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HomeMy WebLinkAbout064-070-017NOTES + RESIDENTIAL 064-070-017". -+ PERMIT NO. — .BENNETT, LEE;,,,. �03-1060 ' 1 CANNON CTMAGALIA . ' NEW SINGLE FAMILY' #97-46 �b t a 7• t t� 1� 1 i 'i y 'r 1 a 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER OFFICE COPY -Address GAS Meter By Date • �� ELECTRI Meter By D� •1 • JOB FINALED (Date) Signature CHECKED BY J=OK 0 = Not OK Not . = Not Ready Applicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5._ Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9: Exits .10. License Decals ' 11. Verify #'s with Office.. : Date Card B-1 Date Card B-1 Date Card B-1' Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1._ Zoning Requirements -Setbacks -Easements . 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing : 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 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, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panel boards- Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 .Date Card B-1 Date Card B-1 •Date Card B-1 = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UND FLOOR (Plans) OK except it's / ing-Setbacks-Easement lood-Slope Ft ., Main; Soils-Elec. G .-/ /' Ftg. Depth L3,41lg., Garage; Soils-Steel-Elec. Grnd.-/ / Ftg. Depth , Porches & Decks; Soils -Steel-/ / Ftg. Depth walls, Main; Steel-Blockouts-Wrapped . Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped /$/�i (replace Ftg.-Steel V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test U,Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground s & Ducts; Clearance -Material -Support -Ins. 1 irgers-Sills-Anchor Bolts-Joists-Vents-Crippies ccess & Ventilation 16. Insulation Date Card B Date Card B-1 Date Card -1 Date Card B-1 Date PL ING (Permit) OK except ft ter Htr.; Vent -Access -Combustion Air Baffle LSIX'ater Pipe; Test & Anchor -Nail Protection 1V D.W.V.; Test Fittings & Anchor -Nail Protection 20— Sh9wer Pan; Test, First Floor -Tub Access 2t' 36st Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors -28' Fire Sprinkler; Test Date _:__ ,0 Card B-1 c Date Card B-1 Date - Car¢ B-1 Date Card B-1 Date ELEOfRICAL (Permit) OK except ft & Transformer at Doors Boxes & No. of Conductors 27.6or2ex Installed Close to Edge of Studs & C.J. M. uip. Ground made up w/Mech Fasteners -Bond Gas & Water B9' ?/f ppliance Circuits in Kitchen & Conductor Size GFI _ ZV.SUbfeed Wire Size/ / a. Cu or AI-A.C. Wire Size.E� jg4Wor Al Ran Circle /g or AI -Oven Circ. / ga Cu or Al I lated Neutral O Yes O No Service -Riser Conductors & Ground Main Disconnect 3d- othes Closet Light -Shower Light -Spa Light Smoke Detector Date, Ot, 3.5 Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except Vs C. Ducts Insulation & Support 3 t an, Exhaust above insulation pq densate Drain & Overflow, Size & Grade Access -Comb. Ait-Return Air Vent 115 Outlet JAttic Access & PJafform if Furnace in Attic Date ,riU . Card B-1 { C (-U . Date Card B-1 Date Card B-1 Date Card B-1 Date FR ING (Permit) OK except Vs V's Proper Materials & Anchors . Ygrls Studs -Nailing Spacing & Braces -Plates -Sound Wring Walls over Girders & Floor Nailing . gr6ftStop in Walls (rat proof) 4_6lr'."5r6rStops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing Date FRAYING (Continued) W. angers -Post Caps -Anchors -Connectors 4,VCling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. -49" glace Ties or Type A Flue -Fireplace Throat Clearance Sgoo�Aic Access; Size & Romex Protection -Draft Stop -Ins. Baffles rm. Windows or Exiting Doors -Sill Ht. & Dimensions *V Xrage Fire Protection Framing -RC Channel perty Line Firewall & Openings Ext. Doors -One X -Check Garage 3rd Story, 2 Exits 5-TXairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56 Plywood on Roof Overhang -Attic Vents -Rafter Outriggers ing-Nailing Veneer we ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Area -Glass Walls; Interior/Exterior Wall Panels 63. Infiltration -;&047 ows Date Card B-1 Date Card B-1 Date Car B-1 Date Card B-1 Date FIN Plans OK except Vs t teps-Door & Sidelight Protection -Landings oke Detector F ace Vents -clearance -Comb, Air -Connector - Garage; Above Floor-Ducts-Mech. Protection aV Broom Exiting fa.F.l. & Bath Fixtures & Tub Access -Spa OV Elec. Trim & Subpanel, Breaker Sizes & Labels f,O- Otairs & Rails . F' place or Stove, Clearance -Hearth ec. Outlets at Wood Panel, Int. & Ext. 7 Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 4.Prec. Outlets & Receptacles at Kit. Counter . Gar ge Fire Door; Swing -Landing -Closure Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Gara • Above Floor-Mech. Protection Mech. Equip. Listed for Location ec. Receptacles in Garage (F.F.I.)-Romex Protection W. Insulation -Foam -Looked in Attic 43-- Guard Rails & Deck Construction -Post Caps *2- Fdq, VBents & Crawl Hole Door Drainage & Wood -Earth earance Looked under Floor O Yes Followina InstIdJ6rive O Yes O No/Walks O Yes 0 No/Planters O Yes O No 84. Xucco wn-Finish Le/E Unit Disconnect, Electrical -Plumbing Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 8iL- Oter Well, Disconnect, Electrical, Plumbing x erior Elec. Trim, G.F.I. Receptacle -Underground entilation Throughout House W. lass Protection ections from Previous Inspections Test -Meters Tagged, Gas -Electric 9V ater & Sewer Connected -C/O to Grade -HD Approval 9VXnergy Compliance Certificate -Other Certificates 9S Address Posted -96:" Fire Sprinkler Date Card B-1 ' Date Card B-1 Da!!R, 1 'J , li7 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: � t COUNTY OF BUTTE - -- BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine Inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Date r Inspector REV 10/92 COUNTY OF BUTTE...... ' . ' . "• BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES' ' 411 Main°Street • Chico, CA • (530) 891-2751 V 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE iL 1060 NER PERMIT NO. iy. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. T r� f ,Date kr; REV 10/92 Inspector COUNTY OF BUTTE BUILDING DIVISION 'y DEPARTMENT OF DEVELOPMENT SERVICES 4� 411 Main Street • Chico, CA0 1 530) 891-2751 7 County Center Drive • Oroville, CAS, -(5 0) 538`75 _ CORRECTION NOTICE, OWNER PERMIT NO. 1 A routine inspection indicaj�eslhat the following violations of butte county Ordinances exist at the above address'and should,be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. '• ��r/ t/.1 /t G t �,1 Il. it cam/ (� f_G 6" 17 Date REV 10/92 Inspector COUNTY OF BUTTE BUILDING -DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico,, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE Pt-` OWNER PERMIT NO. w� A routine inspection indicates that_the following violations of butte county Ordinances exist at the above address and should be correcled. Please notice this office when correction of work is f completed. If you have any ques ' ns pertaining to this matter, or need additional explanation, Itt•w sir please contact this office imme ately. -- nr. n (A4 `V !� T h{}' I,F ... �pSX f�+ �J a Date Inspector REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 , 1 P,ER�`niT,tyo. (Rev.t2/96) APPLICATION AND PERMIT. (f Uj(J ASSESSOR PARCEL NUMBER 064 -070-017 ZONING f -1 BU I LDI NG P ER M IT OWNER - Mi=t LEE TELEPHONE 377-1737 SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS I', N Y (A t'/ 320 XPi IUMCE PAWISE CA 9a r (� p / /y0 1641 R 8H 164.0 484 U 8P712.00 CONTRACTOR'S NAME ' OWtiR. TELEPHONE 4 • /V1JW 128 C 1 664. LV Vhl CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ (ids' 90. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ • ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ .3. BUILDING ADDRESS t wLLn/Ll T Ll • t`wAuA ld1•um Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ LOT No. 134 SUBDIVISIONS NAME PARADISE PINES 2 11 - 1 PARCEL MAP ^8- ZL 2 PLUMBING PERMITFiling Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 ZIO. V Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 TYPE OF WORK New,O Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ItJSF [ASTER 97-46 Gas piping system 1 - 5 outlets 15.00 1 . ()o Building sewer 15.00 J5.UJ Mobile Home I S I G I W 920.00 PERMIT FEE $ 135,. S<W LOAD: 2500 to 3000 ft. mono X,0400C sm ELECTRICAL PERMIT Filing Fee 20.00 Main Service 000v OR LESS J 2o0A OR LESS 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencin with Section 7000 of Division 3 of the Business and Professions Code, g ) and my license is in full force and effect. 3 License Class 'L) �: 57 1 Lie. No. OWN WILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law jor the following reason: [y I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADONS. ( a ACC. BLos. 3.5¢x: • j " CONST. MULT1•ounEr NON-RESID. 97.50 POWER APPARATUS a SINGLE OUTLET CIR. EX. OCCU OUTLET OR FDRUREs BAL @':550 Ex. Occup. ouTLEEDTS 6.D ERA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating L •UU Cooling Hood 6.50 b. Ventilation • PERMIT FEE $ v • JV Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) , 2- I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / / X /__.i, �� �, . Date ! (O �� of A, PPI cent - [U*Owner sign atufe;A Contractor ❑ 9ant An OS'�-IA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 4b. W R-3 COZ TYPE TOTAL FEE $ 1081.85 HA2. - FE IMF / FLOOD CDF pgRL pp/ HD SUE r This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. " �� By 1 Date PERMIT EXPIRES ON 'r' t 7 q Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT LOERKE INSULATION CO., INC. INSULATION CERTIFICATE 6Z(4LA Ga.4-JOV4 G- Mc.CAL%o • • • 1. ROOF Material Brand Name Tlriclmm (fin) Thermal Resiskme (R ) 2. CEILING Batt or Bla" Type EbmMfesa 8mft Thickness (inched 3 Loose FM Type n nmlass Brand Nwm Johns Manville Thermal Resistance (R Value) IZ 3$ Brand Now Johns Manville Cwftc or/s min. installed weight/R sq., 615 u,. LiMm un Thic�cstess 15.��_ inures. Marnladurees installed weight per square foot to achieve Thernud Rhe (R Value) 'r?3$ 3. EXTERIOR WALL Maeerlal - .�.8$tts Thidcrress (ir,ches)___�_ 3.5 Maga" _ FiheMMS Batts 11*kM$ )--.---- S. SLAB FLOOR / PERIMETE PargneRer Itisulallon Depth 6. FOUNDATION WALL Thidmess [mdm DECLARATION Brand Name ,Mrs MamMe Thermal R (R -Value) Brand Nam ins liAa Wfle Thermal Re nce (R -Value) Brand Name Themrel Reslstsnce - slue) Brand Name Thernrml (R -Value) Gennera (Co. ame) or General Cariracdor C�o.r ami r er COUNTY OF BUTTE - DEPARTR&NT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P 01IT (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-070-017 ZONING R-1 BUILDING PERMIT OWNER BENZ LE� TELEPHONE R77-1737 SO. FT. OCC. BUILDING VALUATION 1641 R 8,9,164-00 .OWNERS MAILING ADDRESS r Xn 320 T 484 U 8;712.00 CONTRACTOR'S NAME OWNR. TELEPHONE 2 8 C 1.664.00 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 98. 90.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 635.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ 23,00 �v7� *,�^ �T 7� r^gpp� BUILDING ADDRESS / CANNON lel . MAGL'11.IA CA. DLLYDLML3[1 Energy Plan Checking Fee $ 23.00 $ PERMIT FEE $ 701,00 LOT NO.134 SUBDIVISIONS NAME JL PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF K] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 5b.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent .15.00 15.00 15.00 TYPE OF WORK New X] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NSF MASTER 97-46 Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE s 136.00 SINOW LOAD: 2500 to 3000 ft. FLOOD:X 04000 SRA ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZO.0AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class �I 1S,Si ( Lic. No. OWNER -BUILDER DECLARATION I hereb affirm under penalty of perjury that I am exempt from the Contractors License Law r the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING CUP. OR ADONS. ( a ACC. BLoS. SO 3.50a.74.35 ROE ID. ANC,OUTLET 97.50 aPSINOWGERLE APPARATUS OURhT CIR. EX. Occup. OUTLET OR FDRURES 20 @ 1.00 SAL @ .50 FlXEO APPLNS. OR Ex. Occup. ouTLErs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE s 117.35 MECHANICAL PERMIT Fling Fee 20.00 Heating 20.00 Cooling Hood 6.50 6.90 Ventilation 15.00 PERMIT FEE $ 51.50 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) L0'I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' C ompensation laws of California, and agree that •if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall a ecoply with those pr ons. X Date i na caner ❑ Contractor ❑ Adyt Anpermit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. rrPE R_3VN TOTAL FEE $ 1081.85- HAz. o FE IMP ".0CDF PARCEL PD HD U __ X This permit is hereby issued under the applicable provisions ofthe Butte Coun Qode and/or Resolutions to do work ind' to 0 f htch fees have been paid. By pD a PERMIT EXPIRES ON Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT +T+"�",„�6='r°y,� _> .T... �wf��l►i�t� ��'C.::� 'F'Mv�-•..r �°'^.+t"`""`�oa-`�r't`b'i'fl.'r'M.r n.. CA, : ;'I'. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI�ISION• 7 County Center Drive, Oroville, CA 95965 Phone (530)538-741 Fax (530)538-2140 \ n PERMIT APPLICATION DATA SHEET OWNER: Y vc� ASSESSOR PARCEL NUMBE o % Proposed Building Use: � � 1 '"Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR ma ted NA in order to apply. L. Plot plans, 3 or 4 sets, signed y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the Ireparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed b tengineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By %) ❑ 8. Flood Elevation Certificate; wet -stamped and signed, in duplicate ................................ ,;. ,,. ❑ 9. Plot plan and business license approval from the City of Biggs .................................... r ❑ 10. Letter of intent for non-residential buildings...................................................... :.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... F ❑ 12.'Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the fol o wing items.) Fees as shown on the attached Schedule of Fees Due Sheet ....................................... // Statement of Intent for Non -heated and A/C Buildings ............................... .....� Sanitation and plot plan approval from the Environmental Health Department i J' `-�.... �/3 / ❑ 7. City of Chico Plumbing permit .......................... ' California Department of Forestry plan approval paid. Sent_ b ` ................ ❑ 19//Plannmg.approval for (A) Use: O (B)Parking: (C) Par 1 Check: U Contact Land Development about ❑Improvements, ❑Drainage ............................... L I' 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupan .ZS -63— --j ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... Ipq 27. Recorded copy of Agricultural Acknowledgment Statement .................................... `4 - 2,N -03 I'kl ZXS ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... 3 ❑ Grant Deed, M. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D $ . Other: Db G O'rl �1ii -5 When issued T ephone and hold for pickup. I have befinfr-tv of the above items and requirements for obtaining a building permit. Applicant Date:1. Index pation for the above items numbered: �p Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: p<, -.X Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: ,t Date: E.H. USE ONLY Piot Plea Anschod Sal t&V7k) TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance 00 OWfier Location AP# Plan Approv f Sewage Disposal Water upplyn: Public Private^Well Hold final for: Final clearance O.K. for: NOTE: Envir nmental He Ith Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530)538-7541 SCHEDULE OF FEES DUE OWNER PROPOSED BUILDING USE 1. BUILDING PERMIT FEES Balance Due ....................... $ Additional Fees Due ................. $ Additional Fees Due ................. $ Revised Plan Checking Fee $ 1 2. SCHOOL DISTRICT FEES'������ (paid at District Office) (Available after Plan Check) vpM a 3. SHERIFF FEES (paid at Building Divisio ) ...................... Residential x $360.00 = $�bo Units Commercial (sq. ft.) ............... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ............ -x-=$ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER o(� 02.6.0 r� A.P. # DATE ` C-3 RECEIPT # DATE REC. of 37Xpo `1"14- 03 At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed durin& the plan checking process. APPLICANT DATE Pursuant to Go� ent Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School DistrictBuilding Department No. A.P. Number o 19 • V.1 1 Jurisdiction: City County Property Owner 0 Property Location/Address Subdivision Residential DevelopmentSq. Footage No'of Living Mobile Home Addition/ *Supplemental to Units Installation Conversion Permit # *(No foundation inspection): ................................................................................................................... Commercial/Industrial Building Department Repr District Identification No. -.4, /yj,� (Street Address) 0 New Addition (Floor Plans reviewed by School District Personnel) School District certifies that ol (State) has complied with the requirements of Resolution No. 'V1 & /a representing 7 square feet. School District Representative Paid by Check # ? -� Remarks: Sq. Footage (Group R) (Including Exterior., Roofed Areas) -3 Date (Applicant) 1 �] L/ / 7'/ 7> (Phone Number) � 0 a (Zip Code) by payment of $//i IFABi2926 $ FULL MITIGATION $ 7 e �- 7-rA Date a11 Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with t Government Code.Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school d'istrict's schools. White (applicant), Yellow (building department), Pink (school district) feeform.As 00/98)dmm RECORDING REQUESTED BY: Fidelity National Title Company of California Escrow No. 304680 -WC - Title Order No. 00304680 When Recorded Mail Document and Tax Statement To: Mr. and Mrs. Lee R. Bennett 320 Burden Terrace Paradise, CA 95969 ' Recorded Official Records Count yy Of BUTTE CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09a00AM 10 -Apr -2003 REC FEE 10.00 TAX 30.80 Myles Page 1 of 2 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(s) Documentary transfer tax is $30.80 I X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale, [ _ l Unincorporated Area City of Unincorporated _ FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Robert E. McNary and June McNary, husband and wife hereby GRANT(S) to Lee R. Bennett and Cheryl Bennett, Co -Trustees of the Bennett Family Trust dated September 8, 1999 the following described real property in the City of Unincorporated County of Butte, State of California: SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF DATED: April 4, 2003 STATE OF CALIFORNIA COUNTY OF Butte ON April 9, 2003 before me, _Tdendv Cser, a notary personally appeared Robert E. McNary and June McNary personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behp-of,, which the person(s) acted, executed the/in sx ument.`t Witness my hand. and/officiAl. s�eal.- Signature Rob t E. McNary June McNay �s6;L a<>y WENDY CSER _0 � � 'I P�9" COMM. #1306527 ` NOTARY PUBLIC CALIFORNIA 0 a BUTTE COUNTY 1 My Commission Expires Jun. 27, 2005 MAIL TAX STATEMENTS AS DIRECTED ABOVE u -c 13 lrnev iitibl GRANT DEED o EXHIBIT "ONE" PARCEL A: Lot 134, as shown on that certain Map entitled, "Paradise Pines Unit No. 12", filed in the Office of the County Recorder of' Butte County, California; on May 13, 1971, in Book 38, of Maps, at'Page(s) 24, 25, 26 and 27. CERTIFICATE OF CORRECTION RECORDED AUGUST 27, 1985, AS INSTRUMENT NO. 85-26006, OFFICIAL RECORDS OF BUTTE COUNTY. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of said land. PARCEL B: A non-exclusive easement over Lots A and B (the common areas) of said Paradise Pines Unit No. 12 and the lots designated for common and recreation areas as described in the Declaration of.Annexation for Units IV, VI, VIII, X, XI, XII, XIII and XIV. Assessor's Parcel No: 064-070-017 SITE PLAN REVIEW APPLICATION Date: -) 6- p AP# Permit Number (if applicable) 0 3_ 10 (o 0 APPLICANT INFORMATION Parcel Size: Owners Name: �� N°J L� Owners Address: Telephone No.: L) 3 -7 Situs Address: G (a rJ N p J\) Proposed Use: Residential New Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): .3&H-O7p--01.7 ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval Site Plan Stamped Approved By )�:e Date -1 Page 1 of 5 l� ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ® Snow Load Area: 2-S 80 -F C) 3 o'CrO —P -r - El Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: X • Flood Panel No.: D Li CF -0 L Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires:- F-1 equires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ----------------------------------------- ----------------------------------------------------------------------- -- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: 2 — 1 Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front 2� �J� �� G L_ cp..N N©JQ (f_-71-- ✓1Side Side �r Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 NI EI Subdivision My/Parcel Map: SS , Map Date of Recording: Lot: ) 31`� Book: 38 Page: 2-9 /2-7 ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. EJ 1 Page 4 of 5 J� .' ❑ a 0 i 0 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 s Recorders Office Co UTTEf CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 2003-0025144 REC FEE CONFORMED COPY TOTAL CHECK TOTAL TENDERED CHANGE 4/22/2003 9:02am 7.00 1.00 8.00 8.00- 8.00- .00 09:23AM 22 -Apr -2003 2003AMOII12 Shauna BTTREC14 Thank You Have a Nice Day! Requested By: PUBLIC l0f dT 10 OW03 NU r9tnmfl MUM YAAlt320f1 tashiatA ISSM E89S\SS\# mles*-m GOS 33129 99.1 Yui MUM 69.8 JATur -96.8 Nm M.8 CM3W JAMT 69. .. --33R43 Stl999SSMM ElJ "gA-SS MAEMIS 0133RTTO sausda uaY gra ffl !Y64 93im 6 9VEH qfl b9 t3I jUq CONY of Document Recorded 22 -Apr -2003 2003-0025144 AND WHEN RECORDED MAIL TO: e -A 'BUTTE COUNTY BUILDING DMSION Has not been compared with y 7COUNTY CENTER DRIVE original OROVILLE, CA 95%5 BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides,, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, Plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established.. -- agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: PARCEL A: Lot 134, as shown on that certain Map entitled, "Paradise Pines Unit No. 12", filed in the Ottice of the County Recorder of Butte County, Calif., on May 13, 1971, in Book 38, of Maps, at Page(s) 24, 25, 26 and 27. CERTIFICATE OF CORRECTION RECORDED AUGUST 27, 1985, AS INSTRUMENT NO. 85-26006, OFFICIAL RECORDS OF BUTTE ODUNTY. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any & all mining operations shall be done from orifices outside the surface area of the land described herein, & that no damage shall be done to the surface of the said land. PARCEL B: A non-exclusive easement over Lots A & B (the common areas) of said Paradise Pines Unit No. 12 & the lots designated for common & recreation areas as described in the Declaration of Annexation for Units IV, vi, VII, X, XI, XII, XIII & XIV. Datey �) PROPERTY OWNERS: ��X41 Bennett State of California ) County Of /Butte ) On `y " :7 -0 3 before me, vvevi d � ' ' �e ,i personally appeared Cheryl Bennett personally known to me (or proved to me on the bash of satisfactory evidence) to he the persnn(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hhaandd and oJfr alSignature `'2�� Seal: �^ ��, WEND CSER � r A.P. # 064-070-017 ' �`'."t.' •p JTAFY i`U Eit!:: �:.'.: r •i; 11�a!1 a t- . BUTT c %GUI - ; P,ty Cemmts:•iun E-t;itu5 Jun 27.?005 °bD ENCROACHMENT PERMIT Q� County of Butte Department of Public Works 7 Count Center Drive Oroville, CA 95965 Phone (530) 538-7157 Ext. 2016 Fax: (530) 538-4356 Download Forms: www.buttecounty.net/publicworks/forms.html NOTIFY COUN'T'Y 24 HOURS BEFORE WORK IS TO BE DONE Permit Number District Phone (530) 538-7157 Ext. 2016 O 3 G � 9 J APPLICATION I / WE, the undersigned, hereby apply to the County of Butte for an encroachment perndt to do the following work under or over the County roads and highways, all in accordance with County ordinances and general laws. All information except signature must be ed or legibly printed.) 1. Applicant's Name: ] a. Company Name: 2. Address: Sao �t a e.6Se 0 o q q tog 3. Phone: ^ _ 4. Assessor's Parcel Number: 5. Location f Work to be Done 0(p O O b C I4e QL C�onrior-, } (CvrnPr lo+ >�1u (�K ,^ 6. Applic gna . � r l e '� u� Clt!'i r+0 h C �, 7. ate' A c tf' �: S LO• -(7 >Ga 6A 3 NTRACTOR'S INFORMATION 8. Contractor's Name 9. Address 10. Phone: _ / 3 11. Fax: 12. Contractor's License Number: 13. Certificate of Insurance: ��" �✓ �% � � Yes ❑ No: El14. Contractor's Signature: 14a. Date Signed: 15. Authorized A 16. Please Check: T E OF WORK TO BE DONE Curb: ❑ Gutter: ❑ Sidewalk: ❑ 17. Driveway (List Type): 18. Other: PERMIT GRANTED In compliance with the above request, and subject to all terms, conditions (including those on page 2 of this permit form) and special conditions written below, permission is hereby granted. 19. Conditions 12- z C � i %n� .y- GJ L /"l O G to Mc,�Gb JC_nnA i...�Je vnaer una bervmce Alert .S.A. must be notified two working days prior to any excavation. 800-227-2600 20. '® All work shall conform to accompanying: Detail M Plans 0 Special Conditions 21. Date Issued R.2 Of g -Z 22. Expiration Date: 23 S , O Mike Crump, Director of Public Works By: "Note: Note: If permits are faxed to any number besides (530) 538-4356, they can be delayed up too a week. Page 1 of 2 General Conditions -See Page 2 jasOIOOh'VQ:Assessor — - NameMCNARY ROBERT E &JUNE Asmt # MIUM Fee # 064-070-017.000 Status JACTIVE Status Date Addr-I b119 DANA CIRCLE - �� — — _ = - -� Tax 800 PROP8 PROPERTY TRA 093.014 - Addr2 MAGALIA CA 95954 _ �� Situs 0 COLTER WAY MAGALIA Addr3 Base D 12/31!2000 Addr4 Land 21,000 J Timber Preserve ;Structure - J AgPres w 0 Comments 640_7001700 CONVERTED 09/08/88 J Etal Fixtures 0 Growing 0; Creating D oc#1 198680396600 Date _j Notes _ _ Current Doc# 1992840032 Date 08!1311992 Total L&I 21,000 Bonds . RP _ Killing Doc# - ]� Date! _ [j) Multi FIaglFix. Situs MH PP. _ Asmt Desc PARADISE PINES 12 LT ,� SuplCnt � � Flag2 PP 0 g - -- Zoning RT1 Dwell 0 r 910 MH Exempt 0, Acres/Sq Ft NIC 064 J Asmt PP Pen Net 21,000 J Tax PP Pen R/C# ..Appeal Pending T/R Dt jJ Split Pending R!C State PHY OWNXP ETAX - bio - 2002 111sa, 071950013:27:21 PM t ,_re '-K, Taj +fr r' i� .. _ T RA. t.1b' of elm. 3 • Frt,t,v, « f I r ' •.�,_ ,fir F4 f1 Let, pt �'t•, ��..�. ...d a `�, . r=�.j �,; �; � , �::'.,�. �.� . �,. T .+� Wil :' ajrrig T /9 D?r ,1f tot .w � .. � #. ..� Te.»"...�.t. �---- }**�'�••Y.-fir ;��.`� �-r`^?�� -�Yw ti #'' I 4t