HomeMy WebLinkAbout064-040-02264-04-22
MILTON J. OSTEEN
00 Bridgeport, lot 97,P]P#l2,JMagalii
ontr: Fuller Const., Magalia
Permit *f5 7'51&a,EJ(.,iu t i 1 . , MH
EC
3UPPORT STRUCTURE REQ. 4jo
COMPACTIONTEST REQ. VD
64704-22
77`.wT_PP'
CONTR: Kerit-w' �411'b`ij e Home ales, Chico
Permit #1121-76MHIO 7
Issued,
64-04-22
Permit #1441-76-P (gas pipiAg WW
64-04-22
Adams Maga
60 Bridgeport,,,, _I ia
contr: Sierra Mobile Home Supply,.Para.
Permit #6164-77B(new awning, deck &
carpqrt/MHT -r.- zz�V 1
064-040-022 BP040468
-SANCHEZ, Rayinond-&-Joan -
14618 Bridgeport Circle ,
Cont: Mo�vin Plourd
Ex MH on Penn Fnd'.
Y
NEW_ --
NEW
CEW
�'Jmz
NEW-
f3wr,
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COF31Y of Document Recorded
05 -Mar -2004 2004-0012529
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to
its contents to all persons thereafter dealing with the real property.
RAYMOND SANCHEZ AND JOAN SANCHEZ
REAL PROPERTY OVII-MR/LESSOR
145 86 ASHEVILLE DRIVE
MAHJNG ADDRESS
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
14618 BRQGEPORT CIRCLE
INSTALLATION MAILING ADDRESS, IF DIFFERENT
MAGALIA BUTTE CA 95954
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE BUTTE. CA 95965
CITY COUNTY STATE ZIP
040468 (530) 538-7541
Br7PERMIT NO. TELEPHONE NUMBER
A
aw2w 3- IV -04
SMATURE OF LOCAL XMCY-OFFICIAL DATE
NONE
DEALER NAME (ifnot a dealer sale� write "NONE")
SANE NONE., -
MAILING ADDRESS DEALER UCENSE NO.
SAME
CITY - COUNTY STATE ZIP
UNIT DESCRIPTION
FARWEST 1975 FARWEST
MANUFACTURER*S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER
S 111 6U/X 48'X24' 183501/2
SERIALNUMBER(S) LENGTH X WIDTH INSIGNLVLABEL NUMBER(S)
UAL PROPERTY LEGALDES inMON ASSESSORS PARCEL NUMBER AP # 064-040-022
SEE ATTACHED
t
'I U.- 04 14: 13 FAX BIDWELL TlTLE
SCHEDULEC
u. v I., - .. () t; '-�
ORDEIR NO.- 00212921-001 -MC
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS
ALL THAT CERTAIN REAL PIZOPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OFCALIFORINIA, DESCRIBED AS FOLLOWS;
PARCEL 1:
LOT R1, AS SHOWN ON THAT CERTAIN MAT ENTITLED, "PARADISE PINTR-S UNIT NO.
12", WHICH MA -P WAS RECORDED IN THE OFFICE OF THE RE CORDER OF THE
CO UNTY OF BUTTE, STATE OF CALIFORNIA, ON MAY 13,1971, INBooK 3S OF MAP95
AT PAGES 24,25,26 AND 27.
EXCEPTING TKEREFROM ALL MINERAL 8, OIL, GAS,.�,SP HALTUM AND OTHER
HYDROCARBON SUBSTANCES, WITH -PROVISION THAT ANY AND ALL MINING
OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF
THE LAND DESCRIBED JJEREIN� AND TRAT NO DAMAGE SHALL BE DONE TO THE
SURFACE OF SAID LAIND.
AP NO. 064-040-022
PARCEL II-
A NION-EXCLUSIVE EASEMENT OVER LOTS A AND B (THE COMMON AR.EAS) OF SAID
PARADISE PTNES UNIT NO, 12� WHICH MAP WAS RECORDED IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ONT MAY 13, 19711 IIN
BOOK �8 OF MAPS: AT PAGES 24,25,26 AND 27, AND THE LOTS DESIGNATED FOR
COMMON AND RECREATION AREAS AND DESCRIBED IN THE DECLARATION OF
ANNEXATION FOR UNITS IV, V1, VIII, X, XI, XII, XIII AND XIV -
E X C
comp,
PUum
BUILDING PERMIT NUMBER: 040468
Address'or locatio6 of unit: 14618 BRIDGEPORT CIRCLE, MAGALIA CA 95954
Legal Description of, Real Property; AP # 064-040-022
SEE ATTACHED
(x).,Mobilehome/Manufactureld Home.
..,J)'Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.,
..Owner's name: RAYMOND SANCHEZ AND JOAN SANCHEZ
Owner's address: 145,86 ASHEVILLE DRIVE, MAGALIA CA 95954-9638
INSIGNIA OR HURNUMBER: 183501/2.
:SERIAL NUMBER OR V.I.N.:, S 11 16U/X
MANUFACTURER'S NAME: FARWEST YEAR: 1975
OFFICIAL APPROVINGINSTALLATION:
DATE:
PHONE: (530) 538-7541
H.C.D. 513C
14,'Dj!'04 .14:21 FAX
BIDWELL TITLE
LOA Q tl L,
SUSINWSS, TRANSPORTAT11OK ANT) MDUSING AGFNQY ARNOLD 3CHVyA=NEGGER, Covemor
STATE Of �;ALIFORNLA
OF HOUSiNG AND COMMUNITY DEVELOPmENT
DEPARTMENT
nivisiom of Codca Gnd Slan0ards
Uj
L
Title Search
.1, 1) FV
DatePilntcd: 01/30V2004
D�cal LBE1687
Use Code -
SFD
. .
origilml Price Code-
,kDX
"v IanufaMtzrer: F AP\V';_tq_T
p—iting Year
19-16
FARWEST
i ax Type:
LPT
\-4.odel:'
Last ILT Amount:
MaT�tjf=uied Date: 00,i001:19-75
Date ILT Fee Paid:
Revistration Exp,.,
II_.T Exemption:
NIO NE
Tin't Sold.0n: 00i00/1976
Senal Nmimber HUD Label /Insignia Length Width
48' 12,
I 16C 48' 12'
S1116X 183 J 02
R(:.;�ord Conditions: PPF Exempt
Voluntary Cunv4r5ion to LK
ned 0wr
RAYMOND SANCHEZ 'Sun"
JOAN SANCHEZ (Joint Tenants WiTh Fd0t Of -vc'rsl"P)
145k, ASHVILLE
MAGALIA: CA 95954
Last Title Date' 09)0.',/2002
Last Reg Cardt 09103/2002
SalcITTInsfer Info: price 32o,o(,0.00 Tyandc-red on 08112i200'_
'Situs Addiess,
14618 SRIDG EPORT CTR
TviACTALLAL. CA 95954
Situs County: BUTTE
'(8423
D.NIV N.M 114, DMV IvIR'7115, DMiV SR4655, DECAL. A,, -
Tide Semrches:
BIDWELL TITILE
145 PEARSON RT)
PARADISE. CA 95969
Title FiIE No; 2112922 -,VC.
L,)NI) OF TITLE SEARCH
4
.02/10/04 14: 14 FAX BIDWELL TITLE
RECORDING REQUESTED BY:
FIda!lt,, National Title CompanY of
C9lIfQrnia
Escrow No. .303880-MLB
litla Oydar No. 0030059Q
When Ftecorded Mall Document
and Tax Statement To:
Mr, and Virg. Raymond Sanchez
14565 Asheville Dr,
Magalle, CA 95954
I
GRANT DEED
000311005
a00a—CD121kX+ I 4a I
RecordRd
I REC FEE 131 00
Official llycgrdw
I TAX 6G.00
0 Lin
. Blj4i
CANDACE J. DRUMS
I
Warder
I
RUSEM Y DICKSON
I
A55istant
I shaqna
09it4AM 12 -Aug -2002
I Page I of 2
The undersigned g(antor(s) declare(a)
Documentary tron,7fer tax Is 469,00
X I computed or. full value of property conveved, or
computed on full value loss value off lions or encvmbrancas remaining at time Of Sale,
UnIncorporat9d Area 'City of lunInoorporated arect
<1
on
FOR A VALUABLE CONSIDERATION, riecalptof which is hereby acknowledged, josrmNlarle Gilbert, Admirilstrator
of the Estate of Robert V, Morgan, deceased, undo( independent Administration of Estates Act, avtte County Case
#34791
hereby GRANT(S) to Raymond Sanchez and Joan Sanchez, hvsband and wife og Joint TenBntS
the following desorlbod foal property in the City of funincorporated area
'County of Butte, state of California;
sES EXH1131T ONE ATTACHED HERETO AND MADE A PART HER50F
DATED; August 7, 2002
STATE OF CALIFORNIA
rOUNTY OF w4esf 54,0
N before me,
61 personally appoafed
personally known to me for proved,to.. m. o on the basis
of satisfactory evidence) to be the Person',$) Whoss
naMe(s) Islare subscribed to the within iactrurngnt and
acknowledged to me that he/shafthey ex9outed the
eame In his/herithelt authorized capacbry(le.9), and that
:,)y his/herltheir signaturs(s) on the Instrument th$
person(s), or the entity upon behalf of which the
person(s) a�cted, �exsctho Instrument,
nd
witness m and and of cial
SIgnature
Joan Marie Gilbert, Administrator of the Estate of
Robert V Morgan r
v t
By,
.-,L- GUbart, AdmInIs;rattor
a GU art _AdmInIs;raWr
0"
MAIL TAX STATEMENTS AS DIRECTED ABOVE
awv OEED
ul-2 1 0 4 14: 13 FA -1 BIDWELL TITLE li -':' tj t;;,.
op,D8v, NO.: 002512921-001 -MC
SCHVIDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN RE AL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STALE
OF CALIFORNIA, DESCRIBED AS FOLLOWS,
PARCU 1:
LOT 9-73 ASSHOWN' ON THAT CPRTAJN MAY ENTITLED, "PARADISE PINITE-S UNIT NO.
12", WHICH MAY WAS RECORDED IN THE OFFICE OF THE RE CORDER OF THE
CO UNTY OF BUTTE, STATE OF CALIFORNLAi ON MAY 13,1971, IN BOOK 38 OF MAPS,
AT PAGES 24,25,26 AND 27.-.
OIL, GAS, ASrHALTUM AND OTHER
EXCEPTINiG THEREFROM ALL MINERALS, TY AND ALL MINING
HYDROCA.RBON'SUBSTANCES, WITH PROVISION THAT AN
OPERATIONS SHALL BE DONTE FROM ORIFICES OUTSIDE THE SURF�&CE AREA OF
THE LAND DESCRIBED HE REIN, AND THAT NO DAMAGE SHALL . BE DONE TO THE
SURFACE OF SAID LAIND.
AP NO. 064-040-022
P.kRCEL 11-
A NNON-EXCLUSIVE EASEMENT OVER LOTS A AND B (THE COMMON -AREAS) OF SAED
'Tl
PARADISE' PTNIES UNIT NO, 12, WHICH MAP WAS RECORDED IN -IEOFFICF-OFTHE
kECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, 0-1,T MAY 13,197 1, flN
BOOK 38 OF MA.PS, AT PAGES 24,25,26 AND 27, AND THE LOTS DESIGNATED FOR
COMMON AND RECMATION AREASAND DESCRIBED IN THE DLI CLARATION OF
ANNEXATION FOR UNITS IV, V1, VIII, X, XI, KU, XIII AND XIV'
EXEC
comp
PrlrL3 M
LEGAL DESCRIPTION
A.P. # 064-040-022
All that certain real property situated in the County of Butte, State of California, described as
follows:
. . . . . . . . . . .
NOTES RESIDENTIAL
064-040-022 BP040468
PERMIT NO. .-SANCHEZ;-Raymond &Joan
14618 Bridgeport Circle, Magalia
Cont: Marvin Plourd
E?� MH on P.enn Fnd
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE).
(2 STATEMENT OF FACTS (ONLY ON NEW
MH'S).
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
CHECKED
BY.
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
S -STANDARD HOUSING LETTER
UB
JOB FINALED (Date)
Signature
701
I . . 1�
4 OK
0 Not OK
NotApplicable
Not Ready
1 .
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except Vs
3.
1
. Zoning Requ irements-Setbacks- Easements
Elec.; Receptacles and Lighting, Distance-GFI
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/0 -Concrete
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
4. Water; Location -Test- Easement Needed (Sketch)
Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool Lghtg.
Boxes- Enclosures -Panel boards -I ns. to Main Conduit
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
P Nat. or L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card,8-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #s
1
. Zoning Requi rements-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 Se�ver Connected -C/0 to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERF4ANENT END SYSTEM (ONLY)
1, o
,ning Requirements -Setbacks -Easements
�.,e�22tings;
Size-spacing-Marria . ge Line
A,?�gking
__6o94a&-MH
Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
&.
Saas and Electricity Tagged
91,
l;Xits,
1
v Ycense Decals
1 1_1Verify
#'s with Offite
Date /0-
Date / V
4,1
Card B-1 Date Card B-1
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-SteeI
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg -Frg- Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmq.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nai I i ng -Veneer-Stucco- Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps- Doors- Landings
12. Braced Wall Panels
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; Comp6ction-Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-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 -Panel boards -I ns. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 . Date . Card B-1
, Date Card B-1 Date Card B-1
4 = OK
0 = Not OK
- = NotApplicable
. = Not Ready
RESIDENTIAL
Date
UNDERFLOOR (Plans) OK except #s
Date
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. Sternwalls, Main; Steel- Blockouts-Wrapped
6. Sternwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
Date
9. D.W.V.; Fall- Fitting -Test -2 Way C/0 -Sewer Test
Date
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Date
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance- Material -Support- Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15. Access & Ventilation
16. Insulation
(Single & Duplex)
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or Al -Oven Circ. / /ga Cu or Al
Insulated Neutral L1 Yes ONo
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Aftic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat pr000
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection- Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One X -Check Garage 3rd Story, 2 Exits
55. Stairs; Width- Headroom- Rise- Run -Land i ng -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
59. Glazing Area -Glass Protection-Skylig hts- Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor- Ducts- Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker -Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance- Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (FF.I.)-Romex Protection
80. 1 nsu lation- Foam- Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following InstId./Drive 0 Yes 0 No/Walks Q Yes 0 No/Planters Q Yes a No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical- Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
03 T
0
0 0
0 0
0 0
0
OUR
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR iiNISPEc-nON #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 '
PERMIT NO.
BP040468
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I he reby affirm under penalty of perjury that I am licensed under
Issued Date: 02126/2004 APN' 064-040-022-000
.
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
I
the Business and Professions Code, and my license is in full force and
effect.
License Class: License Number: 31-15 1-? _�,
Site Address: 14618 BRIDGEPORT CIR MAG
Date: -Z (2 62 ItA- Contractor: M AltJ;� 14'j P4490 6—' 1)
Map Index:
Description: EX MH ON PERM FND
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
SANCHEZ RAYMOND & JOAN
Business and Professions Code: Any city or county which requires a
Owner:
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
14586 ASHEVILLE DR
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
MAGALIA, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95954-9638
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is. not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: SANCHEZ RAYMOND & JOAN
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
LI 1, as owner of the properly, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor: MARVIN W PLOURD
pursuant to the Contractors' State License Law.).
DBA PREMIER BUILDERS
Ell I am Exempt under Article 3 of the Business and Professions Code
1584 WAGSTAFF
Date: — Owner:
PARADISE-, CA 95969
530-8.72-1096
WORKERS'COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to ielf-insure for
License #: 343173
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
0 1 have and will maintain workers' compen;ation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carder and p6licy number are:
Carrier: 5-r farw FL) K9 -P
-7
Policy #: 2-
Total Square Ft: 0 S. F.
13 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
that if I become to the
and agree should subject workers'
compensation provisions of Section 3700 of the Labor Code, I shall
61CI-d 39,5601
.forthwith comply with those provisions.
395 'A r7 /I
Date: 2, &
Applicant: P&U."
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorneys fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued under the applicable provisions of the B County/Code a d/or
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
U�e
Resoluti which fees have been pa!
7,
V2
Name:
By: Daot e*:
Address:
PERMIT EXPIRES ON:— aP 05'
(Dite)
0 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
• Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
• Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: �4 417- 0 1. tj F4,0 Utz> Signature:
Date: t,
Ell Owner W—Co-ntractor ZI Agent for Owner El Agent for Contractor
B. C. Building Permit 01 - 16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
. BUILDING PERMIT APPLICATION 0149
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)PI
OFFICE #: (530) 538-7541
PERMIT NO.
o�oq(,,?
DATE:
APN:
C40- 0 d-3, 0'
z ONING:
NEAREST CROSS STREET:
TRACT/LOT#-.
NTE ADDRESS:
'Ty
LCITY'ZIP:
OWNER NAME: kos-, A-�
PHONE:
STREET AD
Drq A'S
FAX
CITY, ZIP:
E -ML:
APPLICANT NAME:
PHONE.
STREET ADDRESS:
FAX:
CITY. ZIP:
E -MAIL -
CONTRACTOR NAME:
PHONE.
1-:12! 1
STREETADDRESS:
FAX:
-V7,-,� 10-?
CITY, ZIP:
E-MAIL:
LICENEE NUMBER:
:3
LICENSE TYPE:
ARCH ITECTIENGIN Er=R NAME:
PHONE:
STREET ADDRESS:
CITY, ZJP:
NUMBER:
E-MAIL:
DESCRIPTION OR SCOPE OF WORK:
El Structure Built without permits
0 Proposed Change of Occupancy (note previous use)
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and other department costs are not refundable.
For office use only:
Notes:
Application Received by: Date: -
Receipt number: Amount R ceived
070i &!W '91T
B. C. Building Permit 01-23-04 pg 2
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET
OWNER: �� 0 -a ASSESSOR' PARCEL NUMBER NI -4-0q-0
Proposed Building Use:Er\ fiW0-_1AetV;,, /,,/ Counter TechnicW� Date: 3 /0
Items required in order to apply for a permit. All boxes M.08T be Checked OR marked NA ii? orderto apply. f
0/ 1 . Site plans, 3 or 4 sets, signed by the preparer of the plans.
0 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
0 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
0 4. Engineered truss details and layouts in duplicate. No faxes!
0 5. Letter from Engineer or Architect for truss design review.
0 6. Energy compliance design and supporting documentation in duplicate.
0 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
21, 8. Manufactured homes: (A)Ilata-sheetuadinstallationjust,(B��E�a �ee i �o QZQQLEjaa_a4jje_dwn or frid plans, all in
duplicate.
0 9. Metal bldgs: (A) Metal Bldg Plans, (B) Frid plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these
must be stamped and wet -signed by the enclinee .
0 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate
0 11. Site plan and business license approval from the City of Biggs
0 12. Letter of intent for n6n-residential buildings
0 13. Detached Accessory Building Form filled out by the owner
0 14. Hazardous Material Form
0 15. Sanitation and site plan approval from the Environmental Health Department in 0 Chico 11 Oroville, as applicable.
0 16. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
0 17. Fire Sprinklers ............................................................................................
0 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by-..
0 19. Soils Report and/or Engineered Foundation required ........................................... . .......
0 20. Erosion Control Plan Required ........................................................................ ........ .
21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. .
22. City of Chico Plumbing permit ........................................................................
?00 23. California Department of Forestry plan approval 0 paid. Sent by: ............. 34;5i;E?
0 24. Planning approval (A) Use: -(B)Parking: _(C) Parcel Check: -
0 25. Contact Land Development about - Improvements, - Drainage .........................
0 26. NPIDES Form .............................................................................................
A0 27. Encroachment Permit for driveway from the Public W rks Dept ...........................
IX/ 28. Pre -Inspection for MU /A,,, 7 - required .......
LZ 29. Contractor's license -info'r' rniati�o'n. (141umber', Name Style, Classification) ...................
0 30. Worker's Compensation Carrier and Policy Number ......................................
0 *31. Owner -Builder Verification (_ Given to owner, -Mailed to owner) .....................
0 32. Letter of Signature authorization ................................. ! ...................................
0 33. Recorded copy of Agricultural Acknowledgment Statement .................................
0 34. Manufactured home utility clearance .............................. *'****"*'* .......
0 '35. Existing violations and/or expired permits ....................... ...........
0 36. Deed Restriction .......................................................................................
j?" 37. jP-Grant Deed,.g�M.H. Title/Statement of Facts, Q1eUerftom.Lzg_aLQwaer, Ea,6heck to H.C.D. $
0 38. Other:
0, 39. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
Applicant: 4�7211r aP'64,S Date: Z A,31P 4
' r
1. Index permit applkatio-n for the above items numb&A _'Al V Plan Check Le�tter
(TAdditional items requi.red
Con -tractor, designer, owner, was advised of the above data by S/ phone, 0 mail, 0 counter, by fftC,, Date: 0
Contractor, designer, o w d i
a vise J of the above daLa b phone, 0 mail, 0 counter, by Date -
Plans reviewed by: J Date: .. Plans a�proved by: Date': t - 0 4
Structural reviewed by: Date-.- Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
Fpaq cvq (tog
COUNTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541
SCHEDULE OF RECEIPT OF FEES
A aa,
OWNER sb6��� I I A.P. # C)64— oqo -00
PROPROSED BUILDING USE Q4&�"2 Va DATE 4,3/0 4-
0 t I.
RECEIPT # D TE
1. BUILDING PERMIT FEES
--- Balance Due ..................... .9
Additional Fees Due ........... $
--- Revised Plan Checking Fee.... $
2. SCHOOL DISTRICT FEES
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential ............ X $360.00 =$
Units
Commercial (sq. ftg.)..... X $0.03 = $
4. URBAN AREA FEES
Residential (per unit)'. . - - ..
Sq.Ftg
x
# Units Amt.
Commercial (Sq. Ftg.).... x
Sq. Ftg. Amt.
(paid at Building Division)
= It
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE'
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X—=$.
Zone # Units Amt.
Commercial (sq. ftg.) ......... x $
Sq. Ftg. Amt.
10. OTHER
At tirile of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking pi�g�s.
APPLICANT DATE ::2-//2
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yel.low-Applicant Pink -Owner (rev. 2/2003)
OWNER:
Ig
LOCATION:
CONTRACTOR:
REASON FOR PRE -INSPECTION
DATE TO INSPECTOR:
Building Description:
Commercial/Usage:
Residential # of Units:
if �,
A.P. # n�o - 0
ZONING:
PERMIT IIISTORY NONE V�SEE ATT
BUILDING INSPECTOR'S REPORT
Currently Occupied k�yes No
AbandonedNacant:
Electric:
Electric Currently �4 On )Off
Condition of Eielct�c 00d
Gas: Currently (,)ron )Off
Condition
Sanitation:
Plumbing Worldng 4Yes ( ) No
Obvious Sewage Problems Yes ( JNo
ACTION RECOMAMNDED: ISSUE
eri :
Hold for permits corg.
_� I //
y HIP119!2�_, V1 y
,Inspector:
Mobile home # of Units:
Ytes No
-cl-y—
be- 7f-X,,2,j
Date:
SKETCH BUILDINGS ON REVERSE AND INDICATE LOCATION ON PROPERTY'.
-j , !-4. - ,
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION 014�
24 HOUk INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)(jPj
OFFICE #: (530) 538-7541.
NEAREST CROSS S—TRE—Er:
OVA
OWNER NAME:
CONTRACTOR NAME:
ARC.HITF-CT/ENGINEP-R NAME:
DESCRIPTION OR SCOPE OF WORK:
Structure Built without permits
Proposed Change Of Occupancy (note previous use)
PERMIT NO.
lovoqW
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after the date of application. In order to renew
action on an application after expiration, a new application, 21ans and fees will be required.
REQUEST FOR RIE -FUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to
the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan
checked and otherdepartment costs are not refundable.
For office use only:
Notes:
Application Received by:
Receipt number:
Date: 9"Jo/o q. -
Amount R ceived:
B. C, Building Permit 01-23-04 pg 2
Building Permit Number: oq-OV(
oF
Owner Name: 30�che'-;�'
Residential Construction Requirements
EAPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte.
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for the specific use in the 2001 California Building Code
(2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California
Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.)
COMTLY WITH ITEMS CHECKED BELOW
Your . parcel lies within a designated 100 -year flood plain. Finish floor, electrical,
H.V.A.C. equipment and services shall be a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate
will also.be required.
Note: We will normally accept the following as compliance with the flood elevation
requirements:
1 . Building is anchored to concrete stemwall system with conventional anchor bolts.
2. Building plate on top of sternwall to be one foot or more above the 1 00 -year flood
elevation. (Plate height less than 24" above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for every square foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 2of 2
Building Permit Number:
Owner Name:
Parcel lies within the State Responsibility Area (SRA). Comply with attached
requirements.
Fire -sprinklers are required in this structure.
The following parcel map requirements shall 'be met:.
All structures and eaUipment including overhan s shall be clear of all easements.
A setback ofP 4'� ieet from the side ane Me from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect.
BUTTE COUNTY DEPARETMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: / `/I � 0, ' C -2,"21e
2. Installer s name:
� -, I e- .. -(� C� (C- - S:
3;. Is the site currently under Permit? Yes No
OR
(If yes, furnish permit number a7
Is the site an existing site? Yes No
..(If.yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes T No
(If no, clarify
5. What is the' mobilehome electrical rating? ----------------------- Amps
QA 6 What is the mobilehome site service rating? ---------------- Amps
3,? -z-=
7. What is the mobilehome site'circuit breaker ratinj.
Amps'
8. Is there any other electri,c-load-to be served by the mobilehome
70 A17 V e, (L. e,
site service? ------ ---------------- 7 ------------- ---------- Yes No L�L
(If yes,-ideutify the load and size: (Load) j (Amps'
(in.)
gas pip!� �ize?
11 . V
9. What is the mobilehome site
10. What is the type of gas service? ----------------------------- Natural LPG
11. What is the gas pipe length from meter or tank to the mobileh . ome? _(ft.)
12. What is th . e mobilehome gas demand? ------------------------------ (BTU)
-th less than 6 ft. on natural gas
(This information not required if pipe len.,
or less than 50 ft. on LPG.)
UTT C 0 U
BUTTE -CWM
RUILDING DEPARVAL
V BUILDING DEPARTMENT
A P P R 0
A P P R 0 V ED
MOBILEHOME SUPPORT DATA
Mobilehome
Mfr.
Setup Mod el No. /s Icyear
Width t.) Length -s%
z= ft.
(Draw support details
below)
v
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).
S;
oot gs--(check.on
A
/7/ -1. Wood'either
pressure treated o
enter
Center Support
fdn.* -grade.:
uppart
.ocatiorns'
Footing Sizes
0A.)
Lj 2- lConcrete pad.
Y
3. -'Other, -specify
k in.) k in.)
-7
.45
1
Supports (check on
4
W11.4 'Concrete* blo-c_k
2. Concrete piers
I. L 3* Steel piers
..
.........
....... .
....
.. ...................
4' Other, specify,
.....................
N11
f
Typical Support
Footing -Size -
in.) k in.)
TCEH-7)
..(in
1%
x
Max. Pier.
Spacing
(in.)
7f t.) (in.)
A
(in.) (in.)' A
I
Max
Ove�hang
o,4
rc: couNP
Bu L
DEPARTME.
?.-If center piers are other than drawn above,,
d�aw in locations spacing, and dimensions.
ROW DING
AV Y V F
4, R -TME -NT
BUILDING DETA
A r r r., �j kv CQ
PERMIT NO. 6 164 - 7,7B—
PERMIT EXPIRES
OWNER Adams
CONTR. Sierra Mobile Home Stitibly, Paradjsqp
LOCATION (A.P. 64-04-22
60 Bridgeport, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
T mp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signatu
COUNTY OF BUTTE — DEPARTIVIONT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUJLDING-7 BUILDING (Cont'd) PLUMBING
Setback Fl,e,all Soil Piping
Forms if Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Sternwall Siding Topout
Slab Roof Sheathing Water Piping
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Gara-qe Vents Water Htr.
Stemwa I I Insulation Heaters
Slab Prov. for p�jslcally Appliances
Carport handicap -.� Gas Piping & Test
Conformance of ex.
Footings structure nz Temp. Gas
Slab Final -'X2- - -7 q \0 Sanitation
Patio FlRePI-46V Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rouah
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Gird. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
M0016EW014E INSTA61-16TIS9214 ------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must b6 made on this form each time you vis1t the job site.)
COUNT�Y OF 13UTTE DEP)FITMENT OF PUBLIC WORKS
7 County Center Dri\4e — , Orovi I I b, Cali forni a 95965
. Telephone: 534-4541
APPLICATION AND PERMIT
authorize p resentatives of the County of Butte to enter upon the
above-. o d property for nspection purposes.
X -Date
at -r- of'Fle—rmitee or Agent 7
Ret ei 7pt No. , I I �� I I �
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golden rod-Appli cant
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 be;en_ aid.
P% DIRECT( P BLIC WORKS
V I/
�=�te 7,7
13��Hin/g permit expires Date //— ?,P
BUILDING If 'I " f
Owner
SQ. FT. OCC. BUILDING VALUATION
—]�7a
, 0- &6�Z
Mailing Address
-
TelephoneNo.
Fireplace
_
Contractor 5�11elie,49f A/ 4 0
Total valuation
Mailing Address Al eq 1r,14,51
Permit Fee
Plan Checking Fee&/orPenalty
Telephone No.
d7 7- 1.,— if
Permit Fee $
T7Ts7—(;,,
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
60 J2101 60 J,-,07, X
Each Trap 1.50
/A
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N o. /7/— 0
. IV
Zoning& Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F+4&4'fa';��)J�n
__
FireDept.1
FireZone
Use Permit
Building sewer 5.00
EQA I1pat�k_in`g-F-�arcel
Plans
I Declaration
Parcel Map
L
I 60' R/W
I Improvements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd I
Parcel Apprgvdt—_�J
P I an e_A#rY5—vo`I
Permit Fee $
NEW ADDITION UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1111 OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family El Duplex Mobil Home Others
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 10 0 AMP 1.00
3).eele &elmoly-
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS. 20sq ft
NEW CONSTR. (MULTI-OUTLFT
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTF;L (POWER APPARATUS.&)
NON _ RESID. SINGLE OUTLETCIR
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) rBOA@L @2510(%
FIXED A LNS. OR
Ex. Occup. (OUTLET ETRESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.,9?,R/,� Classification
Misc. Wiring 6.25
I am exempt f rom the Contractors L i cerise Laws of the State of Cal i fom i a.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
f-1 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
F� I certify that in the performance of the work for which this
permit is issued. I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
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
TOTAL PERMIT FEE
I$ J77C
authorize p resentatives of the County of Butte to enter upon the
above-. o d property for nspection purposes.
X -Date
at -r- of'Fle—rmitee or Agent 7
Ret ei 7pt No. , I I �� I I �
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golden rod-Appli cant
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 be;en_ aid.
P% DIRECT( P BLIC WORKS
V I/
�=�te 7,7
13��Hin/g permit expires Date //— ?,P
LL61 S 9 AO N
smom onam 40
oUnOdO,UNnoo
util MH
P 5966-75P,E
_ERM1 0.
P
E
M
Aj
MH UTIL.
(PERMIT NO.
PERMIT EXPIRES
IOWNER Milton J. Osteen
4
�CONTR. Fuller Construction; Magalia
64-04-22
OCATION (A.P
-0 Bridgeport, lot 97, PP#12, Magalia
Temp. Power Pole
V
Called PG&E
Temp. Elec. Serv.—�-//4 /7, 9qL
lledPG&E. !kZIMO�k
Te p. Gas Serv.
Called PGP.E
J JOB
��
FINALED
Stucco
COUNTY OF BUTTE — DEPARTMENT O� PUBLIC WORKS
BUILDING INSPECTION RECORD
Subpanels \1 V�
BUILDING BUILDING (Cont'd
-4
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg\
Restroorn F i s h
2nd Floor
Footings\
Windows
3rd Floor
Stemwa I I
Siding
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer az-11' C>/,/
Garage
Fdn. Vents
Fixtures N,
Footings
Garage Vents
Water Htr.
Stemwa I I
Slab
Prov. for physicall
handicapped
Heaters
Appliances
Carport
Footings
Conformance nf
structure
Gas Piping & Test/w
Temp. Gas
Slab
Final
Sanitation
Patio
FIREISLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rouc3h
Reint. Steel
Final
Fixtures
Bond Beam
FIRE �PRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final'
Subpanels \1 V�
Mesh
MECH NICAL
Grd. Fault Prot. , 0 42
Scratch
Heating
Service (Z. "rW
Brown
Cooling
Temp. Pole -
Finish
Ducts
Underground N11
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final �-V ;tl /7
DATE REMARKS OR CORRECTIONS
71
-MOBILEHOME INSTALLATION INSPECTION CHECK LIST
Is the mobilehone located wi th required sepdratioh from lot lines 'and buildings and generaily
-conform to -plot plan? Ye S No
2. Does the mobilehome have required clearances abov . e ground? (Sec.5085) Yesz No
3. Are footings and supports properly sized, spaced, and braced as per approved pfans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yesx No
,j I
4. Is the mobileh7ome level? (Sec. 5088) Yes- No
5. If mo -re than a single.unit, are crossover connections properl� installed? (Sec. 5088)
YesX No
6. Water
A. . Is f 1(�x . ible connector of adequate size a'nd prope' rly in'stalled (1/2" ID min.)?, (Sec. 5566)
Y No
B. Test - Does water 11 piping withstand working pressure or 50 lbs. air test? Y -e S)4 No'
C. Backf low If coach is—rnib-t- -California approved, does stat'lon have I backflo . w device
Lic
and pressure -relief valvo. Yes No
7. Wastes and Drains
A. Is connection made with Schedule 40'DWV and have flex connectors at each end? Ye No
S
kit
B. Doesift have minimum per foot slope and is it properly supported? Ye No
S�L
C. Are any leaks detected in drainage syst
em after running 3 -gallons of water through each
fixtur6,includin'g washing machine standpipe? Yes No,'v—
D.- if coach f not ate of California approved,. does station have rj�quiredetrap and veft?
Yes— No,
Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply, with a -n approved 3/4" minimum
mobilehome connector not 'more than 6 ft. -long? Note: All piping is to be at least as
large as the mok�lehome gas line ifilbt without reductions other than the mobilehome
connector� Ye I . . .
se�L� No -
B. Test OK as per following procedure? Ye No
S
1.� Open all appliance connector v,alves.>�
2 Shut off appliance burner and pilot V�'alves.
3. Air test with*manometer to 10"-14"' water column', or test w'i'th'slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are al'l appliance vents properly installed? Yes?(
No.
h'l' ��
i
Electrical
A. Is service large enough to provide' adequate amperage. to mobilehome (must equal rating of
mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps,
garage, 'cabana, etc.? Ye-d'v' No
B. Is there proper clearances around panels? Yes\,/ No
C. Is power supply cord or feeder assembly properly fused? Ye No
D. Is continuity test satisfactory as per the following procedure? YesX, No -
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected,
3. Switch all breakers and switches in the mobilehome -to the "onli position.
4. Connect one lead of a test.instrument to the mobilehome grounding conductor and
apply the other lead to each Tti.obilelilortie supply conductor, including neuLral.
5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder.assembly
conductors. shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisiactory completion of the electrical tests, the *lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everythin okay, sign -off card and tac, services.
9
MOBILEHONE DATA
Manufacturer and/orli�mestyle'
Length Width
Vehicle Serial No. L2 3 50 1
State Identification No. (P
Additional,Information or Comments:-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE,
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the rerrements
of the California Administrative Code, Title 25, Chapter 5, un e r permit
number 76 —for the following location.
Owner_0&_6&W
Owner's Address 60
Mobilehome Mfg. Model Year
Insignia No. eF_�_S_ 0 Serial No. SN
It is hereby certified/ for occupancy at the above described location and
may be occupied.
Director of Public Works
-Date — zv By
/ —
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
C
OUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
County Center Drive -,, Groville, California 95965 576
Telephone: 534-4541
APPLICATION AND PERMIT Aq
y
_�r�W; G i'�We�tion 1;�rp`o`s'e'� ... ......
above entioned
X CZZ��� Date Z/-
Signature/of Permitee or Agent
ReceiptNo.
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
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.
DIRECTOR OF PUBLIC WORKS
By Date Lz, --4- -72 1_�
dding permit expires Date 1 1, - 7_- - 76
BUILDINE
Owner
SQ. F T. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
-Total
Contractor
Valuation
Mailing Address
Permit Fee
PlanChecking Fee&/orPenalty
lelephone No.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping e-#,
Each gas water heater or vent 1.50
A. P. No.
Z �.. �8,n n
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
EaAjtoo
FireDept.1
Fir,eZone
/Use/PerTnit
Building sewer &--00. oe-,
EQA
Parkingl
Plans
'Parcel
I Declaration
Parcel Map*
,
60' RIW.
I
ImprovnEnts
I -
Lawn sprinkler system 2.00
Bldg. Peatr'slec'd
'
Parcel"A"pproval P
Plans kp"p'roval
Permit Fee $ Ag o
$
NEW ADDITION UTILITIES OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS - 5. 00
Main service EA. ADO'L 100 AMP 2.50 e -e.>
Single Family Duplex Q Mobi I Home Others
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
C6k:;) 5;QI=7- WlAtr rl-
NEW CONST. I DWELLING OCCUP. &)
OR ADDNS. % ACC.BLDGS ' 12(tsqft
NEW.CONSTR. (MULTI -OUTLET,
NON RESID. BRANCH CIRCU TS) 12.50ea.
NEW.CONSTSL (POWER APPARATUS.&)
NON RESID. SINGLE OUTLET CIR
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
I
Ex. Occup(OUTLETS OR FIXTURES) 50 @ 254�
BAL @ 104
FIXED APRLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 /5�,9 0
License No. 2 9f- 7 7$. Classification 14
Misc. Wiring 6.25
r
I am exempt from thecontractors License Lawsof theStateof California.
Permit Fee $
T -T6 �157_2_
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1772 1 have placed on file with the County of Butte a certificate of
L:�-'I, workmen's compensation Insurance.
certify that in the performance of the work for which this
F1 plermit is issued ' I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood `2.00
Permit Fee $
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
y
_�r�W; G i'�We�tion 1;�rp`o`s'e'� ... ......
above entioned
X CZZ��� Date Z/-
Signature/of Permitee or Agent
ReceiptNo.
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
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.
DIRECTOR OF PUBLIC WORKS
By Date Lz, --4- -72 1_�
dding permit expires Date 1 1, - 7_- - 76
NA
057TEE N
C), Zox 17,3
'LIMUDoz), CPA% 90113 5'q
IN ALVIN C�E-Mmii
I I wT
This set of plans andxt�p"jw�. MUST be
'kept on the io6 at all +;moris and it is unlawful to
�A
k- make any chnmqes or alt!��rvlinns on same without
f*written permission from the Department of Public
Works, County of Butte.
lk;v -7j
i'AII connections shall
within 4 ff. outside the
,third section of' the mobile b
i' on the left (road) side of the m,
� home. '
L
I
?F0?0,5E:1
r) C, E
bel A
ome
<
LU
<
NOTE:—All Materials & Workmanship Shall Be in
Arrnrelmnce with Recoqnized Good Prmcfices and
-if a qu,�lifv Prescribed for the Spec;fied use in the
'.Jniform Buildinq, Plumbing & Machanical Codes and
the National Electrical Code.
a
SIANDAVI�-
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVEa
A01" ILI
mation 401W
to be as per
31th Dept. Re-'
6�r
I
r4
shall be S ff. frotri
side property line and 50 ff. from
1-e-ferline of the road, Perm;f+;no
1-.71mum of a -2 ff - eave :,,,
A R f, 14 '1 7, '7 [1* I.P.",", 1. 0 TRz-0 1NL";;!`T-.11T7F-v
NAM C')S ele A
TRACT_2'___/7-.r.
DATE
APP;7,OVED DY
ADDRESS—
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
.-7 CountV Center Drive, Oroville,,CA.
PHONE: 534-4541
MOBILEHOME-INSTALLATION SHEET
eezo
2. Installer s name: .4��PbiZ C426n6l 1716 1�17e
3' Is the site currently under permit? Yes No
I f yes, -furnish permit number
Is'the site an existing site? Yes No 7
..(.If.yes, furnish two (2) plot plans.)
4. Will the'mobilehome be located at least 5 ft. away from septic tank and leach fields and'
clear'of all.setbacks and easements? Yes 7 177 No
.,.(If -no, clarify
5. What is themobilehome electrical rating? ----------------------- ZC
_Amps
6. What -is -the mobilehome site service rating? ------------------ Amps
.7. What is the mobilehome site circuit breaker rating? --------- 777M��` .�16 6 Amps'
8. Is there any other electric load -to be served by the mobilehome
UpT 70 ITIV
isite service? -------- I ------- 7� ------- -------- Yes No
(If.yes,,'identify the loa4-an'd size: (Load) (Amps)
9., What is the mobilehome site gas pip!� size? (in.)
10. What is the type of gas service? ----------------------------- Natural LPG
What is the gas pipe length from meter or tank to. the mobilehome. (f t.)
12. What is th e mobilehome gas demand? ------------------------------ -(B-TU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on tPG.)
BUTTE CM"
BUILDING DEPARTMENT
A P P R 0 V E -D
OR
..(.If.yes, furnish two (2) plot plans.)
4. Will the'mobilehome be located at least 5 ft. away from septic tank and leach fields and'
clear'of all.setbacks and easements? Yes 7 177 No
.,.(If -no, clarify
5. What is themobilehome electrical rating? ----------------------- ZC
_Amps
6. What -is -the mobilehome site service rating? ------------------ Amps
.7. What is the mobilehome site circuit breaker rating? --------- 777M��` .�16 6 Amps'
8. Is there any other electric load -to be served by the mobilehome
UpT 70 ITIV
isite service? -------- I ------- 7� ------- -------- Yes No
(If.yes,,'identify the loa4-an'd size: (Load) (Amps)
9., What is the mobilehome site gas pip!� size? (in.)
10. What is the type of gas service? ----------------------------- Natural LPG
What is the gas pipe length from meter or tank to. the mobilehome. (f t.)
12. What is th e mobilehome gas demand? ------------------------------ -(B-TU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on tPG.)
BUTTE CM"
BUILDING DEPARTMENT
A P P R 0 V E -D
MOB ILEHOME SUPPqRT DATA
Mobi-lehome-Mfr. Setup Model No. y
ear
Width ngth (ft
.(f t.) Le Rxp� z A.U.
(Draw support details below).
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).'
4-�' Single _4�1 ...... Zbotings--(6heck.6ne
F FA 1. Wood'either
d,
pressure treated or
Center Center Support 'fdn- '-grade.
Support Footing Sizes
2
-..;:boncrete pad.
Locations'-, 6� f.)
3.--:Other,specify
4441
(in. In. -
V)
S t (check one'
=or s
1. Concrete block
2. Concrete piers
d,�
if 6_73E�
3. Steel piers
.. ....................
4'. Other, specify.
Typical Support
Ft Z�x Footing -Size -
In. Clnj
..................
-)(in
.(in.
Max. Pier..
Spacing
ft.) k In.)
A
Max.
Overhang
Itzo in. )
*If center piers are other than drawn above,
draw in locations,,spacing, and dimensions.
BUTTE COUNTY
BUILDING DE I PARTIVIENT
APPROVED
COUNTY OF BUTTE DEPART . MENT "OF PUBLIC WORKS
7 County Center Drive Pr8�ilTlt, California 95965
Tel e0hone: 534-4541
IL
APPLICATION AND PERMIT
1.$ 1
BUILDING
I
Owner
Main service incl. I meter
SQ. F T. OCC. BUILDING VALUATION
Sub -panel 0 2 or less) (more than 12)
Mai I ing Address
Ranqe, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
T lephone No.
Light fixtures '201%25
bo 10
Fireplace
Contractor &6a—W 2,)
Total Valuation
Mai I ing Address -L7
Permit Fee
PlanChecking Fee&/orPenalty
Cia ff��1127
T I h N
Permit Fee $
1$
Building Addres !4,n -
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
6a
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N o. Z -Z
Zoning& Planning
Gas piping system 1 - 5 outlets 1.50
I
Each additional outlet .30
F -&;�TW&1_11
SaWAQ6"
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
I Declaration
I Parcel Map
1 60' R/W I Improvements
Lawn sprinkler system 2.00
P1411 -s Rec'd ParcellA—pprovol ___J_P1on40Kp`provol
NEW ADDITION UTILITIES OTHER
Single Family Duplex Mobi I Home Others
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Busin ss & Professions C de under the name
style o f
License No..2754�_ Classification C—O//
I am exempt from the Contractors License Laws of the State of California.
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires -every employer to be insured against liability
�for W men's Compensation.
have placed on file with the County of Butte a certificate of
71.��
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit Js issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
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 -men perty for inspection purposes.
X Date 3
Sig4ture of Permitee or Agent
Receipt No. //v'io -F-3
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Applicont
Permit Fee $
1.$ 1
- ELECTRICAL No.1 @ FEE
I
PERMIT FILING FEE $3.00
Main service incl. I meter
Additional meters, each 1.00
Sub -panel 0 2 or less) (more than 12)
Ranqe, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures '201%25
bo 10
Receps., switches & fix outlets 20025-
_b.1010
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
Misc. wirina
Permit Fee $ $
MECHANICAL: No. @ FEE
PERMIT FILING FEE' $3.00
Heating
Cooling
Ventilati'bn
Hood
Permit Fee $ q
TOTAL PERMIT FEE
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.
DIRECTOR OF UBLIC WORKS
Date3w-A.-17f.
0_�Zilding permit expires Date 7
19
Kf
oz
COUNTY OF BUTTE -DEPARTM ENT OF PUBLIC WORKS
7 County Center Drive — California 95965
Tel ephone� 5�4-4541
APPLICATION AND PERMIT
1-17,1-11-7(,,::;
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X D ate 7
' el SignottWof Permitee or Agent
Receipt No. /VS12 119 -
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant'
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.
DIaECTOR OF PUBLIC WORKS
By Date- IL
permit expire's Date -342e Z?t
0
BUILDING
owner
SO. F T. OCC. BUILDING VALUATION
Mai I I ng Address
11 -------Telepho.e No.
Fireplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee Vor Penalty
Telephone No.
Permit Fee $
Building Address
PLUM-BING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap . .1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 450—
Each additional outlet .30
F velf
W. e74�aaa
F i re D ep t.
Fire Zone
Use Permit
Building sewer 5.00
EQA
IParking
Plans
Parcelo
I Declarati n
Parcel Map
I
60' R/W
I
Improvements
I
Lawn sprinkler system 2.00
00
I 1
l3L49--R4en-9-Rec'd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW AQD�ITION UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
main service 600V OR LESS
100 AMP OR LESS 6.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Duplex El Mobi Home Others E]
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD -L 100 AMP 1.00
NEW CONST ( DWELLING OCCU P 2(tsq it
OR ADDNS. ACC.BLDGS.
NEW.CONSTR. (MULTI -OUTLET
NON-RESID. BRANCH CIRC UITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &)
NON-RESID. SINGLE OUTLETCIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of-
Ex. Occup(OUTLETS OR FIXTURES) rBOA@L @ 104
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of Cali fomia.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the C6unty of Butte a certificate of'
Workmen's Compensation Insurance.
-al"pI certify that in the performance of the work for which this
ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee- $
.. . ...................
I certify that I have read this application and state that the above I
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby I
TOTAL PERMIT �EE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X D ate 7
' el SignottWof Permitee or Agent
Receipt No. /VS12 119 -
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant'
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.
DIaECTOR OF PUBLIC WORKS
By Date- IL
permit expire's Date -342e Z?t
0
'Its-
zz
f
NIOU
c c: po
tai
l4s- ?6-.:
.-Iw
Ott
12
lo/
A"
m
NOTE
See the aftached
Ito
UAL
ut-matiaL9 -
K
Exp;uirements
gr
—Pages
ELECTRICAL. MECHANICAl AND PLUM,03ING /Y
CONSTRUCTION ( NOT PLAN CHECKED
SHALLCOMpLy
WITH CURRENT EDMON
OF NEC, Utvic AND UpC.
44 0 N:C�)
l4s, 9614;'. 4 Aa- 4 al. 0 MY7
LL- M
BUITEE COUNP
qUILDING DEPARTM5_,*.'
4 — 1_t"c
> I " -V co
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