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061-630-006
i 0 qf38.7,Z 3.--,,,7 b '0 'N061 � -S�b - D J CO NT R T QW -N. ' :6 I 'BERR'Y CR MN UT I L, - k'.' rELEC GAS 'COMPAC5,KN TEST REQ SU T STRUCT REQ --061-63.0-006 PERMIT#9670151--.,+ 'BROWN,.Te'riyi 195_, Lonesome Dove C i T 6 le B e'r'ry ,Creek. Co.nt; , D & D Mobile .-Mobilehome(Uti lit: e ELECTRIC' (Yj Arnf ,1-0 'If_ 0/j (Yl GAS LINE 0 COMPACTION TEST REQ__.%Lo SUPPORT STRUCT REQ 0, 061-630=006 PERMIT#.9.6-03121, BROWN,.,Terry ate, 1951onesiomekDove Ci�rcle, Berry' Creek Cont;' 6 & D" Mobile Ip Mobilehome ,Installation' ��I UrfiFD sc,mud o no4ed co i i 11 li it �� �� ��� , '7 �, -._.. And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to -land or included within an "area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural -chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: . Date: 1Z - 30-'76' PROPERTY OWNERS: 14AM", _T J�� �� k State of Californi• County of �u On—/ 2 3 i 90 ' r.re me, personally appeared ([? t^('t�J - � (� !> CJ I GZ /YLp �Gi K. / u� ri e7�Qy known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)-is/arc subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their sibnature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. - TARAJ. GUDGEON a ° pt EUNl.. Commission 41050724 Mfr CPS1 Notary Public Signature But County, California , ° IlAy Commission Exp. MAR. 8, 1999 °4 posNI A.P.# A.A.- I NOTE TO RECORllBR: DU NOT RECORD THIS -SIDE AGRICULTURAL STATEMENT OF.ACKNOWLEDCMEN'r Instructions for recording Agricultural Statement of Acknowledgement: 0' 1. Insert the legal description of the property in the space provided on the other side of this form. The legal description is the narrative description of the property - which will be on your deed. W, you r doff It have access to the deed, the,Recorders Office can provide this _ information. ( The description may be handwritten or typed in the space provided or attached • on a separate sheet if more space is, required). 2. Property owners must sign 411 the presence of a Notary Public and have the form notarized. .r- 3. Make a copy`'of,tlie form and then take the original, and "copy to the Recorder's 'Office at 25. . r � t County Center Drive, Oroville (the.xAdministration Center building). The Recorder will +. ~. record both the r origiiial and, copy., They will keep the original and, return the copy to you. Just bring the copy back to the Building Division at 7 County Center Drive., .. S4Je RECORDER'S FEES: $6.00 - 1st. Page _ $3.00 - Each Additional Page ` , a ♦ . .. Vii,~. r N RECORDER'S OFFICE HOURS:, 9:00a.m. - 3:00p.m. (Monday'- Thursday). z ' } 3. r f�f4; r , w + OVER ` f�DESCRIPTION t r ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE CALIFORNIA; COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: OF PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN AMENDED PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE Or CALIFORNIA, ON NOVEMBER 23, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 88 AND 89. , PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER THAT PORTION OF PARCELS 1, 2 AND SHOWN ON THAT CERTAIN AMENDED PARCEL 1~Ir1P, RECORDED IN TIME OFFICE 3, AS OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA NOVEMBER 231 1981'.1-N BOOK 86 OF MAPS, AT PAGE(S) 88 AND 89. , ON PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EACH SIDE OF A LINE BEGINNING AT A POINT IN THE SOUTH LINE OF THAT CERTAIN AMENDED PARCEL MAP, RECORDED OF THE RECORDER OF THE COUNTY OF BUTTE, NOVEMBER IN THE OFFICE STATE OF CALIFORNIA, 23,'.1981, IN BOOK 86 OF MAPS, WHICH POINT BEARS SOUTH 88 ON AT PAGE(S) AND DEG. 19' 32" THE SOUTHEAST .CORNER THEREOF; THENCE WEST, 10000 FEET PROM BEGINNING, THE FOLLOWING COURSES. AND DISTANCES: FROM SAID POINT OF NORTH 88 19' 32" EAST, 289.94 FEET; SOUTH 65 DEG. 14' 43" DEG. FEET; SOUTH 75 DEG. EAST, 43''08" EAST, 2.58.10 18" EAST, 140.12 FEET; NORTH 26 FEET; SOUTH GO DEG,. 05, DEG. 46' NORTH 15 DEG. 12' 01!' EAST, 135.40 FEET; 18" EAST, 50.67 FEET; NORTH EAST, 158.57 FEET; NORTH 35 DEG. 30' 52" 55 DEC. 49' 491 EAST, 60.75 17 70 DEG. 53' " EAST, 71.74 FEET; SOUTH 122.55 FEET; SOUTH 51 FEET; NORTH 78 DEG. 55' 28 DEG. 58' 51" EAST, DEG. 37' 58" EAST, 223.83 FEET; 181.46 FEET; SOUTHS78 NORTH 171.37 FEET; SOUTH 75 DEG. 24' 58" EAST, 86 DEG. 36' 35" S54 DEG. 24' 37" EAST, 152.73 FEET; NORTH 171.06' FEET; NORTH 23 DEG. 34' 122.17 FEET; NORTH 36 DEG. 56' 15" EAST, DEG. 01' 50" 55" EAST, 235.72 FEET; SOUTH 56 EAST, 230.07 FEET; NORTH 34 DEG. FEET AND NORTH 86 DEG. 05' 00" EAST, 89.32 45' 48" EAST, 140.10 WAY. FEET TO PONDEROSA PARCEL IV: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS•AND EGRESS AND PUBLIC UTILITIES OVER THAT PORTION OF PARCELS 1 THRU 4, LY THAT CERTAIN 60 FOOT NON-EXCLUSIVE EASEMENT, AS SHOWN GON WITHINONCERTAIN' AMENDED PARCEL MAP, RECORDED IN THE OFFICE RECORDER OF THE COUNTY Or BUTTEOF THE , STATE OF CALIFORNIA, ON NOVEMBER 23, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 86 AND 87. 4 RESIDENTIAL i 061-630-006 f PERMIT#96-0151 BROWN, Terry 195 Lonesome Dove Circle, Berry Creek Cont; D & D Mobile Mobilehome Utilities r, Afa t I f "L ICE COPY Date ,JOB FINALED (Date)1��� — Signature } 'J OK O=Not OK = Not Applicable RESIDENTIAL (Single Not Ready ' = Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 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 a's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------ ------------------------------------------------- - - 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------------------------------------ - 24. Size Boxes & No. of Conductors -Stapled --------- - - ----------- ---------------------- --- --- -- 25. Romex Installed Close to Edge of Studs & C.J. --------------- ------ --... ------ -------------------------------- ............ 26. Equip. Ground made up wrMech. Fastners-Bond Gas & Water ----------------------------------------------- - --- -----------------._. 27. 2 Appliance Circuts in Kitchen & Conductor S ze,GFI ------------------------------- - ----- --... ..... .. 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At -------------------------------------------- 29. Range Circ 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. -------- ---- 32. Clothes Closet Light -Shower Light -Spa Light --- - - -- ................ 33. Smoke Detector Date Card B-1Date Card B-1 - --------------......._...-------- ----- --------- ._....... ....... ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL.(Permit) OK except rr's 34. A.C. Ducts Insulation & Support ----------------- ---- --- --.... . . . .. ... ......................... ....... 35. Vent Fan: Exhaust above insulation --------- ---------------- -.... - . _ ....... 36. Condensate Drain & Overflow: Size & Grade -------------- .. . _.._..... ...................... ....... .. . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet -- - ......... ... ... ....... ... ... .. 38. Attic Access.& Platform if Furnance in Attic ------------ -- --- --........ .. ... .... ......... ... ... ... . . .. .... .. Date I Card B-1Date Card B-1 --------------------- ....... ............. . _...... ... .. Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sits. 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) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46 Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Ring. ---------47.-,Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exitinq Doors -Sill Hqt. & Dimensions - 50. Garage Fire Protection Framing ----------------------------------- - 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story;'2 Exits -------------- 53. _Stairs: Width -Head room -Rise-Run-Landing-Fire• Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ------------------------------------- - 56. Stucco Mesh-DripScreed-Fd. Vents-Underflr. Access --------------------------------- 57. -Glazing Area -Glass Protect ion=Skylights-Plastic 58. Shear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings ---------------------------- ----------------- 60. Infiltration -Walls -Windows ----------------- --------------- ____------- Date _ Card B-1 Date Card B-1 Date, _ Card B-1 Date Card B-1 Date FINAL (Plans) OK except n's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------------------------------ 63. ------------------------------------------63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection ------ - ----------------------- 64. Bedroom Exiting . _----------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec_ Trim & Sub anel_Breaker Sizes & Labels 67. Stags & Rails ----- - 68. Fireplace or Stove: Clearances -Hearth ---------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. -------------------- ----------- 70. Kit Fixt & Appliance: Grnd.-Air Gap -Cooking Clearance ..--------------------------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter . ......... _... ------ ---------------- -------- 72. Garage Fire Door: Swing -Landing -Closer __._ .._............. ------------------- ---- - - r� • 73.-A.C. Duct in Garage -Damper - - - .. _ - -----_ - - - -- ------------------------------- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ----------------------------------------- 75. Plb.. Elec. & Mech. Equip. Listed for Location ....._..._.----------------------- - 76. Elec. Receptacles in Garage. (G.F.I.)-Romex Protection --- --------------------------------------- 7;. -----------------------------------7;. Insulation -Foam -Looked in Attic ❑ Yes ----------------------------- - 78. Guard Rails & Deck Construction -Post Caps ......-----------..__...----------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------- iso. Following instld.l, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No .. ----- ----------------------------- - 81. Stucco: Brown -Finish .. ... ........................................... --------- 82. A C. Unit: Disconnect. Electrical. Plumbing . ... ... ......------ ----------------------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ' ` • ' ` ' - __ . - -- .. _ ..-------------------------- 84. Water Well: Disconnect. Electrical. Plumbing . . . ... .. .... ....... ........................ ------------------ ----- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground ---------- - ----- -------------------- 86 Ventilation Throughout House - --- --- ------------- ----------------- --------------- 87. Glass Protection -7 ---------------- -;-- ---------- 88. Corrections from Previous Inspections ...... ..... - -------------------------------------- - 89. Gas Test -Meters Tagged. Gas -Electric _.. ...., ----------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval .. .. . .. . .... .... .- - ------------------------------- 91. Energy Compliance Certificate -Other Certificates . ... .. .... ....... . . .. _ - - - - -----.... - ----- -- -- ------ - --------- Date Card B-1 Date Card B-1 - Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments. at Final: V=OK 0 = Not OK INotReady MOBILE HOMES Date MOBXt HOME UTILITIES Plans OK except #'s Zo ' g Requirements - Setbacks - Easements of , Special MH Support Sketch ewer; Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete - 6. Gas; Location -Test -Wrap; / P'L'ft. e earance & Disconnect ItI. 6lity Clearance IT FL 13' t i, f r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s DateCard B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE -HOME -INSTALLATION Plans OK except #'s Zo ' g'Requirements-Setbacks Easements tings; Size -Spacing -Marriage Line was, -MN -Test )eamnd- AKev CConnector ricity; MH Test -Crossovers -Breakers -Clearances i ra ,-MH Test -Fall -Flex Connector ate ;,MHTest-Regulator-Connector C,.& -'a d Sewer Connected -C/0 to Grade -HD Approval -Gas anq5jectricipy Tagged , ow pe -Installation Cert. '10. Ex ; Insp.-Sketch Date � rtof0ccupancy Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s Date Datq(I AT6 Card B- ��f' Date Card B-1 r Card B -1 -Date Card B-1 4 e l ®� �_L��ld` (v 2111 ? IT FL 13' t i, f r MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders 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 i 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 I 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 :f (:OUNTY OF BUTTE- DEPARTMENT OF DEV8LOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 96 PERMIT NO. APPLICATION AND PERMIT (p (/ / ASSESSOR PARCEL NUMBER 061-630-006 ZONING U BUILDING PERMIT OWNER TERRY BROWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS K - 7371 DURFEE WAY SACRAMENTO, 95831 CONTRACTOR'S NAME D & D'MOBILE HOMES TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIPIOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILINGEnergy ADDRESS Penalty $ BUILDINGADDRESS 195 LONESOME ,DOVE CIRCLE PERMITFEE $ 23.00 BERRY CREEK, CA 95916 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑X Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities CK Installation ❑ Other ❑ I Describe Work: REPLACES BP#91-3872 Mobile Home @20.00 40. PERMITFEE $ 60,00 Contractor ELECTRICAL PERMIT Filina Fee 1 20.00 Main Service ( 20 A DOR LEss ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f II force and effect. License Class Lic. No. /// S OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. \ OR ( 8 ACC. / SO. 3.5Q FT. NEW CCONST. MULTI.OUTLENS. TLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES 20 @ 1.00 BAL .50 Ex. Occup. oFIXEEDrs PLNS..OFR.A ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. IC I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Z44�/7.%% MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number AI37Z660 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X -1 � Date 1 �� _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oer CONST. TYPE TOTAL FEE $ 146.00 HAZ. 0. FEES 11MK FLOOD CDF PARC PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. ate 1 g h% I(Date) Receipt NO. 190689 WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Strom— e, COUNTY OF BUTTE �BUIF39NG DIVISION DEPARTMENT OF.•DiVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (91'6) 891-2751 -' 7 County Center Drive, Oroville, CA - (916) 538-7541 .} 747 Elliott Road, Paradise, CA - (916) 872-6307 t CORRECTION NOTICE X� 6 3 L" 6MER ' PERMIT NO , ' A routine inspection indicates that the following violations of Butte County Ordinances exist at I r the above address and should be corrected. Please notify this office when correction of work. is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f rk,1., 1, y ! / R:NAI ,1T �' 4• Fr r� t Inspector J I i I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES V' 1469 Humboldt Road, Chico, CA - (916) 891-2751 " 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE IWA NMI 0 PERMIT NO. er- L A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work s: " is completed. If you have any questions pertaining to this matter, or need additional explanation, Bate Inspector j3- .��, RSV 1 / 2 k -•;. ` _ i. :r'r CERTIFICATE OF ANCHOR_WSTALLATION Title 25 CCR Mobiiehome Parks Act Section 1,326 (b)(3) I certify those portions of the tiedown system installed below grade were not damaged prior to or as a result of the installation, were not modified prior to or during the installation, and were installed in. accordance with the manufacturer's installation instructions, plans and specifications of the engineered tiedown system referenced `on this certificate. Tiedown System: Manufacturer: F l e& [.Una C4_f r Model: �YL� 50 � K, Installed. by: Date: Contr./Owner: ,41-4yam, SM40vi,License- No.: 3 .1 t' 1COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION T 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95065 -TELEPHONE (916) 538-7541 Z, PERMIT APPLICATION DATA SHEET OWNER 1(�6Ll�Y� ., , Pj No. D (.0 -CC Proposed Building Use Y�j Building Inspector _ Date t At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... ,- 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ................. . 11. Impact fees as shown on attached schedule. . . '1 12. California Department of Forestry plan approval/ ees 7�3 .......... �. 13. Flood elevation letter (100 year flood) by Californi 'neer. ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . .......................................... 416. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . t 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. - " 22. Certificate of Workmans Compensation Insurance . ........................... -' ` Mail to owner . 23. Owner -Builder Verification (Given to owner � .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ............:............................. 28. Mobilehome utility clearance. ....... ')................................. . 29. Documentation -of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... r 31. Existing violations/expired permits. .. ..............................:..... . 32. Plan check list . ..................................................... 33. 34. When ou issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 53,3-�30�and hold for pickup at r V c �.Cn office. Deliver with inspector. t Other ` Parcel Creation �--� Acreage Applicant /�� �'' Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By �- The following data must be submitted prior to permit issuance: (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 _ mail Cou r by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works ,.e r' Wit, � • Yu (_Y TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. U�SH ONLY Plot Ph n Au i d— Floor Plan Atte%chedy— Sent to B.D. 'L_-2 �p _©� er Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date Q ro13 The attached Fre Safe requirements must be completed as specified and approved by.C.D.F. - AI F 46 _ 1 Rj WELL l ,pi 4 1 Ra k 1A REVIEWE Y I �( BUTTE CO. FIRE �EIPT. ' ! CALIF. DEPT. of FORESTRY ' ❑ approved as submi ed. � APPROVED Butte C°unty alth approved with condi *ons Envir°nmental > �: per attached sheet. / naNlwre ate DJOTE:--AII Mater als & •Workmanship Shah 16' Ih Dat% �-=` Accordance with e•cogni¢ed s Good Practices and n,/ ! of a quality prescri ad forlt.4 - Uniform Building, pl mbir S rcified useia_tlao--Slgvoid net�ALL^STRUCTURES AND EQUIPMENT INCLUDING the National Efectri a( Cr>�'®• �chanical Codes OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. �A SET BACK OF RD FT. FROM THE �aIDL AND �0 FT. FROM THE REAR PROPERTY L NES AND THE'�CEN-� ,'HALL BE fhis set of pi and speer 1 iort's�MUST bo �JCURE R-,.E4�lliptEN EXCEPT kepf bn the job t all times and i ikunla� FO�-EAVE OVERHANG. make any its -- �— written permission from the Department of Works, County, of fl a, BUTTE COMTY ' BUILOM DEPARTMENT APPROVED c ♦ f ... � f ii F.j t. t j. :^�.i; 'a:J 41 •i•1?.S1 �,S. `e!�t ji .al;•� �1%i d rx�ea�f p$fw CDF FIRE SAFE REQUIREMENTS q6 AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [Kj 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards K, 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appartezant-structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [X] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04. Driveway Radius 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-20.0 feet. [�] 2. The length of ver'=i.l curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert.water shall be not less than 100 feet. [yl 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the,road. [�1 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [(�] 1270.10 Width.. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire.length. Page 1 of : :?.-, BU17E COUNTY BUtLDhV0 DEPARTMENI APPM®V E® AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [X] 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [x] 1. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to,allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [k] 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local.jurisdiction shall provide for the same practical effect. See Other Requirements below. / 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning'or removal to.a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction ,r fi_ial.inspection of a building permit. Page 2 of 3 BUTTE COUNTY BUILDING DEP MEN? APPROVED AP # PERMIT # Other Recruirements [ ] If Building Setback is 15 to.30 Feet: - Class A or B roof — Enclosed eaves &bUiv 11 ��� AME [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed i0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 ,of 3 BUTTE COUNTY BUILOING DEPAMMENI. APPROVED ♦ r `- A r f a Y r � t rvR a f. Aft Ills MAN IM ell MAMIKKE VEM"MEME NECKER slumululams MES IMMM� IMEJES UUMERIN -mmMw,,n-- ME FEE mumMAAIMM�M ME KEE ----------- DEVROOM g 2'. i7 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION ---7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: _ O PERMIT NO.:/ / e.«... :+. .�..... ..... ..i. ..i Owners: 't✓'"'"V il/ t L.�II:'. �.1 •f'�l-. . .. ....-.. r7. -.:F. �. M.,i..._.., .... .. .. Name: t� 6c-. iG Owners: Address: �j A% Mobilehome L. Year of Manufacturer L = Manufacture: Serial number Insignia or f —Q or V.I.N. L- r f j7 HUD number: ` / y U / Official approvin installation: Date: If the mobilehome is moved or relocated, the mobilehome installation:acceptance shall become invalid. This form'shall .not be used when the mobilehome its i6stalled'on a foundation system. y ' • -5136. - -, ' 'White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor e.«... :+. .�..... ..... ..i. ..i + f + Zs_.�t:L n.-.�e.+^.r.�.�... ._. .<<.�ec v.r�.:�%..i i.4\.e! _a .an_.v.w2 .e _tee lw..ti Y.f,+F eA�i.-t�.:..1F'. atj.., �nf Anil:�.+ t L.�II:'. �.1 •f'�l-. . .. ....-.. r7. -.:F. �. M.,i..._.., .... .. .. 111211111111 COUNTY OF BUTTE -DEPARTMENT Of DEVELOPMENT SERVICES -BUILDING DIVISION ,7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT Pa -(9 3/a ASSESSOR PARCEL NUMBER 061-630-006 ZONING U BUILDING PERMIT OWNER TERRY BROWN TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7371 DURFEE WAY SACRAD4ENTO, 95831 CONTRACTOR'S NAME D & D MOBILE HOME, SERV TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 195 LONESOME DOVE CIRCLE PERMITFEE $ 43.00 BERRY CREEK PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE _ SF ❑ Duplex ❑ Mobilehome ff Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑X Other ❑ Describe Work: Mobile Home S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service e00V OR LESS ( zoOA oR LESS ) 23.00 Main Service ( 200A TO ,000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 1 '� Lic. No. / 4111�Z, Z OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and'Professions Code for this reason NEW CONST. DWELLING OCCUR.so. OR ( a ACC. BEDS. ) 3.5Q FT. CNS. NEWAD CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIS. Ex. Occup. (OUTLET OR FIXTURES ) 64L 0 ':50 FIXED APPLNS. Ex. Occup. OUTLETS RES D.)EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co�jpensation insurance carrier and policy number are: Carrier Z��/ % Policy Number ZV37ZD (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith compl with those provisions. X _ Date �-� ZZ —9(p Signature of Applicant - ❑ Owner WContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 1 Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ 100,00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD CD PARCEL PO HD ._ Issu This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON z applicable provisions Resolutions to do work been paid. Date �6 �t�91111 (Date) Receipt No. 191070 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT0 DEVELOPMENT SERVICES -BUILDING DIVISION 7COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 OWNER 1 X Proposed Building Use PERMIT APPLICATION -DATA SHEET No. ©� - O' 00(o Building Inspector Date 69 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY t 1, All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............. 5. Hazardous Material Form . ................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data an anufacturer's installation instructions, 2 sets. ........... 10. Fees of $ /Y3. . ..... j .................................. . 11. Impact fees as shown on attached schedule. . �L-/s-;'c Az 12. California. Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100.year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... - 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning_ approval for (A) Use: (B) Parking: ......... 18.' Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy)... . . 'Preanspedion request 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). ......... . 22. Certificate of Workmans Compensation Insurance. ` 23. Owner -Builder Verification (Given to owner , Mail to owner 1.......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ...................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .. . 27. Letter of intent on building use . ....................................... : :�.� ��8. Mobilehome utility clearance . ........................................ 29. Documentation of legal access.-, .................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ................ 31. Existing violations/expired permits. • ..................................... . 32. Plan check list . ......................................... I........... 33. 34. Whgn,you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone- - and hold for pickup at office. Deliver with inspector. r Other Parcel Creation ` p �� 7 / Acreage Applicant �� Date jv Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept,_ - -Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above+ifems No. " 2. Additional items required: (Circle new item not checked above). Contractor', designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by _ &I a a ocJ S Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 TELEPHONE (916) 538-7541 OWNER -Y�l� �'1 A.P. # PROPOSED BUILDING USE DATE �- REC. # DATE REC 3. 4. SCHOOL DISTRICT FEES N (paid at District Office) _ . SHERIFF FEES (paid at Building Division) Residential...... x =$ �1�� c / 9�2 unit amt. Commercial (sq.ft.). x =$ URBAN AREA FEES (paid at Building Division) Residential (per unit). x _$ #units amt. Commercial (sq.ft.). x =$ sq.ft. ' amt. RECREATION DISTRICT FEES (paid at District Office) 5. THERMALITO DRAINAGE DISTRICT FEES $400.00 (paid at Building Division) 6. SRA FIRE INSPECTION AND -PLAN CHECK $89.00 (paid at Building Division) 7. WATER TENDER FEES (BATTALION # ) $200.00 (paid at Building Division) 8. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 9. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT s DATE ELECTRIC GAS Support Struc. Compaction Test Re .' ervice ize Other Load Type Pipe Size Length YES NO YES NO • ..... ' • YAC' ..,�' } (1 _R,ESIDENTIAL g- 3 8 7 2 06,1-63-0-b06 k ` .`OLSON , : JOD I OWNER ' _ �CONTR '''� µ BERRY • CR '► t ' MRr 1300' N `DEER MEAD6W.rRD, V y ;MH UT I L i a , •7 , 4 I, nSpze • 1 • • i t r, r•. � t R JOB FINALED (Date) ? Signature �f •J, , J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except If's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Fig., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except 4'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 h's 22. Fixture _& Transformer Clearance -Ins. Protection - - - ------------ 23. Elec. Receptacles Spacing -Lights & Switches at Doors ------------------------ -------------------------------------- 24. Size Boxes & No. of Conductors_Stapled- - ------- - --------------- 25. Romex Installed Close to Edge of Studs & C.J. -------------------------------------------------------------------------- _ 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water ---- ------------------------- ---------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor S Ze!GFI --------- - -- ----------------------------- - -------- - ----------------------- 28. -----------------------------------'-------------------- 28. Subfeed Wire Size / r 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. -Eq uip Clearances Panels -Motors -Meth. Equip. ------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- ------------------------------------------------------------------- 33. Smoke Detector ------------------------- ------------------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. -.A. -C.- Ducts Insulation & Support 35. Vent Fan Exhaust above insulation ------------- --------------------------------------------------------- _ 36. Condensate Drain & Overflow: Size & Grade ----- ---------------------------------- --- --- -- -- - 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - - ------------------------------------------ - - 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------=---------------- Date Card B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's +39. Sils. Proper Material & Anchors ---- -- �-------------------------- ---------------- --------------- --------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound s----- -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------------------'------ 42. Draft,St'op in Walls (rat proof) ---------- ` r --_''""i..---------------------- ----------------- - 4�Fiie Stops: Furred Ceilings -Stairs -Chases -Tub 11-- ::----------------------------------- 44. Headers&?Beam-Size & Bearing single & Duplex)- Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing _ 51. Property, Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------------------- - 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. -Siding -Nailing Veneer 56. -.Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access --------------- -- 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts ------------ 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------------- IDate Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's --------------61.-.Ext. Steps -Door & Sidelight Protection -Landings ------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector- r In Garage; Above Floor -Ducts -Meth. Protection ------------------------------ --- 64. Bedroom Exiting --------------------- 65. G F.I & Bath Fixtures & Tub Access -Spa ------------------------------ 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----- --------------------- 67. Stairs & Rails ....------------------p ---------------- -- 68. Fire lace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ---------------------------------- --- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance 71. Elec_ Outlets & Receptacles at Kit. Counter -------------- 72. Garage Fire Door: Swing -Landing -Closer -------------------------------------- 73. A. -C. Duct in Garage -Damper --- 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection ----------------- 75. Plb.. Elec. & Mech._Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection ------------------ ---------------------------------- 7;'. -Insulation -Foam -Looked in---- Attic ❑ Yes --------------------------- --- 78. Guard Rails & Deck Construction -Post Caps --------------------------------- 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --------------------------------- 80. -------------------------------80. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------ 81. Stucco: Brown -Finish ---------------------------- --- ------------ 82. A.C. Unit; Disconnect. Electrical, Plumbing -- --------------------------------- - --- -- 83. Vents Above Roof: Plb9 APP liance-Firep lace. -Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing --------------- ------------ --- -- 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground a6. Ventilation Throughout House - ------------------------------------------------------ 87. Glass Protection -- - ----------------------------=--------------------- 88. Corrections from Previous Inspections ------- - -- -------------------------------------------- 89. Gas Test -Meters Tagged; Gas -Electric ----------- ------------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates ------- ------------------------------------- ----- -- Date Card B-1 Date Card B-1 ----------..-------------------- -Date ------------------------- -- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final i J=OK O = Not OK =Not AppReAdyable Rea ." MOBILE HOMES ' =Not dy 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 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 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P L" ft. / /"Nat. or/ /"L"ft./ P'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 'ac'. 5 -.r ° y n • _ r" jY11 Z't: i °, ' t . to l f {s h• .. t , r i. 1- t ;;t. a rt tx a i • i M rjt 11i �� Fi 4j T}1i�. }1;a .';i ' 1 i ' [. ' t . S'. • tt r 1 . ! ? 4 .Z �11 1 TiO•Sti WEST 112 SECTI ON 20`N 6 ' T.M.D. R 5 E. lVl. � . . • 1. � 44 j.i7 � a a i• +,17f�Ri.YLS•N,r ' - � I:t, i•*`.Ik'r�tyt"yf...•. • A'6 �tikhJ t�t.ti �.• ' e�Y CTR. SEC. 6 _ •. !. , ,t; !99.45 500.43 1�—, 1288.67 782 1364.69In 2` Jrrl2 12'1 24 a `10AC (23)10AC UNTRE-' C) ;: OS AC. 1 24.81 AC. m / t 2 c4 I 9.I7AC. 10.06AC t N poi' 2 to E, `% `. ��le.., �% 2/ of in 6.62 AC JZJBgI ��� /�� ;� r //'� r 214.28'�9J� . o4r). "4- /1 IYIEE-1DVs�/ �z.c6 17C�•� 4' mil p82 20 ,n / 2 rU / / �,� ^ 11 i I ��� 10.1O2Ac'' (4, O a, I�yO/ // . _, �I / 14.64 AC. c� \ PM9B-65 / 10.53 AC. I / L ���; M �� R0A1) J. l / PM 86-87 t2s. I PM- 60`50 • 1004.99 _l \ 1310.44 1,-�\ 610,52 -..__---•�-------52.3.25 I � 718.02 592.42 ---'-- ---. --- -- ----- - ---- — —,.. — 2 2 :v t �4 C5)I 1 2 \'\ 258.51 6.05 AC I j 1?tea l4 l5 32 1 /" 8 79 AC. 3 ��11.15 AC �� tr-�3a ! 4 11.16 AC. '4ti ",oi , 28 20-13 AC. 20.04 AC. o� 11 ti, e 10 AC :r 2 I' M i t •l7 ', 29, 3 1258 AC. ' 0 10.46 AC. 7 p� r 4j�� 26 t: • r t 9.19 AC.i v r Gi/ 4 i ^ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive'L OroviIIe,. CaIifor'rria 95965 - Telephone: 916/538-7541 �APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 061-63n—on6 ZONINC,.- U BUILDING PERMIT OWNER TELEPHONE 589-3961 S0. FT. OCC. BUILDING VALUAT ON OWNER'S MAI ING ADDRE S P.O. BOX 916 BIGGS 95917 CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 NONE Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS BERRY CREEK Permit fee $ 20.00 PLUMBING PERMIT FilingFee 1 15.00 ` © Each Trap 5.00 / /� /0-7 /— 0-7 t: SO✓h e �pv e C�r��G Solar or heat pump water heater 1 20.00 LOT NO.ji�ION NAME PARCEL MAP Water piping 1 7.00 Each qas• water heater or vent 7.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 SF E:1Duplex❑ Mobilehome® Other Mobile Home @ 15.00 45.00 SPECIFY TYPE OF WORK New [J Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Permit Fee $ 0.00 Describe work: MH iT 2 BDRM Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200A TO 1000A, 37.50 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 NEW CONST. tDWELLING OCCUR.&� OR ADDNS. ACC. BLOGS. NEW CONSTR. U TI.OUTLET NO N.RESID BRANCH CIRC ITS POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 3.6dsq.ft. I @ 5.00 20 76 JAL 0 46d 1, as the owner, Or my employees with wages as their sole compen- FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ .3.00 ifF49 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) Temporary service Mobile Home Facilities Misc. Wiring g 15.00 15.00 -15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ 48.50 — WORKMEN'S COMPENSATION INSURANCE Contractor I declare under penalty of perjury (check one): MECHANICAL PERMIT FilingFee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling g I shall not employ any person in any manner so as to become subject Hood 6.50 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Ventilation Permit Fee Contractor $ 128.50 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. 1 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 s County in consequence of the granting of this permit. Date / '_This Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ HAz 0FEES IMP FLQOD/ COF PARCEL PD HHD ISSU — 1/�/ permit is hereby issued under the applicable provi-ure ?aga'st of Applicant — Owner91 Contractor ❑ Agent ❑ SHA permit is required for excavations over 5'0" deep and demolition or construct- onostructures over 3 stories in height.LIC Receipt No. i n An27 sions of the Butte County Code and/or resolutions to do work indicated ab a for which fees have been paid. WORKS B Y.(1ZR PU Date ` y PERMIT EXPI • S Date WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT s.xivy.'-c:+ :.3wK`.�"^: vr`'F_Ip�„?ery, 9TpTTi �" _."i`.y,Ti��'^i"�1T4"R�7'"7�s^7F`�,.s:i"�itit"1:•it�;'ri-r_:f:.r.-1l "r'�`�""�.,`^� ,ya ,,,fid . ..; COUNTY OF BUTTE - DEPARTMEJ�IyT�'RPUBLIC WORKS - BUILDIN'G DIVISION 7 COUNTY CENTER DRIVE.- OROVI�LE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION -DATA SHEET Permit No. OWNER Sa 1j A. P. No. Proposed Building Use Building Inspector (ZJ" G Date 1*4 �� cf/ At time of permit application, I was advised the following data,must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to, Building Inspector 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance .................." S (Date) - 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy? IX Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. r� Telephone and hold for pickup at office. Deliver w/insp_ector . -� Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date `' r ',.. 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: ti 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_mall_counter by date Plans checked by 61A% Date Plans approved by AL Date ►1 1— � Sets of plans on hold in File cabinet AP folder Copy—DPW 3%'- 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. 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) Aobil home installation data yncluding,manucturer's installation �instrt�d�i�eso✓%e...(move,.C..v`� ..................... 10. Fees of $-' 11. Chico Urban Area fees paid .................................. ' ... 12. Park fees paid ................................................. 13. ` Schoolglstrict fees paid ............ U. d+en 14. San°itation approval from U (i i✓ Health Department 15. Cit), 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. ' 1 Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to, Building Inspector 21. Contractor's license information (No., Name Style, Classifications .. 22. Certificate of Workmans Compensation Insurance .................." S (Date) - 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy? IX Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. When you issue the permit, process as follows: Mail to owner. Mail to contractor. r� Telephone and hold for pickup at office. Deliver w/insp_ector . -� Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date `' r ',.. 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: ti 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_mall_counter by date Plans checked by 61A% Date Plans approved by AL Date ►1 1— � Sets of plans on hold in File cabinet AP folder Copy—DPW 3%'- T0: Building Department FROM: - Encroachment 'Permit Section RE: Driveway Clearance Dlsa12 owner location AP # 1 f% /o •-K Driveway permit 12vl 6e � eeh has been issued for the above property. �%jr y !/m / e �o -Z 2- si ature date COUNTY OF BUTTE - Department'.:bf 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) 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. Q Social Securit umber Date f - - NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. J Ri turn;`to DPW AGRICULTURAL STATE,,MM OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded _ prior to issuance of a building permit. 1 -- — - The property described herein is adjacent , 91-046032 to land or included within an area zoned Recorded for agricultural purposes, and residents Official Records of this -property may be subject to incon- Count veniences or discomfort arising from the of But Butte use of agricultural chemicals, including, Candace t but not limited to herbicides, pesticides, Grubbs and fertilizers; and from the pursuit Recorder corder of agricultural operations including, 9:171-Nov-91 but not limited to cultivation lowin ' �--- - - - P b9 spraying,_ pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. tural zones which have as a priority use for productive within said zones and on adjacent property should be or discomfort from normal, necessary farm operations. 91 -4 6032 3� Rec Fee 9.00 STF 2.00 Cash 11.00 XX 3 Butte County has established agricul- agricultural purposes, and residents prepared to accept such inconvenience All that real :property: situate in the. County of Butte, State of California, described as follows: Date: �'�-% el State of SS. County of �) PROPERTY OWNERS: On this the_� day of L' /%jam 19 ��, before me, the undersigned Notary Public, personally appeared Personally known to me.Proved to me on the basis LKof satisfa tory evidence. to be the person(, whose name(4 024 subscribed to th//e within instrument nd acknowledged that &ouu executed the same for the purposes therein contained. IN WITNESS WHEREOF„_I hereunto set my hand and official seal. , Wo'sare�s0■moomm■■�me■■o■■■■® t , ■ 4U®ITF1 M. WILLIAMS �n ,+ lNOTAAI'.PUBLIC-CALIFORNI Present A.P.No �G�” , �'��..y=� ButteCounry CommissionExpiresmarch11,18 ' ■ Nota Public 191-46032 ORDER'NO. BU -123200-3 DESCRIPTION ALL THAT •CERTAIN REAL PROPERTY SITUATE IN THE .STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: PARCEL 4, AS SHOWN ON THAT CERTAIN AMENDED PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 23, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 88 AND 89. PARCEL II: A NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND FOR PUBLIC UTILITIES OVER THAT PORTION OF PARCELS 1, 2 AND 3, AS SHOWN ON THAT CERTAIN AMENDED PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 23, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 88 AND 89. PARCEL III: A NON-EXCLUSIVE EASEMENT FOR ROAD PURPOSES AND PUBLIC UTILITY PURPOSES OVER A STRIP OF LAND 60.00 FEET IN WIDTH, LYING 30.00 FEET ON EACH.SIDE OF A LINE BEGINNING AT A POINT IN THE. -SOUTH LINE OF THAT CERTAIN AMENDED PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 23, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 88 AND 89, WHICH POINT BEARS SOUTH 88 DEG. 19' 32" WEST, 100.00 FEET FROM THE SOUTHEAST CORNER THEREOF; THENCE FROM SAID POINT OF BEGINNING, THE FOLLOWING COURSES AND DISTANCES: NORTH 88 DEG. 19' 32" EAST, 289.94 FEET; SOUTH 65 DEG. 14' 43" EAST, 75.16 FEET; SOUTH 75 DEG. 43' 08" EAST, 258.10 FEET; SOUTH 60 DEG. 05' 18" EAST, 140.12 FEET; NORTH 26 DEG. 46' 18" EAST, 50.67 FEET; NORTH 15 DEG. 12' 01" EAST, 135.40 FEET; NORTH 55 DEG. 49' 44" EAST, 158.57 FEET; NORTH 35 DEG. 30' 52" EAST, 60.75 FEET; NORTH 70 DEG. 53' 17" EAST, 71.74 FEET; SOUTH 78 DEG. 55' 28" EAST, 122.55 FEET; SOUTH 51 DEG. 58' 51" EAST, 181.46 FEET; SOUTH 78 DEG. 37' 58" EAST, 223.83 FEET; NORTH 86 DEG. 36' 35" EAST, 171.37 FEET; SOUTH 75 DEG. 24' 58" EAST, 171.06 FEET; NORTH 54 DEG. 24' 37" EAST, 152.73 FEET; NORTH 23 DEG. 34' 55" EAST, 122.17 FEET; NORTH 36 DEG. 56' 15" EAST, 235.72 FEET; SOUTH 56 DEG. 01' 50" EAST, 230.07 FEET; NORTH 34 DEG. 05' 00" EAST,.89.32 FEET AND NORTH 86 DEG. 45' 48" EAST, 140.10 FEET TO PONDEROSA WAY. - CONTINUED PAGE 4. ' { X91-46032 ORDER NO. BU -123200-3 PARCEL IV• A NON—EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES OVER THAT PORTION OF PARCELS 1 THRU 4, LYING WITHIN THAT CERTAIN 60 FOOT NON—EXCLUSIVE EASEMENT, AS SHOWN ON THAT CERTAIN AMENDED PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NOVEMBER 23, 1981, IN BOOK 86 OF MAPS, AT PAGE(S) 86 AND,87. ct PAGE 5 END OF DOCUMENT SEP OUfv� P PUO% i�€�o / � ' e80C� bks 4 1997 &e l C r TO Buildinc Department FROM: Environmental Health SUBJECT: Sanitation Clearance owner Location tor: Sewaqe Disposal t/ Water Supply Plan Approved Hold final for: ?in al clearance O.K. for,: Clearance for. bedroom mobile home. Other NOTE arian Water Supply Water Supply 7--/ ?' /- Date .ova :.�;oi�_---_====.00i-__ ; , :,08 , , 1 ;^__;o I ; '�ovr _ ; , ; •� EASIER 17 I I I •' ,Ell i ! I I ! , I - -� I I I 1 I; 1 1 7► i I' ! I I' I 1 I I I 1 i�--I--;�-'-I , __ I-IjI 1 I I t I I, '! OK•-, ( 1 1 I I i i 1 �i__I I i, I i' i I I I I' I I I I I I I' i I , I i ' I I f _!-__ ice;i-1- �,� I �, _'-1 _1-^--,'__� I'�'�'j� 1 i ) •I I I _ I I- _. -_ __ �A7 .-.-.�-.�.-__- -- -___ -'- � •__ y ' � _ I I I_ '.-t-1�T, I I I 1 I I- i-.-.-•---t�V�.-j D� n��.■nnu■n��� •� EASIER _ ,Ell ` ® H� �/IF7f/n■& A e (fnn� ME SEE0 on ■t■■■■■■■ n■■�uONE NEWWN ■■■■'�■ r�► ■■■■� r ■■■ a�■■�_■■��_■■iwW K®' ® ■■Aii'�iii�n■■�o ■■►�■u■ u�.■.o...l;■ ■■�EEWA m■■� rt■ SE ME .off ONEm®moi® nnn�t■■■■■■■e�®■mu m■u■■■■■■r� ■nnuu�mm smWINES! ■aa�■■i■.�■nu■.e■ a aE ME � n � mom:■� ice;i-1- �,� I �, _'-1 _1-^--,'__� I'�'�'j� 1 i ) •I I I _ I I- _. -_ __ �A7 .-.-.�-.�.-__- -- -___ -'- � •__ y ' � _ I I I_ '.-t-1�T, I I I 1 I I- i-.-.-•---t�V�.-j __— •___.__ •200 -_. 1 - --. -._ _ I . . . . . . . . . . . . • "Umv ■u■11111101111 vI fit Mill FT� to I MIN, I IMM MIA, -=.'I I ail& &IIJAMIM, M.04"MIMLOOM ON 0 . . . . . . . . . . . . • "Umv LU QVIED 13 140' .160' vI fit LU QVIED 13 140' .160' ser uu■® Ell or■N�i.,�nN�� WNaNi�� ONS A WAR ■i 1° KNOW■■Au\A01■u0■■ —411"1 Y■■■■■■nu■/■Ri■rYi►YIriLri- ■Wa■oNNNi oo� uKi�uWr Ad nWu■u■■■ NMI ANNE ■.A■!■■■■OulWORSE ■ u E we mummm ■O_Z°i�IIOIW■ = r �® auN�■■■■n��n� _ N ®n ME - � O■u■YW�i►3 ' W w�i aKf�mi► ��Ou■n i ° ° J■�/� • • �LFinn A g ®ul KN�►7�'rIA w •WWI � �rw�� o�ui�ra. o � �y�sea-�r• 1•!�' ser uu■® Ell or■N�i.,�nN�� WNaNi�� ONS iCr''M 11?t�'1 r'..�-'Ol'�'id`'Z'!'F�!5'c+"`�eiw.-'f 11``},}?�r.('Jt�+'11'`WTiti•'},W�„►-�•'N'•'r+^Kw.�-�'.,.�+r-•ryrq,Xn:�-•nr--•Fri,„":.'•...o.�'-+w--ir".,f�Fy,,; BUTTE 000NTY'SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number 3(-= (p Jurisdiction: 0 City] County I Property Owner -.Q V- r '” n 06'ZI - SZ Property Location/Add , sus,, L A 5 L j% s&y%–e —Dm - l'1 rcAg , e r c" :j Subdivison Lot No. Residential Development 0 E + Sq. Footage 5 �i No. of Living MHI Addition (Group RR) �Q f Y Units r 7 Commercial/Industrial `► Sq. ootage New,,,- `' Addition (Including Exterior Roofed Areas) di-eingDepartment Representative Dat to ,,. -) (Floor Plans reviewed by School District Personnel) pp � n' rict Identificati No. ®O t.- Di School District certifies that / '' q(Aant) (Street Addres (P one Number) (City) (State) �� „(� �` (Zip Code) hasecolied with the requirements of ResolutionNo. vt – Q by payment of $ �repng s are fe AB 2926 $ GATION,�1X- o 7,00 ,15 School District Representative Date I Paid by Check # Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school di: " White (applicant), Yellow (building department), Pink (school district).",'._- } feeform.wkl (11/94)dmm I