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HomeMy WebLinkAbout069-500-017. SIERRA NATIONAL TRUST(Charles Massae)Lot 12, Village Oak,� Unit #2(Recorded AG Statment)WILSON9* JimIEWILSON JONTR: Gary Parsons18 Lariat Lp, Magali�j" / Ln 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`' f 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 - sle- t ( A - r—A, " ev -.2.? - 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. i� t. .t. n' j'. s> _ 3 • r did r F a cp- 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 , %+ / L. 52 n VV 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 I .> 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