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Home My WebLink About062-510-06462- 2639 91P,E x. THERISEAUD,' echitl 155 Treelined L BerryCreek��g/ cont: Al Carl r mh ( ._— ELEC )o C) CSO We I GAS e- '- "COM PACT ION•-. TEST •REQ" SUPPORT.STRUCT REQ 62=51-64 Permit# 66 0-991-MHI g' y (install mh) It �� N __ �= � RESIDENTIAL F_ ;t 62-51-64 2639-g1P,E • THERISEAUD, Xochitl 155 Treelined Ln, Berry Creek cont: Al Carl (mh util) OFFICE COPY Address GAS J Meter By Date ELECTRICt 4 Meter By Date JOB FINALE Signature V=OK O=Not OK =N t Readyable MOBILE HOMES Date MOBJLErHOME UTILITIES (Plans) OK except #'s Zo ng Requirements -Setbacks -Easements Soil Special MH Support S er; Loc ation -Test-Fal% -on je a ;Location -Test -Easement Needed (Sketch) Electricity; Location-Clearences-Grn 6yAmp-Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. /� / at. or/ /" L"ft./ /"LPG /ted 4� Clearance & Disconnect Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 zol4w�u ti/ •z- z7 5 4 10 o ,s y 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- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing h 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 i 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 -Pane lboa rds- Ins. to Main in Conduit 9. Health Department Approval 3 10. Plumb.; Cir. Test -Water Supply Test 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t Date y'( Date Card'B-1;Q� Date Card B-1 Card B-1�Date Card B-1 Date MOBIL.F,,HOME INSTALLATION (Plans) OK except #'s o ing Requirements -Setbacks Easements Footings; Size -Spacing -Marriage Line 3. Gas; H Test- Demand -Valve --Geo"ectvr le tricity; MH Test -Crossovers -Breakers -Clearances Drai a MH Test -Fall -Flex Connector at , MH Test -Regulator- or W ter and Sewer Connected -C/O to Grade -HD Approval Gas and Electricity Tagged xits; Insp.-Sketch Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 zol4w�u ti/ •z- z7 5 4 10 o ,s y 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- Bea ms- Rftrs.-Connectors Shthg.-Rfg.-Bracing h 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 i 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 -Pane lboa rds- Ins. to Main in Conduit 9. Health Department Approval 3 10. Plumb.; Cir. Test -Water Supply Test 1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 t J=OK O=Nn. 'K- . -Not Ready K- . -Ni plicable RESIDENTIAL (; Date UNDERFLOOR (Plans) OK except tt'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 #'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/Mech. Fastners-Bond Gas & Water --- - - - -------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------------ --------------------------------•------------------------- 28. Subfeed Wire Size / r ga.'Cu or AI-A.C. Wire Size / / ga. Cu or AI ru 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral -[]--Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------- ---------------- ------ ------------------------------- 31. Equip_ Clearances Panels_ Motors_ Mech. Equip_ 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------- --------------------- 33. --------------- 33. Smoke Detector ---------------------------------------------------------------------------------- ------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except 4'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 4's 39. Sils. Proper Material & Anchors ----------------------------------------------------------------- --------- ------------- 40. Walls Studs -Nailing. Spacing -& Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing ---------------�-- ------------------------------------ ----- --------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing ` AO 'tingle & Duplex) G ' Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 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 ------------- ------------------ ---- Date_Card B-1 Date Card B-1 Date Card B-1 Date Card B -1 - Date FINAL (Plans) OK except #'s _ 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - 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 --------------------------------- - 68. Fireplace or Stove: Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. ----------------------- 70 -Kit.Fixtr& 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-Mech. Protection ----------- - 75. Plb. Elec. & Mechr_Equip. Listed for Location 76. Elec. Receptacles in'Garage: (G.F.I.)-Romex Protection 77. 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. 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: 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 ----- ---------------=---------- -------- 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 r Date Card B-1 Date Card B-1 Comments at Final- _-'R MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. Z G �� J 21 Address or location of mobilehome—�-��-; �- !'k - Owner's name A C-.3 (- 4: !/ ;, � e �� Q Owner's address / y 0,111 5/31-1/ ��v �� ! • �5 Insignia or hud number 0 Manufacturer's name 16L 114 d Serial number of V.I.N. Z C Q2- Year of manufacture — Approving Installation ate) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE �61LEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. $ COUNTY OF BUTTE �� DEPARTMENT OF PUBLIC WORKS '. 196 Memorial Way, Chico — Phone: 891-2751 a} 7 County Center Drive, Orovi Ile — Phone: 538-7541 :e 747 Elliott Road, Paradise — Phone: 872-6307 t CORRECTION NOTICE s OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this'office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 4117 �'l�N H �� cYG ✓ � )Y�.. t ' �'/1 c7./•�.9A o_� F7 �� /fit �G✓ Lru � s �i.rc-- 4t 9 Gem r �d Date Zv `7 Inspector 4 / 4 j,. 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. r �^ 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. i 4G` ✓y V I � i ti 1 w A • P k Date ��% Inspector v i6OUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Tlelephone: 916/538-7541 APPLICATION AND PERMIT PERMJIT NO. ASSESSOR PARCEL NUMBER 62-51-64 ZONING U BUILDING PERMI]f OWNER XOCHITL THERISEAUD TELEPHONE SQ. FT. OCC. BUILDING V ATI OWNER'S MAILING ADDRESS PO BOX 5134 OROVILLE 95965 CONTRACTOR'S NAME AL CARL TELEPHONE CONTRACTOR'S MAILING ADDRESS BALDROCK RD Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NONE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 155TREELINED LN BERRY CREEK Permit tee $ 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 ❑ Duplex❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationXX Other ❑ Descri work: MHI _ 4MHU# Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification, ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.et OR ACDNS. (ACC. BLDGS. / ,/zQsgft NEW CONSTRESID, RANCH TLET NON•R ESID BRANCH CIRC ITS CIRCUITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200505 eALO 30 FIXED APLNS Ex. OCCup. OUTLETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 . MiscWiring 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. 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 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 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 id Cou in consequence`of the granting of this permit. %� Date 0, 77 Signature of A icont — Owner❑ Contractor ElAg 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 TOTAL FEE $ 70.00 HAZ. ,^ _ cuA PARK scH I FLD _ PAR PD _ I HD. -,.. ISSVE This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do work Indic d above for which fees have been paid. LI R OF %�"' PUBLIC WORKS By. Y D to 4 PERMIT EXPIRES Date Jt -z Receipt No. 96890 -7n -on WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �.-�,-.�. .. r- .. ±. -r.�"+_-..-t.wlGo►'P `r:..+,i-q.�n...c.,.�,,,..r.. �,��E �.. .,^%:�.!',: +: ." .fir .;�' x•,. 'r, .:rt.. i;, ...,. ►V7/( ' COUNTY OF BUTTE - DEPARTMENT OF P61311," VORKS - BUILDING DIVISION 5" 7 COUNTY CENTER DRIVE - OROV,4L"E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 3 PERMIT��APPLICATION DATA SHEET •-- + Permit NonnLL OWNER ,Ae/'/ A. P. No.062 `SID -06 Y Proposed Building Use ('e rame- -r• Building Inspector Date `730'R1 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: r DATE RECEIVED APPROVED 1. All items have been submitted . ................. ................ 2. Plot plans in duplicate/triplicate, signed by prepares 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) 3 Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fe 13. 0 WVI�qs p ........e /vIrab'1 ��l�n School District fees paid .............. S -I- 91 1kAJ 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 forte-""-� required...Pre-Inspec. request to /Building Inspector (Date) 21. Contractor's I�:cense information o., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization .................................. 26. cAAMG $ 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant �L-�e 1 / Copy of ! Idz-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 rior 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 Contractor, designer, owner, was advised of above required data by_phone_mail_coonter by Plans checked by &W Date Copy -DPW .date Sets of plans on hold in File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California'95965 -'Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPA L_NUF� U i ZONING BUILDING PERMIT OWNR T - l e sea Ut c TELE HONE n072 e SO. FT. OCC. BUILDING VALUATION OWN RAI NG ADDRESS • %3Qmvrlireae n CONTRACU'S NAME � TELEPHONEj CONTRACTpS DRESS �G� Fireplace CONSTRUCTION LENDER �6 UNKNOWN Total Valuation Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER A 61n, 2.. LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL ING ADDRESS TrZeCyLeW 4 -sq, Permit fee $ -150-V 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❑ Duplex[] MobilehomOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationl Other ❑ Describe work: M P-7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 5001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ i, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.aI OR ACDNS. ( ACC. BLDGS. I , �z¢sgft NEW CONSTR. ULTI.OUTLET NON•R ESID BRANCH CRC. IRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 2005OQ 9AL030 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )KEA.) 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. ❑ 1 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. 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 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 Signature of Applicant — Owner F-1 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 TOTAL FEE $ Q �0 HAz CUA I PARK scHL I FLD coF PAR i PD LID ISSLE This permit is hereby issued unser the applicable provl- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. 5-0 'NNITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Retultn to DPW AGRICULTURAL STATEMENT- OF A000WLEDGEMNT FOR RESIDENTIAL DEVELOPKMT lection 26-8.1- of the Butte Countv Cade requires this acknowledgement 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 incon- veniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but. not limited to cultivation, plowing, ,spraying, pruning, and harvesting which 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. AUG 1 1991 92 -Oal520 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: �,.,_...._v .SEAL O[�FtC1AL F. WILSON NOTARY PUBLIC - CALIFORNIA 1.� BUTTE COUIJTY My COMM Expires Feb. 15, 1992 te: 8/1/91 State of Californi)a County of Butte ) PROPERTY OWNERS: k Xochitl Dalila Theriseaud On this the 1st day of Auqust , 1991 , before me, the SS. undersigned Notary Public, personally appeared lr�nn I: V.: ' J ' NOTA R'e PUE-:.;C - !: %!.IFORNIA BUTTC- CO:,i,ITY aiireup`. My Comm. Expires Feb. 15, 1992 It Xochitl Dalila Theriseaud E] Personally known to me. XJ Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN. NESS WHEREOF, I hereunto set my hand and official seal. Present A. P. No. Q / Z _g1 J)_06/_/ Vim �� Public Linda F. son i! J _11r.LUL6 L; b , The -land referred to herein is described as follows: J All that certain realro California, described as fo1situate in the County of Butte, State of PARCEL A: Parcel 2 as shown on that certain Parcel Map which was filed in the office of the Recorder of the County of Butte, State of California, September 8, 1986, in Book 103, at.page 81. AP No. 062-510-064 PARCEL B: A non-exclusive easement for road and public utility purposes as said easements are shown on that certain Parcel Map filed in the office of the Recorder, County of Butte, State of California, on September 8, 1986 in Book 103 of Maps, at page 81. PARCEL C: A nonexclusive road and utility easement over a strip of land 60 feet in width, the centerline of which is described as follows: BEGINNING at a'point in the centerline of Bald Rock Road, from which point the South quarter corner of Section 28, Township 21 North, Range 5 East, M.D.B. & M. bears South 20. 08, 13" East, 421.31 feet; thence from said point of beginning South 15' 00, West, 111.43 feet; thence South 05" 56' 9" West, 289.56 feet; South 35• 22' 12". West�__l9.8..67._ feet;__South_28-'--31'-- ---- 23" West, 261.77--feet;-more�ot'-less"�to the Northerly line of the above described parcel and the end of said centerline. L A K J "-I Ay be - U h leve/DpeA , &V; -N, It M ciesc,Yi bed , a z vz► c ah7` no bvi %d�hc�S. 1, xoC�:T\ G ; v � �� c,�\tie�r �c�v\ J• \�eY;Sec,c��, �Am \G ��GYiS2ac� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form ,per Building) —� n /i /0/- 6 o Z A.P. Number &2'Sly-06Building Department No. School District(�jy/pWCity D County Jurisdiction f Property Owner Aac.4 1v�ClU Project Location/Address / reelln ece b) Subdivision Lot Number Residential Development: Sq a. ,j -� Footage # of Living MHI Addition (Group R)' Units Commercial/Industrial: a New Sq. Footage Addition (Including Exterior Roofed Areas) x-30-5( Date (Floor Plans reviewed by School District Personnel) District Id -No. 920284 OSchool District certifies that 40 A. t) dJt rrS- (Applicant Name)(Pho e Number) JCV4 (Street Address) CA 9'J (City) (State) -(Zip Code) has complied with the requirements of Resolution No. byP�yment of $ 00 representing &o6 square feet. of District Repres6rntat.ive Date PAID BY CHECK NO. ` . BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: T f In l S(1 a— GV '1 2. Installer's Name: - Is the site currently under permit? Yes No (If yes, furnish permit number if �[� Q I ) OR Is the site an existing site? Yes No 1 (If yes, furnish two plot plans.) 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 3 4. (If no, clarify 5. What is the mobilehome electrical rating? --------------- '5/ �0 Amps 6. What is the mobilehome site service rating? ------------- � Amps 7. What is the mobilehome site circuit breaker rating? ----- 5 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes (If yes, identify the load and size: ( el( (Load) )0 No 1:1 (Amps) 9. What is the mobilehome site gas pipe size? -------------- o tr (in.) 10. What is the type of gas service? ------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 15 (ft. ) * 12. What is the mobilehome gas demand? ------ (BTU) *(This information not required if pipe length less than6 ft. on c natural gas or less than 50 ft. on LPG.) Uf 7 'ba7V WAU6Y MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. Year n Width Iy (ft.) Box Length 5& (ft.) Tagalong or Expando Size I L� ``'ft, x ZC 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)a. Wood -pressure treated or foundation grade. ❑ 2. Other (specify) SUPPORTS (check one)�1 Concrete block. a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE — — _ — — — Main Beams Line 2 Main Beams Tag or Triple Line 1 Piers: ` Size-Min.------------ Spacing-Max - -----------Spacing-Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min .------------ JO " Spacing -Max---------- From Ends -Max .------- Line 3 Roof Loads: MULTI -WIDE .Line I Line 2 Line 1 Openings: Size -Min. ------------------- Each -------------- -- Each Side of Openings With Width Over--------- = Line 3 Piers: (Under Bearing Wall Only) Size -Min------------------- „x I. Spacing -Max.--------------- , „ From Ends -Max -------------- Size -Min -------------- Location (From Front) „x �� „x I. ,LA „ ,k „ „x „ ,k „ „x I. „x Line 4 Piers: Line 5 Piers: (Under Bearing Walls Only /C Size -Min.------------ �f Size -Min.------------- !-• nx u l -Max.----- Spacing -Max ----------------- Spacing „ From Ends -Max.------- vEnds-Max „ From Ends -Max.------------- Line 5 Roof Loads: Size -Min .------------ location (From Front),- „x AP # ( —S/ OWNER ✓ !�I _y—hS ��c._ cY`: PERMIT MH UTIL.CLEARANCE DATE /d INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YESI NO YESJ NO f 1 750.83 NOTE: horyiesITCS 'Ta ep W11-tifN /00' OF CUL VC SAC . U 3'o e 4 wee s, O w A W ILDLIFE / No'r Tb OkC�-eo I ACF -r--1 N Ar? -CP,, ppe pAeCC-L. / This set of plans and . specifications MUST be kept on the iab ct ccll time es and it is unlawful to t,,rybp V c6c v ves or clter4ticns On sane without Written permission from the DeNstftment of Publlz Warks -,'County of Butte, /�V a 53.7Z/ 39T.11 490 O) N r0 / A szth�+-1; of 5 o' . � � w property li^es sn(9 a setback Oti of 50ft. from the road 1 centerline shall be clear of 1 rn structures or equipment excepi 1 1 f( -w a 2 ft. eave overhang. t AI 10' Ch 1 COUNTY OF BUTTE - DEPARTW95965 PUBLIC WORKS 7 County Center Drive - Oroville, CaliforTelephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 62-51-64 ZONING U BUILDING PERMI OWNER XOCHITL THERISEAUD TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS PO BOX 5134 OROVILLE 95966 CONTRACTOR'S NAME AL CARL TELEPHONE 1 589-0758 CONTRACTOR'S MAILING ADDRESS BALD ROCK RD OROVILLE Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filin Fee g �y $ ry�( LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ 15.00 Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGPermit 155 TREELINED LN BERRY CREEK tee $ 15.00 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 ❑ Duplex❑ MobilehomeP Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 0.00ea 30.00 TYPE OF WORK New F-1 Addition [I Remodel❑ Utilities installation Other [I Describe work: MHU 2BR Permit Fee $ 40.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 10.00 Main service EA. ADO'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- 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.S ACC.) New , h¢sgft CONSTR. UC TII-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 2L SOC eAeao FIXED PR Ex. Occup. OUT LETS (RESID IEA.� 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 115,00 Misc. Wiring 9 15.00 Permit Fee $ 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. WT I shall not employ any person in any manner so as to become subject V� 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 penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue.- again aid County in consequence of the grant' g of th' permit. X \ ) 1111-F Signature of A icont — Owner ❑ Contractor ❑ t ❑ 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 $ [2HAZ. CONST TYPE TOTAL FEE $ 92.5 CUA PARK ScHL �/ ��ID CDF PA PD I Issall I/ This permit is hereby issued unser the sions of the Butte County. Code and/or workindicat above f r which fees 1 CT OF PUBLIC By -O PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS D to 8 JZ 9 Receipt No. 96890-92.50 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance s ,fir, 0,T- ,e �Z-�7- owner location AP # Driveway permit //l-ei'li has been issued for the above property. n b date signre r ,TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner , Locations APS Plan Approved tor: Sewage Disposal Water Supply (,/,P�f Hold final for: Water Supply ^anal clearance O.K. for: Clearance for �-D— bedroomobile ome. Other NOTE Water Supply Date Sanitarian t COUNTY OF BUTTE - DEPARTMENT 0'F PUOLIC'WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLI�CfL4�OPNIA 95965 - TELEPHONE: 916/538-7541 PERMITAIPPLICATION DATA SHEET Permit No. OWNER4CA/W LAerlse-aud A. P_ No.062 'SIO - 06 (to Proposed Building Use AI Building Inspector _, Date 7-30-?( At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted . ...................................... 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 manufactuTr's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. 1 14. P rk fes paid — Schop(strict fees paid .............. Sanitation fr -OV f I Pe, 2- i approval m 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. Aje19. Improvements may be required. Contact Land Development Section DPW Driveway permit (construction approval required prior to occupancy) 2 I,c% 21. Pre -Inspection for required.... Pre-Inspec. request to uilding Inspector Contractor's license information (No., Name Style, Classilcati .1 (Date) 22. Certificate of Workmans Compensation Insurance .........1 ........ 23. 6 4. Owner -Builder Verification (Given to owner ❑, Mail to own6r ❑) ..... Recorded copy of Agricultural Acknowledgment Statement ........ — 5. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _L.,' Telephone C CcUD and hold for pic(up at 0110 office. Deliver w/inspector. Other Applicant Copy of Hdz-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 r to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. q 1 ,04, 2. Additional items required: igner, owner, was advised of above required data by� of�ne�nail—counter by I9IXJ date 3 Contracfor, designer, owner, was advised of above required data by—phone —mal l—counter by date j Plans checked by P40 —Date 44 Plans approved by &A) 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 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER Z.ONIN BUILDING PERMIT O WNE - G fi (!?(f TELEPHONE f1cf�� S0. FT. OCC. BUILDING VALUATION O Yjt,tER:_UU St MAI ING ADDRESS + ((///I.��..JJ .vd ( c_ Co\ q5, 6(�' CONTR TQR'b NAME LC jgRI TELEPHONE 5620 75R CONTRA�TnR�S AI NG AODRE ��JJ11 ��11.. Fireplace CONSTRUCTION LENDER 0�� UNKNOWN Total Valuation $ FilingFee $ •00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECTOR ENGINEER � <-- V)� LICENSE NO. Plan Checking Fee $ r Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING DFRX-S S o � a.. 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 SF ❑ Duplex[] Mobilehomr Other SPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home W V 0.00 e TYPE OF WORK New❑ Addition[:] Rerpodel til' ies9 Installation❑ Other E] Describe work: //Jri(� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Q , Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044)Q� ❑ 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.& NEW CONSTR_( A , 2/z sqft UL'TB OUTLET NON-RESIO BRANCH CIRC ITS 2.50 ea 0ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20@SOI 6AL@30C FIXED APPLNS. Ex. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. El 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 FiIingF 10.00 Heating Cooling g Hood 3,00 Ventilation permit F $ 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. 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 against said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ,on of structures o/ve(�rC3 storie�n�hLeight. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ FqZ CUA PARK $CHL I FLo COF PAR I Po HD• ISSUE 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. �b�i /O .5 NNITE-D.P.w.. YELLOW-ASDE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT ~�Return to DPW AGRICULTURAL STATE`'SENT OF A00OWLEDGE` NT Section requires prior to FOR RESIDMTIAL DEVELOPME.YT 26-8.1 of the Butte County Code this acknowledgement be .xecorded issuance of a building permit. - - The property described herein is adjacent 91-031320 to land or included within an area zoned for agricultural purposes, and residents Recorded of this property may be subject to incon- Official Records veniences or discomfort arising from the County of use of agricultural chemicals, including, Butte but not limited to herbicides, pesticides, Candace J. Grubbs and fertilizers; and from the pursuit Recorder of agricultural operations including, 1:50pm 1 -Aug -91 but not limited to cultivation, plowing, spraying, pruning, and harvesting which I I Rec Fee I Cash I I I I I I I X 7.00 7.00 E 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: LINDA F. WILSON loFOPp NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY My Comm. Expires Feb. 15,1992 Date: 8/1/91 State of Californi)a County of Butte ) PROPERTY OWNERS: k ' Xochitl Dalila Theriseaud On this the 1st day of August , 1991 , before me, the SS. undersigned votary Public, personally appeared OFFICIr:i LLL NOTARY PUE.IC - CALIFORNIA • s r BUTTE: COUNTY laopp� My Comm. Expires Feb. 15, 1992 Xochitl Dalila Theriseaud EJ Personally known to me. E] Proved to me on the basis of satisfactory evidence. to be the person(s) whose name(s) is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. IN 14ITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. �2 J�l� rCv4� LindatF.\� A `sonublic ZA-11LLUL6 U 9 --31520 The land referred to herein is described as follows: All that certain real property situate in the County California, described as follows: of Butte, State of PARCEL A: r Parcel 2 as shown on that certain Parcel Map which was filed in the„office of the Recorder of the County of Butte, State of California, September” 8, 1986, in Book 103,'at.page 81. a_ AP No. 062-510-064 PARCEL B: A non-exclusive easement for road and public utility purposes as said, easements are shown on that certain Parcel Map filed in the office of the Recorder, County of Butte, State of California, on September 8, 1986 in Book 103 of Maps, at page 81. PARCEL C: A nonexclusive road and utility easement over a strip of land 60 feet in Width, the centerline of which is described as follows: BEGINNING at a'point in the centerline of Bald Rock Road, from which point the South quarter corner of Section 28, Township 21 North, Range 5 East, M.D.B. & M. bears South 20. 08' 13" East, 421.31 feet; thence from said point of beginning South 15° 00' West, 111.43 feet; thence South 050 56' 9 West, 289.56 feet; South 350 22' 12" West_ 198.6.7_feet;__.South_28-°--3V--_-----_- described 1= - ---.- 23" West, 261.77 feet,''more-or less to the Northerly line of the above described parcel and the end of said centerline. L alhJ may be- ciesc�i be -4 a S U h leve/cPec� no 6vi jd,*hc�s, It V 72 C ah_' EN® OF DOCUMENT TO Buildinq Department FROM: Environmental Health SUBJECT: Sanitation Clearance Plan Approved for: Hold final for: Sewaqe Disposal _2f ^incl clearance O.K. for: Clearance for 'Z"edro mobile ome. Other Water Supply w'e'l Water Supply Water Supply NOTE Sanitarian Dat e6 Q 6( CL AP# Owner Location Plan Approved for: Hold final for: Sewaqe Disposal _2f ^incl clearance O.K. for: Clearance for 'Z"edro mobile ome. Other Water Supply w'e'l Water Supply Water Supply NOTE Sanitarian Dat