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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:�