone a93-3 3 q L_ and hold for pickup at office. ❑ Deliver with,m"spector. Applicant: /�h . /r Date: 6 -6- of Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Departmen , ❑ Other: D By: 1. Index permit application for the above items numbered: / ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date - Plans reviewed by: Date: Plans approved bXi:;�, Date: o"z� Sets of plans on hold in 11 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: r, E.H. USE ONLY Plot Plan Attached Floor Plan Attached Y s Sent to B.D. _ TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance /Vlorfc�r, � � /7�o�erose 47-320— OS? Owner Location AP# Plan Approved for: Sewage Disposal x Water Supply: Public Private Well k Clearance for dwelliR: Other 4' �Ym �i�rne Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 i COUNTY OF BUTTE I DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 SCHEDULE OF FEES DUE OWNER p A nib r '/-v.✓ A.P. # L/ -7 3 2.- S PROPOSED BUILDING USE Ale_,j :565 DATE V, RECEIPT # DATE REC p' 1. BUILDING PERMIT FEES -- Balance Due ................ $ 7, S -- Additional Fees Due ........... $ -- Additional Fees Due ........... $ (-- Revised Plan Checking Fee ........i $ SCHOOL DISTRICT FEES (, V>< i J (paid at District Office) OF _Z3. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ 3 o Units Commercial (sq.ft.)... x $0.03 = $ Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x ; = $ #Units Amt. Commercial (sq.ft.) .. x =$ ,,1) / Sq. Ft. Amt. �f l�!RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) p - y 8. WATER TENDER FEES (Battalion # ) $ 0.000(paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT �& l�A 12v DATE �'- 6' d d Pursuant to Government Code Section 66020, you are hereby notified that items 2,3,4,5,6,8,9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 2/97) �1+ i y BUTTE COUNTY PARRS DEVELOPMENT FBS CERTIFICATION FORM CHICO AREA RECREATION AND PARR DISTRICT Assessor Parcel Number(s) 5 Property Owner Project Location/Address Subdivision Lot Number(s) A Residential Development: (check one) t New Development _Alteration/Addition Mobilehome(s) Non -Residential to to Residential Total+Number of 4Dwe'l1ing:--Units-,-+� - � . # � F .r� +•.-�-r.,.:. . Comment: Building Department Representative Date Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) (Phone Number) (Street Address) (City) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by • -0.0 pay -bent for dwelling units @ $1,189 for total payment of $ . 1p,,16 0 _ y CARD Representative Date •. 1. .,. ♦•rw1..y.�...1,,.rt.f.11vr♦+..�.. •,e i.,.. M1,♦!! .♦ � FS PAID BY CHECK NO.f '.!', REMARKS: BANK . NO . U - 3 tGf % 2 PAID BY CASH RECEIPT NO. Distribution: White --Applicant Yellow --Butte Co. Building Dept. Pink --CARD Goldenrod --City of Chico Building Dept. 06/20/00 4:32PH 00100395 park. fee ( form revised 11/90) CHECK 51189.0/) BUTTE COUNTY PARKS DEVELOPMENT FEE CERTIFICATION FORM CHICO AREA RECREATION AND PARK DISTRICT Assessor Parcel Number(s) 4,/ Property Owner / I �' r/� K T /< Project Location/Address L cfi/ Subdivision Lot Number(s) Residential Development: (check one) New Development _Alteration/Addition _Mobilehome(s) _Non -Residential to Residential Total Number of Dwelling Units Comment: Building Department Representative Date ytyc��kYrytYrYr�rir�c,t�r�r�r�r,r�w�r�rx��c��r�r��rvr�r�rvcvr�*�t�r�r,�*,r,r,r�r�r�r,twvr��,r*���c,r*rr,t�r�*�r*�r�r,r�rxrr*�c Chico Area Recreation and Park District(CARD) certifies that (Applicant Name) (Phone Number) ((Street Address) (City )) (State) (Zip Code) has complied with the requirements of Butte Co. Resolution No. 90-140 by payment for I dwelling units @ $1,189 for total payment of $ l g lq �</Jl JAVte C Rep esen ative PAID BY CHECK NO. ' REMARKS: BANK NO. q 4- 3SR b 1 I PAID BY CASH RECEIPT NO. Distribution: White --Applicant Pink --CARD park.fec (form revised 11/90) �V Dat Yellow --Butte Co. Building Dept. Goldenrod --City of Chico Building Dept. 06/20/00 4:32PM 00100395 E,HErK' $1189.00 BUTTE. COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District C L l (--3 Building Department No. A.P. Number 05 Jurisdiction: City County Property Owner a 1p VVt p r 4 -,DJ nn Property Location/Address `4 e. l I-- c - D 5 e Subdivision Lot No. ............................................................................................................... Residential Development Sq. Footage s S D No of Living Mobile Home Addition/ *Supplemental to (Group R Units Installation Conversion Permit # *(No :found..tio..in...................... d� ) Q ............................................................................ Commercial/Industrial AA VSq.Uootage. New Addition (Including Exterior Roofed Areas) / I+. I b t� Building Department Representative Date Plans revieweo by SChool Uistnct Personnel) District Identification No. low (Q (9 da&4D School District certifies that 3�i 0A Let -rt rnEl- M (Applicant) (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing square feet. School District Representative Paid by Check # / Remarks: by payment of $ JPA�Bii2926 $ FULL MITIGATION $ Date Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 110/98)dmm 1 A 1 CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be'superseded by Butte County. local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [�] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance -of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual -maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [�] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of. 4 feet shall be added to curves of 50- 100 feet radius; 2 feet. to those from 100-200 feet. 4p 2. The length of vertical. -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [� 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of . 3. , AP * PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 8.00 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet,..turnouts shall be provided no more than 400 feet apart. 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in -length and shall be within 50 feet of the.building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [ 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [x] 1. All parcels 1 acre atid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction �r fiscal inspection of a building permit. Page 2 of 3 0 �7-3 z-Sj AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves AME [ If Building Setback is Less Than 15 Feet. Choose any 3of the following: - Metal or no doors on.side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 CH ICO ENV. HEALTH EFTS ptl ❑ APPROVED (3 C'bNDIT1ONALLY APPROVED ❑ RESOLVE PROBLEMS PRIOR TO APPROVAL PERMIT CLEARANCE Permit It: �lJ Genera/Information Date: 6 —9j &J APS: Owners Name: ted 6E Lr /e . Parcel Acreage: 1 r - C 7 ie - Owners Address: nn -- Building Site Address: Property Information Permit Type: ❑ Agriculture Building ❑ Commercial ❑ Industrial❑�Mobilee Homme �5f{D ❑ Residential Accessory Fire Prevention ❑ 2nd Dwelling ❑ Multi -Family >2 units per parcel W pbc ell ❑ Other Zone District: �' I Date of Zoning Ordinance: - -� General Plan: AR Development Agreement: Use Permit: Side. Street Variance: Parcel Is In: Land Conservation Agreement No ❑ Yes, check use Minimum Acreage: Nitrate Action Plan f No ❑ Yes 3 J Violation Area No ❑ Yes CSA Specific Plan ❑ No Yes Chico ❑ D2N ❑ Cohasset Enterprise Zone R No ❑ Yes, check use Flood Iain p No ❑Yes Zone: I Panel Number: a3 O I Watershed Protection Zone b No f-1 Yes Proposed Use Comolies With: hS General Plan M Zoning Proposed Use Reouires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Accessory Building Use Commercial/Industrial/Multi-Family U Parking: ❑ Parking Requirements are OK as Shown ❑ Other Landscaping: ❑ Landscaping Requirements are OK as Shown ❑ Other Road and Drainage Improvements Required: ❑ No ❑ Yes acplicable Setbacks: Zoning Code Street & Hi hwa s Fire Prevention Subdivision Ma Front C) Z- S de J� 3� Side. Street Rear rn Heioht 3 J Environmental Health Issues: Septic Permit Review: Well Permit Review: Land Development Review: Parcel Created by: ❑ Deeds Agriculture Affidavit Required ❑ No ❑ Yes Designated Well Site ❑ No ❑ Yes Drainage Plan (Com/Ind/Multi) ❑ No ❑ Yes Date of Creation: Legal Access Provided: Deed Reference: Legal Access Required: Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: Map Date of Recording: i 0 — �^ Lot: 1 Block: Conditions That Must be Met Prior to Issuance of Permit: ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Comply with condition no. of conditions of approval for the ❑ No ❑ No ❑ Yes ❑ Yes Book: 1� Page. ❑ Provide Creation Deed ❑ Obtain a Certificate of Compliance (See Planning Division for application). ❑ Construction across property lines is not permitted (See Land Development for a Merger Application/Lot Line Adjustment). ❑ Comply with Old Subdivision Lot Ordinance (Maps Recorded Prior to Book 17 of Maps Page 23). ❑ Construct road to ❑ Meet parcel size required by zone ❑ Meet current EHD requirements. ❑ Other General Comments: l� O ES -F iy-, I rJ �r - .. :.,-..t...,,.atr,-r#-... .. , ..;��i..,�S�'+S--y . r ..5 . .,�dt'r:1. ,.... !-�ytwnyr..+` rr •..... r '•t t 41-32-20 2992-89E "= SHIELDS,'Charles & Joan 4161 Keefer Rd, Chico (elec/well) ' ' r If I McAI' ✓ erUlGe. Inas bee. . re�v+ove�, nl� Siru�c.�-u•res o.J E proter-+ - PPec rS We-�l px-,&P . LN aas o r en• na u r Co I �PN'4-- ' a r r COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS PERMIT NO.�/ 7 County Center Drive - Oroville, California 95965 Telephone: 916/538-7541. APPLICATIOWAND PERMIT ASSESSOR PARCEL NUMBER L4rJ0 ZONING ` BUILDING PERMIT ' OWNER = c Chu, a TELEPHONE 916 3y� SSG SO. FT. OCC. BUILDING VALUATION , OWNER'S MAILING ADDRESS %KooC.I CONTRACTOR'S NAMrE, W N `f ' I,?- TELEPHONE -CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ .--10 W LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/� 1 N d •,C"K act C AL(a (` Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 7 SUBDIVISION NAME PARCEL MAP �/� C ) Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE ! SF [:1Duplex❑ Mobilehome❑ Other SPECIFY j Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S TGTW 10.00e TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities, Installation[] jOther Describe work:., Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee - 10.00 Main service 100 OR LESS 100 OROR LESS 10.00 x,00 Main service EA. ADD'L 100 AMP 2.50 S J CONTRACTORS LICENSE LAW ! I declare under penalty of perjury (check one): ' ❑ I 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. Classification r 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUR.&\ OR ADDNS. \ ACC. BLDGS. / , /20sq ft NEW CONSTR. ULTI.OUTLET NO N.RES'D BRANCH CIRC ITS 2.50 ea POWER APPARATUS d SINGLE OUTLET CIR. EX. OCcup(OUTLETS OR FIXTURES 20050t eAL030 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring Ue 15.00 ft Lig1 -etc a 1,50-1 Permit Fee $ 37 T" Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 FiIirig Fee 10.00 Heating Cool ng 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'Countyotocc 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 consequence of the granting of this permit. I ���� X 2 (X� Date Signature of Applicant — Owner ® Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or Construct- structures over 3 s�tolries in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONSTTVPE ( i TOTAL FEE $ HAz CUA PARK SCHL FLo PAR JPDJHDJ IssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees rECTOI�/IOF P BLIC BY 11 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS /�[.10no, Date L , ✓/� /' No. `7791/ r.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE i► 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 RCNA - 89 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 when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. nr w, r -e 5 4L4 UJ -P-1/ � I 2• , r0 vi 1e 0'Q4'9'0rvVe /wS41110t/1d ar 4^4e- q�,j �t tq4 &uA lu aIU a ,r ov NSC w 1 --ft- L"'L4 - n✓n � 0-f- / /n� ((�� ) box- (AoV IT rrj l& dl,P 9 b od 3) '41, I Lr (-mss ,'V 46 ru W C C.T i''eVNOnV�r` u/ � IrF. ttt 4O+ �5 LoLS-ed( Inspector Date q— I q- ?7 If 11 V. COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS PERMIT NO 7 County Center Drive - Orovlle; Cal.fornia 95965 -Telephone: 916/538-7541 _ y O APPLICATION' AND PERMIT 4 ASSESSOR PARCEL NUMBER L4,1_ p ZONING k BUILDING PERMIT , OWNER S wx ac. CSU ks TELEPHONE 31A5 -SS -3 ,SQ, FT. OCC, BUILDING VAWATIN OWNER'S MAILING ADDRESS goad / `��U CONTRAC OR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS -'4161`:-K14"OoLd e Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO^.J l!� / SUBDIVISION NAME f PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G I WO.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilitie Installation❑ Other Describe wor _ Y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLE55 10.00 p,p Main service EA. ADD'L 100 AMP 2.50 'L J CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I 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. Classification PiWA 1, as the owner, Or my employees with wages as their sole compen- V34 1, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& A New CONST , h¢sgft R.( ULTII.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6\ (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 200500 SAL@3o FIXED APPLNS. OR EX. Occup. OUTLETS (REST D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring UC 15.00 �4-3 <GrCo 7i 16 Permit Fee $ S� WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s Id County in copseq� ence of the granting of this permit. [4 X ���I1 ( 1 Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ ALSCHL HAz CLIA PARK I FLD I PAR JPDJHDJ IssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for 7which fees D E TO OF P BLIC By PERMIT E PIR Date the applicable provi- resolutions to do have been paid. WORKS /fi 5 Dat/y /�J �' Receipt No. `� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT c:.+x4w-r � .-...t . � �.^"ti„r--,jy�.rW��.,+,.r -,.c.a..�. r:,.�..s+,,,"rt��ar+..w-tir-:�nr.....:.-vr^.--r ---'T -.— .,-_--,• .. -,,.y.-.,..,......ti'iP..--.a • _...,..-_ � _ .,. r. ..,.. a IL COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE:CA.LIFORNIA 95965 - TELEPHONE: 916/538-7541 n s , PERMIT APPLICATION DATA SHEET Permit No. OWNER A. P. No. y%— 22 — Z .r Proposed Building Use e Building Inspector S'..J Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. 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....................................................... no 9. Fees of $ .......................... 4 10. Chico Urban Area fees paid ....................................... . 11. Park fees paid ..................................................... 12. 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. Driv , , , . way permit (construction approval required prior to occupancy) ... re -Inspection for ,�[ F� 1L required Pre-Inspec. recto I �•Building Inspector (D 20. Contractor's license information (No., Name Style, Classification) ....... -%21. Certificate of Workmans Compensation Insurance__, -,-- 2. Owner -Builder Verification (Given to owner ❑ ail tow ) ........ 23. Recorded copy of Agricultural Acknowledgm nt Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. 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. 2. Additional items required: I/ -,'I Contractor, designer, owner, was advised of above required data by_phone ail_counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date �7 COUNTY OF BUTTE - �Depar'tment _of Public .Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER-BUILDER.VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in.your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes.or no) _y� . 2. I (have/have not) _ lf_jcl signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. J plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. 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 Signed: Property Owner zz. 'I'l-Z 6&A Social Security Number Date 2— /a NOTE: This Owner -Builder Verification is .sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. DEPARTMENT OF PUBLIC WORKS PERMIT NO. COUNTY OF BUTTE - - Telephone: 916/538-7541 i declare 7 County Center Drive - Oroville, California 95965 NEWCONSTR ULTI.OUTLET NON.RESI0 BRANCH CIRC ITS e1 APPLICATION AND. P.FRMIT I am licensed under provisions of Chapt. 9, Div. 3 of the Business NUMBER ZONING -k 4 BUILDING PERMIT to the W C. laws of California. If after making this statement, should you become subject ESSOR PARCEL T ELE1PHONE S0, FT. OCC. BUILDING VALUATION ^] JER At^ Y 1. IptfO t� ,{ Notice to Applicant: to the W. C. provisions of the Labor Code, you must forthwith comply with such NER'S MAILING ADOR ESS ^ I FIxED APPLNS. OR EX. OCCUp. OUTLETS IRESIO.) EA. I � VLUJ �' TELEPHONE I, as the owner, or my employees with wages as their sole compen- the structure is not intended or offered NTRAC OR'S NAMrE, 7 W provisions NTRACTOR'S MAILING ADDRESS Firepla e Mobile Faclites UN OWN Total luation $ I, as the owner, am exclusively co ntracting with licensed contract- NSTRUCTION LENDER .A$ 1 i F e 10.00 :NDER'S MAILING ADDRESS p Fee $ I ENS o. Plan Ch .a Fee $ tCHITECT OR ENGINEER - Energy Plan Checking Fee $ RCHITECT OR ENGINEER' M I NG ADDRESS Penalty $ Permit fee $ •' JILDING ADDRESS �!„ �! (� Cl 'LAJ — PLUMBING PERMIT Fi►ingFee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 PARCEL MAP Water piping 5.00OT NO. SUBDIVISION NAME � e • Each pas water heater or vent 5•� Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer 5.00 F ❑ Duplex❑ Mobilehome❑ Other SPECIFY Mobile Home I S I G W O.00e TYPE OF WORK Vew❑ Addition❑ Remodel❑ Utilities Installation❑ Other [I Describe work: Permit Fee Contractor ELECTRICAL PERMIT BOOV OR LESS Main service 100 AMP OR LESS Main service EA. ADD•L 100 AMP $ W 2.00 10.00 15.00 15.00 /s S Filing Fee 1 10.00 LJ a Certificate of Workmen's Compensation Insurance or a Certl ica CONTRACTORS LICENSE LAW NEW CONST. DWELLING OccuP.a OR ADDNS. (ACC. BLDGS. ) i declare under penalty of perjury (check one): NEWCONSTR ULTI.OUTLET NON.RESI0 BRANCH CIRC ITS e1 ❑POWER I am licensed under provisions of Chapt. 9, Div. 3 of the Business APPARATUS (SINGLE OUTLET CIR. / to the W C. laws of California. If after making this statement, should you become subject and Professions Code and my license is in full force and effect. Ex. Occup(OUTLETS OR FIXTURES Notice to Applicant: to the W. C. provisions of the Labor Code, you must forthwith comply with such License No. Classification FIxED APPLNS. OR EX. OCCUp. OUTLETS IRESIO.) EA. or this permit shall be deemed revoked. I, as the owner, or my employees with wages as their sole compen- the structure is not intended or offered Temporary service provisions sation, will do the work,and for sale. (Sec. 7044) Mobile Faclites ❑ I, as the owner, am exclusively co ntracting with licensed contract- Misc. Wiring ld� is correct. I agree to comply to all County hereby authorize representatives of the Countyot ors. (Sec. 7044) Business and Professions Code /,Jua.� �To ❑ I am exempt under Sec. Permit Fee for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT I declare under penalty of perjury (check one): Heating ❑ The permit is for $100.00 (valuation) or less. FLD PAR PD I have placed on file with the County of Butte Building Department all liabilities, judgments, costs, against s id County in cons, ence of the granting of this permit. $ W 2.00 10.00 15.00 15.00 /s S Filing Fee 1 10.00 LJ a Certificate of Workmen's Compensation Insurance or a Certl ica Cooling of Consent to Self -Insure. manner so as to become subject 3.00 I shall not employ any person in any Ventilation to the W C. laws of California. If after making this statement, should you become subject permit Fee $ Notice to Applicant: to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor or this permit shall be deemed revoked. $ provisions Mobile Home Installation Fee I certify that I have read this application and state that the above information Ordinances and State Laws relating Ener InspectionInsta Fee $ 9Y is correct. I agree to comply to all County hereby authorize representatives of the Countyot occ CONST TYPE to building construction, and Butte to enter upon the above-mentioned property for inspection purposes. TOTAL FEE $ HO ISSUE 1 also agree to save, indemnify and keep harmless the County of Butte against and expenses which may in any way accrue HAz CUA PAax scHL FLD PAR PD all liabilities, judgments, costs, against s id County in cons, ence of the granting of this permit. This permit is nereby issuea un the applicable provi- Date sions of the Butte County Code and resolutions to do fees have been paid. X �L ❑ Agent ❑ work indicated above for which Signature of Applicant — Ownerg] Contractor DIRECTOR OF PUBLIC WORKS for excavations over S'0" deep and demolition or construct• An OSHA permit is required ion of structures over 3stoories in height. Date B Receipt No. 7 y PERMIT EXPIRES Date SS0 R, PINK -INSPECTOR. GOLDENROD-APPLICANT WNITC-O. P•W.. TE:::� -�,�.`,:�.,c.•....,r;� .,':t;rJl'�To.�"3:t,'�t+a"=�"�� ,,4aIXi- A� ��� _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �. APPLICATION AND PERMIT PE MIT O. ASSESSOR PARCEL NUMBER -- 3 — ZONING BUILDING PERMIT OWNER le TELEPHONE g �a0 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS /^� O X /4- , CONTRACTOR'SNAMETELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER hi UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAIL'INNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee , $/� VO Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pum water hea r 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas wat at oU#nt 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehomel] Other SPECIFY Gas piping wKem 11 JAutiets 5.00 Building q er 5.00 Mobile NiRlie 10.00ea 0.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ® Installation❑ Other ❑ Describe work:_Hog""- �4rMe�Q Gbown/ 3�5� v�(cs,tl. _ LA„ ec,4. Pe I Fe $ 0, pv C n ra to Ir E C RICAL PERMIT Filing Fee 10.00 Main s Ice 600V OR LESS10.00 100 AMP OR LESS I rvlce EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I 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. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as (Sthe owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason ONST. ( DWELLING OCCUP.& , DONS. C ACC. BLDGS. /Z Osq ft N W CONSTR.U TI.OUTLET 2,50 ea N N.RESID BRANCH CIRC ITS POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 8AL&30 ALo Ex. Occup. OUED R TLETS ((RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /5-00 Misc. Wiring 15.00 Permit Fee $ .S 00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 FiIirig 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 of 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 Coun y in con nc of the granting of this permit. X Date g� Signature of Applicant — Owner'K Contractor ❑ Agent ❑ An OSHA permit is required 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 $ . 00 Occup. CO.ST.TYPE 7 1 FLOOD PARCE Po I W3_17= This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. 6 -` � / ,-� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT w COUNTY OF BUTTL DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 4r7_ _ ~ ZONING jR I BUILDING PERMIT 9v{ryeA� � ; �j L3 Goff d S SQ. FT. OCC. BUILDING VALUATION OWNER'S MAI ING AD €s3 Z r �, (1 .t 4 9 21 C ONTRACT OR'S NAME TELEPHONE C TRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee A$. 4 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping X5.00 Each pas water heater or vent 5.00 US UCTURE SFJ!5'Duplex❑ Mobilehoa ther SPECI fry Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00ea YPE F WORK New ❑ Addition ❑ Rem el ❑ tl lilies Installation ❑ Other ❑ Describe work: er V 4 oL�A ,t a �� Permit F $ Cov ract L TRICAL PERMIT Filing Fee 10.00 I Z S I se Ice 700 AMP OR LESS 10.00 r ro In rvice EA. ADD'L 100 AMP 2.50 CION ACTORS C NSE AW I declare under penalty of p ju ' (chec one . ❑ I am licensed under provisions Of�Chapt. 9, Div. 3 of the Business and Professions Code and my Voense Is In full force and effect. `L License No. lassification ❑ 1. as the owner, or my employees with wages as heir sole compfn- cation, will do the work,and the strut is 11 i t r off red to sale. (Sec. 7044) ❑ I, as the owner, am exclusiv c tra i wit license contract- ors. (Sec. 7044) ❑ I am exempt under Sec. sine and Professions Code for this reason NEW CONST. DWELLING OCC UP.y\ I�tQSQft OR ADONS. ACC. SLOGS. 1 NEW CONSTR U TI -OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) ( POWER APPARATUS .&) `S1NGLE OUTLET CIR. EX. OCCup(OUTLETS OR FIXTURES GAL030 FIXEO APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA. 2.00 T porary service 10.00 obile Home Facilities 15.00 Misc. Wiring 15.00 /rj.ir4� Permit Fee $ t -C Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a.'Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any ner o as o be subject to the W. C. laws of California. Notice to Applicant: If after making this sta m d ec ubject to the W. C. provisions of the Labor Code, ou mus orthwith comply with such provisions or this permit shall be deemed evoked. I certify that I have read this applicatil n and state that the above information Is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai"t said County i onsequ n of the granting of this permit. X Date �S—PThis Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0'; deep and demolition or construct- ion of structures over�33 stories in height. M CHANICAL P RMIT Filing Fee 10.00 Heatillb Coi g Hod 3.00 Ventilation permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ _3610-10 OCCu P. CON3T.TTPC JSC..01t1U)00JPA0tCCLJ .O No 1»I!r permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. /�7 WNITC-O.P.W.. TCLLOW-AS 892 8004, PINK-INSN[CTOR. GOLD[NROD-APPLICANT PERMIT EXPIRES Date --� A if d ak COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING R BUILDING PERMIT o VITE►ar- S TELEPHONE B 3-aoeg SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD55 C CIO CONTRACTOR'5 NAME e TELEPHONE C NTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checkin Fee 1 $ Energy Plan Clliecking.ffp $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fe $ BI PERMIT Filing Fee 10.00 a rap 2.00 G� ar r he pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL M P Vater 'pi 5.00 q water heater or vent 5.00 US UCTURE SFplex❑ Mobileho e _ therA14 SPECIFY s p' Ing system 1 - 5 outlets 5.00 B 'ding sewer 5.00 bile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation❑ Other Describe work: 5eirv, c- ,P_ ati x a+ O r 1.o L?anA C,II��- �zy l m 5*a 2 %J S fir'y: c Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 ' e 0. S a Main service 600V OR LESS 100 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is In full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLINGoCCUP.51) '/z¢sgft OR ADDNS. ACC. BLDGS. / NEW CONSTR. U TLOUTLET 2,50 ea NON-RESID BRA CH CIRC TS APPARATUS S\ (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES aAL@30 OAL9 30 D )EA.NSOR Y 2.00 Ex. Occup. OUT IXED ETS P(RESIR Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /x.8.9 Permlt Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 Filing Fee 10.00 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 of 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 agai"t said County i . onsequ n of the granting of this permit. J p X Date '2 ��a Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" de n mition or construct- ion of structures overstories In height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0CcuP. CONST.TYPc ISCIIOOLIFLOODIPARCFLI PD ND slue This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '-3 7 Receipt No. / 1 WNITE-D.P.W., YELLOW -ASS ESeOR. PINK -INSPECTOR, DENROD-AP►LI CANT � � ,i .. irk .�,...�.. .- — '.z.. T.t-�. - �-.,..v....w^rr - ^' �`Y .err-.�y...y�,�y�.:'.,,� ,.f'wl��`C-"'. Sr,,,..�.,r+'1 • :.�.,�Z: r'.r'�.....'tirw...�� r: � -`• r •• T� •,.c .. .. I ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION .N, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 . r o PERMIT APPLICATION DATA SHEET J� l_ Permit No. OWNER Ch0irJP5' ShlI& A. P. No. y9` Proposed Building Use Sl E Building Inspector % Date 7-",P6 - g a At time of permit application, I was advised the following data must be submitted prior to permit processing andlor issuance: DATE RECEIVED APPROVED 1. 2. 3. 4. 5. 6. 8. 9. 10. 11. 12. 13. 14. All items.have been submitted. . . . . . . . . . . . Plot plans in duplicate./triplicate, signed by preparer of plans. Complete plans in duplicate./triplicate, signed by preparer of plans. Complete engineered plans and calcs, with wet signature on -plans./ Plans with Energy Design Compliance Statement. A� School District "Fees Paid" Stamp on FloorlPl'an. 1� Statement of Intent for Non -Heated and AC Buildings.-.N Fees of $ 11 Letter of signature authorization.. J�. Sanitation approval from (HealthaiDepA. Planning approval for (A) Use: (B) Parking-. Certificate of Workmen's Compensation Insurance. . Contractor's License Information (no., name style, `laisif.) Owner -Builder Verification (Given to owner, Mail to owner ❑.) __15. Improvements may be required. . . . . . . . . . 16. Mobilehome Installation Data. . . 17. Pre -Inspection for Veey1r%e,*_1 Required. 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. Pre- iw f. raq�, st ra+rL� 4) n l�ori arld0rar�)_ Buil ing nspec r T 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: Mail to owner, Mail to contractor. elephone 30-426 and hold for pickup aV_h_;__-_voffice, Deliver w/inspector. Other Applicant Date a6 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. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phoneJnall—counter by date Contractor, designer, owner, was advised of above required data by—phone _mail_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW BUTTE Return to DPW AGRICULTURAL STATEMENT OF AOKI1 c �r1 1 RECORDER'S , C E FOR RESIDENTIAL DEVELOPMENT ELEANOR M. B CKE Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 1986 NOV 25 PH 12: 31 86-4213.1 , The property described herein is adjacent to land or included R ORDFD AT Egly �nF within an area zoned for agricultural purposes, and residents of this ,��°�+k�/Pgz+^� property may be subject to inconveniences or discomfort arising from ��,, the use of agricultural chemicals, including, but not limited to, herbick§es;�pes.t.ici-dgA,,�, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dustpat)es smoke, noise, and odor, Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, as follows: P A R C E L I: A portion of Lot of the HOLMES TRACT, as thereof on file in the Office of the County California, and recorded May 7, 1910, in Book 6 more particularly described ae follows.: State of California, described shown on the Official Map' + Recorder of Butte County, - of Maps, at Page 36, being COMMENCING at.the Southwest corner of Lot 7 ofithe Holmes' Tract; thence East along _th.eSoutherly ine of said .!_r•t. 7 a. i_��i,,,,S of ::£'„2 ;ac`. ;:J --r, point; thence Northerly and parallel with the Westerly line of said Lot 7, to a point on the Northerly line thereof, being in the centerline of Keefer Lane -and the true point of beginning for the parcel to be described; thence South 71' 14' West for a distance of 99.5�'fee.t; thence South parallel with the Westerly.line of said Lot 7 a distance of 340 feet to a Point; thence Easterly and parallel with the Southerly line of Lot 7 to a point in the East line of'the West 464 feet of said Lot 7; thence North along said East line o..f the West 464 feet of said Lot 7 to the point of beginning, Date: �1q— r1'(/ PROPERTY OWNERS: • �J State of California ) On this the 19' day of November 1986before Butte ) SS. me, the undersigned Notary Public, personally appeared County of ) Charles Shields Monosson ■■�■■■�■��■■���■�.� Personally known to me. / / Proved to me on the basis a of satisfactory evidence. M CINDY L. HARVEY ■ to be the ■ p erson oW whose name 0o is subscribed to ..a NOTARYPUBLIC-CALIFORNIA the within instrument and acknowledged that he Butte County i My Commission Expires Aug. 101988 executed the same for the purposes therein contained. ■ IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No . END OF DOCUMENT i YTIR YOAIO �Z- J fl 1M ' OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By Date r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovilie, Calif6rnia 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. S96 — lyeo ASSESSOR PARCEL NUMBERr� ZONING j BUILDING PERMIT OWNER fr 1 �(} hrf� R r . 1 '•. e7h A. r e G TELEPHONE • - �i �` SO. FT. OCC. BUILDING VALUATION - .�T ,l OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 01h�iv LICENSE No. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 55k,4- a,..,�.. ��,oh' N/r pF Permit fee $ PLUMBING PERMIT Filing Fee 10.00 r / �^ rl'�'tu�a►rr ., Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas•water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 10-11 /LL AC rl•v_- / SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK ' New El Addition ❑ Remodde�l❑ UtilitiesInstallation[] Other E] ,Describe work: �/..A,r.r �%� i� r' Wel �_} lie ,Cl"pn.r-y,1�'•I�,.P G�P�?�fu,� �jL, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 -600V / OR LESS Main service 100 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license Is In full force and effect. License No. Classification 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) ❑ I, as the owner, am exclusively contracting with licensed contract- 0rs.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUROR ACDNS.C,BLDGS. , A 2/z¢sgft NEW CCONSTR( ULT" OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea APPARATUS e\ (SINGLE OUTLET CIR. / Ex. Occu zo a e0e Occup(OUTLETS OR FIXTURES eAL030 FIXED APP LNS. OR \ Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 \--)rr Permit Fee $ So Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against p all liabilities, judgments, costs,.and expenses which may in any way accrue against said County in consequence of the granting of this permit. \ / r 3-A LF----�% U / ( i e) -�� / "�- � X � � Date Signature of Applicant - Owner g pp ®` Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ Occup, CONST,TYPIJ FW . PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which � DIRECTOR OF PUBLIC By �1•—y'�� - PERMIT EXPIRES Date the applicable resolutions to to do do fees have been aid. p WORKS Date_ �---� ' ��' Receipt No.s.7_5o r7� WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751. .• 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector a Date ��� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. M ASSESSOR PARCEL NUMBER O ZONING I BUILDING PERMIT OWNER (e s TELEPHONE 7 SQ. FT. OCC, BUILDING VALU T OWNER'S MAILING ADDRESS P O J / • i� CONTRACT NAME 0 W vve� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Na r, e— Permit Fee $ ARCHITECT OR ENGINEER A/ LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BIJILDING ADDRESS it)oo,r- o� Permit fee $ PLUMBING PERMIT Filing Fee 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 SF ❑ Duplex❑ Mobilehome❑ Other l Il- j.,n, SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatio ❑ Other ❑ Describe work: ( ks+ d,�,e r,p� aeS�y�, �,' Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee Filin Fee 10.00 LE001 ORS service 100 AMP 100 10.00 .�jp Main service EA. ADD -L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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. Classification 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& ( 2/,20sgft OR ADDNS. ACC. BLDGS. NEW CONSTR.MULTI-OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS e1 SINGLE OUTLET CIR, I Ex. Occup( OR FIXTURES DAL20@@30 20@030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Z /5-00 Permit Fee $ 7,p Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. r Notia to Applicant: If after making this statement, should you become subjectpermit 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs d expens s which may in any way accrue against sa d County inConse en of th r nting of this permit. �— X Date Signature of Applicant — Owner Contractor ❑ Agenr ❑ An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ -32- -1 Occup. CONST.TYPE I FLOODIPARCELI PD I No ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR 0� PU By t PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. IC WORKS Date " Receipt N o. S.7-5 p WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL,L.E;,CA;L•IF.QRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET < f Permit No. v OWNER L k k (el A. P. No. 'y 7 .R -:2 - 7 O -Proposed Building Use (d)P I/ Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) Building Inspector�f Date ::Z 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. . . . . . . . . . . 3. Complete plans in duplicate./triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking:- 12. arking: 12. Certificate of Workmen's Compensation Insurance. . . . . /r 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . ' 16. Mobilehome Installation Data. •Pre-Inspec. request to ote) 0X217. Pre -Inspection for..p�- Palo• Required. Building Inspector (D 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other Driveway permit A(const. approval required prior to occuvancv ) When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at -office. Deliver w1inspector. Other_ R + % e x 4l S/ 95--7 z G AppIicaI?i���� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orov,ille, California 95965 - Telephone 916/534-4541 APPLICATION, AND PERMIT ASSESSOR PARCEL NUMBER •p ZONING BUILDING PERMIT OWNER r CP S TELEPHONE $ $Q• FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS O 5 •b CONTRACT NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER N"OWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Ne A"p— Permit Fee $ ARCHITECT/OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITEC OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS � 4 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 /'� /+ frU� C/O V> / r Each Trap 2.00 1f 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.O0 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other IlVved PECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[ Installatio ❑ Other ❑ Describe work:PcxwK�r' Pa (C' try&5 vClc, �g�rzi.D jD 1! ILIMain Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 • service X00 AMP OR ORSLESS 10.00 X00 CONTRACT LI A I declare under penalty of perjury ch e) ❑ I am licensed under pr Islon of pt. 9, D I t usiness and Professions coda and my lic se is in Ice nd effect. License No. CI ification 1, as the owner, or my mploy es wit ages as their sole compen- sation, will do the work, a structure is not intended or offered for sale. (Sec. 7044) ❑ 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 In rervice EA. ADD'L 100 AMP 2.50 14�'_Q R ADONST (DDWEACCLLINSLOGSCCUP.EI\ 'h¢stjft lI NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20050t eALO 30 FIXED APPLNS. OR 1 Ex. OCCUp- OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Prc __-rtsiS Permit Fee $ p WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notl a to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling. Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost d expens s which may in any way accrue against sa d County in conse en of th r nting of this permit. Date I r) Signature of Applicant – Owner . Contractor ❑ Agent ❑ An OSHA germ 1. iequire.4 for ex avatlons over 5'0" deep and demolition or construct- ion of structuros_o�eI 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $3 - }--� OCCUP, CONST.TYPE I FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date _ _ __ the applicable provi- resolutions to do fees have been paid. WORKS Date 40goltat Pio. WHITE-D.P.W.. YIItLL0W-A39E3e;Gl, Ojtr� reGL�A•37b?+�-. �" ear-+..----�-..r+•'.-.......,�.�.e+swrw.............r.. t - KT FC -18 0 /80) t--\ ORIGIN LOCATION ORDER NUMBER rG RE R.0 INCIDENT N START MO. DA YEA COUNTY, ! & v� o 3 r FIRE NUMBER FIRE NAME. R - . ! R4J. ! NO. thru 8 d -/ r! Gs 0+ ES TOWNSHIP[ j NRAN uu❑S FROM ❑ IN. NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., ETC. .�� 0 ❑W MILES/ rp DIRECTION FROM ❑ IN. NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., ETC. 3 CAUSE (STARTS IN O O © OR p LIGHTNING ❑ DEBRIS ❑ CAMPFIRE ❑ ARSON ❑ SMOKING ❑ EQUIPMENT LAND USE (STARTS IN MESTIC ❑ RANCH -FARM ❑ DUMP ❑ ROAD ❑ UTILITY, RAILROAD ❑ UTILITY, ELECTRIC / ONLY) c W/FIRE FLAY THER/MISC. OR `8% ONLY)" []*FOREST INDUSTRY . ❑ RECREATION ` 1 ❑ OTHER INDUSTRY-COMRCIL ❑ WILDLAND NON-WILDLAND ❑ OTHER D �AMAGE I n n <$ OR n ONLm' 7 ` CIDENT TYPE ..................................::...... 3 FIRE ❑ FALSE ALARM --GO TO "- - 5 BLOCK 10 TIMBER 8/OR AGENCYPROTECTION DIRECT RESPONSIBILITY � • 4A 46 0 STATE ZONE - .. WILDLAND BURNED OR THREATENED STATUTORY RESPONSIBILITY Other than T 8 Y G RICDF LOCAL GOVT. 30 0-'E-3 CONTRACT UNPROTECTED `` (O AT ORIGIN) (Other than T b Y G) ❑ • TYPE E] STATE O ❑ ASSIST OTHER AGENCY ,(Not City) -, ❑ U.S.F.S � • 8/OR CONTENTS LOCAL ZONE•.• - ' r- • - CDF LOCAL GOVT. CONTRACT ❑ ❑ BlAt B.I.A. 6 O CY ASSIST OTHER AGENCY �Y FEDERAL © _OTHER FEDERAL ZONE ❑ ASSIST FED. AGENCY (Not Mil.) ❑ OTHER - 8 0 CDF LOCAL GOVT. CONTRACT 5 ®ASSIST MISC. AND OTHER - CITY CONTRACT ❑ O RACT CO-, MIL, OTHER CAUSE (STARTS IN O O © OR p LIGHTNING ❑ DEBRIS ❑ CAMPFIRE ❑ ARSON ❑ SMOKING ❑ EQUIPMENT LAND USE (STARTS IN MESTIC ❑ RANCH -FARM ❑ DUMP ❑ ROAD ❑ UTILITY, RAILROAD ❑ UTILITY, ELECTRIC / ONLY) c W/FIRE FLAY THER/MISC. OR `8% ONLY)" []*FOREST INDUSTRY . ❑ RECREATION ` 1 ❑ OTHER INDUSTRY-COMRCIL ❑ WILDLAND NON-WILDLAND ❑ OTHER D �AMAGE I n n <$ OR n ONLm' 7 S DAMAGE ..................................::...... Number oft to N.a,.d 1001 1 2 &/or 8 5 TIMBER 8/OR AGENCYPROTECTION DIRECT YOUNG GROWTH v:•i/ ring::: , J.....,r.f..... ?:::::✓:?;•:;:?:::i:}:issi:»:::>::•>:.;:.:;:;:<?:::;;; WILDLAND VEGETATION.. ACRES BURNED Other than T 8 Y G AGRICULTURAL PROD >?<? (Other than T b Y G) TYPE DWELLINGS #' �OpO O 8/OR CONTENTS OTHER STRUCTURES , TIMBER d/OR CONTENTS 5 VEHICLES a CONTENTS OTHER `:>,; % ' sn WOOD OTHER ;% LAND TOTALUVe +; :4 I -- f ACRES OF VEGETATION BURNED 8A ..................................::...... AGENCYPROTECTION DIRECT $ v:•i/ ring::: , J.....,r.f..... ?:::::✓:?;•:;:?:::i:}:issi:»:::>::•>:.;:.:;:;:<?:::;;; ACRES BURNED ACRES BURNED VEG. TYPE #' CDF O , TIMBER %? 5 WOOD OTHER ;% LAND +; :4 BRUSH TOTAL GRASS 8B DF TOTAL 8D A .25 ACRE OR LESS STATUT. RESPON . O ACRES BURNED ❑ B .26 -9 ACRES OF ❑ C 10-99 ACRES >. STATE ❑ .D 100-299 ACRES 'ti; U.S.F.S. ❑ E 300-999 ACRES :: B.L.M. '? E]F 1000-4999 ACRES X. B.I.A. ❑ G 5000 ACRES OR MORE '''": B.O.R. OTHER ::Y•:t:�>�:�:�3:�:z<�:�»:�::::::::::::<:;::k;;;;; FED. OTHER 1 TOTAL :?;•..:::;;.}}}::?:JJJ: a•:.. ON ARRIVAL (O VEGETATION FIRES ONLY) SIZE DISTANCE (Origin to head) WIND SPEED (M.P.H.) I DIRECTION (FROM) I TEMPERATURE (°F) 10 OVER PLEASE CDF 7540-130-0118 91939-35af)-ell 1 aaY OSP ORDER NUMBER REG. R.U. INCIDENT NO. YEAR NAME, ,L UCi9L /?4- S SECOND REPORT PERSON HOURS — LINSIDE FIRE STARTED FIRE DISCOVERED GO TO 1© IR 9 /%y _S t nnrni IT. fit 1 CT ...')Nt1 --1 ,...,,t. t... 1—L Al FIRST REPORT ORGAN- IZATION PERSON HOURS 9 NAME, ,L UCi9L /?4- S SECOND REPORT PERSON HOURS — — SRE _ NAME: FIRST ATTACK BY CDF 9 // 3 FIRE CONTAINED 3 /3 &4� rDcw invcDWCAn Dcrnm LOCAL GOVT. CONTRACT ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. CDF STATE 8 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATION PERSON HOURS AIRCRAFT FLT. HRS. FCREW rr�O A `� •' o IV404-'�1-11 4 9: ll le 6 o U N eTl .moo vIre 6; 00 _ y 16: JV SA I - H2 /2fr ' OD $ CDF OVERHEAD TOTAL ON FIRES. ENTER TOTALS BELOW `iri:. L+{`..ri r�?:��;:�>�:�:,>.�;. . ? ;;>.:::.,.;::::.,;,: rii:.}�{4i ;:•;f.;;.:i�;;:r<:# ::;;;:::; t::•:'if ?yyif{i::r:::i:i a::%��:#<># U.S.F.S. (Ind. Overhead) TOTAL OTHER FEDERAL (Incl. Overhead) TOTAL FIRE DIST. d OTHER LOCAL TOTAL >:z... ........ PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS (Unpaid) TOTAL ?`'hr ;%;r;°t ❑ FC -18B (Additional crew activity) ATTACHED /1 nRIMMAt REP[)RT RY- /'1 rnMAACAlTC 1$B=IS."'ONETION❑ FOUR SECTIONS ❑ MAP ATTACHED C2 6-e 4w APPROVED BY. 14 SIGN UR TIT I DST J INTI. DATE o v�o 4' ". k'y.e 0 "c COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Coutity Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATrON AND PERMIT -I X PERMIT NO. M i - `; ASSESSOR PARCEL NUMBER L/ " ) ^' �� ZONING BUILDING PERMIT OWNER I �� kp1�Cr-,-wP. TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS ' tQ-3 U CONTRACTOR'S NAME Y\,ba - t 5� I r ��A r . TELEPHONE R9 I- 1�c1� CONTRACTOR'S MAILING ADDRESS -V t) . 1, 7f1L f 14 (-) (I �i ,C()- Fireplace CONSTRUCTION LENDER ( / UNKNOWN - Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS •" _ Permit Fee $ 11,1.5.00 ARCHITECT OR ENGINEER JV i -Y, V__ LICENSE NO. Plan Checking Fee ,$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 3 C uv BUILDING ADDRESS -_ / 1(71. L�` It Cl PLUMBING PERMIT Filing Fee 10.00 &ILA 6t-0 D Each Trap 2.00 Solar Water Heater 20.00 , Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Q Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Q Installation ❑ Other Q' ti Describework: t a1 i '�-� �I�Yvti� �� 1 rt lf�p S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 1 2h0sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. .4, / 5 hCJ 1' /� License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTIRPOWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. 20@50e Ex. Occup(o OR FIXTURES BAL®300 FIXED A Ex. Occup. ouTLETS P(RESID )LINIS RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑,.,I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any'manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. % X I _ f" Date�7~ Signature of Applicant — Owner ❑ Contractor Q'''Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3Cssttories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. I PARCEL PD HD ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS h BY 0-. , Date PERMIT EXPIRES Date / ��� Receipt No. "o_'�i 9 4 1 WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE !r. DEPARTMENT OF PUBLIC WORKS <• ' 196 Memorial Way, Chico —Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE bwl-' 1) 7 2 5 - W 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 when c rrection of work is completed. If you have any question pertaining to this Vmatte, or need additional explanation,,jjplease contact this office Immediately. Inspector /��� Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAT(ON UD PERMIT PERMIT NO. ASSESSOR PARCEL NUMBS D,._ ZONING BUILDING PERMIT WNE r.W TELEPHONE SQ.FT. OCC, BUILDING VALUATION NER'S AILING AD ESS CO RACTOR' NAME S r r TELEPHONE C RACT MAILING ADDRESS Fireplace CORSTFRUCTICIN LE DER �1 UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ •:ARCHITECT OR ENGINEER'S MAILING ArDDRESS Permit fee $ BUILD^ ADDRESS p � PLUMBING PERMIT Filing Fee 10.00 r (� p ^�' Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISIO NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �/ USE OF STRUCTURE SF u Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Additiga.❑ Re del ❑ i lilies Instal Iation Other > Describe work: ) _ S k Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 21hQSQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):NEW ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in f force and effect. (�/�r _ License No.!V J t�< Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code- for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS CONSTR POWER APPARATUS .&) NON-RESID. (SINGLE OUTLET CIR. 20®50C Ex. Occup(o Ts OR FIXTURES SAL®30 FIXED FIXED APPLNS, OR EX. OCCup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring TE00: Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. UXhave 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 FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ave, indemn' d keep h rmless the County of Butte against I also agrWounty all liabiliudgments, costs, d e , rises which may in any way accrue against ' �eonsegue a of a granting of this mit.7 Dat / S111191of Applicant — Owner ❑ Contractor ®/Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -2- OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. C R OF PUBLIC WORKS 0 By. Date _ PERMIT EXPIRES ate Receipt No. r r �—i1 i WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 7 T' RECORDING REQUESTED BY. MID VALLEY TITLE AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 Recorded OfficialRecords Of Records Count BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:00AM 07 -Jun -2000 REC FEE 10.00 CONFORM .00 Maureen Page 1 of 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: See attached legal description Date: 6/6/00 PROPERTY OWNERS: Robert R. Morton State of California ) County of Butte ) On 6/6/00 before me, Lucy A. Persha 11, notary publ i c personally appeared Robert R . Morton 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 anAfficial seal. T ,r LUCY /�. PERSHALL re COMM. #1259473 Seal: jR lJ NOTARY PUBLIC CALIFORNIA BUTTE COUNTY MY COMM. EXPIRES Apr 3, 2Dp4 L NOTE TO RECORDER: DO NOT RECORD THIS SIDE AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT Instructions for recording Agricultural Statement of Acknowledgment: 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. If you don't have access to the deed, the Recorders Office can provide this information. ;The description may be handwritten or typed in the space provided or attached on a separate sheet is more space is required). 2. Property owners must sign in the presence of a Notary Public and have the form notarized. 3. Make a copy of the form and then take the original and copy to the Recorder's Office at 25 County Center Drive, Oroville (the Administration Center building). The Recorder will record both the original and copy. They will keep the original and return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive. RECORDER'S FEES: $7.00 - 1 st Page $3.00 - Each Additional Page RECORDER'S OFFICE HOURS: 9:00 a.m. - 5:00 p.m. (Monday -Friday) DESCRIPTION THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 1, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 8, 1992, IN BOOK 128 OF MAPS, AT PAGE(S) 47 AND 48. RESERVING THEREFROM A 60 FOOT WIDE EASEMENT FOR ROAD AND PUBLIC UTILITIES, AS SHOWN ON SAID MAP. AP#: 047-320-058-000 PARCEL II• AN EASEMENT FOR ROAD AND PUBLIC UTILITIES LYING WITHIN HEIDEROSE LANE, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 8, 1992, IN BOOK 128 OF MAPS, AT PAGE(S) 47 AND 48. EXCEPTING THEREFROM ALL THAT PORTION LYING WITHIN THE BOUNDS OF PARCEL I, DESCRIBED HEREIN.