HomeMy WebLinkAbout058-520-005joGary HeilW.side,Hwy,use Cafe, Yankee Hill Area r z
Permit # 169742P *E(util/MH)
ELECTS//-F� 2aD
GAS
SUPPORT STRUCTURE :REQ,
COMPACTION TEST REQ,` n,
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joGary HeilW.side,Hwy,use Cafe, Yankee Hill Area r z
Permit # 169742P *E(util/MH)
ELECTS//-F� 2aD
GAS
SUPPORT STRUCTURE :REQ,
COMPACTION TEST REQ,` n,
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-2 065
PERMIT NO. _..,1697-82P,E
PERMIT EXPIRES
OWNER Gary Heil,-
CONTR. Owner
ASSESSOR PARCEL 58x21-31
LOCATION N/W.side.Hwy 70, app mi. S. of
Rockhouse Cafe, Yankee Hill Area.
(f
i
i
Temp. Power Pole
1;
Fi
Called PG&E
8'
Temp. Elec. Service -/ f'3
I
Called PG&E CA
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V = SOK
O = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (.$) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) G. -xcept H'
o ' gRequirements-Setbacks-Easements
1, Zoning Requirements -Setbacks -Easements
'Peloils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
ewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4 Water;. Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shing.-Rfg. -Bracing
lectricity; Location-Clearances-Grnd.-47&/ Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Encios,:res
6(CG , Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
Utility Clearance
_
6. Carports; Windows -Doors
7. Elec.
C d -BI
Date - —v Card -BI Date
. Card -BI
Date Card -BI Date
Card -BI
_ Date -f(- Card -BI Date
Card -BI
_
Date Card -BI Date'
Date
BILEHOME INSTALLATION (Plans) OK except N's
Date
_
POOLS (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.: Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7; Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures- Pane Iboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
O = Not OK
= Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce tk's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
17.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
68.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
Date ELECTRICAL Permit OK except N's
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails & Deck Construction -Post Caps
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑Yes El No;
Planters El Yes ED No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_ -
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access -& Platform if Furnace in Attic
Card -BI
Card -BI
-
-
- -- -- --- ---- ----
Date- - Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except N's
36. Proper Material & Anchors
_
37.
38.
39.
_Sills;
Walls; Studs -Nailing, Spacing & Bracing -Plates_ -Sound
Bearing Walls over Girders & Floor Nailing--- _
Draft Stop in Walls (rat proof) _
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
CIng. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthnp.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
46.
47.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm._Windows or Exiting Doors -Sill Hgt. & Dimensions _
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 16,79
6,79 7 -
APPLICATION AND PERMIT s
ASSESSOR PARCEL NUMBER
J —• 3
ZONING
.i i. i SH
BUILDING PERMIT
OWNER'7
r � j
l i1�� Va Qt t}
TELEPHONE
l .. r S•
S0. FT. OCC. � BUILDING VALUATION
OrWW NNyER'S MAILING ADDRESS
CONTRACT'OR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
� 10.,00—
`@
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING' ADDRESS� 1
/u) s � P l4 f At - .p z, I
PLUMBING PERMIT
Filing Fee 10.00
t r /
kv-, f . v
L)n-.RC.L
Each Trap
2.00
Repair drainage or vent piping
5.00
�V/
!�h P •
Water pipingLOT
NO.
SUBDIVISION NAME
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome0"Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
�
New ❑ Addition [:1Remodel ❑ LI Utilities Installation ❑ Other ❑
Describe work:
Permit Fee
Permit
$�
Contractor
ELECTRICAL PERMIT
Filing' Fee 10.00
Main service 100 AMP 101 OR ORSLESS
1r;5k00 / f.),
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.( DWELLING OCCUP.81)
OR ADONS. ACC. BLDGS. _
/ 20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p I y (check One):
ElNON.RESID,
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)
F]I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR LTI.OUTLET 12.50 ea
NO N.RESID BRANCH CIRC ITS
_ 61
NEW CONSTR. ( POWER APPARATUS , /
SINGLEOUTLET CIR
so @ zs¢
Ex. Occup OUTLETS OR FIXTURES BAL@1
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID,) EA.� 2.00
Temporary service
10.00
Mobile Home Facilities 15.00 / yj
Misc. Wiring 7.50
1.09
,�''�+�
Permit Fee $ 1q V,, C U
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
® I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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
againstsaid County in consequence of the granting of this permit.
X�/��-�+ �� Date ' % .7,
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 $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST.
IPA_R_C_E_L_.rPD.ND
ISSUE
V-
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By �' �'�--
P ER'�-,,..,•'
MIT EXPIRES Date
✓'
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date t' 7 _
!-t
Receipt No. �_` 1� '/
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
62,9-E,
vp
AP #
OWNER
PERMIT ' lk �, % -%� SY -2-
MH
MH UT IL . CLEARANCE DATE /
INSPECTOR
ELECTRIC
GAS.
Support Compaction
Struc. Test Re .
Service
.Size
Other.
Load
Type
Pipe
Size
Length
YESI NO YES NO
zo A
`—
_ .
✓
/ COUNTY OF BUTTE - DEPAr9TMEf:1T OF PUBLIC WORKS PERMIT NO.
f / 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541 1697—
7,
APPLICATION AND PERMIT AA
ASStSSOR PARCEL NUMBERXL
BUILDING PERMIT
OWNE
HONE
`21
SQ. FT. OCC. BUILDING VALUATION
O 'S ILI Ng DDR ESS
all F,
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ f
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 1
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS,
Permit fee
$ 1
BUILD;D ESS
PLUMBING PERMIT
Filing Fee 10.00
0 U
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
1 DD
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomega""'Other
SPECIFY
Building sewer
�r
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Addition Remodel❑ Utilities Installation❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR Main service 100 AMP ORSLESS�00
r
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELING
OR ADDNS. (ACCLBL GSCCUP.511
/ 22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. I.OUTLET
NON.RESID BRANCH CIRC ITS 2.SOea
NEW CONSTR. / POWER APPARATUS eI
NON-RESID, %SINGLE OUTLET CIR,
80@7�
Ex, OCCUp OUTLETS OR FIXTURES BAL.@t
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ��,X
Misc. Wiring 7.50
. o
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Noti a to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
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
agains said County in consequence of the granting of this permit.
X^l�� Z
Signature of Applican — 11 Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesiin' height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
1(,Butte
OCCUP, GROUP
I TYPE OF CONST,
PARCE PD MD
ISSUE
This permit is hereby issued under
sions sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PUBLIC
BY �
P IT EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 4_'L:3-rpZ
9-z3t�_
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
OWNER
-•.�..,j.,;,,.�-'�-...r.�.�--..r-1....-���........,.¢",Z?�y""1;,.,t.=-"tiv--Jar-=�.:.',-'_�.-�. .. ..-w, .:.:---•... ,-. ,.... .-..: ='
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINGIDIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE 916/534-4541
PERMIT APPLICATION DATA SHEET \ r
Permit No. t
A. P. No. _!,j U
Proposed Building Use.
Permit Fee Based Upon
Building Inspector
Complete Contract Price LDPW Valuation
r (Explain)
P- Date
At time of permit application, I was advis d the following data must be submitted prior to permit processing
and/or i Uance: DATE RECEIVED APPROVED
All items have been submitted. . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , , , , , , ,
,9' Letter of signature authorization.
70--Signitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif,) ,
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . . .
. .
Q'� 17 Pre-Insp29--n
on for Req red. Building In ector Pre-Inspec. request to TM (Date)
Q&118 Other .H'i�
When you issue the permit, process as Wows: _Mail to owner. Mail to contractor.
R.,
Telephone and hold for pickup at office. Deliver w/inspectoCr,
Other
Applicants st>< Date _,/J7. If
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor,
Plans check
Plans approved
Other:
Copy—DPW
ig�er, Owr*r) was advised of above required data by Telephone
By
Date
Date
Mail Other
Date
To: Buila,n.,-, Depart r:ent � ....-
From: nvi onmental Health
SUb;'ject• Sanitation Clearance
�• Sir D S`2
C�•:-rer Location ''�,,
Plan liJOTOved for: Je(+2oe ulSjJOScI
Hold final for: (rater supply
Fir-al clearance 0. K. for: i•,•ater supply.
Clearance for 2-- bedroom mobile home. Other
•
j,TOTE
i
Saritar ian
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:.
An "owner -'builder" building permit has been applied for in your name"and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing 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) 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 pl to provide portions of this work, but I have hired the following
piers, n to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will prov' a some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
i
Signed:
Property Owner
Social Security number -
Date /9'
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
permitted to issue the permit.
Return to DPW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT'
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
BUTTE Cr, -V11 -7'y
y J ;
•c00ri,�r, � •fsL _ .
im
j3
ELEAN011
CLERK -R --
EC R
The property described herein is adjacent to land or included.,.,yr
within ' an area zoned for a ricultural ur oses and residents of S� E
g P P 2 -%-8
this property may be subject to inconveniences or discomfort arising 3ti�
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul
tural 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:
Date: (0l 1 � � Z
PROPERTY YW RS:
State of � ,�or v,� ) On this the 1 day of 19 �- Z -
SS. before me, the undersigned Notary Public; personally
County of appeared
****Gary G. Heil and Dorothy K.
known to me to be the person(s) whose name(s) re
I subscribed to the within instrument and acknowledged
PC'jhsAia i?. G !; €' P that f executed the same for the purposes
1 !JTARY PUBLIC •�aLIF'Ci:?:'A
therein contained.
Bufie ccuniy
�a 41yCommission Expires Moy7, fab IN WITNESS WHEREOF,I hereunto set my hand and official
seal.
Notary Public.
Ronald D. Callen
Present A.P. NO.
Order No. 1152G0
SCHEDULE C
The land referred to herein is described as follows:
X111 that certain real property situate
of California, described as follows:
' ••E . S. Aix
in the County of Butte,. State.
` A portion of that certain Parcel. of land in the South one-half of the
Sout•rleast quarter of Section 26, Township 22 i'dorth, Range 4 East,
'M.D.B. & M., acquired by the State of California from Earl H. Garner,
et ux by Deed dated October 18, 1957, recorded January 14 , 19?8 in
Book 907 at page 152, Official Records of Butte County.
Said portion is all that part thereof lying Northwesterly.,from the line
described as follows:
x
BEGINNING at a point from which the Southwest corner of Section 26,
aforesaid Township and Range bears South 780 52' S�" [;�esf. 2332. . _
feet, sa_d point of beginning is also -100.01 feet Aiortherl. measured
at right angles from.the base line of Engineer's Station "B" 1069+92.37
B.C., of the P,epartmer!t of Public 6vorks'. 1956 Survey from Oroville to
Jarbo Gap, Road III -But -21-B; thence from said point of beginning North
46o 45' 50"'East, 748.50 feet; thence North 020 48' 59" West, 22.6.61
feet; thence North 140 12' 58" East, 157.69 feet to a point on the
Westerly•right of way line, as -aid right of. way line is.shown in State
Highway Hap Book No. 2, recorded September 10, 1954 at page 195,• records
of Butte County, said point also being 138:22 feet Westerly, measured
radially from the aforesaid base lisle at Engineer's Station "B" 1082+82.85;
thence continuing along said Westerly right of way line along a curve
to the left with a radius of 875.00 feet to the ivorthe.r ly line of the
Southwest quarter of the Southeast- quarter of said Section 26.
EXCEPTING THEREFROM the exceptions and reservations of access and.
mineral rights as contai-ne_d in a Deed from the State of California
to Esther J. Detlow;an unmarried woman, dated May 9, 1960.and reccrded
May 23, 1960 in.Book 1058,page 448, Official. Records of Butte County,
California.
Y- X�
State of California
u� County, of Butte
RC�=DD.!.E(aNOTOrPMAMy Comy 7, 1986 '
IN WITNESS WHEREOF, I hereun�o set my hand an
official seal
On this the 18th day of'June;
1962, before me, the undersign
ed Notary Public, personally
appeared Gary G. Heil and
Dorothy K. Heil known.to me to
be the persons whose names are
subscribed to the within inst-
rument and acknowledged that.
they executed the same for the
purposes therein contained.
Return to DPW AGRICULTURAL STATEMENT OF•ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8:i of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
BUTTE
JUN
ELEANOR MDCC,R
CLERK • RE' O ' DER
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort arising
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural 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:
Date: (a( 1 e/ k Z
State of C"+1• r* ) On this the 1 t- day of a'o-^" , 19 �- Z- ,
SS. before me, the undersigned Notary Public, personally
County of &i'L4C.. ) appeared
****Gary G. Heil and Dorothy K. Heil* * * #* *xx
known to me to be the person(s) whose name(s) A
subscribed to the within instrument and acknowledged
RONALD D. CALLEN that ��executed the 'same for the purposes
NOTARY PUBLIC-CALIFCRi`L'A
therein contained.
Butte County
My Commission ExpiresMoy7,1936 IN WITNESS WHEREOF, I hereunto set my hand and official
seal. ^s
M
0 00 :.
Notary Public
• Ronald D. Callen
Present A.P. N0. C'R1— 3 � l
Order No. 115200
SCHEDULE C
he land referred to herein is described as follows:
All that certain real property situate in the County of Butte, State
of California, described as follows:
A portion of that certain Parcel. of land in the South one half of the
Southeast quarter of Section 26, Township 22 North, Range 4 East,
M.D.B.. & M., acquired by the State of California from Earl H.'Garner,
et ux by Deed dated October 18, 1957, recorded January 14, 1958 in
Book 907 at page 152, Official Records of Butte County.,
Said.pertion is all that part thereof lying Northwesterly.t-from the line
described as follows:
BEGINNING at a point from which the Southwest corner of Section 26,
aforesaid Township and Range bear: South 780 52' _ , " ldr-Qf .
332. ,9
feet, said point of beginning is also 100.01 feet Northerly measured.
at right angles from.the base line of Engineer's Station "B" 1069+92.37
.B.C., of the Department of Public works' 1956 Survey from Oroville to
Jarbo Gap, Road III -But -21-B; thence from said point of beginning North
460 45' 5011:`East, 748.50 feet; thence North 020 48' 59" 'nest, 226.61
feet; thence North 140 12' 58" East., 157.69 _feet to a point on. the
Westerly. -right of way line, as said right of way line is.shown in State
Highway Map Book No. 2, recorded September 10, 1954 at page 195,.'records
of Butte County, said point also being 138>22 feet Westerly, measured
radially from the aforesaid base. line at Engineer's Station "B" 1082+82.85;
thence continuing along said Westerly r-ight of way line along a curve
to the left with a radius of 875.G0 feet to "tie Northerlyline of theSouthwest. quarter of the Southeast quarter of said Section 26.
EXCEPTING THEREFROM the exceptions and reservations of access and.
mineral rights as contained in a Deed from the State of California
to Esther J. Detlow.an unmarried woman, dated May 9, 1960.and recorded
May 23, 1960 in. -Book 1058, page 448, Official. Records of'Butte County,
California.
State of California
County of Butte
RONALD D. CALLEN
NOTARY PUBLIC -CALIFORNIA
Butte County
My Commission Expires May 7, 1986
o
0
I••
On this the 18th day of June,
1962, before me, the undersign
ed Notary Public, personally
appeared Gary G. Heil and
Dorothy K. Heil known to me to
be the persons whose names are,
subscribed to the within inst-.P
rument and acknowledged that. !
they executed the same for the!
purposes therein contained.
IN WITNESS WHEREOF, I her eun o set my hand
official seal
,.- „.Mw .. -1"7r ,_ oda .� en_ END OF DOC UTANT -•
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