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073-160-043
_ — - 494-08.12P E(MH) 073—.160-043 ''`r CROWE', ROBERT & MIRA; 90 MALLORY -L .� :'OROVILLE t 4 MOBILEHOME. UTILITIES; ELEG �p GAS= Lp C� COMPACTION TEST RE 6. SUPPORT STRUCT REO , s � r "4-239714HI i 073-160.-043 j CRO-�qE , .ROBERT & MIRA 90 MALLORY•,LN., OROVILLE t� CONTR:- WADE WILSON _ (INSTALWMR) r! i .. .161c . — �Ff-- - 1�-- .� ;RESIDENTIAL 159F , 073-160-043 94-0812P, E6H). CROWE, ROBERT & MIRA 90 MALLORY. LN., OROVILLE + MOBILEHOME UTILITIES 7 y r t V=OK 0 = Not OK -=NotApplicReadyebig MOBILE HOMES =Not Ready Date/Initials MOSILE'AOME UTILITIES (Plans) OK except #'s i—Soils pecial MIi.Support Sketch wer on -Teat -Fell -C/0 Concrete cation -Test -Easement Needed (Sketch) l$ tricity; Location-Clearences-GrndloAmp-Concrete "as; Location -Teat -Wrap: //"L ft /°Flet'. or/ P'L'.ft./ /"LPG ell Clearance & Disconnect learance s Date/Initials MOBILE HOME INSTALLATION Plana OK except #'a Zoning Requirements -Setbacks Easements ootings; Size -Spacing -Marriage Line Gas; MH Test-Demand-Valve—Connector ectricity; MH Teat -Crossovers -Breakers -Clearances ein; MH Test -Fall -Flex Connector Ya er; MH Test -Regulator -Connector /ryvater and Sewer Connected -C/0 to Grade -HD Approval as and Electricity Tagged Its' Insp.-Sketch . Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'a 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) e Date/Initials UNDERFLOOR (Plans) OK except #'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. Plenums & Ducts; Clearance -Materiel -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16, Insulation Date/Initials PLUMBING (Permit) OK except #'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/initials ELECTRICAL (Permit) OK except #'a 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/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / 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 -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Cepa-Anchors-Connectors 46. Cing. Joist-Rftr. ties-Purlln-roof Brec-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 Wells; Nailing -Bolts 59. Insulation -W al Is -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. 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.Fikt. & 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 -Meth. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 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. Energy Compliance Certificate -Other Certificates Comments at Final: tFsS'^-'�f•.nYr,°s.`(K','f"i;a' s`/xi •� „tk.'•h� �:A':.MS b"4 r.y S..y, :n"'... A.i1M.k'�jk•.:".S: ,tjtf�.t}� MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ^� OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-75.41a�y.-. PERMIT N0.` Address or location of`moibilehome /�/ A -L[ L�e`/�' �' k; Owner's name Owner's address ) /= 7% 14 0r/4> Insignia or hud number Manufacturer's name/L-0 Serial number of V.,I.N.. 21 i M Year of manufacture { (Of ficidi'Approvi g Installation) (Date), - IF.THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION j 3 ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE .$ '-"MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 4 3 A 1 y� 5138White - Owner, Yellow = Installer,-Pink-'D:P.W. .7 E 1 Flik COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION —.. 7 County Center Drive - Oroville, Califprnia 046965 - Telephone (916) 538-7541 PERMLT No. APPLICATION AND PERMIT _ ASSESSOR PARCEL NUMBER 073-160-043 ZONING U BUILDING PERMIT OWNER - .x. ROBERT & MIRA CROWS 408 TELEPHONE 426-6693 SQ. FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS .�� 712 king st santa Cruz ca 95060 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE No. ' Plan Checking Fee $ 211-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 90 MALLORY LN PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL M P — 'Sg Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome,X Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 TYPE OF WORK New ❑ Addition El Remodel ❑ Utilities CXXlnstallation ❑ Other El Describe Work: 3 BDRM PERMIT FEE $ _ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 t NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO- - r 3.50 FT. NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 � CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification `iAJ, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ( & SINGLE OUTLET CIR.) t� Ex. Occup. ( OUTLET OR FIXTURES ) BA20 P 1.0000 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 1 20.00 120.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Cl This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 1A. I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 63,00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 t gr nt g of this permit. X J Date q-2`6 ,N 7 Signature of Applicant - ❑ lywner ❑ Contractor Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures ove 3 stories hbight.44/ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 166 HAZ- I D. FEES IMP FLOOD CDF PARCEL I PD 1.HD I ALE, This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMIT EXPIRES ON IDe el provisions to do work paid. (� D e / �� t % Receipt No. 156 5 51770111.17&c WHITE-D.D.S.-B.D. CAN Y -ASSESS PINK -INSPECTOR OLDENROD-APPLICANT f ' r H.H. USB ONLY •- s Plot Pha Attadwd Floor PI= Athched Seat to B.D. / TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner LocatidA APAP Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for �-_J bedroom mobile home. Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/92 tr _..,�-y^••.+IfNs/isi...;y\:.�»ti4+nrNS''�"'%'+f`rn=�r'.fi.4t(�y.j�.'Y�1:•: Xi°'t•`'.+.. ,.,, CNONTYOF.BUTTEDEPARTMENTOFDEV LQ�pMENTSERVICES - BUILDING DIVISION fr 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOCtNIA`95�965 -TELEPHONE (916) 538-7541' V PERMITAPPLICATION DATA SHEET OWNER O r !� / A. P. No. Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to, permit processing and/or issuance: -- DATE RECEIVED BY 1. All items have been submitted. .........:.I ........................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ........................'. . I 3. Complete plans, 3/4 sets, signed'by preparer of plans . ...................... 4. Engineered plans and talcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......... ......................... " ..... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 1� 8. Engineered truss details and layout in duplicate (required prior to plan check). . g. Mobileho amanufacturer's installation instructions, 2 sets. ........... • 10. Fees of . .....•................................... . 11. Impact ee as n on attached schedule. ...... . 12. California ep rtment of Forestry plan approv"al/ eek. A 13. Flood elevation letter (100 year flood by Calyealth a Engineer: •................. . 1J 4. Sanitation and plot plan approval U V Department. 15. City of Chico plumbing permit . ......................................... . ^� 16. Plot,plan and ,business license approval from City of Biggs/Gridley. ......: ' 17.; Planning approval for (A) Use: (B) Parking: Contact Land Developrrient about (A) Impro'vements (B) Drainage. h9. Drveway Permit (construction approval required prior to occupancy) re-Inpectionrequesi 20. Pre -inspection for required. tPoBuilding Inspector ' 21. Contractor's license information. (No., Name Style, Classification). ......... 22.. Certificate of Workmans Compensation Insurance. ... ry t 23. Owner7,Builder Verification (Given to owner , Mail to.owner Recorded copy of Agricultural.Ackhowledgement Statement. ................. 25. Letter of signature authorization. b ..................... .................. ': t 26. Copy,of recorded deed of parcel creation and 60 right of way to a public road. .. 27. Letter of..intent on building use . ....................................... ! +, 28. Mobilehome utility clearance . ........................................ ; .. y 29. Documentation of.legal access . ......................... :................... 30.' Documentation of 50%subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area -and frontage requirements . ................ Yr 31. Existing violations/expired permits . ....................................... ; i Plan check list. '• .......................� When you issue the Telephone j Otherl Parcel Creatidd Acreage at 19,,19Q office. Deliver with inspector. r Copy of Haz-Mat form sent Health Dept. Fire D4Zpt: Air Pollution Date Copy of'plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted. ,rio , to 1. Index permit for above items No. 2. Additional items required: Contractor,, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owne , was advised of above required data by _phone _mail C nter by _Date Plans checked by Date ?/% Plans approved by Z �- Date Sets of plans on hold in File cabinet AP folder Coov - Decartment of Public Works B COUNTY OF BUTTE — DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541 OWNER/� O � C �^ ( A i ►�'C( I r 0 U.) A.P. # PROPOSED BUILDING USE /� / C/lc DATE 7 REC. # DATE REC I. SCHOOL DISTRICT FEES (paid at District Office) ......................... 2. SHERIFF FEES (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x _$ sq. ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ # units amt. r Commercial (per sq.ft) x =$ sq.ft. amt. .4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division)..... 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00101 (paid at Building Department) 7. OTHER 8. OTTER At time of permit application, I was advised the above fees are required to be.paid prior to issuance of the permit. APPLICANT DATE I/16Z I' , S v i /l & 5Pft COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSE P 5UMBER . / M y 04/,3 C"J� 1/v ZONING /�'j BUILDING PERMIT owN /t/fl r �Q cri a. !/C�! TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNSMAILING ADS �u CA JN ` CONTRACTOR'S NAME(` U v - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRU TION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ , Permit Fee $ ARCHITE T R ENGINEER © LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING DRESS r N PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF El Duplex O Mobilehome, Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home @20.00 bQ io TYPE OF WORK New ❑ Addition `❑ Remodel ❑ Utilities q Installation ❑ Other ❑ Describe Work: 3 / \ PERMIT FEE $ cyn Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) g0 , 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044)Misc. ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET •NON RESIO. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20@1 0 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 R . ) 5.00 Temporary Service 23.00 Mobile Home Facilities Wiring n23'0000 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $ 100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S �113- Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 agains said County in consequence of the granting of this permit. ^ X Date (lam' Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC c"". rvPE TOTAL FEE $ �G� �Q HAZ. 1 D. FEES I IMP I FL[OZ COF PARCEL I PD I HO I 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 PERMIT EXPIRES ON (Date) /' Receipt No. — / _ WHITE-O.D.S.-B.0. CANARY -ASSESSOR PINK I,GOLDENROD-APPLICANT -4E � 94-027939 94-027939 94-027939' 94-0279391' Rec Fee 12.00 1 Total 12.00 Recorded I Official Records i County of' I Butte . i Candace J. Grubbs I Recorder 1 11:32am 5 -Jul -94 I PUBL XX 3 a Ren,,xn to: Building Division I. , 1 .. 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. 94-027939 NOT' COMPARED WITI i ORIGINAL DOCUMmm The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences . or discomfort arising from the use of agricultural chemicals, J U L 0 5 'SID 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date:S� ! PROPERTY OWNFRS: TaAAA, t 11-% State of California ) County of ) On % before me, (..f C-4 104�16F kA/zy personally appeared 90 j9C--,,0,j r e eO-t-c1 B f- A%/,&4 C -O& cl e - e (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) ,Ware subscribed to the within instrument and acknowledged to me that heA@Wthey executed the same in M94wr/their authorized capacity(ies), and that by hi@.Am /their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. LCara AL SEAL uise Laird 0 - a ' NIC CALIFORNIA COUNTY Signature (. 6 ;� �/ i Seal• ,F ires Oct. 22, 1995 A.P. # O y 3 ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) 1987 EXHIBIT "A" ORDER NO. BU -110261-3 CC ALL THAT CERTAIN LAND SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCEL I• PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 8, 1983, IN BOOK 92 OF MAPS, AT PAGE(S) 59. A CERTIFICATE OF CORRECTION RECORDED DECEMBER 7, 1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 89-48589. PARCEL II: A 60 FOOT NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES PURPOSES OVER MALLORY LANE, AS SHOWN.ON THAT CERTAIN PARCEL MAP, RECORDED_IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 8, 1983, IN BOOK 92 OF MAPS, AT PAGE(S) 59. PARCEL III• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY 60 FEET IN WIDTH LOCATED IN THE SOUTHWEST QUARTER OF THE FOLLOWING DESCRIBED PARCEL: LOT 54, IN SECTIONS 3 AND 10, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., AS DESCRIBED IN THAT CERTAIN PATENT FROM THE UNITED STATES OF AMERICA TO BURLINGTON GOLD MINING COMPANY, DATED MARCH 23, 1897 AND RECORDED APRIL 27, 1897, IN BOOK ."E" OF PATENTS, PAGE 430, BUTTE COUNTY RECORDS, MORE PARTICULARLY DESCRIBED AS FOLLOWS: ALL THAT REAL PROPERTY SITUATE IN SECTION 10, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., BEING A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNDER A STRIP OF GROUND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: CONTINUED PAGE 5 O ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) 1987 PARCEL III• CONTINUED • I ORDER NO. BU -110261-3 CC BEGINNING AT A POINT ON THE SOUTH LINE OF PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 89 OF MAPS, AT PAGE(S) 58, FROM WHICH THE SOUTHWEST CORNER OF SAID PARCEL 4 BEARS NORTH 70 DEG, 58' 12" WEST, .41.59 FEET; THENCE SOUTHEASTERLY ALONG SAID SOUTH LINE SOUTH 70 DEG. 58' 12" EAST, 68.94 FEET; THENCE LEAVING SAID SOUTH LINE NORTH 10 DEG. 29' 03" WEST, 55.44 FEET; THENCE NORTH 07 DEG. 51' 56" EAST,,115.09 FEET; THENCE NORTH 19 DEG. 21' 47" EAST, 55.17 FEET TO A POINT ON A CURVE CONCAVE EASTERLY THE RADIUS OF WHICH BEARS NORTH 85 DEG. 47' 00" EAST, SAID CURVE BEING THE WESTERLY RIGHT OF WAY .OF FORBESTOWN ROAD; THENCE NORTHERLY ALONG SAID CURVE HAVING A RADIUS OF 515.00 FEET, A CENTRAL ANGLE OF 09 DEG. 57' 15"1 THE ARC LENGTH OF WHICH IS 89.47 FEET; THENCE SOUTH 52 DEG. 03' 32" WEST, 58.31 FEET TO THE WEST LINE OF SAID PARCEL 4; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 19 DEG. 21' 47" WEST, 96.84 FEET; THENCE LEAVING SAID WEST LINE SOUTH 07 DEG. 51' 56" WEST, 130.81 FEET; THENCE SOUTH 10 DEG. 29' 03" EAST, 31.18 FEET TO THE POINT OF BEGINNING. PAGE 6 El COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES, BUILDING DIVISION 7 County Center Drive, Oroville CA 95965 Phone: 916-538-7541 RE: ROBERT CROWE A.P. # 073-160-043 With reference to the above subject: Attached is: Application for permit Building Plans Engineered Calculations Owner -Builder Verification Fm DATE: 4/5/95 Mobilehome Utilities Installation Sheet Mobilehome Installation Information Sheet Typical Plan Sheet List of Codes Enforced We need the following information prior to permit processing and/or issuance: Permit application signed and completed where indicated with all copies returned. Plot plans, 3/4 sets, signed by preparer of'plans. Complete plans, 3/4 sets, signed by preparer of plans. Engineered plans and calcs, 3/4 sets, with wet signature on plans. Hazardous Material Form Energy Design Compliance and supporting documentation. Statement of Intent for Non -Heated and A/C Buildings. Engineered truss details and layout in duplicate. �,[_�Mobilehome data and manufacturer's installation instructions, 2 sets. ittX Fees of $ 89.00 payable to Butte County Treasurer. Impact fees paid. California Department of Forestry plan approval/fees. _LFlood elevation letter (100 year f� Q LLE California Engineer. ply xx Sanitation and plot plan approval U LE Health Department. City of Chico plumbing permit. . Plot plan and business license approval from City of Biggs/Gridley. Planning approval for Land Development (a) Improvements (b) Drainage. Driveway permit (approval of construction required prior to occupancy). Contractor's license information (No. Name Style, Class) or exemption statement. Certificate of Workmans Compensation Insurance. (Owner -Builder Verification Form. V XX Recorded copy of Agricultural Acknowledgement Statement. lLetter of signature authorization. Copy of recorded deed of parcel creation and 60' right of way to a public road. Letter of intent on building use. Mobilehome utility clearance. Documentation of legal access. Documentation of 50o subdivision developed or (a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements. Existing violations/expired permits resolved. Plan check list data and revisions. sets of plans in accordance with changes marked in red. Other: . DATED OF 4/28/47 ON APPLICATION IS WRONG. NEED RIGHT DATE ON APPLICATION. Should you have any questions concerning the above, please contact BART of.this office. MCV:ahb Y rs very tr ly, Mid ael C. ieira, C.B.O. Man ger, Building Inspection COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt -Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWAIM PERMIT NO. A routine exon indicatesthat the following violations of Butte County Ordinances: exist at the above addIress and should be corrected. Please notify this office when correction of work is co pmu& 9i 6u have any questions pertaining to this matter, or need additional explanation, phase contact this office immediately. Date '� L5 'lInspector REV 1 013 1.60-043. 94-2397MHI * CROWE,-iR0BERT:& MIRA 90'MALL'ORY LN.,- OROVILLE CONTR: WADE ,WILSON - (INSTALL/MH), /9 OFFICE OFFICE COPY i Address A GAS Date Meter By ELECTRIC Date Meter BY a t COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 �;2 .PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 073-16-0-043 ZONING U BUILDING PERMIT OWNER ` \, �-;�``;r; �Q4 e43n. ftp - LILSV:71,]I ♦MAILING TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S ADDRESS 712D���jijl(�1jMQ A/R!AL . Aid(+L�^_�C� ' 95060 50 r CONTRACTOR'S NAME Tv TELEPHONE CONTRACTOWS MAILING ADDRESS _ Fireplace CONSTRUCTION LENDER - UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 23.00 ARCHITECT OR ENGINEER r LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 190 TiW+t! Y .LN PERMIT FEE $ 43.00 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. I SUBDIVISION'S NAME t I PARCEL MAP Each gas water heater or vent 15.00 • r USE SOF STRUCTURE y 4 SF ❑ Duplex ❑ Mobilehome d Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK 1 I I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Tl Other ❑ Describe Work: ` FOR TIL. IBP0 94-0812 PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 ` r ' Main Service ( 600V OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. j OR ADDNS. ( a ACC. BLDS. / SO. 3.5C FT. NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ,0 I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. I Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 1.00 BOL..50 Ex. Occup.FIXEDAPPWS. OR (OUTLETS (REBID.) EA. ) 5.00 Temporary Service 28,00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (cF eck one): ❑ This permit is for $100.00 (valuation) or less. Cl I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. `Q I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. 1 Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor r I certifythat I have read this application and state thatthe above information is correct. I agree to comply to.all Butte CountyGOrdinances and California 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. also agree to save indemnifyand keep harmless the County of Butte against all liabilities, -ud ments, costs, and ex erases which ma p yin any way accrue against saidCounty in�onsequenpe of,tFie granting of this permit. Date WalurlkAp_plicant S - ❑ 10wner ❑ Contractor ❑ Agent An OSHA permittris.required for excavations over 5"0" deep and demolition or construction of st`ructures:6ver,3 stories•in height. Mobile Home Installation Fee $ 100.W Energy Inspection Fee $ DCC CONS2TYPKETTAL FEE $I 143.00 Az. F10 CDF PARCEL Po HD ISSUEg 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 1, Date �y/� /� PERMIT EXPIRES ON F � lDete Receipt 167655 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Calftnia 95965 - Telephone (916) 538-7541, / ERMIT NO. APPLICATION AND PERMIT--27`-�T�, ASSESSOR PARCEL NUMBER 073-16-0-043 ZONING U BUILDING PERMIT - OWNER ROBERT & MIRA CROWE TELEPHONE SQ- FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 712 KING ST SANTA CRUZ, 95060 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ' _ Filing Fee $ 20,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 90 MALLARY LN PERMIT FEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome ff Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W � 20.00 TYPE OF WORK New ElAddition ❑ Remodel ❑ Utilities ❑ Installation Other C) Describework: FOR UTIL. BP# 94-0812 PERMIT FEE $ Cont ractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 100101 LESS ) 23.00 200A OR LESS Main Service ( 200A TO t000A ) 46.00 NEW CONST. DWELLING OCCUP. O, OR ADDNS. ( & ACC. BLDS. ) 3.50 FgT, NEW CONST. MULTI.OUTLET •NON•RESID. ( BRANCH CIRCUITS ) @7.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed underp provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification A 1, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) C)I am exempt under Sec. Business and Professions Code forthis reason ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup- (FIXEDAPPLNS.OR OUTLETS (RESID.I EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Certificate of Consent to Self -insure. V,MBuilding Division a Certificate of Workmen's Compensation Insurance or a I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe above information is correct. I agree to comply to all Butte County Ordinances and California 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 liabili Iuclgnnentt costs, and expenses which may in any way accrue against said Cou in orAequetw of granting of this permit. X Date — n re pplica caner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. I D.7 I IMP F7COF PARCEL I PO ND 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 Q' PERMIT EXPIRES ON "Q� (Date) Receipt No. 167655 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 5 +. ^ i C�OUNTYOF BUTTE -DEPARTMENT OF'DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNI.95965 -'T'ELEPHONE (916)538-75'41 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Building Inspector 1'G�"� Date .2 3' At time of pe It application, I was advised the following, data must be submitted prior to permit processing and/or issuance: ' DATE RECEIVED BY 1. All items have been submitted. _ ..... . i' 2. Plot plans, 3/4 sets, signed -Dy preparer of plans. ........................ 3. Complete plans, 3/4 sets, signed by preparer of plans. • .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form: ...:.... ... .............................. . 6. Energy Design Compliance and supporting documentation . ................. . 7. Statement of -Intent for Non -Heated and A/C Buildings. ..... 4 ................ 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 set . 10. Fees, of $ . .......... :.. 11. Impact fees as shown on attached schedule. JEV ; .1' �(D /v L .. . 12. California Department of Forestry plan approva /fees. .......:•................ . 13. Flood elevation letter (100 year flood) by California Engineer.' ............... . 14. Sanitation and plot plan approval Health Department . ............ . 15. City of Chico plumbing permit. ........ . •16. Plot plan and business license approval from City of Biggs/Gridley. ' 17. " Planning approval for (A) Use: (B) Parking: 18., Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior, to occupancy). . . 20. Pre -inspection for required. .. ;e;,;s g 6Ar;dd�- (Date) �> 21. Contractor's license information. (No., Name Style, Classification) .............. . 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner ,Mail to owner _)*: ............ 24. Recorded copy of Agricultural Acknowledgement Statement. - 25. Letter of signature authorization . ........................................ 5: 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ...................................... 28. Mobilehome utility clearance . .......................................... t 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ..... . f:• 31. Existing violations/expired permits .............. ......................... .32. Plan check list. 33. . 34. �Whenyou issue the erm' , ocess .as follows: Mail to owner. Mail to contractor. .; ✓ Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation `�.,. Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date t Copy of plans sent Health Dept. Fire Dept. Other Date By 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 Counter by _ to Contractor, designer, owner, was advised of above required data by _ phone_ mail ounter b ate Plans checked by Date Plans approved by !' Date rS� Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works � • '.'+�4�i•+i,+a��'�Ai"�„r�r''�-'s, -M•„M 1r-nl`�r.or• 71,.j�}i�.r{�ii;.,,:, T., ,I�,:ti'I�tag,�'..,,t,�r �,,.A7�+b,�r'.�'r!G.r�•ra!-�; fi.+,�, Marysville Joint Unified School District l CERTIFICATION OF" COMPLIANCE SCHOOL DISTRICT DEVELOPMENT IMPACT FEES To be,completed by applicant and taken to: Marysville Joint Unified School District 1919 B Street, Marysville Part I Property Owner's Name: f ► 1 1 'r" G.._ Owner's Address: D o)( '7 Gi- 6e si t) h t? 55 LI i Project Address: _ `��I Ct %� t `% LPI Parcel No; U 7 —160-0T3 Lot No: City or County: i ' Building Dept UJW Permit No: �'i' 0 TYPE OF CONSTRUCTION: Residential Construction Single Family Dwelling Residential Reconstruction Multiple Family Dwelling Commercial Construction No. of Units Commercial Reconstruction Mobile Home Total Number of Habitable Square Feet: THIS CERTIFICATION COVERS ONLY THE AMOUNT OF SQUARE FOOTAGE INDICATED ABOVE. ANY ADDI- ' TIONS OR CORRECTIONS TO THE SQUARE FOOTAGE FOR THE PROJECT WILL REQUIRE AN AMENDMENT TO THE CERTIFICATION OF COMPLIANCE. FALSIFICATION OF SQUARE FOOTAGE AND/OR TYPE OF CON- STRUCTION IS CAUSE FOR REVOCATION OF CERTIFICATION OF COMPLIANCE Applicant's Name: t��C� 2 T ( n r L) Date: ,� t �( Applicant's Signature:i (ctOO _ di Part II TO BE COMPLETED BY BUILDING DEPARTMENT Total Number of Habitable Square Feet .i S �' City of Marysville County of Yuba ; :v Sig nature/_ ,/AW County of Butte ' Part III TO BE COMPLETED BY SCHOOL DISTRICT Certification of Compliance No. (Receipt No.): 4.6 '�'� -7 2 -- Fees Collected: No. of Square Feet x's $.27 for Commercial = $ No. of Square Feet /I 5 x's $+-Fra for Residential = $ J 17 F / Exempt from Fees: Reason: AS THE AUTHORIZED SCHOOL DISTRICT OFFICIAL. I REREBY CERTIFY THAT THE REQUIREMENTS OF GOVERNMENT CODE SECTION 65996 HAVE BEEN COMPLIED WITH BY THE ABOVE SIGNED APPLICANT. a 4 Signature Sandra Davini, Director of Business Services Date v CAIIV\ 1 white: - School District Yellow: • Applicant SD:CO Pink • Building Dept 792 1. Owner's Name: 2. Installer's Name: BUTTE COUNTY DEPARTMENT OF PUBLIC -WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET &,^f 0 row 3. Is the site currently under permit? Yes © . No (If yes, furnish permit number q� — 0 S-) ;�—) OR Is the site an existing site? . Yes 1-1 No 2 (If yes, furnish two plot plans.) Al 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 El (If no, clarify 5. What is the mobilehome electrical rating? --------------- /00 0 Amps 6. What is the mobilehome site service rating? ------------- - Amps 7. What is the mobilehome site circuit breaker rating? ----- Amps 8. Is there any other electric load to be served by the ® mobilehome site service? -------------------------------- Yes No (If yes, identify the load and size: (Load) Q (Amps) 3 - 9. What is the mobilehome site gas pipe size? -------------- / (in.) Natural LPG 10. What is the type of gas service? -----------=------- 11. What is the gas pipe length from meter or tank to the -� ---- 3 (ft.) mobilehome? -------------------------------------- � * 12. What is the mobilehome gas demand? ------=--------------- (BTU) *(This information not required if pipe length less than 6__ t. o natural gas or less than 50 ft. on LPG.) • 601 f6 CbUNTY JOWONG DEPARTMrNy NEXT PAGE MUST BE COMPLETED TO PROCESS PERMIT AP 0 . rf�L APPR®VE® MOBILEHOME SUPPORT DATA % If*other' than Mobilehome Mfr. & Id C -y1 IA) C'S furnish Setup single wide, Model No.l Year U Width L (ft.) Box Length `%K(ft. ) Tagalong or Expando Size ft, x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)1. Wood -pressure treated or foundation grade. El2. Other (specify) SUPPORTS (check one) 9 1. Concrete block.a 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Main Beams Line 2 Line 1 Piers: Size -Min. -- ---------- Spacing -Max. --------- From Ends -Max - ------- Line 2 Piers: Size -Min. =----------- T. 0' Spacing -Max.--------- 5,_ „ From Ends -Max. - ------ Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Main Beams Tag.or Triple .JT /,x.gn,'(A 6 Line 1 Openings: Size -Min. ----------------- "X a Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min.------------------ k n Spacing -Max ---------------- From --- ---From Ends -Max -------------- 7- 1111 -------------1n P1^ Size -Min .------------ Spacing-Max.--------- ,_ n From Ends -Max .------- Line S Roof Loads: Size -Min. ------------ Location (From Front) Size -Min. ------------------ ,,X „ Spacing -Max ---------------- From Ends -Max .------------- L� V K C 191 �..:.. n PAac�lL p 73- 16� o`i3 ld3 This set of plans and specifications MUST be a �4/0 . kept on the job at all times and it is unlawful to ��nrtake.any changes or alterations on same without e" ritten permission from the pepartment of Public oC' unty of Butte. I 'T� ALL STRUCTURES AND UIPMENT INCLUDING OVERHANGS SHALL BE CLEAR - L EASEMENTS. f O �, A SET BACK OF 3c) FT. FROM Ti�E SIDE AND �}. O FT. FFtQII �'F�E R 'AR i' OPERTY LIPS�SE ( �:, A •%- FT. FROM THE NTERLII�E S CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT Jra 9! FOR A 2 FT. EAVE OVERIiANG. r U_ BuE COtof FORES�FI p I CALIF• �� 5,,,mikted s S ,0,� Q apptov conditwn 1 � J gagvlrC�veL� viii 5 eel. S� peta�aC�e� 3�3 � p p� Signature t✓ -� ilTl,— LT-4 NK / P2o P r✓�i2 y ► I Materials�3-1iVorkman ship Shall Be in 00'GqL, Accordance with Reccgnized Good Practices and_. W r -I- ._r.�.a.4ualgYYprescribed -for the SpEciiiad use in the Uniform Building, Plumbing & Mechanical Codes and the-Natinnnt- The edtached Fire Safe '- requirements must be corn aS Soecifind and !2n.,..,., j CDFFIRE SAFE REQUIREMENTS AP # PERMIT # AME Under authority of PRC 4290, the following by the Butte County Fire Department and permit. These requirements are minimums Butte County local regulations which equal Field inspections will be made by the Butte for compliance. checked items are required are made a part of this and will be superseded by or exceed these standards. County Building Department �(] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provided for by the land owner. Driveway Standards 11/111 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other appurtenant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [7Q 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Rad'.us. [�q 1. No roadway shall have a horizontal inside radius of curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. ] 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. [�] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from center of the road. [�] 1273.06 Turnouts. S::a.' 1 h-- a minimum of 10 feet wide and 30 l/ feet long with a miri.mum 25 foot taper on each end. [/ 1270.10 Width. All driveways shall provide a minimum 10 foot I traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of 3 AP # PERMIT # NAME �] 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more, than 400 feet apart. [�] 1273.10 Turnaround. A turnaround shall be provided at all / building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates [�] 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] 2. The gates must be located at least 30 feet from the' roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. 1. All parcels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See - Other Requirements below. [�] 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site. approved by the local jurisdiction, of flammable, vegetation .and fuels caused by site development and construction, road and driveway construction and fuel modification_ shall be completed prior to completion of road construction :,r faal inspection of a building permit. Page 2 of 3 AP # PERMIT # NAME Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side.toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 10% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat' Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 3-3r-,q(� Date Signature Page 3 of 3 AP ;r` r OWNER G LA3 PERMIT "t M UTIL.CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test.Req. Service Size Other Load Type Pipe Size Length YES NO YES NO /Alf Md,-L—Itly LA I-V 6 I ezc.�j L P ez �IqEwAy e c -r 41 C T4NCH 0- T C- /VCP bit V R fifr4 36-1' DAR qPI PC 14 L 6 PE. r--- ------ EnvIronmenta! HealthI JUL - 5 1994 2 3 1— 9 brovole, owifomia APPROVED Butte County Environmental -Health 50 ® w Date -I'a ------ --- - Signature CDC=�DCO ,r f S-rL) rj G -W 19 LL Mo T�) L E o ';k 0 q I.' rwn 'e Signature "re ID ........ .. d COUNTY OF BUTTE --.Department of Public Works 7 County Center Drive, Oyrooville_; 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) 2. !.(have/have not) ' Signed an application for a bLiilding-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 RNitq'i Social Security N mber Date 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 � I° o permit. 14= _Return to: AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT4 _ 2 9 9 Build;ag Division FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this - acknowledgement be recorded prior to issuance of a building permit. 194-0279391" " Rec Fee 12.00 i I Check 12:'00# I The property described herein is adjacent to land or included Recorded 1. '2`� within an area zoned for agricultural purposes, and residents ! Of f i c i a 1 Records, I of this property may be subject to inconveniences or County of i discomfort arising from the use of agricultural chemicals, Butte I including, but not .limited to herbicides, pesticides, and ! Candace J. Grubbs I fertilizers; and from the pursuit of agricultural operations Recorder. I including, but not limited to cultivation, plowing, spraying, 11: 32am 5 -Jul -94 I PUBL XX,. 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 discomfort from normal, necessary farm operations. All that real property situate in the County of Butte,'State of California, described as follows: ,59-0 I-1TIA7G#6-D IState of California County of . 11 1 On before me, eAel,,4- kD 4JiZS,6- `✓%� / �'� personally appeared (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s)4/are subscribed to the within instrument and acknowledged to me that he/&e/they executed the same in hi@Awr/their authorized capacity(ies), and that by lir/their signature(s) on the instrument, the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. OFFICIAL SEAL C Le Laird Signature A.P. 1/ Q �3 ara VUls _ ® t NOTARY PUBLIC CALIFORNI 6 YUBA COUNTY Ste. My Comm. Expires Oct. 22.199 ri ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) 1987 EXHIBIT "A" 94-21939 Z ORDER NO. BU -110261-3 CC ALL THAT CERTAIN LAND SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS:. PARCEL I• PARCEL 3, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 8, 1983, IN BOOK 92 OF MAPS, AT PAGE(S) 59. A CERTIFICATE OF CORRECTION RECORDED DECEMBER 7, 1989, UNDER BUTTE COUNTY RECORDER'S SERIAL NO. 89-48589. PARCEL II: A 60 FOOT NON-EXCLUSIVE PUBLIC EASEMENT FOR INGRESS AND EGRESS AND PUBLIC UTILITIES PURPOSES OVER MALLORY LANE, AS SHOWN OW THAT CERTAIN PARCEL MAP, RECORDED IN THE -OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON APRIL 8, 1983, IN BOOK 92 OF MAPS, AT.PAGE(S) 59. PARCEL..III• A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITY 60 FEET IN WIDTH LOCATED IN THE SOUTHWEST QUARTER OF THE FOLLOWING DESCRIBED PARCEL: LOT 54, IN SECTIONS 3 AND 10, TOWNSHIP 19 NORTH, RANGE 6 EAST;, M.D.B. & M., AS DESCRIBED IN THAT CERTAIN PATENT FROM THE UNITED STATES OF AMERICA TO BURLINGTON GOLD -MINING COMPANY, DATED MARCH 23, 1897 AND RECORDED APRIL 27, 1897, IN BOOK "E" OF PATENTS', PAGE 430,, BUTTE COUNTY RECORDS, MORE PARTICULARLY DESCRIBED AS, FOLLOWS: ALL THAT REAL PROPERTY SITUATE IN SECTION 10, TOWNSHIP 19 NORTH, RANGE 6 EAST, M.D.B. & M., BEING A NON-EXCLUSIVE EASEMENT FOR ROAD AND PUBLIC UTILITIES PURPOSES ON, OVER AND UNDER A STRIP OF GROUND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: CONTINUED PAGE 5 . 94 .27939 ORDER NO. BU -110261-3 CC ALTA OWNERS POLICY (REGIONAL EXCEPTIONS) 1987 PARCEL III• CONTINUED 3 BEGINNING AT A POINT ON THE SOUTH LINE OF PARCEL 4, AS SHOWN ON THAT CERTAIN PARCEL MAP, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, IN BOOK 89 OF MAPS, AT .PAGE(S) 58, FROM WHICH THE SOUTHWEST CORNER OF SAID PARCEL 4 BEARS NORTH 70 DEG. 58' 12" WEST, 41.59 FEET; THENCE SOUTHEASTERLY ALONG SAID SOUTH LINE SOUTH 70 DEG. 58' 1201 EAST, . 68.94 FEET; THENCE LEAVING SAID SOUTH LINE NORTH 10 DEG. 291 03" WEST,.55.44 FEET; THENCE NORTH 07 DEG. 51' 56" EAST, 115.09 FEET; THENCE NORTH 19 DEG. 21' 47" EAST, 55.17 FEET TO A POINT ON A CURVE CONCAVE EASTERLY THE RADIUS OF WHICH BEARS NORTH 85 DEG.' ; 47' 0011 EAST, SAID CURVE BEING THE WESTERLY ,RIGHT OF WAY OF FORBESTOWN ROAD; THENCE NORTHERLY ALONG SAID CURVE HAVING A RADIUS OF 515.00 FEET, A CENTRAL ANGLE OF 09 DEG. 57' 1511, THE ARC LENGTH OF WHICH IS 89.47 FEET; THENCE SOUTH 52 DEG. 03' 32" WEST, 58.31 FEET TO THE WEST LINE OF SAID PARCEL 4; THENCE SOUTHERLY ALONG SAID WEST LINE SOUTH 19 DEG. 21' 47" WEST, 96.84' FEET; THENCE LEAVING SAID WEST LINE SOUTH 07 -DEG.' 51' 5611 WEST, 130.81 FEET; THENCE SOUTH 10 DEG. 29' 03" EAST, 31.18 FEET TO THE POINT OF BEGINNING. 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