HomeMy WebLinkAbout073-120-02961
u
73=12=29 r 1959-91P;E ��3
,t
�HILL,l Dean f +
66' Rebie'Way _Orovi e ��
r.ELEC 30 l� �4/
;.GAS. L w
.. COMPACTION„ TEST REQ o
r'SUPPORT STRUCT REQ D. -- T.
7 -12-29 ,/3��J,
Permit#1960-91MHI �i
I'} (mh insta`ITj�'
073-12-0-029- 00-2256 ti
WOLNY, CAROL ►
66 REBIE WAY, OROVELLE a
CONTR: OWNER,,
GAS LINE�I'i(li%L-o0 -
r
s
-. ��
,i l�
x;;p,+� � ;,w_Ar�bv{::. ,w't.�.,.P T . „ .. .. • r, -y&=5 ^� ..s'•:'Y--• ,a. .. ...fir r �fF'.Y .cr. z,• ... „hM....,,.,�„�,.Mi•E1?:'r _ r.:A. ,. ..��y. ,r.. �.r; .'ci,�' � f �,>;
/W c- ,
r 1 • _
Ii
OFFIC
opy
Address
GAS Date
Meter By
ELECTRIC
Meter CIO
} 1
COUNTY OF BOTE'- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO-N . „
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT NO.
(Rev. 12/96) APPLICATIONAND PERMIT
ASSESSOR PARCEL NUMBER
073-120-029
ZONING
BUILDING PERMIT
OWNER
CAROL WON
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
P.O. BOX 177 FORBESTOWN 95941
CONTRACTORS NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS I
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 66 REBIT WY. DROVILLF 95966
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPECWY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: GAS LINE.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W1
920.00
PERMIT FEE
$ 35.90
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200, OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POING
License Class Lic. No.
OWNER -BUILDER DECLARATION
I her o y affirm under penalty of perjury that I am exempt from the Contractors License
Lawr the following reason:
iy I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLINGOCCUP.
OR ADONS. ( a... BLOs.
s0
3.5¢Fr:
ppt1•RESID MULTI.OU CUILE
TS
97,50
a S OUTLET WELERAPPARATUCIRs .
Ex. OCCu OUTLET OR FDrruREs
BAL .50
Ex. Occup. ouIXELETS REHID,OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insu�ance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and -poli Cy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is -for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions 'of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/
X f�� /.. t �/;>;+ �/ Date -�
Signature of App lcan O Owner O Contractor ❑ Aggilt
An OSHA permit is required for excavations over 60" deep and demolition or constructio
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
D. FEES IMP
I FLET07
CDF
PARCEL
I PO
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for hich fees have been paid.
B e
PERMIT EXPIRES ON
Data
ReceiptNo. 102920
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
1% 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12/96)' APPLICATION AND PERMIT 6�2' ,��X,6
ASSESSOR PARCEL NUMBER
073-120-029
ZONING
BUILDING PERMIT 7
OWNER
CAROL WOLNY .58
TELEPHONE
-3215
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
P.O. BOX 177 FORBESTOWN 95941
CONTRACTORS NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: GAS LINE.
Gas piping system 1 - 5 outlets
15.00 5.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
3540
ELECTRICAL PERMIT
Filing Fee 20.00
LESS
Main Service ".A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. NO.
OWNER -BUILDER DECLARATION
I Je,y affirm under penalty of perjury that I am exempt from the Contractors License
Lthe followingreason:
as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BUDS.
s0
3.50FT.
-CONST M TbOur
@7,50
NwGTus
8PSIGEaLE APPARA
OUTLET CIR.
Ex. Occu OUTLET OR FIXTURES
SAL @ 1.50
Ex. Occup. p��7g R APPp,OEA
5.00
Tem orar Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply wit those provisions.
X Date
Sign ta App tant -YdOwn r ❑Contractor ❑ Age t
uro
An OSHA permit is required for excavations over 60" deep and demolition or constructio
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
NAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for fees have been paid.
-T&A e
PERMIT EXPIRES ON (Wi
ate
Receipt No. 302()20
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
z
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12126) . APPLICATION AND PERMIT
ASSESSORE��JNUMaEA
/ 0 l'
NI
ZONG
BUILDING PERMIT
OWNER A� -/
L
D / ,� r��/.�
j
TE
/5
SO. FT. OCC. BUILDING VALUATION
OWNER , J ^�/� 1 �'[N/'�N!;
S / O / /
& L/ \✓/
/� /
CONTRACTC F,
TELEPHONE
CONTRAC s MAILING ADDRESS
CONSTRUCTION LENDER `
1
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
1
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.001
ARCHITECT OR ENGINEER'S MAgJNG ADDRESS
Permit Fee $
Plan Checking Fee $
BUILDING ADDRESS
✓) C/../ ZIZZI
Plan Checking Fee $
///__Energy
�L�ILG$
PERMIT FEE $
.
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
1 5.00
TYPE OF WORK
New ❑ Addition ❑ Rem ❑ Utilities ❑ installation Other ❑ _
Describe Work: ,�. ,� l
(Q:S Z_/v E
Gas piping system 1 - 5 outlets
15.00 s
Building sewer
15.00 I
Mobile Home S G W
@20.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
800V OR
Main Service 20. OR LESS
23.00
t
RECEIPT #
SRA $ o e
SHERRIF $
TOTAL$
Receipt No.
WHITE-D.D.S.-8.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
Main•:Service IIOA TO 1I00A 46.00
NEW CONST. DWELLNG OCCUP. 3,5¢so.
OR ADONS. ( d ACC. BLDS. FT.
NEW CONST. MULTI.OUTLET
NON.RESIO. - @7.50
POWER APPARATUS
b SINGLE OUTLET CIR.
20
Ex. Occup. OUTLET OR FIXTURES O 1'50
8AL 0 .SO
OnE�uIS
so OREX. OCCU 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc: Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $ .
°`°
Co T. TYPER TOTAL FEE $ '35 O�'
HAZ.
D. FEES IMP
FLOOD
CDF
PARCELPD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date I
PERMIT EXPIRES ON [
pate
. x«
' // �
" v
�
-
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and. return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit mil' .
be issued until this verification is received.
1. I personally plan to provide the 'or labor and materials for construction of the
proposed property improvement :
2. �VE[ ] HAVE NOT[ , ] signed- an_application'for _a:budding permit for the
proposed work _..
3. I have contracted with the following person (firm) -to ' provide. -the -proposed
construction:
NAME:
ADDRESS: CITY:. .. :...
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS • CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the followingpersons to
provide the work indicated: .
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
-wiG�R►7Jlw.::. . s... --: •
DATE:
l
NOTE: This owner -Builder Verification is required by.Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Nfav 1995 2.26
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as. the builder of .
property improvements specified.
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself~ you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with. the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection: -:
0 If you employ or otherwise engage any persons other than your immediate family, and the work-(mcluding
materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you. are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions. .
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are.allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sincerely,
Michael C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This 0,.«e, Builder Information is required by Section 19830 of the California Health and Safety Code.
Mav 1995 2.27
"I
RESIDENTIAL
2
1959-91P,E
HILL, Dean
66 Rebie Way, Oroville
(mh util)
S.
OFFICE IZOPY
Address
GAS V
Me
ELECTRI Dat
Meter
eter By
J=OK
O = Not OK
NotReadyab�e . MOBILE HOMES
I?
, .
MISCELLANEOUS
Date
MOB_"_E HOME UTILITIES Plans OK except #'s
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
,-rZqp4ng Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
Soil s;, Special MH Support Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
Location -Test -Fall -C/O Concrete
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
Water ocation-Test-Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
�aZ rt/ ectricity; Location-Clearences-Grnd;mp-Concrete
6 s; Location -Test -Wrap:
/ /"Nat. or/ /"L"ft./j)"LPG �Q'�
5. Alum. Awn.; Columns-Connections-Splice-Decai-Enclosures
6. Carports; Windows -Doors
ell Clearance & Disconnect
7. Electric
8 ity Clearance
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
_
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Date Card 8- Date Card B-1
11. Ext.; Steps -Doors -Landings
D L
Card B-1 Date Card B-1
Dat
OBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
Date
Card B-1 Date Card B-1
2. Footings; Size -Spacing -Marriage Line Y
Date
Card B-1 Date Card B-1
—a—Lae-MI-1 Test-Demand-Valve—Connector
Date
POOLS (Plans) OK except #'s
ctricity; MH Test -Crossovers -Breakers -Clearances
1. Setbacks -Easements
5. rdp; MH Test -Fall -Flex Connector
2. Soils; Compaction -Structure Stability
ater; MH Test -Regulator -Connector
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
d Sewer Connect -C/O to Grade -HD Approval
Ga Elec agge
_e-'E_xi nsp Sketch ,,
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
-t�Cert. of Occupancy
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.
Dat
Date
and B- Gate Card 8=1 ° J
Card B-1Date Card B-1 d
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
C"V�a��
J
y 1
r
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1 Date Card B-1
i Af Tkl'-^ /C
0
Date Card B-1 Date Card B-1
J=OK +�
O = Not O�IlK�
=Not Ready lisable
Not ReRESIDENTIAL (;
=
Date UNDERFLOOR (Plans) OK except N's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
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. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except a's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
-- ------------------------------------------------
17. Water Pipe: Test & Anchor -Nail Protection
------- -------------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
----------------------- -------------------
--19. Shower Pan: Test. First Floor -Tub Access --- - -
20. Test Tub & Shower, -Second -Floor -Tub Access
21. Gas Pipe: Size & Anchors
Date
---- ----- -----
Card B-1 Date Card B-1
------------- ------------------------------------------
-------------------------------- .Date
Date
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
--------------------- ------------------- ----- --------------------
23.
---------------
Elec. Receptacles Spacing -Lights & Switches at Doors
------------- ----------------------------------------------
24.
Size Boxes & No. of Conductors -Stapled
------------------------------------------------------ ----------
-- 25.
Romex Installed Close to Edge of Studs & C.J.
26.
------------------------------------------------------
Equip. Ground made up w!Mech. Fastners-Bond Gas & Water
- -----------------------------
27.
2 Appliance Circuts in Kitchen & Conductor SizerGFI
--------------------------
28.
----------------------------------------
Subfeed Wire Size r r ga. Cu or AI-A.C. Wire Size r / ga.
_ _
--
Cu or -Al
-------------------------------------------------
29.
Range Circ / r ga. Cu or AI -Oven Circ. / ! ga. Cu or Al.
-
Insulated Neutral ❑ Yes ❑ No
------------------ ----------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
--------------------------------------------------------------------------- -
31.
Equip. Clearances Panels-Motors-Mech. Equip.
32.
Clothes Closet Light -Shower Light -Spa Light
33.
Smoke Detector
------------------------------------- ---------------------------------------
Date
--------------------------------
Date Card B-1Date Card B-1
------------------------------------------ -----------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
----------- ------------------------------------------------------------------
35. Vent Fan: Exhaust above insulation
-
-------------------------------------------------------------
36. Conden=ate Drain & Overflow: Size & Grade
------------------------------------------------------ -----
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
38. -Attic Access & Platform if Furnance in Attic
----------------------------------- ---------------------------------------------
-Date
-----------------•-------------------------
Date Card _13- 1 Date Card -B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
-- - ----------------------------------------- -
40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound
----- ---------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
------ ----------------------------
----------------------
42. Draft Stop in Walls (rat proof)
-----------------------------------------------------------------------------
43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
------------- -- -- --- ------------------------------------------------
44. Headers & Beam -Size & Bearing
jingle & Duplex)
s
Date FRAMING (Continued) .
45. Hangers -Post Caps-Anchors=Connectors _
46. Cing. Joist-Rftr. ties- Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_ 50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
_ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
----------------- ---
-------------- 55. -Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts _
59.- Insulation -Walls -Ceilings
-------------
60. Infiltration -Walls -Windows
-------------------------------- -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except 14's
_ 61. Ext. Steps -Door & Sidelight Protection -Landings
62' Smoke Detector
-------- ------- ---------- -
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor -Ducts -Meeh. Protection
--------- ----------------------
64. Bedroom Exiting
-------------------------
65. G F.I & Bath Fixtures & Tub Access -Spa
----------- -----------------
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
-----------------
------------
----------- --------------
67. Stairs &Rails
68. Fireplace or Stove: Clearances -Hearth
- --- - --- -- - - - ----------------------
69. Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
--- --------------------------- -
71. Elec. Outlets & Receptacles at Kit. Counter
---------------------- -----
72. Garage Fire Door: Swing -Landing -Closer
--------------------------
---- --- - -
73. A.C. Duct in Garage -Damper
------- ------------------------------- ------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Equip. _Listed for Location
-----------------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
7;. Insulation -Foam -Looked in Attic ❑ Yes
- - ---==---------------------
78. Guard Rails &Deck Construction -Post Caps
-------------------------------------------- --
79. Fdn. Vents -8: Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
-_ -- - • -- - -- ----------------------------------
80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
-------------
81.
------------81. Stucco: Brown -Finish
82. A.C. Unit: Disconnect. Electrical, Plumbing
----------------------------------------- ---
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim: G F.I Receptacle -Underground
•----------------- ------------------
----------- -
86. Ventilation Throughout House
- - ...-_.....------------------------------------------
87. Glass Protection
_.._.. - ------------------------
88. Corrections from Previous Inspections
. - - --------------- ------------------------------------------
89. Gas Test -Meters Tagged: Gas -Electric
-------------------------------------------- ------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
----------------------------
91.
-- ------ - -- • - -- - --- -- -----------------------------
91. Energy Compliance Certificate -Other Certificates
----------------------------------
- - - --- ... - - - - -- -- - - ---- - -- --- -- ----------------------
Date Card B-1 Date _ Card B-1
Date CardB-1 Date Card B-1
-------- ------------------------------ ----------
Date Card B-1 Date Card B-1
Comments at Final:
ilk
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC'WORKS,
196 Memorial Way. Chico — Phone: 891-275,1
7 County'Center Drive. Orovi Ile — Phone: 538'-7541'
747 Elliott Road, Paradise —,Phone: 872-6307
CORRECTION NOTICE
j I L-�- . 1'7qr7- -cV
INIER PERMIT NO.
A routine inspection indicates that the following violations df*County Ordinance
exist at the above address and should be corrected. Plea�e 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.
0
IL'
Date Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541'
g 747 Elliott Road, Paradise— Phone: 872-6307
'CORRECTION NOTICE
P _T 6
qER
N
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.
IT, TYS V
e7
ke/ew,� ew j //
Z:7_45_t�i�_ �Q A
AJ 6,S:_:
0
Date "nspector
n
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
VNER
/�FS�-F(
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, pr.. eed additional explanation, please contact this office immediately.
I &---"
-Ten— /'
C' -
-3)
Date Inspector /f/�5�7�
f
COUNTY OF BUTTE.
DEPARTMENT OF PUBLIC WORKS
19d Memorial Way, Chico L Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
ZAA,f) el-�145'e —1911
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.
�b 6� 014,0-r I-A��
�t 101141,
4 -e -JILL A"*Urs 725 64s- h5f�-
9
kk 0 a ic-D 7—
Inspector. Date
COUNTY OF BUTTE
DEPARTMENT OF,PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. brovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT �V
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.
C
Date I nspectoely-o�-
Z,9
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541
PERMIT NO. IY40-5?1
Address or location of mobi lehome (0 4 1126-6.114— (–J,4z
f
Owner's name DT4A
Owner'saddress �72�p LOA(- C�lw
Insignia or hud numb r A (,(q /- 16 6.
Manufacturer's name
e I Year of manufacture
r b of V.I.N. A -A GF - Q 56 3 ta 7—
icial Approving InsfAllation) (Date)
IF THE MOBILEHOME'IS MOVED OR RELOCATED, THE MOBILEHOME INSTALuATION-]
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN–T E
� H I
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0. /
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
73-12-29
ZONING
U
BUILDING PERMIT
OWNER
Dean Hill
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
979 Long Bar Rd., Oroville 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$15.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 25.00
PLUMBING PERMIT
Filing Fee 10.00
IVIV
Rebie Way, Oroville
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❑ MobilehomeZy Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W 1
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation® 0th r ❑
Describe work: MHI IM f f tf .� _ _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
10.00
Main Service EA, ADD'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 full force and effect.
License No. Classification.
I, as the owner, or my employee's with wages as their sole compen-
IK'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.9
OR ACDNS. ACC. BLDGS.
, /2Osgft
NEW CONSTIL U TI.OUTLET
.RES'D BRANCH CIRC ITS
BRANCH
Z.SOea
_NON
PO W APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
2AL COQ
eeso
IXED APP LNS, OR
Ex. Occup. OUTLETS (RESID.) EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. lyirin 9
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 County in conseque0a of t e granting of this permit.
14-71
X Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5' d demolition or construct-
ion of structures over 3 stories in height.
Mobile Horne Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TO AL FEE $70.00
'
HAz.cuA
PARK
_
sc
P
FLo
._
coF
PAR
PD
I HD.
ISSUE.
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
R OF PUBLIC WORKS
BY Date
PERMIT EXPIRES Datez--
Receipt No. 94128 "'Q -Q(? pp_OO
WHITE-O.P.W.. YELLOW-ASS93SOR, PINK-IN8 CTOR.L sp (CANT
. •;fi
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION i
7 COUNTY CENTER DRIVE - O*VIL& CALIFORNIA 95965 - TELEPHONE: 916/538-7541
L
PERMIT APPLICATION DA`T�A HEET
Permit No.
��/l/ /� f l2-z�
OWNER � � A. P. No. -73-
Proposed Building Use IV H Building Inspector—Q) Date
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 .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions....................................................... fit?` 17_/
-10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ........
—� 13• �� �� School District fees paid .............. %
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
5. Letterof signature authoriz tion
2 ;e
6. `yf,2g cszs ��f�/z l�sf/G ..........................� 1p 3 q
27. J`..
When you issue the permit, process as f llows: Mail to owner. Mail to contractor.
,-z yea wo�P� ���
Telephone and hold for pickuptat �tlrlt�ifice. Deliver w/inspector.
Other .5-33- d'8/Z ��^'�e \ i ��
Applicant /..24--, '/,r% ��C-�/ A .Date
Copy of Haz-Mat form sent Health Dept. Fire Det.
Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. ' Date By
The following data must be submitted • ' r o permi issuance: (Circle new item not checked 'above).
1. Index permit for above items No. Ifs
2. Additional items required:
Contractor, designer, ow er, was advised of above required data by_phone ail counter by__tvdate
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date
Plans checked by 141j// Date 1 Plans approved by Date 9'
Sets of'd,0ah /oy�`Ld�n0__8- ile cabinet AP folder
7711
Copy—DPW �
-k
0
s... —Mc �:.,.%. .,, , .'� . r n�k vr.rn.xn«� •y:'"ri.t,„�.rr..z,.,.� -r . ^r .,w...yra w..
�,K,. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Ft)rm per Building)
A.P. Number 73” (Z�Zc Building Department No.
School District CW G /e City Q CountyLN
Jurisdiction
Property Owner
Project Location/Address Iq Loh' a JAU o!w C
Subdivision Lot Number
Residential Development:
�� Sq. Footage
# of Living MHI Addition (Group R)
'Units
Commercial/Industrial: a Sq. Footage r'!
New Addition (Including Exterior
*Roofed Areas)
Building Department Representative Date
(Floor Plans reviewed by School District Personnel).
District Id No. �p2Ol
Applicant Name
(Street ' dress
1 . 1,A
School District certifies that
r
(City) .(State) (Zip Code)
has complied with the requirements of Resolution No.yD-
00
by the yment of $ 79d representing square feet.
School DI*ct Representative Date
ne Number
PAID BY CHECK NO. /
BANK NO // -("Q 7Z
PAID BY CASH
REMARKS:
white-applicana, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PAgCEL NUMBER
' 73�/Z— �
OWNER
ZONING
�
BUILDING PERMIT `
, , I f I
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER' MAILIN/GVAOORRESSI D �p•� L
CONTRACTOR'S AM
VTELEPHONE
C)Kl
CONTRACTOR'S MAILING ADDRESS
Fireplace
Total Valuation g
CONSTRUCTION LENDER
UNKNOWN
LENDER'S MAIL NG ADDRESS
ARCHITECT OR ENGINE R
Filing Fee
$ 10.00
Permit Fee
$
LICENSE No.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS
' ^ N
Energy Plan Checking Fee
$
Penalty
Permit fee
$
$ �• WP
PLUMBING PERMIT
Filing Fee 10.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Each Trap
2.00
Solar or heat pump water heater
I
WaterIn
P P � 9 '
20.00
5:00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomelq Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I IN
10.00 ea
TYPE OF WORK
New ❑ Addition ,Re/mode1 ❑ Utilities ❑ Installation Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1001 OR
AMP ORS
0LESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chat. P Business
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 4ork,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
Main service EA. AOD'L 100 AMP
2.550
NEw CONST. DWELLING occuP.a
OR ADDNs. ( ACC. aLOGS.
, /20sgft
NEW CONST R. ULTI.OUT LET
-"0 BRANCH CIRC ITS
2.50ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
209SOt
e ALO 30e
FIXED APPLNS. OR
Ex. DCCUp. OUTLETS IRESID.1 EA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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
Filing Fee 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XThis
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or Construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ row
Energy Inspection Fee $
occ
CONST TYPE
. o
TOTAL FEE $ C1
HAz.
I CUA I PARK
SCHL
I FLO
I COF
PAR I PO
I HD. ISSUE
permit is hereby issued unser the applicable provl-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES nito
Receipt No. /e/��Z�` o
WHITE-D.P.W.. YELLOW-ASSC330A. PINK -INSPECTOR. GOLDEHPOO-APeLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the„proposed property improvement (yes or no) e
2. I (have/have not) 421,.> signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner �.Q �L � [&
Social Security Number
Date C _ / U `i/
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
/ �.
5. What is the mobilehome'electrical rating? --------------- _-v Amps
(V-(/
6. What is the mobilehome site service rating? . ------------- - Amps
7. What is the mobilehome site circuit breaker rating? -----y`� Amps•
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes No F
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---- - --------- M(in.)
type g ? ---------------'-
10. What is the t e of as service. --- Natural LPG
11. What is the gas pipe length from meter or tank to the /�)
mobilehome?--------------------------------------------- [ V (f ..) .
t
* 12. What is the mobilehome gas demand? ------------- - -------- (BT•ij)
*(This information not required if pipe length less than 6 ft: on
natural gas or less than 50 ft. on LPG.) v.
im
tot
191�a -91
it /19 k9/
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, OroVillle, CA
PHONE: 538-7541
i
MOBILEHOME INSTALLATION . �AEET
1.
Owner's Name: j � Pyr A,7
2.
Installer's Name: 0t,- �r,-
3.
Is, the Yes � No
F-1
;. .
.site currently under permit?
(If yes, furnish permit number `1 )
OR
-
Is.the.,site an existing site? Yes No
(If yes, furnish two plot plans.)
;.
4.
Will the mobilehome be located at least 5 ft. away from
septic
tank;and.jeach, ;
fields and clear of all setbacks and easements?Yes
No.
(If no, clarify
/ �.
5. What is the mobilehome'electrical rating? --------------- _-v Amps
(V-(/
6. What is the mobilehome site service rating? . ------------- - Amps
7. What is the mobilehome site circuit breaker rating? -----y`� Amps•
8. Is there any other electric load to be served by the
mobilehome site service? -------------------------------- Yes No F
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ---- - --------- M(in.)
type g ? ---------------'-
10. What is the t e of as service. --- Natural LPG
11. What is the gas pipe length from meter or tank to the /�)
mobilehome?--------------------------------------------- [ V (f ..) .
t
* 12. What is the mobilehome gas demand? ------------- - -------- (BT•ij)
*(This information not required if pipe length less than 6 ft: on
natural gas or less than 50 ft. on LPG.) v.
im
tot
191�a -91
it /19 k9/
,p If other than single wide, /
i.i"u.. ;•,t .:ir. ���(�� furnish Setup Morel No. Year 6
Width _(ft.) Box Length (ft.) Tagalong or Expando Size ft. x_ft.
On all mobilehomes manufactured afte'r'Optober 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte):
FOOTINGS (check one) 1. Wood -pressure treated or foundation grade.�2. .Other '(specify
SUPPORTS (check one)®1. Concrete block. ED2. Other (specify)
Pier Footing Sizes and Locations
SINGLE -WIDE
.� Line I
.Line 2
Main Beams
Line 2
Main 'Beams
Line -2
Line 1
-.r—Line
Tag or Triple
tinct 4 '
Line
Line 1 Piers: Line 1 Openings:
Size -Min. ----------------
--
Size -Min- ------------
Spacing -Max - --------- Each Side of Openings
From Enda-Max.------- ' With Width Over- -
Line 2 PiersLine _3piers: (Under Bear2.ng raa>. vn►r/
Size -Min. ------------i Z x ,7 a Size -Min ------------------ Ik d
Spacing -Max----------) Spacing -Max .--------------- 1- u
From Ends-Hax.----- *. -
T From Ends -Max---------------
Line 3 Roof Loads:
Size -Min. ------------
Location (From Front)
I Line 4 Piers:
Size-Hin-------------
Spacing -Max.--------- 1_ ,
From Ends -Max.-------
Line 5 Roof Loads:
Size -Min -------------
Location (From Front)
Line 5 Piers: (Under nearing "-I'- --JI
Size -Min ------------------- ,k n
Spacing -Max ----------------
From
------ ------From Ends -Max .-------------
..x
..Y
"x
"x
.,x
IL. 1.
Ik
rl
Ilx x
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. California 959.65 - Telephone: 916/538-7541
APPLICATION AND PERMIT /
ASSESSOR PARCEL NUMBER
_ _
ZONING
U
BUILDING PERMIT
OWNER
Dean mill
TELEPHONE
SQ. FT. OCC, BUILDING VALUA ION
OWNER'S MAILING ADDRESS
979 Long Bar Rd. oroville 95966
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Filing Fee
Filing
$ 1
MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
ARCHITECT
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ 15.
OR ENGINEER'S MAILING ADDRESS
Penalty
$
Bu LD NG ADDRESS
Rehie Way, Oroville
Permit fee
$ 15.00
PLUMBING PERMIT Filing Fee 10.00
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[:X Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W 3 O.00ea 30.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ® Installation[] Other ❑
Describe work: MHU
Permit Fee
$ 40.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ODD AMP ORV OR LESS1
10.00 10.00
Main service EA. ADD'L 100 AMP
1 2.502.50
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 full force and effect.
License No. Classification.
I, as the owner, Or my employees with wages as their sole compen-
sation, will do the work,and the structure Is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.s S. )
A LOG
New
, /z¢sgft
CCONiSTR.( ULTB OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(ouT LETS OR FIXTURES
2AL030
.20050°
FIXED APPLES. OR
Ex. Occup. OUTLETS (RESID,) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 15.00
Misc. Wiring
15.00
Permit Fee
$37.50
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed.revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
Ventilation
X3.00
penult 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
granting of this permit.
agi},i.ra aid County in cons��T
6 . lq—,q(
.;/&, Date
Signature of Applicant — OwneA 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 $
occ
CONST TYPE
TOTAL F $
HAZ. CUA PARK SCHL
FLD CDF
P
PD H
ISS
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIREC R OF PUBLIC WORKS
BY Date 7—Z--
PE IT EXPIRES Date -7—
Receipt No. 94128
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
r
COUNTY OF BUTTE - DEPARTMENT OF PUvgLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILCE, CALIFORNIA 95965 -.TELEPHONE: 916/538-7541 I
PERMIT APPLICATION DATA SHEET /
i s !
VA
a /I Permit No. r< I' , ,
OWNER �T /_I t ` f l I P. No. %� /Z----7
Proposed Btii (ding Use l'` �� U Building Inspector—1 Date
At time of permit applicatioA, I was advised the following data must be submitted prior to permit processing and/or issuance: a
DATE RECEIVED a 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 .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13• ScUp o^f District fees paid ..............
4. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner of . .
—t 24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of si a ure auth rization ............
J, 26. se CGCO&f�2�.......................
27.
When you issue the permit, process as follows: _(,Mail to owner. Mail to Contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
C✓C'�
7Zs7> i1o11 Applicant �� .Date CQ--
r,
Copy of Haz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date $yam:
The following data must be submitted pr
to perm,�t iss-ance: (Circle new item not checked above)
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, o r, was advised of above required data by_phone ail counter by W date
Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
TO Buildina Department
FROM: Environment -al -Health
SUBJECT: Sanitation Clearance
Owner U Location AP#
Plan Approved for: Sewace Disposal Water Supply
Hold final for:
7inal clearance O.K. for:. -
Clearance for 7) bedroom mobi 10E�p Other
NOTE * * *
)Sanitarian
Water Supply —
Water supply —
D a
Building Department.
TO:. ;�, � - -r_ I
FROM: Encroachment Permit Section
R E.. Driveway Clearance
�e �t-e-
location
7 � , / 2- -
AP Q
ownel. has been issued for the above propert . y*
Driveway permit
n
date
sign re
K
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
w Q6 W" rAHGtL NUMHtH
�-5^l2—z
OWNER /r///
^gv / ��
ZONING
TELEPHONE
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
/-o/34fZ oAeo G,�
CONTRACTOR'S NAM
6 cu „ /J
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
Total Valuation $
CONSTRUCTION LENDER
P
UNKNOWN
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER
Filing Fee
$ 10.00
PerFee
$
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING AOOR ESS
BUILDING ADDRESS
Energy Plan Checking Fee
$ 13,fisL1
Penalty
$
� /�
Oleo C
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Each Trap
2.00
Solar or heat pump water heater
Water piping
20.00
5.00
Each qas water heater or vent
5,Op
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomeff Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S
0.00 ea .3000
:J
TYPE OF WORK,,q
New ❑ Addition[]RRe/mo'del ❑ Utilities l� Installation[]Other ❑
work: 'vl �'h�/ �`
Permit Fee
S 01 VIPDescribe
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ i am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. AOD'L 100 AMP
2.50 0
•C
NEW CONST. DWELLING OCCUP.6
OR ADONS. ( ACC. SLOGS.
y22sgftNEW
CONSTR.ULTI-OUTLET
AkON=1?E•S!o BRANCH CRCITs
2.50 ea
APPARATUS s�
(SINGLE OUTLET CTR.
Ex. OCCUp(OUTLETS OR FIXTURESeA
0s Ot
FIXED . OR
EX. Occup. OUTLETSS IBESREST D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ T�j
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
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 Countyor
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.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST TYPE
TOTAL FEE $ i
HAz.
CUA 1 PARK
5CHL
I FLO
I COF I PAR PO 1 1,0.'ISSUE
This permit is hereby issued unser
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIPFS nits
the appiicaote provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. �7�ZC3' /Z `—
WHITE-D.P.W.. YELLOW-♦SECSSa R. PINR•IMSPCCTOR. GOLOCMPOD•APei_ICAIT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and.issuing your building permit. No building permit
will be issued until this verification is received.
n:I personally plan to provide the major labor and aterials for construction of
the proposed property improvement (yes or no) P
2. I (have/have not) have signed an application for a building permit
for the proposed work. -
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name - - -
Address City
.Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property Owner
Social Security Number
Date 6
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
NOTE:—All
Accordance
of a quality F
Uniform Buil
the National
P.
;rials & Workmanship Shall Be in
Recognized Goad Practices andr:
;ribed for the Specified use in the
Plumbing & Mechanical Codes and
:trical Code.
This set of plans abd specifications MUST be
kept on the; job at all �imes and it is unlai� :i;.
make any changes q alterations on
written permission from the Department of Puuiic
Works, County of Butte.
.l.Jr � v � ►✓a�
R�fBUTTE COUNTY
LOWS -DEPARTMENT
APPR®VED
A setback' of 5A. from the
property lines and a setback
�`D
of 50 ft. from the read
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang. r
/
.l.Jr � v � ►✓a�
R�fBUTTE COUNTY
LOWS -DEPARTMENT
APPR®VED
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Qroville, CA 95965 PHONE: 916-538-7541
Dean Hill
979 Long Bar Road
Oroville CA 95966
With reference to,thle above subject:
Attached is:
DATE June 19. 199 1
RE: Permit appin #1959-91"- v
A. P. # 73-12-29
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
/ / We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Plannin p oval rom Butte County Planning -D partment,-7 County Center Drive,
oville,
C pleted Owner -Bu er
ecorded copy of eed s
Recorded copy of agricul
Shouldou have any qu
of this o
Verification form.
1 acknowledgement statement.
ns concerning the above, please contact
Yours very truly,
J.F. Glander
William Cheff
Director of Public hrorks
J.F. Glander
JFG/aj Chief Building Inspector
RECORDIIN1G RAEOUESTED BY
1 �
OROVILLE TITLE COMPANY
AMC W"CN ACCORDED MAIL TO
F __1
"•-• Mr. and Mrs. William John False
1039 Palisade Drive
Amann
L Martines, California 91,553
J
r -•n u• «•n.r-n ro
I
Same as above
• sr«.
Ory .
I'*" L
To ON CA 111.661
7
J
eUiTECCOUN7Y?CAL F
OROVILLE TffLE ICOMPANY
MAN 14 11 20 AM 1970
COUNTY RECORDER
FEE
8'7885
—SPACE ABOVE THIS LINE •Cin gECORDCR'e Use
—
TAX PAID: :: r::1 .. :,.. ;
1 Joint Tenancy Grant Deedl1
1. a. .T6?I P6 1'1 6PACC Ae«YL
TNIC /ORM PURNIC"CD BY TITLa INaURANCI AND TRUST COMPANY
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, itiria Garcia
hereby GRANT(S)to William John False and Bath Evelyn Files, hie wife
'the real properly in the AS JOINT TENANTS,
County of Butte State -of California, described as:
All that certain real property situate in the County of Butte, State of
California, described as follows:
The Northwest quarter of the Southeast quarter of the Northeast quarter
Of Section 18, Township 19 North, Range 6 East, M.D.B. 6 M.
TOGETHER WITH'a right of way for road and utility purposes over a strip
of land 60 feet in width, the center line of which is described as
follows:
Commencing at the Northwest corner of the Southeast quarter of the
Northeast quarter of said Section 18; thence North 360 36' 47" West
a distance of 129.32 feet; thence South 350 12' 25" West 142.8.2 feet;
thence South 660 36' 2511 West 107.55 feet; South 230 571 45" West
148.41 feet; thence South 22027' East 122.82 feet; thence South
58. 47' 0511 East 243.24 feet to the point of beginning for said
centerline; thence South 220 14' 5511 East 131.61 feet; thence South
030 55' 30" West 183.47 feet; thence South 130 11' 10" East a dis-
tance of 256.66 feet; thence South 290 02' 10" East a distance of
330.66 feet to a point on the South line of the Northeast quarter of
said Section 18, said point being 186.43 feet Fast of the Southwest
corner of the Southeast quarter of the Northeast quarter of said
Section 18; thence South 490 17' 30" West a distance of 189.52 feet
to a point in the centerline of the Forbestown Road and the end of
the herein described center line.
Bood60F PACE209
.aigo'3.'�1
J .�°4• i • ..4;�,a.: y � Imo• �t ` � : ise •v�s.'%ii: 1u.. .i,�ia r 1 • y�l�.
nnl ml :.._ ►!n>roh_ 13.,_ 19.70_..
STATE OF CALIFORNIA `A
I:OI1NTV ()V----D.UTTE—. ..
o.._Muroh_24,._1970__ Iwr.rn Inn, ran and r•
.lynrd, • N"UfY Pi1,11. In and lur .dd Sub, lwr..mally aagwan•d
I�ria_Gs.T91dI
--
lim—n h, no,
n. I. dw lwr..m__wh"v nemn_le_.uh•nrllwd m rhe wllhin
In.hwrwnr and .rAn"w4dpr•d 1h.1._Ohe—nerutrd Ifni ..mn.
WITNKSS "or hand .nd dllirld
Slpnol 4,-
Leo Ra Partin
N 1T I I'I I
Wr—fi &~roia
Oro r;lAl NAL
:T�: n",., 1.ca R.linrlin
?1
Y � Iulil fPVt11Y
:'•yti WCO-11,SAAl1.Mls.Plf• V, Ivr
.uw yl- ., r .I,. 1 IM. . I., nfn,].l ."roil ...Il
Illlr. Ilydcr No. E.r•nrw nr Iemn No.—
MAIL TAX STATEMENTS-" aWCTIIZ ABOVE unincorporated
C
BUTTE COUNTY
Recorded at the request of
.................................................................... OFFICIAL RECORDS l l
t� BUTTE COU9TY•CALIF
Ret rn to 4V fG( 7. ri.•^.On^�OEryCD DY
................. IN ] 8 56
.ra: rf! ._";:....•, LOJISC Y,LUChDCR
Call IfY liCCOROER
..............................�i.:. ..................
12024'7 REE
Escrow No ....... ......................
Grant ee falole:x>mfnW6� w P.
For valve received WILLIAM JOHN FALES and RUTH E. WYLIE, who acquired
title as RUTH EVELYN FALES,
GRANT. ...to RUTH E. WYLIE, as her sole and separate property,
XXX2=XJ VA XfQXXoIl that real property situate in the
County of Butte , State of California, described as follows:
The North half of the Northwest quarter of the Southeast quarter of the
Northeast quarter of Section 18, Township 19 North, Range 6 East, M.D.
B. & M.
TOGETHER WITH a right of way for road and utility purposes over the North
255 feet of the West 60 feet of the South half of the Northwest quarter of the
Southeast quarter of the Northeast quarter of said Section 18.
ALSO TOGETHER with a right of way for road and utility purposes over a strip
of land 60 feet in width, the center line of which is described as follows:
Commencing at the Northwest corner of the Southeasncquarter of the Northeas
quarter of said Sectic.i 18; thence North 360 38' 47" West a distance of
129.32 feet; thence South 350 12' 25" West 142.82 fear; thence South 660
36' 25" West 107,55 feet; South 230 57' 45" West 14&•41 feet; thence South
220 27' East 122.82 feet; thence South 580 47' 05" East 243.24 feet to the
point of beginning for said centerline; thence South 220 14' 55" East 131.61
feet; thence South 030 55' 30" West 183.47 feet; thence South 130 11' 10"
East a distance of 256,66 feet; thence South 290 02' 10" East a distance
of 330,66 feet to a point on the South line of the Northeast quarter of said
Section 18, said point being 186.43 feet East of the Southwest corner of the
Southeast quarter of the Northeast quarter of said Section 18; thence South
490 17' 30" West a distance of 189.52 feet to a point in the centerline of the
Forbestown Read and the end of the herein described centerline.
Dat d ...... i�d.:.. ......... 19..7L..
{7j .. f!
LLJAM JOIE who g�quire d fltle as
................................ .....RUTH EVELYN FALES, 2
STALE OF CALIFORNIA Bu� 't
On ..f�. ................................................ 19..%/.... baton ms �fJrC.ft.l ...... ....V/G1:C...J.1......, o Notary Publl., v
0
. In and for sold County and State, personalty appeared ..... Lam ............L<01/71!...... r..../�i��.../..C..............................................
........................................................................................................................... ...................... ...
known to m• to be the per oral �+•�•a6bk+ wledn In",. 6 o w1. d to me t ..����..•...... neaufed the lama.
f_ CIAFI.iL-.l. Yl. :.fLVEN5
t r... a ,4.....
My commis.lon •eplrss ..... ^'1 r.:: • ..... ......... .. �l.L.•n.... ...... �� ....................
fR tD"..A •r..I:TCiiY'i';":'1::"'I"i:f:'II:IIA""'
Notary Publle
N o r t hyw �sri-rn—T
SW'lpany of Butte County
BUTTE COUNTY -
J. ,
�
4
l
sn
11
•
rd
4
BUTTE COUNTY -
J. ,
4
11
F
• t
11
i
�.
�.
STATE QIr CALIFORNIA,
.... ....................... Cnmiry„/...... Contra ...Costs ............................... •
On fhG.....2 th,
T . .......................day oJ........... May ............... :......................................
'
rn the yen.
nor tlr•nr.nmd nine hundrrAnnd...R.O.Y..AF1.tiY..7.0.D.q...............................................................before
rue.
w
.
..............................__................. ...............................................
r rrrhlrr.
,
'� - .\'loft a/Cnlifarnin, doh•nnnuritriennl and rtnrrn, nnmolfpn/•�nrmf............................................
\ r
.\•„nr.y
N JOFII1 FALE3
s
.............__..................... _........................................
............................................ ................. _...................... _...
..................
.1
.......... .... ,_..... ..................................
' a knun+r In fire to fee the kernm........mhare mune........................rfihrrrihrrf fo the milhin
..................
in.rlrron,•nf,
`'o'i
and orknoe•Initird fa mr ehn6.......he....:...executed the"
inure.
�
r
e
X IN WITNESS WHEREOF I h,ne hemmh, m mr hand and oBlrnf
ern• oBriaf,
in (he .................................... rinnrl n..........Contra ...Coe..La..................................lheday
and
r
r ,: •.. ”
:,.
yrurin Ihfr reef' nor Ar.rf n6r t illrn.
.:
-
♦
............. ....rt!.f._./r /..�i:.ii'fL^nr•.l
..... ....e.......... .. .......................................................................................
:Ynh,ry I'xhlir, Shrtr of California. Aly .....................................
..
.
rCaan�nuni.rrinn �Ii.rrk�iar�n�.....�L�2.1��%.1
(5,wdrr,'•Yorm No,34-IAAnowlr,lanvrn QSr•1Vrlwq+'�� rnrnrao
rr/aa/aa ar.oa,a
-
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code -
requires this acknowledgement be recorded
prior to issuance of a building permit.
All that real .property: situate in the County of Butte, State of California, described as
Ic
follows:
-rhe N o,,.7h 1rJ a l� o� T� �e No>^ w Pgfi c�►�feY o fih e So`t 2 9 Sv-' C� u41^-3 e�
o �. rt-� P � Y o h-�h eq � � Ha v�-S- e1-- �-� S �c-%�� l � ►�► h
{� a� ) f � E a t K D OA,
Date: 6-17—-V
PROPERTY OWNERS:
State of) On this the � day of SG/f 19 before me, the
SS. undersigned Notary Public, personally appeared
County of &7�le)
RICHARD FEUERSTEIN
� NOTARY PUBLIC -CALIFORNIA ® Personally known to me.JR Proved to me on the basis
' Butte County s, of satisfactory evidence.
My Commission Expires Feb. 16,1993 w to be the person (s) whose name(s) s
subscribed'• to the within instrument and acknowledged that �o
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
M101ary Public
91-024510 I Rec Fee 5.00
The property described herein is adjacent
1 Check 5.00
to land or included within an .area zoned
Recorded
for agricultural purposes, and residents
Official Records 1
of this property may be subject to incon-
County of
veniences or discomfort arising from the
Butte
use of agricultural chemicals, including,
Candace J. Grubbs
but not limited to herbicides, pesticides,
Recorder 1
and . fertilizers; and from the pursuit
10: 42am 18 -Jun -91 I XX 1
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 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
Ic
follows:
-rhe N o,,.7h 1rJ a l� o� T� �e No>^ w Pgfi c�►�feY o fih e So`t 2 9 Sv-' C� u41^-3 e�
o �. rt-� P � Y o h-�h eq � � Ha v�-S- e1-- �-� S �c-%�� l � ►�► h
{� a� ) f � E a t K D OA,
Date: 6-17—-V
PROPERTY OWNERS:
State of) On this the � day of SG/f 19 before me, the
SS. undersigned Notary Public, personally appeared
County of &7�le)
RICHARD FEUERSTEIN
� NOTARY PUBLIC -CALIFORNIA ® Personally known to me.JR Proved to me on the basis
' Butte County s, of satisfactory evidence.
My Commission Expires Feb. 16,1993 w to be the person (s) whose name(s) s
subscribed'• to the within instrument and acknowledged that �o
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
Present A.P. No.
M101ary Public
AP #
014NER 1 4-4 6
PERMIT
MH UTIL.CLEARANCE DATE
�ZE
INSPECTOR
ELECTRIC
GAS
Support
Struc.
Compaction
Test -Req.
Service
Size-
Other
Load
Type
Pipe
Size
Length
YESI NO
YES NO
3 6,v+
tA�
Lp�
r -W
/I
v Pr