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Home My WebLink About056-320-029056-32-0 - 2 9 ' 91-4-386 JONES, MAR CONtR: OWNER, 16771 HOMEPLA�E . OOP, FOREST RAN MH UT ELEC /00 (3o-We GAS 59' COMPACTION TEST RE SUPPORT STRUCT REQ . No, COMPACTION �RT STR TEST ST Rg E Q T REQ 0 -056-32-0-0229 00 92-000 M -JONES, MARK; 2, 'CPNTR�: EXECU E�l HOMES i p T'877 1' HOMEP CE LOOP,.. FORES'T RANO MH,l w ENTIAL JONES, MARK 91-4386. �. CONTR: OWNER 16771 HOMEPLACE LOOP, FOREST RANC MH UTIL puik 6"L PG +6.k. >AS CE COPY I ' I to 1 7�IV��Meter By i) - Date 1s I OFFICE COPY j Address GAS i Meter By Vfi Dater_ .27-9a I .ELECTRIC .1 s • .Meter By IVY Date / �} JOB FINALE Signature 0 3V .� )9:18 FOR:DPDALLAS(DP13) PAGE )G DATE 120-----------25 L I .EQ. PROD. VOL. ;BR. 1D. SEQ. 15 16--18 19 DATE ACDL ID. OVER FILE CHG. RIDE CREATE 26 27 z MOBILEHOME INSTALLATION ACCEPTANCE 1 COUNTY OF BUTTE. t' •' DEP.ARTMENTOF PUBLIC •WORKS.:- 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA - 534-4541.- 4 ... PERMIT N.O.'/":� >/ }Address or'location.of mobilehome J& T4 i i.G`%. .t r` Owner's name fJ. { Owner's address.n ,�c4' ��(UAC{ 6, Insignia or-hu.d number e 7 T In_ 1 f. (r^ tr 4-L21 ; Manufacturer's name ea Or .� Serial number of V.I.N.CAFLM /TA Year of manufacture /7 C^ [' SAF-LtA 17613(6-7I u. _ ' (Official Approving Installation) a IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION 5 ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. Y 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS ; 1469 Humboldt Road, Chico, CA-' (916) 891-2751 7 County Center Drive, Oroville, CA 4(916) 538-7541 r4`. 747 Elliott Road, Paradise, CA,- (916)87 2-6807 a CORRECTION NOTICE, OWNE0 PERMIT NO. , ?. ,.S J A routine inspection indicates that the following violations of Butte County Ordinances exist at j the above address an hould be corrected. Please notify this office when correction of work is completed. If yo ave any questions pertaining to this matter, or need additional explanation, please contact is office immediately. Y 42 11.1t B10 UbuV51 «' • vVv-_ // D� a{7 • a Date Inspector;�,�l, AAcaa, M REV 11/91 - '3 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS. 4� 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916):538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 t, CORRECTION NOTICE y OWNER } PERMIT NO. of A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work a Y. is completed. If you have any questions pertaining to this matter, or need'additional explanation, N please contact this office immediately. a 7:L t r a g Date Inspector REV 11/91 V -'OK O = Not OK r = Not Applicable Not Ready MOBILE HOMES = r Date MOBI HOME UTILITIES Plans except N's Zo g Requirements-Setb s -Easements oil�,,Special MH Supp Sketch ew , Location -Test -Fall -C/ on 4. at , Location -Test -Ease meeeded etch) 5' ectricity; Location- learences-Gr-/oAmp-Concrete 6. Gas; Location -T t -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance 8 Disconnect F}/(Jtility Clearance ! FF, r MISCELLANEOUS r DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements Date Z!-�1."Z, Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Date MOBI OME INSTALLATION (PI s) Kexcept #'s 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Z'o' Aing Requirements -Set s E ents Foot; Size- S g -Mar ' i -Line 3. a T Demand -V —C n or r Electricity; MH Test- ros ers-Bre ers-Clea ces 11. Ext.; Steps -Doors -Landings ,n; MH Test II -FI onnector ater; MH Tes egulator-Connector Date 7--Kater and Sewer Connected -C/ o Grade -HD Approval 8 ' s, r Electricity Tagged POOLS (Plans) OK except N's its; _I nsp.-Sketch 0. rt. of Occupancy 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed Date1 23-Vt Card B-1 L)JB t Date Card 8-1 Datei-�i �%z, Card B-1 1/Q C�j Date Card B-1 ! FF, r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings r Date Card B-1 Date Card B-1 Date Card B-1 Date - Card B-1 Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 1 J=OK O = Not OK t' -= Not Applicable Not Ready R E S I D E I w' V T I.... = Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.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 -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection -- -------- ----------------- ----- 19. Shower Pan. Test. First Ftoor_Tub Access ---- -- - 20. Test Tub & Shower, Second Floor -Tub Access ------------------------ 21. Gas Pipe: Size & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection - -------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors - ------------ ---------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------- ------------------------------ ------------------------------------ -- 25. Romex Installed Close to Edge of Studs & C.J. --------------------------------------------------- 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water - . __ ---- --------------- --------- - 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------------------- ---'------------------------ 28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 29. Range Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. - Insulated Neutral--------- - ------- eutral ❑ Yes ❑ -No ------------------------- --- --- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. --------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- - - ------------------------------------------------------- 33. Smoke Detector --------------------------------------------------------------------------------- ------------------------------------------------------------------------------ Date Card B-1Date Card B-1 ------------------------- ------ ------------------------------------------------ Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support ------------ ------------------------------------------------------------------ 35. Vent Fan; Exhaust above insulation ------------------------------------------------------------------- ____________ 36. _Condensate Drain & Overflow: Size & Grade 37. Furnance-Vent: Access -Comb, Air -Return Air Vent -115 outlet ---------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ----------------------------------- --- --- -- ------------------------ ------------- Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sils. Proper Material & Anchors ------------------------------------------------------- ------------------------- 40. ----------------------------------------------------------------- 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound ----------------------------- 41. ---------- ----41. Bearing Walls over Girders & Floor Nailing ------------------------------------------------- 42.--Draft-Stop-in Walls (rat proof) 43. Fire Stops Furred Ceilings -Stairs -Chases -Tub - -------------------- 44. Headers & Beam -Size & Bearing )101= V f y _ 4 & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rflr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings --------- - 60. Infiltration -Walls -Windows ------------ ---------------------- Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 62 Smoke Detector ---------------------- ___ - -- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection --------------- 64. Bedroom Exiting ---------------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 6-6.- Elec. Trim & Subpanel: Breaker Sizes & Labels ---------------------- 67. Stairs & Rails --------------------p-------------- - 68.- Fireplace or Stove: Clearances -Hearth ----------- --------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. --------------------------- 70. --------------------------70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -- ---- --- - - ---------------- ---___ ------- --------------- - - 71. Elec. Outlets & Receptacles at Kit. Counter ------------------- ---- 72. -Garage -Fire Door: Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------- --------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes ------------------------------- -- - --78.-Guard-Rails & Deck -Const ruction- Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --- - - -- --------------- ------------------ 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------------ 81. Stucco: Brown -Finish ------------- ------------------------ --- - - 82. A.C. Unit; Disconnect. Electrical, Plumbing --------------------------------------- - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84.. -Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House ------------ ------------------------------ 87. Glass Protection ------ ---------------------------------- -- -- 88. Corrections from,Previous Inspections - - - - -- ----------- --- -- ---------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric _ 90. -Water & Sewer Connected -C/O to Grade -HD Approval 91. -Energy -Compliance -Certificate -Other Certificates ------------------------------------------ -- Date Card B-1 Date Card B-1 -------------------------------- ------ - - -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County 'Center Drive - Orovlller California 95965 - Telephone: 916'538.7541 - APPLICATION AND PERMIT A55118111OR PZ59-32-0-029 N BUILDING PERMI owN R MARK JONES 343 38V0 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2342 CERES AVE CHICO CONTRACTOR'S NAME TELEPHONE EXECUTIVE HOMES 891-6992 CONTRACTOR'S MAILING ADDRESS 3042 ESPLANADE CHICO Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 16771 HOMEPLACE LOOP FOREST RANCH Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PAj�CEL MAP ((///X�j/�Y � 7 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF ❑ Duplex❑ Mobilehomea Other Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New 71 Addition El Remode ❑ Utilitie Installs onQ Other ❑ Permit Fee $ Describe work: MH I Contractor ELECTRICAL PERMIT FiIingFee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A) CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): `I� "71 I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full force and effect. License Jo._90_Z-10 Classification �L. F -1I, as the owner, or my employees with wages as their sole ompen- 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) NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. NEW CONSTR ULTI.OUTLET NO N•RESID BRANCH CIRC ITS (POWER APPARATUS a1 1 SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES FIXED Ex. Occup. OUT ETS IPRESID IAPLNS.REA.P Temporary service Mobile Home Facilities Misc. Wiring _37.50 3.64 sq.ft. @ 5.00 760 AO 460 1 3.00 15.00 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating 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. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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. I Ventilation permit Fee LContractor $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, judgme , costs, and expenses which may in any way accrue agai ount in sequence of the grar4ting of this permit. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL EE $ 105.00 HAz DZ IMP FLO COF ARQEL Pp HD ISSU q X Date �-'Z 1 This permit is hereby issued under the applicable prove Signature of Applicant — owner 9 pP ❑ Contractor ❑ Ager An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. 10367 Bions of the to Coun Code and/or resolutions to do work indi to a ov r which fees have been paid. OF PUBLIC WORKS PERMIT EXPIRES Date � D te WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ':.rr•TTtmr.P';,,.. ��*Y is ..Y...-( {�'isl�.'+'•• M^. !e •'�' -^`'.iif'�1' .rr '1d i'e-rr "y' -r " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER.DRt OROVILLE, ALIFORNIA 95965 YTELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET - -"' Permit No. OWNER 0100 L )rMy o A. P. No. 'S&'" 370 - �� 9 Proposed Building Use rn H I Building Inspector &u) Date ! /Z 1,72 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED C1lL 6. 7. OIL 17. 18. 19. 20. 21! 22. 23. X24. 25. 26. 27. 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 .. Hazardous Material Form ................ .................. ' Energy Design Compliance ands pporting documentation ......... Statement of Intent for Non -Heated and !AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) Mobilehome installation data including manufacturer's installation instructions ....................................................... Fees of $ ........................ Chico Urban Area fees paid ........................................ Park fees paid �.................................... . IQJri�LPt 0 ASchool District fees paid .............. >�Z'q 9-a Sanitation approval from Health Department City of Chico plumbing permit ..................................... Plot plan and business license approval from City of (see City for other requirements) Planning approval for (A) Use: (B) Parking: Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) Contractor's license.information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ......... 1-3 52. 4�6 Letter of signature authorization ................................... M4 -IU Ck0-naMrte_ / When you issue the permit, process as follows: Mail to owner. Mail to contractor. I--- Telephone 691-60192 and hold for pickup at 0 V office. Deliver w/inspector. �Ar_ Other VV Applicant Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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_phone._rnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —Mai [—,--counter by date Plans checked by Date_/_,_Plans approved by Date — Z, Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541 APPLICATION -AND PERMIT ASSESSOR PA CEL NURZONING Z— O O Z . BUILDING PERMIT OWNER r-1- 14,e lC zy--Q � S5 TELEPHON 3 34 0 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �� A _`� ��• CONTRACTOR'S NAME Gx ie e- v'T- t t✓ ,►-'tom , 16 S TELEPHON o� ��j CONTRACTOR'S MAILING ADDRESS 3 o 4 m C'm Pic Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is ' LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ,... Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEP4RCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome$� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New [7 Addition" Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: TTTT�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 1 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi(Q,,[{1 s Code and my license is in full force and effect. 1 \p�1 _1 Q License No. Classification �" �� — t_J 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) ❑ 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 Main service 200ATOI000A1 137.50 NEW CONST,OR ADONS, l / ACC. BLDGS. DWELLING OCCUR.&) 3.6Q soft. NEW CONSTR. MULTI.OUTLET NON-RESID•. BRANCH CIRC ITS @ 5 00 POWER APPARATUS e` SINGLE OUTLET CIR. / [7 EX. OCCU OUTLETS OR FIXTURES p� 20 76d RAL_ P , EX. Occup. UTLETS (RESID OixED P)RE A.� I 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling Hood 6.50 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 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 S 70,E Energy Inspection Fee $ occ CONSTTYPE r� ,TOTAL FEE $ /US -, CSU I HAz DFEES IMP I FL 000 COF PARCEL PO I HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No.':.a JO V-,97'7— WHITE-D.P.W„ TfIIOW-ASgC!lOR, PINx•INgPCCTOR, GOLDENROD -APPLICANT Return to DPW { AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT f _ FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte"Coun•ty Code requ--ires this acknowledgement 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 ?roperty may be subject to inconveniences or discomfort arising from :he use of agricultural chemicals, including, but not limited to herbicides, pesticides, snd fertilizers; and from the pursuit of agricultural operations including, but not limited co cultivation, plowing, spraying, pruning, and.harvesting'which occasionally generate dust, Smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on. adjacent property should be prepared to"accept such inconvenience or disconform-from normal, lecessary farm operations. All that real property situate in the County of Butte, State of California, described is follows: , LEGAL DESCRIPTION ATTACHED HERETO AS EXIIIBIT "A" AND BY REFERENCE MADE A PART HEREOF 91-053420 Recorded Official Records I County of Butte Candace J. Grubbs Recorder 2:39pm 30 -Dec -91 ate: December 30, 1991 jOP RTY OWNERS: lAff ALAN JONES I Rec Fee 7.00 1 STF 1.00 I Check 8.00 I 1 . I XX 2, tate of CALIFORNIA ) On this the 30th day of December , 1991 before SS. me, the undersigned Notary Public, personally appeared ounty of BUTTE j 'F1111i �N Personally known to me. IkXI Proved to me on the basis of satisfactory evidence. ®® ® ®to be the person(s) whose name(s) is subscribed to ® JULIANNE PETERS ®the within instrument and acknowledged that he a .dam NOTARY PUBLIC -CALIFORNIA mexecuted the same for the purposes therein contained. ® $ Butte County ®IN WITNESS WHEREOF, .I hereunto set my hand and official seal. ® My Commission Expires Feb. 16,1995 99 -esent A.P. No.5632`029 Order No. 37730 C13854 JIP VYUT'RTT "A" '9+-53420 DESCRIPT-ION-- All that certain real property situate in the State of California, County of Butte, described as follows: - Parcel I: .Parcel 2, as 'shown on that certain Parcel Map, .filed in the Office of the Recorder of the County of Butte * , Stat ' e of California, on -June 24, 1982,, in Book 88 of -Maps, at page 77. Parcel II: A 60 Foot non-exclusive public easement known as Homeplace Loop., . for ingress and egress andfor public utilities over Parcels 1, 3 and 4, as shown on that certain Parcel Map, filed in the office of the Recorder, of the County, of -Butte, State of California, on June 24., 1982, in Book 88 of Maps, at page 77. Parcel III: A 60 foot non-exclusive public., easement known as Homeplace Loop, for ingress and egress and,for public utilities over Parcel 1, as shown on that certain Parcel Map, , filed in the Office of * the Recorder of the County of Butte, State of.Californiall on. July T, 1980, in Book 77.,of Maps, at page 33. Parcel 'IV: An 80 foot non-exclusive easementfor road and public utilities over Parcel 10, as shown on -that. -certain Parcel Map, filed in the e office of the recorder of the County of Butte, State of California, on April 21, 1971-11 'in Book. -.3 -7 --of Maps,. at pages 82, 83 and 84. END OF DOCUMENT 171 - 1 S i I G1 I;7 CIO �� a4 I L 7J C� 0D a zo u1 0 IN v �:w..-.....r O4M a^':*vwwaY^`+�Wa..#"i�: P,''•�y(' .'••^'t't•` '£7'.•�a'.3••R�•s—A'FS-'''VR•c:—,.'rxt;51� 1��}al,'4'6rW'ohr`4•-+t�r•.'C ., , vd •..N•.» .%�noik^.w BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A. P. Number Building Department No. School District Chico Urii'ied City County -M Jurisdiction Property Owner, Ylf y y JG 1111_ b Project Location/Address 1(D'7'11 }-k-r pica ce Wo p - Forest Vo hc�h 'Subdivision Lot Number Residential Development: � � �• � '• �'�.�� Sq. Footage # of Living - MHI Addition (Group R.) Units Commercial/Industrial: a Sq. Footage New Addition (Including Exterior Roofed Areas) )5. co OW -LA Building Department Representative Date (Floor Plans reviewed by School District Personnel) .District. Id No. 0 h,11JQ g School Distr ct; 'certifie. ,' that (Appliggnt Name) (Phone Number')0 (Street Addkess) (City) (State) (Zip Code) -has complied with the requirements of Resolution No. by the payment of $ representing square feet; 71122 7�� School District Representative t ' Date • PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: —!P0 4 :._. a-:: /�, 4fZ22 white -applicant, yellow -building department, .pink -school district SCHOOL.FEE (8/88) Hry z: BUTTE COUNTY DEPARTMENT'OF"PUBLIC WORKS, 7 County Center Drive, Oroville GA - -•- ---••- x: a, _"; ti PHONE : 538-7541 MOBILEHOMEINSTALLATION SHEET .1`. ...Owner's ..Name1: 2. Installer's Name: 3. Is the site currently under permit? (If yes, furnish permit number Is the site an existing site? Yes .. ..No :. a OR Yes No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No 1-1 (If no, clarify -5. What is the mobilehome electrical rating? --------------- Amps 6. What is .the mobilehome site service rating? -----------=- Amps 7. What is the mobilehome site circuit breaker rating? ----- ',� Amps 8. Is there any other electric load to be served by the Yes - No ----- - - ----------------------- F mobilehome site service? ` \ � (If yes, identify the load and size:yV (Load) (Amps) �i _ I 3 9. What is the mobilehome site gas pipe size?-----�---ee� u d fo (in.) 10.. What.is the type of gas service. ------------------- Natural F1 LPG 11. What is.the gas pipe length from meter or tank to the / mobilehome? �jo (ft.). * 12. -What is the mobilehome gas demand? nnpp��- "'8� BTU ..*(This information' not required if pipe length les6� natural gas , or . less than. 50 f t .4' on LPG:) SUILDING-DFPARTMGM. e �,F ',`: ,... +c ;•}e ,�r;- ✓..p' k;ec. .... "+-, ,; :�. ••.p.Rm�.c—^., P'�_�"g:; i'�:.a. 1 MOBILEHOME "SUPPORT `DATA z` t If other than single wide, Mobilehome Mfr. ��—rT� ��" furnish Setup.Model No. r V)6� Width Z`'- 9(ft.) Box LengthS'_t� (ft.),•Tagalong or Expando SI ft -x�ft.; On all mobilehomes manufactured after October 7, 1973, furnish manufacturit!•j;4nstallation manual and structural setup sheets,:*( if..jiot .on'.file with theKCounty:of;.Butt e� . .,.. .a._,j... s<. -. .•...,,. ...•,.. ..n.:,w - t. -, to . .--. •'y ti - ,Y<+ w •• ., ,j,�c FOCUINGS (check one) Wood pressure treated or,foundation grade. 2. Other (specify) SUPPORTS (check,one) 1. Concrete block. 2. Other s•ecify) ».�£ 'Pier .Footing Sires 'andw-Locations JLINCLE-WIDE 14ULT1•MIDE Line ne Imo'- -�.. .._ .� Ta LineMain BeamsLine Line_ti.. 2 .. .._ ._ _ ._.._. Mels teams� MLne F_--:,7Line Tag or Triple Line I tiers: 1 4A. - Line I Ooeelneta: size•Min.•--.--------,kI.- Size-Min.--•--••-• SpacIng-Max .••-----^ , Each Side of openings Fr --m Ends -Max . ----• . With Width•••_••• �- u Over LtLe 2 PI—: SireMln----- _..----- iZ Specs lig-Max .......... From Ends -Max .------- Line 3 Pierat (Under Bearing Wall only) Sire -Min. ................ I Z k 3U• 1 Spicing -rax ............... From Enda-Max.............. I , Line 314,(A toads: - Size -Min. .Z„x �„ 3b�•X30� 3b„X3a1, y ly�3fl„ 2�( .rX., t, _ X Incation (Ftoa j4i&R_4 g erne T Line S Piers: (Under B Sire -Min. .......... tk a SirelMtn............ Max.; ...-.. - o Spaeing Mex - _ � r Ftoa'Lnda•Ma:: �,. ,_ - •„ •,,�_, 1 ;`/.•.- � ��' ItooE !nada 17) .. :rt1'`6 ... •. � *-.. r 'X 3. .+,X9.-, ., �YrG lytr. �. •.k ., :. n . 'k, iocat[on (lroa Front) , r• %R”.tt .. .. m.. �• t .I 4 3, 1' Pa9�tLk 8� q�ZA r3 E - ,• r _ !. -;s �. t r 1 < •' f4, 1 ea r.: 1 u Yni A r � v.a r ! , ry, � ��* �._ � a-�ryr w �< i.-'• °� 4141.4 ) 4 •t7 51 ,yJ SE n f� '�t.tc•jXl*'f�y.�'S'.��7:�lt�;te _ .�4r;4a e , •-. � � 2<5 , s...,, .. fi.lr ;Y;,� v `";" ,. ear ng wa t only) ,.' • airs, � „ h e' WUZ > Sgt `S§�x i. ��t t tens ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YES NO YES . NO u) LPA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER / 7 County Center Drive - Orovllle, Callfornla 959E5 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 56-32-029 ZONING TM 5 BUILDING PERMIT OWNER MARK JONES TELEPHONE .E SO. 343-3860 +, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS �. 2342 CERES AVE CHICO 95926 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee Permit Fee $ e4$•ljel $ ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee Penalty $ $ BUILDING ADDRESS 16771 HOMEPLACE LOOP FOREST RANCH Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. A, SUBDIVISION NAME I PARCEL MAP R,?— 7 Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeR Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.001 45.00 TYPE OF WORK X New ❑ Addition [:1Remodel ❑ Utilities [• Installation❑ Other ❑ Describe work: MH U 2 REIRM _ Permit Fee $ 60.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 LES Main service 200A OR LESS 18.50 18.50 Main service 20rATO 1000AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full force and effect. XLicense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUPM OR ACDNS. l ACC. BLDGS. // 3.64 sq.ft. NEW NON-RESID CONSTR. BRANCH CIRCUITS I @ 5.00 APPARATUS tr %SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES L. 764 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID•) EA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to WApplicant: If after making this statement, should you become subject to the . C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 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 or 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 accrueHAz inst aid ounty 'n c quence of the granting of this permit. Date I s kd Sig tura /Applicant —O ner 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 S Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE 128.50 DFEES IMP FLOOD CDF AR PL PD HD I S This permit is hereby issued under the sions of the Butte County Code and/or work indicaMd abo or which fees OF PUBLIC BY �— PERMft EXPIRES Date applicable provi- resolutions to do have been paid. WORKS ate /7 7 Z3 Receipt No.103662 MITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT � ..� .. .��:�e°�.•.�;!�..y'-1, , .•,r`i ^. .:'4`rS'j'.�.�`.g�ty` -•'��` 1Zi '� ,•�i^T4i _�h '•J, 's.s, P:',y�=�`''�`"'rtrt•7' ' , _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION s 7 COUNTY CENTER DRIVE OROVILL E, CALLFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLIC: T0N DATA SHEET /J'ir,. , Permit No. OWNER 4�"�� .Jo Nes z '�°:, P. No. 5V '� 3Z UZ� Proposed Building Use �fi� Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ,/� I items have been submitted. �� 4 r� �G/tC� j ATE RECEIVED APPROVED +� Plot plans in d , srt'��i[ by��(rr`of'%ns........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid ............... ' �on approval from eU1�c-o Health Department City of Chico plumbing permit .....................................` 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW — 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 0' 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....OAX 24. Recorded copy of Agricultural-, Acknowledgment Statement ......... M-30- q/ 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to,contractor. �i' Telephone % Li and hold for pickupChico at office. Deliver w/inspector. Other o; s Appl icanDate (Z 30--7 Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must,be submitted pri —to permit issuance: ( Ircle new item not checked above). 1. Index permit for above items No. LE�bl 4ZS,�/�e�'/ 2. Additional items required: Contractor, designer, ow6e'-was advised of above required data by_;_-phone_mail—counter by—.&—.date S' 2 Contractor, designer, owner, wasyadvised of above refquired data by—phone —mal l—counter by date Plans checked bye Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date /`:/-_ %z— TO: Building Department FROM: Encroachment Permit Section RE: Diiveway Clearance of .1e�es locatio owner n AP fir` Driveway permit Q rl2eu-r'l has been issued for the above property. n b / COUPN 1�'0 UU"@ BUILDING DEPT DEC ,3 0 1991 date sign re t _. Building Department _J FROM: Environmental Health SUBJECT: Sanitation Clearance JO 12 - owner ocation" AP# Plan Approved for: Sewage Disposal �� Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply clearance for bedroom mobile home. ,Other NOTE : Sanitarian Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916.538-7541 . APPUCATION AND PERMIT ASSESSOR PARCEL NUMBER �\ - 3�, f�a- ZONING _._rm_' BUILDING PERMIT OWNER TELEPHONE SO. IT. OCC. BUILDING VALUATION `1 OWNER'S MAILING ADDRESSON- 3 tR�lfi/� ch �� /`' CONTR A_CTOR'S itr TELEPHONE CONTR�jA("CTT`'/ORR''/S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS _ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 77 fl eP 6t L oo (-e:5(-e Permit fee $ PLUMBING PERMIT Filing Fee 1 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S @ 15.00 � , 00 TYPE OF WORK New ❑ Addition[] ,R/yemo'd/el❑ Utilities Installation❑ Other ❑ M Describe work: /y( - a Permit Fee Contractor $ 1 ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18:50 Main service 20GATO 1000AI 37.50 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 the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADDNS. ACC. BLDGS. II 3.66 sq.ft. NEwcONSTFL MULTI.QUTLET NON .RESID. BRANCH CIRCUITS) /� ` 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED APLNS. EX. OCCup. OUTL TS PIRESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities :d 15.00 Misc. �yirin g - 15.00 Permit Fee Contractor $ U — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F I I have placed on file with the County of Butte Building Department LJ 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 15.00 Heating Cooling Hood 6.50 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 Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA ion of structurestover r3gstories oinehe excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES s� HA2 0FEES I IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 103&62By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT C c COUNTY OF BUTTE - Department of Public Works W zI 7 County Center Drive, Oroville, CA 95965 o coo M® croo 1 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541,'.,' 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) 2. I (have/have 'not) i 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. )I 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 Social Securit u "er �Date l3a/`j.) 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. J t C ' r � i Return to DPW AGRLCULTURAL-STATEMENT OF ACKNOWLEDMT,.NT n FOR RESIDENTIAL DEVELOPMENT DEC. 3 0 19�1 Section 26-8.1 of the'Butte County Code requires�,this acknowledgement be recorded prior to issuance of a building permit., --- - {T� 91-053420 The property described herein is adjacent to land or included- Rithin an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from _he use of agricultural chemicals, including, but not limited to herbicides, pesticides, snd fertilizers; and from the pursuit of agricultural operations including, but not limited co cultivation, plowing, spraying, pruning, and harvesting which. occasionally generate dust, smoke; noise, and odor. Butte County has established agricultural zones which have as' a )riority 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, lecessary farm operations. All that real property situate in the County of Butte, State of California, described is follows: LEGAL DESCRIPTION ATTACHED HERETO AS EXEIIBIT "A" AND BY REFERENCE MADE A PART HEREOF r ate: December 30, 1991 tate of CALIFORNIA ounty of BUTTE coy. 1� DEC 3 0 199, PROP RTY OWNERS: AR ALAN JONES On this the 30th day of December a , 1991 , before SS. me, the undersigned Notaiy Public, personally appeared ------- MARK ALAN JONES :---------------------=---------------------------------------------- - / / Personally known tome. lel Proved to me on the basis of satisfactory evidence. M MOMMMMMMEMEMMOMM660commo sto be the #erson a name(s) is subscribed to ® JULfAPdidE PETERS ®the wi and acknowledged that he NOTARYPUBLIC-CALIFORNIAexecuted the same for the purposes therein contained. ® Butte County ®IN WITNESS WHEREOF, ,I hereunto set my hand and official seal. ® My Commission Expires Feb. 16,1995 19 -esent A.P. No. 56-32-029 A /tAu s2gG�� 22 . llk� m 7cc 8plb Order No. 37730 C13854 JP EXHIBIT "A" DESCRIPTFION- - All that certain real property situate in the State of California, County of Butte, described as follows: Parcel I: Parcel 2, as shown on that certain Parcel Map, filed in the office of the Recorder of .the County of Butte, State of California, on June 24, 1982, in Book 88 of Maps, at page 77. Parcel II: A 60 Foot non-exclusive public, easement known as Homeplace Loop, for ingress and egress and for public utilities over Parcels 1, 3 and 4, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on 77. June 24, 1982, in Book 88 of Maps, at page Parcel III: A 60 foot non-exclusive public easement known as Homeplace Loop, for ingress and egress and for public utilities over Parcel 1, as shown on that certain Parcel Map, filed in the Office of the Recorder of the County of Butte, State of California, on July 7, 1980, in Book 77 of Maps, at page 33. Parcel IV: An 80 foot non-exclusive easement. for road and public utilities over Parcel 10, as shown on that certain Parcel Map, filed in the office of the recorder of the County of Butte, State of California, on April 21, 1971, in Book- _37- of Maps, at pages 82, 83 and 84. ti NOTEr—All Materials & Workmanship Shall Be.1 This set of plans and specifications MUST be Accordance with Recognized Good Practices• kept on the job at all times and it is unlawful to of auali make any changes or alterations on same without Q ty Prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and written permission from the Department of Public the National Electrical Code. W L catlon of structures 8 4?• equipment shall be as shown t c :,.% i��l _ �� y� & clear of all easements. 1 A setback a" tt . the .:Property links and a setback of 50 R. fro the .road centerline s be clear of _ .__.._ .. 'structures or quipment .. Sr a 2 & -eave rhand--f v><r✓� : , IVa /,r & .//.. � ..Vii ...... �� 7/i7E.vT 40AIAICC /4Ov, �vi7b..... ✓G/r£l u T AA 1 RA 99-77 .................... -----..... 0o3 BUTTE COUNTY BUILDING DEPARTMENT A P P R 0 V E '5 �-v771' I AA Wh r --------- I mw' 0 �j i Orr. OPT. 3RD' OPT. BEDROOM8OOKC4-'E OPT. STUDY 12 679-0" MODEL 5562F 2 BEDROOMS, 2 BATHS APPROX. 1,437 SQ. FT. - BYFLEETWOC)Do Additional comments from Building Inspector: OVER MAIN= W, N.R.S. ENTERPRISES P.M. 6X.37 PG. 82184. APRIL 21.1977 I 11"9Ar SI J'1 4 PN AI -90' , - '0 N00.06 15"E Asselso"s Map County of Buffc January, /!-7