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064-190-029
064-19-0-02 9923184 P°E NICKOLEY, Dewey Iona 14595 Lafayette__Cr., "Magalia contr :. MH Centermhu X064==19 -0-029r 92- 84- P,E GAS COMPACTION TEST`REQ o •SUPPORT .STRUCT °REQ 064-19-0-029 - q 9.2-3185MHI NICKOLEY, Dewey. ona . 9� Ma alia• 14595•Lafayett Cr, g , contr: MHC Antermhi •. - r 064-19-0-029 93-2131 B NICKOLEY, D.R. 14595 LAFAYETTE, MAGALIA DECK/MH s 064-190-029 _ PERMIT#96-0318 P11 'MORGAN, Sunny ' 14595 Lafayette, Magalia P ,l Cont: Cousin Gary's MH on Perm Fnd(Ex Site -New MH) i (�� "ter .- c i M1 RE IDENTIAL i 064-190-029 • PERMIT#96-0318 _ MORGAN, Sunny��-'3'" 14595 Lafaye tte;''MagaliaL_,;. Cont: Cousin Gary's MH on Perm Fnd(Ex Site -New MH) W E HCD FORM 433A FOR THIS MH CANNOT RECORDED UNTIL ONE OF THE FOLLOWING VE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) (2) LICENSE DECAL (3) STATEMENT OF FACTS /U/lb 3 �z- O'c a -t OFFICE COPY Address GAS Meter By Dat ELECTRIC Meter By Dat JOB FINALED (Date / Signature V=OK O = Not OK -NoAppl' = Nott Ready 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-Gmd-/ /Amp -Concrete CrsPf(� WaAC eI bep A -o 4 r•oo f I t,v L p,Gr 5 p2G•iH� vtz:- PL /3- U��-151tiUi�Z E MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings )I l Date Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 6. Gas; Location -Test -Wrap; / i'L'ft. / /Nat. or/ /'L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE ME INSTALLATION Plans OK except #'s oning Requirements- Setbacks Easements tings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances ra ; MH Test -Fall -Flex Connector Water; MH Test -Regulator -Connector ater Sewer Connected -C/O to Grade -HD Approval . as and Electricity Tagged Cert. zits; Insp.-Sketch 13.�Ccupancy Date Card B-IZ Date Card B-1 Date E Card B-1 Date Card B-1 CrsPf(� WaAC eI bep A -o 4 r•oo f I t,v L p,Gr 5 p2G•iH� vtz:- PL /3- U��-151tiUi�Z E MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings )I l Date Card B-1 Date Card B-1 'Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (; ' = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel -Block outs -Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ir's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ---»----------------------------------------------- ----- - - - - - ----- A 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------------------------------------------- 19. Shower Pan: Test. First Floor -Tub Access 20.--Test--&-Shower.- & -Shower,-Second-Floor-Tub Access -------------------------------------------------------------------- 21. Gas Pipe: Size & Anchors -------------------------------------------------------------------------------- Date Card B-1 Date Card B -t Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection --------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors --------- ------ - - ------------------------------------- ------- 24. Size Boxes & No. of Conductors -Stapled ------------ --------------------------------- .._....... 25. Romex Installed Close to Edge of Studs & C.J. - --... ------------------------------------ ........... 26. Equip Ground made up wrMech. Fastners-Bond Gas & Water ----------------------------------------------- ----- - ----- 27. 2 Appliance Circuts in Kitchen & Conductor Size,GFI ---------------------------------- ----- - ------------ - --- -- 28. Subfeed Wire Size ga. Cu or AI -A.0 Wire Size ga. Cu or At ------ ----- - -- - -- - --------------------- .. 29. Range Circ. r ' ga. Cu or AI -Oven Circ. i r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------.....-----_..... .. 30. Service -Riser Conductors & Ground -Main Disconnect ------- - ------- ....................... 31. Equip Clearances Panels-Motors-Mech. Equip. ------------ - - - - - -- - ----------------- - ----- ------ 32. -- --32. Clothes Closet Light -Shower Light -Spa Light -------------- ------- --- ----.. ........... 33. Smoke Detector --------------- -------------------- ............... ............... . .... .. Date Card B-1Date Card B-1 --------------- ....... ................ ................. ... ... ... ... ... .. Date Card B-1 Date Caed B-1 Date MECHANICAL.(Permit) OK except a's 34. A.C. Ducts Insulation & Support -----------------...-----------............. .............. ...... . 35. Vent Fan: Exhaust above insulation ------ ------ ------------ .. --- 36. Condensate Drain & Overflow: Size & Grade ---- 37 Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 38 Attic Access &Platform if Furnance in Attic ------ -- ---- --- ------- - - -- Date Cartl B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except a's 39. Sils. Proper Material & Anchors ....... ... ... ....... ... .... . ... ... . 40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ...... . _ .... ... ... .. ............ ... ...... . 41- Bearing Walls over Girders & Floor Nailing - . ... ....... ... . . -- . --...... ... . . . 42 Draft Stopin Walls (rat proof) ...... -- ....... ... ....- 43 Fire Stops: Furred Ceilings -Stairs -Chases -Tub ----------- ....... ........ ... .._.._......... .. .. .. .. ... 44. Headers & Beam -Size & Bearing J jingle & Duplex):- Date FRAMING (Continued) �- 45.. Hangers -Post Caps -Anchors -Connectors = 'r 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng; % h; 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance' -------------- 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. -Battles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -------------------------- - 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3 -Check Garage -3rd Story, 2 Exits --------------------- -------------------- 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ----------------- 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ------------------ 55. Siding -Nailing Veneer ----------------------------- -------- 56.. Stucco Mesh-DripScreed-Fd. Vents-Underflr. Access 57 Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: Nailing -Bolts 59.- Insulation -Walls -Ceilings --------------------------------------- 60 Infiltration -Walls -Windows --------------- ------------------------------------- Date - ----------------- Date Card B-1 Date Card B-1 ----------------- Date Card B-1 Date Card. B-1 Date FINAL (Plans) OK except a's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------- -------------------------- - 63. Furnace: Vents -Clearance -Comb, Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ............. -------------------------- 64. Bedroom Exiting ----------------------------- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------------- 67. -----------------67. Stags & Rails 68. Fireplace or Stove: Clearances -Hearth ---..---------------------------------- - 69 Elec. Outlets at Wood Panel: Int. & Ext. . --- ..--------------------------- - ------ -- 70. Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance . _.....----------------------------------- -- 71 Elec. Outlets & Receptacles at Kit. Counter . ... ... ......._..--------------------------...... --- 72. Garage Fire Door: Swing -Landing -Closer ...... ..- ----------------------------- ----- 73. A.C. Duct in Garage -Damper .. , ... .............. --------------------- - ------- ------ 74. Wir. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor-Mech. Protection ---------------- - -------- ----- 75. Plb.. Elec. & Mech. Equi Listed for Location ...... ._..--------------------------------------- - 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. ... -------------------------------------------- --------- 7;. Insulation -Foam -Looked in Attic ❑ Yes ...... ---- - ---------------------------------------------- ----- 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes -------------------------- -- 80. Followinginstld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No -------------------------------------------- ----------81. Stucco. Brown -Finish --- --. -...------------------------ ---- --------------- 82 A C. Unit: Disconnect. Electrical. Plumbing . ... ... ... ... ... ......................--------------------- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings . ................... -------- ------------------------------- 84 Water Well: Disconnect. Electrical. Plumbing . ....- --------------------- ------------- - 65 Exterior Elec. Trim: G.F.I. Receptacle -Underground ----H _ ... - --------------------------------- . - -- - - -- ----- ---- - -- ----------------- 86 Ventilation Throughout House .. ... ... ....... ... --------------------------------- 87 -------------------------------87 Glass Protection ------------------ 88, --------------88. Corrections from Previous Inspections - - -- - ---------------- 89 Gas Test -Meters Tagged: Gas -Electric - - -- - ---------------------- 90 Water & Sewer Connected-CrO to Grade -HD Approval 91 Energy Compliance Certificate -Other Certificates - ----- -- - -------------------- Date Card B-1 Date Card B-1 .._. .-------------------- Date -----. ------------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: APS; -'.=_i -9I TiE j.9'2 Pll OU!"" it "6r- _ •r• _,A n, ; �, ,I.�, 1�4 U •f.! 1?I L. ,1 - Fleo X101 r ), STATO, DEPARTMENT OF HOUSINGF•ANpLCOMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION STATEMENT OF FACTS This unit isa;rr7 Mobilehome 0 Cormercial Coach [] Floating Home Oeeal (License) No, (s) Trade Na,mp v�T" `serial No. {s) I/ire, the undersigned, hereby state that the unit described above: Truck Camper ll� �Zy .(�J' �� r C, f �L.f'J'� l VtCvLQ..`• J r (�I'F/�` LO -C/ l,f.Q� •'ti'u q�, E 1 i• C O C :1� :� �w_. r �. u�rw,_ t ��. CQCa: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any lots 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. 1/We certify under penalty of perjury that the foregoing is true and correct. Executed on 11 - C? _ at C_, Q Dae W` (City) Signature of each affiant Printed name of each affiant Address BUS City State G c HCO 476,6 (Rev 11/86) OAK. mf�r)0R Urn -.%U- 05�)9--HICS D D 3 ) I a 6- i0 0 5 aq.- i•i - 1� I/ire, the undersigned, hereby state that the unit described above: Truck Camper ll� �Zy .(�J' �� r C, f �L.f'J'� l VtCvLQ..`• J r (�I'F/�` LO -C/ l,f.Q� •'ti'u q�, E 1 i• C O C :1� :� �w_. r �. u�rw,_ t ��. CQCa: Affiant further agrees to indemnify and save harmless the Director of Housing and Community Development, State of California, and subsequent purchasers of said unit, for any lots 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. 1/We certify under penalty of perjury that the foregoing is true and correct. Executed on 11 - C? _ at C_, Q Dae W` (City) Signature of each affiant Printed name of each affiant Address BUS City State G c HCO 476,6 (Rev 11/86) COUNTY OF BUTTE- DEPARTMEW OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIT N 1. APPLICATION AND PERMIT �' ASSESSOR PARCEL NUMBER 064-190-099 ZONING R1 BUILDING PERMIT OWNER MORGANSUNNY TELEPHONE SO. FT. OCC. BUILDING VALUATION 1243 R 67,392 OWNERS MAILING ADDRESS L' . LASSEN #19 CONTRACTOR'S NAME GARY'SCOUSIN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee 495/2 $ ARCHITECT OR ENGINEER LICENSE NO. - Plan Checking Fee $ 23.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 114595 LAFAYETTE, ivIAGALIA PERMITFEE $ 290.50 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT No. SUBDIVISIONS NAME PA E1 ,MAP/J GLV ;/✓JL Solar or heat pump water heater 23.00 Water piping 15.00 15.00. USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15,00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 11 '� EXISTING SITE Q.(,() Describe Work: �, — ��^ L Mobile Home ISI GI W 920.00 PERMITFEE ; Contractor ELECTRICAL PERMIT Filina Fee 2000 Main Service a OR LESS ( 200A OR LESS / 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code, and my license is in ft4l force and effect. License Class 13 C47Lic. No. 9L 51-12 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. ) SOBLDS. 3.5¢ FT. UTLE NEW CONST, MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 WER (aPs NG E OUfLErT ICIC R. ) Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .50 Ex. Occup.(OFIXED APLNS. UTLETS(RESD.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Z23 .0 PERMITFEE $ 43.00 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and polic number are: Carrier ALLIAnI /NS Co () MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor �C&0,0/A/ Policy Number luC N SLI TCI G, (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fort with comply with those provlslo X ,(%I�c�IiGZ Date Sig tan ure of Applicant-- ❑ Owner KCop r or ❑ Agent An OSHA permit is required for excavations dy6fr 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ o I HAZ. I %F71 IMP FLOO CDF PARC PD HD UE This permit is hereby issued under of the utte Count Code and/or Indic e e fo which fees have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Dae '7 �r 9/ (Date) Receipt No. 190948 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT •- r • . ,.,. � „'Yri�`.. i'_� r S,.'r •.r��.[`,.s;,''r���=1"'�yyh�, �..�t�,+P�F,-��r�B. ' .�' +fR"^�e�"n�v^"Le..'. w..�rv,+•v.:. `9+`:.\-�r-::rc. i�,.. . .r. _. wG . � . .... w e ? P COUNTY OF BUTTE - DEPARTMEN70- EVELOPM ENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, �ALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER k, �l� (r/ -- A. P. No. DCDZ%-1 yd -0 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED iBY `y All items have been submitted . ........................................ ! 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wetsignature on plans . ............. 5. Hazardous Material Form . ........................................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... ! 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . ` 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ . ............eee Impact fees as shown on attached schedule. .'......... 12. California Department of Forestry plan approval . ....................... . Flood elevation letter (100 year floo) y C lifornia Engineer. .. ............ . 14. Sanitation and plot plan approvalG rC Health Department . ............ t 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). ..*.. t Frpe eansction request 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements.completed and (B) Parcel,meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ............................ t.....:... . t ��W34 P9eC�i�..G..... •. When you issue th p-eF i ±g�r ,ce sxas follows: Mail to owner. Maifto contractor. �elephoney� and hold for pickup at office. Deliver with inspector. Other Parcel Creation 1919( Acreage Applicant ate i 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 p 'or to ermit ance: it le new item not checked above). , 1. Index permit for above items No. 2 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phonemail Co u r by _ Date Contractor, designer, owner, was advised of above required data by _ phone ail nter y _Date Plans checked by Date Plans approved _by Date3- Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works i I TU: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Pka Plan Altadmi Y15 —S Floor Plan Aluichvd Sciu to U.1). 92- (91 2•(91 O(w-nd Locatiol ICE&AP# Plan Approved for: Sewage Disposal ✓ Water Supply: Public Private Well Clearance for�,,bcdrooni mobile home. Othcr �Q� �( )!/" 2� Cn a- ryl Hold final for: Final clearance O.K. for: r NOTE:l%' 1I;.4I/,--I Environmental Health S Date ,i,. �. �'w ..ti-•. .. srw. ..i�.:;ti.: i�yJ;6i�. ^���p.r'•' ,.:.t�;.'i�.•�w:'1-!.. t�:i"r,xrsl.Er.w.. S �.r..r .,, i q BUTTE CONTY SCHOOLS IMPACT FEE CERTIFICARN FORM (One Form Per Building) School Districty Building Department No School District?� A.P. Number Jurisdiction: City County Property Owner Property Location/Address 41 Subdivison v l U S"�S�- /14 V 4 V C r7 E- C r R - Residential Development 0 No. o Living MHI Units _Lot No. Sq. Footage Addition (Gr p R) Commercial/Industrial 0 Sq. Footage New Addition (Including Exterior Roofed Areas) ;L12-7 Depd7Went R esentative Dat, - (Floor Plans reviewed by School District Personnel) No. / e4OZ4 �j r .� 41!!�,School District certifies that1�2,e A4,1apf (Street Address) (Phone Number) 0,6— ; z ) ( ILI �UY60e47 (City) has complied with the requirements of Resolution No. rep Sc square feet. Paid by Check # el 1d`-- Remarks` -j Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. by payment of $ AB 2926 ID il FULL MITIGATION $ White (applicant), Yellow (building department), Pink (school district) feeformmkl (11/94)dmm 0 0 0 0 �0 Date: To: From: U T �F 0 Department of Development Services 0 Building Division 0 7 County Center Drive t _ r 0 Oroville, CA 95965 • ��� 0 (530) 538-7541 (530) 538-2140 FAX www.buttecountY.net FA CSIMILE COVER SHEET A --E D � � � 30 o q_21�N Tb` Subject: Q : 3 tt Number of pages (including this cover sheet): Fax Number: 't -n —y 3 If you do not receive all of the pages, please call (530) 538-7541 as soon as possible. Special Instructions: i n Review and respond accordingly. n For your information only. rr � Sincerely, F � e CONMENTLILITYNOTE: The information contained in this facsimile is confidential and may also contain privileged information. The information is intended only for the use of the {' individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby notified that any use, dissemination, distribution, of copying of this communications is strictly ' prohibited. If you have received this facsimile, in error, please notify me immediately by telephone, and return the original to me. Thank you. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: NAME BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE STREET OROVILLE CA 95965 ADDRESS CITY, STATE and ZIP 96-01 6 101 Rec Fee .00 1 I I Total .00 Recorded 1 Official Records I County of I c "- Butte I Candace J. Grubbs I `.� Recorder I l 2:16pm 2 -Apr -96 1 COMS XX 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 shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. SUNNY MORGAN BUTTE COUNTY BUILDING DIVISION REAL PROPERTY OWNER/LESSOR LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 335 E. LASSEN AVE. #12 7 COUNTY CENTER DRIVE MAILING ADDRESS MAILING ADDRESS CHICO, BUTTE, CA 95973 OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP CITY COUNTY STATE ZIP 1459.5 LAFAYETTE CIRCLE 96-0318 (916) 538-7541 INSTALLATION MAILING ADDRESS, IF DIFFERENT BUILDIN� PERMIT NO. -------------fREPHONE NUMBER MAGALIA, BUTTE, CA 95954 �� �� L�ltr6'/� %�% 4/1/96 CITY COUNTY STATE ZIP SIGNATURE OF LOCAL AGENCY, tfICIAL DATE SAME COUSIN GARY'S FACTORY BUILT HOMES UNIT OWNER (If also property owner, write "SAME'l DEALER NAME (II not o dealer sale, write "NONE'l 91265 MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION SKYLINE 12/94 2231 -CT MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER ' 06-70-0529-H-A/B 48'X26' ULI 397261/397262 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) A.P. #064-19-0-029 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION HCD FORM 433(A) Rev. 8/91 WHITE—County Recorder CANARY—HCD PIhR—Applicant GOLDENROD—Building Dept. BUILDING PERMIT NUMBER: 96-0318 Address or location of unit: 14595 LAFAYETTE (-CIRCLF,_.MAGALIA Legal Description of Real Property: A.P. #064-19-0-029 SEE ATTACHED LEGAL DESCRIPTION. [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: SUNNY MORGAN Owner's address: 335 E. LASSEN AVE. #12, CHICO CA 95973 INSIGNIA OF HUD NUMBER: ULI 397261/397262 SERIAL NUMBER OR V.I.N. 06-70-0529-H-A/B MANUFACTURER'S NAME: SKYLINE YEAR: 1994 OFFICIAL APPROVING INSTALLATION: i DATE: 4/1/96 PHOE: (916) 538-7541 H.C.D. 513C LEGAL DESCRIPTION A.P. #064-19-0-029 ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, DESCRIBED AS FOLLOWS: PARCEL I: LOT 42, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 14", WHICH MAP WAS 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. 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 SURFACE OF SAID LAND. PARCEL II: A NON-EXCLUSIVE EASEMENT OVER LOTS A AND B (THE COMMON AREA) OF SAID PARADISE PINES UNIT NO. 14, AND THE LOTS DESIGNATED FOR COMMON AND RECREATION AREAS, AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR UNITS IV, VI, VIII, X, XI, XII, XIII AND XIV. MAR -28-96 02:35 PM SKYCRES BUILDING SYSTEMS 916 342 9174 TA7 OF CALIFORNIA DEPARTMENT OF HOUSING AND COMWNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION , STATEMENT OFJACTS This unit is'a: ® Mob ilehome Q Commercial Coach 0 Floating Home Decal (License) NO_(s) Trade Name Serial No.(s) Lit Ll 39'7-a4o t o& --)D c4t- x301).7- &2._ 1 SKyL,Pie. Ob. '70 - oS'a9— 14 —A — I/Neo the undersigned, hereby state that the unit described above: Truck Camper S .'(VF -(Al AP6 }SAS C1N Aj�,rrro&(Z Pi- EC.E Cir 9�:Zcj Affiant further agrees 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 tide covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on Via— at CHIC C • CA Date (City) (State) Signature of each -affiant Printed name of each affiant Address - - City State NCO 476.6 (Rev 11/86) MAR -21-96 10:54 AM SKYCRES BUILDING SYSTEMS 916 342 9174 P.02 MIDVTITLC*ESCR0W#CNIC0 TEL No.1-916-893-3428 Mar 21,96 10:47 No.015 P.O1 A# VeUry 71w 3 Eavow Canpmry r 52473CA o. /• "'EN RECORDED MAIL TO: %do &Covent Is a tine certified oopy of to engin that SUNNY MORGAN 14595 LAFAYETTE CR MAGALTA; CA 95954 MAIL TAX STATEMENTS TO: SAME AS ABOVE tiOM"P9 — -`i InSt21tn11t M. M - 10 Office o r c•oorder oPthe County of .. Tis' Stato of California. �/1✓ L�S... H[id Vat igy T1Re and Fsesow mlrorny SPACE ABOVE TNtS LANE FOR RECORDERS USE O=MENTARY TRANSFER TAX $&LM X �ro� �+ t1+a o:natdattlon a vWe d papally toora�eyedr OR COTPAod a+ the ozrtsldamli m or Aw loss ism or eeoumbranaaa ►enalbl+a d ems of sale. T>ha unrraralmnAd Grantnrd&►write. 61111nwra of Dedo+. t sr AW1 aMrtnhtV WA'- FM Paeme GRANT .DEED FOR A VAI UARI-F OONSIDERATION, raCelpt of which Is hereby acknowladpad. DEWEY R. NICKOI,.EY. and IONA F. NICKOLEY, husband and wHe hereby GRANT(S) to SUNNY MORGAN, an unmarried woman the teat properly to tho city of Unlneorporated Area County of . BUTTE SEE ATTACHED LEGAL DESCRIP71ON Dated Mich 13 loan Q �i s� • V71EY R. KOLEY- - -- --- STATE OF-G+vl MA, %nL>A14 nCk) 1�• 'OOUtOY OFIONA F. NICK on `T» cirt�A -4-Y_ /49� , bobre ".nale. po"ofty appeared �@ �cYe�t� _NL(^ _�•/�'X --. personally known to m (or proved to me on tha bash of talbtwory _ wl09nc0) to bo the person•(s) sAoso wne(s) WUR. subecribal to the vjiV n tnatrumont and acknowledged to me tha-rrAVshe� exeWted UW - aamo In hls/t+er/IptLlr authorized cep.dly�. and that by hl3,tW4baL 2,19neturel3) on the h -strument ow perwz) or the entity upon beha" of whkh tlw FWM0nX60ted. exetulsd the lr*LrvMWL — - WITNESS my Mrd aurj official seal. .. '.. Rke of Cal rum % de at and MAR -21-96 10:55 AM SKYCRES BUILDING SYSTEMS 916 342 9174 P.03 MIDVTITLE*ESCR0W*CNIC0 TEL No.1-916-893-3428 Mar 21,96 10:47 No•015 P.02 .0 r ORDER NO. BU -152473 CA xscRz>yrzoN ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE STATE OF CALIFORNIA, COtINTY OF BUTTE, DF•SCRIBED AS FOLIOWS: PARCEL LOT 42, AS SHOWN ON THAT CERTAIN MAP ENTITLED, 11PARADISE PINES UNIT NO. 14", WHICH HAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATR OF CALIFORNIA, ON JULY 15, 1971, IN BOOK 3S OF MAPS, AT PAGES 37, 38, 39 40 AND 41. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPl'iALTUH AND OTHER.. HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING. OPERATIONS SHALL DE DOTE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO' supFACE OF•SAID LAND. _ URCEL IZ: A NON-EXCLUSIVE BASEMENT OVER TATS A AND B (THE COMMON AREA) OF SAID PARADISE PINES UNIT NO. 14, AND TKE LOTS DESIGNATED FOR COMMON ' AND RECREATION AREAS, AS DESCRIBED IN THE DECLARATION OF ANNEXATION' FOR UNITS IV, VI, VIII, X, XI,_.XII, XIII AND XIV. PAGE 5' RESIDENTIAL -93-2131 B 064-19-0-029. NICKOLEY, D.R. MAGALIA 14595 LAFAYETTE, J ,1 DECK / V=OK O = Not OK • - = Not Applicable Not Ready MOBILE HOMES ' = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /'L"ft. / /"Net. or/ /'L"ft./ /"LPG 7. Well Clearance & Disconnect S. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Teat-Demand-Valve—Connector 4. Electricity; MH Teat -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Teat -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 ISCELLANEOUS m -Steel Griders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posta-Beams-Rftm.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. EI is rmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh oof; Shthg-Roofing Ext.; Steps -Doors -Landings ,7/ , ' �3 Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meth. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Wells over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door, Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents-Clearence-Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Pib., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yea ❑ No; Planters ❑ Yea ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Comments at Final: COUNTY OFA UTTE DEPARTMENT OF RUBLIC WORKS 4, 196 Memolial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville - Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 —` CORRECTION- NOTICE INER s / PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 2 � Date v `� Inspector J/Z �/k- 13067 jPCD/r VN4-11 44�Flwe% m p %v7T/27 el7-5 BU77ECOUNT COUNTY OF BUTTE - DEPARTrMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT R�� 13 7/. ASSESSOR PARCEL NUMBER 064-190-029 Z NI BUILDING PERMIT OWNER D. R. Nickole TELtPHONE1 873-6823 SO. FT. OCC. BUILDING VALUATI N 200 C 2,600.00 OWNER'S MAILING ADDRESS 14595 LaFa ette Circle Ma alfa 95954 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2,600.00 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $45.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $22.50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $82.50 PLUMBING PERMIT Filing Fee 15.00 14599 LiFayptt Circle. Magalia Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New r-- Addition TJ Remodel CI Uti lities ❑ Instal lation C Other ❑ Describe work: MH Dprk _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS j$,50 Main service 200ATO1000A1 37.50 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. icense .JO. Classification LOI 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) ElI, 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.h) OR AODNS. ACC. BLDGS. I 3.60 sq.ft. NEW CONSTR. ULT[ -OUTLET NON-RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 20876 . 0 AL_ 4F;kI FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.� 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — 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 Consent to Self -Insure. 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against C co sequence of the granting of this permit. X 1y3 Date 7/2 ( Signature of Applicant — Owner ontroctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.DIRECT Mobile Home Installation Fee S Ener Inspection Fee $ Energy P OCC CONST TYPE TOTAL FEE $ 2 .50 HAz 1 0FEES 1_IMq FLOOD EDF I PARCEL I PD H ss This permit is hereby issued under the sions of the Butte County Code and/or Work indicated above for which fees R C By PERMIT EXPI . ES Date applicable provi- resolutions to do have been paid. ORKS Dae 2 Receipt No. 135563 WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT FA CQUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION n 7 COUNTY CENTER DRIVE - OROVILLaCAt ORNIA95t365 -TELEPHONE (916) 538-7541 �PEyRMITAPPLICATION DATA SHEET 0 L).�OVYNER A, A a/ yo c,,e A. P. o. Proposed Building Use �� Building Inspector Date � _At of permit application, I was advised the following data must be submitted prior to permit processing and : /or issuance: J r V (•r e DATE RECENED BY ''�II items h? re been. submitted. ......6�. ;_: cy ....................... 2. Plot plans,�ll/4 segs, signed;by preparer of plans . .......................... " 1 -j.,—'complete plans,(/4 sets, Sig ned„by prepares of plans. ...... �. ....... Engineered plans an c4lcs, 3%4Se- ts, with)wet signature on plans. ...... ',r, _ 5. Hazardous Material Form . ................ 6. Energy Design Cory)pUance and supporting documentation. .Y:.......... ° ;�� . 01AStatement of Intent for Non -Heed and,A/C(Buildings..... � � 1 8. Engineereli-truss deiails"and layout induplJcate (regwred prior to plan check). ... . �Mobilehome data and manufacturer's instaltgtion instructions, 2 sets. ........... 10. Fees of $ ......................................... r 1. Impact fees as shown on attached schedule. ............................. . 2. California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flood) by C lifornia Engineer. .......... . 14. Sanitation and plot plan approval (Z Health Department.'"�'"�.. 15. City of Chico plumbing permit. ........ �� ............................. . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. .. y. 20. Pre -inspection for required. .. ttp e� is s nO4 o�- (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance. .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ). ........... 24..�Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of she authorization................................ . . Copy ofdeea Teed o`� pa-'P'�cet'creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ................................. ..... . r 32. Plan check list . ..................................................... �— 33.-� .34. When you issue the permit, process as follows: v Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage 'Applicant t. Date ?X2 / Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Sets of plans on hold in File Copy - Department of Public Works ItiJI, 1,51; uI.Y Not Man Mulled _ Seul to II.D, TO: Building Dpartment FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location AP// Plan Approved for: Sewitoe Disposal - Water Supply:Public Private Wellll.. Clearance for VA roVINmobile home. Other % 0c� 1 CCS Hold final for: Final clearance O.K. for: NOTE, Environmental Health Specialist 8/92 —DAC 777) COUNTY OF BUTTE - DEPARTMENT OF�PUB(`G WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND 'PERMIT' ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER h f G t o/ e TELEPHONE rte- 6�L SQ. FT. DCC. BUILDING VALUATION 0 OW E 'S MAILING ADOR SS l61 S q is X-' R 'PTT,le A . CONTRACTOR'S NAME ITELEPHONE w h Ire CONTRACTOR'S MAILING ADDRESS Fireplace "—� CONSTRUCTION LENDER �� UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS �— Permit Fee $ Q�f ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ..�_ BUILDING AOCLa.ESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 G Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome��'��'"```""��\��\ � Other Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 SPECIFY TYPE OF WORK New ❑ Addition, Remodel❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: d� _ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A1 37.50 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 NEW CONST. DWELLING OCCUP.S� New CONSTR. ACC. •) "ULT'-OUTLET NON.R ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 3.64sq.ft. @ 5.00 20 76 El 1, as the owner, or my employees with wages as their sole compen- FIXED APLNS Ex. Occup. OUTLETS IPRESID.IREA.) 3.00 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) Temporary service Mobile Home Facilities Misc. Wiring 9 15.00 1 15.00 15.00 ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 15.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling g ❑ I shall not employ any person in any manner so as to become subject Hood 6.50 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. Ventilation Permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against s in conse ence of the granting of this permit. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE �_l TOTAL FEE $�• HAz 0FEES IMP OD COF PARCEL PD HD ISSUE FLOunty (0Si This permit is hereby issued under the applicableDate provi- Si Signature A - Owner re of Applicant g pp ❑ Confroco Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Receipt No. By PERMIT EXPIRES Date Date WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT ©w y¢- iii �.^ k o. e 'v -e c 7` A-lr P P�- 7- r d r-- y v e ,7� Pre o;7- 0 P- cis G14F4V-e7Te COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 COUNTY OF BUTTE OWNER -BUILDER VERIFICATION BUILDING DEPT J U t 0 7 1993 Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this. information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2... I (have/have not.) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address 1. �- '� City `%%/tC���r�. �°cL Phone �?U Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinar.e-; and. _provide the major work: Name _ i- AddresLj_ _ City Phone - - ntractors License No. 5. I will provide some of the work but I have contracted (hired) the.fo.11owing persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number Date 7- X% NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of .the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. T X z� `� .. 81' .. -Zi"' M AX. VAR/ES 36" MIN.. o 6' b.�x 7 �'y W y p I ) I x � rJ -a rn � A rn o � � N 3 TY z C-3 N X 4�t rlm G T X z� �m CD i m - 'r 3 � o -3�- /�/� 34,1 y ? , J, NA1Ji�RML HEIGHT m `� .. 81' .. -Zi"' M AX. so 2�N 0 6' b.�x �'y W y p ) I Cn. rJ 0 A rn � O � N 3 N X 4�t rlm Qe TIN 0 3 P :r' 3 70' o � r 11 - C> _� � . Al N. S TA F-, -- - A W I DT14 " O W q C m d � �m CD i m - 'r 3 � o -3�- /�/� 34,1 y ? , J, NA1Ji�RML HEIGHT m `� .. 81' .. -Zi"' M AX. so 2�N 0 6' b.�x �'y W y p ) I Cn. ;-;,Q �'y W y p ) I rJ O � N 0 70' II � r 11 - C> _� � . Al N. S TA F-, -- - A W I DT14 y . X I i RESIDENTIAL _ ' 064-1-19-0-029 -- — 92-3184 P,E NICKOLEY, Dewey & Iona 14595 Lafayette Cr, Magalia contr: MH Center mhu h 0 i 0 OFFICE COPY Address \ j I GAS Meter Byk Date fL! ELECTRI i !, Meter By Date JOB FINALED (Date) ® �— Signature J=OK O = Not OK =Not Applicable Not Ready MOBILE HOMES ' = Date MOBILE HOME UTILITIES Plans OK except #'s oning Requirements -Setbacks -Easement 2. ils; Special MH Support Sketch er; Location -Test -Fall -C/O Concrete ter; Location -Test -Easement Need (Sketch) 5 ctricity; Location-Clearences-G d-A-19Amp-Concrete Gas; Location -Test -Wrap: L"ft. / /"Nat. or/ /"L"ft.0/' Clearance & Disconnect tility Clearance Date 411,14L 4L, Card B-1 LS Date Card B-1 Date Car B-1 Date Card B-1 Date MOBI HOME INSTALLATION Plans OK except #'s nin Requirements -Setbacks Easements . F ings; Size -Spacing -Marriage Line Gas MH Test-Demand-Valve—Connector lectricity; MH Test -Crossovers -Breakers -Clearances Drain; MH Test -Fall -Flex Connector 6. -Water; MH Test- ReguleT6r-Connector 74 VStq_rand Sewer Connected -C/O to Grade -HD Approval 8. s and Electricity Tagged 9 its; Insp.-Sketch 4 Vert. of Occupancy Date (O /Vuard B-1 rGS Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- RItrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances -GF] 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except fr's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ----------------- - ------------------ 19. Shower Pan: Test. First Floor -Tub Access 20. Test Tub & Shower. Second Floor -Tub Access -- 21. Gas Pipe: Size & Anchors - -- Date Card B-1 Date Card B-1 ----------- ----------- -------------------- ------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ---------- ----------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------- ------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------- ----------------------------------------------------------------- 26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water -------- --------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI - ----------------------------------------------- 28. Subfeed Wire Size i r ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI ------------ ------------------------- --------------------- 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No - ------------------------------------------------- 30. Service -Riser Conductors & Ground -Main Disconnect - - - - -- --- -------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ---------- --------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------- -- 33. Smoke Detector --- -- - --- ----------------------------------------------------------------- Date Card B-1 Date Card B-1 -------------- ----- - - ------------------------------------ ----------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support ----- ----------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation -------------------------------------------------------------- 36. Condensate Drain & Overflow: Size & Grade -------------------------------------------------------------------- --------- 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------------------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ------------------------------------ ------------------- --------------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper Material & Anchors - - -------------------------------------------------------------------- -- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing -- - - - - -- ----------------------------------------------------------- 42. Draft Stop in Walls (rat proof) 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------- ---------------------------------------------- 44. Headers & Beam -Size & Bearing v & Duplex) Date c FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings _ 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. _Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- ____________ 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic -------------- --- 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows -- ------- - ---------- - - ----- Da ------------------------Date Card B-1 Date Card B-1 -------------------------- --- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except $i's 61. Ext. Steps -Door & Sidelight Protection -Landings ----------------- 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garaqe: Above Floor -Ducts -Meeh. Protection --------------------- 64. Bedroom -Exiting - - -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------- 67. Stairs & Rails _ 68. Fireplace or Stove:_ Clearances -Hearth 69. Elec. Outlets at Wood Panel: Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. -Garage -Fire Door: Swin Landin Closer 73. A.C. Duct i'n Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meeh. Protection 75. Plb.. Elec. & Mech. Equi Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection -------------------------------- ----------------- 7;. -Insulation -Foam -Looked in---- Attic ❑ Yes --------------------- - 78. Guard Rails & Deck -Const ruction- Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No: Walks ❑ Y.es ❑ No; Planters ❑ Yes ❑ No ----------------- --- 81. Stucco: Brown -Finish 82. A.C. Unit; Disconnect. Electrical, Plumbing -------------------------------------------- --- 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------------ -- -- 85. Exterior Elec. Trim: G.F.I. Receptacle -Underground 86. Ventilation Throughout House . --------- --------------------------- 87. Glass Protection 88 Corrections from Previous Inspections - - -- - - ----- - - ---- ---- --- ------------------------ ----------- 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval --------------------------------- 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 -------------------------------------------- -- - _Date -------------- Card_B-t___________Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: V MOBILEHOME INSTALLATION ACCEPTANCE ' - COUNTY OF BUTTE'. DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE.- N� OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 PERMIT NO. 3 -Address or location of mobilehome Owner's name Owner's address / Insignia or hud number�� Manufacturer's name _ Serial number offV:.N. —3 ear of manufacture .r fficial Approving Installation) (Ddte) - ' IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOMEANSTAL'LATION 'ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED -WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. - •;' 5138 White - Owner, Yellow - Installer, Pink - D.P.W. i COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Codnt4 Ceriter Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERS 064-190-029 ZONING RT 1 BUILDING PERMIT ,OWNER DEWEY & I A NICLOLEY 1-818-.914-6029 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1041 SOUTH DELAN AVE GLENN DORA 91740 CONTRACTOR'SNAME MOBILE HOME CENTER INC OROVILLE 533-4 TELEPHONE 03 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGSADDRESS LAFAYETTE CIRCLE MAGALIA 95954 145 Permit fee $ 35.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation1.11 s Other ❑ Describe work: MH I 3 BDRM MH U 92-3184 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 00V OR LES Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I decI re 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)a�nd effect. C'�y License No. ��©� Classification / FlI, 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 Main service 200A TO IOOOA) 37.50 NEW CONST./ DWELLING OCCUP.&\ OR ADDNS. ( ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTR. ULTI-OUTLET N ON•RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS tri SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20 7 6 FIXED Ex. Occup. OUTLETS P(RESID.)REAJ I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 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. 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 15.00 Heating Cooling 9 Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to ve, indemnify and keep harmless the County of Butte against and expenses which may in any way accrue all liabilitie j dgmentsqeq against sai Co my in con of the granting of this permit. �j X Date � of Signature A — s Applicant wner ❑ Contractor ❑ Agent ❑ An OSHA permit is req u' ed for excavations over 5'0" deep and demolition or construct- ion of structures over 3 ories in height. Mobile Home Installation Fee $ 70,00 Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 105.00 HAz DFEES IMP FLOOD CDF PARCEy !�/ P� >/ HD Issu This permit is hereby issued under sions of the Butte Count Code and/or work indicat above or which fees RE R PUBLIC By — PER Pl . ES Date �� the applicable provi- i resolutions to do have been paid. V WORKS Date/0- ?, :3 Receipt No. 122993 WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Y r COUNTY OF BUTTE ; - P RTMENT OF =PUBLIC WOi � 7 BUILDING DIVISION o 7 COUNTY CENTER DRIVE-,O.RbVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-75 , PERMIT APPLICATION DATA SHEET OWNER PeAleV .. .Ift') Proposed Building Use /if ?'I' - A. P. No. d 6/` 1 1 o o,? Building Inspector Date Z. - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule. . ©01.. Oil 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............. 15. City of Chico plumbing permit. ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). . . Pre -Inspection requesi- 20. Pre -inspection for required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance. 29. Documentation of legal access . ......................................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ...................................... 32. Plan check list... .................... . 33. Sher►ms �P.�...�D �'"... . . X15- 34. Whep you issue the permit process as follows: Mailner. Mail to contractor. 1/ TelephoneA:Z-qY 3 and hold for pickup at office. Deliver with inspector. Other 177 y Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollutioo Date Copy of plans sent Health Dept. re Dept. Other Date By The following data must be submitted pri permit is ua e: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Cont ctor, designer, owner, was advised of above required data by- _ mail Counter by ` ate �Zf�YL Contractor, designer, owner, was advised of above required data by_ phone_ mail ACount b _ Date Plans checked by Date Plans approved by A V Date 1p6 g= Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 1.g' -P SZ-� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916!538-7541 APPLICATION AND PERMIT PERMIT N0. . � "� ASSESSOR PARCEL. NUMBER �._ ZONI r- BUILDING PERMIT OWNER oe,a 91.J6,vR- � CkOL C TELEPHONE' g /Eos SO, FT. OCC. BUILDING VALUATION S owil`k D�e NX,4 iy 16111 hve_—aknW14. 0 (TELEPHONE CONTRACTOR'S NA E � m o>�'� s33 0 CONTRACTOR'S MAILING ADDRESS J/ 1V �VG� ^ OJt ��N Fireplace CONSTRUCTION LENDEJ 4 14 2 NKNOWN $ Total Valuation14 Filing Fee $ 15.00 LENDER'S MAILING RE Permit Fee $ .ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee = o, v Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS o Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE, , STRUCTURE SF [IDuplex❑ Mobilehomel/I Other T� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G 1:' @ 15.00 TYPE OF WORK New J Addition❑ Remodel❑ Utilities❑ Installation Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600VORLESS 200A OR LESS 18.50 Main service 2017ATO IOOOAr CONTRACTORS LICENSE LAW I de e 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 f I fore and effect. License .JO. �ghC' Classification �� F-1 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) [j I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( ^f1ELLING OCCvn.a) OR AOOr,S. ACC. SLOGS _37.50 3.64sq.tt.• NEW co,.sTa. •.ULTi ,.OUTLET NON•RESIO BRANCH CIRC 'ITS @ 5.00 POWER APPARATUS e ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. OCCUp. OUTLETS FIXED PIRESID.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. hiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Thepermit is for $100.00 (valuation) or less. 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 becomesubject 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 15.00 Heating Cooling FHood 6.50 I Ventilation permit Fee $ Contractor .l 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. p p y 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 OSHAwork permit is required for excavations over S'0'deep and demolition or construct- ion of structures over 3 stories in he Mobile Home Installation Fee $ % -- Energy Inspection Fee _ $ Oce - I NOTAL FEE $ IIAZ Drees IMP 1 1`1000 1 COF PARCEL I Po I Ho ISSUE_ This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date peighight. Receipt No. 111 � 13 WHITE•D.P.W•. YELLOW- ASS ES SDR• PINR•INSPECTOR, GOLDENROD•APPLICANT �:vi- «. '�v^'"1�i"'+"+..rr .-..-._,.v�,.—../....�-.•..M•!r•.t,,.'.rr.,._Tr"e+y+.:�:_�wr;w-'"�1iL-, Y"i,+�ti"Y-_d+'A`-•`,+a" ..+' ._'v'"'1...-..Gi `_""` 'w . _ ,:s.••Y .....,'1': +.. BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM L (One Form Per;Building) 40 School District i Qi.SG Building Department No. A.P. Number y- l9Q` OZ9 Jurisdiction 0 City County Property Owner UtoE y NI CK0/Ey Property Location/Address Subdivison Lot No. Residential Development 0 0 Sq. Footage � 73 No. of Living TH Addition (Group R) Units Commercial/Industrial = Sq. Footage New Addition (Including Exterior Roofed Areas) 10 Z Building Department Representative Date (Floor Plans reviewed by School District Personnel) DistriWIdedt'cation No. woeSchool District certifies that (Applicant) (Street A dress) (Phone Number) (City) (State) (Zip Code) has complied with the requirements of Resolution No. by payment of $ repr� ing � square feet. District Representative Paid by Checl Bank Number Paid by Cash 0 Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. owner's Name: /Zj- A 2S JV I C -6-7.: �&b 2. Installer's Name:, C_ _/-A� C) 3. Is thesitecurrently under permit? Yes 1,/ No N(If yes, furnish permit number OR Is the 'Site. an .existing.. site?_.._,- Yes No (If yes, furnish t4o*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 F -I (If 'ho, -clarify mobilehome site service?. -- 5. What is the mobilehome electrical rating? --------------- b C'3 Amps identify the-load:and size:, 6. What is the mobilehome site.,service rating? --- Amps - ✓C( (in.) Natural LPG 11. What is the gas pipe len . g I th-�, from- I :meter ter -or'- tank 'to* 'the mobilehomel ------------------------------- 7. What is the mobilehome site circuit break I er r ating? ----- Amps (BTU) Ap. -0� I Q Is there any other electric load to be served by the mobilehome site service?. -- Yes No \71 (If yes, identify the-load:and size:, (Load)` 9. What is the 10. What is the mobil6home site gas pipe size? -------=------ type of gas service? -------------- 7 ---- - ✓C( (in.) Natural LPG 11. What is the gas pipe len . g I th-�, from- I :meter ter -or'- tank 'to* 'the mobilehomel ------------------------------- 12. What is the mobilehome gas demand? ----------------------- (BTU) Ap. -0� I *(This information not required if pipe length natural gas or. -less -than 50 ft,. on LPG.) less than OJT JJUTTE C__ (FtC - BUILDING DEPARTMENT A. -P P R 0 V E 1' :) 3I L1 ROME SUP110KT DATA �[ If other than single wide,,6Mobilehome Mfr. C�}�v�,�tcS/�0 furnish Setup Model No. Ol V� ar ., - _ a Width2�(S ) Box Length yY (ft. ) Tagalong or Expando�S¢ize -�.� it "'l E,t• . ter, t •;� y On all mobilehomes manufactured after October 7, 1973, furnish manufac[urer"s'� nstall-ation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one)01. Concrete block.a 2. Other (specify) Pier Footing Sizes and. Locations SINGLE -WIDE MULTI -WIDE Line 1 Main Beams _ ne 2 ._. _ — _ — — — — 4LLine Main Beams .ins rLine I —__-Lne Tag or Tr e Line 1 Line 1 Piers: Line 1 Openings: Size -Min. �k Size-Min...........7- Spacing-Max - ... .Spacing -Max. --------- Each Side of Openings From Ends -Max.------- With Width Over -----.... I Line 2 Piers: Size -Min.------------ �u ,k 30- S pac ing-Mar.. From Ends -Max ------ Q ' Line 3 Roof Loads: Size -Min. ------------ Location (From Front) Line 4 Piers: Size -Min.------------ Spacing -Max.--------- From Ends -Max. ------- Line 3 Piers: (Under gearing Wall Only) Size-Min------------------- Spacing-Max - ---------------- Spacing -Max. ----•------- From Ends -Max .......... Line 5 Roof Loads: Size -Min.------------ Location (From Front) e 5 Piers: (Under Bearing Walla Size -Min. ---------------•- 'k Spacing -Max ----------------- From Ends -Max .------------- " ..►� ►t / Itr. �.l0': r"Ttl. ll►O"e Kl. ►10'+P IOW K7. ft3V •n, .�1 . 1t1h IADNI I" wwr %2"?Mw to". 11p1: 1KM rtOT VIR► �� 20.01. UOw1 YOM Kwr ►tM . `•'�'� - _t11 ���► t.f 11} 113 a.1 b.0 r►K7 eel e+wK •r. R 03 5.1 • M 2,0_ Kw!-ov 2 122- Y+%► b.• lel I 223 10.1 Ifs t,t 2[e►eor N 710 1L1 s.1 eA .d }{ i 0 1 1 t/< • 1/t 3 y< 2 1/Y a 1 fJ -~- r.•_� r-1 1 6-.F ..... _. -� �.. til 1 .-.-. `{1![[tt� ►Li -•.,1111 w.- 7 \ ... fir-- •_• K•1� . .,rr .� ..• � '.c'.�r."� `� _ • 1*r_"t..,t'-1... rr, =sR:� -JaR•3�.rs2. .:'t-'r� �'-�^' Qtr a -.fr6t. `oT �` 7r '. s-2 r.sRtR Vrl l i2ial11I `fir-�•- 4►1. 7. A f1.>r. 11-.0 3/< rs UO a rtm�. iv 1iJim. U �^ 2 et. � ►-7 Qa►e. ~ /oo t.31 f i �--'�+ as 2--. 2/lr - • r_s $VMS "M s1+.►en 7 0' 1 Ira Oct wo wNI'ma 0 • w 0 It - MAMA Keftew sstNc 1 irnwc Boor ooI i • A -s 71xtr (e►1I sLr p is erltno J ' x cuesr ra11. a -s toot • c►tT a y I t 1 I I i I l I 1 II 22 2I ItH n soil a 12 >a 2530 20IlE I ONLY A7r2W►t sr►w Dr1g10N of CHAMPION HOME BUILDERS- CO. 11?I 1. "*m il: enett MPK+W Ya,I MODEL S99C 34 390 W OFiSET PART FLOOR PIAN ELECTRICAL Iro+ow e0t ■r I el ca z 60 COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Ca1ifornia.f5'J65 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. 2-318 ASSESSOR PARCEL NUMBER 064-190-029 ZONING RT 1 BUILDING PERMIT OWNER DEWEY & IONA NICKOLEY 18 TELEPHONE 89146029 SO. FT. OCC. BUILDING VALUATION - OWNER'S MAILING ADDRESS OWNER'S 1041 SOUTH DELAY AVE GLEN DORA CONTRACTOR'S NAME MOBILE HOME CENTER INC TELEPHONE 533-4403 CONTRACTOR'S MAILING ADDRESS 1740 FEATHER RIVER BLVD OROVILLE 95966 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee g $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER NONE I LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 14595 LAFAYETTE CIRCLE MAGALIA 95954 Permit fee $ 2U.00 PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 41 Z SUBDIVISION NAME l-Ar„A.r ` l `� PARCEL MAP 300— 3 8r Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome[N Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I IQ N @ 15.00 TYPE OF WORK New Addition El Remodel❑ Utilities Installation ❑ Other ❑ Describe work: -3 -RD-R-M MB 11 _ Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 15.00 h ® Y Main service 200A OR LESS 18.50 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I decl r under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER and Professions Code and my license is in full rce d effect. License No. ad /�/D� 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- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason DWELLING OCCUP.&\ NEW CONST.OR ADDNS. / ( ACC. SLOGS. I 3.6Q sq.ft. NEW CONSTR. M ULT' -OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. Occup. OUTLETS P(RESID. )OR EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring '15.00 Permit Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to'become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 1 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, indemnify and keep harmless the County of Butte against all liabilit' s, judgments, sts, and expenses which may in any way accrue against s 'd C unty in c se uena! of the granting of this permit. X 4 �`-� Date caner g pp ❑ Contractor ❑ Agent ❑ Si nature of Applicant pred An OSHA permit is rer a ovations over 5'0" deep and demolition or construct- ion of structures over 3in Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 128.5 HAZ DFEES IMP LooO F PARC�t P HD SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indica a or which fees I O OF PUBLIC B PE IT EXPIRES Date ��Q _ applicable provi- resolutions to do have been paid. WORKS /n !� �Date�3 ki -b Receipt No. 122993 °� a WHITE-D.P.W.. .11INR-INSPECTOR, GOLDEN ROD-APPLICAN COUNTY OF BUTTE. „ PARTMENOFBLIC WO - BUILDING DIVISION t lop" 7 COUNTY CENTER DRIVE - OROVIULE, CALIFORNIA -95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER VeW Proposed Building U %L Building Inspector A. P. No 06,1/-/90'-0z 9 Date 9 92 --- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . , 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of$ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood Cali rr�ia Enggft�R................... 14. Sanitation and plot plan approval Q ealth Department . .....:...... y s 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. ........ . 19.- Driveway permit (construction approval required prior to occupancy). .. Z Pre4nsped;on request 20. Pre -inspection for required. .. to Building ;on (Date) 21: Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance ..................... . �23. Owner -Builder Verification (Given to owner Mail to owner ).:::..... . 4. Recorded copy of Agricultural Acknowledgement Statement. o 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone .J3I/y03 and hold for pickup at office. Deliver with inspect�ir. Other Parcel Creation Acreage Applicant to //1, C/ Copy of Haz-Mat form sent Health Dept. Fire ept. Air Pollution/)%Date Copy of plans sent Health Dept. Fire Dept. Other D to By The following data must be submitted priV to permit ' uance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contr, or, designer, owner, was advised of above required data by _ phone _ mail Counter bWW Date %Z Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by -Date Plans checked by _2i Date �l / Plans approved by �eC- / Date%L Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works I TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance owner Driveway permit si ature location .ti ,�41—�f6-02--7 AP # has been issued for the above property. date r.ti. USE ONIN Hot I'I.i Attached GS Floor I'Im, Auach.d ,S sciu to B.D. TO: Building Department FROM: Environmental Health /)Mge/4r SUBJECT: Sanitation Clearance I7Y4 e4 I/,'- h?- CIII 62— e9,� McA v Own Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile ]ionic. Other Hold final for: Final clearance O.K. for: NOTE Environmental a tlh Speci< st 8/92 Date COUNTY OF BUTTE - DEPAATMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916:538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 064=190-029 v ZONI � BUILDING PERMIT OWNER Dewey & Iona Nickoley TE EPHONE l�/8 %iy6oa SO. FT. OCC. BUILDING VALUATION OWNER'S MAILI ADDRESS 1� 1 South Delay Ave. Glen Dora, Ca. CONTRAC O 'S NAM MOBILE HOME CENTER, INC. TELEPHONE 4/ v 3 CONTRAC OR'S MAIL NG ADDRESS 1740 Feather River Blvd. Oroville Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S M I ADDRESS Permit Fee $ ARCHITECT JMfj61NEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 / Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO, SUBDIVISION NAM PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S @ 15.00 T E OF WORK New 7, Addition [J_ Remodel❑ Utilities InstallationC Other ❑ Describe work: J,_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18 50 _ �J V Main service .10GATO I000Ar 37.50 CONTRACTORS LICENSE LAW I decI r under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession; Amy license is in fyylI force and effect. --�J, (- 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- ors. (Sec. 7044) El am exempt under Sec. , Business and Professions Code for this reason ^'Ew Cor:sT. O'r. EL:-INO OCCUP.n\ or ADDr: S. ACC. BLOcs. I 3.60 sq.h. iE Yr 'co .sTR- r.ULTI.OUTLET NON-RESID BRANCH CIRC 'ITS @ 5•00 POWER APPARATUS e+ SINGLE OUTLET CIR. / Ex. OCcup�OUTLETS OR FIXTURES 20 76d FIXED APPLNS. OR Ex. Occup. OUTLETS IR ESIO.I EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 subjectpermit 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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation 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 al) liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X - Date Signcture of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHAwork permit is r for excavations over 5'0'' deep and demolition or construct- ion of+structures over 3 stories in height. 3 stories Mobile Home Installation Fee $ "--`— — —� Energy Inspection Fee $ occ— coH>> TYPI i� I TOTAL FEE $ I I HA2 1 0FEES IMP I FLOOD COF PARCEL PD HO ISSUE This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees DIRECTOR OF PUBLIC By ------ PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. i as q°I3 WN1TE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT tLpw. Return Lo DPW-At�R�UL,1*f(A!_ 5" V11`,1J_'NT OG .ACKNOWLEXI-;MENT FOR RESIDI•;NTIAIL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded p for to issuance of a building permit. T property described herein is adjacent Lu land or included within an area zoned for agricultural purposes, and residents of Lhis property may be subject to incon- C/QCO�fpq veniences or discomfort arising from the gL AFp use of agricultural chemicals, including,(/M �rhl but not limited to herbicides, pesticides, FNT and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which 92_044942R' �o O N GZ OtT N occasionally generate dusL , smoke, noise, and odor, Butte CounLy has esLab.lished jigr• i c•u l _ Lural zones which have as a priority use for productive agricultural purposes, and residow.s within said zones and on ad jacenL property shcu ld iie prepared to accepL such incunvc,n i c�n(-c or disconform from normal, necessary farm operations. ALI. Lhat real property situate in the County of Butte, StaLe of California, described :Iti follows: LOT 42, 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 THERFROM 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 nb damage shall done to the sur- face of said land. P r, 9N v �0i Date: i �rl�i j PA WITNESSED B/: DIANA JO 0 V C STATE OF CALIFORNIA Butte Iss. COUNTY OF I PROPERTY OWNERS: 19 ber(>re int-, d 0 September 10, 1992 before me, the undersigned, a Notary Public in and for re said State, personally appeare Diana JOhriSOri ,personalty known to me (oXtXggoVXQQr}g}4 0414W3QXd �.X.X.XXX- CX.XXX.X.X-XXXX.XXX-XXX.XXX-X.XX X�}t{ptp}�44D63tXrFfold�p�}fc}SoYu}tt2ib€d�to be the person whose name is subscribed to the within instrument, as a witness thereto, who being by me duly sworn, deposed and said: That)Wshe resides in_0 rr iJ_l_e_, CA that IX/she was present and saw Dewey R. Nickoley and Iona F. Nickoley ,personally known to h20/her to be the same person(s) described in and who executed the within instrument, as a party(ies) thereto, sign, seal and deliver the same and that said party(ies) duly acknowledged in the presence of said affiant, that he/she/they executed the same, and that said affiant, thereupon at the party's(ies') request, subscribed his/her name as a witness thereto. WITNE y �alln�d of iciSignature 'C _7% xe, • • • b e s 0 m ! 0 9 a • OFFICIAL SEAL • MICHELLE A. MILLER NOTARY PUBLIC -CALIFORNIA Pdadpal Office in BUTTE Co. My Commm. Exp.OCT. 20,1995 • •••••••••••••••••• (This area for official notarial seal) the basis ev idCllce. edged that nLained. IN WITNESS' al. Public OWNER Iii PERMIT 4k MH UT IL. CLEARANCE DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Req. service Size Other Load Type Pipe Size Length YES NO YES NO i I CY) v— ENVIRONMENTAL HEALTH SEP 1 1 1992 2 ca .5; c p PARADISE, CALIFORNIA n C4 Zo cz Q W co a, .. Igo -'k �. •t S'r' f' � ( � i � .• •` p`, � rya �.•'. .�t^Lpi ;;�yl, �a_a{h h �ti 1 •. :� ` �. � ' •:. } n } Y ;� .. A r r I!J ,V^tt�+vtit��°�'Grr�v�'y Yf �'�\ 4� �• rt � � , '� � � .. • � jig, Z � n J�a�wl ! \l �''• y; Fla i r'`.i+ a. �� /f ., i± � .. •. n � s �� z }�.e4 �r[G, .3K �%'r i CI } '�, .., .. a b♦{yY.-�,{' 1. .��,' � � .rte'-•� P' v A b7l t \ \ n �b/�/c ��o���iN r7 'd SPO- 0-bl�/'�p t 3023 *.�� •• NOTE:=All Materials 8� Workmanship Shall Be in •lt : ar �D �� Accordanpe with Recognized Good Practices and •`t i :• �• F 2 . a calif Prescribed for the Specified use in the 0 02 Uniform Building, Plumbing & Mechanical Codes"and N the Nationa{ Electrical Code. 8'. I / I 020 --and s0ecitfca EVII�ST be "This seat bf Oiarisa unlas l to., - at ;i job «li tsme- and �t �C_pt on the }�' ala eUii iit - nalc? �ar,� c'nanges o�- altera��ns � of ublic G �crr��i:,s!on from the t)epar�� 4iYiit�t" r ®l B;�rctE. 30// �"Vo, ks, Count+ 10 0 yo 09- 'Of R'O f 1-3 •� 3oio .3;oe Location of structures-& . `-,-- CA- - equipment shall be r�- yo WCC'► & clear of all easements.c- �ltA/�Ntd� 00V 3 51IJTTE'1 1-1221A,17 0i,/ L, ti E CED.4/1 X9B -� � �l --- ,a 1-2011,17 ON',C/rt/,E 300/ Soo o 300/ 47 �_ 3.000 -- I g2 Er" s 0 55 fA Lu C130 4C: C :04 c Cort, IER, -7e) 3CO /\,/ 00 0 01 6 1 -7 "& SID courlIq Z-2 SO// -3006' SOOO 1�10-