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HomeMy WebLinkAbout066-050-005THOMAS DONNELLY 66-05-5 ' 13845 Andover, lot` 26, CC��1, Magalia Contr : _ aradise Modular Concepts- Permit033-83P,E( til ` ) j fL.. y..... 1 . ELEC -Z _brJic� + GAS io - z -83 �5� Lp�Ld j COMPACTION TEST RE Q�3 # SUPPORT STRUCTURE i + RE 1 + -05-5 Contr: PMC F� ' ' t Permi�� 2_ - ' - - _ 83B(2 decks/MH) 66-05-5 + Contr:'"Parade's 1 e M6du1'ar:Conc�p�ts Permit#3341-83MHI" Issued— /9 �j83 6605-;5 Contr: Paradise..,, 'Modular. Concepts. 4'• Permit#1448-84B(new covered;,�dec.k�MH) I} I + s f . 5 � 1 I f t d ri►� PERMIT NO. 144$-84B -PERMIT EXPIRES OWNER THOMAS DONNELLY CONTR.. Paradise Modular Concepts ASSESSOR PARCEL 66-05-5 LOCATION 13845 Andover Dr, Magal:ia f' S l.• J� L: Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Servici d t Called PG&E f JOB FINAL ED (Date) _ 2— i� Signature - A• t r V = "OK , - I - 0 = Not OK - = Not Applicable MOBILEHOMES MI LLANEOUS = Not Ready „ AA Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Date DECKS, C9VERS, CARPORTS, ETC. (Plans) OK except N's 1 n equirements-Setbacks-.Easements 2. Soils; Special MH Support -Sketch 2. ooti s; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete c Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) ood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows -Doors 7. Elec. Card- Date / Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI to o Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except q'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' -Circulating 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 -I Date Card -BI Date Card -BI Date Card -Bi Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = 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. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 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 Card -BI Date Date FINAL (Plans) OK except p's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 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 Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 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 ❑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 Al 74. 75. Fdn. Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance Looked under Floor ❑Yes Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑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. 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 Card -BI Date Date MECHANICAL (Permit) OK except N'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 Date FRAMING Plans OK except Ws Comments at Final: 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. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thng_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPAHTMENT OF PUBLIC WORKS PERM17 N 7 County Center Drive - Oroville, California 95965 ;;Telephone 916/534-4541 '7�1 / APPLICATION AND�PERMIT ASSES R A=CEL BER` z y�rr�G C� III BUILDING PERMIT OWNEELEPHONE 0 5 v ,SQ, FT. OCC.1 BUILDING VA UATIO C tD OWNER MJILING ADD/R`���SS I 1 / V // V. O TRACTO '$ N 17ELEPHONE TRAC R' MAILIN ADDRESS O 6e w Fireplace CONSTRUCTION L NDE , UNKN WN Total Valuation$ 0 Filing Fee $ 10.00 LENDER'S MAILING AD RESS Permit Fee $ 7,5— ARCHITECT ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $ ' Penalty $ ARCHITECT OR ENG EER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS J39466— PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NOSUBDIVISION NAME PARCEL MAP' C� Each qas water. heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New 2/'Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e0ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/YQsgft CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check One): I am licensed under provisions of Chapt. 91 Div. of t e Business and Professi n C d and my license is in f I force and effect. License N 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 NOCONSTR., ULTI-OUHTLET N.RESID BRANCIRC ITS 2,50 ea NEW CONSTR. /POWER APPARATUS &) NON-RESID, %SINGLE OUTLET CIR. / Ex. Occup(o OR FIXTURES Zo®SOC 9AL®ao FIXED APPLNS. OR IXED A EX. Occup. OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot utte to enter upon the above-mentioned property for inspection purposes. I a s ree to save, ind minify and keep harmless the County of Butte against all liabi ' s, judgments costs, and expenses which may in any way accrue against said unty ico sequence the granting of this permit. X Date -'s ' /o-8 ignot0re of A li nt — Owi Contractor ❑ Agent An SHA perm' s required for excavations over 5'0" deep and demolition or construct- ion o es o er 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ g76. OscoP.. GROUP TYP oP CONST. 1�5fPARC L PD ND IS %90 This permit is hereby, issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ,� tr ��—f /'7 —,Al Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT rAr lPERMIT NO. 13340-83P,E(MH) • PERMIT EXPIRES_ D ' i`OWNER THOMAS DONNELLY Y. CONTR. Paradise Modular Concepts ASSESSOR PARCEL 66-05-5 . F ` LOCATION 13845 Andover, lot 26, CC#1, Mag . . ;t•. .fit �/^ Fs��3 2 � M .. Jemp.'Poiyy1!`Tn £ }-OFF E'COPYy p •CalleCz Address .�[� k z Temp. Elec r F r kq! AS r h Date ` ►T �+ ` ' r' ti Called I-,Meter By • tv r TRIC r' .,,�,, pat���.—'�` l�Me err..BY Temp. Gas S 7zvrt,,,, CailedPQ&E JOB FINAL ED (Date) -/4/ 1 /�O�kF Signature J = OK = - 0 = Not OK - = Not A.plcablc� RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'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. Fig., 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 Root 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 55. Shear Walls; Nailing -Bolts _ 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -B1 Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 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. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 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. Slee. 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 E3 Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps 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 []No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes❑ No; Planters Dyes ❑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. -- Card B -I ------------ _ --- ------- _Date_ -- _ Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 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 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 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 Card -BI Card -BI 35. --- Attic Access & Platform if Furnace in Attic Date - 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 ___ Plat__ _ Walls; Studs -Nailing, Spacing & Bracing -es -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. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm_Windows or Exiting Doors -Sill Hgt. &_Dimensions -- Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) .j J = OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS F Date MOBILEVelgiE UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1�;-�cgjvwgequirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements ils; S ial MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors er; L ion—Test—Fall-C/0—Concrete 1 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. er; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ Ela ' tty; ion—Clearan s /Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures as tion—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPdj ---- 6. Carports; Windows—Doors tility Clearance 7. Elec. Card -BI ate_ li and -BI Date Card -BI Date Card -BI Date Card -BI ate Card -BI Date i Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's Date _ POOLS (Plans) OK except N's 1 ning Requirements—Setbacks—Easements 1. Setbacks—Easements Fo tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gds; MH Test—Demand—Valve—Connector 3, Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI SEI tricity; MH Test—Crossovers—Breakers—Clearances a 5, r 'n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6 ter; MH Test—Regulator—Connector j 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater G s and Electricity Tagged `+ 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit bol't4s; Insp.—Sketch 1CVert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-IA,4V Dateff and -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date G��� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 ti CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number for the following location: Owner Owner's Address Mobilehome Mfg. — - %= ' : �� ' ' Model Year 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. ,J ti COU,1TY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cal�ornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. D� ASSES- ARC EL I�,),.ABER� ZON BUILDING PERMIT•,, OWNE TELEPHONE S0. FT. OCC. BUILDING VALUATION E OWNER'S AILING DDRES // ON ACTORIS NAME LEPHONE FC TOR'S MAILJKG ADDRESS n Fireplace CO STRUCT N LE R UNKNOWN Total Valuation Is Filing Fee $ 1 LENDER'S MAILING DDRESS Permit Fee $ ARCHITECT OR GINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS J«•- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT N SUBDIVISION NAME / �C / C PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF SP6CTURE SF ❑ Duplex ❑ Mobi lehome Other 5P,1ECI FY Building sewer 5.00 Mobile Home 10.00 ea 30 TYPE OF WORK New ❑ Addition [DRemodel El Utilities Installation ❑ Other ❑ Describe work: Permit Fee $ Q '— Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Q ^ Main service EA. ADD'L 100 AMP 2.50 1� NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft CONTRACTORS LICENSE LAW I declare er penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. of the Business and Professio s C de and -my license is in I force nd. 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 ULT' -OUTLET 2,50 ea NO-- BRANCH CIRC ITS. NEW CONSTR.POWER APPARATUS &' NON.R ESID. (SINGLE OUTLET CIR. 20®50t Ex. OccupOR FIXTURES BAL®30 FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 S r - Misc. Wiring 15.00 Permit Fee $ 37 Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T 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 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 he above-mentioned property for inspection purposes. o agree to savendemnify and keep harmless the County of Butte against all I ilities, judgme ts, costs, and expenses which may in any way accrue against id County in consequen of the granting of this per it. %� Date ture plicant — %0 er Contractor ❑ Agent �S�00p i is required for excavations over 5'0" deep and demolition or construct- wctures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE of CONST. ARCEL PD VE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR�F BLIC BY 4 PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been aid. PSHA WORKS Date Z9-6— — Receipt NO. 061S__%_he/�` WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT �"Y•;.A.;t$.u�ca...f�^`a` '^3a,r.�w..`:r.n»�+nva.a.– r .. .. -:a.� .. ... _.,,y....—. 'l,y ,n..a:s'-ti- .._ y COUNTY OF BUTTE - DEPARTMENT OF -PUB'LrC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVI:_LR (! eLIFORNIA 95965 - TELEPHONE: 916/534-4541 -._.PERMIT APPLICATIONDATA SHEET _ f -` Permit No.. OWNER ,4_ A. P. No. Proposed Building Use .� Permit Fee Based Upon: Complete Contract Price DPW Valuation O her xplain) Building Inspector , ar Date At time of permit application, I was advised the following data must be submi.'tted prior; to,permia, processing and /or issuance: I( (tt : >; i t ,DATEaRECE1VED1 r` APPROVED 1. All items have been submitted. 1. 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 authorizatio . . . . . . . . . Sanitation approvalfrom "' ,Health Dept. O �. X11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation�lrisurance.? . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements-may.be 'required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to Pre -Inspection for Required. Building Inspector (Date) 018_Other- — When you`issue the permit rocess as follows: Mail to owner.. Mail to contractor. Telephone/ %% and hold f�o p` kup at rofrficee Deliver w/inspector. Other A ant �.e-�i ! Q p Date t Copy of plans sent Health Dept., Fixe 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 ' e of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: Contractor Designer, Owner) was advised of above required data by Telephone Mail _Other ByA&?'/7W Date q� f3 Plans checked by r Date Plans approved by iso Date %30 Other: Copy—DPW To: Building Department From: Environmental Health Subject: .Sanitation Clearance Owner ..y PP C,C _ A�. ifs ►�� �I;� ��-os-os Location AP# Plans approved for: Sewage DisposalWater -Supply. -. Hold final for: Water Supply_ Final Clearance O.K. for: Water Supply - Clearance for �� bedroom mobile home. Other_ Clearance for addition of Note* -2-ft fl `itarian late 3342-83B �. PERMIT NO. / 18- 4i— PERMIT EXPIRES 10h 8-jy- OWNER THOMAS DONNELLY CONTR. PMC ASSESSOR PARCEL 66-05-5 LOCATION 13845 Andover, Magalia t i I t Temp. Power Pole_ Called PG&E _ 'Temp. Elec. Service Called F- ° y y Temp. Gas Sei Called PG JOB FINALE[ Signature J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's Date DECS -OVERS, CARPORTS, ETC. (Plans) OK except It's 1. Zoning Requirements—Setbacks—Easements ng Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch . Foo ' gs; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete ecks; 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—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports: Windows—Doors .• 7. Utility Clearance Card- 7. Elec. Dat Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _ 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'—Circulating 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I 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 except N's Dale FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., 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 54. Glazing Area -Glass Protection -Skylights -Plastic B. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 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 -B1 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N'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 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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 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 Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Dale ELECTRICAL Permit OK except q's 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. Slee. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Size Boxes & No. of Conductors -Stapled 71. 72, Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -looked in Attic E] Yes -- 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water --_ 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps - 26. Subfeed Wire Size i / 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 __Insulated 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Neutral ❑Yes El No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 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 Card B -I __ ------.- Date_ _-_ Card -BI _- Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (PerrT,it) OK except N's 83. _ Corrections from Previous Inspections 84, Gas Test -Meters Tagged; Gas -Electric - 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain _& Overilow; Size & Grade 86, Energy Compliance Certificate -Other Certificates Card -BI Card -BI 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic ------_-_ -_ - _- .----------------____---.___-_ - Date_ _ -,- Card -B I__ Date Date ard-BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Plans) OK except #'s _ Comments at Final: 36. 37. 38. Sills; Proper Material & Anchors _Walls; Studs -Nailing, Spacing & B_racing-Plates-Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ _39. 40.Fire _ Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors-Sill_Hgt. & Dimensions__ _ Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTME44T OF PUBLIC WORKS 7 County Center Drive - Oroville,.Califorrtia 95965 - Telephone 916/534-4541 a " APPLICATION 6.ND PERMIT PERMIT NO. AS S OR PARCEL NUMBER — _ — Z NG / BUILDING PERMIT OWNER 4,0 TELEPHONE SQ.FT. OCC. BUILDING VALVA I `- OWNER'S MA LI6 ADDRESS CO RAC TO 'S NAME ^ O ' ELEPHONE - �q1 O CTO'R'S-MAI IN ADDRESS - Fireplace CONSTRUCTION IN UNKNOW Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADD ESS Permit Fee $ ,, ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENG( ER's MAILING ADDRESS Permit fee $ Q BUILDING ADDR SS �. J � 6LlitJ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO SUBDIVISION NAMEPARCEL �G MAP Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets 5.00 USE OF STRUCTU!E� ' �, ) SF �] Duplex ❑ Mobi lehome ❑ Other_ -a SPECIFY SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New 2 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: — 1X����� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10OV OR LESS 100 AMP OR LESS 10.00 T ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sq It CONTRACTORS LICENSE LAW I declare er penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio Q e nd y license is in fu4, force 1-nd, effect. I (� � License No. 1 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 U TI.OUTLET 2,50 ea NON.RESID BRANCH CIRC TS. NEW CONSTR 1 POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. zo@sos TS OR FIXTURES eAL®so Ex. OcCUP. FIXED APP LHS. OR FIXED EX. OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. agree to save, indemnify and keep harmless the County of Butte against all I( lilies, judgments, costs, and expenses which may in any way accrue oJJ against s County in consequence o ,the granting of this permit. X /L1—�$- $ Date Znatureo licanr - Own Contractor ❑ Agent ❑ 1'� Anper is requiredfor excavations over 5'0" deep and demolition or construct- ionctu: es over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $,� OCCUP. GROUP TYPE OF CONST. PARCEL PD H ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI=�O LIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7, JP4 �%By Receipt No. 4 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i 83-33181 Section 2618.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building pergit. ' 0FfIC,AL qF ON ,. The property described herein is adjacent to land or includedI within an area zoned for agricultural purposes, and residents of this L, lsfv�C property may be subject to inconveniences or discomfort arising from the use of. agricultural chemicals, including, but not limited to herb esticides, Li ra!p- key. and fertilizers; and from'the pursuit of agricultural operations inclpii {g,P n �:t4 ;+ted to cultivation, plowing, spraying, pruning, and harvesting which occasionally genera ust, smoke, noise, and odor. Butte County has established agricultural zones which have a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept -such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ALL that certain,real property -situate in the County of Butte, State of California, described as follows'; Lot 26, as.shown.on that certain Map entitled, "PARADISE PINES COUNTRY CLUB ESTATES UNIT NO. I" ,-recorded in the office of the Recorder of the County of Butte, State of California, on September 14, 1971 in Book 38 of Maps, at pages 57,58,59,and 60: EXCEPTING THEREFROM all minerals, oil, asphaltum and other hudrocarbon substances, with provision -that any and all mining operations shall be done from orfices outside the surface area of the land described herin and that no damage shall be done to the surface of the said land. DA.P. # 066-05-0-005 -0 Date: October 5, 1983 PROPERTY OWNERS: State of California_) On this the 5th day of tober 19 83 befo e Butte ) SS. me, the undersigned No Public, personally appeared County of ) Maria Joan G. Wenzel who witnessed the.above signatures. XT Personally known to me. /_/ Proved to me on the basis of satisfactory evidence. to be the person(N) whose name(g) is subscribed to the within instrument and acknowledged that she executed the same 'for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. OFFICIAL. SEAL ARLINE J OVERSTREET NCTARY PUBLIC - CALIFORNIA �`• „ Y BUTTE C^"fITY 61Y COMM.e;:DLes f!0V 6, 1984 ,Itvotary Public Present A.P. No