HomeMy WebLinkAbout065-171-01765-171=17
Ruth Cadrdvi Todd
14645 Wood Drive, Magalia
�ermit...�kr.18.07-782P,E...(util/MH)��i/$
lectric
Gas
Support structure,:req
Compaction test ,req
----------
65-171-17
Con r:Roger Green, Chico
PeretN22020-g84 ,E(util, MH)
ELEC
GAS /,
COMPACTION TEST REQ Ply
SUPPORT STRUCTUk REQ_A D
65-171-0 /
MARY ANN 6VALD� - Oral
Contr: ernies NIH Ser
Perm' ��2796-84MHI
Is ed_
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OFFICE COPY,,
�AddresspS�l(i���`'�(�
GAS
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( Meter, Date
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ELECT le rj "?ii -;c
Meter B 4 ."Date y
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'PERMIT NO. 2020-84P,E(MH)
PERMIT EXPIRES 6/24/85'
OWNER RUTH TODD
CONTR.. Roger Green, Chico
ASSESSOR PARCEL 65-171-17
LOCATION 14645 Wood Drive, Magalia
OFFICE COPY
AddressGAS
�[C�6/S,q_Q(✓'_
i
Meter By
Date
'
ELECTRI
Meter By
Date
i
r
'li
Temp. Power Pole
w
.
i
Called PG&E
`.—"'�"" '^" -..��
t'•!
Temp. Elec. Service
AA
Called PG&E
Temp. Gas Service
Called PG&E
NJR
S
JOB FINALED (Date)
/0,5-14FC(
Signature
a
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
E; ''i
t
MOBILEHOMES
MISCELLANEOUS -
Date MOBILE
J40ME UTILITIES (Plans) OK except H's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
o 'ng Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -.Easements
oils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
Sewer; Location -Test -Fal -C oncrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4 -Wafer; Location -T s sement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Loc&lien-Clearances- .-/Yjcig'Amp Con
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
s; Location -T /"L"ft./ /"Nat.o '''L"ft.
/"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
0-4
Card -B Date _Z0—,f ` Card -BI Date
Card -BI
Date Card -BI Date
Card -BI U Date Card -BI Date
Card -BI
Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except H's
Date
POOLS (Plans) OK except N's
41-foning Requirements -Setbacks -Easements
1. Setbacks -Easements
,Z_4�6-otings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
as; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
lectricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
rain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
er; MH Test -Regulator -Connector
t
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
a er and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
...Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
xi ; Insp.-Sketch
ert. of Occupancy
I
9. Health Department Approval
f
10. Plumb; Cir. Test -Water Supply Test
Card B -I Date Card -BI Date
jCard-BI
Date Card -BI Date
Card B-1 Date Card -BI Date
)Card -BI
Date Card -BI Date
r/ q /_ —
o9�-��
{
w
t
V = OK
O = Not OK '
= Not applicable
= Not Ready RESIDENTIAL (Single and Duplex)
�E ,
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54. Glazing Area -Glass Protection -Skylights -Plastic
55. Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Seryice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL Plans OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic El Yes
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except H's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
numbers �" for the following location: -
r
Owner
Owner's Address
y
Mobilehome Mfg. - Model Year `L
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
l
Inspector � �'` ' ` Date /tV / 1
COUNTY OF BUTTE "
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
119
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.
� nl
Inspector % Date- O
Sune,OROVILLE;, CALIFORNdA
GENERAL CLAIM
CLAWANT: Ruth Todd
ADDRESS: 980 W. Washington
CITY & STATE: Sunnyvale., CA 9408.6_ IMPORTANT:
June 28, 1984. SEE 1N$TRUCTlQNS
DATE OF CLAIM:'
ON REVERSE SIDE
Sus'MIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVIrF—q
DATE
'DESCRIPTION. OF CLAIM (DESCRIBE FULLY TO AVOID .DELAY)
AMOUNT
Owner was inadvertently overcharged $10.00 on Building Permit.Appin.
#2020-8.4P,E, Receipt #25128, dated 6/26/84, AP #65-171-17.
TOTAL REFUND DUE ------------------------------ --$10.00
$10.00
tbTAL
$10 .00
I, the undersigned, declare under penalty .of perjury that the services or`articles claimed have beenp o. d or dell vere d, and that this
claim is true and correct as stated.
ct
Doted this ,lL .... day of ... .. aJ' i%r•r<t-+�+�'alif.
r
- Signature of Claimertt
I, the undersigned, hereby certify that, to "the best of my knowledge, the services or articles specified above have been Performed, or de -
live zed and, that there is a Budget Appropriation or Specific Board .Approval ❑ (Checkone) for tbe-Same.-�. -
n J)
Dated this.... '- . day of i �.. 14Y�.1.. at ` `--��--.'. i`
:.... Csilf ..... /
.......................:�.:.......................................:..
%.Department Head o?A.uthorl d D�
t'PufY
Dept. Ezp.
Codi ................ CodePAYABLE FROM
................................................ ................................................:.:...... FU1VD .._.. '
i DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ.
SUB. OBJ.
CLAIM NO.
INV. NO.
INV. DATE
ENCUMB.
GROSSAMT.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, ibT4fornia 95965 - Telephone 916/534-4541
APPLIdATION AND PERMIT
PERMIT NO.
Q
ASSESSO ARCEL NUMB
-1?/-/
WING
—
BUILDING PERMIT
OWNTELEPHONE
SQ. FT. OCC.1 BUILDING VALUATI
V/ (/
A, 0,�
C t
Fireplace
O NE'Rf�'S M�A�I (LAN G ADORE
V V . A
ON CTOR'S NA
TELEPHONE
C TRA R'S MAILING ADDRESS
C NSTRUC ION E DER r
�M
UNKNOWN
Total Valuation $
Filing Fee $ 1.9;.99._..
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 016`
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $
BUILDINGADDRESS
u
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Solar Water Heater 20.00
(
Water piping 5.00
oT
5ZC[
SUBDIVISION NAME
r^
PA EL MAP
1
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets 5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer 5.00
Mobile Home 10.00e
TYPE OF WORK,—/
New❑ Additi�❑ Remodel❑ Utilitiesf1 Installation❑ Other❑
Describe work: —
IL
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 1000 AMP OR1 OR SLESS 10.00
Main service EA. ADD•L 100 AMP 2.50
NEW CONST. DWELLING OCCUP,&
OR ADDNS. ( ACC. BLDGS. 21/20sq ft
CONTRACTORS LICENSE LAW
I de la under penalty of perjury (check one):
rI I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and y license is in full force and effect.
License No. CiIaSSIfICatlOn ((//
❑ 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
NNEW ON -RESIT R BRANCH TLETCRClrs 2.50 ea
NEw
NON-CONSTR POWER APPARATUS &I
RESID. SINGLE OUTLET CIR.
Ex. Occu zAL030
p�o FIXTURES eAL®30
FIXED APP
FIXED APPLNS, OR
Ex. Occup. OUTLETS (RESID•) EA. 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 r`
Misc. Wiring 15.00
Permit Fee $ 37,�
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
1 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 Cou ty in consequence of the granting of this permit.
2, C?,f�,(�P,k� %
X f 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 3 storiesinheight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ,
OccuP. GROUP
I TYPE OF CONST.
I PARCEL WEI
HD
ISSUE
This permit is hereby 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.
RE ;OWF PUBLIC WORKS
BY - Date ZIr
PERMIT EXPIRES Dat
Receipt No. �c� aL a
a"5 --i
WHITE-D.P.W.. TEL LO W -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, C"tilitornia 95965 - Telephone 916/534-4541
��• - APPLICATIALAND PERMIT
PERMIT NO.
Ass sog p^RC UM E
ZONIIING
BUILDING PERMIT
OW R h
T LEPHONE
SQ. FT. OCC. BUILDING VALUATION
O N R'S MA ING ADDRESS
C TRACTOR•ItS NAM
TELEPHONE
S r -o 0
CONTRACTOR'S MAIL G 'AODESS
1Q_ '�
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADD ESS
Permit fee
$
BUILDING ADD
ss
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
AA —Am
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARMEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome Q --"Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
—10.00e
TYPE OF WORK r,/
New ❑ Addit' ❑ R odel ❑ Utilities ❑ Installatio Lir Other ❑
Describe work: r c
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS. ( ACC. BLDGS.
2t�ZQSgft
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 ful force and effect.
/
License No����s� Classification (/l
❑ 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 CO ID P- BRANCH CTRCTITS 2.50 ea
NEw CONSTR. (POWER APPARATUS .&)
NON-RESID. \SINGLE OUTLET CIR.
Ex. Occup(o Ts OR FIXTURES BAL®30
B2L@30
FIXED
FIXED APP LNS. OR
Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
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 d County in 'K, uence of the granting of this permit.
X Z - �/y
Date
Signature of App ican,t — 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 $
TOTAL PERMIT FEE $
OCCuP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
HD
1 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR RRDF BLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
V',
COUNTY OF BUTTE - DEPARTMENT,�QK PUBLIC WORKS - BUILDING DIVISION
o
�`.7 COUNTY CENTER DRIVE - OROVIL(�A61;�,IFQRNI')� 95965 - TELEPHONE: 916/534-4541
w
PERMIT APPLICATION DATA SHEET
Permit No. t
OWNER A ) A. P. No.
Proposed Building Use AA �1 = �w
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain) //
Building Inspector Date -17
9_,41—`t
At time of permit application, I was ads ised 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. . . . . . . . . . ..
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . , .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
Vx,, may be required.
^6. bi le Installation Data. �.-:� -— . •
''
re-Inspec. request to e
17. Pre-Ins-ection for Required. Building Ins.p c
�tor
8. Other O� r 9, fl",
P
When you issue the permit, process as follows: Maio owner. Mail to contractor.
Telephone 777-0,762 and hold for pickup at /A office. Deliver w/inspector.
Other
AppIicant1%w,SQ1 Date
Y
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of a cation, circle item.)
1. Index permit for above Items No.
2. Additional items required:
�(Contrac.vo Pesiginer, Owner) was advised of above required data—Telephone Mail, Other
By Date
Plans checked by ff Date
Plans approved by Date
Other:
Copy—DPW
�E
• � l
(Individual) -
STATE OF CALIFORNIA r
SS.
j COUNTY OF
On -1 S of r e, the and rsigned,_a No ryP b In and for said
t 19
State, pe sonally appeared+��per'
personally known to me (or proved to me on the basis of satisfactory evidence)
the person whose name S subscribed to
the within instrument and acknowledged that
e
executed the same. OFFICIAL SEAL
WITNESS my 4anand official seal F.BERNARD KNIGHT
NOTARY PUBLIC -CALIFORNIA
Signature SANTA CLARA COUNTY
MY COMMISSION EXPIRES MARCH 30.1987
a.
Name (Typed or Printed (This area for official notarial seal)
SAV 191 (7/82)
t
,Ze
15 Z,/, ?, -, /-�� c -::: �, � 5: e �
Q Jed d
OFFICIAL SEAL
BERNARD KNIGHT
�lOTARY PUBLIC-CAUFORNIA
$AN -TA CL RA COUNTY
�++ MY C6MMISSION' EXPIRES MARCH 3D. 1987
r
s
Cw_.er's name:
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville; CA.
� PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
12. What is the mobilehome gas demand? ----------------------------4. ;-1�, erg (BTU)
(This information ..not.required if pipe length less than 6 ft `on natural gas
or less than 50' ft, on LPG.) 7— 99� ,
BUTTE COUNTY
BUILDING DEPAl3TMEN-
APP11%)OVE�
e
,
3.,
is the
site,currently
under permit? Yes / /
No
(If
yes, furnish permit number r� 7
OR
Is the
site
an existing site? Yes / /
No
(If
yes, furnish two (2) 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 /k-�-
No
( If
no, clarify
5e,
What
is
the mobilehome electrical rating? -----------------------
�C6
Amps
.,: o.
:f`.-
What
is
the mobilehome site service rating? _____________________
AGO
Amps
7.
What
is
the mobilehome site circuit breaker rating?
------------f j`
�G�
Amps
8.
Is there
any other electric load to be served by the
mobilehome
siteservice?
---------------------------------------------------
Yes y
No
(If
yes, identify the load and size:
(Load)
(Amps)
e
What
is
the mobilehome site gas pipe size?---------------------------
�
(in.)
i
10.
What
is
the type.of gas service? -----------------------------
Natural 7 ��
LPG
11.
What
is
the gas pipe length from meter or tank to the mobilehome?
12. What is the mobilehome gas demand? ----------------------------4. ;-1�, erg (BTU)
(This information ..not.required if pipe length less than 6 ft `on natural gas
or less than 50' ft, on LPG.) 7— 99� ,
BUTTE COUNTY
BUILDING DEPAl3TMEN-
APP11%)OVE�
MOBILEHOME SUPPORT DATA
-// �t,� If other than single wide
Mobilehome Mfr. �,,,fp:.�l�jGe%CFS furnish Setup Model No. 9 Yearfii77
Width_(ft.) Box'Length(ft.) Tagalong or Expando Size -6— ft. x L- ft.
(SHOW SUPPORT DETAILS BELOW)
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).
All center supports measured from front of
mobilehome unless otherwise specified.
(ft.)(in:)
Center support 4
locations* V
(ft.)(in.)
J
(ft.)(in.)
4
(ft.) (in.)
II
(ft.) (in.)
44
CN
S ingl,e
*If center piers are other than drawn above,
Arne. 4„ Q"Mnino M"A d4mancinna
Footings (check one)
1. Wood either
pressure treated or
foundation grade.
D 2. Other. (specify)
Supporta (check one)
M `: Concrete block.
F] .2. Other. ( specify)
Tagalong or Expando,'
show support details.
-- Typical Support
.) Footing Size
-- Max. Pier Spacing
-- Max. Overhang
PERMIT NO. .1807'-82P,E
'PERMIT EXPIRES
OWNER Ruth C. Todd
CONTR. Owner
ASSESSOR PARCEL 65-171.17
LOCATION 14645 Wood Drive, Magalia
Temp. Power Pot
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
V = OK
O = Not OK
- Not Applicable MOBILEHOMES MISCELLANEOUS*
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1, Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) Of, accept N
1, Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
3. Decks: Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. -Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc.:,s.,res
6. Gas; Location—Test—Wrap:/ /"L"ft./ /'.'Nat. or/ /"L"ft./ /"LPG
6, Carports; Windows—Doors-
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date .
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3, Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'7Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'—Circulating'Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
� .
Date
UNDERFLOOR Plans OK exce t.#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
4.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
Ftg., Porches & Decks; Soils-Sieel- / /" Ftg. Depth
50.
51.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground .
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65,
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Pern-it OK except q's
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr:; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic F] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive C] Yes E] No; Walks [j Yes C3 No;
Planters Oyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
_
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
32. Vent Fan; Exhaust above Insulation
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
Condensate Drain & Overflow; Size & Grade
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI_
Card -BI
-
------- ----- -
D_ate _ _ Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
_
36.
37.
38.
39.
_Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing__
Draft Stop in Walls (rat proof)
_40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
47.
Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions _
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE; DEPARTMENT. OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 913/534-4541 I 0
APPLICATION AND PERMIT (j
A5,4E R P CEL I MBER
((,,((//nn /
ZONING
ETI ft—
WILDING PERMIT
OW ER A 11 V1 •-/�OD�
IV/
T LEPHON
!D
73�_ ft
SQ. FT. OCC. BUILDING
VALUATION
M A L.I Nf'v r /mow i /iV / � !J %T Il/N� V I / {/✓
'
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDERUNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEE
LICENSE NO.
Plan Checking Fee
$ ,
Penalty
$
ARCHITECT OR ENGIN 'S MAILING ADDRESS
Permitfee
$
BUILDING ADDRES 00Y zwl
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
j�lftjtA�-
Water piping
70. f)!7
1OT NO..1 SUBDIVISION NAMEPARCEL
V Al if k
MAP
Each gas water heater or vent
5.00
Gas piping system 1- 5 outlets
P r W
USEOF ST UCTURE
SF [:1Duplex❑ Mobilehome OtherLawn
SPECIFY
Building sewer
Q ,Q
sprinkler system
5.00
TYPE OF WORK
New F]Addition ❑ Remodel ❑ Uti Iities Installation ❑ Other [:1
Describe work:
Permit Fee
$ r
contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50 z`
NEW CONST. ( DWELLING OCCUP.1%)
OR ADDNS. ACC. BLDGS.
/ 2¢ sq ft
CONTRACTORS LICENSE LAW
•s
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 CONSTR. LOUT LET
NO BRANCH CIRC TS 2,50 ea
NEW NON CONSTR / POWER APPARATUS 6)
-RESID. SINGLE OUTLET CIR,
Ex. Occup OUTLETS OR FIXTURES B �@1
FIXED APPLNS, OR
Ex. Occup.(OUTLETs (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 Q
Misc. Wiring 7.50
Permit Fee $
Contractor '
MECHANICAL PERMIT
FiIirig Fee 10.00
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
t 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.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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 liabiliti judgments, costs, and expenses which may in any way accrue
against s 'd aunty i conseque e nting of this ermit.
X of t eDate /
Signature of Applicant — Ownerg Contractor ❑ Age ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 s ories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP, GROUPHO
TYPE OF CONST.
PARCEL
Pb
19 SU
This permit is hereby issued under
ions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 3'
WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Return,to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT ErUfl;"_. COU;.'
Section 26-8.i of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit. U'a Z9 3
P g p 3_ .
The property described herein is adjacent to land or included CLERK -RECORDER b
within an area zoned for agricultural purposes, and residents of �_.-•� EE
-this property may be subject to inconveniences 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 occa-
sionally 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:
The North one-half of Lot 395, as shown on that certain Nap
entitled, "FIR HAVEN SIIBDIVISIOy", which Map was.recorded in
the office of the Recorder of the County of Butte, State of
California, May 19, 1455, in Map Book 21, at pages 31, 32, 33,
34 and 35.
EXCEPTING AND RESERVING THEREFROM all of the valuable minerals
beneath the surface of said lands, with the right to mine and
extract said minerals, it being agreed and understood that in all
mining operations the surface of said lands will be protected
against damage and that all such mining shall be carrir.d on from
tunnels shafts or drifts having their orifices outside of the
surface area of the above realty, all as excepted and reserved
in the Deed from Magalia Minima Company, a corporation, to E. D.
Storts et ux, recorded September 4, 1447, in Book 423 of Butte
Cou::ty Official Records, at page 385.
_—
Date: (!i,
PROPERTY OWNERS:
State of �'E�,'. /,C�'iFt?/% ) On this the day of'�%��
SS. before me, the undersigned Notary Public, personally
County of 9(f TTr-, ) appeared /Cu 7// L
peeeeeoeeenneeeeeeoueeeeneeooeeeeeeaeeoneeneeenee®
OFFICIAL SEAL
MELISSA M. NIXON _
.SID NOTARY PUBLIC . CALIFORNIA
COUNTY OF BUTTE —
' My Corrlrnl.Slon Expires April 12. 1995 "
�eeeewoeeeueueeeeeeaeeeeaaesssaeerneoa;�euusa�sicb7a!
d PQM!%%J TU ✓I'I� �N int= �3�`/_s �� ��T�<`3co.�y .�'v'/vr�c°`
le-ffe;R:t=-�.e to be the person(s) whose name(s) IS
subscribed to the within instrument and acknowledged
that S"h-,f_ executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Public
Present A.P. NO.
3 2 , d 0
A setback of 5 ft. from the
property lines and a setba
r
of 50ft. from the road
{
centerline shall by clear of
G
structures or equipment e
sept
for a 2 .ft. eave overhang.
0
.
UN
500 SQ. FT. MINIMUM
°
FOR MOBILES
v I
Q
Utility connections shall be within
ft.
0
4 of the mobilehome, either
directly behind or within the rear
half of the roadside (left) of the
mobilehome.
�'
—•
'NOTE:—All Materials &
orkmanship Shall Be in
Accordance with Recogni
d Good: Practices and
of a quality prescribed for
Uniform Building, Plumbing & Machanical Codes and
the National Electrical Code.
This set of plans and specifications MUST be
kep+ on the iob at all times and it is unlawful to
mai a any changes or alterations on some without
written permission from the Department of Public
Works, County of Butte.
A setback of 5ft. from tFie
�-
Property tines and a setback '
of 50ft. from the roads
. centerline shall ba
�� clear of A
Structures
or E Zlui;PmafQ�cefi pt Sr
.
t
t
r
-500 SQ. FT. MINIMUM:
FOR 71liOSiCE8
;
v 1 .
Utility connections shall be .within
�y
4 ft. of the' either
C . f dI�c"'ctiy'bG},i l orwithin file rear
--�
�' �
half of the rosdside (left) of fhe:
�
m6bilehorne.
NOTF:—.All i�/a}erials P Workmanship 5.611 Be in
ACC0r�'�e�,ce ��'th Recogpized :CGoadd, Practice s a[nd ' .
of a dualify .prescri6cd for rhe Specified use: in the'
Uniform Building,. Plumbing . & Machanical Codes and,
}he NationcI Electrical. Code.:: j
This sef of plans: asci spe.cificc�tions M.UST he
kept on fie: ob of r..Ilfirres and if is 1.v61'6\Nfu to `' �U��
C�`U� t
mice cnyc!icrzges or aife; ra;o7s,on sone avifl auf •_
- writfen permission from fhe Department of Public BUILDING CEPAkTM;E G1
Works, County of Quffe. •:
P
PROV
:►
Bt
Return to $PW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 9FFlC!AL RE ;:ci ,`,
FOR RESIDENTIAL DEVELOPMENT SLITTIE COUNT` -- 1_'L _:'.
Section 26-8:1 of the Butte County Code requires this acknowledgement k:
of a building
be. recorded prior to issuancei g
ELEANOR M.BEC KER
The property described herein is adjacent to land or included CLERK -RECORDER
within an area zoned for agricultural purposes, and residents of EE
this property may be subject to inconveniences or discomfort arising 82-191772
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 occa-
sionally 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: -
The North one-half of Lot 395,. as shown on that certain Map
entitled, "FIR HAVEN SUBDIVISION", which Map was recorded in
the office of the Recorder of the County of Butte, State of
_ California, May 19, 1955, in Map Book 21, at pages 31, 32, 33,
34 and 35.
EXCEPTING AND RESERVING THEREFROM all of the valuable minerals
beneath the surface of said lands, with the right to mine and
extract said minerals, it being agreed and understood that in all
mining operations the surface of said lands will be protected
against damage and that all such mining shall be carrif.d on from
tunnels shafts or drifts having their orifices outside of the +
surface area of the above realty, all as excepted and reserved
in the Deed from Magalia Mining Company, a corporation, to E. D.
Storts et ux, recorded September 4, 1947, in Book 423 of Butte
Cou::ty Official Records, at page 385.
NZA
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PROPERTY OWNERS:
State of On this the y day of 19�� ,
SS. before me, the undersigned Notary Public, personally
County of ,611 TTL ) appeared e u 7-y L 6,*� V ea Vif T6 DD
pinlnunnnnunlunnnlelennneeumlunnnl0
OFFICIAL SEAL
MELISSA M. NIXON
— 1�® NOTARY PUBLIC - CALIFORNIA
COUNTY OF BUTTE
My Commisslon Expires April 12. 1985 "
0111111111111111911111e1e111e111001tt11111 t 1 I III a /2181110
Present A.P. NO. 6' 71
&0t)F_,� -F,-) /776 alt) /-�� 1�5/s 1� s•�r�sF�co,�Y ��ivF.���
to be the person(s) whose name(s) IS
subscribed to the within instrument and acknowledged
that S executed the'same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notary Public
END OF DOCUMENT