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059-093-003
....... A.P. 59-093-3 William Evans w/s Skyway, Stirling City Permit 355-66B (addition to restaurant ! and bar 610 i t 59-094-2,3,& 20 : MONA CHRISTE N ! 17041 Skyway, rling City. Permit#2910-88P, util, MH) ELEC. 4 GAS 5/ 10, I SUPPORT STP.UGTTJRE ::EQ . - COMPACTION TEST REQ. - - i 59-0 -293 & 2 I Pormit#2911-88I i n.-.. i Issued f� f 0 BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE NAME DEPT. DATE NAME DEPT. MD� 1 PERMIT NO. — PERMIT EXPIRES OWNER MONA CHRIRTFNSFN CONTR. 9wn2i ( ASSESSOR PARCEL 59-093-9,-1 & 20 LOCATION 3-7041 Skyway, Stirling Cit --r E Y73 —/060 eg OFFICE COPY Address 17641 SK WA J 7 _ GAS • Meter By Date— ELECTRIC ate ELECTRIC { Meter By Date ;30- Y., k r ii �4 Temp. Power Pole i ti Called PG&E Temp. Elec. Service It Called PG&E Temp. Gas Service Called PG&E — 4 JOB FINALED (Date) Signature ,y = OK 0=N'bt`9K• ,, ' allot Readiyable MOBILE HOMES • �� MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CAhPOATS,GARAGES, (Plans)OK except #'s Zoning Requirements-Setbacks-Easements 1. Zoning Requirements-Setbacks-Easements *Soils; Special MH Support-Sketch 2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel . S �on-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails CQ�ater; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete as;location-Test-Wrap: AD P'U ft. / /"Nat. or/ /"L" ft./gyp /"LPG 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures 6. Carports; Windows-Doors Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing-Veneer-Stucco-Mesh Card-131 �TC►T Date Card-B1 Date q-a� 10. Roof; Shthg-Roofing Card-81 C-xC= Date q -ER-FXard-B1 Date 11. Ext.; Steps-Doors-Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s Hing Requirements-Setbacks-Easements Card-81 Date Card-81 Date Footings; Size-Spacing-Marriage Line Card-81 Date Card-61 Date -6es-falH Test-Demand-Valve-Connector lectricity; MH Test-Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s rain; MH Test-Fall-Flex Connector 1. Setbacks-Easements 64'Water; MH Test-Regulator-Connector 2. Soils; Compaction-Structure Stability ater and Sewer Connected-C/O to Grade-HD Approval 3. Pool Structure; Steel-Connections-Thickness- Dead Men -Lining .a=C,as.aQd Electricity Tagged files; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI ert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries-Terminals-Listed 7. Elec.; Bonding; Metal w/5'-Circulating Equip.-Heater 8. Elec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Ca'r'd-B1 Date Card-B1 Date Card-81 Date Card-131 Date 9. Health Department Approval 10. Plumb.; Cir. Test-Water Supply Test Card-131 Date Card-81 Date Card-61 Date Card-61 Date I M = OK = Not - Applicable = NQt Applicable RESIDENTIAL (Single -and Duplex) Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or. Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Card -B1 Date Card -61 Date Card -B1 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs &Rails Card -131 Date Card -61 Date 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71, Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 78. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters 13 Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -B1 Date Card -B1 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -81 Date Card -B1 Date 39. Sills, Proper Material & Anchors Comments at Final: 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. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) i COUNTY OF BUTTE DEPARTMENT OF PUBLIC:WORKS y =f 196 Memorial Way, Chico — Phone: 891-2751 7 Coly Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE C N t2 i En15 En/ q I 1— OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. c�Ax_ RS�7 Fy�z SIE PS W I.1 ►� 30''—'9 I�A�� RA ► c . Inspector Date 17-jo 88 COUNTY OF BUTTE I DEPARTMENT OF PUBLIC WORKS ,. 11196 Memorial Way, Chico — Phone: 891-2751 W,County Center Drive, Oroville — Phone: 538-7541 i .1747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. \- Qn�\ SiSZA•P �T S�-2\Jicti dal W11kll4 (?n F 4 ?- (0ft _(trt3_ E'(11fTQi(At Al- Sri V0(rr k0s c,iiAV 4/\,J (to LfcS 3- Inspector AiA Ism Date !�-•-88 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. 2 Address or location of mobilehome I L Owner's name Owner's address Insignia or hud number iC Manufacturer's name yls" Serial number of V.I.N. � Year of manufacture (Official Approving Installation) (Dot& IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. � COUNTY OF BUTTE . D-EPARTMENT OF PUBLIC WORKS ER IT N0. ` 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT CCCJJJ ASSESSOR PA C L UMBE - 3 �� a ZONIN BUILDING PERMI owN 01.7 r fs TELEPHONE -_oma S0. FT. OCC. BUILDING VALUATION O r iEER'S MAIL G ADD S / NTRACTOR' NAME r TELEPHONE NTR CTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ AR ITECT OR ENGINEER e. LICENSE NO. Plan Checking Fee ,$ , Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS A viva Permit fee $ Q PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ demodelEl t.(tjlities ❑ Installation P(� >O er ❑ Describe work: i ( __1/h �-1C _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.s OR ADONIS. ACC. BLDGS. , /Zdsgft NEW CONSTRMULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eALO 30 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 ag:i nst aid Count 'n consequence of the granting of this permit. X Data Sign I At6n onrractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ CONST.TYPEJ / V/ FLOOD'PARCEL PO ND s9uy V/ This permit is hereby issued under sions of the Butte County.Code and/or work indicated above for which DIRECTOR OF PUBLIC BY / PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�-- Receipt No. WHITE-O.P.W., YELLOW-ASSES50 , PINK -INSPECTOR. GOLDENROD -APPLICANT • .� .. . - .�. r. ..�. r o.-. . .-. .. wf,`KM ro;z;.1V� }t�. b}f`r iw i. i''. "3 • .. ;66RTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ti PERMIT APPLICATIONDATA SHEET e Permit No. OWNER iiG( InIS�F1? �� N C,2,y6V Proposed Building Use. Building Inspector Date v At time of permit application, I was advised the following data must be submitted prior to permit processilig and:/or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of,plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plant with Energy Design Compliance Statement. wa f6�I�4School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC. Buildings. Fees of $ , ©�5 Letter of signature authorization. . , 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . f18. 241 Contractor's License Information (no., name style, classif.) Owner -Builder Verification (Given to owner❑, Mail to owner �) 15. Improvements may be required.. • • , . • I .. .. • Mobi lehome Installation Data. . . . . . . . . ? 17. P7e-Inspec. request to (Date) Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. ' ' 19. Driveway Permit. 20. 21. 22. 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 I Plot plan approval from city of Engineered trusses Jn duplicate (required prior to plan check). Applican M1 4 Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to mit ssuance: (Circle now i checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW is =5000" Al 14016roel I I I FvIaM i n FILE NO. BUTT2 COUNTY (For Action - 1, 2, 3) Public Wows hep. I (For Inform. �/ J Di.�citat — i _-- D:p. Rd. IAaint. Shop Planning Permits tlappiny_— —_ -- February 23, Co, Bldes. Das. s Con. Ccnstr. Rd. Des. Br. Des. R/W Water Rea. William Evans REs BuIl.ding Permit for F.O. Box 21 Restaurant and liar Stirling City, California 95978 Dear Sir: With reference to the above subject, in September 1966 you applied for a building permit with this office but neglected to submit plans. As of this date, we are holding the issuance of the building permit pending receipt of these _ plans. Since it is my understanding that you are operating this restaurant and bar without obtaining the required permits, it will be necessary for you to submit plans to this office within ten (10.) days of the date of this letter or the matter will be referred to the District Attorney for appropriate legal action. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works J.F. Glandes Assistant Director Jr, Gsdf Permittee Owner Mailing Address Contractor Mailing Address BLDG. Address COUATY OF BUTTE r DEPARTMENT OF PUBLIC WORKS C9�—�/� U 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Plans Planning .n A(4 NEW 0 ADDITION ®l" REPAIRS 0 OTHER 0 F O U N D A T I O N Others Single Multi MATERIAL EXTERIOR USE OF ST URE Family 0 Duplex 0 Dwelling 0 Width at Top Others Y, Width at Bottom J– jSani�tation Q W..0.Fees f Depth in Ground SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING / / 46 00 Girders PIERS SPAN at e Fee O Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof.........................................................................................................................................................................................................................:...................... License No . ........................... Classification........................:...................... and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: i am exempt tram the'-.ontraccors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption.................................................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating to building construction. / X........ ................................................Date....��.. SIGNATURE O.F PERMITTEES 0.R AGENT Receipt No. .....i....��..%/...Y......................... APPROVED........................ This BUILDING PERMIT is hereby issued under the appli. cable provisions of •t,`.t -fes ' County r nance VU86 DIRECTOR OF PUBLIC WORKS By................................................................................ Date ................................ Permit Expires Date .................................. joists - 1st Floor Joists - 2nd Floor Joists -Ceiling Total Valuation Exterior Sttlds Permit Fee 1,2 Interior Studs lan Checking Fee Penalt �v Roof Rafters at e Fee O Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof.........................................................................................................................................................................................................................:...................... License No . ........................... Classification........................:...................... and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: i am exempt tram the'-.ontraccors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption.................................................................................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating to building construction. / X........ ................................................Date....��.. SIGNATURE O.F PERMITTEES 0.R AGENT Receipt No. .....i....��..%/...Y......................... APPROVED........................ This BUILDING PERMIT is hereby issued under the appli. cable provisions of •t,`.t -fes ' County r nance VU86 DIRECTOR OF PUBLIC WORKS By................................................................................ Date ................................ Permit Expires Date .................................. • COUNTY' OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner Mailing Address l Contractor Mailing Address �..1 BLDG. Address L //57 4r, ILY DESCRIPTION OF WORK No. @ Fee PERMIT FILING FEE 52.00 ©0 NEW 0 ADDITION METER SERVICE 0 � Supplementary Filing Fee OTHERS: Main Service Range, Oven n or Dryer 'do -JW!a Remarks: Wate eater or Heater Fixture t Zo ---..-- Rec es or Switches O USE OF STRUCTURE Hood o: Exhaust Fan 6 Single Multi Evap.Cooleror F.A. Fum. Motor r� RESIDENTIAL Family F-1 Duplex Dwelling 0 Garbage Disp. or Dishwasher OTHERS: �� .25� �.. T Air Con Etioner or Heat Pump /� � S Water Pump R em ark s: �o O TOTAL FEE CONTRACTORS LICENSE LAW o A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof............................................................................................................................................................................................................................................ License No .............................. Classification......................... ,. and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER 8, OTHERS COMPLETE THE FOLLOWIl'G: I am exempt from the Contractors License Laws of the State of Californ_a under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to of:er it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption ............................................ _.................................................................................................................... .............................................................................................................................................. ..................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above information is correct, and agree to comply to all County ordinances and State Laws relating to building construction. X .....1. ... .............................................. D ac e .........�.� ...... . SIGNATURE O PERMITTEEORAGENT Receipt No........9134> ........................ APPROVED ....................... Tais ELECTRICAL PERMIT is hereby issued under the appli- cEble provisions ef--the Health *R4 fo- °vaiiniacrarivriovc—=County Ordinance #'$i. ge% DIRECTOR OF PUBLIC WORKS BY................................................................................ Date ................................ •ry3t'!`►?7�j!F;rr({XPi^''�v+�tnv+h�+ifg+►"*fiiypK'`'i'i""r"sit'„"s`„.,.'ahrti.t'+iii3�`k.F►t3�y,s'►tv�yn.eav—•',,. ! r � r.�� .^ .•eqM! vi � 2 BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. Number 9-1993- � ,3 -/ JoBuilding Department No. School District P4 ea" C/► SC? City Q County ® Jurisdiction Property Owner A n' C.. h r .Q Project Location/Address I/V 71 _-v 1/k)oV, �fi e, h� �/ f_ Subdivision Lot Number Residential Development: � 21 Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Build'i'ng Department Representative Date Distr ct Id No. � sot--, School District certifies that a- (y.4 (AppliantjName)' (Ph ne Number) ( {Street (?�ddre0) w (Cit(State) (Zip Code) has com lied with the irements:of Resolution No. the pa ent of $ M --representing < square eet. School District Representative D af e W_ A pp PAID BY CHECK NO. 'REMARKS �a BANK NO PAID BY CASH leo QQQ white -applicant, yellow -building department, pink -school district SCHOOL. FEE % 45/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Phone: 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) qv e__ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Prope Soc is Date I 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. AP # OWNER C. jL"l S r- EH'S q-tJ PERMIT 4- 0 -88 . MH UTIL.CLEARANCE DATE 9 -ZS -as INSPECTOR ELECTRIC GAS Support Compaction Struc. ITest.Req. Service Other Pipe YESI NOI YES NO Size Load Type Size Length bfG 3jq " CD 1 a C 6 i i -�--- NOTE-,AR Mafe-ir,!s p,- '.`'..-'--- -- � � -- �----��--^^- ' -- - -------- -------------- ---------- - - - Accordance wiih and ------ - - r t - - - -- - - of a qua::: ,press; :. _' _'/! .7 use in the Uniform Qui ci c E/. '1-.' .~ ----10 fhe National fiecariccl Coda. t�- S f i fil I I - - -----1Afc�ts, �rr��-des ""L°��.�----- -!--- — ----- - - ----- ------------ ----- -- - �- _ - ------ ---- 2 J— I' � r •�- it. from tk►e _ - - - - ---- ---- - - - - -- -- - - - --- - ----- 50ft. from1 the road ar I '^-+II ce cof - - - ® Centerline s�t� y -- --- ---- --------- --- -- - - - -- U, ment ex --- -- -st cures or-equipment -- --- - - - ----- - Shall be Within for a 2 ft. eave p� i'O. j _ .. ec;ions._..__._.... 1 1 - -- - - Utility conn et eit-------- ® -- - rl ft, df-t�'e, ink or-wn t. e e, -- - --- --- - ------ - of --- - ------ -half � rr,obilehc e• ------------ -� - - -- �- 7 5 I0 • � �a C , b s i 1 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: M oL-A c. C_ l, r : -F-e--1 S -C- --, 2. -Installer's Name: 1 "i cu V�, Ck- 1 S' ^ S <'"1 3. Is the site currently under permit? Yes No (If yes, furnish permit number Is the site an existing site? (If yes, furnish two plot plans.) Yes 7 _) OR No 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes F-1 No IN (If no, clarify 5. What is the mobilehome electrical rating? --------------- ( oo Amps 6. What is the mobilehome site service rating? ------------- /0C) Amps 7. What is the mobilehome site circuit breaker rating? Amps S. Is there any other electric load to be served by the mobilehome site service? ------------=------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? -------------- (in.) 10. What is the type of gas service? ------------------- Natural LPG [A] 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- (ft.) 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. o natural gas or less than 50 ft. on LPG.) �J�� r*1 };, l (BTU), MOBILEHOME SUPPORT DATA a" pp l If other than single wide, `'► Mobilehome Mfr. %�/CISh furnish Setup Model No. QCT-a,CkR Year lgid Width (ft.) Box Length 4f (ft.) Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 171. Wood -pressure treated or foundation grade. a 2. Other (specify) SUPPORTS (check one) al. Concrete block. K2. Other (specify) Pier Footing Sizes and Locations I - 1 SINGLE -WIDE MULTI -WIDE Main Beams Line Z „ — — _ — _ — — _ _ Main Beams Tag or Triple Line I Piers: Line 1 Openings: Size-Min.------------Size-Min. ---------------- � "x Spacing -Max. --------- �_ Each Side of Openings From Ends -Max. ------- ' " With Width Over --------- Line 2 Piers: Size -Min -------------42 Spacing -Max - --------- 0)/140 From Ends -Max. ------- Line 3 Roof Loads: Size -Min .------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size-Min------------------- Spacing-Max ---------------- From ------------------Spacing-Max.-_------------- From Ends -Max.------------- " Line 4 Piers: Size -Min ------------- k „ Spacing -Max.--------- „ From Ends -Max .------- _ r Size -Min.------------------ Spacing -Max---------------- _ From Ends -Max .------------- Line 5 Roof Loads: Size -Min.------------ Location (From Front) _ ._1.1 - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P = M1TINOW7 County Center Drive Oroville, California 95965 -Telephone: 916/538-7541 IT APPLICATION AND PERMIT ASS SS R PA CE N MBER -- c) ZONI G BUILDING PERMIT OWNS ,n n TELEPHO E SO. FT. OCC. BUILDING VALUATION O ER' MAI ADDRESS A5 ►^ n ?,59 PS [CONTRACTOR'S ME TEPHONE COACTORR'S, N^ LE r1l) V1 GI MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ L NDER'S MAILING ADDRESS Permit Fee $ ARC IAT�ECTGOR ENGINEER W LICENSE NO. Plan Checking Fee ,$ ` 00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 ` Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME ARCEL MAF/Water 1 F piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome(] Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UtiUti It nit1eS N Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check.one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License No. Classification �] I, as the owner, or my employees with wages as their sole compen- \ sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING OCCUP.. OR ADDNS. C ACC, BLDGS. 2/20sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS e1 (SINGLE OUTLET CIR. / / EX. Occup( OR FIXTURES 2AL@30 .20@030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS IRESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. !11❑I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate - of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' t s id County in consequen a of the granting of this joermit. n XA Date a Sig r of pplican ontractor ❑ Agent ❑ An OS A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TYPc I IFLo/O �/' PARCE P ND S9VE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above Jfor which : CT BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat _g-1CSL `O Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT _ .� r" .. � .r.. , .(';r.. :, r:. rti .., ..wa .•"r4cG7'9''Yt<s...:..,r'.'!!�►"�.�'v '! a G '�� „ `�R,�}r`. y _,^T,i. �h� ,. _2�;.. r... ' COUNTY OF BUTTE - DEPARTTMENT OF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ' Permit No. OWNER �nCt ��11i)S 1-C- YI SC ✓1 A. P No. Proposed Building Use S -2Z U Building Inspector Date 9 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 been submitte . . . . . . . . . . Plot plans in duplicate./ iplicate Igned 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. r 5. Plans with Energy Design Compliance Statement. . . . . . t 6. . School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. . Fees of $ , , , , , , , Letter of signature author' atio S�6.r. . . 0-10. Sanitation approval fromflrl,� '�, Fealth Dept. AM 11. Planning approval for (A) Use: V (B) Parking: Certificate of Workmen's Compensation Insurance. . . . . . Contractor's License Information (no., name style, classif.) g Owner -Builder Verification (Given to owner0, Mail to owner) Improvements may be required. . . . . . . . . . . /. Mobi lehome Installation Data. . . . . . . . . . Prednspec. request t i Pre -Inspection for Required, a ldi I , (Date) Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. Plot plan approval from city of ung nsecp% L40P, Engineered trusse,�'in duplic (re uired prior t9 plan check)An# o1icc o� r)eAsl. �c 10 �/ �O► in0r When you issue the hhermit, proce s as follo s: ail to owner, Mail to contractor. Telephone NY–, and hold for pickup at office, Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to er it. issuance: (Cir le new itep not checked above), bw 1. Index permit for above items No.4 V- 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mafl—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date Plans checked by Date Plans approved by A Date Sets of plans on hold in File cabinet AP folder - s' Copy—DPW TO Building Department L FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locatieon4'SeAP# Plan Approved for: Sewa a D'isposal y _ Water SupPy Hold final for: Final clearance O.R. for: Clearance ,for _ bedroom/mobile home. �Other NOTE * * * Water Supply Water Supply Date TO: Building Department FROM: Encroachment Permit Section .RE: 'Diiveway Clearance s //lend ��✓.'s feGi�erl ��0�/� J �' tr/a S - —2 3 2 owner location AP # Driveway permit has been issued for the above property. nu b IVA sign re date TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance e�rs� 70411 w4 owner locatio6 AP # Driveway permit �/ 7� has been issued for the above property. si ature date AP NCO: The undersigned, i 9'7 NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY do hereby declare as follows: 1. I am, (We are), the owner(s) of that certain real property situated in the County of Butte, State of California, described in attached Exhibit A. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. DATED: % --- 1 _-r_ 0- *tu�- Signature of owner of record eo owner of record z� STATE, OF CALIFORNIA ss. COUNTY OF BUTTE On 9/20/88 , 19 .before me, the undersigned, A Notary Public in and for the State of California, residing therein; duly commissioned and sworn, personally appeared Mona J. Christensen known to me to be the person whose name subscribed to the within instrument �- and acknowledged that she executed the same. Proved to me on th basiof -sa isfactory e erne. WITNESS my hand and offical seal. • R Si tur Noi-An�, Pu:, .u. -c: _„or? nA ' BEVERLY J. GREEN ` ' ? MY Commladon cxPlrea Nov. 24, 1910 9� Name typed or printed Mai mama rcMM70M..tjea .0Wra 'r My commission expires: 11M76 AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. LD 1540 (5/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) A's 60.6 if ad'' signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Security um r — 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. r S'9-053 3,-�0 rnob'le Nom e ut1�+i�5 .For agricultural purposes, and residents Recorded 1 of this property may be subject to incon- I I Official Records 1 veni.ences or discomfort arising from the County of 1 use of agricultural chemicals, including, Butte 1 PARTY SHOWN but not :limited to herbicides, pesticides, j Candace J. Grubbs 1 and fertilizers; and from the pursuit { Recorder 1 of agricultural operations including, 1 :44pm 20 -Sep -88 1 JJ ' 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ny�ricul .Lural- zones which have as a priority use for productive agricultural. purposes, ;.incl residcno t; within said zones and on adjacent property should be prepared to accept such i nc �invc n i c n< c or disconfor.m from normal, necessary farm operations. All. that real property situate in the County .of Butte, State of Cal.ifor.nia, descrihc•d :is f. ol.l.ows : hO 15 1 0A.i..� 1V, l "1 ���U� �C. ( �� � �dv\ �vS �►�y 0,C.GV`G`►V%00 1'� C G*i C i 0A Mct1r, cam► eo� r ec_c�vd� i ti�-� e. ©� : e e �'�� e eo n c�` a'� C.0 vim, Yy G ct s (k p as -e. �3 I -X_ -\ h X31 G C- k \ Date: September 20, 1988 State of. California) County of Butte ) PROPERTY OWNERS: On this the 20th day of September? SS. the undersigned Notary Public, personally 19 88 , appeared before me, �y Mona J. Christensen Personally known to me. ® Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is �/Bos� subscribed to the within instrument and acknowledged that. she _ Y°c`�e:�� ®04�1,executed the same for the purposes therein contained. IN WI'I'NI?tiS ®o EREOF, I hereunto set my hand and official. seal.. ® r 0. 0�" ®®� Nie. ��q �► *0 9�9 4ar.a '��� " a Present A.P. No. 0 tary P blit END OF DOCUMENT 88-32097 M RLstdrn to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVEIOPMENT Section 26-8. I. of the Butte County, Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 88-032097 11 Rec Fee 5.00 to land or included within an area zoned I Cash 5.00 .For agricultural purposes, and residents Recorded 1 of this property may be subject to incon- I I Official Records 1 veni.ences or discomfort arising from the County of 1 use of agricultural chemicals, including, Butte 1 PARTY SHOWN but not :limited to herbicides, pesticides, j Candace J. Grubbs 1 and fertilizers; and from the pursuit { Recorder 1 of agricultural operations including, 1 :44pm 20 -Sep -88 1 JJ ' 1 but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established ny�ricul .Lural- zones which have as a priority use for productive agricultural. purposes, ;.incl residcno t; within said zones and on adjacent property should be prepared to accept such i nc �invc n i c n< c or disconfor.m from normal, necessary farm operations. All. that real property situate in the County .of Butte, State of Cal.ifor.nia, descrihc•d :is f. ol.l.ows : hO 15 1 0A.i..� 1V, l "1 ���U� �C. ( �� � �dv\ �vS �►�y 0,C.GV`G`►V%00 1'� C G*i C i 0A Mct1r, cam► eo� r ec_c�vd� i ti�-� e. ©� : e e �'�� e eo n c�` a'� C.0 vim, Yy G ct s (k p as -e. �3 I -X_ -\ h X31 G C- k \ Date: September 20, 1988 State of. California) County of Butte ) PROPERTY OWNERS: On this the 20th day of September? SS. the undersigned Notary Public, personally 19 88 , appeared before me, �y Mona J. Christensen Personally known to me. ® Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is �/Bos� subscribed to the within instrument and acknowledged that. she _ Y°c`�e:�� ®04�1,executed the same for the purposes therein contained. IN WI'I'NI?tiS ®o EREOF, I hereunto set my hand and official. seal.. ® r 0. 0�" ®®� Nie. ��q �► *0 9�9 4ar.a '��� " a Present A.P. No. 0 tary P blit END OF DOCUMENT . The undersigned, 88.32096 88-032096 Recorded Official Records County of Butte , Candace J. Grubbs Recorder 1:42pm 20 -Sep -88 NOTICE OF CONSTRUCTION AFFECTING ADJOINING PROPERTY Rec Fee 7.00 Total 7.00 t PART'S SHOWN RB 2 do hereby declare as follows: 1. I am, (We are), the owner(s) of that certain real property situated in the County of Butte, State of California, described in attached Exhibit A'. 2. I, (We), intend to apply to the County of Butte for a building permit and, pursuant to said permit, to construct improvements on the said property. I, (We), do hereby place all subsequent purchasers and encumbrancers on notice that such improvements will be constructed over a parcel or lot line(s) as described in the above noted Exhibit A, and that subsequent purchasers and encumbrancers should be aware of the location of such improvements. 3. So long as such improvements remain, said parcels or lots cannot be sold separately. DATED: q �� Signature of owner of record j5_n�aa��raetu o owner of record STATE OF CALIFORNIA ss. COUNTY OF BUTTE On 9/20/88 , 19 ,•before me, the undersigned, A Notary Public in and for the State of California, residing therein, duly commissioned and sworn, personally appeared Mona J. Christensen known to me to be the person whose name subscribed to the within instrument and acknowledged that she executed the same. Proved to me on the basis of-sa isfactory evidence. WITNESS my hand and offical sea. Si tur t NOTARY PU2UC-CA 0t4t41A e4 P BEVERLY J. GREEN b QU:;;J Count MY Comnilet:ion Expeen Y c oc Nov.24, tees W� Name typed or printed ?wo a �riammc omvMVP_17,»r.�' My commission expires: rilh%79 AFTER COMPLETION, THIS DOCUMENT MUST BE RECORDED IN THE OFFICE OF THE COUNTY RECORDER. LD 1540 (5/88) P�.�y LVAJJ ,S 32.096 G -A - END OF DOCUMENT