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058-370-023
058-370-023 ERMIT#95-2057 w ens r c�t�. J?oj Gtlp��ha�i 3808 Windermere Ln., Oroville Cont; D & D Mobile Home Service a//9 Mobilehome Utilities / } ELECTRIC 200 _W120 AmP W£LL GAS LINE LPG 3/4 " 25 COMPACTION TEST REQ r4 SUPPORT STRUCT REQ N 0 058-370-023pp PERMIT#95-2122 /lo A r. Wftke Ns1 in 3808 Windemere Ln.., Oroville- Cont; D & D Mobile Mobilehome Installation 058-370-023 PERMIT#95-2781 WILSON, Edith 3808 Windermere Ln., Oroville I / Cont; Ken Warren �i/moo 9 Open Decks & Ramps/MH ;' - /�` �� ����y a�`� 3�y ���. . �� ���� �� �=�- r- +� � -� , r ,� Mobilehome Manufacturer: Fleei cAic)od Manufacture e Year: If other than single wide, furnish Setup Model Number: Length:zy ,t ft.) Tagalong or Expando Size (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's ipstallation manual and structural setup sheets. A. -,.,,FOOTjNGS:,AVocd pressure -treated- or fe una#qqXq4e[Other: d ` _'SUPPORTS: Concrete block Other: Provide Tieboiin Specifications for all Mobilehomes: Gk vL o rf - S 5 T Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line I Line 2%%-� Line 2 ................................................................................................ Main Beams .................. ...................................... Line 2 e 2 L m ............ ........... .... Line Line I Line 3 Line 2 ................................................................................................ Main Beams .............................................................. .................................. Line 2 Line I ... ................................................. e5 Tag or Triple ine 4 M ................................................. in ti Line I Piers: Size minimum: r 1 x r i. Spacing maximum: I t I C From ends -maximum: 1 4 C I Line 2 Piers: Size minimum: x Spacing maximum: From ends -maximum: q Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line I Openings Size minimum: x Each side of openings with width over: I I Line 4 Piers: Size minimum: x Spacing maximum: From ends -maximum' ENT OVER FILE -7, COPS s. M.H.I.-2 1. Owner's Name: D i'V-t. W r` So kJ 2. -Assessor's Parcel Number: 370 —e2-2- 3 Installer's Name: " '[� Is the site currently`uni;r peiiiiit?;es[D` No[ -Permit No: 5. Is the site an existing site? Yes[ ] No" (If yes, furnish two plot plans). ?�`6: What is the electrical rating of the mobilehome? /Oo Amperes. -� T7. What is the mobilehome site circuit breaker rating? /DD. Amperes. 8. What is the electrical rating of the mobilehome site? /gyp Amperes. 9. Is the main service remote from the mobilehome site? Yes [xj No[ ] If it is, what is the rating? DD Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] Nopq If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[>Q None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?,-Zo. (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 „' r� y �!� ,�. .moi � "i <� s '� � :r• -VI �'� �� � 1� �L'� MODEL 5443A 3 BEDROOMS, 2 BATHS O & D MOBLE HOMES sps APPROX. 1,129 SQ. FT. 2243 feather River Blvd. FLEE 11VC ODO MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN:,, PERMIT NO.: -12 Owner's: Name: ,r 611C Owner's: 3 0 5 ( Address: • ep �.V r t1 C'1�; % Cr LAll(� t( Mobilehome % ( Year of . Manufacturer, (,�} c�{� ,^ Manufacture: Serial number or V.I.N. CIA EL S �i) 1' f3 1 / 1 S Jl / J Insignia or HUD number: / L 14 D ,R 9 7 Official approving installation::%: Date: �✓ If the mobilehomeeis moved or relocated, the mobilehome installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 513B White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION �/ 7 County Center Drive - OroviM, Calif6rnia 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMITS-��a� ASSESSOR PARCEL NUMBER 058-370-023 RTI ZONING BUILDING PERMIT OWNER EDITH WILSON T534N 9976 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3808 WINDEMERE LN OROVILLE, 95966 CONTRACTOR'S NAME D & D MOBILE HOi1ES TELEPHONE 532-3303 CONTRACTORS MAILING ADDRESS 2243 FEATHER RIVER ,BLVD Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS , Penalty $ BUILDING ADDRESS 3808 TJINDEMERE LLN PERMITFEE $ 43.00 OROVILLE 95966 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UGIities ❑ Installation Other ❑ Describe Work: 2 RF,DROM111 Mobile Home IS I G1 W @20.00 PERMITFEE; Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class yam_ Lic. No. f-/ / f (S2_ OWNER -BUILDER DECLARATION 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 NEW CONST. DWELLING OCCUR OR ACDNS. ( 8 ACC. BIDS. ) SD. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BA2L 0 +•50 L 50 Ex. Occup. (ouTLEEDrs AESIo.�FR.a) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 , • PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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. j4- 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Z P MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number A p /_0 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forth ith Comply with those provisions.-- — -- X Date 9— �I- !� S Signature of Applicant - ❑ Owner j<Contractor ❑ 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 Is 100.00 Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. P7F IMP _ FLOOD COF pARCE PD HD ` ISS Ue This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have nn • By �- �i�i� PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date C -1/_G L6 - 11-J,6 (Date) Receipt No. 185328 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _.A-.. �r{i�i�'�/Tii*.SJiI��'M1��rT.Pf -� j�lfyj� r � MSX..n'GTrT�'�u.�,"w�..�r-��y/•:• � r��g1i�-`dr+,tti.:N hi't'��., .. .. .. COUNTY OF BUTTE -DEPARTMENT OF EVELOP"M-ENTSERVICES -BUILDING DIVISIO 7 COUNTY CENTER DRIVE - OROVILLE, C4,I 9f t- A, 95965 -TELEPHONE (916) 538-7541' P RMIT APPLICATION DATA SHEET .r .�; (�• X70 � ��3 OWNER - A. P. 0. d Proposed Building Use Mzz7t Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit- processing and/or issuance: ~ DATE RECEIVED BY 1. All items have been submitted. ...... 2. Plot plans, 3/4 sets, signed by preparer f plans . ......................... . 3. Complete plans, 3/4 sets, signed by prepilrer of plans. ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............:'. u ........................... . 6. Energy Design Compliance and supporting documentation : ................. . 7. Statement of Intent for Non -Heated and A/C Buildings. . ngineered truss details and layout in duplicate (required prior to plan check). .... 9. obilehome data and manufacturer's installation instructions, 2 sets. sof$ .......................................... 1 Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department. . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. ......... . 19. Driveway permit (construction approval required prior to occupancy). . . Prelnspedio�requeT_ 20. Pre -inspection for required. . to Building Inspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of-Workmans Compensation Insurance. ....... :................. r 23. Owner -Builder Verification (Given to owner , Mail to owner _). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature au horization........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . a/Cetter of intent on building use . ......................................... 28.Mobilehome utility clearance . ............... _ ....... 29. Documentation of legal access . .............. ....................... J 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ................• ....................... . 32. Plan check list . ..................................................... i 33. 34. When y issue the permit, process as follows: Mail to owner. -Mail to contractor. Telephone !! '3)3 o- nd hold for pickup at 6A ' + office. Deliver with inspector.y Other Parcel Creation Acreage Applicant Date Copy of Haz-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 1. Index permit for above items No. 2. Additional items required: issuance: (Circle new item not checked Contractor, designer, owner, was advised of above required data by _ phone _ n ail f L' 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, i % G ( $4ars Date I -i1 q,S Z Sets of plans on hold in File cabinet >- AP folder Copy - Department of Public Works . �• t BrIIInIIiG "TWT4zIOK - COUNTY OF BQI'TE - DF.PArn4M OF DE4EtAP!ffi�T1 SF.BYICgS - - 7 COUNTY CENTER DRIVE. OROVILL-E CA -7 _ 195965 TELEPHONE. (916) 538541 . - `OWNER • • - - / PROPOSED BUILDING USE A �` DATE REC.- # DA_ SCWM DISTRICT FEES (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) - Residential...... x a� unit amt. Commercial sq. ft'. amt. V/13.- URBAN AREA FEES (paid at Building Department). Residential (per unit) x # units amt. Commercial (per sq.ft) x sq. ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office). ••• 5. 6. 7. DRAINAGE DISTRICT FEES (Contact Land Development Division).............. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. . DATE. APPLICANT r BrIIInIIiG "TWT4zIOK - COUNTY OF BQI'TE - DF.PArn4M OF DE4EtAP!ffi�T1 SF.BYICgS - - 7 COUNTY CENTER DRIVE. OROVILL-E CA -7 _ 195965 TELEPHONE. (916) 538541 . - `OWNER • • - - / PROPOSED BUILDING USE A �` DATE REC.- # DA_ SCWM DISTRICT FEES (paid at District Office) ......................... SHERIFF FEES (paid at Building Department) - Residential...... x a� unit amt. Commercial sq. ft'. amt. V/13.- URBAN AREA FEES (paid at Building Department). Residential (per unit) x # units amt. Commercial (per sq.ft) x sq. ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office). ••• 5. 6. 7. DRAINAGE DISTRICT FEES (Contact Land Development Division).............. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. . DATE. APPLICANT BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District d /tDy,41 AS ; Building Department No. A.P. Number©? -- 3'd— 0.2 3urisdiction: City [County Property Owner Property Locatic Subdivison Lot No. Residential Development [T Sq. Footage No. of Living MHI Addition { roup R) Units Commercial/Industrial Sq. Footage New Addition (Including Exterior Roofed Ar as) B ilding Departmen epresentat a Date (Floor Plans reviewed by School District Personnel) District Identification No. 9-6 0'0 2 5 School District certifies that (Applicant) OA& R 3303 (Street Address) (Phone Number) d n UAL (City) (State) (Zip Code) p has complied with the requirements of Resolution No. Q rJ (� by payment of $ 0 �_ representing L3 -3 square feet. Sch of Disth 4p6resentative Paid by Check # Remarks: Bank Number Paid by Cash AB 2926 FULL MITIGAT-TON $ 9- /I- 95_ _ . A Date r V. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (11l94)dmm --RESIDENTIAL 58-376-02-3 -�• PERMIT#95-2057 x .� 3808 Windermere Ln., Oroville Cont; D & D Mobile Home Service Mobilehome Utilities OFFICE COPY Address' I I GAS Meter By Date ELECTRIC Meter By Date JOB FINALED (Date (�f — Signature V=OK O = Not OK Apptic }No Readyable MOBILE HOMES Date MOBWE HOME, UTILITIES Plans OK except #'s �,�Zopi< Requirements -Setbacks -Easements So' , Special MH Support Sketch Sew cation -Test -Fall -C/O Concrete r; Lopti Needed (Sketch) EI icity; Location-Clearences-Grnd-/ /Amp -Concrete Gas; Locati st-Wp: / /"Nat. /"L"ft.//,LPG learance & Di Clearance DateCard Date B-1 Date Card B-1 Card B -T_ Date Card B-1 Date MOBI_U HOME INSTALLATION Plans OK except #'s jelzo g Requirements -Setbacks Easements '2. oo 'ngs; Size -Spacing -Marriage Line as; MH Test-Demand-Valve—Connector 4 ricity; MH Test -Crossovers -Breakers -Clearances rai , MH Test -Fall -Flex Connector Lj4,-<ajpK,, MH Test -Regulator -Connector r and Sewer Connected -C/O to Grade -HD Approval s nd Electricity Tagged E ' s; Insp.-Sketch Cert. of Occuoancv 1 Date ,R< Card 13-19 Date Card B-1 Date Card B-1 �r Date Card B-1 C��=�s i� r�/ 79irs�iz 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-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 8-1 Date Card B-1 J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except #'s & Duplex) ,Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors _ 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -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 ti'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 Floor -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 a'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. 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. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - --------------------------- --------- - --- - -- 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip Clearances Panels-Motors-Mech. Equip. ------------- - ----------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------------- - - - 33. Smoke Detector ------------------------------- ------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------ ------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except tr's 34.- A. -C.- Ducts Insulation & Support --------- ---------------------------------------------------------------- 35. Vent Fan; Exhaust above insulation -------- -- ----------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ----- ---------------------- 37. ------------------ 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 ft's 39. Sils. Proper Material & Anchors ------- ------- -- - ------ - ----------------------------------------------------- 40. Walls Stu -ds -Nailing. -- Spacing -&-Bracing-Plates-Sound---------------------------------------- --- -- -- - - - 41. - -Walls Walls over -- Girders- -& -Floor Nailing-- --- --------------------------- --------------------- ---- 42. Draft Stop in Walls (rat proof) ----- - --------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------ 44. ----------44. Headers & Beam -Size & Bearing 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 53. _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 k's _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ----------------- - 64. Bedroom Exiting ---------------------------- ---- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ------------------------------- 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------- 67. Stairs & R -ails _ 68. Fireplace or Stove: Clearances -Hearth ---- ----------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. -- ------ --------------------- 70. --------------------70. Kit.Fixt. & Ap_pliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing- Land ing-Close r 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 ------------------------------------------- 7 . Insulation -Foam -Looked in Attic ❑ Yes --------------------------- ---------------- --- -- 78. Guard Rails & Deck Construction -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: -Brow n -Finish 82. tucco:Brown_Finish82. A.C. Unit; Disconnect. Electrical, Plumbing --------------------------------- 83. --------------------------------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. ------------------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 -----------------------------Date Card B-1 Date Card B-1 ------------------------------------------- - ----- Date Card B-1 Date Card B-1 ------ - -- ------ ------------------------ Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Orov0a, California 95965 - Telephone (916) 538 -7541 -PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 058-370-023 ZONING RT1 BUILDING PERMIT OWNER,�-.r E AT ' I� ^ _ AO �_—r-E TELEPHONE SO, FT, OCC. BUILDING VALUATIOft OWNERS MAILING ADDRESS 3809 CAMELOT LN OROVILLE, 95965 CONTRACTOR'S NAME D & D MOBILE HOME SERV. TELEPHONE S"3�3 0 CONTRACTOR'S MAILING ADDRESS Z'L Fes- L/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 3808 WINDERMERE LN PERMITFEE $ OROVILLE, 95965 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT No. S UBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome �l Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 • 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CK Installation ❑ Other ❑ Describe Work: Mobile Home @20.00 60. OC PERMITFEE $ 80.00 Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Cc/ 7 Lic. No. l / /LJ �- OWNER -BUILDER DECLARATION 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 NEW CONST. DWELLING OCC"SO. OR ADONS. ( d ACC. BIDS. ) 3.5Q FT. NEW CONST. MULTI.OUTLET NON-RESID.( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (&SINGLE OUTLET CIR. / Ex. Occup. (OUTLET OR FIXTURES Q 1.00 anLIL so FIXED ( Ex. Occup. ( OUTLETSR SD.OEA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. 1K 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' compensatio insurance carrier and policy number are: Carrier 2 e z MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number Al 3-7 6 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date g 12! i _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ AgentAn OSHA permit is required for excavations over 5'0" deep and demolition or constructionof structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 66.00 L I HAZ. D. FEES FLOOD CDF PD HD ISSUE V1 1/1 - This permit is hereby issued under the applicable provisions oVufte ty Code and/or Resolutions to do work ir which fees have been paid. Date �j PERMITEXPIRESON ` - ` V (Date) Receipt No. 185253 I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t COUNTY OF BUTTE BUILDING DIYISION4 DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (9.16a) 891-2751 7 County Center Drive, OrovilletC ; 93,6) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE -L12Z� PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Approved steps and or porches shall be installed within 60 days where indicated by X. Permits are required. Date Inspector REV 1 92 TIEDOWN CERTIFICATION Installation Permit Number: Property Owner's Name:— Address ame: Address or Location of Unit: 3��8 �I.S�C�e r�-t �� �✓ a 2c, Z", -/(C Assessor's Parcel Number: 0-5-9--3749 -023 Manufacturer's Name: /`� ���-�.��� Size:�2 Year of M/H: P ii 5 5" Tiedown System Number: GL f oy 6,4 -add .o� /,, C- S 1014 No. F -TS /o/ I certify that those portions of the tiedown system installed below grade (1) were not damaged prior to or as a result of the installation, (2) were not modified prior to or during the installation, and (3) were installed in accordance with the terms of their, listing or with the terms of the engineered plans and specifications. `) ) ature' Date ,-Tc) 1, h Cwt Ar c JZ Print Name " COUNTY OF BUTTE - DEPARTMENT QFREVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 I PERMIT APPLICATION DATA SHEET OWNER I't Isorl A. P. No Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans; and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. mpact fees as shown on attached schedule. ... .. . 1California Department of Forestry plan approval es. r / . 13. Flood elevation letter (100 year flooby C I' r sneer. 14. Sanitation and plot plan approval V Health Department.' epartment. ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ . Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. . Pre -Inspection request 20. Pre -inspection for required. . to Building Inspector. (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... I -A. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. y� 25. Letter of signature authorization . ..................... ;................. . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When ou issue the permit, process as follows: . Mail to owner. Mail to contractor. Telephoneq2C' LI and hold for pickup at v " office. Deliver with inspector. Other \ Parcel Creation Acreage Applicant Date Copy of Haz-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 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by -8j3a.,�s Date Sets of plans on hold in File cabinet 3 AP folder Copy - Department of Public Works P E.H. USE ONLY ,•� Plot Plan AdscW Flo" Plan AtmcW Sent to B.D. ��/._T TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance w gy Afc I j V, r4 Wr- rt kok, A/ C14a) e- VVIP"V S -P-3 7 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O. K. for: NOTE: d!q�l 6:' 7 - V Environmental Health Specialist Date ' 1 I 3 i < C 3 cu N o C C CD Er::I:v:D:) E 9—/ �—Vl E--? —� c REVIEWED BY BUTTE CO. FIRE DEPT. CALIF. DEPT. of FORESTRY ❑ approved as submitted approved with conditions per,Vache she Signature Date A 71 ALL STRUCTURES AND EQUIPMENT. INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENT'S. A SET BACK OF �.� FROM THE SIDE AND Ag A' . FROM THE REAR PROPERTY LINES AND Sa . FT. FROM THE ROAD CENTERLINE SHALL CE CLEAR OF STRUCTURES AND EQUIPMENT :O:CEPT FDR A 2 FT. SAVE OVERHANG. (A O Z V K 14 cn If b d 00 n Gm t8 to i W �I o� Z- ,7-37-23 AP# CDF FIRE SAFE REQUIREMENTS Sir 2057 (JiC,S oc/ 1 J!!�47p/7 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. 19 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 Q/] 1273.02 Surface. All driveway surfaces and structures (bridges, 1 1273.07 culverts and other app. -,rte ant -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. [�] 2. The length of ver':i al 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 ?, PERMIT # 0 GJicSv,v I �_p,7- NAME [y] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 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. Vi 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 [�C) 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. [ ) 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull property lines and/or the center of the road. 1 2. For parcels less than 1 acre, local jurisdiction 1 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 fi_ial inspection of a building permit. Page 2 of 3 Jam$ 3 7-2-3 g S 2 lit%il�S o ,�J� �O� 774� AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof -Enclosed eaves If Building Setback is Less Than 15 Feet Choose any 3 of 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 110$ 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 .F -5O --�� Date Signature Page 3 of 3 RESIDENTIAL 058-370-023 PERMIT#95-2781 _ WILSON, Edith 3808 Windermere Ln., Oroville Cont; Ken Warren L Open Decks & Ramps/MH JOB FINALED (Date) — Signature V=OK O = Not OK Not Applicabley Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s gWm§ Wequirements-Setbacks-Easements 1. Zoning Requirements - Setbacks - Easements Foo6 i "sSize•DepthSpacing-Connectors-Steel 2. Soils; Special MH Support Sketch ecks; Girders and/or Joists-Decking-BracingStairs-Rails 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectlonsSplice-Decal-Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap; / /`L'ft. / /Nat. or/ /'L"It./ /LPG 7. Electric 7. Well Clearance $ Disconnect 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. 59of�Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card Date Card B-1 1. Zoning Requirements -Setbacks Easements Card Date Card8-i 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECK OVERS, CARPORTS, GARAGES(Plans) OK except #'s gWm§ Wequirements-Setbacks-Easements Foo6 i "sSize•DepthSpacing-Connectors-Steel ecks; Girders and/or Joists-Decking-BracingStairs-Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-ConnectlonsSplice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. 59of�Shthg-Roofing Ext; Steps -Doors -Lendings Date%/��q/ Card Date Card B-1 Date Card Date Card8-i Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -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 B-1 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except If'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-Blockouts-Wrapped 6. Stemwalls, Garage; Steel -Bloc kouts-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 a'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 Floor -Tub Access ------------------------ 20. Test Tub & Shower. Second Floor -Tub Access ---------------------------------------------------------------- - ------ 21. ----- 21. Gas Pipe: Size Anchors ------------------------------------------------------------------------------- Date Card B-1 DateCard 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 wrMech. Fasiners-Bond Gas & Water --------- -------------- ----------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ---------------------------------------- - ...... ... ... ... .. 28. Subfeed Wire Size ga. Cu or AI -A.0 Wire Size ga Cu or At ---------------------- - -- ---------- ------- .. 29. Range Circ. r ' ga. Cu or AI -Oven Circ. r 1 ga. Cu or Al Insulated Neutral ❑ Yes ❑ No -------- --------------------- ---------- ---- 30. Service -Riser Conductors & Ground -Main Disconne.---------------------------------------....... 31. Equip. Clearances Panels-Motors-Mech. Equip ------------ --------------- --- ------ ---------- ----- --- 32. Clothes Closet Light -Shower Light -Spa Light ------------ ------------ ---------- -- -- 33. Smoke Detector --------------- - --------...... .......... .. ......... . . Date Card B-1 Date Card B-1 -------------- ....... -. . . ... ... .. .... _---- ... Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except rr's 3a. 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 it Furnance in Attic ------ ------- --- .-. ... _ . Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except tr's 39 Sils. Proper Material & Anchors 40 Walls Studs -Nailing. Spacing & Bracing - Plates -Sound .... . ... ... _. . . __..... _. . . 41 Bearing Walls over Girders & Floor Nailing _. .._ ... ... ..... ...._ ._ ._ ... ... 42 Draft Stop in Walls (rat proof) 43 Fire Stops Furred Ceilings -Stairs -Chases -Tub ------ ..... .. -._. 44. Headers & Beam -Size & Bearing 'ingle & Duplex) DAte FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -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 --------- -------------------- 53. _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 -------------------------------------Date Card B-1 Date Card B-1 - - ----------- -------------------------- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except rr's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ----- -------- ------------------------------ - - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ------------ ------- -------------- 64 Bedroom Exiting .. ------------------------------- 65 --- -----------65 G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels .----------------------------- 67. Stairs & Rails ------------------------------ ----------------------------- 68. Fireplace or Stove: Clearances -Hearth . ... ....._..------ -------------------- ----- - 69 Elec. Outlets at Wood Panel: Int & Ext. ... ..- _-- ..--------------------------- ---------- 70. Kit.Fixl. & 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 -Meeh. Protection . - ----------------------------------- ----- 75. Plb . Elec. & Mech. Equip. Listed for Location . ... ...... - -------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. ... ........... ------------------------------------------- 7 . Insulation -Foam -Looked in Attic------ -- ❑ Yes ----------- .--- --- - -------------- ----- 78. Guard Rads & Deck Construction -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 -------------------84 Water Well: Disconnect. Electrical. Plumbing ------------------------ ----- 85 Exterior Elec Trim. G F.I. Receptacle -Underground ----------------------------------------------- 86 Ventilation Throughout House 87 Glass Protection ..-- -------------------- ------------ 8d Corrections from Previous Inspections - - -- ----------------- 89 Gas Gas Test -Meters Tagged: Gas -Electric 90 Water & Sewer Connected-C'O to Grade -HD Approval - -------------------------- 91 ---------------------- -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: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 95-078/ 1 ASSESSOR PARCEL NUMBER 058-370-023 ZONING RT1 BUILDING PERMIT �z OWNER EDITH WILSON T°5NE9976 SO. FT. OCC. BUILDING VALUATION 344 0 4,472.00 OWNERS MAILING ADDRESS 3809 CA1,1ELOT DR OROVILLE, 95965 CONTRACTOR'S NAME KEN WARREN TELEPHONE 533-4789 CONTRACTORS MAILING ADDRESS 13290 ST IVES 14AY OROVILLE, 95965 Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation Is 4,472.00 Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 46.60 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 3808 GIINDER,r'IERE LN PERMITFEE $ ' OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome CK Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New EX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW DECKS (2) 6X10 AND 10X18 — 14ITH (2) R94PS Mobile Home S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service600v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 20OA TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 5 Lic. No. 3 % 231,65- OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BLOS. ) 3.50 SFTD.. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 0 +.50 BAL so Ex. Occup. (OUTLETS ((RRESID.)EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date / ?5 RSig ature of Applicant - ❑ Owner $ Contractor ❑ Agent 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 Is OCC CONST. TYPE TOTAL FEE $ 138.80 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PD HD ._ _ IS 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. B Dat [� Y PERMITEXPIRESON l Date) Receipt No. 1862/5 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ,Tr _ ''..-•.-�,-..y,_�..,.`..r.-:.•J..,r .�.'*:t�.; v_ 4:.�,..fTCM'1.,..r�-..+ti.,�r'�.r�,w'r `S�^.,. ,.�,t ;�r-.�».�R. ".^C''.�^'._ i t COUNTYOF BUTTE - DEPARTMENTOF-DEV ELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALiFbRNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET V/ OWNER �Gt�i �� �� /5 A. P. No. 3 3 Proposed Building Use /V w clef ` Building Inspector ? g Date /1- 6, - 95 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ` DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans. ...................... `-- - 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5 Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................... 12. California Department -of Forestry plan approval/fees. ....................... . �f4Flood elevation letter (100 year flood) by California Engineer . ................. I/1z RI �S . Sanitation and plot plan approval 0r0vt -e- Health Department. ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ...F;,�4;sego; 20. r;�u_ Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner . .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When y u issue the permit process as follows: Mail to owner. Mail to contractor. Telephone % and hold for pickup at Oro v `t� office. Deliver with inspector. Other Parcel Creation Acreage Applicai0i Copy of Haz-Mat form sentHealth 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: j Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ it C nter by -Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works •1. H.H. U H ONLY Plot Pisa AmcW Floor Plea Aftched Seat to B.D. —4—Q TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance LU 11,5, CN—, , Oro M 0 LL I - �� m Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for m mo e . a no1_j ) 12nr.k,n (ao' kjn'�Z Hold final for: ' Final clearance O.K. for: NOTE: .� 1 I -- L?'s — Environmental Health Specialist Date Q101) oW ►JE{Z: E(OIT14 E. W IJ-SOtiI ADDIZESs : 3809 CAMELOT F,)lZ aRoVrLL-E A. 58-370-�3 ce�z-6,f7o,� : Pl of PL, A N Ke E_ / " —'20 , PW.6P05EP _Df(_V_ 70 Etc Is i , Q. CZtS T_ T L M d- NOTE:—All Accordance of a quality Uniform Buil! the National -7O, _ 0- PI_ �oX ro' 20 M0 t5 i r °R ¢rX 14, 1� d_ _ 0 9 k,F r-- P, 1 this set of plans and specificati ns MUST tr kept on the job at a6! times and it i unlow; r make any changes cr altera-tions on Crus withow written permission from the Depart rr en't of Pv61;- Works. County of Rrs0s. iterials & Workmanship Shall Be Ir. h Recognized Good Practices and scri6edl for tine Spwcified use in the , Plumbing & Mechanical Codes and :frical Code. BUTTE COUNTY BUILDING DEPARTMENT Ar ROVE® �s-ami ow QE-�F-: EP(Tt4 �- W i I-50 f 1 AD+)lLe55 :.3Srj9 GAMF_LoT Djz. op-ov, LLQ A. P � 58-370- 023 Gov7'RA�T'o!� ; i 94" i�iaR� pR�U��SED p�G� PLAu � 533-78 9 M03 ► Le - MF -:Es. . G LEAiz w(-r-- 4X4 PcK�Ti' ►�IAX' �' R�.Ic' 5PAc 2 x to F -\-Jo' 2 K 6 D.F. 2+1,0.6. & 4x6 v.F , c�i2,oEr- -rlrp/ 4x4 PT Po6T5 BUTTE COUNTY BUILDING DEPARTMEN7 �P cdNP,�2 A PPr-I N 4-x(r, Giros `�— 5_6 — w/¢x�- PT. Pos75 I i Y PL a N TYPE. � � O ..p G0,v6. ParzS � 7 O �. 14" X l4" x tz''- own -I I i 4X4 PcK�Ti' ►�IAX' �' R�.Ic' 5PAc 2 x to F -\-Jo' 2 K 6 D.F. 2+1,0.6. & 4x6 v.F , c�i2,oEr- -rlrp/ 4x4 PT Po6T5 BUTTE COUNTY BUILDING DEPARTMEN7 �P cdNP,�2 A PPr-I E0iT4 E. Wil -Sol i ADOXESS : 380q CAME)-oT prz • ORo\/rL.LE. A. ¢58-370-023 . . Ca►.rT9�-oP- : P�oT P,C, A N Ke 5�3-478 q P05F-P -Df-r-,V- -TO Etc is i , ki IPZES. r L m -70 T � N o x44' 20 rA0 LE 4, X I,�' 5 4—R k 50 I APPROVED Butte County Environmental Health Date n I Signature 1 -3 LAND DEVELOPMENT - BUILDING PERMIT CLEARANCE Building Permit No. a — . VA n-Eet,,t m ) P -O 3 -r 4. W ANDA,--F(2-vs T 1 NAMEROWNES <SO NUMBER: D So 2�� O — D PRINT LAST NAME FIRST COUNTY ZONING \, IZ T FLOOD ZONE: ✓� FLOOD MAP: ISO 13 DESIGNATION: APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: Cfl-MPLa f 53�12/�JG VA--Le-y +VV Wi MVOL-2 NLEfz E [.N DATE OF RECORDING ').))OZ -71 LOT ') 9 BOOK —3 t3 PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. Ix 2. Maintain a 20 ft.building setback from right-of-way/seAwrline of 1 �j 0 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback'from _ 5. Pay water tender fees in the amount of S to Battalion Number of the Butte County Fire Department. _ 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. _ 8. Connect to a public sewer system. 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & -Game 619 16-355-7010. _ 13. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to &-m Plaro»g Dhfsfon. _ 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. _ 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 20. 21. 22. .t _ 23. Ii 24. I 25 NO iMd013A3a aw 31iA8 l0 AN= 96616 z 9AV C13AI303H LD 8/95 - CAWP51TORMS.KIBLDGPERM.CLR Return .o: AGRICULTURAL STATEWi NT OFAK_NQWLEDGEMZNT iluilding Division _ FOR RESIDENTIAL DEVELOEMENT _ Section 26-8.1 of the Butte County Code requires this ��— aclmowledgement be mQgded prior to. issuance of a building 95-0297,54 permit. The property described herein is adjacent to land or included within an area Izoned for agricultural purposes, and residents f�IOT C:Ai� *M of this property may be subject to inconveniences or t71lft3fliK ipOCU� discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and�� fertilizers; and from the pursuit of agricultural operations p 11 G 3 O including, but not limited to 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 discomfort from normal, necessary farm operations. . All that real property situate in the County of Butte, State of California, 'described as follows: Lot 99.and lOb,•.-..as shown on that certain map entitled, "CAMELOT SPRING VALLEY RANCH'', which was filed in the office of the Recorder of the County of Butte, State of California, on September 10, 1971 in Book 38 of Maps, at pages 51, 52, 53., 54, 55 and 56. Date: ` 9'37 State calif, Countyy of PROPERTY OWNERS: /� [Y�e A 'on before me, 1 personally appeared ?Qdl�= 618frfi2ntl _2L AND 1A) 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 helshe/they executed the same In his/her/their authorized capacity0es), and that by his/her/their signature(s) on the Instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my hand and official seal. TARA J. GUDGEON rcer,. Signature A.P. .JJ r 5 6 !320_--PR-3 Commisslon 810--0724 Mlr CPSf lNotaqPublic 80e County, Calllomla Seal: MY Commisslon Exp. MAR. E, 1999