The URL can be used to link to this page

Home My WebLink About066-300-013T iNG " �„ 66-30-13 S --a Z FSTEV_E PETERSEN i 13790 Curtis Ct, Magalia — �. Permit#/Ok 85P,.E(util, MH) GAS ,� �,� —-�„ jp� ENVIRONMENTAL HEALTH CLEARANCE SUPPORT STRUCTURE RE Qn DATE % X607, COMPACTION TEST Permit��11�99�-'8=-.-gII 66-30-13 Issued, j Q_ b/S 61I d i 1■ BUTTE COUNTY DEVELOPMENT SERVICES ( I T Complainan Address Phone Number: Other Comments: Inspector must draw a plot plan with all building locations: Additional Comments from Inspector: 2 r r s j.•.. 00 Name WITT EARNEST D & LORETHA 0 ETAL.TC Asmt # �.. �� Fee # 066-330.013-000 Status ACTIVE �� Status Date Addr1 14086 SKYWAY—,I� , �—� Tax 000 NORMAL OWNERSHIP TRA 093 014 i Addr2 MAGALIA CA 95954 _ �i Situs 4l MAG MAG_ " Addr3 w I� y Base Dt Land Structure 'Fixtures Growing + - _,_52,122 181,09t - 0, D Addr4 -- - - - 1y t - �JAgPres �''EtaI Notes - - ----- - - Comments 6633001300 CONVERTED 09!08!88 Creating Doc# 19828276Date 0338 _ _V �' T'd Bonds Notal L&I _ v 233,213 Current Doc# _ " Date , ---�1 rMulti Situs Fix. RP 01 Killing Doc# � Date I F I' Flagl MH PP' 0l __. _ _ ___.___ _ _ Asmt Desc 14086 SuplCntEl �, Flag2 i PP 0I � _F Zoning NC 89 Dwell 1 Asmt PP Pen Exempt l Net Oj 233,213 Acres 0.43 NIC 066 _� Tax PP Pen '. RIC# — F- r Pending T/R Dt - CJSplit Pendingv RIC Statl-1 PHY � OWN EXP TAX ----- HON r ------------T SIT�—�-- AT_ — APR.R '. PCL�99 r" ,yam - ro 1 5 Find { 2001 I sa,j07j25j2001 3,27,21 PM _ _ l--- - - - --- - I �- I - -1 - _. _ (� 066-330-013 N-C La e I 66-30-13 S E PETERSEN 13790 Ctjrtis Ct, Magalia Permit#%:9---85P,E(util, MH) ELEC GAS — _ � i old SUPPORT STRUCTURE RE COMPACTION TEST REQ ,—T6 30-13 Permit#llg99✓-e-,.,,H Issuec(s PERMIT NO. 1200-85P,E(MH) PERMIT EXPIRES c�2 AL, OWNER STEVE PETERSEN CONTR. owner ASSESSOR PARCEL 66730-13 LOCATION 13790 Curtis Court, Magalia L r ByDateCTRIC r By Date Temp. Power Pole Called PG&E _ Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E (y JOB FINALED (Date)�� Signature ---- --- r! 1 J=OK r 0 = Not OK — = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBIL HOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's ng Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—.Easements r,Aoils; Special MH Supp — 2. Footings; Size—Depth—Spacing—Connectors Sew , Location—Test al - —Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails Location—Test—Ea ment Needed (Sketch) 4, Wood Awn.; Posts— Beams— Rftrs.—Con nec.—Shthg.—Rfg.—Bracing $er; lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Location —Wra :/ /"L"ft./ /"Nat. or "L"ft. "LPG 6. Carports; Windows—Doors tility Clearance Sill D $5 Sk 7. Elec. Card -BI r Dates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date II EHOME INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except #'s Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements V/lFootings; Size—Spacing—Marr'age Line I2. Soils; Compaction—Structure Stability ., as; MH Test—Dand_VaKe—Cdifnector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining Jk Electricity; 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 Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Water and Sewer Con cted—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8 Gas nd Elec Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xit Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test i Card B -I Date uhhZf Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date i Card -BI Date Card -BI Date e V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) 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. 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 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. 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 Card -BI. Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except H's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 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 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. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Tra^,dormer Clearance -Ins. 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 E] 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. 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 AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El 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. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. 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 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. 34. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 86. Energy Compliance Certificate -Other Certificates 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 p'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. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-_Shth_n_g.-Rfn_p_. Fireplace Ties or Type A Flue -Fireplace Throat 45. 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) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 Address or location of mobilehome Owner's name Owner's address Insignia or hud number Manufacturer's name Serial number of V.I.N. PERMIT N0. Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. ��-•�'' :�� Address or location of mobilehome Owner's name Owner's address Insignia or hud number`' Manufacturer's name Serial number of V.0, (Official Approving Installation Year of manufacture + (Dat IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. - 5138 - White - Owner, Yellow --Installer, Pink - D.P.W., COUNTY'OF BUTTE DEPARTMENT OF PUBLIC WORKS .196 Memorial Way, Chico — Phone: 891-2751 "} I 7 County Center Drive, Oroville — Phone: 5344541 Skyway-and Elliott Road;.Paradise— Phone: 872-2961, Ext. 57 - CORRECTION NOTICE OWNER 'PERMIT NO. A routine inspection indicates that the following violations of:County Ordinance exist,at the above address-arid should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this f ` matter, or need additional explanation,-please contact this office immediately. c Oro .1 1 • T • i Inspector Date —� Date J } COUNTY OF BUTTE `s r DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico -'Phone: 891-2751 y f, 7 County Center Drive, Orovi-Ile — Phone:, 534-4541 Skyway and Elliott Road, Paradise --Phone: 872-2961, Ext. 57 y CORRECTION NOTICE OWNER 'PERMIT -NO. A routine inspection indicates that the following violations of County Ordinance ' exist at the above address and should be corrected. Please, notify this office when correction of work is completed. If you have any question pertaining to this tter, or need additional explanation,- please contact this office immediately. 2 00, R ' n s - •w 77 Inspector `� ^� Date v C _ ' t Inspector `� ^� Date v C _ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57. lip, CORRECTION NOTICE OWNER ,,.PERMIT NO. A routine inspection indicates that the'lollowing violations of County Ordinance exist at the above address and.,should be corrected. Please notify this office when correction of work is completed. It you have any question pertaining to this Jmatter, or need additional explanation, please contact this office immediately. AL 7 o00 'Rqe(-�7_ �1263e�:77_ -62= r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANDYERMIT PERMIT N0� �L ASSESSOR PARCEL NUMBER ZO I G BUILDING PERMIT OWNER TELEPHONE 57-EvE eMEW2_1110ek) 7 7 -- ff) SQ. FT. OCC. BUILDING VAL ON OWNS 1SM LING A DR SS ` CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS 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 $ s Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeZ Other SPECIFY Building sewer 5.00 Mobile Home S TTFW 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lationnX Other ❑ Describe work: Z O� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 O Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& NEW DCONSTP_ AC LOGS.2h¢Sgft C.CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSInesS and Professions Code and my license is in full force and effect. License No, Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason LTB UTLET NO N.RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. POWER APPARAruS & NON.R ESI D. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES ZO@50t BAL®3o FIXED P Ex. Occup. OUTLETS (RESID IKEA.) 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. ❑ 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. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notce 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 shal I 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 Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cunt msequence of the granting of this permi . Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ (90 TOTAL PERMIT FEE 701, 07n OCCUP, GROUP TYPE OF CONST. PARCE PD HO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which BY v L DIRECTOR OF UBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS y Date��y Receipt No.�� WHITE-D.P.W., YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT i t; -�,.-.,-ftc:.�..vs+ x. :!. �;;±...':a _� s:L,..3. ._ y...a.tsS�v. s....s- e'! _. _.F <:a4 .,.s.� .. :l.��4�a. .:: .t,�s:.ui:`2 1L'9ahY.1i ".�7�:?SsK:•a.SL. — - �` .i - P,al:.,r�i..-...t_•:.'"f.K.::ss ' - - - ,�.. ... _ '':` . _ � ......� Ys.• _,tea `_._ a�� -, a� r1.,:n a+..s•:ww-n-�"--�"==-^ . NOT ;--All Materials &Workmanship Shall Be in This set of Plans and d specifications M_ UST-G?� with Reco nized Good Practices and kept on th at alll times c�n�it is unlawful tQ Accordance 9 of a ality prescribed for the Specified use in the '`�`�Y,na �A m ss�ar frar� tFe #^^n ryr+mP t of P hiOlu# ... - ia mng &Mechanical Codes and Ur{lr^, iooe. 1 EI #al Code i •/ the NgTiona ec ric 1. '/DOD 6& TAAJK n' Utility conn ctions shall be within �: �� f _ - 4 ft. of the obiiehome, either directly behind or within the rear '31 half of the roadside (left) of the -� 1500 SQ. FT. MINIMUM �� <.•.��, r j� EOR MOBILES-� L OT I& A setback of 5 ft. from the prope l Ines and a setback 4" a-- of 50k'� from the road � 3- centerP" shall be clear of V� / F t structures or equipment except for a 2 Ise r-PrV12-a-- lJs e t eave overhang. Y, ne BUTTE COUNTY BUILDING DEPARTMENT APPROVED r* ' p,.._ , poi�es PC¢ ear' .. �... -Toro C -..r �� BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS , 7 County Center Drive, Orovilre.% CA. = PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1.. Owner's name: ✓'�. T S"e—w 2. Installer's name: 3. -Is-the-sitel-currently under permit? Yes / / No, � (If yes, furnish permit number AW N.- ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehomebe located at least 5 ft. away from septic tank and leach fields and ' clear of.all setbacksand easements? Yes5�7,. No (If no, clarify ) ( l ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- f,s0 Amps 7.. What is the mobilehome site circuit breaker rating? ------- ------ 'Amps 8. Is there any other electric load -,,.to 1be'served by the mobilehome siteservice? --------------------------------------------------- Yes No . (If yes; identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- �IN 3(in.) 10. What is the type of gas service?`=-=----•---------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 10 (ft.) 12. What is the mobilehome gas demand? ------------------------------ •--. ''(BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) BUTTE COUNTY 3UILDI.NG DEPARTMENT APPROVED �� MOBILEHOME SUPPORT DATA r If other than single wide, Mobilehome Mfr.�� O O�j furnish, Setup Model No. Year 1 i )Width _(ft.) Box Length_(ft.) Tagalong or Expando Size ft. x 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. Footings (check one) (ft.)(in;) Center support locations* (ft.)(in.) (ft.) (in.) (in.) (in.) Center support footing sizes (in.) I- ' x J (in.) (in.) (in.) (in.) _ 771 (in.) (in.) rL� (in.)l(in.) Singlet. Wood either A,- ressure treate or foundation grade. *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. 2. Other: (specify) Supports,(check one) 1: Concrete block. E] .2: Other. (specify) tagalong or Expando,' show support details. 'x -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing Z� of -- Max. Overhang (ft.)(in..) Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT rt��Ii�iA6 ��11riY �: FOR RESIDENTIAL DEVELOPMENT 13UTTE• COUNTY: 914i:1•. Section 26 -8.1 -of the Butte County Code requires this acknowledgements PARTY MOWN be recorded prior to issuance of a building permit. �IAY ( 4 5l Phi 8%5 The property described herein is adjacent to land or included L1,EkK- �. `LtfR P P Y j CIEFiK -• �EC�la��trt within an area zoned for agricultural purposes, and residents of 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 occasionally generate dust, - smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that as follows: Loi- k.11 real property situate in the County of Butte, State of California, described as . show ('� wh�,�h sae �e c®CZ�ec' OF 7C)1 Z 11 —7ea off- cac�a�r� rna� USS \- k`-+-, % `\r S CAC -1-e S �q e. oF1;P ,\C -e- oV 1 TZ 1 \I r �,.. W � `3 $ oV cx 1CJ ( 3 a --h � of ccl Foga Date: - PROPERTY OWNERS: se '.,4 <,.Stater of Ca\ I � ) On this the /S day of M 19 �� before SS. me, the undersigned Notary Public, personally appeared County of . v `� )% A ,L/ Personally known to me. Proved to me on the basis OFFICIAL SEAL of satisfactory evidence. ' LEEANNA K WILSON `to be the person(s•) whose names) ��2E subscribed to �+ NOTARY PUBLIC - CALIFORNIA the within instrument and acknowledged that 7� BUTTE COUNTY executed the same for the purposes therein containerd. My comm. expires SEP 12, 1986 'IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. �� 6e COUNTY OF BUTTE - DEPARTMENT OF: -PUBLIC WORKS 7 County Center Drive - Oroville, Calliornla,95965 - Telephone 916/534-4541 APPLICATION ANb PERMIT PERMIT NO DD �� ASSESSOR PARCEL NUMBER _ Z I N G �-' BUILDING PERMIT OWNER T E L E P FFONE SO. FT. OCC. BUILDING VALUATION O WNEFj; S MAILING ADDRESS � r CONTRACTOR'S NAMETELEPHONE CONTRACTOR'S MAILING AD R Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ 57, 60 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 3? PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 All' Ce A -7k Water piping 5.00 LOT NO. SUBDIVISION 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[] Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10-00e 0,617 TYPE OF WORK New El Addition Remodel❑ Utilities Installation❑ Other El Describe work: /Z_ 6abPrf�oLb Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Q ,60 I#AlMain / service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC, BLDGS. 2h0sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBUSlness and Professions Code and my license is in full force and effect. • License No. Classification f I, as the owner, or my employees with wages as their sole compen- /\ sation,, will do the work,and the structure is not iittended'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 ULTC1 OUTLET 2,50 ea NON RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occ Up(OUTLETS OR FIXTURES 20080Q BAL03O FIXED APP LHS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ®{D 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. ❑ 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. 1 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 Filing Fee 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 Butte to enter upon the above-mentioned property for inspection purposes.TOTAL I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in csec nc of the granting of this permit t-- X Date �J Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for exc vations over 5'0" deep and demolition or construct- ion of structures over 3(s�tories in height. Mobile Home Installation Fee $ PERMIT FEE OCCUP. GROUP I TYPE 4'Ir I PARCEL PD N ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY 9�CA PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r, 7, "� Receipt No. 157 /0 YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .11 w AP# 30 �.13 OWNER/rte PERMIT /`2- i% O 5 MH UT IL . CLEARANCE DATE 3 INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YESI NO YES NO oc> Q P� °�/� -26 �5�-X2851.. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT f=FFIGiAj R(raQW' ''Q`,: e. FOR RESIDENTIAL DEVELOPMENT L09R90 l: E9UK8T�f Section 26 -8.1 -of the Butte County Code requires this acknowledgemen PARTY SHowN Pages .be recorded prior to issuance of a building permit. A �0 tF: The property described herein is adjacent to land or included CiEf� hfCJ(d[tk within an area zoned for agricultural purposes, and residents of this M�er 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 occasionally generate dust, .smoke, noise, and odor. Butte County has established agricultural 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: ' Cox 01;�� \Ge- OV Q F 1�, v H �� ecoq-10Q_(- DIP �e �v)41 o _70, Z I, Date: — PROPERTY OWNERS: Se f) -- State of call ) On this the / day of M4q before ` ) SS. me, the undersigned Notary Public,. personally appeared County of J1JS14 � � • T'cT�,QSO�tJ f y}� L/ Personally known to me. kl Proved to,m oh.: -the basis of sat isfae"tory:�evidence. OFFICIAL SEAL of be the person(s) whose name s) 4.1 subscribed to _ LEEANNA K WILSON �`- 6 ; e NOTARY PUBLIC - CALIFORNIA the within instrument and acknowledged that BUTTE'COUNTY executed the same for the purposes therein contain d. My comm. expires SEP 12, 1986 IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. — 2 p END OF DOWMENT (1) WgLn co CT) 0 C" CL U. VE