HomeMy WebLinkAbout062-510-0631 _
3158-90MHU
ILSON, nest & LaVonne /?0
164
164 Tree Li d Ln, Berry Creek
9'.
ELEC
GAS I
r COMPACTION .TEST.' REQ
--
�SUPPORT4_STRUCT.RE
-51763
Permit#.376x
(inst ion MH) )Il
0
062-510-063
Fire Damage Report
.4/28/03
IL
FIRE DAMAGE REPORT
OWNER: �r4W1,
DATE:
LOCATION: �i'"C� l-�/�101� �—�! ... e(vl `— i A.P.
CONTRACTOR: ZONING: V
DATE TO INSPECTOR:
Building Description:
Electric:
Gas:
Commercial/Usage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
PERMIT HISTORY:(. ) NONE (j AS FOLLOWS:
� �� I --�� � ' •,,_� X11 ��
BUILDING INSPECTOR'S
Yes No Electric currently On Off
Condition of Electric
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
,
Plumbing Working
Well Working Po6ble Water
Obvious SewageProblems I
Description of Damaged Area: _
Estimate Valuation of Damaged Area:
Condition of Foundation:
Mobile Home: Condition of
Inspector. / 2
Sketch building on reverse and indicate area of damage.
q g ,4: G, I ; e-5 4D
Date d
Ufa . ��00 U(�3
EDF/BUTTE COUNTY FIRE INCIDENT LO
DATE IF 0310412003 INCIDENT NUMBER r 2346 LOGGED BY MB
REPORT TIME 0:44 LOCAL FIRE NUMBER a� Mai Faro RO COLBY
STATE FIRE NUMBER 51 i air crap, Fi.pJ BI
CASE NUMBER �� MEDICS r
LOCATION 164 TREELINED LN PRA G3 J ECC ❑
RP ERNEST WILSON PHONE NUMBER 589-2391 I REPORT METHOD 1911
WILDLAND FIRES ❑ ESTIMATED ACRES FIRE INFORMATION
STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HOW EMAIL BY MBj TO STA 62
OTHER FIRE I 7 -DAY LOGGED 66 INITIALS JK
MEDICAL AIDS INCIDENT NAME JBISPING
PSA/OTHER START DATE 0310412003' START TIME 0:34
HAZ MAT DIAMOND #
COMMENTS CAUSE JELECTRICAL POWER
FULLY INVOLVED MOBILE .... PWR LINES LAND USE IDOMESTIC
DOWN
ACRES 0TYPE OF ACRES
DIAMOND 5 ONLY $ DAMAGE TYPE
DOLLAR DAMAG1214 SAVE .5000.00
INJURIESIFATALITIES ❑
# CIVILIAN INJURIES r 11 # CIVILIAN FATALITIES OJ
EMD ❑ OES ❑ # FF INJURIES # FF FATALITIES 01
FC40 INFORMATION
♦ ♦ New Incident j FC -40 ❑ DATE OF FC -40 INC
AGENCY INC # INC P#
FC -40 COMP DATE � FC -40 COMP BY
County Notifications ® EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑
RESIDENTIAL
62-51-63 3158-90MHU
`3'`'7!01- qo
WILSON, Ernest & LaVonne
164 Tree Lined Ln, Berry Creek
(MHU)
JOB FINALE
Signature
OFFICE COPY
Addresses— //
e`
GAS Dat /
Meter BY
ELECTRIC Date
Meter By
0
J=Ok
O --'Not OK
Not Readyable MOBILE f1OMES
Date MOEPLE HOME UTILITIES Plans OK except #'s
oning Requirements -Setbacks -Easements
oils; Special MH Support Sketch
Sewer; Location -Test -Fall -C/O Concrete
ater; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd:�-Amp-Concrete
6. Gas; Location- est- rap: / /'•L"ft.
///"Nat. oro" L" ftt /"LPG
Utility Clearance
Date /Q / y Card B-1 _ Date Card B-1
Date . Card B-1 Date Card B-1
Date MOBIL OME INSTALLATION Plans OK except #'s
4e-Zoni_w Requirements -Setbacks Easements
o ' s; Size -Spacing -Marriage Line
Gas; Test-Demand-Valve—Connector
ectricit MH Test -Crossovers -Breakers -Clearances
n; MH t -Fall -Flex Connector
H Test -Regulator -Connector
A"Water and Sewer Connected -C/O to Grade -HD Approval
s nd Electricity Tagged
its; I sp: Sketch
1 . of Occupancy
DatWiiiG Card B-1 Date Card B-1
Da(e* Card B-1 Date Card B-1
�- Ov A Se'- ✓ -
�2 Z2 w 43 ew
��/E1 �a � � /4�t � e o✓ g h a� -tet o �
p/ i
• 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
t 1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
s 3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
y 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.
t Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
ti 10. Plumb.; Cir. Test -Water Supply Test
e
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
O=Not OK
- = Not Applicable
= Not Ready RESIDENTIAL -(Single
& Duplex) '
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-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
6a. Hold Downs and Special Anchors
51. Property Line Firewall & Openings
7. Slab; Steel -Wrapped
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
8. Piers -Fireplace Ftg.-Steel
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
10. Gas Pipe; Size -Anchors
55. Siding -Nailing Veneer
11. Water Pipe; Test -Anchor -Regulator -Service Test
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
12. Electric; Underground
57. Glazing Area -Glass Protection -Skylights -Plastic
13. Pienums & Ducts; Clearance -Material -Support -Ins.
58. Shear Walls; Nailing -Bolts
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
59. Insulation -Walls -Ceilings
15. Insulation
60. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Date
Card B-1 Date Card B-1
16. Water Htr.; Vent -Access -Combustion Air -Baffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchor -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test -Fittings & Anchor -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 -Meth. Protection
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
Date
Card B-1 Date Card B-1
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
Date
Card B-1 Date Card B-1
67. Stairs & Rails
Date
ELECTRICAL (Permit) OK except #'s
68. Fireplace or Stove; Clearances -Hearth
22. Fixture & Transformer Clearance -Ins. Protection
69. Elec. Outlets at Wood Panel; Int. & Ext.
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
24. Size Boxes & No. of Conductors -Stapled
71. Elec. Outlets & Receptacles at Kit. Counter
25. Romex Installed Close to Edge of Studs & C.J.
72. Garage Fire Door; Swing -Landing -Closer
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
73. A.C. Duct in Garage -Damper
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or AI
75. Plb., Elec. & Mech. Equip. Listed for Location
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes 0 No
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic 0 Yes
30. Service -Riser Conductors & Ground -Main Disconnect
78. Guard Rails & Deck Construction -Post Caps
31. Equip. Clearances Panels-Motors-Mech. Equip.
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
80. Following instld.; Drive 0 Yes 0 No; Walks O Yes 0 No;
Planters ❑ Yes ❑ No
Date
Card B-1 Date Card B-1
81. Stucco; Brown -Finish
Date
Card B-1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Date
-Card-B-1
MECHANICAL (Permit) OK except #'s
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
34. A.C. Ducts Insulation & Support
84. Water Well; Disconnect, Electrical, Plumbing
35. Vent Fan; Exhaust above insulation
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
-
36. Condensate Drain & Overflow; Size & Grade
86. Ventilation Throughout House
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Glass Protection
38. Attic Access & Platform if Furnance in Attic
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
Date
Card B-1 Date Card B-1
91. Energy Compliance Certificate-Otner Certificates
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #'s
Date
Card B-1 Date Card B-1
39. Sils, Proper Material & Anchors
Date
Card B-1 Date Card B-1
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Date
Card B-1 Date Card B-1
41. Bearing Walls over Girders & Floor Nailing
Comments at Final:
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
each time you visit job site)
(NOTE: An entry must be made
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS '
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
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, ornee additional explanation, please contact this office immediately.
n A
C
Date /0 j 90 Inspector
t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO. , �t
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.
Date 101&A14) Inspector r1
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT NO. 37
Address or location of mobilehome
Owner's name 1///
Owner's address / b ���/� _ � A✓
Insignia or hud number,5-S Z(/k_5e-ob S9 q5� `S "'y
Manufacturer's name tT &n,
Serial nmber of V.1.N.Iv (A ( Year of manufacture 73
rovins0lnstaI]at
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.
r M y
513B
— 'COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califprgia 95965 - Telephone: 916/538-7541
-APPLICATION AND PERMIT
PERMIT NO. ��
X76 � DJV
ASSESSOR PARCEL NUMBER
62-51-63
ZONING
U
BUILDING PERMIT
OWNER
Ernest & LaVonne Wilson
TELEPHONE
589-2391
SO. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
165 Tree Lined Lane, Berry Creek
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15,00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
164 Tree Lined Lane Berry Creek
Permit fee
$ 25.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex6a Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New ❑ Addition ❑ RemodeI [�] Uti lities [I
Irte GIns7t5allation � Other ❑
Describe work: MHI / dI� fid Q '�l V _
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):
❑NON•RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS
and Professions Code and my license is in full force and effect.
License No. Classification
El 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 OCCUP.&
OR ADONS. ( ACC. BLDGS.
2/20sgit
NEW CONSTR. ULTI.OUTLET
BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
SOC
BALAL030
FIXED APIL S.
Ex. OCCUp. OUTLETS PIRESID IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
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.
Q 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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
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
against said County in consequence of the granting of this permit.
X ��
�� Date 9 [7
Signature of Applicant — Owner ❑ Controctor ❑ 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 $ 45.00
Energy Inspection Fee $
occ
CONST TYPE
FEE
AL E
TOTAL $ 70.00
HAZ
CUA PARK
I PAR
PD
HD
1 ISSUE
This permit is nereby issued under
sions or the Butte County Code and/or
work indicated above for which fees
DIR T OF C
BY a7
PERMIT EXPIRES ate Z
the applicable provi-
resolutions to do
have been paid.
WORKS
Date L 2
Receipt No. 84166
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTM NTF PUBLIC WORKS - BUILDING DIVISION •
r*
7 COUNTY CENTER DRIVE - OROVGCALIFORNIA 95965 -TELEPHONE: 916/536-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER n,lo i- AUL1/1 AI A. P. No. o7--
Proposed Building UseBuilding Inspector 040 Date /6 29-96
At time of permit application, I was advised the following data must be submitted prior to permit processing 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. 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)
a9. Mobilehome installation data including manufacturer's installation
.instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid
13. QJ?6 U n on fl - S School District fees paid .............. _0 4.6-
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0). t . .
24. Recorded copy of Agricultural Acknowledgment Statement ..........
25. Letter of signature auth rization...................................
11� 26. fil fit)' aXl S�f�lc2d
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
// Telephone1�89 -2 and hold for pickup at 0170 office. Deliver w.
/inspector.
Other ��� ))
Applicant 4,4 "ate
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---nail_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
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIONANDPERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWN R
Ca GtJc
JaVY e 4,M
TELEPHONE
Z
SQ. FT. Oi.Ci. BUILDING VALUATION
OWNER'S MAILING ADDRESS AILINGADDRESSS
l05 -rAG✓M V_nI4�
.
CONTRACTOR'S NAME
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,P S
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
/(4
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SF ❑ Duple,O'Mobilehome❑ Other
Building sewer
5.00
Mobile Home Is G W
O.00e
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation E_ Other ❑
Permit Fee
$
Describe work: i�_�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main SEINICe 100 AMP OR00V OR LESS10.00
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
❑ I, as the owner, or my employees with wages as their sole compen-
NEW CONST, r DWELLING OCCUP.tr
OR ACDNS. \ ACC. SLOGS. )
NEW CONSTR ULTI-OUTLET
NO N.R ESID BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCU
Occup(OUTLETS OR FIXTURES
Ex. Occup. OUTLETS PIRESIO IKEA,)
, /2¢sgft
2.50 ea
200SOt
eALe3o
2.00
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
10.00
15.00
15.00
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 10.00
❑ 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
❑ 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.
Hood
Ventilation
permit Fee
Contractor
3,00
$
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
5 S
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyof
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
against said County in consequence of the granting of this permit.
Energy Inspection Fee $
OCC I CONSTTYPE
TOTAL FEE $?co
HAZ I CUA PARK scHL I FLD I PAR I PD HD IssuE
X _
Signature of Applicant — "Owner❑ Contractor ❑ - Agent ❑
This permit is nereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height. -•
DIRECTOR OF PUBLIC WORKS
Receipt No.1,0161
By
Date
WHITE-O.P.W., YELLOW-A33E330R, PINK -INSPECTOR, r.OLOENROO-APPLICANT
PERMIT EXPIRES Date
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number x,.51 (� Building Department No,.
School District O,Qp J)J)11)N ,1, S- City D County Jurisdiction
Property Owner 01.0(10
Project Location/Address /„ � _ ( oly o J ((di17v. Aopw Onjl',
Subdivision Lot Number
Residential Development:
Sq. Footage /4410
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
P -111.f /xil i 16-29-96
Building)Department Representative Date
(Floor Plans reviewed .by School District Personnel)
;b strict Id No. 101
C/ School District certifies that
11' N' /.a1 Yep 71 4/1__4 �
(Applicant Name),
✓((SStreet Addddr�e,(,ss )
City
has
complied with
the
requirements
_by
the payment of
$it
School Distric
PAID BY CHECK NO.
BANK NO
PAID BY CASH
(State)
JV
f Resol
representing
presentative
REMARKS:
white -applicant, yellow -building
SCHOOL.FEE (8/88) 1
(Phone Number
j (Zip Code)
on No. les—
square feet.
_ fQ I -5W
Date
ff ' 1)
Ax—LQ a rvt .t LLL U 't' 127f-- -Aj
partment, pink school district
MOBILEIOME SUPPORT DATA
t ,
If other than single wide,
Mobilehome Mfr. —/-Ii PAS furnish Setup Model No.
Width (ft.) Box Length dT O (ft.) Tagalong or Expando Size
Year /,,0'; J
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)F11. Wood -pressure treated or foundation grade. a 2. Other (specify)
SUPPORTS (check one)a1. Concrete block. 2. Other (specify)
LL"
Pier Footing Sizes. and Locations
SINGLE -WI OE
Line 1 Piers:
Main Beams
Main Beams.__
Tag or Triple
Line L
Size -Min. ------------
- k
Spacing -Max. --------- ,
From Ends -Max. ------- '.
Line 2 Piers
Size-Min.------------
Spacing-Max -
-----------Spacing-Max.---------
From Ends -Max.-------
Line 3 Roof wads:
Size -Min -------------
Location
------------Location (From Front)
Line 4 Piers:
Size -Min .------------ k „
Spacing -Max.--------- ,
From Ends -Max. -------
Line 5 Roof Loads:
Size -Min. ------------
MULTI -WIDE
Line 1
�d Line 2
Line 2
Line 2
Line 1 Openings:
Size -Min- ------------------
L-1
Each Side of Openings
With Width Over - -'------
Line 3 Piers: (Under Bearing Wall Only)
Size -Min:• ------------------ .,x ,.
Spacing -Max.--------------- ,_ ,. '
/ From Ends -Max.------------- .
Ian-a�r Do I%- �l� p
k "x "x /"x ..x "x a6
ne 5 Piers: (Under Bearing Walls Unly)
Size -Min .------------------
.,x ,
Spacing- ,
From Ends-Max--------------
VAN
-------------
Location (From Front)',
zt: .-P
;, o� -
p�.
A _
Location (From Front)',
zt: .-P
;, o� -
p�.
tr k
BUTTE COUNTY DEPARTMENT OF. PUBLIC WORKS
7 County Center Drive, Oroville, CA
PHONE: 538-7541.
MOBILEHOME INSTALLATION SHEET
1. Owner's Name: .�Py.� S �;� L�do�%!/mss. LSflr✓ /iY%/P1� ,�/'�/�� l 2us'1
2. Installer's Name: C°"4 01'V
3. Is the site currently under permit? Yes No
(If yes, furnish permit number 1 ) OR
Is the site an existing site? Yes �! No Fx
(If yes, furnish two plot plans.)
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 No F
(If no, clarify
5.
What
is the
mobilehome
electrical rating? ---------------
/O O
Amps
6.
What
is the
mobilehome
site service rating? -------------
-24,,g
Amps
7. What is the mobilehome site circuit breaker rating? Amps
8. Is there any other electric load to be served by the n
mobilehome site service? -------------------------------- Yes L/1. No
i
�J
(If yes, identify the load and size;wtr_6� v:� Load)
9. What is the mobilehome site gas pipe size? -- -----
� I
10. What is the type of gas service? ------------------- Natural
_(Amps)
(in.)
LPG
11. What is the gas pipe length from meter or tank to the - -.-
mobilehome?--------------------------------------------- (ft.)
* 12. What is the mobilehome gas demand? ---------------------- / o.. b ,E� o (BTU)
'(This informatnion not required if pipe length less than 6 ft. on
natural-oas�"or less than 50 ft. -.on LPG.) .
%
r
'OZ :�,—__,0
�OOI Ot_Otl .._..
-----'- •--------. _--�-�-------•-•-----�--•---•--- ----This-set of _plans_arTd_sPecifications MUSS__. �=�y:=•_:_�._.-'
_-_-- -- -• __. _. _-- _-•- ,. _____.._ -epj orv_th .'oke at il+times-and rt.is unlawfv1-to;-:_._.
---- -'-
- --_ - -__-- - ------ _._ .__.. __._.-_.. -------make- an changes or.-alterations on same-r+ ;-'=-
- _ out_written permission from the Department off_-
Public Works,-County of Butte. -- ----------- ----
�_.
. - -• - �-- --- -'- -- - - - - -- -' -- - -- • - - �T�.-�-'-1�tcateria{s-�c-\fNt�racfnaA b-.09-
P_
- - - - - - Accordance with^ Recognised--Good Prac is
--_-_-._ _-__..--__--- ,----_-- __-•- _ - ri4e4_for the -Specified use in the----
__--
OZL
If
--- - O ---.i _--,--�—'- ----------- - -----•--�-�C6 ���Oil�_�C�ficGl--CrOd6.----•-�---i,--- - �: : �i
� 1
t
t
- _.� _ __ . _'� -- ----- p -�� i - - •- _.._-. -' .--�- -� -;--- � - _ -• tom'-;
Dep 1 _
--- si o---�•_-:;-- __' _. - - 7F,- i I .091_
- --- -- - - -- F of 5 Vom the --
-lin8s-aha-a-eb�Kaf,-----'----�-' `—' +--!-'.--•-; '- -- - --- -.��--
-� • 'T - 'SO;om the ro��d_-. -�-: -.:.- -;-_, - .-t--,-�-- Y-1 , 1 � I '
r►te-
eerline-shaN be clear'-
--- - - -- - -
m-`ta.Oxc
-'-------I =J I _ i i -- -
aures=or-equipept _ `�-_ I !
--° ---- f4r off ave.4vefiang•,4v _.__._--_'---'� --____ _---`-----•----- 08L-
I I IOOE—
_G.A_ ` !'Xb.•/ 1 — ' - I i—i , 1 _ �'y^ ' i t ; , I t
t i i' ,- -^ �- �-;-• I t t i �_ �� I l i i{ I �; _I,_'!. -1 I -1--•- -'--may .� I t
----------------- �-�-'-----_-._ ' �i I _ITS-�� - 1 I L_;--------'-_�-i
tU i:.t
.,nit,? lie
Ott, -+'Yfif7�
.'IC is rtr:, tjo
Vv �lldvq
6� R!� 1���J•^ ;tet r S
'• 't+.'i
���Y t' r^ • e .'� ..� �{. ;)Z�� '�'�.�i7SJ;;yy ►'R YEA
Y •J . «, , 'ri.�ilR,�C2 rrSi�.'3'�1'F:i
t
r
�yy.n e w Ti,
��ryit� rr •����/rer iy (f6 .
ll !
rr i 1
��i,}y ���::`1�"1\cif �-. i •.: YDS
1�
t�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,, California 95965 - Telephone: 916/538-7541
APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER
62-51-63
ZONING
U
BUILDING PERMIT
OWNER
Ernest & LaVonne Wilson
TELEPHONE
589-2391
S0. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
165 Tree Lined Lane Berry Creek 95916
CONTRACTOR'S NAME
Unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ _10410L
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 15.00
PLUMBING PERMIT
Filing Fee 10.00
164 Tree Lined Lane- Berry Creek
Each Trap
1 2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas 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 S G W
10.00e
TYPE OF WORK
New❑ Addition[]Remodel❑ Utilitieso Installation ❑ Other ❑
Describe work: Mn _
Permit Fee
$40.00
Contractor
ELECTRICAL. PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
1 10.00 0.00
Main service EA. ADD'L 100 AMP
1 2.50 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 OCCUP.&
OR ADDNS. ACC. BLDGS.
2/20sgft
NEW CONSTR. MULTI -OUTLET
NO N.RES,. BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. )
Occup(OUTLETS OR FIXTURES
Ex. Occu
20@50C .
SALO 30
FIXED APPLN S. OR
Ex. Occup. OUTLETS IRESID.1 EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
1 15.00 15.00
Misc. Wiring
g
15.00
Permit Fee
j -37.50
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
rJl I shall not employ any person in any manner so as to become subject
�l to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
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
against said County in conseque ce of the granting of this permit.
X ���� �•sc-Tv✓ %-7-9�
Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.R
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE
AL
$ 92.50
HAZ
CUA
PARK
FJ PAR
PD
N
Issu
Th;s permit is Hereby issued under
sions of the Butte County Code and/or
work indicated a ve for which
TO OF PUBLIC
By
PEVIMIT EXPIRES Date /�'"
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
• _ _7
Receipt No. 73625
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION A�D PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONIN
BUILDING PERMIT
OWN E$�� SO(%
Gv/L
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNS ' M_ IN�el;r S LIAI
CON R C A F, _ /
TELEPH NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation PW
Filing Fee
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AD 51ss Er Z-/ , / /�/IV /
6 C� 'V L
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE, pFF STRUCTURE
SF F1 Duplex❑ Mobilehome,�j Other
i� SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home W
10.00e �8
TYPE OF WORK
New❑ Addition [I Remodel E:1 Utilitias� Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
00 JJ��
10. 100
Main service EA. ADO'L 100 AMP
2.50 ar
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. Classificationz
El 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 OCCUP.Bi
OR ADDNS. ACC. BLOGS.
,
2/20sgft
NEW CONSTR ULTI.OUTLET
NO N•P. ESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS 8
(POWER
OUTLET CIR.
Ex. Occup(ouTLETs OR FIXTURES
eAL9L@30Q
RESID )EAJ
Ex. Occup. ou LETS ED PR
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 3Z Ale -1
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 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
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST TYPE
E r
TOTAL FEE $ p�
HAz
CUA
PARK
SCHL
PAR Po
HD
IssuE
This permit is hereby issued under
sions or the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 73
WN,TE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
TO Builcinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance.
eL, ILI 6),,__� -
Location AP#
Owner
Flan Approved for: Sewage Disposal Water Supply
W t Sum 1
Hold final for: a er rP y
Final clearance O.X. for: Water Supply
Clearance for �edro
ecbi�lie,/ome. Other .�
11
Sanitarian
ar
tK�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION*r
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
_ Permit No.
OWNER IT 4.1 VO M& W U-5 0/r% A. P. No.
Proposed Building Use Building Inspector Date
_ZZ7�T2
At. time of permit application, I was advised the following data must be submitted prior to permit processing 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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions........................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
School District fees paid ..............
Sanitation approval from H alth�Department /'D — -Lel CS .
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
1 . Improvements may be required. Contact Land Development Section DPW
�`L� Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
Owner -Builder Verification (Given to owner o, Mail to owner ❑) .....
Recorded copy of Agricultural Acknowledgment Statement .........
Letter of signature authorization ................................... �—
26. '
27. e
When yo Issue the permit, process as follows: Mail to owner. Mail to contractor. 4
Telephone and hold for pickup at office. Deliver w.
/inspector.
Other
Appl icant ��' .cf 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 issun¢ (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_—naiI—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma ll_cou ter by date
Plans checked by Date PI s approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
ACCEPTED FOR RECORDING
AT 8:01 A.M.
0
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1.of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
i
N
The
property described herein. is adjacent
6 1
to
land or included within an area zoned
✓b
for
agricultural. purposes, and residents
of
this property may be subject to incon-
veniences or discomfort arising from the
use
of agricultural chemicals, including,
o
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 agricul-
tural zones which have as a priority use for productive agricultural purposes, and. residents'
within said zones and on adjacent property should be prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real .property. situate in the County of Butte, State of California, described as
follows:
Parcel 1, as shown on Parcel Map of a portion of the Northeast
quarter of the Northwest quarter of Section 33, .Township 21 North, ,.
Range 5 East, ;M.D.R. & M.',',which Map' -was filed' in the 'office of
the Recorder of the County of Butte, State -of Cali.f.ornia,.Sep-
tember 8, 1986 in Book 103 .of_ Parcel Maps,' at page 81.
.TOGETHER WITH AND RESERVING THEREFROM a non-exclusive easement or I
road and public utility purposes, as shown on.said map.
Date: % ` l PROPERTY OWNERS:
V o N IU E Y
State o , On this the 7 day of. `> /„ 19 '�i 6, before me, . the
) SS. undersigned Notary Public, perscinally appeared
County of
I.avonne V Wilson and Ernest E Wilson
.C.
Personally known to me. B Proved to me on the basis
01
(01 - of satisfactory evidence.
OFFICIAL SEAL o be the person(s) whose name(s)
�t'�� 1-�''*_ M. LANDERS ubscribed to the within instrument and knowled ed that
I�'"�a <'� � '"
NOTARY PUBLIC • CALIFORNIA g ����
`' '^ xecuted the same for the purposes therein contained. IN TTNESS
ti:� 4
-• �'
BUTTE COUNTY
?�` MYCOmmuSronMires Sept 22,1991 JHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
- -t ota y Public
. . r
IN ill OIL,
AP # 62-51-63
OWNER
PERMIT 0
MH UTIL.CLEkRANCE DATE /0/4/fd
INSPECTOR
. v
ELECTRIC
GAS
Support
Stru-c.
Compaction
Test. eq.
ervice
ize
Other
Load
Type
Pipe
Size
Length
YES
NO
-YES
NO
re -
.' � �
��� ��i
J
��
October 10, 1990
To: Butte County Building Dept.
Attn: R. Keith
Re: Ernest Wilson job
Tree Lined Ln.
Berry Creek, CA
(o L, /— 63
2782 Mitchell Ave.
Oroville, CA 95965
916 - 533 - 4277
I, Ron Hastings, hereby declare that the utility trench from
the well to the trailer was excavated to an adequate width and
depth ( 2' wide x 2'+ deep ).
I further declare that the waste line from the trailer to the
septic tank had adequate fall ( 4" per foot of run ).
-I am a sworn peace officer in the State of California, and
would not falsify information under any circumstances.
My apologies to your department for any inconvenience in this
matter.
L.ej ,.9-* S �-
7
Ron Hastings
3-95241
BILLOrder No.
BILL 0 F SALE
$20,000.00
IN CONSIDERATION of g01(jgjl lrX, receipt of which is hereby acknowledged,
JIM AKERS and CQNNIE AKERS
do HEREBY BARGAIN, SELL AND CONVEY .to
THOMAS N. SCHLICHTING and MARY V. SCHLICHTING
i
all that personal property described as:
k
'-'-Mobile-'Home- described as fol*l`ows-:–—�--
Year: 1973
ri
Manufacturer: CHAMPION
Model: 3 �,-MATEE
Decal No.: L 611
Serial No.: S1058U and S1058X
Size: 24x.60
Accessory items included in sale ---
All attached fixtures
Stove
Refrigerator
Washer and Dryer
f Dishwasher
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Seller covenants and agrees with the buyer to warrant and defend the sale of the personal property hereinbefore
described against all and every person and persons whomsoever lawfully claiming or to claim the same.
Dated: July 21, 1987 -
First American Titl Insurance Company
Return to DPW
90429 3-
90-042931
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Recorded
Official Records
County of ;
Butte ;
Candace J. Grubbs
Recorder
8e01am 5 -Oct -90
AGRICULTURAL STATEMENT OF ACR.NOWLEDG
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1.of the Butte County Code
requires this acknowledgement be recorded
prior to issuance of a building permit.
Rec Fee 5.00
Cash 5.00
CD 1
i
The property described herein. is adjacent (�
to land or included within an area zoned ✓I
for agriculturai purposes, and residents //A
of this property may be subject to incon-
veniences or discomfort arising from the
o
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
/�. 979
occasionally generate dust, smoke, noise, and odor.
Butte County has established agricul-
tural zones which have 'as a priority use for productive
agricultural purposes, and residents
within said zones and on adjacent property should be
prepared to accept such inconvenience
or discomfort from normal, necessary farm operations.
All Shat real :property: '-situate in the County of Butte, State of California, described as
follows:
Parcel 1, as shown on Parcel Map of a portion of the Northeast
quarter of the Northwest quarter of Section 33, Township 21 North,
Range 5 East, M.D.R. & M., which Map,was filed" in the -off -ice of
4 the Recorder of the County of Butte, State -of Cali.f.ornia,_Sep-
`, tember 8, 1986 in Book 103 of Parcel Maps,'at page 81. x
TOGETHER WITH AND RESERVING THEREFROM anon -exclusive easement for I
road and public utility purposes, as shown on said map.
Date: / -117.- l d PROPERTY OWNERS :
•l �Q
I4=ig L/ 0 iEJ 82 E �JJYL 6
State of On this the 7 day of. !, 19 �� 6, before me, the
SS. undersigned Notary Public, persofnally appeared
County ofU Tt F )
Lavonne V. Wilson and Ernest---- Wilson
Personally known to me. N Proved to me on the basis t
of satisfactory evidence.
OFFICIAL SEAL o be the person(s) whose name(s)
M.LANDERS ubscribed to the within instrument and nowledged that . �
NOTARY PUBLIC- CALIFORNIA xecuted the same for the purposes therein contained. 1-14�T NESS
BUTTE COUNTY
MYCommssmnexpuesSePt.22,1991 WHEREOF, I hereunto set my hand and official seal.
Present A.P. No. ��AA'' C �■
Mo ®F DOWMtN 1y�
^nota y Public
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