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HomeMy WebLinkAbout072-030-01572-03-15 STEVE SANDOVAL W/S Medley Ln & Manor Ln, Oroville Contr: Oro Pump & Elec- Permit#974-85P,E(ele ser for well & fut lot development) 72-03-15 S N SANDOVAL 63 MedLane_, Oroyille 72-03-15 _-.. Contr:.Cal Oyler Permit#3236-86P E(utill ) ELEC SN&V-f6 2iA� 20 GAS S-- NOV Bb NoA/E SUPPORT STR REQ COMPACTION TEST RE /ho S� 72-03-15 ontr:' Ca... ylers MH Permi 219-86MHI Iss ed //�,s►BG 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO� ASST SS gO CEJ„ t�BEIR J UJ J ZD Np_ BUILDING PERMIT OWN[ERR//aL - 1 �� ]�WHONE c7(J � SQ. FT. OCC. BUILDING VALUATION OWNER'S M ILIN ADD S � - � V/,/ % � C R TO ' N ol TELEPHONE 5- C RACTOR'S M LING ADDRESS 10( Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ LED R'S MAILING ADDRESS N Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10:00 Inn Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome%� Other 7�-- SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S UG 10.0Oea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Il Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soov100 OR LESS A MP OR LESS 10.00 CJ� Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ 1 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , OR ADDNS. ACC. BLDGS. h¢Sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20050C 9AL@30 FIXED Ex. Occup. OUTLETS PALNS.(RESID IREAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g 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. 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 cons quence of the granting of this permit. Date ��� �Gj ,�fj Signal re of Applicant — Owne;XK 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE , OCCUP. CONST.TTPE I OLo001 PARCE D �Z 17 This permit is hereby issued under sions of the Butte County Code and/or work icated ab ve for which I E TISR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS y-/ Date 00000 ya. Receipt No. 5"' (O�f/�� WNITE-D.P.W.. TELLOW-ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT MOBILEHOME INSTALLATION ACCEPTANCE y COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE .OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. Address or location of7mobilehome :• Owner's name 7 Owner's address'._. - KInsignia or hud number_ Manufacturer's name--16e-alP.41, i Serial number of V.I.N: -9�162 - Year of manufacture A ficidl Approving Installation) -F 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. lllkh�, COUNTY OF BUTTE - DEPAR.TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N� ASSESSO PARCEL NUMBER G�-%c� 0' .._0 — D� -- v ZONING BUILDING PERMIT WNER' TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING` ADDRESS /J ,r, `` // �/�4 A X7`1" © f Zu 16 CO TRACTOR'S NAME,TELEPHONE CONTRACTOR'S MAILING ADDRESS ' 0' yC�jC , �C� 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 $ t Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PERMIT Filing Fee 10.00 nip" ouPLUMBING Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each pas water heater or vent 5.00 USE OF STRUCTURE SF [IDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ yUtilities[ Installations Other ❑ Describe work: -�U/ r/ /a �'� S _ cn D �OfG�1/ /tiF�S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADC'L 100 AMP 2.50 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 fullforce and effect. License No. 8 3 Classification l �� El 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 CONST. DWELLING OCCUP.S , OR ACDNS. ACC. BLDGS. /z¢sgft NEW CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CRC., RC ITS POWER APPARATUS .&) SINGLE OUTLET cIR. / EX. OCCUp\OUTLETS OR FIXTURES 9AL0 BAL930 30 Ex. Occup. OUED P TLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. FOV 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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. - 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 id C my in c fluence of the granting of this permit. c `/ X Date ! �/ -K3 Signature of Applicant - Owner g pp ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 54"Veep eep and demolition or construct- ion of structures over 3 stories in height.' Mobile Home Installation Fee $ //-q"0 Energy Inspection Fee $ n TOTAL PERMIT FEE $ O6 occuP, CONST.T7 I I FLOG PARCEL PD s NO sS0 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE C R OF PUBLIC By l P IT EXPIRES Date the applicable provi- resolutions to do fees have been aid. p WORKS Date1��� Receipt No. 6 ± WHITE-D.P.W., YELLOW-ASSESSO , PINK -INSPECTOR, GOLDENROD -APPLICANT 7 COUNTY OF BUTTE - DEPARTMENT OF"- PUBLIC WORKS - BUILDING DaIyISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4-541 / PERMIT APPLICATI'MATA SHEET % / Permit No. I OWNER Sto- ve r1 G n4 0V A. A. P. No. Proposed Building Use Buildinq Inspector [-Gp Date %d 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.). —15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Pre-Inspec. request to (Dote) Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19 Driveway Permit. 0 Plot plan roval from fmf city of l ' 21. X %ICarQ11C0- 22. When you'issue the permit, process as follows: Mail to owner, N it to contractor. Telephone and hold for pickup at—off ice, � Deliver w/inspector. Othar Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. c=>? 2. Additional items required: C�ntra�c d ' ,, designer, owner, was advised of above required data by—ph coup ter by� date la o?7 e Rtra or, designer, owner, was advised of above required data by_phone_ II u ter by date Plans checked ate,/�-Plans approved by Date 7 0 Sets of plans on hold in File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. A � ft • r • l BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville.'CA.'' PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: O Uq r 2. Installer's name: 3. Is the site currently under permit? Yes / / No ( If yes, furnish permit number ) OR ©-7�- Is the site an existing site? Yes / / No / / U (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of. all setbacks.and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �(`� �-� Amps Q 6. What is the mobilehome site service rating? =---------- - Amps 7' What is the mobilehome site circuit breaker rating? ------------- b Amps 8. Is there any other electric load to be served by the mobilehome siteservice? -------------------------------------------- ------- Yes No (If.yes, identify the load and size: (Load) /.5 (Amps) 9. What is the mobilehome site gas.pipe size. ----------------- ------ ,iZd ) 10. What is the type of gas service? ----------------------------- Natural LPG / / 11. 'What is the gas pipe length from meter or .tank to the mobilehome? -A) 0.-94� (ft`.) 12. What is the mobilehome gas dem'and?------------------------------ (BTU) (This information.not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) r,gum Com IWIL®!N6 DEPARTMENT TROVED l: MOBILEHOME SUPPORT DATA If -other than single wide, ' Mobilehome Mfr. ��� ti wEs� f ;rnish•, Setup Model No. "% /� Year,,- Width�(ft.) Box Lengtft.) Tagalong or Expando Size x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturers installat n 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) S ingle 6 (ft.)(in;) Center support locations* ieJ .V7j (ft.)(in.) J (o -? (ft.)(in.) Im (ft.)I (in.) �'�1rrWood either pressure treated or foundation grade. 2. Other: ( specify)~ Supporta (check one) �nncrete block. .2: Other. (specify) Tagalong or Expando,' show support details. -- Typical Support .) Footing Size -- Max. Pier Spacing (ft.)(in.) • (ft.)(in.) -- Max. Overhang *If center piers are other than drawn above, -draw in.locations, spacing, and dimensions. 86-38 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECO 0 O IOFFICIALRECORDS OF BUTTE COUKY.CALIFORWIA FOR RESIDENTIAL DEVELOPMENT %EOVESTOF Section 26-8.1 of the Butte County Code requires this acknowledgement .;,; i( PAR SHOWN be recorded prior to issuance of a building permit. 86-382sO N im OCT 28 AM 11: 12 The property described herein is adjacent to land or included ELEANOR M.RECKER within an area zoned for agricultural purposes, and residents of this CLERK -RECORDER FEES�:: 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,pages 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: i DatPROPERTY OWNERS: State of California ) On this the 28th day of October , 19 86 , before ) SS. me, the undersigned Notary Public, personally appeared County of . Butte ) NAOMI ILENE SANDOVAL Personally known to me. /X/ Proved to me on*the','basis of satisfactory evidence. to be the person(s) whose names) is .1�1_31 subscribed to the within instrument and acknowledged that 'she executed•the same for the purposes therein contained. ®v��oo0aaaq���sv�.o��aleaa®s ® IN WITNESS WHEREOF, I hereunto set my hand and official seal. ® R. DIL.LEN13ECK e NOTARY PUBLIC -CALIFORNIA Butte County 11 !11 My Commission Expires Aug. 20,1990 p •O ®rami®®®®®®®®®®a®�®®teteaa■®® Notary Public Present A.P. No. END OF DOCUMENT • t1:. o 0 En, I s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' PERMIT NO. 7 County Center Drive - Oroville, Califarnla 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PACEL NUMBER 1—(D 3 ZONING e. BUILDING PERMIT OWNER^, �-- TELE H SQ. FT. OCC. BUILDING VALUATION OWN R'S MAI ING ADORE CD aS - r - CONTRACTOR NAMELEPHO E� J9 3 CON ACTOR'S MAILING ADDRESS . O © Fireplace CONSTRUCTION LENDER UNKN rt Total Valuati Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 191-111 LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS • Permit fee $ BUILDIr�G ADD ES ,A W N' a PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Q Solar Water Heater 20.00 Water piping 5.00 D LOT NO. SUBDIVISION NAME 7 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mob Iehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ I tallation❑ Other Describe work: — \ QA r n,' �1 O. j 1 W 1. Permit Fee $ /J , Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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. 2I/22sgft • 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 m license is in full force and effect. Y License No.2�(9,er [, [l Classification G ❑. 1, 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) �❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) i ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI.OUTLET 2,50 ea NO N.RESID BRANC CIRC S NEW CONSTR. I POWER APPARATUS & NON.RESID. %SINGLE OUTLET CIR. Ex. Occu 2O E. 500 OR FIXTURES BAL990 P(o @30 FIXED APPLNS. OR FIXED Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 S Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. r4A I have placed on file: -with the County of Butte Building Department IW 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and k ep harmless the County of Butte against all liabilities, judgments, cos n expenses which may in any way accrue against said County in c q o e granting of this permit. X Date r b,> Signature of Applicant — Owner ❑ Co/+_-'rO Co/+_—'rAgent ❑ An OSHA permit is required for excavation o er 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND IeSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated 'above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �b3-stories Receipt No. —12 J WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 4 -Z rt o� 'k C�a --rra i bud -tl/�p I e�S @ar�f0 dL V COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO., 7 County Center Drive - Oroville„Calriforrtia 95965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT ASSESSOR PACEL NUMBER '7 -D,3 -- ZON G — BUILDING PERMIT OWNER �. T L HONE SQ. FT. OCC. BUILDING VALUATION OWN R'S MAILING ADORE S -7I O Za — �- CONTRACTOR NAME LEpI..Ip ED� 3 ACTOR' CON S MAILING ADDRESS 1Q © Fireplace CONSTRUCTION LENDER UNKNOG�y- Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD ESS1 Me �// PLUMBING PERMIT Filing Fee 10.00 �M Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP 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 JSJGJWJ 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ 1 tallation❑ Other Describe work: – 11 f P.tl e-10 Permit Fee $ �J Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 S AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELING OR ADDNS. ACCLBLDGS.CCUP.&) 21/20sgft 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.2y9cL-n, 6 Classification C /�11 ❑ 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 ULTI-OUTLET NON.RESID BRANCH CIRCUITS) 2,50 ea NEW CONSTR (POWER APPARATUS &\ NON-RESID, (POWER OUTLET CIR, / Ex. Occu 20e50e P�o Ts OR FIXTURES BAL®30 FIXED FIXED APP LNS. OR EX. QCCUp. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 S Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. It75 I have placed on file with the County of Butte Building Department IAS 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 becomesubject 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 Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and k ep harmless the County of Butte against all liabilities, judgments, cos n expenses which may in any way accrue against said County in c q o e granting of this permit. X Date q Signature of Applicant — Owner ❑ Co ra for Agent ❑ An OSHA permit is required for excavation o er 5'0” deep and demolition or construct- ion of structures over 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE _ OCCUP. GROUP TYPE OF CONST. PARCEL D HD SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI OR OF ELIC / t By—I/�"V` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.� WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT W5 i 974-85P,E STEVE SANDOVAL Medly Ln., & Manor 0roville, a OFFICE COPY Address -11 GAS1�7 1 ELE49 CTRIC Dat n r �-- 1: 1 r ` ` r '��, •_ it COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT, NO. 7 County Center Drive - Oroville, C,alifornia,95965 - Telephone 916/534-4541 /J�lf?/� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER �' u3 ZONING X ;.q'-< - BUILDING PERMIT OWNER :S4`etln S;::; nlla 1n� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S M//A�IILING ADDRESS {� 11 -,,- CONTRACTOR'S,NAME t U yo t J IM:i I P_c . T-ELEPHONE 5. 3'-1 CONTRACTOR'S MAILINGNADDRESS V1.0 &(IV, "a f y Fireplace CONSTRUCTION LENDER UNKNOW`-• Total Valuation $ Filing Fee $ 10.00 LENDER'S_ MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER /U �'` P LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING /- 111L e /lG ADDRESS NII 1 ��f///ff ( �.% /1, �,�1�i 4 / `�/1�1 n� PLUMBING PERMIT Filing Fee 10.00 i 1_ x/11 B Each Trap 2.00 Solar Water Heater 20.00 o i'U Water piping 5.00 1 r'nn 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 ❑ Mobi lehome ❑- Other SPECIFY Building sewer 5.00 Mobile Home ISIG W i 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other [9- Describe work:� �'-<yf-+1 r r�tr' I. T ) -.0J p � n • p�V-\0Z ��rM, _ \\[R !!\` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORS LESS 10.00 J%i.i n S ' • {' �j', �'-t { �Z-y�sy�� Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP. OR ADDNS. & ACC. BLOGS. t 220sq ft >rCONTRACTORS LICENSE LAW��� �,'p 'r �,�� . - �. rv- �; ,a- +H•� Y-- r I declare under-tpenalty,of perjuryF (check one)::f rt. �, 1 ..�� .P�1:1'.. ❑Q I am.licensed�underoprovrs)ons of Chapt 9 Dlv `3 of the Business and hProfessions� Code and m `Ilcenses(s'tin full' force and effect. +` i-';}'4�I. ..y'ty y4; F- -=+' �- i.<' License'No. �y -, ��'�� Classification • • r /' ❑ I, as*the owner;� or'my employeesfwithwages`asltheir sole compen- Sation :,w'll,do:tbeIwork, and -the structure I§. not Iintended or offered fosale!'(Yeo.7044):. + �` ?;L�%b'r r ❑ 11 as,theYowner am*exclusivelygcontracting, with licensed contract - 0 rs:,(Sec t,7044)1 -n �i�.t .-t .r a ;"T �"�isii �: � ❑ I am exempt uride Sec.'- 1'-�j�"f Businessland Professions Code for this reason j'-er.:'i NEW CONST R. ULT'-OULET NON-RESID BRANCH RC ITS 2.50 ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 20@s0C Ex. Occup(O TS OR FIXTURES BAL@30Q FIXED EX. OCCU FIXED APP LNS. OR p• OUTLETS (RESID•) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 �T Permit Fee r $ A-70) 0) Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. © I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I 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 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 County in consequence'of the granting of this permit. .- �r�i--r)�/ \ ^� X ` ` Dater-/ r } Signature of Applicant — Owner ❑ Con rccro ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over3 stories in height. V Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which \ DIRECTOR OF PUBLIC By `�-• •� A _ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ////D/ajte ./ft Receipt No. I % h I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J = OK 0 = Not OK Not Applicable * = Not Ready MOBILEHOMES _ � i .� _ , ;i1,•..t M:iln.'i.� � Rif' • C MISCELLANEOUS Date MOBILEtIOME UTILITIES (Plans) OK except #'s. te- oning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—EasementS o' ; Special MH Support—Sketch $. S er; Location—Test—Fall-C/0—Concrete _ 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails - Wat ; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing k lectricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6,--Gas-l,9cati9jL—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ P, LPG 6. Carports; Windows—Doors '7 tilityClearance _ 7. Elec. Card -BI Date l &- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBIL ME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s g Requirements—Setbacks—Easements 1, Setbacks—Easements Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability est—Demand—Valve—Connector t 4 ectricity; MH Test—Crossovers—Breakers—Clearances ! 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI Dain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI Wr; MH Test—Regulator—Connector ) 6. Elec.; Enclosures; Conduit Entries—Terminals-Listed Vote nd wer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit ' its; Insp.—Sketch ' 10. Cert. of Occupancy 9, Health Department Approval I 10. Plumb; Cir. Test—Water Supply Test Card 3-1 Date hyfZ& Card -BI Date I Card -BI Date Card -BI Date Card B -I Date Card -BI Date j Card -BI Date Card -BI Date 1 V OK 0 w Not OSS - = 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 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protecti - 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. Ste_mwalls, 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: Nailina-Bolts Date 9. Gas Pipe: Size -Anchors Date Card -BI Date 10. Water Pipe: Test -Anchors -Regulator -Service Test Date Card -BI Date 11. Electric: Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI 24. DateCard-BI Date Card -BI 25. Date Card -BI Date Date PLUMBING (Permit) OK except #'s Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 14. Water Ht.: Vent -Access -Combustion Air Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, 15. Water Pipe; Test & Anchors -Nail Protection Insulated Neutral Yes No 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection Service -Riser Conductors & Ground -Main Disconnect 17. Shower Pan: Test, First Floor -Tub Access Equip. Clearances: Panels-Motors-Mech. Equip..----- quip.__30. 18. Test Tub & Shower, 2nd Floor -Tub Access Clothes Closet Light -Shower Light 19. Gas Pipe: Size & Anchors Card -81 Card B -I Date _ Card -BI Date Card -BI Date _ Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s Date Card -BI Date 20. Fixture & Transformer Clearance - Ins. Protection Date Card -BI Date 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled_ 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 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, 63. Insulated Neutral Yes No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances: Panels-Motors-Mech. Equip..----- quip.__30. 30. Clothes Closet Light -Shower Light Card B -I 67. Date Card -BI Date Card B -I _ Date Card -BI Date Date MECHANICAL (Permit) OK except #'s Plb., Elec. & Mech. Equip. Listed for Location 31. A.C. Ducts Insulation & Support Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 32. Vent Fan: Exhaust above Insulation Insulation -Foam -Looked in Attic ❑Yes 33. Condensate Drain & Overflow: Size & Grade Guard Rails & Deck Construction -Post Caps 34. Furnace -Vent. Access -Comb. Air -Return Air Vent -115V outlet Fdn. Vents & Crawl '-tole Door -Drainage & Wood -Earth Clearance Looked under Floor EJ_ Yes 35. _ Attic Access & Platform if Furnace in Attic Card -81 Date Card -BI Date Card -81 Date Card -BI Date Date FRAMING(Plans) OK except #'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. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 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 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl '-tole Door -Drainage & Wood -Earth Clearance Looked under Floor EJ_ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks [ Yes ❑ No; Planters El Yes FJ No 76. Stucco; Brown -Finish 77. 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Opn s. - 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas -est -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Com Tents at Final: (NOTE An entry must be made each time you visit job site) AP # OWNER PERMIT IQ MH ' UT IL . CLEARANCE DATE INSPECTOR - ELECTRIC GAS Support Struc. Compaction. Test Re . Service Size Other Load Type Pipe Size Lenjzth YES NOI YESI NO VV VQ Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Facsimile www.bufecounty.net/dds www.bufegeneralplan.net .ADMINISTRATION * BUILDING * PLANNING REQUEST FOR COPIES Please furnish me with copies of the building rile documents I have indicated for the assessor's parcel number(i) and address(s) I have listed below. —I undeis a�iid there wilt be a"copy fee of $:25"for the fist page and $.06 for each additional page thereafter payabld at the time the copies are picked up. I further understand that Butte County has up to 10 days to respond to this request based on the Public Records Act. Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Assessor's Parcel Number Name of document(s) requested Address Address Address Address Address Please Note: Conies of building plans are not covered by the Public Records Act but instead are under California Health and Safety Code Section 19851-19853 and require written authorization from the property owner and the Registered Design Professional before being duplicated and a separate fee of $127.00 is required Date Contact Phone Number/Emai Address *When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. 3-1-10J:\2010 Handouts and Policies for approvahApproved Handouts and Website fonns\Request For Copies 3 3 10.doc ' This set of plans and specifications MUST be 1 kept on the job at all times and it is lawful to mare any changes or alterations on sa a without written permission trom the Depaatmen of PuSt ' Works, Cni-Inty of Butte. .MOTE:—All Materials & Workmanship S all ®e M Accordance with Recognized Good Prac ices and of a quality prescribed for the Spacified u e in the Uniform Building, Plurr161119 & Mackanical . d._,s land 1 the National Electrical Code, A setback of 5 f . from the property lines d a setback of 50ft. from t road centerline shall a clear of structures ore i.pment except 1 �ra2 ft. eay� re,'nang• U.01 A,oaQO►'-O &cf l �O 11�lC�Bskl_E HC `E MUST AI? l-I.U.C'' LABELS C_ 200 PT- ER54117 EnJT"— _ �4-10 U A permit will be required 10, f% installation of the motiile6owd, Utility connections shall be within 4 ft. of the mobilehome, either • directly behind or within the rear half of the roadside (left) of the mobilehome. o ' d ,a 3� BUTTE COW" BUILDING DEPARTMEW APPROVE %/ ♦ VUW 6 1 Ur uu c DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 401tREC I®N NOTICE BUILDING OR PROPERTY ADDRESS 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-- .. -/�ec� ":n:r // -%v ��� r�J�•� �Iv —. r7nn_ ___ -a © Mo -, 2 ci ArilAI� I a © M ® in x3 1 1 , _ STA}-�f�AKt7 GAC PST Llvl►� }zsl�-I ' blf�l♦� � I,%1 ,, Ci�.l1"�J� It ...... PALL SUPPORT PIERS�— _TING, SIZF: 01 CAPACITY FOOTING SIZL rJlJflu~_ ---12 X24 ) 0000 011 J °; i'"�i CARPET LAYOUT AND RMCI: $A.'„h• r. T 4ggi)N- --- __J ” 1' 0 00 / j I1CAA1 FIELD51Jh1 df �ui.�r� nfT�l�.��l..�n Wfw... y_1 •��.i Y-� OP INS:7AI O's MAl1UAL, s. ���.o �. .)I'�/f/•.. , �i"_' �/'�'C.<%1A :•...��- --��'k'��� a _ > low � -� Z c -v a - e.= iitJ,aL if -A ;o 0 rn � "14 D }.�'°'`'�•� �• �,+°'T►-a .w:.,� I?' x X11-0 �7 �.1. s►J wpr x..141 r Gs-qll r'!7 �v 1 1 , _ STA}-�f�AKt7 GAC PST Llvl►� }zsl�-I ' blf�l♦� � I,%1 ,, Ci�.l1"�J� It ...... PALL SUPPORT PIERS�— _TING, SIZF: 01 CAPACITY FOOTING SIZL rJlJflu~_ ---12 X24 ) 0000 011 J °; i'"�i CARPET LAYOUT AND RMCI: $A.'„h• r. T 4ggi)N- --- __J ” 1' 0 00 / j I1CAA1 FIELD51Jh1 df �ui.�r� nfT�l�.��l..�n Wfw... y_1 •��.i Y-� OP INS:7AI O's MAl1UAL, s. ���.o �. .)I'�/f/•.. , �i"_' �/'�'C.<%1A :•...��- --��'k'��� a _ RECORDED IN OFFICIAL RECORDS Return to DWJT COMPARED %AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OF BUTTE COUNTY, CAU FORMA ORIGINAL DOCUMENT FOR RESIDENTIAL DEVELOPMENT AT THE REQUEST OF Section 26-8.1 of the Butte County Code requires thistrent' be recorded prior to issuance of a building permit. VV 1986 OCT 28 AN 11 12 - The property described herein is adjacent to land or included ELEANOR M.BECKER within an area zoned for agricultural purposes, and residents of t K -RECORDER FEE_._.`. 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: T i P 410, 7,2 03-(J -- Date: zQ -'g-jr- PROPERTY OWNERS: State of California ) On this the 28th day of October , 19 86 , before ) SS. me, the undersigned Notary Public, personally appeared County of . Butte ) NAOMI ILENE SANDOVAL Ll Personally known to me. /X/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) is subscribed to the within instrument and acknowledged that she executed the same for the purposes therein contained. ®p�p�optip�t•optaeo.pa•waaaM�aO IN WITNESS WHEREOF, I hereunto set my hand and official seal, R. DILLENSECK i p le y;, tc NOTARY PUBLIC -CALIFORNIA p tG>.. Butte County w p My Commission Expires Aug. 20,1990 4 ®■Ispdp®®m®to taep09smapsoaaa® Notary Public Present A.P. No. %� �%�-� '��J -0 COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 ` PERMIT APPLICATION DATA SHEET OWNER _ )/l LAA -y -- Proposed Building Use Permit No. A, P. No. 17�) 6: —� Building Inspector Date /Z�� 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 bee.n_submi ileal . . . . . . . . . . . . -�2. Plot plans i�tig riplicate 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. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9. Letter of signature author I atio�.,,„u� . . . . . . Sanitation approval from ealth Dept.r�-�� 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Prednspec.request to Pre -Inspection for Required. Building Inspector (Date) i9. Recorded copy of Agricultural Acknowledgment Statement. Driveway Permit. 20. Plot plan approval from city of 21. 22. When you issue the permit, process as follows: Mail to caner, Mail to contractor. -- PeIephone and hold for pickup at�office, Deliver w/inspector. Other Appl icant�n<i / �i� /•L-�az �. . 'y Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted'prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---Mail count r by date Contractor, designer, owner, was ��advised of above required data by—phone—mal n r by date Plans checked by,�� mate — lans approved by Date Sets of plans on hold in " File cabinet AP folder Copy—DPW — Flours: 10:00 a.m. - 3:00 p.m. To: :suiiding Departme it From:--mvironmental Hccllth Subject:- Sanitation Clearance Owner Plan Approved for: Hold final for: o —e oc�1tion Sewage disposal Final clearance O.K. for: Clearance for bedroor: 6T-17-ehome. NO *** Other -j,)- - ice AP// i;ater upPly rater supply water supply Sanitarian Date PERMIT NO. 86E(MH) PERMIT EXPIRES y OWNER STEVE SANDOVAL + CONTR. Cal Oyler MH ASSESSOR PARCEL 72-03-15 LOCATION 63 Medley Lane, Oroville OFFICE COPY Temp. Powe Address F! I t Called GA- - — —��-- Date \ Temp. Eleu EL TRIC w - Meter By • � • Date//—/O�j ' Calle Temp. Gas Service T t Cal led PG&E JOB FINALE[ Signature