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079-240-003
t I • I 11` I • c i� x I M 2742=9OB9P9E ` CARR, Don" - A [ 'CONTR: PaulDaugherty 6020-LOI%re-s=wy-ando e Rd, Orovill (` (MHU-travel trailer) U`=a8'�� ' D 93-1156 MHI DAUGHERTY,-PAUL 6020 LOWER WYANDOTTE, OROVILLE MWEXISTING SITE - 3 �I1 _ _- �_� o �� RESIDENTIAL .. �------ --- T._._-_-�?'----' 93-1156 T'�II E 036-28-0-052 tDAUGHERTY, PAUL x.6020 LOWER WYANDOTTE, OROVILLE j' IHI/EXISTING SITE JOB FINALED (Date) Signature V=OK O = Not OK' -=NotReady MOBILE HOMES '='Not Ready Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 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.; Columna -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 #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-PaneIboards- Ins. to Main In Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL (Single & Duplex) = Not Ready 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-Blockouts-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.; Fell -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/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-Naii 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 #'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/Meth. 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. Wells 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 Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -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/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. 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 -Mach. 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-Drainagge & 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: :,_. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-280-052 i ZONING C-1 BUILDING PERMIT OWNER Paul Daugherty TELEPHONE 533-.2840 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1784 Palermo Rd., Palermo 95968 CONTRACTOR'S NAME Owner •TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 155,00 Permit Fee $ :?o.nn n Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ it 6020 Lower Wyandotte Rd.. Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I IN I @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities ❑ Installation®. Other Describe work: 1911 2 Bedroom Existing Sitg Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty ofperjury III!llJJJ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License NoA t 4.' 1 -- Classification F1I, 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 Main service 200ATO1000A) 37.50 NEW CONST. ( DWELLING OCCUP.a\ 3.64sq.ft.OR ADDNS. ACC.BLDGS. NEW CONSTR ULTI-OUTLET NO N•RES.. BRANCH CIRC ITS @ 5.00 /POWER APPARATUS e) (SINGLE OUTLET CIR. Ex. OCCUP 20 76 OUTLETS OR FIXTURES EX. OCCup. OUTLETS ((RESID.)REA.7 3.00 Temporary service 15.00 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. eI 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 15.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against,said Co my in consequence of the granting of this permit. X '/ ..-�- Date ���13 r — - Agent❑ Signratureof Applicant permit is Owner ,C /' ontractor❑ s over 5'0" deep and demolition or construct - An OSHA bj required for excavati. n ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ 70.00 occ CONST TYPE TOTAL EE $ 105.00 0FE IMP Flo c PAR�E� P H iss 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. J DIRECTOR OF PUBLIC WORKS By ,:t.- S PERMIT'EXPIRES Date 141080 Receipt No. _WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS . PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-280-052 ZONING C-1 BUILDING PERMIT OWNER Paul Daugherty TELEPHON 533-28 4b SO. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1784 Palermo Rd., Palermo 95968 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee Plan Checking Fee $20.00 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 0 6020 Lower Wyandotte Rd., Oroville PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation [X Other ❑ Describe work:_ MHT 2 Bedroom Existing ng Site Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declar 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) ❑ 1, 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 200A TO i000A, 37.50 NEW CONST. DWELLING OCCUP.&) OR ACDNS. ACC. BLDGS. II 3.64 sq.ft. NE w NST U TI.OUT LET N O N.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS d (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 76 Ex. OCCup. OUTLETS P(RESID.)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): E] the permit is for $100.00 (valuation) or less. �/I have placed on file with the County of Butte Building Department Ua 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 15.00 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 County Ordinances and State Laws relatingto building construction, and hereby authorize representatives of the Countyot 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 againes, d Co ty in copse nce of the granting of this permit. X t— Date :66 Signature of Applicant — Owner ontractor ❑ Agent ❑ An OSHA permit is required for excavati ns over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee !$70 Energy Inspection Fee .00Butte OCC CONST TYPE TOTAL EE05.09- oFE IMP F O C _._ PAR P 155 j This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees IRECTOR OF PUBLIC u�— BAMKPIRES P Date applicable provi- resolutions to do have been paid. WORKS � Date��/L Receipt No. 141030 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ::1 ....,.--�_wn� r.,..-rti�,���✓'•..u�i:.r+,{`taun't..r..-(�-•'.-�,:.I+rI+T``'•a�f'"'�''�f')'-ih''.'T`-"���^s��,fY�.�"`�, a.-tr"fYr-•-+•�-'...-..--�w<�.1�.,,•-.,. ,. ZOU'NTYOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER I -All L Oa/"rX A. P. No. U 3� `�2 6-D - d SZ Proposed Building Use 41t4 1-Y- -7--- 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. 2. All items have been submitted . ........................................ Plot 4 by plans�"3, sets, signed 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 . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets . ............��' 10. Fees $ ................. ..� ........... 11. tf ed schedule. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. 14. Flood elevation letter (100 year flood by California Engineer . .................. Sanitation and plot plan approval OAy.%iL Health Department . ............ 9� 15. City of Chico plumbing permit . ................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. / I- 17. Planning approval for (A) Use: (B) Parking: . ........ F� 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . r 19/Driveway permit (construction approval required prior to occupancy). . . t 20!1re-inspection for to Building Ins roque i required. .. to Bu�ia��y inspector (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 . ........................................ 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 . ......................................... . 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 . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. Wheni you issue the permit, process as follows: Mail to owner. Mail to contractor. --1� Telephone 5213-7,841D and hold for pickup at Ile - office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air PollutioDate / Copy of plans sent Health Dept. Fire Dept. Other ate I By The following data must be submitted r' r to 1. Index permit for above items No. 2. Additional items required: nce: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by' phone _ mail Counter b§A"'j Date Contractor, designer, owner, was advised of above required data by _ phone -mail Cou4r by _ Date Plans checked by Date Plans approved by & % Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works It TO: Building Department FROM: Environmental Health r F. 11. I Itis? C'IK .1' 1'101 Plan Auathed _ • Hour I'litn AtLiched Q sell to II,U. SUBJECT: Sanitation Clearance FAU L A44�1['Y LOQ 0 �y Owner I /location (f)r" Plan Approved for: Sewa`,e Disposal !/ Watcr Supply: I'ublic — .3�'a8 sa A P/f Private Well Hold final for: Final clearance O.K. for: a Environmental Health Specialist 8/92 - P - Date �s. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER /4"/ 9 A.P. N0 . PROPOSED BUILDING USE �`�=� DATE REC. # DATE REC 1. - School District Fees (paid at District Office) .............. .......... _ �o Sheriff Fees (paid at Building Department) //ff Residential X =$ /v Z� unit amt. Commercial(per sq -ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit.) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER /4"/ 9 A.P. N0 . PROPOSED BUILDING USE �`�=� DATE REC. # DATE REC 1. - School District Fees (paid at District Office) .............. .......... _ �o Sheriff Fees (paid at Building Department) //ff Residential X =$ /v Z� unit amt. Commercial(per sq -ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department Residential (per unit.) X =$ # units amt. Commerical(per sq.ft.) X =$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE RE 75- 1 a LO a A -C �1 Location of structures & equipment shall be as shown & clear of all eases *nts: e� covw� BUILDING 0�PAR7M�N� U ; 4epROVED 21 A,PP? ED Butte Co jn j-ylealt 2 'anvironmen 9 x� � I I I " ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF _S FT. FROM THE SIDE AND FT. FROM THE REAR PROPERTY LINES AND FTs FROM THE ROAD CENTERLINE SHALL BE OLE.AA OF STRUCTURES AND EQUIPMENT EXC$=r'^ FOR A E FT. EAVE OVERHANG. This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. NOTE -,All Materials & Workmanship Shall Be in Accordance with Recognized Good Prcctices and o,i a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. /75 J SOU°NTY DEPARTMENT OF PUBLIC WORKS count .Center Drive Oroville CA 11 PHONE: 538-7541. MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: 14 /Y%f-/"W O ce- At ( 3. Is the site currently under permit? Yes M No 17 (If yes, furnish permit number ) OR Is the site an existing site? Yes No 1 (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No 711 (If no, clarify 5. What is the mobilehome electrical rating?---------------- �� 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: e. Ai(Load) o—o (Amps) 9. What is the mobilehome site gas pipe size? -------------- 10. What is the type of gas service? ------------------- Natural F� LPG C� 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- Z 0 (ft.) * 12. What is the mobilehome gas demand? ---------------------- *(This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) (BTU) MOBILEROME SUPPORT DATA If other than single wide, Mobilehome Mfr.&E,6 hn av furnish Setup Model No. Year Width�(ft.) Box Length__,��(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.E 2. Other (specify) SUPPORTS (check one),f'\ 11. Concrete block. a 2. Other (specify) (�--� Pier Footing Sizes and Locations --- 4 ji-- - -.. - - - - - - - - MULTI -WIDE .�--Line 1 Line 2 \— Main Beams —.— — � Main Beams — — — — — — — Line _.—_---�---- .._Line Tag or Triple Line 1 Line 1 Piers: Line 1 Openings: Size -Min. ------------ Size -Min. --------------- Spacing -Max. --------- Each Side of Openings From Ends -Max. ------- '_ " With Width Over --------- Line 2 Piers: Size -Min. Spacing -Max-=------- ,_ n i From Enda-Max - Line 3 Roof Loads: Size -Min .------------ Location (From Front) Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing-Max.--------------- From Ends -Max.------------- �_ ` Line 4 Piers: > f Size -Min ------------- Spacing -Max. --------- From Ends -Max .------- e 5 Piers: (Under Bearing Walls Only Size -Min ------------------- 'k Spacing -Max.--------------- From Ends -Max -------------- Line 5 Roof Loads: Size -Min. ------------ „x „x ,k „ ,k 1.1 k „x „ „x "I ,yx Location (From Front) �`�,w'.i'i�'�-r++'�.. .. ,.:;.K".... -r.,4 r.,-m�,.t•,.,n'��T"'�'�ia� �+.m � . r-s-r-«.-yY'�`-T�M'�'w.a,.-.+hrv►--.• , :t�•�rn ^..-v.• DO -7 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District Building Department No. A.P. Number 031P -240 - 0•5� Property Owner 1,441 Jurisdiction 0 City 5;? County Property Location/Address 0:2 y/ LoWGkf 61<11 4ADo rt< Subdivison ; Lot No. ..sir Residential Development 0 �"' 2 Sq. Footage O No. of Living MHI Addition (Group R) Units Commercial/Industrial Building DepgAment Rep 0 New 0 Sq. Footage Addition (Including Exterior Roofed Areas) f3 Date b` (Floor Plans reviewed by School District Personnel) District Identification No. 9 y 7 RO V 1 �-tt LiNy U ter 6,14 School District certifies that ' � }U �- �/}!.L G N ,E �✓ (Applicant) -662 0 (Stre6i.Address) (Phone Number) )r• Q 1) V l��.l`- .e ,- (State) (Zip Code) has Complied with the requirements of Resolution No. by payment of $ representing""g' square feet. School'District Representative '' Paid by Check Number -' Bank Number Paid by Cash Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. - White (applicant), Yellow (building department), Pink (school district) feeform.wkf (4/92) � 2� PIC�✓�rnc�,�-t�c�- c�,o 75� a � a c1 y L G ?. Q x nf\ v Location of structures & equipment shall be as shown & clear of all easements. sum CouO BUILDING Al2?ROVED � t LCJ• � AppRpV rD C;utte CO �nj-yjealt Environmen � AL, BTRUCfURE5 AND EQUIPMENT INCLUDING OVERHAN3S- SHALL BE CLEAR OF ALL EASEMENITS. A SET BACK OF �S _ r . FRDA0 THE SIDE AN FT, FROM THE: i =A;R PROPERTY LINES AND FT.. FROM THi= ROAD CENTERLINE SHALL B EAR OF STRUCTURES AND EQUIPMENT EXC=. FOR A Q FT. EAVE This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on same with- out written permission from the Department of Public Works, Countv of Butte. NCTZ_- All Materials & Workmanship Shall Be in Accordance with Recognized Good Prcctices and a CIUaNT'i prescribeC f � � 9 Specified use in the uniform building, Plumbing &Mechanical Codes and the National Electrical Code. /75- / M RESIDENTIAL '36-28-52 2742-90B,P,E CARR, Don CONTR: Paul Daugherty :6020 Lower Wyandotte Rd, Oroville (MHU-travel trader.) //A� OFFICE COPY Address Ly GAS— Meter By Date ELECTRICS v o Meter By Dat�� JOB FINALED e) Signature 071, V=OK O=Not OK Not = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch ewer; Location -Test -Fall -C/O Concrete meter; Location -Test -Easement Needed (Sketch) -Electricity; Location-Clearences-Grnd- Amp -Concrete •6r Ges-tvcv ion -Test -Wrap: / /' L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date - Card B-1 Date Card B-1 Datew-&&MCard B-1 4tzDate Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Date 1. Zoning Requirements -Setbacks Easements Date 2. Footings; Size -Spacing -Marriage Line Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK O=Not OK Not Applicable ' = Not Ready RESIDENTIAL (Single ' .& Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Plenums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15.' Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection-Landi6gs 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 11 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes 0 No; Walks ❑ Yes ❑ No; Planters ❑ Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic - 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B -i 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. All ASSESSOR PARCEL NUMBER • 36-28-52 ZONING Cl BUILDING PERMIT OWNER Don Carr TELEPHONE SQ. FT. OCC. BUILDING VALUA ION OWNER'S MAILING ADDRESS 5705 Zimmerman Ct. Fair Oaks 95628 CONTRACTOR'S NAM E Paul Daugherty TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation $ Filing Fee $ XM LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee Ener Plan CheckingFee Energy $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Lower Wyandotte Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville 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❑ Mobilehomea Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home G Xf 0.00e 20.00 TYPE OF WORKyy� New ❑ Addition ❑ Remodel E]Utilitie)M Installation❑ Other ❑ Describe work: travel trailer Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LE LESS10.00 10.00 Main service EA. ADD'L 100 AMP 2.50 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) 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.E! New CONSTAR. , 2�z2sgft MULTI-OUTLET NON.RESID BRANCH CR IC ITS 2.50 ea /POWER APPARATUS e \SINGLE OUTLET CIR, EX. OCcU o Occup(OUTLETS OR FIXTURES zoeaot BALI 30 FIXED APLNS.❑ Ex. Occup. OUT ETSP(RESID.)REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 15.00 Misc. Iyirin 9 15.00 Permit Fee $ 37.50 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 g Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 a)d County( i'nco�nsequence of the granting of this permit. X �� '�t^'1i� �© 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 $ Energy Inspection Fee $ occ CONST TYPE ALS FEE TOTAL $ . 5 HAz cuA PARK EE PAR PD Is$ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO F UBLIC By PERJWT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 70568 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner ,location 30"'-zs's z: AP �� Driveway permit ! Q� E has been issued for the above property. s ature date TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner u cati AP# Plan Approved for: Hold final for: Final clearance O.K. for: Sewage Disposal. Clearance for bedroom mobil. Other NOTE * * * Water Supply Water Supply Water Supply - Date Sanitarian 6'ert,.fi,:i":4y44,r?/'!r t COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �---- Permit No. Ca OWNER OO>7 t�'r _ A P, o. Proposed Building Use 14W T Building Inspector Date <D At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have b ubmitted. 0 Plot plans in Q lica riplicate, signed by preparer of plans ........ 8. 26 • 9Q (lu) 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. S,cpQol DistriFt fees paid .............. 14. Sanitation approval from (-�►�� I f 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: ...... Improvements may be required. Contact Land Development Section DPW t, Driveway permit (construction approval required prior to occupancy) B 30 -90 � 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 .................. S -23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ::: : Recorded copy of Agricultural Acknowledgment Statement .. i?- Z0-90 Bwj 25. Letter of signature authorization ................................... 26. 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 Applicant 06.16 / .Date Copy of Haz-Mat form sent Health Dept. Fire Dept. air Pollution Date Copy of plans sent _Health Dept. _Fire Dept. Other Date By The following data must be submitted prior t perit iss ce: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: y WW Contractor, designer, owner, w s advised of above required data by_phone_—nall—counter by ..date Contractor, designer, owner, Whs advised of ab )IT)PPIs data by—phone—mall cou ter by date Plans checked by Date approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW " y L— C) C") -f I,-- , o Phis set of plans and specification; Must ba kept on the job at all times and it is unlawful % maks any changes or alterations on same vi W out written permission from the Deparhyw* o; Public -Works, County of Butte. yE..,.._AD Materials Ai WarliwmAipp'ibadl Yi Ii nind Goad lraQ!'�e�i aw milling, quality prescribed for thaun in the bing I w Codas tib 00 iog� Co& xSetmMuof5fl,"Mt rty imes auk. a so"* d ��cent9d�ines�ri���� dwures or eeuoment exc"', bra 2 n• ,e'°`Y°ft rq' A' see Au GAS&- IG > �v BUTTE COUNTY BUILDING DEPARTMEN1. 11 APPROVED puJ 102010 A L— C) C") -f I,-- , o Phis set of plans and specification; Must ba kept on the job at all times and it is unlawful % maks any changes or alterations on same vi W out written permission from the Deparhyw* o; Public -Works, County of Butte. yE..,.._AD Materials Ai WarliwmAipp'ibadl Yi Ii nind Goad lraQ!'�e�i aw milling, quality prescribed for thaun in the bing I w Codas tib 00 iog� Co& xSetmMuof5fl,"Mt rty imes auk. a so"* d ��cent9d�ines�ri���� dwures or eeuoment exc"', bra 2 n• ,e'°`Y°ft rq' A' see Au GAS&- IG > �v BUTTE COUNTY BUILDING DEPARTMEN1. 11 APPROVED puJ 102010 A Return Jo._DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT at_=7m, 8FOR-RESIDENTIAL DEVELOPMENT Section'' 26-8.1 of the ^ Butte County . Code . requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent 90-035648 Rec. Fee .7.00 7>.'00 to land or included within an area zoned - I Cash for agricultural purposes, and residents Recorded; .. of this property may be subject to incon- Official Records 1 veniences or discomfort arising from the County of use of agricultural chemicals, including, 'Butte but not limited to herbicides, pesticides, Candace J. Grubbs 1. and fertilizers; and from the pursuit Recorder X 2 of agricultural operations including, 2:36pm 20 -Aug -90 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 disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: w PROPERTY OWNERS: State of California) On this the 20th day of August , 19 90 , before me, ) SS. the undersigned Notary Public, personally appeared County of Butte ) DomL. Carr-==---------------------------------------------------- R:mFFICIAL SEAL E] personally known to me. Q Proved to me on the basis TRIM HAM of satisfactory evidence. ARYPUBUQ•CALIFORNIA iS ---------------------------- BU?7ECOUNiY to be the persons) whose names)m. Expires lune 20.1994 subscribed to the within instrbment and acknowledged that he executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No:UF�� A0-35648 County of Butte State of California, descri',x•.i as foliu..'s: :i J J C. U V .0 U 4) Z) Cl Part of the East half o4 ft rtheast quarter of Section 33, Township 19 North, Range 4 East, M.D.B. & M., described as follows: BEGINNING at -the Northeast corner of Section 33, Township 19 North, Range 4 East, M.D.B. 8 M., according to"the""Map of Subdivisions 1 b 2 of the P.C. Drescher Tract and portions of Section 39 Township Iad North, Range 4 East, and Section 27, 33 and 34, Township 19 North, Range 4 East, M.D.B. & M." recorded in the office of the Recorder of Butte Cpunty, California, June 1, 1944; thence South 80° 09' West 1327 feet; thence South 00 02' East 399.1 feet to an iron pin in the center line of the Wyandotte -Palermo county Road for point of commencement of herein described parcel of land; thence on the produced line of said road, South 00 02' East 369.55 feet; theq at right angles North 89" 58' East 555 feet; thence North 00 02' West parallel to said Palermo Road 338.3 feet to an iron pin in the center line ot.said road; thence North 680 04' West -405.8 feet; thence on a curve to the left with a radius of 130 feet a distance of 254.05 feet to the point of commencement of the herein described' parcel of land. EXCEPTING THEREFROM all that portion thereof, lying within the bound of that certain parcel of land described in the deed to the County of nutte, dated October Z8, 1929, and recorded November 22, 1929, in Book 217 of Deeds, at page 377 Butte County Records. ALSO tXCPETING THEREFROM all that portion lying Westerly of thEl Following described line: COMMENCING at the Southeast corner of the above described parcel of land; thence South 890 58' West 170 feet to the point of beginning for the line herein described; thence North 00 02' West to a point in,tliQ center line of the Wyandotte Palermo Raod and the end of said line.�,��� f/ END OF DOCUMEN'f COM -0e