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064-170-013
George W. Clapper 85 Grinnell Ct., Magalia contra Phil Moore, Magalia yl,��' Permit #5257-76 ,E(ut•1 ELEC. GAS ' SUPPORT STRUCTURE REQ, Ij CCMPACTIAI TEST REQ,___&,n 4 17-13 George Clapper3 �9� �9 77 T 85 Grinnell Ct.,lot 21, PP#14, Magalia contr: M. Marks, Magalia Permit-#5259-7-6B;E-(new private garage), 64-17-13 contra Oakmont MobileH me Center, Chico Permit #5822 : 761vffft Thal /� �/ %�7 ; Issued /Q •-oL% -7 s 64-17-13 Contra Cal G s'Aaf111717 � Permit ##594476 gas piping/5257) �il.a�����+-� -13 - Permit #1691-78B(new awning/MH) 7-13 3594-89B CLAPPER, eorge `14510 Grinn ct, Magalia. i Contr: John er-Const: (new ramada/MH) 64-17-13 31 i• I CLAPPER eorge 1451 rinnell Ct, Magalia d stora e room 064-170-013 04-- ' MAGNER, JACK I 14510 GRINNELL CT, MAG ANAL Cont: PLOURD, MARVIN EX MH ON PERM FND 1 RECORDING REQUESTED BY: M AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 " ' Iillllllllllllllllilllllllillllill t10 GDio24i034 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Of I BUTTE 1 CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I Kathy 03:18PM 26 -Apr -2004 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document 11 shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to d its contents to all persons thereafter dealing with the real property. JACK A. MAGNER AND CANDACE K. MAGNER REAL PROPERTY OWNER/LESSOR 14510 GRINNELL COURT MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY �t COUNTY. STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME - UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAII.ING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 04-0822 530 538-7541 BUIL IN PEItW1IT NO. TELEPHONE NUMBER 04/21/04 GNATURE OF LOCAL AGENCO co,DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. MADISON' - 1977 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUNMER 7_097PXX96MCAIB7097PXX34CA• 64' X 24' CAL008196/7 SERIALNUMBER(S) I LENGTH XWIDTH INSIGNWLABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER AP #064-170-013 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WMTP... r-- n—m— rANAR V _ T4rn DTNV _ A—li...t rnr.nt t Lunn _ a„il lc�. n.nr w ORDER NO.: 00214803-003 - JPC SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: PARCEL I: LOT 21 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 1419, RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ,ON JULY 15,1971, IN BOOK 38 OF MAPS, AT PAGES 37, 38, 39, 40 AND 41, INCLUSIVE. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER. HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF SAID LAND. AP NO. 064-170-013 PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A, B AND C (THE COMMON AREAS) OF SAID PARADISE PINES UNIT 14 AND RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15,1971, IN BOOK 38 OF MAPS, AT PAGES 37, 38, 39, 40 AND 41, INCLUSIVE, AND THE LOTS DESIGNATED FOR COMMON AND RECREATIONAL AREAS AS DESCRIBED IN THE DECLARATIONS OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII AND XIV. I EXEC.- comp..-..— BUILDING PERMIT NUMBER: 04-0822 Address or location of unit: 14510 GRINNELL CT., MAGALIA, CA 95954 Legal Description of Real Property: SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: JACK A. & CANDACE K. MAGNER Owner's address: 14510 GRINNELL COURT, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: CAL008196/7 SERIAL NUMBER OR V.I.N.: 7097PXX96MCA/B7097PXX96MCA MANUFACTURER'S NAME: MADISON YEAR: 1977 OFFICIAL APPROVING INSTALLATION: DATE: 4/21/04 PHONE: (530) 538-7541 H.C.D. 513C VJ/'L3/VY Lo:VJ raA DLUffGLL.LLLLO - W.JVVL/VVG STATE OF CALIFORNIA - BUSINESs, TRANS 4TION AND HOUSING AGENCY AR- OlD 3CHWARZENEGGER Governor - DEPARTMENT OF HOUSING AN:.(DiN1i1AUMITY DEVELOPMENT )SING 4tDLx--04- Division ofCades and Standards BZ C W Title Search Date Printed : 03/15/2004 Decal #: LAY7898 Use Code: SFD Manufacturer: MADISON Original Price Code: AFz Tradename: MADISON Rating Year 1976 Model: Tax Type: LPT Manufactured Date: 00/00/1977 Last ILT Annount: Registration Exp: Date ILT Fee Paid: First Sold On:' 11/09/1976 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width ` 7097PXX96MCA 008196 64' 12' B7097PXX96MCA 008197 64' 12' Record Conditions: PPF Exempt Voluntary Convcrsion to LPT Registered Owner: JACK A MAGNER CANDACE K MAGNER (Joint Tcnnnts with Right of Survivorship) - 14510 GRINNELL CT MAGALTA, CA 95954 ° Last Tido Date: 11124/1998 Last Reg Card; 11/24/1998 Sale/Transfer Info: Price $80,000.00 Transferred on 04/15/1997 Situs Address: 14510 GRINNELL CT • - MAGALIA. CA 95954-9648 Situs County: BUTTE Legal Owner: PACIFICA SOUTH IN GROUP 5432 BLACKBERRY WY 100 OCEANSIDE, CA 92057 Lien Perfectcd On: 11/10/199713-10;40 Inactive DecitlMMV: DMV NA8661, DMV NA8660, DMV SM1609, DECAL AAL4292 Title Searches: BIDWELL TITLE 145 PEARSON RD PARADISE, CA 95969 Title File No: 214803 JPC #;* END OF TITLE SEARCH *** The undersigned ha revived a copy of this doc . er.t Date:._ _� Apr 19 04;11:39a TT p.1 M 'GOLD COUNTRY LENDERS, C. Roal E51a10 Financing Sprciallsts April 19, 2004 To: Butte County Building Dept. Attn: Karen OR . T'4 M M �! RE: 14510 Grinnell Court, Cel / AP 9 064-170-013 It is required that this home is put on a permanent foundation and a 433 Is recorded in order to fund this loan. The loan Ding obtained by Gold Country tenders v ill be paying off the current lienhollder that is NIERS. Should You have any further questions, please do not hesitate to contact ane. Sincerely, Q urge Adeimann ' Branch Manager G 7090D Skyway Paradise CA • 93969 Phone `530107.3-155 Fax 6iQ) 0".9030 ��c it ' �v •Q.. 6V 1 A (7. K,, C a , STATE OF CALIFORNIA BUSINESS, TRANSPORTATION AND HOUSING AGENCY DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT ' oti;� DIVISION OF CODES AND STANDARDS REGISTRATION AND TTnJ NG PROGRAM "" ° STATEMENT OF FACTS This unit is a: 0 Mobilehome 0 Commercial Coach 0 Floating Home Truck Camper Decal (License) No.(s) Trade Name Serial No.(s) . �0a9pxxg&-, rne,.4 0 h0g7 D-AXg0 C,4 I/We, the undersigned, hereby state: I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of the above-described unit in California, or from issuance of a California certificate of title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on.4'/P- 2 ° f at (2) 7z0 V L �-�- Date) (City) Signature(s) C�_ , Printed name(s) W An C'4 (State) ZZ I� Address /S� W -A-G 5 �i4 F- F CiState C1�2 Sglo �/ ' R90MINQ "GGIURSTED BY., i Fidelity ffa rlon+al Ville corMpanY�•®�� � �' I ��a Fa@ 9. 00 When A "Wa d MsQ 000ument t DOC and Tex ®tetarrtsnt To., A000rded 1 Chook 97. o0 ' Jack A; Kagnex O:tt�alol Awards, 1 ' Ce►ldeoe K. magmer County a., I 14W arl"611 Court Butts I Kagalia, CA 98994 Candace J. Grubbs I Reoordwr I _ FJOWINO. 350776•Mt+g ®i00os ig-Apr`-97, ! FPtTG C.A T Vtfe GrdPr N0. 358776 .».— erau�anaeuMeraiaE�.altxlae u>vaalM.r APM 06i • �t70. 01] GRANT O>:8p . 1 Thu urifferelpned graetar(y doclars(s) Documentary trattohr to Is p 119.00 CIV ux 1 ( xx) a mputed on fun value of property 00nVay8d. of ( j computed on full valueless value of Ilene or snownbrances ramdninp at time of sole. I xltl Unincorporated Ansa Olty of FFR A VWXAPLE CONSIDERATION, MCI" of Which Is hereby auknowlsdoed, MR= tr. =PIDRR ASU AaPWAAY CL"P8R, it1T99AM1 AM NYP9 1etehy0tiW($)11O JACK A. KAMArR AM? CAWArtg X. M%MRr IfildaN15D AM lila/a, As .lona TVRArl'tB Pro Ioffwaing described real property in 09901ad the;, unincorporaited• sraaat of tyagalia County 01 aut:re Rae of CONOMIA; 8$E: LEOAL D$enj TION AwTACBaD H71 WM JWD NMS A PART RERCOY DATED: April W •LJs'1 COUNTY pp Butie �_��';- STA1t OF MFOliNlr► caaorgo . clapper ewe COU_ _ re ON dlal:�.i. r ?-- - — before me. caor. NoteLY Public personallyuppoared4d��.._._ p jszor & ,butbMaryml. � Clark by ry clap r psnronrvly k mh! no N (of prove,! 10 mp on tho baste oI eatWaclory ebdonce) to bo the persar►(D) Whose mIT19(11) an�auanu.umnuu,w►mm�mmumtsxu.wnua Iii/are eutwdbW to the wtthM Instnrmam andX1,01111% eqAI, aekrtowl�pod to ms that fte/ahs/the/ oxectAed the same 10 WAMDY CBERN In hie/ It herAheir outhvrfrFid capseftype0), ata that by C uofA.rPuea cu►�gnMaa • �// hte/htxjlltoU s�natUrt(s) on the IrWtrument the ppreCOUNTY curt on(e}, aTarCee++r.+enarerti■r�R.aa.tiwr fqufq' or the lnthy upen behaff of winoh the person(r) acted, arlrl0hgl11n111UtlI11(IIMlaltll►alalill�ntU14WI114alaaN . notoatrted ills Inslrurrtanl. . Wt1NX98 hry ham sed ofrlolel • 8 nature _��.! � . ��''. �....... _ , .... . MAIL TAX STATEMENTA A9 "I NOTED A80VC Description: Butte,CA Daa=ent-Year.DocID-1997.13313 Page: 1 o 2 Order: tony Comment: ORDER NO.: 00214803-003 - JPC SCHEDULE C THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: s PARCEL I: LOT 21 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 14", RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE • OF CALIFORNIA, ON JULY 15, 1971, IN BOOK 38 OF MAPS, AT PAGES 37, 38, 39, 40 AND 41, INCLUSIVE. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER. HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF SAID LAND. a AP NO.0t 64-170-013 ,PARCEL II: A NON—EXCLUSIVE EASEMENT OVER LOTS A, B AND C (THE COMMON AREAS) OF SAID PARADISE PINES UNIT 14 AND RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15, 1971, IN BOOK 38 OF MAPS, AT PAGES 37, 389 39,40 AND 41, INCLUSIVE, AND THE LOTS DESIGNATED FOR COMMON AND RECREATIONAL AREAS AS DESCRIBED IN THE DECLARATIONS OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII AND XIV. EXEC.-- COMPw PRELIM k NOTES 11 RESIDENTIAL PERMIT NO. 064-170-013 MAGNER, JACK 04-0822 1 14510 G Cont: PLO SELL CT, MAGALIA EX MH ON PERM FNDN P d IT THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED N TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE I INSPECTOR MUST RETREIVE). I (2) STATEMENT OF FACTS (ONLY ON i NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CAL ooSIRG JOB FINALED (Date) �' o Signature a CHECKED BY j. i) 1• 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CAL ooSIRG JOB FINALED (Date) �' o Signature a CHECKED BY J=OK 0 = Not OK . = Not Ready NotApplicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG Date PERM ENT END SYSTEM (ONLY) o ing Requirements -Setbacks -Easements 00 'ngs; Size -Spacing -Marriage Line ocking ,41'Gas; MH -tricity; MH Test mater; MH Test 7' ater and Sewer Connected -&-Gas and Electricity Tagged $,-Exits 10. icense Decals rJ„fe P4 mac. 11. Verify #'s with Office Date -a Ae Card B-1 to Card B-1 Dates-' Card B-1 Date Card B-1 ek MISCELLANEOUS Date 7. Well Clearance & Disconnect 1. 8. Utility Clearance 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails Date Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing Card B-1 Date Card B-1 Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval Date '8. Gas and Electricity Tagged ` Date 9. Tie Downs -Type -Installation Cert. Date 10. Exits; Insp.-Sketch 1. 11. Cert. of Occupancy 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining I Date Elec.; Receptacles and Lighting, Distance-GFI Card B-1 Date Card B-1 Date Elec.; Pool Lighting; 15 Volts-GFI Card B-1 Date Card B-1 Date PERM ENT END SYSTEM (ONLY) o ing Requirements -Setbacks -Easements 00 'ngs; Size -Spacing -Marriage Line ocking ,41'Gas; MH -tricity; MH Test mater; MH Test 7' ater and Sewer Connected -&-Gas and Electricity Tagged $,-Exits 10. icense Decals rJ„fe P4 mac. 11. Verify #'s with Office Date -a Ae Card B-1 to Card B-1 Dates-' Card B-1 Date Card B-1 ek MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 ` Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining I 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing -RC Channel 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation Date 16. Insulation Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Card B-1 Date Card B-1 Date Ext. Steps -Door & Sidelight Protection -Landings Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 68. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 69. 20. Shower Pan; Test, First Floor -Tub Access 70. 21. Test Tub & Shower, Second Floor -Tub Access 71. 22. Gas Pipe; Sixe & Anchors 72. 23. Fire Sprinkler; Test 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance Date Elec. Outlets & Receptacles at Kit. Counter Card B-1 Date Card B-1 Date Garage Fire Door; Swing -Landing -Closure Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 78. 25. Elec. Receptacles Spacing -Lights & Switches at Doors -79. 26. Size Boxes & No. of Conductors Stapled 80. 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al _ 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground Date Ventilation Throughout House Card B-1 Date Card B-1 Date Glass Protection Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Card B-1 Date Card B-1 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location -79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes _ 83. Following Instld./Drive 0 Yes O No/Walks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections t 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: . .�.-. ,r,.r,� '3—.."�,...-mak..{....., a....,., �Lw _. �,�,.��, -i4J ..x•'+72 •�-T r. CbUfITY OF BUTTE, `y k BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 t 7 CountyCenter Drive • Oroville, CA • (530) 538-7541 - - i CORRECTION NOTICE l a;-� •�- C�`-i - U -Z z w . OWNER PERMIT NO. t A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. � `•,:. f � tin �il"PM�n>� n �' ��ec �"S ,��,-, n Date Inspector REV 10/92 �'' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE All: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP040822 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 04/20/2004 APN: 064-170-013-000 the Business and Professions Code, and my license is in full force and effect. License class : 3 License Num r: R3�f3 I7 Site Address: 14510 GRINNELL CT MAG Date:Contractor. 40*t_ Map Index: Description: EX MH PERM FND EX SITE 1536 p - OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the f p Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: MAGNER JACK A & CANDACE K to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 14510 GRINNELL the Contractor's State License Law (Chapter 9 commencing with Section CT 7000) of Division 3 of the Business and Professions Code) or that he or MAGALIA, CA she is exempt therefrom and the basis for the alleged exemption. Any 95954 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: MAGNER JACK A &CANDACE K such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor•• PLOURD, MARVIN ❑ lam Exempt under Article 3 of the Business and Professions Code DBA PREMIER BUILDERS 1584 WAGSTAFF Date: owner: PARADISE, CA 95969 530-872-1096 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of pedury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for License #: 343173 workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit ssued. I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is Issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: , Policy #: 6 12— 7 !�a Z Total Square Ft: 0 S. F. ❑ 1 certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject aemployer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of ( compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. permit CONSTRUCTION LENDING AGENCY This is hereby issued under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the ResolutionsV do work indica ed above for hich fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) �f �,109CName: %f By: Date: IV PERMIT EXPIRES ON: aolrA Address: Dat ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or doc nt of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection U1� 7Mes Print Name: Signature: Date: ❑ Owner 14p Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 ntr- . PERMIT NO. DATE: 3, "'6 A -/ 7,0- v/) /3 ZONING: OWNER'S LAST NAME: OWNER'S FIRST NAME: A PHONE: 73" X3(07 7 STREET ADDRESS: / h � ^� v /1 FAX: CITY, ZIP: ^ J �' f�(I tE-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACTA.OT it APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME:AkVclf) 6Gf�� PHOUE: STREET ADDRESS: FAX: CITY, ZIP: ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX: CITY, ZIP: LICENSE NUMBER: E -MAIL - DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits 3 Q ❑ Proposed Change of Occupancy (note previous use EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. -Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: _ Date: Receipt number: Amount Received:, .7 COUNTY OF BUTTE -DEPARTMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:&,a P-L-t4,ASSESSO-PARCEL NUMBER �/ 7 - / 7 (J `� -2 roposed Building Use: ou rcchnician: Date: S r quired in order to apply for a permit. All bo es MUST be checked OR marked NA in � rder to apply. Q .3 �2 / I � 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor P n, (D) ie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, Drainage ......................... ❑ 26. NPDES Form............................................................................................. 27. Encroachment R�rmitrw7 f{om t e ublic Works Dept......................... 28. Pre -Inspection f - required....... ❑ 29. Contractor's license Information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................... ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization .................................. ....:.................... ......... ❑ 33. Recorded copy ofAgricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or exired permits......................................................... ❑ 36. ed Restrict4t. .........................�a�tstter 9..nt Deeglitle'�`tatement of from Legal Own r, C ec H C. D. $ ❑ 38. Ether: ❑ 39. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: Date: 3 A D 1. Index permit application for the above items numbered: Ian Check Letteit 2. Additional items required 01 racto designer, owner, was advised of the above data by pho , ❑ mail, ❑ counter, by Date: Coon ractor, designer, owner was�?dvised of the above data by . ❑ phone, ❑ mail, ❑ counter b Date: p� Ot Lam_ Plans reviewed by: 0 6 Date: H �� 'C� �' Plans approved by: .. Date : Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION "7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER PROP OSED BUILDING USE otlk '^� RECEIPT # DATE C. 1. BUILDING PERMIT FEES �,74Q10, "�j J - Balance Due ..................... $ 'k D( A.P. # OW -00-6/'13 DATE 3-05-64- --- _Z5-64- --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) _ 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ _ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. 9_6 APPLICANT ` (�/ DATE Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) t Building Permit Number: 0'1_0&'Z Z Owner Name: Plfag hP,,K- Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make, any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 tJ.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code.(2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within�a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services -shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. ' Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be.no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. r • Page 2of 2 Building Permit Number: 0— 0 8 Z Z Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Tire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and a uipment including overhangs shall be clear of all easements. A setback ofO�f�t from the side ander "feet'from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. t. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 0 MOBILEHONE SUPPUM: -D&i:A Mobilehome Mfi7. Setup Model No. Year. J2 ;- X 0 / Width (ft.) Length (ft.) . Expando Size _,/C' ft.x eft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation `.manual and structural setup sheets (if. not on fila with the County of Butte). Single Footings--(check,one' /14 -1. Wood either pressure treated or enter Center Support fdn.*-grade upport Footing Sizes ocations'-,- (in.) 2. -Concrete pad. 3. Other, 'specify A� Supports check one' 4 Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify 4 lypl.cal Suppqrt Footing Size'--., E & =X:?6_1 In. n. T3_n I (in.) (in.) 71 C 1 Z 1, N ..... ........ Max. Pier. Spacing x ft. in.) In Max. Overhang n If center piers are other than drawn above, A draw in locations, spacing, and dimensio-ris. BUTTE -COUNYY AUILDING DEPARTM E. -At BUTTE COUNTYP A P M V BUILDING DEPARTMENT APP R OV ED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name : 2. Installer's name: 3. Is the site currently under permit? Yes /-/ No (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 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 mobilehome site circuit breaker rating? ------------- v Z eq Cf Amps 8. Is there any other electric load to be served by the mobilehome site service? -----------------------------------------.---------- (If yes, identify the load and size:. (-i-%iiC/ _(Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas,,service?----------------------------- N 11. What is the gas pips 1n_gth from meter or tank to the mobilehome? 12 What is the ©moi .ehome egas demand.'?---------------------------==�- -, (Ttjs/krmation not required if pipe length less than°'�6 ft ss . thank 50 ft. on LPG.) 4' 'r Yes /Z// No (Amps) tural / / LPG //-" C (ft.), on natural gas (BTU) . i 9 OWNER: LOCATIC r PRE -INSPECTION R EPORT DATE: *-,;) - 04- A.P. /A.P. # 669,f-- / 70- 0 A_� G-11 ,".) CONTRACTOR:/�l0,f// ZO G: X / REASON FOR PRE -INSPECTION mom DATE TO INSPECTOR PERMIT HISTORY ( ')NONE ( SEE ATTACHED BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied Yes AbandonedNacant: Electric: r Mobile home # of Units: ( ) No r Electric Currently X) On. ( )off rt Condition of Electric Gas: Currently ( On ( ) Off Condition 00 Sanitation: Plumbing Worldng Yes ( ) No Obvious Sewage Problems ( ) Yes (> No ACTION RECOMMENDED: ISSUE ( {) Yes O No Hold for permits or verify: �!'sl ,r eAtzzs ora. /W a F -C does oi— Inspector: Date: l z C1T7TT0"WY TITTTT 7lTATd-In AAT TTTTTTCIT • ATY1 T1LTTTl1 ♦ ITTn T l T WTl ��r TT ATTT Tf T. BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. DATE: J�G APN: �a /]/� ZONING: OWNER'S LAST NAME: P /V A6/�&7�. OWNER'S FIRST NAME: I 'T f C/L PHONE ?73-3r!r77 STREET ADDRESS: / h ' ,^ ^ � � FAX CITY. ZIP: � �' � E-MAIL: SITE ADDRESS: CITY, ZIP: NEAREST CROSS STREET: TRACTILOT 9 APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME:I V� owe- PHO • ,:�;l , STREET ADDRESS: FAX: CITY, ZIP: - E-MAIL: LICENSE NUMBER: LICENSE TYPE: ARCHITECT/ENGINEER NAME:- PHONE STREET ADDRESS: FAX CITY. ZIP: LICENSE NUMBER: E-MAIL, DESCRIPTION OR SCOPE OF WORK: ❑ Structure Built without permits r 3 Q ❑ Proposed Change of Occupancy (note previous use EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: b1fDate: Receipt number: Amount Received:i'�`G qj Ps 64-17-13 F v George W. Clapper ) v 85 Grinnell Ct., Magaliaryl� ' f .� contra Phil Moore, Magalia 1,11(71 ' Permit #5257-76P(E ut { y ELEC. GAS s UPPORT' STRUCTURE REQ._/�� CCMPACTIN TEST REQ, r. C4-17-13 -. yC' George Clapper 85 Grinnell Ct jot 21, PP#14 Magalia' contr: M. Marks, Magalia { Permit #5259-76B,E(new private garages N; r • �,, 64-17-13 icontr: Oakmont Mobile Hpme Center, Chico pry jjI a` (Permit #5822-76MhI y/qf 717 b i y t Issued /0 -al—� ti t n 7 », '° 1 5f Y h� a e „, c, ►7 +. c k{f iContr: Cal Gas ��'i1G�'�% ;Permit ##64-17-13 5944-76p(gas piping/5257) 4} {,� A. � �a. ''� 2 e�` �x l;c",t� _ . _._ ___ — _ _ _ _.__ _ -_-- s t � 1 �` a y 4 r � •t. w rt r, ,i... x��R �t � fi 13 Permit #1691-78B(new awning/MH) wr. .incl_ ,. .. x. .., �. S. u'•. .. .. .s�t.l. -___ __ .. _._.._x_.._�_ -.._.. _._ _ _.., ._-_._�_.--.___.r.__._...... 1. ... ..Y.. s .. .. _ b��.:. ♦ _ .;i a ).i •t,t.k1 ..._._ 7-13 3594-89B CLAPPER;1kQWorge 14510 Grinn ct, Magalia Contr: John er Const. (new ramada/MH) -17-13 3]f13'�0; CLAPPER eorge 1451 rinnell Ct, Magalia 064-170-013 04-0822 MAGNER, JACK 14510 GRINNELL CT, MAGALIA Cont: PLOURD, MARVIN EX MH ON PERM FND �=�++.�"F.i+•.e-•r:wY.- �-+ �.�� �.,..i.y-+..•-r+--+.v--i-..�..v...J- >.S'.,"/t."+(iL r.:�Y� _ COUNTY OF BUTTE ` Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530)'891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER. PERMIT NO. , A routine inspection indicates that the following violations of butte county O dinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation,, please contact this office immediately. dL /ham ��i rNh r,2/>r 1 =1� 4 "p4 '1 Date Inspector _ REV 10/92; i a m . PLAN REVISION Owner's Name: BP#: 1 "� Date: -//- - 17 —0 AP#: n 6z/ — ) 76 Received By: Time: C_� . S/ Contact Person & Phone Number: l0 �� �° �( ����UrCI I. PURPOSE OF RE -SUBMITTAL OR REVISION ❑ Permit Application Data Sheet Item p * ) n *Engineering ��dha ❑ *Plan Revision �equested by Building Inspector's Correction Notice - Inspector's Name: e( SG () ❑ Requested by Plan's Examiner - Plan Examiner's Name: ❑ Other: *If revising a plan which has already been issued, submit two (2) drawings reflecting the revision for plan review along with your approved plans. If engineering is involved in this revision, the engineer must put his requirements on these drawings and wet stamp and sign two sets of engineered drawings. Revised drawings must clearly show changes proposed and locations involved. WHEN APPROVED, PROCESS AS FOLLOWS: ❑ Mail to Owner/Contractor at this address: ❑ Call and hold for pick-up. ❑ Deliver with next inspection. Minimum revised plan check fee to be collected at time of submission of revision, plans examiner will determine if additional plan checking fees are needed: Minimum $54.99 Receipt #: Fee not required for revisions requested by plans examiner prior to issuance of permit. Additional Fee Amount: Receipt #: Revised 2/04 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891- (� 7 County Center Drive • Oroville, C 30) 538-7541 t CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. y)1y, �C/ b��l' g4l,.1 1�6y.fl� �rcA e -i . REST®ENTIAL 64-17-13 3173-90B,E CLAPPER, Georges k 14510 Grinnell Ct, Magalia I(add storage room) • l ' as Ji r 3., � 1 'a ;L t{ i d 1 t �1 I r I JOB FINALED (Date) Signature v=0k' ' .O = Not OK Applic No Readyable MOBILE HOMES f Date MOBILE HOME UTILITIES (Plans) OK except #'s ' MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks Easements 2. Soils; Special MH Support Sketch 2. Footings; Size -Spacing -Marriage Line 3. Sewer; Location -Test -Fall -C/O Concrete 3. Gas; MH Test-Demand-Valve—Connector 4. Water; Location -Test -Easement Needed (Sketch) 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 5. Drain; MH Test -Fall -Flex Connector 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /' L" ft./ /"LPG 6. Water; MH Test -Regulator -Connector 7. Utility Clearance 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch Date Card B-1 Date Card B-1 Date . Card B-1 Date _ Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-Valve—Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy , Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOU Date DEC!W, COVERS, CARPORTS, GARAGES, Plans OK except #'s . Zoni Requirements -Setbacks -Easements Ae-footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Coonectors Shthg.-Rfg.-Bracing • 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Carports; Windows -Doors lectric Fr g; Sils-Anchors-Studs-Rftrs-Trusses Siding;_N ailing -Veneer -Stucco -Mesh R ; Shthg-Roofing Ext.; Steps -Doors -Landings Date Wltjp Card B-1 Date Card B-1 Date -7 Card B-1 64ZDate Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Pane Iboa rds-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 'J OK , O=Not OK = Not Applicable = Not Ready RESIDENTIAL (Single - & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing.'Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel - Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples ' 59. Insulation -Walls -Ceilings - 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle . Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. S eps-Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic 0 Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 11 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1- 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PkR_MIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 3_ APPLICATIM AND PERMIT ASSESSOR PARCEL NUMBER 64-17-13 ZONING _ BUILDING PERMIT IV OWNER TELEPHONE SO. FT. OCC. BUILDING V LUA ION 2,730 OWNER'S MAILING ADDRESS 14910 Grinnpll rt, Magalia 99954 CONTRACTOR'S NAME unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 19.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 67.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUF:F,tached garage SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00 e TYPE OF WORK New ❑ Addition UX Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: add storage room Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- 4AMisc. ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.& A ) NEW 2hQsgft4.90 CONSTR.ULTII OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SLO 30 2ALO 30 FIXED APLNS Ex. Occup. OU LETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 bVirin g 15.00 Permit Fee $ 14.90 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia "lities, judgments, costs, and expenses which may in any way accrue agai said County in co ue ce f the granting of this rmit X "«' Date 0�—� Signature/f Applicant — ZZ. k Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in het ht. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONSTTYPE TOTAL FEE $ HAZ CUA PARK SCHL FL PPR P r' H Is Th;s permit is hereby issued under the sions of the Butte County Code and/or work indicated abov for which fees D11EC R OF rjz_ By PE IT EXPIRES ate V applicable provi- resolutions to do have been paid. WORKS D to Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION ND. PERMIT PERMIT NO. ASSESSOR PARC L NUMBER _ 7/7 , ZONI(�� //{{GG l/ BUILDING PERMIT 0WNE = ,n `'v TELE HZ SO. FT. 0 C BUILDING VALUATION OW ER'S M �(jJ\LING ADDRESS /V Eft C N R ?S IE _ / T LEPHON CONTRACC(/TTOOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Z. 5 D ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ euILDIN ADDRESS / / !_ C (, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other T! SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 0.00e TYPE OF WORK New❑ Additiory� Remodel[]Utilities[:]Installation❑ Other❑ Describe work: \ ADV SIP 4A0M — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F1 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&\ OR ADONS. ACC. ELDGS. / yz¢sgft NEW CONSTR. MULT'.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES zo0soe eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRESI D.I EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ e Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner.❑ ' Contractor ❑ . Agent,❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz I CUA I PARK I SCHL I FLo I PAR PD HD ISSUE This permit is hereby issued under the .applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No.�i�� '-= WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT TO Building Department FROM:.' Environmental Health SUBJECT: Sanitation Clearance C 'ie = 64-170- 013 .0wherlt Location AP# . Pian Approved ,for : - Sewage Disposal_ Water Supply x Water Supply Hold final for: � � _ Water -Supply Final clearance O.K. for: Clearance for bedroom mobile home. Other 3 �� .�.�, r� r% .- — vi e l b NOTE *** 12 Date Sanita is COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION " '2 sr 7 COUNTY CENTER DRIVE - OROVILL�,.CALIFORNIA 95965 - TELEPHONE: 916/538-7541 // PERMIT IT APP/LjICATI/OfN DATA SHEET Permit No. 64 - OWNER C; 6_;01L-6_01LG , ///—d A. P. o. I �t Proposed Building Use, �l� U-0410 6TT /"ui (ding Inspector. ate • R -At time of permit application, I was advised the following data must be submitted prior'to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 4 �( 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... Schooj District fees paid .............. 44. Sanitation approval from ��A- Health Department , _ 7 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ................... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permi process as follows: Mail to owner. Mail to contractor. ou Telephone 3 Z -3nd hold for pickup at office. Deliver w. /inspector. Other A 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 abovN. 1. Index permit for above items No. 2. Additional items required: f 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_mall_count r by date ' G Plans checked by Date Plans approved by Date 1 Sets of plans on hold in File cabinet AP folder Copy—DPW y" ' PERMIT NO. 1691-78B ��� PERMIT EXPIRES / / ✓ y OWNER George Clapper CONTR. owner LOCATION (A.P. 64-17-13 i 85 Grinnell Ct., Lot 21, PP#14, Magalia • ,y� ti j T e y__y µl .. •� F.p. aA r •� I�..�{ i l {{i S r sy� . • t 4 r Temp. Power Pole - { Called PG&E d / Tef p. Elec. Serv. )_ Called PG&E /,mp. t Gas Serv. Called PG&E JOB FINALED (Date) i (Signature) s COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDII G (Cont'd) PLUMBING Setback ✓ y Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vent Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicapped Conformance f ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio'FIREPLACE_ Final Foot in s ; Footing E ECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRI LERS Motors Framing Test Water Htr. Stucco Final S..tin.n.1. mean MEtCHANICAL Grd. Fault Pr t. Scratch Heating Service Brown Cooling Temp. Po/e Finish Ducts Under ro nd Interior Lath Ventilation Perman nt Door Closer Final Final MOBILEHOM gumTILITIES------------ ----- Elec_ Servic Elec. Pe estal Water Piping Sewer Gas Pip' g BI E ME INSTA LATI N - - - - - - - - - - - - - Support Elec. ontinuity Water Piping Drainage Gas ping DATE REMARKS OR CORRECTIONS �u2 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive• -'OroviIIe, California 95965 a Telephone: 534-4541 APPLICATION AND PERMIT ,M�94 ;7V�' aboveauthorlLoe ent nedproperty for inspection to enter upon the purposes. X Date — Sign ure of P,er/mitee or A n Receipt No. y ^ 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 9d$LIC WORKS BY B ding permit expires Date �—f BUILDING Owner �� L %} 6 SQ. FT, OCC. BUILDING VALUATION 1S t;i.- �` Mailing Address 5- 2 Hyl �L%��+ O vc Telephone No. 73 Contractor Mailing Address Fireplace Total Valuation �OZ Telephone No. Permit Fee y� 1,`yf�/`/� s/V�./ � i Building Address /V Plan Checking Fee&/or Penalty - Permit Fee C.FJ PP#�y PLUMBING No.1 @ I FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 �[ A. P. No�. (o T —/ s { 3 Zoning 8 planning Water piping 1.50 } Each gas water heater or vent 1.50 a ire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pians Parcel Declaration Parcel MapI J, 60' R�1N Impro ments Each additional outlet .30 Building sewer 5.00 Bldg Pans Recd parcel A ons roval Approval Lawn sprinkler system 2.00 NEWADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Sin le Family Duplex Mobil Home,C Others 9 Y ❑ P ❑ ❑ Main service 600V OR LESS 10o AMP LESS 5.00 IL Main service EA. ADD'L 100 AMP 2.50 1 . (� �'^ W Y ` Main service OVER eooV 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBL GS.CGUPLING Si 20 sq ft / 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: NEW CONSTR (MULTI -OUTLET NON -REBID BRANCH CIRCUITS) 12.50eal NEW CONSTR. POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR. Ex. Occup {OUTLETS OR FIXT11RES1 50@25a BALP1 Ex. OCCU FIXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 FE 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. jQI 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 @ FEEPERMIT 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 Land Development Fee $ TOTAL PERMIT FEE $ ` aboveauthorlLoe ent nedproperty for inspection to enter upon the purposes. X Date — Sign ure of P,er/mitee or A n Receipt No. y ^ 7 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 9d$LIC WORKS BY B ding permit expires Date �—f }t 64-17-13 ' 3594=89B� CLAPPER, George i 14510 Grinnell ct, Magalia Contr: John Miller Const. ' (new ramada/MH) PERMIT EXPIRES ZD —2— 90 OWNER CONTR. ) ( ASSESSOR PARCEL LOCATION G, i i r y u 7 Temp. Power Pole Called PG&E } Temp. Elec. Service Called PG&E l Temp. (a Service Called PG&E JOB FII ALED (Date) V Signature t =,OK 0 = Not OK = Not Read�yable MOBILE HOMES I MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date. ,�C-OVER ,C, , (P ns)OK except 1. Zoning Requirements -Setbacks -Easements %- oning Requirements -Se cks-E�s 2. Soils; Special MH Support -Sketch ootings• Soils- a -D -Sp ' g onnector 3. Sewer; Location -Test -Fall -C/O -Concrete 3.)Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. *ood Awn.; Posts- Beams-Rftrs.-Co n nec.- 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete Shthg.-Rfg.-Bracing 6. Gas; Location -Test -Wrap: / /"L"ft. 5. lum. Awn.; Columns-Connections-Splice-Decal-Enclosur / /"Nat. or/ /"L"ft./ . /"LPG 6.4arports; Windows -Doors 7. Utility Clearance 74, lec, fj " mg; Sills-Anchors-Studs-Rftrs-Trusses 9 Nailing -Veneer -Stucco -Mesh Card -81 Date Card -B1 Date woof; Shthg-Roofing Card -B1 Date Card -81 Date 11.#'Ext.; Steps -Doors -Landings Date MOSILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Card -B1 Dat �/ Card -B1 Date 3. Gas; MH Test -Demand -Valve -Connector Card -B Date -�� and -B1 Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability - . 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - 8. Gas and Electricity Tagged Dead Men -Lining 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -131 Date Card -B1 Date 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg Card -81 Date Card -B1 Date Boxes-Enclosures-Panelboards-fns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -B1 Date Card -81 Date • //-��� Dim � Uva � s.7 s� NOWN RMLJ Not 0= Not AO plicable RESIDENTIAL (Single and Duplex) = Not Ready 4 Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) ' 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Ong. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Bloc kouts-Wra,-ped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50, Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe: Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -131 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe: Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes -Labels Card -B1 Date Card -B1 Date 67. Stairs & Rails Card -131 Date _ Card -81 Date 68. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ina. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights &Switches at Doors 71. Elec. Outlets &Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Clarage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper Air-Connector-P.R.V.- 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 74. Wtr. Htr.; Vents-Clearance-Comb.o.or-Mech.Pr In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75, Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. Clearance Looked under Floor 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ N4 Planters ❑ Yes ❑ No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco: Brown -Finish Card -B1 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Si. Energy Compliance Certificate -Other Certificates Card -61 Date Card -B1 Date 92. Roofing Certificate Card -81 Date Card -81 Date Card -131 Date Card -B1 Date Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -81 39. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing t ;� -Lrw"� s��• John Miller Construction P.O. Box 28 Paradise, CA 95967 u t� LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE t OROVILLE, CALIFORNIA 95965 Telephone: (916) 538-7541 RONALD D. McELROY . September 28, 1990 Deputy Director a� RE: Building Permit No. 3594-89 • Expiration Date 10-26-90 (A.P. No.64-17-13 ) b. With reference to the above 'subject, our records indicate that your Building Permit •expires on the above date. Building permits are valid for oner,year and should construction be started but not completed by the'expiration date of the permit, the permit shall be renewed for 2 the original Building Permit Fee (plus a.$10.00 "Filing Fee"). The renewal permit will extend the Building Permit for -an additional year from the original expiration date. Should -you not renew your permit within thirty days of the expiration date, it cannot -be renewed and all work must cease until a new building permit is issued.. If your construction is completed or should you have any questions concerning this matter, please contact the PnrAi44AP office. For your convenience, we are enclosing a renewal application form and owner - builder form to be -completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director of Public Works Glander JFG:aam ief Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder -Verification cc: Building Inspector - Chico - 196 'i"Iemor.ial Wav/891-2751 Paradise - 745 Elliot Rd./87?-6V,7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville Cal-itornla 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER IT N0. ASSESSOR P RG L NUMBER ZON G BUILDING PERMIT OWNER �Q /j (/'f/'J�D [ 4 C� ` 4 A �6 T L o E SO. FT. OCC. BUILDING VALUA I 0V OWNER'S MAILING ADDRESS d eVIA]AiaC C'. SGA R CONTRACTOR'S NAM INN li/�I( �DA�ST�VGT'IUN TELEPHONE NTRACTOR'S MAILI G ACr -/'(J/SLZ S Fireplace CONSTRUCTI N LENDER h��Filin UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS g Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z Z Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /6 Cr `� Permit fee $ i PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP " Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[-OtherE]Permit 6 V&,P— /(2%32— _ Describe work: f�Dk$4 n If Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code nd'my license Is In ful orce and effect. License No. 2-� Classification ❑1 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING occuP.�` OR ACDNS. (ACC. BLDGS. / , /zQsea NEW CONST R. ULTI.OUT LET NON•RESID BRANCH CIRCU, TS 2.50 ea POWER APPARATUS h (SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 5AL930 eALO 30 Ex. Occup. OUTLETS (RESID )ED APPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Coolin g Hood 3,00 Ventilation. Permit Fee $ Contractor I certify that I have read this application and state that the above information 1s correct. I agree to comply to all County Ordinances and State Laws.'relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabili judgments, costs, and expenses which may in any w y accrue agains d Count i co ence of the granting of this pe it. %� �' Date 2 �nIreof Applicant — Owner❑ Cantroator Agenr AHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ CUA PARK — SCHL FLD R s Ho Issu This permit is hereby issued under sions or the Butte County -Code and/or work indicated above for which fees IREC 0 PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS > Q Date - Receipt No. y) �X � WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT .^°`'.i1^+e^yyr.K"�.7-T•tysM�ii3.iGA:est,''+P'5.:..�i�iVY1'MR""'.tJ.g.rN':a/�TraPax-KF,yr.-"�Pln.rO.iw.w•.r .. _ __ ,s si-�-_r��.�•,,FT�,.,�..r�.�.•rA,r.�a t i3..... COUNTY OF BUTTE - DEPARTMENTIOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROyILL, CALIFORNIA 95965 —TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ' Permit No. / ^ OWNER Y A. P. No. Proposed Building Use WO B124" Building Inspector PAI Date La Copy of plans sent Health Dept., Fire Depf, , The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: ;1 Other Date (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---rnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted................................ 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ f 3. Complete plans in duplicate/triplicate, signed'by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent.for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) • 9. Mobilehome installation data including manufacturer's installation %t instructions. ...................................................... 10. Fees of � 11. Chico Urban Area fees paid ....- .. 12. Park fees paid ..................................................... r 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit........... ....................... " 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction, approval required prior to occupancy) 20. Pre= Inspection for required Pre-Inspec. request to 21. Building Inspector (Date) % Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. r 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... - 25. Letter of signature authorization ................................... 26. ' 27. + Whe you issue thedpermit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector.- • Other ' La Copy of plans sent Health Dept., Fire Depf, , The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: ;1 Other Date (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---rnaiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Ir, p r Location AFS# Plan Approved for: Sewage Disposai,�-- Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other S itta Ian '""" / D a t3( .I r! c. PERMIT NO. "'`�-5Z59=76B,E PERMIT EXPIRES ?OWNER George Clapper - r CONTR. M. Marks, Magalia LOCATION (A.P. 64-17-13 ). 85 Grinnell Ct, lot 21, PP#14, Magal is t { Temp. Power Pole Called PG&E ( Temp. Elec. Serv. Called PG&E. Temp. Gas Serv. Called PG&E JOB (7 7 FINALED (Date) (Signatur04 1 t .j COUNTY OF BUTTE — DEPARTMENT,OF PUBLIC WORKS r BUILDING INSPECTION RECORD (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback r Firewall Soli Piping Forms Parapets - `st Floor Main Bldg. Restroom Finish 2n4 Floor Footings Windows -A 3rd loor Stemwall SidingTo out ° Slab Roof SheathingWater Pipi)kq Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation I Water Htr. Heaters Slab Carport Footings Slab Prov. for physically handica ed Conformance of ex. structureTemp. Final A liances Gas Piping& est G , U Sanita4lon Patio FIREPLACE F al Footings pfooting i ELECTRIC/t;L Masonry Walls f LTb at Rou h —7f. Reinf. Steel Final 1. Fixtures Bond Beam FIRE SP''RINKLE . Motors 11' Fr ming Test 1 % Water Htr. Stucco Final �. ,� Subpanels Mesh k:6,41A NICA L Grd. Fault Prot. -Scratch Heating' Service Brown Cooling Temp. Pole Finishii cts Under round Interior Lath ation Pennane t Door Closer naI Final DATE REMARKS OR CORRECTIONS J z - -7 e nr� P., �.�.� a �- .� o A::� AJ_ d b o v -e (NOTE: An entry must be made on this form each time you visit the job site.) - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - _ Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �• 1VFiVQVn QiVeS UI Lhe UOUllly UI DUMC W enter upon ine above-mentioned property for inspection purposes. X / Gi' I� Date Signature of Permitee or Agent Receipt No. z JPe2? z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 beenrUB DIRECTOR OF ICWORKS Iding permit expires Date 9-7f-77- BUILDING Owner i� p .�.�. SQ. FT. OCC. BUILDING VALUATION & T Mailing Address Telephone No. Fireplace ContractorZly- Total Valuation 2 0, Mailing Address Permit Fee Plan Checking Fee&/or Penalty Tle0,37 e hone No. 03 7 Permit Fee Q Building Address . PLUMBING No. @ FEE PERMIT FILING FEE J$3.001 Ic 6 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ^7 A. P. N — / / /.3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sa t 'on Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Parcelparcel Plans Declaration Ma p 60' R/W Im proveme is Lawn sprinkler system 2.00 Bldg. Plans Recd I Par pprov,I PI proval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others, Main service OVER 600v 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 /� T �r� ►iV �• ` Vc ' NEW CONST. DWELLING OC OR DCONST � ACC. �) 2�sy ft NEW MULTI-OUTL NO N.R ESI D, ( BRANCH CIRCUITS) 2.5 ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (POWER 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: 4 �/f � �'/J� ,q / T ��//[[// e k— S Ex. Occup(OUTLETS OR FIXTURES)@25a BAL@1 Ex. Occu FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 j License Nola./ 213Classification Misc. Wiring 6.25=— ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ .Z $ /,2 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 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 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ �• 1VFiVQVn QiVeS UI Lhe UOUllly UI DUMC W enter upon ine above-mentioned property for inspection purposes. X / Gi' I� Date Signature of Permitee or Agent Receipt No. z JPe2? z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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 beenrUB DIRECTOR OF ICWORKS Iding permit expires Date 9-7f-77- COUNTY OF*BUTTE_J DEPARTMENT OF PUBLIC WORKS t; _7 COUNTY CENTER DRIVE OROVILLE, CALF- 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 1; ?rrS 7- -7/ for the following location: 7` J /�Yi NA/rL.L la-4r-AL 1 A Ownerr- Owner's Address ! Mobilehome Mfg.r!AAr�r Model Year �7 Insignia No. -2d 9 -7 Serial No. 4210 8'y91-77 It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date / �,../ 1 /F Byi,...r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED t• • I i i .•— -� J PERMIT NO. 5257-76P,E" PERMIT EXPIRES &-7 OWNER George W. Clapper, CONTR. Phil Moore, Magalia LOCATION (A.P. 64-17-13 " ) �•� : 85 Grinnell Ct., Magal is v Temp. Power Pole ` Called PG&E Temp. Elec. Serv- i Called PG&E (: Temp. Gas Serv. _ ! Called PG&E - JOB - :FINALED N17-7 7 — 7 L (Date) y o (Signature .. j �. COUNTY. OF 'BUTTE — DEPARTMENT OF PUBLIC'WORKS, BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback — 7 _ Firewall Soil Piping Forms - Parapet 1st Floor MAN Bldg. Re,%Lroom Finish r 2nd Floor Fo tings Windo �•• --3rd Floor Stem II Siding To out Slab Roof Sheathin Water Piping c20 �p�ir�✓ Piers 'Rbofing Sewer i Z Gara a Fdn. Vents Fixtures «------------- Footings --Footin s _ _ =Garage Vents .Water Htr.: .. ----? StemwaII Insulation Heaters Slab Prov. for ph cally Appliances —� handica e Carport - _ Conforma a of ex. Gas Pi in '& Test t 2 $ Footings structur Temp. Gas - Slab X Final Sanitation 0/<— G/9 Patio FIREPLACE Final Footings I ELECTRICAL Masonry Walls T at Rough u 6 Relnf. Steel Final Fixtures `—-- Bond Beam FIRE SPRINKLERS Motors Framing Water Htr. — Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Service F 7 Brown Cooling Temp. Pole - Finish Ducts Underground' Interior ath VentiJat Permanent / %--•�Z. Door C oxer Final Final DATE REMARKS OR CORRECTIONS /7 ie oL,� �. cy Ab f�" / (NOTE: An entry ri1L5t be made on tIsfor each time you visit the job site.) l ' . A 'M0BT.1,1?Ii0M DVS'I'ALLATION INSPECTION C11LTK LIST 1. Is the mobilehome located I"j required separation from lot lines and buildings and generally conform to plot plan?. Y(.s► o 2• Does the im')bil.chome have required clearances above ground? (Sec.5085) Yes No 3. Are footin,;s and supports properly sized, spiced, and braced as per approved plans? (Note possible variation at spring shackles.) •(Sec. 5082 & 5083) Yes V"No 4. Is the mobilehome level.? (Sec. 5088) YC' No 5. If m°�f than a single unit, -are crossover connections properly installed? (Sec. 5088) Yes __7Vo S. er Is =1 ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Ye No C. Backflo - If coach is not State of California approved, does station have backflow device and pre- -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes 7V No Does it have minimum per foot slope and is it properly supported? Yes ��No7`= C. Are any leaks detected in drainage system after runnin -gallons of water through each' fixture including washing machine standpipe? Yes No D. If coach s of State of California approved, does station have required trap and vent? Yes No 8. Gas Piping d Gas Vents - A. Connector - Is mobilehome connected to the gas siipply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mo i home gas line inlet without reductions other 'than the mobilehome connector. Yes No B. Test OK as per following procedure? YesyNo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in'tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes` No 9. Electrical A. Is service large enoirglk to provide .adequar_e amp(�rage to mobil`eliome. (must equal rating; of Mobi_lehome cditit a ::;inhu.um of 00 amp) and other faciliti_i!s on lot, i.e., water pumps, 11-trap,e, cabana, arc.? Yes . No 1;. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure.. YesN_ 1. De: -energize electrical wiring=, syste:t of the mobilehome at the pedestal. t 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 aLpLj- lite (Jl:lteL i.c:aC.t %U eai;tt rl1UUL.LCLIUIIIF.' supply CunuLiCtor, 11ii:1uQ11tg YieULrdt. 5. All nor. -current, carryi_ng metal parts of the mobilehome (aluminum siding, gas line, water line), inclitding fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected -to the site service equipment. A further continuity te.:;t shall then be made between �.he grounding electrode and the chassis of the t,lobilehome. UDOI1 sat JL.slfactory completion of the electrical tests, the lot or site service oqui.pment may be approved for energizing. t. Is job card signed by health Departmeat for water and sanitation? 11. If everything ol:ay, sign off card and ta.- services. MOBILE"!0ML DATA yy� Manufacturer and/car Namest:yle Length Width Vehicle Serial No. State IdentificationNo. tall itional Infos-pati n or Comments: r COUNTY OF BUTTE " — -DEPARTMENT OF PUBLIC WORKS 7County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT uu uivi— .F,V.w rlalJVeS UI Ule 1✓VUllly UI Buite W enter upon me ab a -men one pro erty f i pection purposes. r X Date Signature of Permit a or Agent Receipt No. rS_2 �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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/QBLIC WORKS uilding permit expires Date Z BUILDING Owner e „P SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �- Mailing Address Total Valuation Permit Fee Plan Checking Fee&/or Penalty Telephone No. A Permit Fee $ Building Address /� `� %!4119 & PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Zoning Verificafion On y Water piping .fig. Q Each gas water heater or vent 1.50 A. P. L .- �%4—%% Za"' Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fees W. C. a i on EOA Parking Parcel Plans Declaration Fire Dept. Fire Zone arce M 60' P Use Permit R/W Im provements Building sewer —S.88 Lawn sprinkler system 2.00 r�+'°9. Plans Re Parcel Approval Plans pproval Permit Fee $ 7�? NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,Co Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others E]Main Main service OVER 600V 100 AMP OR LESS 25.00 service EA. ADD'L 100 AMP 1.00 tO SQ. R. MINIMU14 CONS. DWELING oR ADDNST ( ACCLBL GOCCUP. &) 20sgft NEW CONSTR MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea FOR MOB NEW CONSTR. (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 C i-ferusin ss & P ofessions Code under the name style of: YTemporary Ex. Occup(OUTLETS OR FIXTURES) @252 BAL@1 FIXED Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 service 10.00 Mobile Home Facilities 15.00 s License N Classification Misc. Wiring W6.25 ❑ 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. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and k-; State Laws relating to building construction, and hereby TOTAL PERMIT FEE uu uivi— .F,V.w rlalJVeS UI Ule 1✓VUllly UI Buite W enter upon me ab a -men one pro erty f i pection purposes. r X Date Signature of Permit a or Agent Receipt No. rS_2 �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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/QBLIC WORKS uilding permit expires Date Z MOBILEHOME; SUYYOK'1 4JATA 41 Mobilehome Mfr. Setup Model No; P Year X/0 A,Ind - j 0 Width !Z (ft.) Length (ft.)-Expando Size _�D ft.x eft. (Draw support details below) . On all°mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets .(if. not .on .file with the County of Butte). Sin Footings- (check.one) /T/ 1. Wood either ' A. pressure treated or Center Center Support fdn.':grade.: 'Support Footing Sizes Locations (in.) / 2 -.:Concrete pad. in. in. 3. Other, :'specify in. ZW10. Supports (check one)' in.inft. /G/' 1. Concrete block -0. 1 ,/ x 3p / / 2. Concrete piers Overhang 7/ 3. Steel piers .. ...... . .... .. ::..._ . .......... ... 40th .j . Other, specify, .. ....... Typical Suppgrt. x 3v Z Footing Sizea , _ IN . .......>........ Max. Pier . .Spacing ZW10. in.inft. Overhang *If center piers are other than drawn above, draw'in locations, spacing; and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED 1. Owner's name: 2. Installer's na 4"! BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB'ILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes 7-77- No (If yes, furnish permit number ) OR Is the site an existing site? Yes./ / No / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- j0 U Amps 6. What is the mobilehome site service rating? --------------------- % Amps . 7. What is the mobilehome site circuit.breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /-Z4 No (If yes, identify the load and size: Alf! (Load) Z --5- (Amps) } 9. What is the mobilehome site gas pipe size? ---------------- ` 10. What is the type of gas service? ---------------------------- atural / / LPG /-7% 11. What is the gas pipe length from meter or tank to the mobilehome? 30 (ft. 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less or less.than 50 ft. on LPG.) 9- r�sTit, I l� ft ! on natural gas COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 'A. 7 County Center Drive — UroviIle , California 95965 Telephone: 534-4541 APPLICATION AND PERMIT _ BUILDING Owner , SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor O Total Valuation Mai l i ng AddresscZM_ f' ` Permit Fee Plan Checking Fee &/or Penalty r elephone o. S'— 6,' Permit Fee $ Building Address 6-5— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. f 7� % 3 Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fels W, . SmttTatttfi I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. ns Rec'd Parcel A oval PI Approval Permit Fee $ $ NEW ❑ ADDITION PTILITIES ❑ OTHER . ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR L Main service i°oo AMP ORSLESS 5.00 .- ?f b Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1 OEAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1,00 NEW CONSDWELING OR ADDNST ( ACCLBLDGSCCUP. 8&) 20sgft NF_W CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. 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 styl of:`/ C-�Z.�` Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 FIXED TS (RES, OR Ex. Occup. ( FIXED TS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ,�27 � > 3d Classification e'� / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of 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 rkmen's Compensation. have placed on file with the County of Butte a certificate of yorkmen's Compensation Insurance. 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ .7 0 TOTAL PERMIT FEE $ 3U '— autnunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X L -t-Date Signature orPermitee or Age , Receipt No./ -y`& %` White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 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 LIC WORKS BY Dater --Z-7- 7 C wilding permit expires Date �J Z7.- 7% I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County.Center Drive — UroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. A14F5) X�� Date %O— Si ature of PPeerrmfitee/oorr Agent Receipt No. /:/`7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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.' R EgrOT OF PU IC WORKS B2 y Date Bu' g permit expires Date - Zs�-- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor �� Fireplace Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty ele hone Permit Fee Building Address PLUMBING FEE _No.J@J PERMIT FILING FEE $3.00 3.Oe,> Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent _.. 1.50 A. P. No. �'` / _ Zoning & Planning Gas piping system 1 - 5 outlets 1.51) ILS •.02? is /3 c3<, Each additional outlet F s Ion Fire Dept. Fire Zone Use Permit .30 Building sewer 5.00 EQA Parkin PlansBldg. Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 a"� ns Recd Parcel Approval Plans Approval Permit Fee $ 0 ,f� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ I FEE 7 PERMIT FILING FEE J$3.00 , Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVERAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW CONST. DWELLING OCCUP. &\ OR ADDNS. ( ACC. BLDGS. / 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS)2.50ea NEW CONSTPOWER APPARATUS & NON- R. 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)@ 250 L@109 Ex. Occup. (OUT ETSP(RESID,)REA) 2:00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ..7 [� Classification Misc. Wiring 6.25 ❑ 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. I have placed on file with the County of Butte a certificate of �* Workmen's Compensation Insurance. 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 $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. A14F5) X�� Date %O— Si ature of PPeerrmfitee/oorr Agent Receipt No. /:/`7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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.' R EgrOT OF PU IC WORKS B2 y Date Bu' g permit expires Date - Zs�-- e-:LECTRiCAL MECHANICAL" AND Pl-UM84NG GoNSTJjUC:,;'l0N ( NOT PLAN CHDIT D ) SHALL COMPLY WITH CURRENT ON OF NEC, UMC AND UPC. N6TE: See the attached n EQ-9-uir—gments cz Ld BUTTE COUN-1, AUILDING DEPARTIN F P P R 3 r N t.) 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