HomeMy WebLinkAbout064-050-01010
64-05-10
George Hersman
75 Ashville Dr., lot 36,'PP#l2',.'Mdga.
contr: Fuller Const., Magalia
Permit 664 -77P,E(uti,�.,MH)
C1 I&I
ELEC.
GAS
S �0 T T WRE EQ.
UPPO T TRUQlJRE REQ.
Col mPACTIDN TEPT RE
!!V 0
coyl�* *ari fj-0:00c-0-L1W. . Magalia
P mit 4-78B(new private garage)
64-05-10
ontr: Bernies MH-gerf�'-Paradise
rmit #4 3 49 7 8MH4�OWA4Z-/�r
qsued
64705-10
contr: Mari-Johli-Const., Magalia
Permif #kj3j-78B(new decks/NH)
f 774r
064-'05-0-010 93-37429 B
,HERSMAN, GEORGE -
14555 -ASj49vIL-L-t, �A'
GAL A- jo/
CONTR: DONALD CARR,
REPAIR EXISTING-DkK/MH.'-
064-050-010. PERMIT#98-09�117
Howard' J
YATES, Marion
14555� ; 'As�evi*lle- Dr.,Magailia
Jessee.
Cont':' He' a t i n'go &
Gas',Pipi� 7 zd
9
P,
354-78B
PERMIT NO.,, --
PERMIT EXPIRES
W
OWNER George Hersman
CONTR. Mari -John Const., Magalia
LOCATION (A.P. 64-05-10
75 Ashville Dr., Magalia, lot 36, PP#12, Magaliz
q
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Se(V.
Called PG&E
JOB 3
FINALED_
(Date)
(Sign
BUILD
Setback
Forms
Main Elldg:,�,/
Footings
Stemwall
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry W lis
Reint. Steel
COUNTY OF BUTTE' — D6PARTMENT OF PUBLIC WORKS
BUILD ING-,INSPECTI ON'REC O -RD
INC
,,Z BUILDING (Contd)
PLUMBINd
X1 Firewall
Soil Piping
L Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
Topout
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Insulation
Water Htr.
Heaters
Prov. for p� sically
handicappe.1
Conformance of ex.
structure 4�
Appliances
Gas Piping Test
Temp. Gas
Final
Sanitation
FIREPOACE
Final
Footing
. ELECTRICAL
T
Motors
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service -
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent U
Door Closer
Final
I Final --3 71 92
MOBILEHOME UTILITIES
------------------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
M01316EUgME INSTA6LATION ---------- ---
Support
Elec. Continuity
Wat e r Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
2/7
(NOTE: An entry must be made on this form each time you visit the job site.)
„COUNTY OF BUTTE'
Ddpartment of Public Works
7 County Center Drive
.Oroville ----- 534-4541
ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES
Mobilehome Installation Permit No.
FILL IN INFORMATION FOR ITE24S 1 THRU 10
1. Width x Boxtength
Watts
x 3 =- .1/ 0 3 �,-
2: 2 Kitchen Appliance Circuits ................. 3,000
3.; iLaundry Circuit ............................ 1,500
4. Ovens ..................................
5. Cook Stove Top ...............................
61. Hot.Water Heater .............................
7. Dishwasher & Disposal ., .......................
81. Clothes Dryer ....................................
9. Other (specify, i.e., motors, exhaust fans,
etc.)
Sub -total - Watts ......
First 10,000 watts @ 100% ................................ 10,000
Remaining watts @-40% ....................... . =, 77
10. Air Conditioner watts @100%.. =
Largest Demand a 0-0
Central Heat System watts @ 65%.. =
TOTAL DEMAND WATTS REQUIRED .............
"Demand Watts Required” 230
.......... ............ AMPS
De -rate Mobilehome to ........... Boue coUNTY ......... Z 3 V Amps
3UILDING DEPARTMENT
APPR.OVED
J
C 'OUNTY OF BUTTE — DEPARTMLNT OF PUBLIC WORKS
County Center Drive - Orovi I I e, Calif orni a 95965
Telephone:, 534-4541
APPLICATION AND PERMIT
� U1 MW %�UUIILY UI DULIV to uriter upon ine
���_'Qen n"'p, "p"e'rty r i ection purposes.
n
b ve-m
Si g no,
X r)ate
Signature of Permitee or Agent
;Receipt No. /6 i� �c�—
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Bu I te County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF LIC WORKS
By— --Date Q — 2�f
BuiWing permit expires Date
BUILDING
Owner AJ
SQ. F T. OCC. BUILDING VALUATION
Mailing Address
Tel ephon e No.
Fireplace
Contractor RA t- A., Co &-rvk c-7-, o -J
Total Valuation
Mailing Address 5-0 L., -r h PA V_ !�=
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
4 A F-13 - /10
Permit Fee
Building Address 7,5- L Er Dk-1 ye-
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
1-1,4 a,* .4
Each Trap 1.50
Repair drainage or vent piping 1.50
.7- /_0
Water piping 1.50
Each gas water heater or vent 1.50
,/- 0 S--
A. P. Zf
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
4�sl
L�lc �- FireDept.1
FireZone
Use Permit
Building sewer 5.00
EQA
IPar0in-g-r—IT31cel
Plans
I Declaration
Parcel Ma
0' R/W
Improypn1ents
Lawn sprinkler system 2.00
Pla ks R�ecd
Parcel Approv;aoi'
Plan��provol
Permit Fee $
s
NEW ADDITION UTILITIES OTHER E]
ELECTRICAL @ I FEE
—No.1
PERMIT FILING FEE J$3.00
Main service 600V OR LESS
100 AMR OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single FamilyE] Duplex Mobi I Home Others
Main service OVER 600V
1.0 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
(57*
NEW CONST. ( DWELLING OCE-U—P. &)
OR ADDNS. ACC.BLDGS. 20sqft
NEW CONSTR. (MULTI-OUTLff_T___
NON-RESID. BRANCH CIR CUITS) 2.50ea
NEW_CONSTF;L (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
*/07 y /I
Ex. Occup(OUTLETS OR FIXTURES) rBOA@L @2_109
FIXED APPLNS. OR
Ex. Occup. (OUTLET s (RESID.) EA) 2.00
-Temporary service 10.00
Mobile Home Facilities 15.00
License N, 1- 4! Classification I-Or—
Misc. Wiring 6.25
amexempt from thecontractors License Lawsof theStateof California.
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.
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
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE J$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 colrapt. I agree to comply to all County Ordinances
and State Lapsf `Iating to building construction, and hereby
_� ---- X.;-_ -1 — - - .
TOTAL PERMIT FEE
$ 010
� U1 MW %�UUIILY UI DULIV to uriter upon ine
���_'Qen n"'p, "p"e'rty r i ection purposes.
n
b ve-m
Si g no,
X r)ate
Signature of Permitee or Agent
;Receipt No. /6 i� �c�—
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Bu I te County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF LIC WORKS
By— --Date Q — 2�f
BuiWing permit expires Date
FA
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telepho.ne:.534-4541 916
APPLICATION AND PERMIT
a�ove-'me_n'ti`o`n'_e_d_'�' �o
uFv11 L11v
C
op, y o�Anspection purposes.
�gnoture OrPermitee —or Agent Date
0. M
i P �tN 1 // � R
te-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.
OR OF PUBLIC WORK
By S )c4Z1L
Date—.?
rg permit expirefsDate TK- 7
BUILDING
Owner 6,y 0
SO. F T. OCC. BUILDING VALUATION
Mai I ing Address
Telephone No.
Contractor 0 f4t\1 Opt S1_
Mailing Addres!J[0 s, AI'VaL At -
Fireplace
Total Valuation
C- f
Telep5o.neNo.
f 0
Permit Fee
Building Address
PlanChecking Fee&/orPenalty
Permit Fee $
IqC,
9 C 4—s- C LO
PLUMBING No.1 @ FEE
C) 7-
PERMIT FILING FEE J$3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No. 37
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fets�/W___-,
FireDept.
FireZone
Use Permit
Gas piping system I - 5 outlets 1.50
EQA
Par -king
Plans
Parcel on
Declarati
I Parcel Map
60' R/W
I
I Improvements
Each additional outlet .30
Building sewer 5.00
P=!� �Arov__�
—
Plan. Approval
Lawn sprinkler system ==2.00
NEWE] ADDITION UTILITIESE] OTHER
Permit Fee $
$
3 rY- A
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Single Family Duplex Mobi I Home Others
600V OR LESS
Main service 100 AMP OR L E:SS 5.00
Main service EA. ADD'L 100 AMP 2.50
az�
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST DWELLING O.C.5pis. q v,
OR A ... S. ACC.BLDG S W
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:
MULTI,0UT U1,
NEW CONSTF�L _� T
"ON."ES,., ( BRANCH CIRCU I T S)l 12.50ea
N E W. C 0 N S T F:L (POWER APPARATUS
NON RESID. SINGLE OUTLET CIR.
Ex. OCCUO(OUTLETS OR FIXTI1PES SO @ 2'
_BAL@1
FIXED APPLNS OR
Ex. Occup. (OUTLETS (RESI'D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. -.7-30 Classification
Misc. Wiring 6.25
I am exempt from the contractors License Laws of the State of California.
Permit Fee $
07F
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
Workmen's Compensation Insurance.
F� 1, certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL iNo.1 FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee $
$ T-
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 S.tate Laws !2Kir�o to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE 1$772
17
a�ove-'me_n'ti`o`n'_e_d_'�' �o
uFv11 L11v
C
op, y o�Anspection purposes.
�gnoture OrPermitee —or Agent Date
0. M
i P �tN 1 // � R
te-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.
OR OF PUBLIC WORK
By S )c4Z1L
Date—.?
rg permit expirefsDate TK- 7
1133-78B
��A�IT NO.
PERMIT EXPIRES
OWNER George Hersmali'
CONTR. Mari -John Const., Magalia
LOCATION (A.P. 64-(5-10
75 Ashville Dr., lot 36, PP#12, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Iled PG&E
Temp. Gas Serv.
Called PG&E
i OB
FINALED
(Date
(Signar
I
A
Stemwall Insulation Heaters
Slab Prov. for p� sically Appliances
Carport h ndicappel Gas Piping & Test
Conformance o ex.
Footings structure Y ? /7 , A A Temp. Gas
Slab Final //1/7 Sanitation
Patio FIREPCACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. 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
%FJater Piping Sewer Gas Piping.
)ME INSTALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
I
(NOfE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE DEPARTMIiNT OF PUBLIC WORKS
BUILDING INSPECTI-ON k6CORD
BVILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroorn Finish
2nd Floor
Footings
Windows
3rd Floor
Sbtemwal I
Siding
Topout
Stab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall Insulation Heaters
Slab Prov. for p� sically Appliances
Carport h ndicappel Gas Piping & Test
Conformance o ex.
Footings structure Y ? /7 , A A Temp. Gas
Slab Final //1/7 Sanitation
Patio FIREPCACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. 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
%FJater Piping Sewer Gas Piping.
)ME INSTALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
I
(NOfE: An entry must be made on this form each time you visit the job site.)
COUNTY OF,BUTTP — DEPARTMENT OF PUBLIC WORKS
-7 Gounty Center Drive_ — ' Oeoville, California 95965
Telephone: 534-k541
APPLICATION AND PERMIT AA 7��
. -V- ves of the County ol Butte to enter upon the
above-ment' erty y<;hspection purposes.
ate
/eceiSignature of Fermitee or Agent
,p
pt No. /7q/60
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 O?-PWBLIC WORKS
Building permit expires Date
own
BUILDING fri
Owner
SQ. FT. Oc BUILDING VALUA-MON
Mai I ing Address
A -7
T lephone No.
Fireplace
Contractor 094:q__ t 30 tf( q CL, 7--
Total Valuation -7i72,—
Mai I ing Address 7_10 y A"
Permit Fee
—
Plan Checking Fee &/or Penalty
an
_JAY
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
-73 41 tj U L
PERMIT FILING FEE J$3.00
Each Trap 1.50
3
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or ve.nt 1.50
A. P. No. C/— 0 r 0
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Falm I
I tion
FireDept.1
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
P ans
J I
Parcel
I Declaration
I Parcel Map
60' R/W
Improve
I ,�n t s
Lawn sprinkler system 2.00
8ld9,P+,an"s Rec'd I
Parcel Approval
P I an s AAp a ro val
Permit Fee
NEW ADDITION UTILITIES OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
main service 600V OR LESS
100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Dupl
Single Family ex Mobi I Home Others
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW C (ill ST. DWELLING OCCUP. 121t. s
OR ADDNS. ACC.-BLOGS. qft
N EW C ON ST Ft. (MULTI-OUTLE-T 12.50ea
NO. -R S I D. BRANCH CIRCUITS)
rq�w r- QNSTFL 1POWER 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:
Ex. Occup(OUTLETS OR FIXTURES) rBOA@L @ 100
FIXED A PLNS. OR
Ex. Occup. (OUTLETSP IRESI D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.JINTZO_�� Classification
Misc. Wiring 6.25
I am exempt from the contractors License Lawsof the Stateof California.
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.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
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.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.0
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 lelating to building construction, and hereby
. thi, -e_'7%;
TOTAL PERMIT FEE
$
. -V- ves of the County ol Butte to enter upon the
above-ment' erty y<;hspection purposes.
ate
/eceiSignature of Fermitee or Agent
,p
pt No. /7q/60
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 O?-PWBLIC WORKS
Building permit expires Date
PE MIT;Nd! 6646-77P,E
PERMIT EXPIRES
OWNER George Hersman
Fuller Const., Magalia
CONTR.
LOCATION (A.P. 6445-10
75 Ashville Dr., lot 36, PP#12, Magalia
Temp. Power Pole
Ca I led
Temp. Elec. Serv.
Called'PG&E
:2 (�y -10 ZP7
Temp as Serv.
4 alled PG&E
VOB
FINA L ED
(Date)
(Signat
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 re irements
unyof the California Administrative Code, Title 25, Chapter 5, er permit
'1 1
number J/ - -jfo`r the following Jocation:
7)
Owner
Owner's Address
Mobilehome Mfg. Model Year,—)5�1
Insignia No. 6�01-,� I/ - Serial No. 7 A111
It. is hereby certified for occupancy at the above described location and
may be occupied.
Director of Pub I i c Works
;? By
Date
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION, RECORD
BUILDING BUILDING (Cont'd) PLUMBING
I Acewall S411 PI.I..
rurmp
If Parlipets
1Xt Floor
—Mal Bldg.
ResAqom Finish
2nc\Floor
FoXtings
Windo
3rd F\oor
Stem all
Sidinq
Topout
Slab
Roof Shealbihq
Water PlAg
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footinas
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings V
Prov. for P�
handecappe isical\
Conformance of ex. -
structure V
_nces
Applia
Gas Piping & Test
Temp. Gas
Slab A
Final A
Sanitation
Patio
F/REP'XACE
Final
Footinas
Footin g
EJfECTRI0kl_
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam/
/FIRE SPRINKLEFk
Motors
Framing
Test
Water H tr.
Stucco
LFInal
ISubpanell
Mesh
I MECHANICAL
I Grd Fatilt Prot
orywn CooVng TImp. Pole
nish D ult a nde round
E'2r — th ntilation ermanent
oor Cl�s:er *Ina[ (Final
MOBILEHOME UTILITIES ------------------ Elec- Service
�V —Elec. Pedestal J; 'J 1-177 777
WaterPiping I– Sewer Gas Piping
=11LLU2Mj.j �STALLATI N -------------- Support Elec. ContiV�
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
1 .
MOBILEHOME INSTALLATION INSPECTION CHECK*LIST
Is the mobilehome located wit /required separation from lot lines and buildings and generally
conform to plot plan? Yes Mo
2. Does the mobilehome hav'e,required clearances above ground? (Sec.5085) Yes �-�No
3. Are footings and supports properly sized, spaced- and braced as Rer approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yesv No_
4 Is the mobilehome level? (Sec. 5088) Yes
I .
if mo e than a, single unit, are crossover connections properly installed? (Sec. 5088)
Yes No -
6. Water
A. Is'fl xible connector of'adequate size and properly installed (1/2" ID mlin.)? (Sec. .5566)
Yes No
B. Test' Does water piping withstand working pressure or 50 lbs. air test? Yes No
C. Backflow - If coach is not -State of California approved,,does station have backflow device
and pres sure -relief valve? Yes No -
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -C- No
B. Does it have minimum per foot slope and is it properly supported? Yes L11-l"N'o—
C. Are -any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No 4--"
D. If coach is not State of Californiaapproved, does station have required trap and vent?
Yes— No
8. Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" mirfimum
mobilehome connector not more,lthan 6 ft. long? Note: All piping is to be at least as
large as the mobilehome ga ne ifitet without reductions other than the mobilehome
connector. Yes No S/i
B. Test OK as per following p�ocedure? Yes — No
1. Open all appliance con
r%nector valves*.
2. Shut off appliance bu r d pilot valves.
3. *Air test with manometer t V-14" water column, or test with slope gauge'(minimum
6oz.-maximum 8 oz.) calib ed in tenth pound increments. Test for 10 min. without
drop. /Ort
4. Connect gas meter to mob e with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly�tnstalled? Yes No.
9. Electrical
A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 1,00 1 amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes_ZNo
B. Is there proper clearances around panels? Yes V/ No
C. Is power supply cord,or feeder assembly properly fused? Yes'-_"No—
D. Is continuity test satisfactory as per the following procedure? Yes ;411NO-
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 "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, s�all be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of �he 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 satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing. I
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length Width2,V
Vehicle Serial No. -2 V 1/
State Ident if icat ion No. (16 a g-1
Additional Information or Comments:
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County CenterDrive — broville' California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
�;���-77
A z,,�
authorize representatives of the L;ounty of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Date �7
Signature of Permitee or Agent
Receipt No. `7 4 " 0 -11 1 1 1 1 f t./'
White-D.P.W. - Yeilow-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 0&-b"'BLIC WORKS
,V By Date/—
Bu eding 'permit expires Date'
BUILDING
owner George Hersman
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Tel ephon e No.
Fireplace
Contractor Fuller Construction, Inc.
Total Valuation
Mai I ing Address P.O. Box 509
Permit Fee
PlanChecking Fee&/orPenalty
1191agalia, Ca 95954
I T
ee5nfd668
Permit Fee
$
Building Address Aawssg!�51-�
PLUM13ING
No.1
@
FEE
PERMIT FILING FEE XX $3.00
3.0&
=i#r12 Lot 36
Each Trap 1.50
-7S-Ashville Drive Magalia, Ca 95954
Repair drainage or vent piping
1.50
Water piping � U( 1=
16.00
Each gas water heater or vent 1.50
A. P. N S--
Zan
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
4esl
4e- San
4 Fi re Dept.
Fi re Zone
Use Permit
y
Building sewer Ix
_/6-00
EQA
IPar Ing
Pil ns
Parcel
I Pecl arati on
Parcel MAa- 60' R/W
Improvements
I - -
Lawn sprinkler system 2.00
Plants-§`ecd
eor
Parcel 10proyal
PloeeApproval
Permit Fee
$
$
NEW ADDITION UTILITIESU OTHER
ELECTRICAL
0.
@
FEE
PERMIT FILING FEE X $3.00
3.00
Main service 600V OR LESS
100 AMP OR LESS X 5.00
5, v
Main service EA. ADD -L 100 AMP
X
2.50
7.510
Main service OVER 600V
100 AMP OR LESS 25.00
Single Family Duplex Mobil HomeiU OthersEJ
Main service EA. ADD'L 100 AMP 1.00
0
..0 SQ. FT. MINIMUM
NEW CONST. /DWELLING OCCUP.
OR_ADDNS. % ACC. BLDGS
20 sq ft
NEW CONSTR. MULTI-OUTLFT
NONmRESID._ (BRANCH CIRCU TO 2.50ea
I
__A1
NEW.CONSTFL ( POWER APPARATUS.&)
_.t!ON 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:
Fuller Construction, Inc.
Ex. Occup(OUTLETS OR FIXTURES) 50 @ 25a
SAL@101
F16XF-D APPLNS. OR
Ex. Occup. 0 TLETS (RESI 0 E A) 2.00
Temporary service 10.00
P.O. Box__5 9 Magalia, Ca 95954
Mobile Home Facilities XX 15.00
License No.�I_,Wf Classification A
Misc. Wiring 6.25
I amexempt from thecontractors License Lawsof the State of Cal ifornia.
Permit Fee
$
1;? 5% YO
$ .1TY-0
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 County of Butte a certificate of
Wo rkmen's Compensation Insurance.
certify that in the performance of the work for which this
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 2.001
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
I -A Ald De., r M
TOTAL PERMIT FEE
I $ 73 ri
authorize representatives of the L;ounty of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Date �7
Signature of Permitee or Agent
Receipt No. `7 4 " 0 -11 1 1 1 1 f t./'
White-D.P.W. - Yeilow-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 0&-b"'BLIC WORKS
,V By Date/—
Bu eding 'permit expires Date'
ge Hersman Fuller Construction, Inc.
Y,t-. gprihgs Drive P.O. Box 50 ___Ii_
Jose,Ca.95136 14 -lia, �.4 9595
nM., I F%1 .5
It VAIJ
V,Unit 12 I.,ot 3c� 7CAshville Dr.
4 do 0
in
--��,cp% e4n4
4�r'o-'ffr-! J'Fe
1);IF 'orm Buildinq, '-lurr' ',117 P( Machancc! Codes ane
');te National Vectricol C�de.
x *,0/
"100
F LtT_4L R F-
G- A R A (5 6-
6c 5 f�. ff, a
0: U 2 ft. ectyv overhang bt� entirely
cut of all ecisements, A
0
Oro, J&
"'i , conrIV.Ct tons sha t L)k-
I 'dci
; tod within 4 ft. outside th rear 0
tb;rd 'ectcl-I Of 'chc mobile orne *A F
on the left (road) side, of the r�j )bi 1p
home.
-7
3,r --z- '7
1A.
. C' _�'
i nis tet of pians and spec.ficianon.% qjijbi
tept oi the job at all times 5'd ortInwfol
4311
or alterati. IV.
nake any 6inges 0,5 i -if, witho!
r of Rubril-
.vrl _n p,-rrnisson from the D,
,/orks, Cot.nfy of 9,,jttn
b
dir
94
V
N
�n L-Mawift"
Sum i be 3-
F, -th Dept.
q u i
ni,
Oak
'g
0
F
0
.30 P
V F'e_ w of t
7TT-A.
Spre tAl
t
BUTTE": COUN I Y
BUILDING DEPARTMENT,]
A P P R OV,Ef�,
__ ____ PARADISE PINES P.O.-A.
ARCHITECTURAL CONTROL COMMITTEE
NAME Alkitifel a -,000--L //IOJ,-S
OT 3
TRACT e.E I L
DATE /Z -7 - 77
PROVED BY'- A -
ADDRESS ZS- Aalkv, /10-1
APPROVAL FOh LOT DEVELOPMENT ONLY
ELEVATIONS MUST BE SUBMITTED PRIOR
FO STRUCTURAL APPROVAL.
Name Da t e
COUNTY OF BUTTE,
Department of 1�ublic Works
7 County Center Drive
Oroville------�534-4541
ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES
Owner
Y
Location
MobilehomeInstallation Permit No.,
"Demand Watts Required" + 230 ............. ............. 3, 6 AMPS
De -rate Mobilehome.to ....................................... A1,1?S
13UTTE COUNTY
SUILbiNG DEPARTMENT
APPROVED.
IN INFORMATION FOR ITEMS 1 THRU 10
Watts
1.
Width -j-.x Box Length x 3
1/0 3
2.
2 Kitchen Appliance Circuits ..................
3,000
3.
1 Laundry Circuit .......................
1,500
.
4.
Ovens .......................................
5.
Cook Stove Top ...............................
6.
Hot.Water Heater ..... ..........................
Z/ ?7
7.
Dishwasher & Disposal ........................
8.
Clothes Dryer .................................
9.-
Other�.(specify, i.e., motors, exhaust fans,
etc.)
Sub -total Watts .....
First 10,.000 watts @ 100% ................................
.10,000
�Remaining watts @ 40% .......................
10.
Air Conditioner watts @100%..
Largest Demand
Central Heat System `41, watts @ 65%..
TOTAL DEMAND WATTS REQUIRED .............
"Demand Watts Required" + 230 ............. ............. 3, 6 AMPS
De -rate Mobilehome.to ....................................... A1,1?S
13UTTE COUNTY
SUILbiNG DEPARTMENT
APPROVED.
SOUNTY OF -BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - broville,'California 95965
o- Telephone: W4-4541
APPLICAf ION AND PERMIT
I, v�o u V %,Giwifit� 01 OULL13 LU VIRUF upun ine
above-mentioned prop�rty for inspection purposes.
X � 9 2.., 0 .01.// 1.31-79
Q�Ae..-
Date
I g n a �ffu r e7o �flp-er M - t A 9 e -n t
��r
Receipt No. —1" wo
� I
White-D.P.W. - Yellow-Assesso, - 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 h�ave
,?�,n paid,
DIRECT PUBLIC WORKS
By - ------ I.... Date &Z
Bbilding permit expires Date 7-- Z,—
BUILDING
Owner
SQ. F T. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuatlion
Mai I ing Address
Permit Fee
Plan Checking Fee&/orPenalty
ephone No.
"77 —0 b7,
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
-z-
Repair drainage or vent piping 1.50
1 In
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
SaftReA4.&A
I F i re D ep t
F ire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Parcel
Declaration I
Parcel Map
1 60' R/W
Improvements
Lawn sprinkler system 2.00
Parcel ApItpeloll"
Plans Approval
Permit Fee $
NEW ADDITIONE] UTILITIES OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
_,4An�4
600V OR LESS
Main service 100 AMP OR LESS 5.00
1�� q(t -77-
Mai"n service EA. ADD -L 100 AMP 2.50
Single Family Duplex El Mobil Home OthersEl
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. DWELLING OCC
OR ADDNS. ( ACC.BLDGS. up. &) 120sq ft
N !W CO N ST R. (MULTI -OUTLET
ON -RE S I D, BRANCH CIRCUITS) [2.50ea
NLLVV.CONSTP- f 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:
Ex. Occup(OUTLETS OR FIXTURES) 50 @ 25g!
BAL @ UX
FIXEQ�RAPPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Classification
L i c en s e N o.. 2- C_ 6 11
Misc. Wiring 6.25
1 1
I am exempt from the Contractors License Laws of the State of California.
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.
N I have placed on file with the County of Butte a certificate of
\Workmen's Compensation Insurance.
r-1 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
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE J$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
$ 3ol
I, v�o u V %,Giwifit� 01 OULL13 LU VIRUF upun ine
above-mentioned prop�rty for inspection purposes.
X � 9 2.., 0 .01.// 1.31-79
Q�Ae..-
Date
I g n a �ffu r e7o �flp-er M - t A 9 e -n t
��r
Receipt No. —1" wo
� I
White-D.P.W. - Yellow-Assesso, - 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 h�ave
,?�,n paid,
DIRECT PUBLIC WORKS
By - ------ I.... Date &Z
Bbilding permit expires Date 7-- Z,—
MOBILEHOHE SMPPORT.,DATA
If. , otheithan single wide, %
Mobil6home Mfr.
furnish Setup Model No. Year
Width (ft.) Box Le�ngth ft�) 'Tagalong or Expan'do Size ft. x --6— ft.
(SHOW 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).
All eenter�supports measured'from front.of
mobilehome unless otherwise specified.
Footings (check one)
Single
r -V1
L,2j.l. Wood either
Apressure
treated or
foundation grade.
(ft.)(in;)
(in.) (in.)
2. Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
rV-1 ld Concrete block.
.2. Other (specify)
(in.) (in.)
—Tagalong or Expando,-
show support details.
(in.) (in.)..
x
Typical Support
(in.) (in..)
Footing Size
(ft.)(in.)
(in.) (in.)
Z
Max. Pier Spacing
Max. Overhang
(ft.)! (in.)
(in..
(ft.)(in.)
BUTTE COUNTY'
BUILDING DEMP, T MEN'
A RoV E D
P
V
*If center pier�si are other than drawn above,
draw in-locatioris,
spacing,.and dimensions.
1. owner's name:
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, oroville� CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHPKET
3.
Is the site currently under permit? Yes IX /
No
(If yes, furnish permit number 7,2
OR
Is the site an existing site? Yes
No /X/
(If yes, furnish two (2) plot plans.)
4.
Will the mobilehome be located at least 5 ft. away
from septic tank
and leach
fields and
clear of all setbacks and easements? Yes
No'/
(If no, clarify
5.
What is the mobilehome electrical rating? -----------------------
Amps
6.
What is the mobilehome site service rating? -----------------------
Amps
7.
What is the mobil ehome site circuit breaker rating?
-------------
Amps
8.
Is there any other �lectric load to be served by the mobilehome
site service? -------------------------------- M ---------------------
Yes
No
(If yes, identify the load and size:
(Load).
(Amps)
9.
What is the mobilehome site gas pipe size? ----------------------
(in.)
10.
What is the type of gas service? -----------------------------
Natural
LPG
11.
What is the gas pipe length from meter or tank to the mobilehome?
(ft.)
12.
What is the mobilehome gas demand? --- I ---------------------------
_(BTU)
(This inform - ation not required if pipe length
less than 6 ft.
on natural
gas
or less than 50 ft. on LPG.)
0 -050-010 PERMIT#98-0917
64
YATES, Howard & Marion
"114555 Ashev'
ille Dr., Magalia
Cont: Jessee Heating & Al,
Gas!,Piping/MH 3
0 OFFICE 'CO
Py
Addr ess
GAS
ddress
FF�
Copy
GAS V
' M r 13
Meter By'
CTR D 5- o
EELE I C Date, 0
M ECTRIC
r By
Meter B
Date
e,
COUNTY OF BUTTE - DEPARTMENT OF,QFVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Californic�; 95965 - Telephone (916) 538-7541 PERMIT NO.
, -) C/
(Rev. 12/96) APPLICATION AND PERMIT /0 -
ASSESSOR PARCEL NUMBEb4_05O_O1O
ZONING
BUILDINGPERMIf
OWNER HOWARD & MARION YATES
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUWJUEJ, INDOW DR. LIVINGS70NG TI 77351,
CONTRACTORSJMEHEATING AND AIR
TELE"ONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valdation $
ARCHITECT OR ENGINEER
E NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 14555 ASMI= DR.
Energy Plan Checking Fee
$
MAGALIA* CA 959%
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
IPARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome Other SPECIFY
Trap
7.00
—Each
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other d
Describe Work: GAS SERVICE TO MORM HOME I
—Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
F_
Mobile Home I S Roll W
920.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20-00
'0 '
Main Service '�.".A oR� LE!j�'
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing v�ith Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of theproperty, or my employeeswith wages as their sole compensation,
i[I do the work, and the structure is not intended or offered for sale.
Iwals owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO I OOOA
46.00
NEW CONST. DWELLING P-
OR ADDNS. .. ffsu
.
3.,,so
FT.
NEW CONST. OUTLE' r
NON-RESID. M&.I CIRCUITS
97.50
OWELR APUPTALRATU
( IPSIN. E . E CS1 R. )
Ex. Occup. ( ourTLET OR FIXTURES )
2* 0 1.00
aAL @ .50
OUTXLED AP NS OR,
Ex. Occup. (PLES,6.) E
ETS
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
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 self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued. I
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe performance otworkforwhich this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
—
Ventilation
PERMIT FEt
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ\'any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisionp.,of,sec.tion 3700 of the Labor Code, I shall
forthwith comply with those provisions'
X Date
Sigh6tulre-of Applicant--�'/ bowner 0 Contractor 0 Agent
An OSHA permit is requirea/fo xcavations over 60" deep and demolition or construction
C
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $ 40.00
IMP FLO — I HD I IS UV
I—V
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
By Z
PERMIT EXPIRES ON
I
appiliciable provisions
to do work
been paid.
Date F
Wale)
Receipt No. —a 5 (01 C-1--3 L4 I
WHITE-D.D.S.-B.D. CANARY-ASSEStOp PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELQPMENT SERVICES -BUILDING DIVISION
7 County'Center Drive - Oroville, Cf1ifornia 95965 - Telephone (916) 538-754��O/ . PER�[T NO.
(Rev. 1 �/96) APPLICATION AND PERMIT /0- '91 , Z
ASSESSOR PARCEL NUMBE `64-050-010
ZONING
BUILDING PERMIT' ' ' V, "
OWNER
HOWARD & MARION YATES
TELEPHONE
873-5057
SO. FT. OCC. BUILDING VAC10AT-ION
OWNERS MAIUJ1tJJrE`kAINBOW DR. LIVINGSTONG TX 77351 -
CON`rRACTOR' 'JMSE HEATING AND AIR
EPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 14555 ASHEVILLE DR.
Energy Plan Checking Fee
$
MAGALIAj CA 95954
PERMIT FEE
LOT NO.
,
SUBDIVISION'S NAME
I
PARCEL MAP
I
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF El Duplex El Mobilehome 0 Other SPECIFY
Each Trap
7.00
Solar or heat,*pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other IN
Describe Work: GAS SERVICE TO MOBILE HOME
—Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS �911 W I
920.00 20.00
PERMIT FEE 'S
40. 00
ELECTRICAL PERMIT
Filing Fee 20-00
( 50�0"V OR UE:9
Main Service . .R. S
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing �4ith Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
XWl'il do the work, and the structure is not intended or offered for sale.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.06
NEW CONST. DWELLING OCCUR
OR ADDNS. 8, ACC. BUDS.
so
3.50FT.'
N"W CUN5 MULTI -OUTLET
S
—NO. -RE ID.T BRANCH "RCUTS
97.50.
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FD17URES
4 1-00
Ex. Occup. ( UT.EA'(R'.s,6.)0ERA,
5.00
r20.00
Temporary Service
23.00
Mobile Home Facilities
—Misc. Wiring
23.00
PERMIT FEE
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 self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
El I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, forthe performance of work forwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
$
Policy Number
,X ITle above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Sig�60r;_6f App ican Owner 0 Contractor 0 Agodt I/
An OSHA permit is re fo xcavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ CONST. TYPE
TOTALFEE$ 40.00
–IMP I FLOOD CDF I PARCEL I
I I
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
By
PERMIT EXPIRES ON
I
applicable provisions
to do work
been paid.
Date
6z
(DA t�) - I — I
-3 cr
ReceiptNo. ' , , S
WHITE -D.D.S.-B.D. CANARY-ASSESST PINK -INSPECTOR GOLDEN ROD -APPLICANT
3-3429 B
0 '4' 0 -0-010'
6 5
)GF,
-JiERSMAN GBOR
E, MAGALIA
1455� ASIAEV-ILL 1
DONAUD.'CARR
CONTR k NG DECY,
REPAIR E , XISTI
101,2_1
COUNTY OF BUTTE - DEPARTMENTIOF; DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California -95965 - Telephone (916) 538-7541 93 PERMIT NO.
APPLICATION AND PERMIT - '34121-1 -
ASSESSOR PARCE�NUMBER
064-050-010
ZONING
RT -1
BUILDING PERMIT
OWNER
George Heramn
TELEPHONE
873-8121
SQ. FT. OCC. BUILDING VALUATION
—Est. 2,600.00
OWNER'S MAILING ADDRESS
14555 Asheville Dr., Magalis. 9 _% 54
CONTRACTOR'S NAME
Donald Carr
TELEPHONE
1877-6094
CONTRACTOR'S MAILING ADDRESS
1301 Bennett Rd., Paradise 95969
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 2,6W.00
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $54.M
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $74.00
14555 Ashev . We' Dr Magalia
PLUMBING PERMIT Filing Fee -20.00
Each Trap 7.00
f,
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
1
PARCEL MAP
Each gas water heater or vent 15.00 1
USE OF STRUCTURE
SF30 Duplex 0 Mobilehome 0 Other
SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
New 0 Addition Q Remodel Q Utilities 0 Installation Q Other 13
DescribeWork: Repair Existing Nck
PERMIT FEE $
Cont . rector
ELECTRICAL PERMIT Filing Fee 20.00
Main Service '"R LESS 23.00
200A 0 LESS
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. so
OR ADONIS. & ACC. BLDS. 3.5 0 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
El I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. ?�24 e I/ Classification Ae
0 1, as the owner, or my employees with wages as their sole compensation, will To
the work, and the structure is not intended or offered for sale. (Sec 7044)
Q 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
Q I am exempt under Sec. Business and Professions Code
forthis reason
.NEW CONST. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS @7.50
POWER APPARATUS
( & SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR rIXTURrs 200 1.00
BAL. @ .50
Ex. Occup. .=PPLNS..OR
(RESID) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
E),Tbis,permit is for $100.00 (valuation) or less.
Q I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
Q I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei 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
Counf� in consequence of the granting -of this permit.
F
X Date
Sig'naturd of Applicant - Q OwnerwoitContractor 0 Agent
An OSHA permit is required for,ex.cayations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $74. 00
L
HAZ.
I D. FEES
IMP
I FLOOD
I CDF
I PARCEL PD
HO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By A�.,VAW-7_71' ate
PERMIT EXPIRES ON
1 (Do te)
ReceiptNo. 148242
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIC ANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT S - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - I Jon (916) 538-7541
T
APPLICATI AND PE
ASSESSOR PARCEL NUMBER
064-050-010
ZONING
RT -1
BUILDING PERMIT
OWNER
George Hersman
TELEPHONE
873-8121
SQ. FT. OCC. BUILDING VALUATION
Est. 2,600.00
OWNER'S MAILING ADDRESS
14555 Asheville Dr., Magalia 95954
CONTRACTOR'S NAME
Donald Carr
TELEPHONE
877-6094
CONTRACTOR'S MAILING ADDRESS
1301 Bennett Rd., Paradise 95969
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$ 2.600.00
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $54.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $74.00
14555 Asheville Dr., Magalia
PLUMBING PERMIT Filing Fee 20.00
Each Trap 1 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
I
PARCEL MAP
I
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF)p Duplex 0 Mobilehome 0 Other SPECIFY
Gas piping system 1 5 outlets 15.00
Building sewer 15.00
Mobile Home S G I W @20.00
TYPE OF WORK
New 0 Addition Q Remodel 0 Utilities Q Installation 0 Other CY
DescribeWork: Repair Existing Deck
PERMIT FEE $
Cont . ractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 2"" OR LESS
OOA OR LESS 23.00
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING
OR ADDNS. 8, ACC. BLCCU,P 3.5 0 FsT.
CONTRACTORS LICENSE LAW
I d I ' u nder penalty of perjury (check one)
;!AIa% a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No -?.24 6 el"2' Classification
1, as the owner, or my employees with wages as their sole compensation, will -5o
the work, and the structure is not intended or offered for sale. (Sec 7044)
El 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
Q I am exempt under Sec. Business and Professions Code
forthis reason
NEW.CONST. B MULTI -OUTLET
NON RESIO. R.... C IRCUITS @7.50
POWER APPARATUS
& SINGLE TLET CIR.
OU
—
Ex. Occup. OUTLET OR FIXTURES 13 20 @ 1.00
AL. 1@ .50
Ex. Occup. OURTXLEO APPLNS..OR
iT. (RESID) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
0 Tbie-ITermit is for $100.00 (valuation) or less.
@`rhave placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
0 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
entei upon the above mentioned property for inspection purposes.
I also agrea to save, indemnify and keep harmless the County of Butte against all
Iliabillit' glud 'ments, costs, and expenses which may in any way accrue against said
v
Cou 7
y in co3sequence of the grantingof. this permit.
X Z:, 4� 4e I/ ::� :*�- , D a t a
ign of -A-
S 'kwd'- ppl`icani-�'C) o7wneT—We�onfractor El Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
C
CONST. TYPE
TOTAL FEE $74. 00
JH�S
I IMP
I FLOOD
I CDF
I PARCEL P.
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_4�2
V
PERMIT EXPIRES ON zh�v
ReceiptNo. 148949
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLI CANT
COUNTY OF BUTTE - DEPARTMENT Of D&VIELVPMEN R CIES -BUILDING DIVISION
TEL I
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA:959 -5-TEL PHONE (916) 538-7541
PERMIT APPLICATION, DATA SHEET
OWNER A. P-,No4
Proposed Building Use
Inspector
Date
At time�off per ir
application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
All items have been submitted . .........................................
2. Plot plans, 3/4 sets, signed by preparer of plans.
3, Complete plans, 3/4 sets, signed by prepar& 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 of $ , . ...... ..................................
11. Impact fees as shown on attached schedule.
12. California Department of Forestry plan approval/fees .........................
13. Flood elevation'letter (100 year flood) by California Engineer ...................
14. Sanitation and plot plan approval Health Department . ............
- 15. City of Chico plumbing permit ..........................................
16. Plot plan and business license approval from City of Biggs/Gridley . .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Developmentabout (A) Improvements (B) Drainage ............
19. Driveway permit (construction approval required prior to occupancy) .............
-in . . lInspection requ-67-
20. Pre spection for required. to Building 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.
When you issue the permit, process as follows: Mail to owner. �ail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant
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 to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone mail Counter by Date
Plans checked by Date. Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works 1P
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
'6e: 891-2751
196 Memori a I Way, CM c� — P
7 County Center Drive. Orovi Ile — Phone: 538-7541'
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
4AL 3 3 q.2
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and'should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
./- Ae-es;ss Th, i4m �!� P-' I F- e k -
f
Date
Inspector z:�