HomeMy WebLinkAbout058-720-013CABANA WITHOUT PERMITS
7/23/91
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DONALD RESSLER & VICTOR BLOSSOM
n/s Nobb Rd.., 300' N Big Bend Rd,
Oroville
Permit# 2776-74P,E'
(util. , MH)
VICTOR BLOSSOM & D-6NALD RESSLER
n/s Nobb R 3001. N/Big Bend Rd,
Oroville7�ger// �
Permit# 3704-74P,E(util., MH)
0587.2=0-013 ,. 91-3605
-
PEJSA•, ,DON
CONTR OWNER
4989 NOBB'-RD) OROV I'LLE• /cl
RAMADA, CABANA/MH =
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20-013 3- 6A, DON IN�t�NOBB RD, OROVILLE `Z!C WELL CIRCUIT -POE
-58-72-13 ;N,*'r' 156791
PEJSA, Don'`
4989 Nobb Rd, Orovi-lle , rt.
Ag Exem tion it
store tractor &-farm tools..)
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TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Ofter Location AP#
Plan Approved for: Sewage Disposal _ Water Supply (/P!/
Hold final for:
Final clearance O.K. for:
Clearance for 2-- bedroo mobile ome.
NOTE sir
Other
Water Supply
Water Supply
Sanitarian Date
COUNTY OF BUTTE
" DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
ER
' f L'
PERMIT N0.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
r
Date Inspector ��// Inspector
COMPLAINANT
ADDRESS:
PHONE NUMBER.:
OTHER COMMENTS:
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P 0 P. 7-1101,111
SEC --ON 6, T21'
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VIOLATION CHECK LIST
A. P. # 058-72-0-013 Address 4989 NOBB ROAD. OROVILLE
Owner DON J PEJSA
Owner's Address P 0 BOX 4034 OROVILLE CA 95965
Owner's Phone No. 532-9114 Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No.
RAMADA AND CABANA BUILT WITHOUT PERMITS 7/23/91
.FAILURE TO FINAL
Specific Plot Plan with C/V Noted des no Penalties Required
1st. Notice Sent 2/6/96
ate
Comments and/or Determination
2nd. Notice Sent 6/6/96
Date
Disposition For Citation Citation
Date (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
^U58-720-013 i '` 03-2683
PEJSQl DON.
4989;NOBB RD;•OROVILLE
ELEC WELL CIRCUIT -POE
y
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OFFICE COPY
Address
GAS
Meter By Date
ELECTRIC
MeterBy `G` Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 M
(Rev.12/96). APPLICATION XND PERMIT 3
ASSESSOR PARCEL NUMBER
058-720-013
ZONING
FR -10
BUILDING PERMIT
OWNER
PEJSA DON C
TELEPHONE
532-9114
SO. Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
ISO BOX 4034 OROVILLE 95965
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ or,
BUILDING ADDRESS 4989 NOBB RD, ORMILU.
Energy Plan Checking Fee $
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE I
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK i
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
ELK. FOR WELL (POPETRE)
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
eoov oR LESS
Main Service 20..OR LESS 23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
Q11"* I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ZDOA TO lOooA 46.00
NEW CONST. DWEWNG OCCUP. s0
OR ADDNS. ( 8 ACC. BLDS. 3.5¢F.
�pµRE°,SID MULTI.OUTLET @7,50
POWER APPARATUS
8 SI NGLE OUTLET CIR.
20 @ 1.00
ourLEr OR FDcruREs
Ex. Occu BAL o .50
Ex. Occup. OFIxLITE�D�A RES ) E 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
fflwim 23.00
PERMIT FEE $
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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
D,I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X ,! .'til l " t,4 A-4 Date � .. �_ -- � C C 71
Signature of Applicant - ❑ Owner ❑ C$htractor ❑ Agent Gr
An OSHA permit is required for excavationsover 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing'F6e 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
10. PEES IMP FLOOD COF PARCEL PD HD
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whichfees veb en paid.
By - n
g�eDdte
PERMIT EXPIRES ON 1/ l4 Ar0
I I(Oita)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California' 95965 • Telephone (530) 538-7541Flmo;;�
(4ev.12/96)' APPLICAT(ON AND PERMIT (/ !�
ASSESSOR PARCEL NUMBER
058-720-013
ZONING
FR -10
BUILDING PERMIT
OWNER
PEJSA DON C
TELEPHONE
532-9114
SQ. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
PO BOX 4034 OROVILLE 95965
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 4989 NORB RD, DROVITI.E.
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
R.E.C. FOR WE1I. (PnE.. FIRE.)
Gas piping sy2tem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
Main Service pAORLESS 23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.PSING
License Class LIC. NO.
-BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
1111" I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BLD3.5¢x.
R61U 77- MULTRANCI.OUTLET 97,50
RC
8 R A
OUTLET OWELEPPARATUCIR.S
20 @'.
Ex. Occup. OUTLET OR FIXTURES BAL 500
OWNER
Ex. Occup. p °SRalp,p�, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PRE—INSP 23.00
PERMIT FEE S
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
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.)
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 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
with comply with those ovisi S.
- T
X ete r — 0
Signitare of Applicant - ❑ Ownerb ntractor ❑ Agent
An OSHA permit is required for excavation over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fi 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
p. FEES IMP FLOOD CDF PARCEL PD HD
ISS
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 bepri paid.
D�
By D(�e
PERMIT EXPIRES ON /
0 e
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
{
i OPMENT SEMVICS-BUI Z'DIVISIP
COUNTY OF BUTTE -DEPARTMENT OF,�DEI�(�
7 County Center Drive Oroville CA 95965 Phone (530)538-7541 Fax (530)538-2140
t > )
PERMIT APPLICATION DATA SHEET _
R: ASS S OR PARCEL NUMB R
OWNER r
�U5
Proposed Building Use: 1. Counter Technician: Date:
Items required in order to apply for a permit. All boxes MUST be checked R marked NA in order to apply.
❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about Improvements, ❑ Dr 'age ...............................
❑ �+1�Encroachment Pe it r dr'ug�ya eR1Qt
ept. (construction approval prior to occupancy).
22. Pre -Inspection for (� required ................
❑ 23. Contractor's license information. mber, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier arifl Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have beenform d of the above items ban and -re ) uirements for obtaining a building permit.
c J?
1.
Applicant: �� Date. F ✓
1. Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by _
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by _
Plans reviewed by: Date: Plans approved by:
Structural reviewed by: Date: Structural approved by:
Note transfer by: Date:
Yellow: Building Division
Plan Check Letter
Date:
Date:
Date:
Date:
O.B. - I
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and•return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit' will be issued untilthis
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES NOD .
0 HAVE d HAVE NOT signed an application fora building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME:
ADDRESS: CITY: .
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but:I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated: '
NAME ADDRESS PHONE TYPE OF WORK
SIG
PROPERTYOWNER
DATE: — b
NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Coda This verification must be completed and
returned to our office before we are permitted to issue the permit
OVER
OWNER BUDDER INFORMATION
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified
For your protection, you should be aware that as "owner builder" you are the responsible party of record on such
a permit Building permits are not required to be signed by property owners unless they are personally performing their
own work If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply V
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection: -
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer:
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
woAwrs compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific info>mation about your obligations under Federal Law, contract the Intemal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned
i IY'
Mrc 1 C. Vi ira, C.B.O.
L er, Building Inspection
NOTE: nis Owner -Builder Information is required by Section 19830 of the Califomia Health and Safety Code.
OVER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO. Sp
ZONING Flf/O
OWNER Pd/,,
PHONE NO.537
j,l� 51-1-C
OWNER'S ADDRESS S5-2- A?q A 4f IS
^5R1�
LOCATION OF BUILDING AIA v4al
O J
USE OF BUILDING
SIZE OF STRE
CF'
L - 5�hA1UCTU — x / ' =
i
SQ. FT.�G
TYPE OF CONSTRUCTION:
WOOD FRAME � STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
Woo d
ROOF COVERING
CaM
FLOOR TYPE
O�� 14 --
4--ESTIMATEDCOST
ESTIMATED COSTOF CONSTRUCTION
A d (� V
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: / /
FRONT S /^ SIDES , 2
REAR 4!!�d
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date /U Cl / Signature of Owner
Permit Fee - The above described AG Building is exempt from a building permit.
FLOOD PARC P.D. i ROOFING ISSUE
Receipt No. ` 013Z_ f
Director of Public Wor
By �— Date �O
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
?otAt
111117
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE qC LJJFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APP§�'CATION DATA SHEET
Permit No.
OWNER �eA) Pe P No.
_ 7z r
Proposed Building Use /1�—�?/� % Building Inspector4Date �U ��'%
i
At time of permit\pplication, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
(/ 1. All Items havNbeen submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans ...
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ......................................... .
6. Energy Design Cornpliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ............
26.
27. Sox
Cj�sLTC,�C? 9Sy�s
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
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: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
kPlans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
PROOF OF SERVICE
Don J. Pejsa
P.O. Box 4034
Oroville, CA 95965
RE: Building Code Violation
4989 Nobb Road, Oroville
Dear J. Pejsa:
M� Suite Count
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
June 6, 1996
A.P.#058-72-0-013
This is a formal warning notice. Pursuant to Butte County Code (BCC)
Section 41-2, we sent you a courtesy notice dated February 6, 1996 notifying
you that you are in violation of the BCC at the above -referenced location.
As of this date, the following violations still exist:
Failure to obtain approval of previous corrections and failure to obtain
final inspectio
un prior to occupancy and permit expiration for const-
ruction of a cabana and ramada for mobilehome in violation of the
Mobilehome Parks Act of Title 25, California Code of Regulations,
adopted by Section 28A-1 of the Butte County Code as follows:
(a)'1018 -Permits Required for any Mobilehome Accessory Structure
(b) 1048 -Inspections Required for any Mobilehome Accessory Structure
The above violation shall'be corrected or abated by you applying for a permit
to complete the work and paying the appropriate fees. After permit issuance
and field authorization to proceed, the corrections must be completed and
approved by this office within the permit specified time.
This is your final warning. Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
ten (10) days from the date of this letter, enforcement shall be pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County Code Section 41-7. The
Notice of Violation shall include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to correct or abate the violation(s).
.4 S
f
Letter to Don J. Pejsa rRE:CCode Violations A.P. #057-72-0-013
Page 2
June 6, 1996
Should you have any questions concerning this matter, please contact Scott
Rutherford or Michael Vieira in this office at the address or telephone
number listed above.
Sincerely,
MCV:dms Mic ael C. Vieira, C.B.O.
Man ger, wilding Inspection
a
1
2
3
4
s
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7
8
9
10
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13
14
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19
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28
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PROOF OF SERVICE BY MAIL
I am over the age of 18 and not a party of this cause. I am a resident of and employed in
the county where the mailing occurred. My business address is:
I served the.foregoing
(A.P. #058-72-0-013)
Building Division
Department of Development Services
7 County Center Drive
Oroville, CA 95965
SECOND NOTICE VIOLATION LETTER
by enclosing a true copy in a sealed envelope and depositing said envelope in the United States
mail with postage prepaid on 6TH. OF JUNE, 1996 and addressed as follows:
DON J. PEJSA
P 0 BOX 4034
OROVILLE, CA 95965
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct and that this declaration was executed on 6/6/96
at OROVILLE , California.
joz� J-0�01
Donna Sperling
Office Assistant III
.-Don J. Pejsa .
P.O. Box 4034 =
Oroville, CA 95965
RE: Building Code -Violation
-4989 Nobli Road,.Oroville
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 -COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965.3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
February 6, 1996 -
A. P. #: 058-72-0-013 =
Dear Mr. Pejsa:- - -
This is a courtesy notice to notify you that you are in violation of -the
Butte County Code, as follows, at the above referenced location:
Failure to obtain approval of previous corrections and failure to obtain
final inspection prior to occupancy and permit expiration for
construction of a cabana and ramada for mobilehome.
Since permits and inspections are required for the above work, apply for
the required permits to make corrections and complete project and pay the
appropriate fees.
All work must stop until these permits are issued and you are authorized
by our field inspector to proceed. This field authorization cannot be made
until the existing work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. _Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of .the action necessary'to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you.
Should you have questions concerning this matter, please contact Michael
Vieira or Scott Rutherford in this office at the address or telephone number
listed above.
Yours very truly,
MCV:dms�
Mic ael C. ieir
cc: Assessor a, C.B.O.
Man ger, Building Inspection
058-72-0-013 91-3605
PEJSA, DON
CONTR: OWNER
4989'NOBB RD, OROVILLE
„ RAMADA, CABANA/MH
Ile
if
rI(
i
ie
JOB FINALED (Date) :2-/'2-1 l 6
Signature
r
J=OK
O = Not OK
Not Readyable MOBILE HOMES '
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /-L-ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. 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 -Panel boards -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
✓ =•OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single=
Date UND FLOOR (Plans) OK except If's Date
ing-Setbacks-Ease ments-Flood-Slope
PT Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
g.. 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-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. Pien -& Ducts; Clearance -Material -Support -Ins.
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 N'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 p's
- 22. Fixture & Transformer Clearance -Ins. Protection
23 Elec. ceptacles Spacing Lights & Switches at Doors
---- - -- - --------
_ ize B_o_xes & No of Conductors Stapled
Ro ex Installed Close to Edge of Studs & C.J. -----------------------------------
Equip.
___
Equip Ground made up w/Mech Fastners-Bond Gas & Water
--- ;e --
- - - - ------------ -- ---- -- -- ---------------- ---------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
--------------- I------------------------------------------------------------------
28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size ga.
Cu or AI
- -------------------- ---- --------------------------
29. Range Circ i / 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.
-------------
33. Smoke Detector
-------------- ----------- --- ------------------- - --- - --- ---- -- -
Date Card B-1Date Card B -t
----- - -- -- -
----------------- -------------------------------- ----------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except fr's
34. A.C. Ducts Insulation & Support --
35. Vent Fan: Exha ve insulation
Cond a Drain & Overflow Size & Grade
37 urnance-Vent: Access -Comb. Air -Return Air Vent -1-15 outlet
38 Attic Access & Platform if Furnance in Attic
------ ------- --- ----------------------- - --- -- - -
Date------ Card B-1 ------ ..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 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
& Duplex)
FRAMING (Continu
_ 45. Hangers -Post Caps -Anchors -Connectors _
46. CI .-Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Ring.
Fireptace Ties or Type A Flue -Fireplace Throat clearance
43 cess: ize & Romex Protection -Draft Stop -Ins. Baffles
---YBSrrn. Window's'or Exiting Doors -Sill Hgt. & Dimensions
_ _rotection Framing
.51 Pf-epert7-Cli7e-irewall & Openings
--- --_ 2_,_-L�S"ci_Doors-One 3' -Check Garage -3rd Story, 2 Exits
- _ . _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
plywood on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
5 t- Mesh -Drip Screed -Fd. Vents-Underflr. Access
_ _ . Glazing Area -Glass Protection -Skylights- Plastic
58--S1�earW 17-tVaittr"olts
------------------- - -
SG44 sfttetian-Waths-eei'Iings
60 ln-iltra4•ion-Walls-Windows
Date Card B-1_ Date _ Card B-1
Date Card B-1 Date Card B-1
Date FIN (-Plans) OK except ti's
1. Ext. Steps -Door & Sidelight Protection -Landings
- ---- - - _2.Smoke-9etector
rnace; en -Clearance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
----------- _44►8e< nr-Exrkirag
65 -@ah-Fixtures & Tub Access -Spa
- ---- 4WaT--nm ---
&Sub panel; Breaker Sizes &Labels
-------------- ---------------------
1ji Stairs & Ba4e
replace or Stove: Clearances -Hearth
�utlets at Wood Panel: Int. & Ext.
------ ----- -- - - -- -
-- 7-0rKit-Fix& At--pptiance: Grnd.-Air Gap -Cooking Clearance
71_-Eiacr.6vtiets-&-Receptacles at Kit. Counter
_-----
7 ire oor wing -Landing -Closer
-- - -- 7- ----- uc-m -a ge_Damper-------
74. ranee -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
- -- - quip. Listed for Location
Elec. Receptacles in-Gwra ; (G.F.I.)-Romex Protection
------------------------------
7-.4a4ien-femfr-6 ked in Attic ❑ Yes _
-- - -- 76. ion -Post Caps
Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
------ ----------------------------
F ---------
80. onstM--Bril ve-Q-Yes ❑ No: Walks ❑ Yes ❑ No:
Planters ❑ Yes ❑ No
82 t?Psft''Di_sconnect. Electrical, PlumW.ng
//8-3 Ve Rmf -Plbg.-Applian e -Fireplace. -C arance to
v Openings
------ ---- -- - --- -- ------------ --
8 scvnnect, Electrical, Plumbing
5. Ex or Elec. Trim: G.F.I. Receptacle -Underground --
V --------------- en ilation Throughout House
- -
" .Glass Protection
.. - - - - - - -;-.. _ - --- -- -------------
tsrrt?�'tions from Previous Inspections
89. est.Meters Tagged: Gas -Electric
90.. Wat!e -r-sewer Connected -C/O to Grade -HD Approval
91. Ene Compliance Certificate -Other Certificates
------------ - --------
------------
Date4-44 /�l __Card _B- 1 _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 PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75419/��/'���
APPLICATION AND PERMIT ( j
ASSESSOR PARC L NUMBER
58 72-13
ZONING
FR 10
BUILDING PERMIT
OWNER
DON PEJSA
TELEPHONE
532-9114
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
1527 ARCADE BLVD SACRAMENTO 95815
C 4'264
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
12,292
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 60.00
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
4989 NO—RI-3 R -04D GROV111 14
Permit fee
$ 215.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[] Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ® Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: CABANA AND RAMADA BUILT W-0 PERMITS
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
Main service 200A TO 1000A,
CONTRACTORS LICENSE LAW
1 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
�FIXED
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.B\
OR ADDNS. ACC. BLDGS. //
_37.50
3.6dsq•tt• 4.50
NEW CONSTFL ULTI.OUTLET
NON.RESID BRANCH CRC,. TS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. OCcup(OUTLETS OR FIXTURES
20 @ 76
APPLNS. OR
EX. OCCUp. OUTLETS IRESID.i EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
'15.00
Permit Fee
$ 19, 50
—
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
o Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all ities, judgments, costs expenses which may in any way accrue
ag inst s id County in conseq nc o the granting of this permit.
Date – 6171
Signature of Applicant — Owner ❑ ntractor ❑ Agent ❑
An OSHA permit is required For excavations over 5'0" deep and d o iti or o ruct-
ion of structures over 3 stories in height. Z'. G
Mobile Home Installation Fee $
Energy Inspection Fee $ 40,00
C _
S
CSO r)TYPE
v N
TOTAL FEES 274.50
HAz
—t
Or
[�
IM
FLo
COF PARCEL PD
H
IslSu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
CT OF PUBLIC
B
PEEEXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date/L-/J-P/
Jj
Receipt No. 101321 11_0.00 P C FEES ��L�ZJ7b-� ` 6
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
i�'�',;,,._,., .;,, �i�.ti'��;�I4'U.i`��7::'i`�°y.,�" .'�;.. r.r"4:� Y-',��.+.'C'��t' ',t.• ;'sir �.�Y �, y.'. +-.� ''—
COUNTY OF BUTTE - DEPARTMENT' OF"P6BLIC WORKS - BUILDING'DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, C4�LIFOQN�A 95965. TELEPHONE: 916/36-7541
PERMIT,APPLICATION DATA SHEET
Permit No.
OWNER ID01V'pe 5"t-` "k', S&-2 —
Proposed Building Use C4MAd- Y '0'¢ Building Inspector Date 10 _91—
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:,
DATE RECEIVED APPROVED
All items have bee mitted. .............
Plot plans in cate, signed by preparer of plans.
14 Complete plans in dupucawtriplicate, signed by preparer. of plans .. /6
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
f instructions . .
0 Fees of $ 1
11. Chico Urban Area fees paid .......................................
12. Park/ pa ...........
�y SchoAl District fees paid .............. v- 15-1
Sanitation approval fromy' C"_ Health Department / -c�-¢l (
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy) .
20. Pre -Inspection for required Pre-Inspec. request to
21. Contractor's license information(No." Name Style, Classification)lding Inspector (Date)
22. Certificate of Workmans Compensation Insurance ..................
94 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
_4010. Recorded copy of Agricultural Acknowledgment Statement .........
Letter signature°authorization...................................
C L_ S T
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
✓ Telephone 5-.3Z " 9111_1 and hold foricku at dAD-
p p office. Deliver..w/inspector.
Other - - � iJEQKMO _%_(000 964p -IS -91 PM
Applicant C r Date /0
Coat fo&6A �. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date , By
The following data must be submitted prio tit ' a cej (Circ n Item not checked above).
1. Index permit for above items No. W,A/ Q
2. Additional items required:
Contractor, designer, owner as advised of above required data by—!t'-phone--mai I —counter by 4W .dates y�
Contractor, designer, owner, was advised of above rA4rre d a1by_phone_maII—counter by date 'c
Plans checked by Date Plans approved by_ fK/� Date
Sets of plans on hold in File cabinet AP folder
Copy -DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
III
O er
Location
Pian Approved for:
Sewaqe Disposal _ Water Supply
Water Supply '
Hold final for:
^incl clearance O.K. for:
" Water Supply
Ce a cr
roo ob' Other
NOTE *:
to
Sanitarian
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 -
OWNER -BUILDER VERIFICATION
PHonec 916-538-7541
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2.. I (have/have not
L, signed an application for a building permit
for the proposed work.
3. I have contracted with the following person .(firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. ,)I plan to provide portiohs of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed: '
J
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
�'�.T� ��rai'i'��'�°,. d ��'. u-�i`�Jg'ie`��'- i.'.i��4t?"'i"FYta'arF�,rpl7rvaur'�t�D r�1`T'•wY�.�'n. �v'iK`�':rEw�T�x��,r�''t*'�'�!�Oti.-�%'t�1P'Y�'�'r-� �'�a%'�,,��' y".
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM,
(One Form per Building)
A.P. Number �S-7Z " 43 Building Department No.
School District 0419 -1 -11? -'Il' City D • County Q Jurisdiction
Property Owner U O ill AeTS A-
.Project Location/Address 1-1Cf89 &dih I&J d& /65
Subdivision Lot Number
Residential Development:
Sq. Footage /;?00\
G r! # of Living MHI Addition (Group R)
Units
• Commercial/Industrial: a 0 Sq. Footage
New Addition (Including Exterior
A Roofed Areas)
Buildi g Department Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No. 920330
School District certifies that
• 0-1) `/
(App is t Name) (Phone Number)-
V 1 •
a • . ( Street Addr ss) . ,
(City) (State). (Zip,,Coode)
has complied with the requirements of Resolution. No.
by t e payment of $ representing /0?ry square feet.
District Represe t tive Date
PAID BY CHECK NO. REMARKS:
BANK NO
PAID BY CASH
white -applicant, yellow -buil -ding department, pink -school district
SCHOOL.FEE (8•/88)
rail 10 be 36 in. high, wi+
��- Mterm"eb rails to be rot .
over 6I OW. '1 F DECK- lS
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WITE COON T I
aUILDING DEPARTMENI
APPROVED
Return to DPW AGRICULTURAL STATr MR
OF ACKNUdLEDGEMENT
91-43577
3
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
The property described herein is adjacent
91-043377
1 Rec Fee
9.00
to land or included within an area zoned
I STs
2.00
for agricultural purposes, and residents
Recorded
I Cash
11.00
of this property may be subject to incon-
Official Records
veniences or discomfort arising from the
County of
1
use of agricultural chemicals, including,
but not limited to herbicides, pesticides,
Butte
1
and fertilizers; and from the pursuit
Candace J. Grubbs
I
of agricultural. operations including; !
Recorder
11:28am 15 -Oct -91
I XX 3
but not limited to cultivation, plowing,
spraying, pruning, and harvesting which -- -- - - - _.
occasionally 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_:progerty:"situate in the County of Butte, State of California, described as
follows:
Date: (I�.1 t� /'5/11 %/
State of i ��) On this the
SS. undersigned Notary
County of AUME
ZOT'YZ
'iVERS :
day of �� 19_?/ , before me, the
Public, personally appeared
NLPersonally known to me. F] Proved to me on the basis
®■o■mmmmn■m■maitre■mai®r�mraaa of satisfactory evidence.
o
JOAN
S. M�+l�I13�'"iI t be the person(s) whose name(s)
® subscribed to the within instrument and acknowledged that -
m NOTARYPUteCou County
NIA taecuted the same for the purposes therein contained. IN WITNESS
Butte County
My Commission Expires April ig, 19931VEREOF, I hereunto set my hand and official seal.
Present A.P. No.�C Z
�-�,� — /_
rotary Publi
4�90-22965
�:1:=;�4' ;.�;�►� E}QiIB 'T "A"
91-43577 d17
2
DESCRIPTION
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF
CALIFORNIA, COUNTY OF. BUTTE, DESCRIBED AS FOLLOWS:
PARCEL It
A PORTION OF THE SOUTHWEST QUARTER OF SECTION 61 TOWNSiiIP 21
NORTH, RANGE S EAST, M.D.B. A M., MORE PARTICULARLY DESCRIBED AS
FOLLOWS;
COMMENCING AT THE WEST QMRTER CORNER OF SAID SECTION 6; THENCE
ALONG THE NORTH LINE OF SAID SOUTHWEST QUARTER NORTH 89 DEG. 30'
36" EAST, 901.00 FEET TO THE TRUE POINT OF BEGINNING FOR THE
PARCEL OF LAND DESCRIBED HEREIN; THENCE FROM SAID TRUE POINT OF
BEGINNING, CONTINUING ALONG SAID NORTHERLY LINE, NORTH 89 DEG.
301 36" IAST, 400.00 FEET; THENCE SOUTH 32 DEG. 48' 47" WEST,
970.80 FRET; THENCE NORTH 48 DLG. 14' 13" WEST, 90.69 FEET]
THENCE NORTH 66 DEG. 051 33" WEST, 71.43 FEET TO THE BEGINNING OF
A TANGENT CURVE CONCAVE TO THE SOUTHEAST HAVING A RADIUS OF 45.00
FEET; THENCE ALONG THE ARC OF SAID CURVE THROUGH A CENTRAL ANGLE
OF 143 DEC, 511 59" AN ARC DISTANCE OF 112.99 FEET; THENCE SOUTH
29 DEG. 570 52" EAST, 112.03 FEET TO THE BEGINNING OF A CURVE
CONCAVE TO THE WEST HAVING A RADIUS OF 40 FEET THENCE ALONG THE
ARC OF SAID CURVE THROUGH A CENTRAL ANGLE OF 52 DEG, 39' 52" AN
ARC DISTANCE OF 36.77 FELT TO A POINT ON THE NORTHERLY BOUNDARY
LINE OF THE BIG SEND ROAD; THENCE ALONG SAID NORTHERLY BOUNDARY
LINE, NORTH 67 DEG. 180 00" WEST, 85.96 FEET; THENCE LEAVING SAID
NORTHERLY BOUNDARY LINE -AND RUNNING ALONG A CURVE CONCAVE TO THE
WEST HAVING A RADIUS OF 20 FEET, WHOSE TANGENT AT THIS POINT
BEARS NORTH 22 DEG, 24' EAST, THROUGH A CENTRAL ANGLE OF 52 DEG,
391 51111 AN ARC DISTANCE of 18.38 FEETt THENCE NORTH 29 DEG. 57'
51" WEST, 59.59 FEET TO THE BEGINNING OF A CURVE CONCAVE TO THE
SOUTHEAST HAVING A RADIUS OF 105 FENT1 THENCE ALONG THE ARC OF
SAID CURVE THROUGH A CENTRAL ANGLE OF 96 DEC, 08' 52"1 AN ARC
DISTANCE OF 176.20 FEET? THENCE NORTH 53 DEG, 55' 04" WEST,
118.21 FEET TO A POINT ON A LINE THAT BEAR$ SOUTH 34 DEG. 44' 441'
WEST FROM THE TRUE POINT OF BEGINNINGI THENCE ALONG SAID. LINE
NORTH 34 DEG. 44' 44" EAST, 728.50 FEET TO THE TRUE POINT OF
BEGINNING.
A RIGHT OF WAY FOR ROAD AND PUBLIC UTILITY PURPOSES OVER A STRIP
OF LAND 66 FEET IN WIDTH DESCRIBED AS FOLLOWS3
BEGINNING AT THE MOST SOUTHERLY CORNER OF A PARCEL OF LAND AS
DESCRIBED IN DEED TO DONALD E. RESSLER, ET UX, RECORDED SEPTEMBER
16, 1971, IN BOOK 1701, PAGE 1161 OFFICIAL RECORDS, WHICH POINT
IS ON THE NORTHERLY LINE OF THE BIG BEND ROAD1 THENCE ALONG SAID
NORTHERLY LINE NORTH 67 DEC* 18' 00" WEST, 85.96 FEET1 THENCE
tr.
91-43Sll
,90_22965
PARCEL Y!t CONTINUED,
LEAVING SAID NORTHERLY LINE AND RUNNING ALONG A CURVE CONCAVE TO
THE WEST HAVING A RADIUS OF 20 FEET, WHOSE TANGENT AT THIS POINT.
SEARS NORTH 22 DEG. 141 EAST, THROUGH A CENTRAL ANGLE OF 52 DEG.
391 52!'./;..AN ARC -DISTANCE OF 18.38 FEET] THENCE NORTH 29 DEG.~ 57'
52" ' WEST, . -,59.59' FEET TO THE • BEGINNING OF A CURVE CONCAVffi T6 THE
SOUTHEAST- HAVING A RADIUS OF 105 FEET: THENCE ALONG THE " ARC OF
SAID CURVE :THROUGH A CENTRAL ANGLE OF 143. DEG. 311 59t1 AN ARC
DISTANCE OF 263.65'FEET= THENCE SOUTH 66 DEC, 051 5311 EAST, 80.82
FEET; THENCE SOUTH 48 DEG. 141,13" EAST, 11;.32.FEZTj THENCE
SOUTH'ST DEG. 301.43" EAST* 263.96: FEET? THENCE SOUTH 19 DEG. A11
2411 WEST, 61.62 FEET; THENCE NORTH . 83 DEG. 301 4311 WEST, 268.96
FEET; THENCE ;NORTH 48 08G•-�14! 1311 WEST, 121.94 FEET;:.THENCE
NORTH '.66 ` DEG.' 051 ' .3" WEST;. 71'.42 FEET TO THE gEGINNJCNG OF A
TANGENT " CURVE' CONCAVE .TO THS .. SOUTHEAST HAVING A RADIUS OF 4 5
FEET) THENCE ALONG THE'ARC OF'SAID CURVE THROUGH A CENTRAL ANGLE
OF 143 DEG. 511 5911 AN ARC DISTANCE OF 112.99 FEET; THENCE SOUTH
29 DEG. 571.5211 EAST, 112.03'FEET TO THE BEGINNING OF A CURVE
CONCAVE TO THE WEST HAVING A RADIUS OF 40 FEET: THENCE ALONG THE
ARC OF. SAID CURVE THROUGH A CENTRAL ANGLE OF 52 DEG, 391 5211 AN
ARC DISTANCE OF 36.77 FEET TO THE POINT OF BEGINNING. '
END OF DOCUMENT
END OF DOCUMENT
. _ .-ft,
rq
o
"PERMIT NO.
P
E
MH UTIL.
PERMIT NO. 3704-74P,E
PERMIT EXPIRES r/ `7
OWNER r Victor Blossom and Donald Ressler
.CONTR.
LOCATION (A.P. 62-45-13 )
n/s Nobb Rd, 300' N. of Big Bend Rd,
oroville
t
c
r
I
a.
r �
.t
f
Temp. Power Pole
Called PG&E
Temp. Elea Serv.-/"2,_
Called PG&E
Temp. Gas Serv.
lied PG&E
4 JOB
FINALED A�
(Date)
• (Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback —
'Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Pi in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final i
Sanitation
Patio
FIREPLACE.
Fina
Footings
Footing
IfELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prpt.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
M
COUNTY OF BUTTE — (DEPARTMENT OF PUBLIC WOR /
7 County Center DriV� — ►0rovilie. California 95965 T
LTeledhone: 53,4-4541~ TTT
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. �y
X '�G^��!0Z� Id41N�Date
Signature of Permitee or Agent
Receipt No. l As-6,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF UBLIC WORKS
BY�Date
ilding permit expires Date .......... ....
BUILDING
OwnerOCC.
G
BUILDING VALUATION
Mailing Address 7 eoavev
r ,! Telephone No.
eewaL
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address S
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Q , r
Each Trap 1.50
t
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. /
"` 7v j
�Z'°ni I
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F WS1,
a do FireDept.
Fire Zone
Use Permit
Building sewer 5.00
Q
EQA Plaing r�sD Pla ct, n
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
g. Plans ei�Recd arcel proval
Plans Approval
Permit Fee
$
NEW ❑ ADDITION ❑ UTILITIES My OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
0
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures _b 1(61
ptilr-O�. /�Yt
Receps., switches & fix outlets 20p23
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
is
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. �y
X '�G^��!0Z� Id41N�Date
Signature of Permitee or Agent
Receipt No. l As-6,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF UBLIC WORKS
BY�Date
ilding permit expires Date .......... ....
f
i
�i
PERMIT NO.
P
E
t M
MH UTIL.
PERMIT NO. 2776-74P,E
! PERMIT EXPIRES
OWNER Donald Ressler
CONTR.
•.{LOCATION (A.P. 62-45-33 )
11
n/side Nobb Rd, 300'N/Big Bend Rd, Oro.
IIIc a
� IJ
J
1
I
( Temp. Power Pole
l Called PG&E
Temp. Elea Serv.
Called PG&E7
D
Temp,
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENTS OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Pipingl
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixture
Footings
Gara a Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Fi
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Roucih
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permane
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK
7 County Center Dr'rvg - Crovi lie, California 95965
Tel6phone: 534-4541
APPLICATION.AND PERMIT
Signature of Pe mitee or Agent
Receipt No. / . `%e� C,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
13 - Date / --'— - %X
7-7-3-7
ullding permit expires Date .........................................
BUILDING
Owner1J :�r SS6 W
SQ. FT. OCC. BUILDING VALUATION
OL'c 4g
Mailing Address 3
O C R
Telephone No.
--3rD
Fireplace
Contractor W�'`c /�
Total Valuation
Mailing Address
Permit Fee
P I an Checking Fee &/or Penalty
Telephone No.
Permit Fee
OE
Building Address s
�'
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
�� 6 B �E Allco
Each Trap 1.50
D
Repair drainage or vent piping 1.5d
Water piping 1.50 0
Each gas water heater or vent 1.50
A. P. No. -� 3
—2 n'
Zon,
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
s
Sa ation
Fire Dept.
Use Permit
Building sewer 5.00
EQA
Parking
Pla s
Parcel
DeclarationP
Parce
yap6O'R/W
Im rovemens
Lawn sprinkler system 2.00
Bldg. ans Recd
arc el Approval
PI Approval
Permit Fee
i (��
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter 3. 6
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures bal 410
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Receps., switches & fix outlets 2 25
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump :&41D
Mobil Home Facilities 5.00 cSc00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ -2, D177
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with ttie County of Butte a certificate of
Workmen's Compensation Insurance.
o ® 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 the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee
I certify that I have read this application and state that the above
information is correct. I agree to comply to alt.County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
jr X f ��/�
Date
TOTAL PERMIT FEE
C
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.
DIRECTOR OF P BLIC WORKS
Signature of Pe mitee or Agent
Receipt No. / . `%e� C,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
13 - Date / --'— - %X
7-7-3-7
ullding permit expires Date .........................................
This set of plans W epei s MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permisson from the Department, of Publir
Works, County of Butte.
1
�0
-,,. � .. ,a
o
V0
sha a�`d Qe e��a
Se��et'c� \,ire t ease
OR o
`x re de ��\�e a
'\e o
e cel
s y�
BUTTE COUNTY
BUILDING DEPARTMENT
All utility connections shall be
located within 4 ft, outside the rear
third section of the mobife home
on the left (road) side of the mobile
home, w
-APPROVED
Name 1:.. �. _: 5J1Ci �rti;J i7i L :Cil tlij i;
r
$Ireet "is'�` i�l
EE
F
9-A '=1to io
Addres
CifY8 7753
Stote-
SPACE ABOVE THIS LINE FOR RECORDER'S USE
DOCUMENTARY TRANSFER TAX $..._�:�O. y (- ......... -......
-- -
-..COMPUTED ON FULL VALUE OP YROFERTY CONVEYED.
_OR COMPUTED ON FULL VALUE LESS 0E45 AND
ENCUMBRANCES REY.AiNING Al TIME
OF SALE..
..........
Signature of Declarant or ACent deterr,.ining Icx. Firm Name/
TO aoa CA (9-68) I Jo nt 'tenancy Grant Deed D.T.T.
THIS FORM FURNISHED BY TITLE INSURANCE AND TRUST COMPANY
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Victor Le Blossom and
Marilyn F. Blossom, husband and wife
i 1
hereby GRANT(S) to Donald E. Ressler and Helen L. Ressler, his wife
AS JOINT TENANTS,
the real property in the
County of Butte State of California, described as -
An undivided one half interest -in and to the following described parcel of land:
A portion.. of -.the .Southwest quarter .of .-Section 6, Township 21 North.,
Range"' -5 !East, M.D mB. & M. , more particularly described as follows:
C01-24ENCING at the West quarter corner of sai-d Section 6; thence along
the North line of said Southwest quarter North 890 30' 36" East, 901.00
feet to the true point of beginning for the parcel of land described
herein; thence from said true point of beginning, continuing along said
Northerly line, North 891, 301 36" East, 400.00 feet; thence South 32o 48'
47" West, 970.80 :feet; thence North 48o' 141 13" West, 90.69 feet; thence
'North 660 05' 5311 West, 71.42 feet to the beginning of a tangent curve
concave to the Southeast having a radius of 45.00 feet; thence'.along the
arc of said'curve through a central angle of 1430 51' 59" an arc distance ~
of 112.99 feet; thence South 290 57' 52" East, 112..03 feet to the beginning
ofa curve concave to the West having a radius of 40 feet;._thence along .
the arc of said curve through a central angle 520 39 ` . 52" an arc. distance
of 36.77 feet to a point on the Northerly boundary line of the Big Bend ,
Road; thence along Lf
said Northerly. boundary line, North 67° 18', 00" West,
85.96 feet; thence leaving said Northerly boundary line and running along"
curve. concave to the West having a radius of 20 feet,.whose tangent at �-
this point bears North 22° 241 East, through a- central angle of 520 39' w
5211 3 nn -arc distance of 18.38 feet;. thence North 290 571 52" West, 59.59 °
feet to the beginning of a curve concave to the Southeast having a radius
.of 105 feet; thence along the arc of said curve through a central angle'
of 96o 08' 5211, an arc distance of 176.20 feet; thence North_ 530 55' 0411
West, 118.21 feet to a point on•a line that bears South 340 44' 44" West
from the true point of beginning; thence along said 'line North 340 44° 441,
East, 728.50 feet to the true point of beginning. _
RESERVING THEREFROM a right of way for road and public utility purposes
over a strip of land 60 feet in width, described as follows:
BEGINNING at the most Southerly corner of the above described parcel of
land, which point is on the Northerly line of the Big Fend Road; thence
along said Northerly line North 679 18' 00" West, 85.96 feet; thence
dila running along a curve concave to the
"West, .having a radius of 20 feet, whose tangent at this point bears
North 22o 24' East, through a central angle of 5`2° 391 5211, an arc distance
.of 18.38 feet; thence North 290 57' 52" West, 59.59 feet to the beginning
of a curve concave to the Southeast having a radius of 105 feet; thence
along the arc of said curve through a central angle of 1430 51' 59" , an
arc distance of 263.65 feet; thence South 660 05' 53" East, 80.82 feet;
thence South 480 14' 1311 East, 90.69 feet to a point on'theboundary line
of the above described parcel of land; thence along' said boundary line
South 32o 481 47" West, 60.74 feet to an angle point in said. line; thence
continuing along said line, North 480 14' 131' West, 90.69 feet; "thence
"
North 661, 05° 5311 West, 71.42 feet to the beginning of a tange"nt curve
concave to the Southeast having a radius of 45 feet; thence along the
arc of said curve through a central angle of 143- 511 5911, an arc distance
of 112.99'feet; thence South 290 57',52" East, 112.03 feet to the beginning
®£ a curve concave to the West having a radius of 40 feet; thence along
of saie.: curve throua'111 a cent --al angle 520 39' 52j1; .an arc distance
,of ''6.77 xeet to -rhe
point int a:- beainr.1ng,
MAIL TAX STATEMENTS TO
F
`i 1 {'..i.'
e ?.1 O _i S OP.1 C
u.a
Nome
—
Street
Address
_
T ..z -n'.• '(j,
v=.• 4,'5 Jn
City &
State
L
DOCUMENTARY TRANSFER TAX $..._�:�O. y (- ......... -......
-- -
-..COMPUTED ON FULL VALUE OP YROFERTY CONVEYED.
_OR COMPUTED ON FULL VALUE LESS 0E45 AND
ENCUMBRANCES REY.AiNING Al TIME
OF SALE..
..........
Signature of Declarant or ACent deterr,.ining Icx. Firm Name/
TO aoa CA (9-68) I Jo nt 'tenancy Grant Deed D.T.T.
THIS FORM FURNISHED BY TITLE INSURANCE AND TRUST COMPANY
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Victor Le Blossom and
Marilyn F. Blossom, husband and wife
i 1
hereby GRANT(S) to Donald E. Ressler and Helen L. Ressler, his wife
AS JOINT TENANTS,
the real property in the
County of Butte State of California, described as -
An undivided one half interest -in and to the following described parcel of land:
A portion.. of -.the .Southwest quarter .of .-Section 6, Township 21 North.,
Range"' -5 !East, M.D mB. & M. , more particularly described as follows:
C01-24ENCING at the West quarter corner of sai-d Section 6; thence along
the North line of said Southwest quarter North 890 30' 36" East, 901.00
feet to the true point of beginning for the parcel of land described
herein; thence from said true point of beginning, continuing along said
Northerly line, North 891, 301 36" East, 400.00 feet; thence South 32o 48'
47" West, 970.80 :feet; thence North 48o' 141 13" West, 90.69 feet; thence
'North 660 05' 5311 West, 71.42 feet to the beginning of a tangent curve
concave to the Southeast having a radius of 45.00 feet; thence'.along the
arc of said'curve through a central angle of 1430 51' 59" an arc distance ~
of 112.99 feet; thence South 290 57' 52" East, 112..03 feet to the beginning
ofa curve concave to the West having a radius of 40 feet;._thence along .
the arc of said curve through a central angle 520 39 ` . 52" an arc. distance
of 36.77 feet to a point on the Northerly boundary line of the Big Bend ,
Road; thence along Lf
said Northerly. boundary line, North 67° 18', 00" West,
85.96 feet; thence leaving said Northerly boundary line and running along"
curve. concave to the West having a radius of 20 feet,.whose tangent at �-
this point bears North 22° 241 East, through a- central angle of 520 39' w
5211 3 nn -arc distance of 18.38 feet;. thence North 290 571 52" West, 59.59 °
feet to the beginning of a curve concave to the Southeast having a radius
.of 105 feet; thence along the arc of said curve through a central angle'
of 96o 08' 5211, an arc distance of 176.20 feet; thence North_ 530 55' 0411
West, 118.21 feet to a point on•a line that bears South 340 44' 44" West
from the true point of beginning; thence along said 'line North 340 44° 441,
East, 728.50 feet to the true point of beginning. _
RESERVING THEREFROM a right of way for road and public utility purposes
over a strip of land 60 feet in width, described as follows:
BEGINNING at the most Southerly corner of the above described parcel of
land, which point is on the Northerly line of the Big Fend Road; thence
along said Northerly line North 679 18' 00" West, 85.96 feet; thence
dila running along a curve concave to the
"West, .having a radius of 20 feet, whose tangent at this point bears
North 22o 24' East, through a central angle of 5`2° 391 5211, an arc distance
.of 18.38 feet; thence North 290 57' 52" West, 59.59 feet to the beginning
of a curve concave to the Southeast having a radius of 105 feet; thence
along the arc of said curve through a central angle of 1430 51' 59" , an
arc distance of 263.65 feet; thence South 660 05' 53" East, 80.82 feet;
thence South 480 14' 1311 East, 90.69 feet to a point on'theboundary line
of the above described parcel of land; thence along' said boundary line
South 32o 481 47" West, 60.74 feet to an angle point in said. line; thence
continuing along said line, North 480 14' 131' West, 90.69 feet; "thence
"
North 661, 05° 5311 West, 71.42 feet to the beginning of a tange"nt curve
concave to the Southeast having a radius of 45 feet; thence along the
arc of said curve through a central angle of 143- 511 5911, an arc distance
of 112.99'feet; thence South 290 57',52" East, 112.03 feet to the beginning
®£ a curve concave to the West having a radius of 40 feet; thence along
of saie.: curve throua'111 a cent --al angle 520 39' 52j1; .an arc distance
,of ''6.77 xeet to -rhe
point int a:- beainr.1ng,
Dated: September 71 1971 `�.C' % ` Cc---�r-il^-•
Victor. L. Blossom
• STATE OF CALIFO�tLvIA
COUNTY OF-
O,_
F
Alameda �ss. Marilyn F. Blossom
On Sept. 11,1971 before me, the under-
signed, a Notary Public in and for said State, personally a geared
Victor L. Blossom and Marilyn F.
ossom
c� l;l
known to me cDfff9f8fffffffff9ff8f➢9uf9S➢Iff1DDDf911fffffl1131118/11121 G
p� u
,..'. o � OFFICIAL SEAL
to be the personate—whose name 5 arubscribed to th' within o t
t hPY _ ' JAMES A. PEARSON
' instrument and acknowledged that— executed the same. :_ �s+dd'`+''-
WITNE hand and official seal. NOTARY PUBLIC — COUNTY ApttA iS
�� VY' ALAMEDA COUNTY
My Commifsion Expires Feb. 9, 1974
• �DOifDfifllf➢371i177flff9D173DD9➢8D9ff19ilf➢tlf0ff1188881g �.
Signature
-R
Name (Typed or Printed) (This area for official notarial seal)
Title Order No. Escrow or Loan No.
MAIL TAX STATEMENTS AS DIRECTED ABOVE'r
-�,-"iij
DECLARATION RECARDI1•4C LOT> OIZ PARCELS
I certify that as owner of the,property acquired by deed in
Volume /� , Page .�, Official Records of Butte County, (AP.
D am requesting permission to build or install,
an additional living unit on this property. I will not divide the afore-
mentioned property for sale, lease, rent, or financing unless all
- --applicable' -land -division -laws-acid--map•-requirements -are.-.complied -with. '
I am conversant with the present zoning regulations affecting the
aforementioned property, and declare that I shall not violate same. I
represent thc-c the proposed use of the additional living unit is
.and -that- further I -shall -not••change -this -proposed' use -of -the--additional
liming unit unless and until -1 receive written approval therefor from
the County of Butte.
I fully understand,that pursuant to Chapter 20 of the Butte County .
Code and §11535. et seq of the Business and Professions Code that if I,
in the future, sell, lease, or finance the area on or adjacent to said
...improvement without fully complying with the applicable laws and -
ordinances, that I shall be -guilty of a misdemeanor and therefore, subj ect
.to the aforesaid penalties and =imprisonment pursuant to law. Further,
'''-this statement -shall -be-'properly 'acknowledged and -recorded at the request
. __0fLthe* _County_-of...Butte.
• 8108 Owner
•-dress
Sri (� l+J� 11711
.. - • 1 � ; t is i _. _. ' r., (_ _'yam,.; - ,cam// •'
I: E
'Z Date
• 1
STATS OF CALIFORNIA )ss. - --- ---_ __
COMM OF Butte
On this 11th clay of September 197 4, before me,
Freida B. lizzel _, a Notary Public in and for she (;o:. .tj• o-.
Butte , State of California, residing therein, duly
comr-aissioned and sworn, personally appeared victor L. Blossom
known to me to be the person wIQse r,4,;,`
is su sS -cribed to the wit in instrument and ackiiowledg o to me that—
lie - executed the same. ,
I:, NITNIESS 1411, IREOF I have hereunto set my hand and affixed ny
--official seal in the -County of Butte the -day and year in tills
written.
6.1 OF,
FREIDA B. UZZEL '
yam Ca NOTARY PUGUC C: ,uFOPNIA - e
BUTTE CPUNTY
aa•oaN`P My Commission Expires lan.29,1978 z'"'�•
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kept on +0 job at all times and It b unlm&1 do
maks any chaff or alwatiom on rime ,I'd
written permisaon from the 'Department ai I'd
Works, County of Butte.
4I.M g. Setback shall 6 5 ft. from
the side property line and 50 ft. from
the centerline of the road, permitting
a maximum of a 2 ft. save ovediang.
All utility connections shalt be
located within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobi►f
r
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B Health Da a;
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quirements.
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