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SIERRA NATIONAL TRUST(Charles Massae)Lot 12, Village Oak,� Unit #2(Recorded AG Statment)WILSON9* JimIEWILSON JONTR: Gary Parsons18 Lariat Lp, Magali�j"
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RESIDENTIAL
69-50-17 216-90B,P,E,M
WILSON, Jim
CONTR: Gary Parsons.
18 Lariat Lp, 44ag�al-a we.,'
(NEW SF)
.2/
A
OFFICE COPY
Address
'gy Date
-
i ELECTRI
Meter By - Dat
JOB FINALE
Signature
-1 OK
•O = Not OK
Not Applicable
Not Ready' MOBILE HOMES
' =
Date MOBILE HOME UTILITIES (Plans) OK except trs
1. Zoning.Requirements-Setbacks-Easements \.
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; location -Test -Wrap: / /'L"ft. \
/ /"Nat. or/ /" L"ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card.13-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements -
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector A
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy _
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements -4
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-PaneIboards- Ins. to Main in Conduit
9. Health Department Approval ,_ -_
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
r� \
U
J=OK
O=Not OK
- = Not Applicable
Not Ready RESIDENTIAL (Single
' =
Date UNDE LOOK Plans OK except #'s
-& Duplex)
Date FRAMING (Continued)
on�g-Setbacks-Easements-Flood-Slope
&2--fig, Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
tg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
#%Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
-% 3.z2,� ef_D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Dated _�� Card B-1 �,� Date Card B-1
Date . 14:a,) Card B-1 Date Card B-1
Date PLUMBING Permit OK except #'s
X. Water Htr.; Vent -Access -Combustion Air -Baffle
Water Pipe; Test & Anchor -Nail Protection
D.W.V.; Test -Fittings & Anchor -Nail Protection
--4 -Shower Pan; Test, First Floor -Tub Access
Wiest Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Al -119 - AP Card B -.I Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL Permit OK except #'s
? . Fixture & Transformer Clearance -Ins. Protection
--�2' Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
'?k!!14omex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
2 Appliance Circuts in Kitchen & Conductor Size/GFI
p,eSubfeed Wire Size H-1 ga. Cu or AI-A.C. Wire Size / 6 ga.
Cu or(i{p
29. Range Circ. //14 ga. (Mor AI -Oven Circ. ,t-•tga. Cu or Al.
Insulated Neutral _`Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
Equipclearances Panels-Motors-Mech. Equip.
hes Closet Light -Shower Light -Spa Light
Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL Permit OK except #'s
A.C. Ducts Insulation & Support
.46.-Vwt Fan; Exhaust above insulation
.aern bndensate Drain & Overflow; Size & Grade
3ZF6rnance-Vent; Access -Comb. Air -Return Air Vent e
-9&. 4ttic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
Sils, Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
4 Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
IVFire Stops; Furred Ceilings -Stairs -Chases -Tub
�f4-4' Headers & Beam -Size & Bearing
Caps -Anchors -Connectors
46. CIP4-Joist-Rftr. ties- Puri i n_,,roof Brac-trus_I-Shthng.-Rfng.
Fireplace Ties o(yTyd� FIgDeFireplace Throat clearance
Attic Access; Size &-Ffomex Protection -Draft Stop -Ins. Baffles
,48'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing /C ; d -2 /-- y•tn 3,
51Pcoperty Line Firewall & Openings
KExt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
SXplywood on Roof Overhang -Attic Vents -Rafter Outriggers
��5!! Siding -Nailing Veneer
59. cco Mesh -Drip Screed -Fd. Vents-Underflr. Access
Glazi g Area -Glass Protection -Skylights -Plastic.
-40
r Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date / / - (?Lard B-1 fo O • Date Card B-1
Date B-1 Date Card B-1
Date FI Plans) except #'s
Ex Steps -Door & Sidelight Protection -Landings
J Smoke Detector
5,3 -furnace: Vents -Clearance -Comb. Air-Connector-
arage; Above Floor-Ducts-Mech. Protection
4. Bedroom Exiting
$ F.I. & Bath Fixtures & Tub Access -Spa
66 lec. Trim & Subpanel; Breaker Sizes & Labels
Stairs & Rails
place or Stove; Clearances -Hearth
9. Elec. Outlets at Wood Panel; Int. & Ext.
. Kit Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
F,I Outlets & Receptacles at Kit. Counter
2. Garage Fire Door; Swing -Landing -Closer
r3nt�uct in Garage -Damper -
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
Plb., Elec. & Mech. Equip. Listed for Location
Receptacles in Garage; (G.F.I.)-Romex Protection
Insulation -Foam -Looked in Attic 0 Yes
Guard Rails & Deck Construction -Post Caps
919. rawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
ollowing instld.; Drive - es O No; Walks . Yes 0 No;
Planters ❑ Yes O No
8*, -Finish
A.0 nit; Disconnect, Electrical, Plumbing
Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
connect, Electrical, Plumbing
xte.ior Elec. Trim; G.F.I. Receptacle -Underground
Ventil ion Throughout House
Glass Protection
,88. CorreG146ns from Previous Inspections
ti8g- Test -Meters Tagged; Gas -Electric
0. Water & Sewer Connected -C/O to Grade -HD Approval
91. ergy Compliance Certificate -Other Certificates
Date4at
� Card B-1 Date Card B-1
DateCard B-1 Date Card B-1
Date and B-1 ate Card B-1
Commenal:
(NOTE: An entry must be made each time you visit job site)
-1—
ENERGY CERTIFICATION
\ GJ L-oc)
LOCATION
A. P. NO.
ROOF
MATERIAL BRAND NAME
THICKNESS THERMAL RESISTANCE (R VALUE)
EXTERIOR WALL
MATERIAL FIBEGLASS BRAND NAME CERTAINTEED
THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE)��_
CEILING
BATT OR BLANKET TYPE FIBERGLASS_ BRAND NAME CERTAINTEED
THICKNESS 1') THERMAL RESISTANCE (R VALUE) 3 0
LOOSE FILL TYPE_ FIBERGLASS BRAND NAME CERTAINTEED
MINIMUM THICKNESS(INCHES)_M NUMBER OF BAGS _6T PE.R EAG ES LB
AREA COVERED (SQ FT-) 14 (p S THERMAL RESISTANCE (R _ VALUE) 3
FLOOR, ELEVATED
MATERIAL FIBERGLASS BRAND NAME CERTAINTEED
THICKNESS (INCHES) �� THERMAL RESISTANCE (R VALUE) I C�
FLOOR, SLAB
MATERIAL BRAND NAME
THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE)
FOUNDATION WALL
MATERIAL BRAND NAME
THICKNESS (INCHES) THERMAL RESISTANCE (R VALUE)
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
HAWKINS INSULATION
FIRM NAME/OWNER
379407
STATE CONTRACTOR'S LICENSE NO. t
SIGNATURE D TE
f
I HEREBY CERTIFY THE ABOVE INSULATION AND ALL REQUIRED ITEMS AS SHOWN
ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS HAVE BEEN
INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY REQUIREMENTS.
ALL EQUIPMENT, DEVICES AND MERTIALS ARE OF THE QUALITY PRESCRIBED OR j
ARE SPECIFICALLY APPROVED BY THE STATE OF CALIFORNIA.
FIRM NA E WNER STATE CONTRACTOR'S LICENSE NO.
SIGN TURE G CONTRACTOR/OWNER DATE
—1—
COUNTY OF BUTTE
s DEPARTMENT OF PUBLIC WORKS
s. 196 Memorial Way, Chico —• Phone: $91-2751
7 County Center Drive, OroviIIe — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
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
matter r/{/Poorneed additional explanation, please contact this office immediately.
V
Date b J� Inspector//G
n R'L.TY1�l.0 W'o=i/�I��.r'•Y'I'T,.�'JyM "^'}R,—•br.�Y •• ^ti'1h!fi`'
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
's
=RMI T N0.
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.
C2� 2,14 1(-2 &t)
Date 4A0 0 Inspector ,
COUNTY OF BUTTE i
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
a. CORRECTION NOTICE
OVKI ER PERMIT NO.
M
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 y
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
J
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P,
Inspector----� lam~ + Date
ell
COUNTY OF BUTTE t.
DEPARTMENT OF-PUBLIC*WORKS-
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi I (e — Phone: 538-7541 f
747 Elliott Road, Paradise— Phone: 872-6307
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
matter, or need additional explanation, please contact this office Immediately.
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Inspector •
^"'"tih-.+.-1'd:.�'�i.++#►qac+.r�1.�S'�i+'�;-'v'i-.+v..r�-r. ..-:, _ � � ,'!.i �...
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872.-6307
CORRECTION NOTICE
4)(s0V�- � 9 - ?�
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need ad itional explanation, please contact this office immediately.
"n'v_ �31x n ,
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Inspector z--�
Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER
T
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.
Inspector Date '' ��
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754
APPLICATION AND PERMIT
PERMIT NO.
.–✓� y – LGL
ASSESSOR PA EL NUMBER
.v
ZONI;jG0s1
BUILDING PERMIT
OWNER
T LEPHO A E
SQ. FT. OCC. BUILDING VALUATION
'
OWNER'MRESNAg RA 13^
J vl
—
COACTOR'S
L ONE
CONTR CT R'S MA LING ADDRESS
p -'C 6 !�Z AQ G
Fireplace
CONSTRUCTION LENDER e— -
UNKNO N
Total ValuatlOn $
Filing Fee
$ 10.00
LE D R'S MAI CIM. ADDRE
.L
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /
L
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
1
SUBDIVISION NAME/�
` L/
ARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
Ne Addition❑ Remodel❑ Utilities❑ Installation❑ Other El
Descri a work: ' c; a _
Permit Fee
$ "–�–
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
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions' �Ctode and my license is in full ;orce and effect.
License No.g�`I 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
OR ADDNST ( EBLDGLING
2'/zQsq ft so_5
NEW CONSTR -UL-TI-OUTLET
_NON BRANCH CIRC ITS
2.50 ea
POWER APPARATUS .&)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
eAL020@g30
FIXED APLNS
Ex. Occup. OUTLETS P(RESID IREA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin g
15.00
Permit Fee
$ —
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
C�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
tothe W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00,3-
.00 'to
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 said C unty in consequence of the granting of this permit.
X� a3 A
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 0" deep and de olition or const uct-
ion of stuctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
-30
O
CONST TYPE
V
TOTAL FEE $ C5
HAz
CUA
PARK
I SC
FLD PAR
P H ISSUE
s -Permit is hereby issuea unser
sions" of the Butte County Code and/or
work indi ted above r which fees
D) CT OF PUBLIC
By
P MIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
ate
pp
[,R=ece,ptrNo.�.� `� pp
, YELLOW -A SESSOR, PINK -INSPECT GOLDENROD-APPL CANT
COUNTY OF BUTTE - DEPARTMENT OFIPUBLIC WORKS - BUILDING DIVISION
OWNER
Proposed Building Use
7 COUNTY CENTER DRIVE - OROVILLT,_(�ACIF(76A 95965 - TELEPHONE: 916/538-7541
t,
HERMIT APPIR,IGUION DATA SHEET
/ XPermit No,
A. P. No. 4e;q Sr -9.
Building Inspector 404,1 Date �3
At time of permit application, I was advised 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, signed by preparer of'plans ........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
��
Statement of Intent for Non -Heated and AC Buildings ..............
Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ........................
Fees of $ Q� meg ............................................ .
11. Chico Urban Area fees paid .......................................
1 Park fees paid ....................................................
_ 3 n _ & School District fees paid ............. .
4. anitation approval from C-AOa�Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
1�. Planning approval for (A) Use: (B) Parking: ......
8. Improvements may be required. Contact Land Development Section DPW
_4
9 Driveway permit (construction approval required prior to occupancy)
0. Pre -Inspection for required Pre-inspec. quer
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
3. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
4. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ....
�� Dzrryo �" Ss�i ��10ztf.............. . Zvi a9�G �`�- /Si%yf]
2 �
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 596 and hold for pickup at Q office. Deliver w/inspector.
Other'
A I icant
PP --_ZV____ Date
r
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted ri to per it issuan e: i cle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contracio esigner, owner, was advised of above required data by lVphone_mail_counter b �.dateZ
Contractor, designer, own1 s advised of above required data by_phonei�mall—counter by date
Plans checked by G '`'� Dated" G°) PIansAprd��e��d by L� Date 2 ��s`220
�
1�!U
2 ,
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
d,17 X�9
owner location AP #
Driveway permit
si ature
has been issued for the above property.
. --?— — -2
date
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form -per Building)
A.P. Number �" � 1�7 .Building Department No.
School District(')Qn City = County Q Jurisdiction
vy
Property Owner :7 -TM WX?,i.S0A)
Project Location/Address L,4�(f" G`j Cil
' r
Subdivision Lot Number
Residential Development: F -1a
x
Sq. Footage /53 , 1
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a
New
Sq. Footage
Addition (Including Exterior
Roofed Areas)
Date
(Floor Plans reviewed by School District Personnel)
District Id No. a f
School District certifies that
®
(Applicant Name) (Phone Number)
(Street Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. IT LL
oa
by the payment of $J'0'2��/� representing /S30 square feet.
'School Dis�tfr'ict Representative Date
PAID BY CHECK NO.
BANK' NO ll -.-2 V
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
V.,
PERMIT NO: 8-90
Lake Oroville Area, Public Utility District
1960 Elam Street
OROVILLE, CALIFORNIA 95966
533-2000
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the -Butte County. Department of Public
Works Building Department prior to issuance of a building or occupancy permit,
whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy
of this verification form, signed off by Lake Oroville Area Public Utility District, must
be submitted to Butte County.
Date:
Applicant:
Applicant Address:
Applicant Phone No.:
January 23, 1990
James Wilson (Gary Parsons)
251 Dove Song Ct., Paradise, CA 95969
377-0960
Property Location (s): 18 Lariat Loop, Oroville, CA 95966
A. P. No. (s):
Fees due:
Oaks Subd. 2, Lot 12
69-50-17
$200.00 Annexation Fee, $35,00 Connection,
$900.00 SC -OR Regional Facilit�,Charge
Application for service approved:
LAKE OROVILLE AREA
PUBLIC UTILITY DISTRICT
Inspection(s) made and successful test(s) observed:
Location:
M
Date:
Lake Oroville Area Public Utility District release to close permit:
Date: By:
ReL:urn%o DPW
Section 26-8.1of the
be recorded prior to
".� (:v
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n
AGRICULTITRAL STATE.MNT OF ACKNOWLEDGEriETTw�I,..�n-
FOR RESIDENTIAL DEVELOPM:NIT
Butte County Code requires this acknowledg T'.tsu
issuance ofa building permit.
The property described herein is adjacent to land- or includep.I.ARA - k ." f., i4
within an area zoned for agricultural* purposes, and residents of PH
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 dcca-
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:
/13, 16, 18, 31 & 32,
Lots 9, 11, 12 as shown on that certain Map entitled, VILLAGE OAKS UNIT NO. 2
which Map was filed in the office of the Recorder of the Coun ty of Butte, State.
ofCalifornia, September 6, 1977, in Book 58 of Maps, at pages 62, 63, and 64.
AP#69-50-0�
69-50-)(3, 16, 17, 18, 2,'
69-51-22,
Date: March 20th, 1985
State of California )
County of Butte ) SS
VERNA J. MORRIS
® NOTARY PUBLIC -CALIFORNIA
Butte County
My Commission Expires Sept. 17, 1986
PROPERTY O!]
Charles Edwin I�1
s
TRUSTEE
On March 20th, 1985 before me,:
the undersigned`, a Notary Public in and
for said State, personally appeared
rr,ari PG F.c�w; n Massae Trustee
personally known to me (or proved to me
on the basis of satisfactory evidence) to
be the person(s) whose name(s) is/are sub-
scribed to the within instrument and ack-
nowledged to me that he/she/they executed
the same.
WITNESS my hand and official seal.
Signature
17-6�Fna
feu iUr DOCUMENT
fibre.z, 4it 1Vtftfws & Vv6t`kmanship Shalt Be'!%
Accordance with Recognized Good Practices'and
tf a q ity.�preStribed"or the Specified use in the
'Unifbrm:Buitdirig,-Plumbing & Mechanical Codes and
Thr's>f��irar►di�.�t8irtri�l�C..
Thisset of pians and specifications MUST be •
kept on the job at all times and it is unlav%►ful to
make any changes or alterations on same without
written permission from the Department of NOW
Butte
L A I fMr f my o
CONI- .
DRIVE
C)ARAGC-
S-Oy0
�0,co,
A setback ofrom the
property lines and a setback
of 50ft. from the road .
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang. 4d.4-+9- '.
bfz A-t.c� t w,�.�•�s
So`.SC]'isAcK _t /L S'nCC7-
5te Maser Plan on file for bultdift
• P ns, y -lag