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064-210-037
64-21-37 / Rueben Dilley • 10-7 • 210 Lafayette ot/243, PP#14, ME i contr: ParRA-Dise Const., Paradise I Permit #!32 1-78P,E(uti;. ,MH) ELEC. GA S SUPPORT ST UCTURE REQ. COMPACTION TEST REQ. �- 64-21-37 R & K Dilley 210 Lafayett Cir., Magalia contr: Paradise Const., Para Permit #3210-78B,E(new privat det. garaged �, :_ !, D 7/777 9 64-21-37 contr: Par-A-Dise- C.ons.t....,.__ Paradise Permit #2771--79B( ew open declk%MH) 64-21-37 Contr: Paradise Modular Concepts Permit##4075-78MHI Issued 0 1-0454 AHRENS, �. a o 14668 LAFAYETTE d) ) CONT: COUSIN GARY PERM FND MH ON EXIST SIT 19 1/7 N C.� '� N � � � - NOTES RES ibENTIAL 064-240-037 01-0454 AHRENS, RAY 1466$ LAFAYETTE MAGALIA CON'1''COUSIN GARY PERM FND MH ON EXIST SITE i 7 SPECIAL CONDITIONS " CHECKED BY SRA FLOOD CERTIFICATE REQ. I FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS F VERIFY USE PERMIT CONDITIONS SUB-STANDARD HOUSING LETTER OFFICE COPY Address S GAS Meter By Date ELECTRIC Meter By Date ti F a r i. JOB FINALED (Date),/ ;'r� Signature J OK 0 = Not OK - = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s DeSoils Special MH Support Sketch Sewer; Location -Test -Fall -C/O -Concrete ater; Location -Test -Easement Needed (Sketch) 5, lect 'city; Location-Clearances-Grnd-/ /Amp -Concrete as; Location -Test -Wrap; / /" L'ft. / P Nat. or /.(//"L"ft._/,4�PLPG 7. Well Clearance & Disconnect 8. Utility Clearance. Date Card B- Date Card B-1 Date Car Date Card B-1 Date MOBILE HO INSTALLATION (Plans) OK except #'s ltfoni quirements-Setbacks-Easements ootings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 tirs'- ' tl MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beams- Rftrs.-Con nectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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/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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (S ' Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ f' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ f' 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 Fig. -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 -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roff Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Int iltration-Walls-Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Pianters J Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clea rance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: BUILDING PERMIT NUMBER: 01-0454 Address or location of unit: 14668 LAFAYETTE CIRCLE, MAGALIA, CA 95954 Legal Description of Real Property: A.P.#064-210-037 SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: RAYMOND AHRENS ' Owner's address: 14668 LAFAYETTE CIRCLE, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: ULI520546/7 ,SERIAL NUMBER OR V.I.N.: 8V -70 -0634 -NAB MANUFACTURER'S NAME: SKYLINE YEA •2001 OFFICIAL APPROVING INSTALLATION DATE: 4/20/01 PHONE: , (530) 538-7541 H.C.D. 513C k-ECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 23 -Apr -2001 2001-0016215 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. RAYMOND AHRENS REAL PROPERTY OWNER/LESSOR 14668 LAFAYETTE CIRCLE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS. IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner. write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE Zip 01-0454 (530)538-7541 BAILPINQ PERMIT TELEPHONE NUMBER /Alzi A9Z 04/20/01 S ATURE OF LOCAL A OFF IAL DATE COUSIN GAR OMES DEALER NAME (if not a dealer sale. write "NONE") 91265 DEALER LICENSE NO. SKYLINE 2001 WESTBROOK MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 8V -70 -0634 -NAB 50'X 12' & 52'X 12' ULI520546/7 SERIAL NUMBERIS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #064-210-037 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. LEGAL DESCRIPTION A.P. #064-210-037 All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 243, 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 30 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 the surface of said land. PARCEL B: A non-exclusive easement over Lots A and B (the Common Areas) of said Paradise Pines Unit 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.. AP#: 064-210-037 • JAN. '14' Of (WED) 12:05 FIDELF AT!,iONAL� - iz v.;:: �a% 06 109—ring d—cribed read WOPgrty : In &h4 CjfjV u Cauntyof n-Incarporated Butte area State or CaEforwo: u& AITACUED.DESCRrpTrON 4 DATEW - STATi 0 COUM O�'!''� ��'''�r`t1. 'f N t .1,.� ' ;`. k F Ah'rener Wore me, RE3 personavy appeared Mttonelfy trawl 10* -G icw Proved to me beak of lodgiect" mvgd;vr�, to be he ,,On the who" ANYWO Were rgonlllI the w1adn 16, or 4"'JM urt"WW OCIU10Wdoisd to me Chet heLuce *x*OUW the*ww j1twjd,8y or no Comm I tacsozes z Cow- E49. Ia. love 4 kwlw—t PM011111. or the onmy on of wh1ch 04 PwIl4fthi-eded. qnquted the C; Witness of C4 i • •% TEL:5304 P. 002 a Z e4 4 R@corlfo4M I 044;29b 1: Whin . . . . . . . . -.397a" I' Rite and Tax GLAttmont Fe 4p - Inp w, J . X.I., 7 - " 1* 0 -^"1' Canh f f 1C1aj..:Re" 2.00 10.00' are 6s'. ., C 3 Cuntrt K& 1L 9 5 9 54 8 u t topl"f Es Crow Ho., 4pcord&r--,* T! Ormer 4 -20 am z kwaW tr-st- tax 111. 0 NIA�-*%':' c4mputvd on (utj � MY tax !alae Of P(QP4,rtY conveyed,-"., r"M*Putid on ruff VLlv:.fass Volvo or Ilt(ts of an LWncO(P01dI0d Alva'. - I pry or at "O,(sa, FOR A VALUAKLE CONSIDER tecatal of wtach 1AVRORD E- ARI(EX3• an un.-barried man he -by GpANT(sI to RAYMOND ARRrNs, trugtoo or' t ditcd he RAYMOYD AHRENS November 20, 1997 JAUST a Z VAN. -:24' 01 (WED) 11:01 PIDELI ^ )ATIONAL };.• TEL:5308S .I P.003 ..,tr Irl' '•••_�:� •'i•' t.) •/t . � +l�,Stt•� 7' •., 1¢ •.:►v,r.. i.�I��n'�•,•; rfi•'ti'a,: r:r/nr 11.%''''''•:.'.:+ 't�;� '� 'i ► d ,!�'�!1'� � t ��'!; •tit.: ;a.. ";. Gw:�SF,`�/ t •t =' � X, ; , •' 7" w�' ��•,-� >; ;, �gti4 %�•' �,, .Y •, ,. '•'� ; ., _, � , •::.y . /, �? /�,�% I•\ � •�a !. : • St . 'f� kb't.i ' S•' •r• I•. r''•�• ,K !' '�' r �f•`:' .'.� •:' .. 1p�(i:"(; /-"• r , � t,`.,'t •; t max. iJ r .�'� _ � T�'(�l.ir j/`„ �� ' ti•�:i'`/:, '!i�.e.,: {; :•, .tj•t''! 4>1yf,,il� `�•..r;:4;n�it7,� ��!!.{yf�.i''�;.��' `.��j,T,�'�;,}.�.):��b, ,T;i°���1 .�''-�• t'�•.�` .:�-t� •;,,,-;;�, •t• i �� � .�' ' r%... f. � tl rl'•"�.r ar ra,• C.:. 1 j y.`s. \y ' �I' .�`' i .,..,,0.. y'hI V. i:� v4q ,, ,�{�.., '" .'?fy ,;l `•t^/%vZi:•t.;•ty -.i (�f ; .Y ��M.•• 1�� � �.rr� +��x.� � .•. _ �'ri. 'i'. •[.. r".i �i�,s� r' .r:: ..'� 7r., j• 1�' (. �•, L �: }. ;•r• 1� rj'�,`l.l�lr t.` ' ,/ "'k+' �rd,'u•:;i�..• .�•.:• '�'•u :Z�'�� ��7�_ .%•''': i•: .::�'.:�:j:••'tN�► � �,}�,'�� • Y �Jnj�:'•l4• a • [r +)%ti-�j't �f1 ' :S'�• ,� �f �,•ai.• t �'C. ''YI' �:i ♦Jk��l'• .� ! )" r♦ _ ..^�. "'•: �%1', •.j �iSI' r!':�'�•ti,: 1, :..1Yi l.i �( �i� K�•' �.�q�y „•r , a•,`If Y." ,j : i' ; : S, �.ff• : a r�': •il {' :.S`, "<vf ri, ry�;l .. r;N F•� :r' f' ��i���,,}}��tl'Lr/'1Q'J?,` �V';��i_:.��r'.,1 ��::.•••:}�""�. ., � t_: - ... 1 •t .lY. \ti �� �• 4: f�i)t (!YI' f�' •y 4 � il7 /il f,C4 .. ••:r„ :, l•v. :: ,}��.. �. , t .� 1 � •�'• ` i� : r 1' . b r� r r' S:L'fl!:P /' y � 't �' ► ►/,i'��.Crt�•(r�Ii."',Y tom., lt,f •1�. �� �+) '.�•, ..7�"� t:. i '1 r, t\ t:,}.•••r' 7 ((••.. \•:4K::•.: t•(:,e[.�.::•Li: •.\5�'• yam'• DL6CXIPTION' • .. � tit � f r'.; •.gr;�'.... �i'r%if i" ' ALL THAT CERTAIN y` z • . ..'• : l•X. ,fir•: i.:':.,r:.':?:... COUNTY ;OI' : BVTTE p L'TAO?BRTY 'SZMAT lK. THE, STATB 02" G1LY[ORNIA, >:SCItTBEO. A9 FOLLOWS:-`:` (.•': 't,`1+:K 1�lgiJ;Y/ah: �s,ry....r:� . � '1•.h�i;:;�:•f.-�. - , � ,• ,. •'ili:4r rt t �' ,1:: : i•t:,�iT!;� r'Ylf �:.'r.i1.:..�, . , ,.., •• .• f '' IAT 2lJ ,y1�;: ,%..: }:•�' • is r •�'Il f `.:': tt;iS:;:'. ;' :1:- .'-.,. '. 1 UNIT NO. 14 THAT, CERTAIN -: P',MMITI•$0, . NvARADIBE PINES •6 - i ", . WHICH ,v.7 WAS RECORDED IN.`THE OFFICA OP THE 1t):CoRDER ,� OP i7fE COUNTY OF DUTTE, - A 1 OF CALIFORNIA, 0,, JULY THE 2,ECOR EN ROOK 30 OF'' HAP9 AT: PACES ,77, ".JO J15, .`% _ �.'....' ;.,,.,: ;�... r'• 9 {0 AND I1..'... �v i L •THZREFROH' AS,L : MINEMLS, .-OIL.: ;GAS ` 2iYDA0CARDON.6UDS:ANOES;:Y;pIT}{,pRO".- '.THAT;ANY �HALAND 'MINING t OPERATZONS:dHALL•BE DoNC•pROH ORIFICES OUI'SIDE'THEtsU THE LAND DESCRINED ' HEREIN , : AND THAT., NO'. RFACB AP -MA, OF v epi J,::;.a VURFACE Op SAID LAND:."..'':.. nAMGR SHALL 8$ PONE TO is " �,�.- gip,`;. ,•„- FARCEL• 7I• ..i.,':•'r.�.'; .. - A NON-EXCLUSIVE EASLZKENT OVER LOTS .A AND D (THE COlDfAN AREA) Op ".,t •' ` SAID PARADISE PINES UNIT NO. 1l, AlfD T1I1 IA?S O8S C4 I ATED FOR ComMoN e .;.•, .'. , AND R1:CKr_ATIOH A n"I AS DESCRIBED IN THE DECLkP_kTIOtf OP ANNEXATION YOR UNITS IV, VZ, VZI:,:,X, XI, XII, XIII AND XIV. ry �! APO 064-210-077'. ;,r.• T "•, r, ♦,; • tr�rj• rJL a�.l t']'r'�•.t��.'•'��}t�tw���;ili�t:(�Ur.�,f �:,r" : - : L „t • •I. 1• L1 RECORDING REQUESTED BY, AND WHEN RECORDED MAIL TO: NAME STREET ADDRESS CITY, STATE and ZIP UNIT DESCRIPTION Jk,� �°.yip .1`11 ACIURER NAME DATE Of MA NUfACIVRF MOO(1 NAM(/N1IMRIR-- SERIAL NUMIERIS) t[NGtll A WID111 INSIGf+tA+lAs(l NUMBf 8151 7 REAL ►ROPfRry LEGAL D[S:alPllOr+ AI;4SSOR'S PARC(I NUMOER--- - NI Or MO % f'IZ 1i II(A)IOItki 431)4A) Ilt04t Ii/01 _ — — SPACE ABOVE 11-1IS LINE FOR RECORDER USE ONLY_ _ NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of fhit document of the request of the locul uyertcy indicoled is in occordclnce will, Culilumiu Ifeullh uric] Safety Code Section 1•8551. Ihis document is evidence That ss+ch local agency has issued a certilicule of occupancy for installation of the unit described hereon, upon Ilse real property described with certainty below; as of the dote shall be indexed by the county recorder to the homed of recording. When recorded, this document owner of file real property and shall be deemed to give constructive notice os To its contents to all persons Thereafter dealing with file real property. REAL PROPER'OWN(R/10550R ._ .... .` .. .. _. _... _ ....._ _..--'-----'---- IOCJ.I AGEN(:r ISSUING PERMITaid Cf41111cA1(Or OCCUPANCY MAIIING ADDRESS '—"--- MAlllNG ADDRESS . COUNTY '- .. SIAL[ _. — _ y .__.._.. ZIP LIP CII—COUNtY __._..SIAtE INSIAttAIION MAILING ADDRf SS, 11 Otl►(R1 ell —`— ---- IUIIDINCs PIMA NO. - 1(1fP11pNF NUMBER Cin - SCOr�UNwtY-•,1p --------...—• DATE NOr1A SIG-=-A—L,.4q( _-O—I,• I.O�CAI �a. a UNIT OWNER III also property o.m,..nle "SAME�..L_�y`+ (� DEAIE� NAA1t III r.11, n dtnler sole, w71e. "NON '1 WAITING ADDRESS --._._.... _,.. '` ._. '• •�='. ,; 11,rC tNst try COUNTY St stf ZIP UNIT DESCRIPTION Jk,� �°.yip .1`11 ACIURER NAME DATE Of MA NUfACIVRF MOO(1 NAM(/N1IMRIR-- SERIAL NUMIERIS) t[NGtll A WID111 INSIGf+tA+lAs(l NUMBf 8151 7 REAL ►ROPfRry LEGAL D[S:alPllOr+ AI;4SSOR'S PARC(I NUMOER--- - NI Or MO % f'IZ 1i II(A)IOItki 431)4A) Ilt04t Ii/01 STATE OF CALIFORNIA DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS REGISTRATION AND TITLING SECTION , Thi -s unit is.'.a: Q-M'o6 Decal (License) No.(s) V1�.� STATEMENT OF'FACTS ilehome [] Commercial Coach Floating Home Trade Name Serial No. (s) 1/We, the undersigned, hereby state that the unit described above: p c, Ro MAO" Truck Camper 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 title covering the same. I/We certify under penalty of perjury that the foregoing is true and correct. Executed on 1'��v O k at \- c C3 Date (City) (State) Signature of each affiant Printed name of each affiant Address �?JL\ b 9-) 0'1O� City State - yZ1 NCD 476.6 (Rev 11/86) R COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINp DIVISION VV 7 County Center Drive • Oroville, California 95965 • Telephone (530),78-75P 8-754 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERM�IT � �)�"0���`% ASSESSOR PARCEL NUMBER 064-210-037 ZONING R 1 BUILDING PERMIT OWNER AHRENS RAY873-6504 TELEPHONE SO. FT. OCC. BUILDING VALUATION 1198 R 64,692.00 . OWNERS MAILING ADDRESS 14668 LAFA=E MAGALI CONTRACTOR'S NAME COUSIN GARY TELEPHONE 342 -2694 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 482.00/2 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EkOther SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New CX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: PERM FOUNDATION MFT ON EXISTING CTTF Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service ZD.A OR LESS 23.00 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 full force and effect.01y� License Class C_-47 Lic. No. /�`1 % �-. 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: Z,11 -ave 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' comp n do insure a carrier nd policy number are: Carrier 7 > Policy Number k (The above sections need not be competed 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwit co ly wit those pAovisions. X Date 1� AYH= Signature of Applicant -er ontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO tOooA 46.00so NEW CONST. OWEWNG UP. SO IIEA OR ADDNS. ( 8 ACC. BLDS. 3.50E NON p6ID ' MULTI.OUTLET CTG 7.50 POWER APPARATUS 8 SINGLE OLJTLt� CIR. .00 EX. Occup. OUTLET OR FDCTURES SAL @ I.w Ex. Occup. pig pp OR, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 2.A. p. FEES IMP X FLOOD COF PARCEL Po X ISSUE This permit is hereby issued under the applicable provisions oftutte County ode and/or Resolutions to do work di into b or w ich,tees have been paid. �� �� B Date PERMIT EXPIRES ON �b ��� gra Receipt No. % 334.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT TA SERVICES - BUILDING DIVISION COUNTY OF BUTTE - DEPARTMEN, PEVELOPMENT 7 7 COUNTY CENTER DRIVE - OROVILI�E, CALEFORNIA 95965 - TELEPHONE (53 )538-7541 C1 PERMITAPPLICATION DATA SHEET V OWNER: AASSESSOR PARCEL L7)— 16 '0 '7R: Date: -7 — C=7 Proposed Biiil uilding Inspector: U0 At time of permit application, 1 -wits aavised the following data must ie svubmitted prior to permit processing and/or issuance: Date Received By El 1. All iterris have been submitted ----------------------------- - -- ---- ------ ------ ---- lot plans, 3/4 sets, signed by the preparer of plans. a - - ----- -------- --------- ----------------------------------- 113. Complete plans, 3/4 sets, signed by the preparer of plans - ----- &?f'Enginee'red plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans - -------- 0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 0 6. Energy Design Compliance and supporting documentation - ---------------------------------------------------- 0 7. Statement of Intent for Non -Heated and A/C Buildings. El 8/.)Jazardous Material Form - ------------------------------------------------------------------------------------------ O'cf,Manufactured Home data and installation instructions including Tie Down Specifications -------------- Elees of$ ----------------------------------------------------------------------------- pact fees as shown on the attached schedule. -- -- ------------------------- 04� r.california Department of Forestry plan approval/fees - --------- av ---------------- Ell 3. F41 o.,d elevation certificate - ---------------------------------------------------------------------------------------- V.S - S itation and plot plan approval 0 � I C9 Health Department - ------------------------------------------- . City of Chico plumbing permit - ----------------------------------------------------------------------------------- - El 16. Plot plan and business license approval from the City of Biggs - ------------------------------------------------ El 17. Planning approval for (A) Use: (B) Parking: El 18. Contact Land Development about 0 Improvements, C3 Drainage, El Legal Parcel. El 19. Encroachment Permit for driveway (construction approval prior to occupancy). --- E120. Pre -inspection for requirecL Request to Building Inspector on El 2 1. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number - ----------------------- E123. Owner -Builder Verification (Given to owner 11, Mailed to owner 0). - Letter of signature authorization - -------------------------------------------------------------------------------- ecorded copy of Agricultural Acknowledgment Statement - ------------------------------------------------- 026. Letter of intent on building use - -------------------------------------------------------------------------- --------- 1127.'Manufactured Home utility clearance - ----------------------------------------------------- ------- ------ 1128,EZkingviolati d/or p, .,Irra ermi --------------- I--, ---- o --------------------------- IP29 0433 Was an NZ7—p,, --------------- T 'Eff-@Rnk- tc, R C 1) It El 3 0. Other: ------- 7 Wh You issue the �peTt, P 0 SWIlows El Mail to owner, Omail t � contractor. elephone.3 I 100- and hold for pickup at 0 ce. 0 Deliver with inspector. Applic ate: Copy of Haz-Mat form sent 0 Health Department, 0 Fire Department, 13 Air Pollutiod Date: BY: Copy of plans sent 11 Health Department, 0 Fire Department, 0 O�K: DaJF: By: (Date) Aw 1. Index permit application for the above items numbered: —W, M I W ; V;�- 11 Plan Check List 2. Additional items required: 7/ 1., �Ss - -\I V / - Contractor, designer, owner, was advised of the above required data by'o phonO, 0 mail, 0 Building Division counter, by _Date: Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter' by _ Date: Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date: Contractor, designer, owner was advised of the above regired data by 0 phone, 0 mail, 0 Building Divisi ter, by Date: Plans reviewed by: Date: _01 I _ NkJ Plans approved by: D -ul— Sets of plans on hold in 11 Plan Cabinet, 0 A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development S6rvices, Building Division. t 4. TO: Building Department FROM: Environmental Health Gv 4-1"-) SUBJECT: Sanitation Clearance, E.H. USE ONLY Plot Plan Attached Floor Plan Attache ^'Sant to B.O. -3 ! I'2 04 A d- 1+6&v LJ%6 (tx- 064 - LIQ -(237 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ,�J- Private Well Clearance for 14---dwefli,tr Other). -4 alkgc g- oz-va1. A,4 2 .ter �m Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist VI 8/96 Date f . .4 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District PaRAO-C&-4�- Building Department No. A.P. Number Jurisdiction: City County Property Crooner Property Location/Ac Subdivision Lot No. .................................................. Residential Development P-IeHome No of Living MoAddition/ 'Supplemental to Units Installation Conversion Permit # '(No foundation inspection); Commercial/Industrial New Addition Department imoor mans reviewed oy Scnooi uistnct District Identification No. — 1) 4 / School District certifies that - K I-At,,t. -)-7 1 (Street Address) has complied with the requirements of Resolution No. representing //ir1� square feet. School District Representative Paid by Check # (State) Sq. Footage r— (Group RR)) Sq. Footage (Including Exterior Roofed Areas) 44 —lo jo 1 Date (Applicant) 3�/,?- z6�� (Phone Number) (Zip Code) by payment of $ AB 2926 $ FULL MITIGATION s Date Remarks: )e" Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. 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) feeform.xis (10/98)dmm COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 -County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMITO• (Rev. 12/96) APPLICATION AND PERMIT 1--0494 AssasoR► �� --a.� _ �- mw"a BUILDING PERMIT OWNER �Q 'A�i-Q.tyS Tmi0Kr- •�� S4-,5- SO. FT. OCC. BUILDING VALUATION L v� owmmv(� COWPACTOR's WAN TQ�1gN! CONTAAG,OR. &t*AJM AOOREls �..,� qCk CONDTRUCnm UMER Fireplace LE►oERa MAK04 AooaE,s Total Valuation = ARCNMa OR E"NEER UMASE No. Flina Fee S 20.00 Permit Fee Q = 0 ARcNqMCT OR 9MMEEns MAUNo AOOREss Plan Checking Fee $ OuLOM ADO I $ Energy Plan Checking Fee = i i CIL PERMIT FEE _ LDT NO. guSoNsKMIMAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trn 7.00 USEOFSTRUCTURE SF O Duplex O Mobilehome 6 Other Solar or heat pump water heater 23.00 Water piping 15.00 / Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Remodel O Ublibes O Installation CV Other O Describe Work: ' till v��- Y�. J _ C)kx— Coln- �x /5h A SiS� at' Gas piping system 1 - S outlets 15.00 _ Building sewer 15.00 Mobile Home S G W @20.0 0 PERMIT FEE _ 0 ELECTRICAL PERMIT Filing Fee 20.00. Main Service zo o�R '. 23.00 Ir l � *PERMIT FEE PAID � ✓� SRA $ IBS SHERIFF $ OTHER $ $ $ AMOUNT RECEIVED $=,:zq7� *RECEIPT NUMBER * TO BE PUT INTO COMPUTER Main Service IooA To Loo*► 46.00 CONST. OWE11N0 OCCUP. oR AD3.50F0: a+s. a ACC. aU�s. NON•R670. MULTFOImET @7.50 PSONfiLE APPARATUS a OIm.ET C0. EX. Occup. OUTLET OR fOfTURE9.00 SAL o �.S0 Ex. Occup. sio. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee i Energy Inspection Fee S Dcc coNST.TYPE TOTA EE $ 3 ° "AZ `O. rEES WP 0 cx, p po ND"UE This permit Is here y limed under the applicable provisions of the Butte County Code and/or Resolutlons to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON (DAN) AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95%5 COPY of Document Recorded 06 -Apr -2001 2001-0013739 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers, and from the pursuit of agricultural operations including, but not limited to cultivation, p1mving, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date 3 / 7/6 1 PROPERTY OWNERS: State of California Rly Ahrens County of �- fl'?- ) On 3 -'-7- Gi before me, /-7). /SAA.) 7;/i-,77 /L%/)7N<< I M personally appeared A?A-k-1 ictw-t-% ipersonally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. Signature L/71 - d (i' (.�f % Seal: M. SUSAN GLATZ fA COMM. 11280664 NOTARY PUBLIC -CALIFORNIA A.P. #n64-?1n-n37 Q COUNTY OF BUTTE �(d _ 2 'J n — n 3 7 Comm. Expires Oct. 16, 2004 AP N 064-210-037 LEGAL DESCRIPTION ALL THAT CERTAIN REAL PROPERTY, SITUATE IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE. DESCRIBED AS FOLLOWS: PARCELI: LOT 243, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 14", WHICH MAP AS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, -ON JULY 15, 1971, IN BOOK 30 OF MAPS, AT PAGES 27,30,39,40 AND 41. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCE, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURPACE 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 ANNEXATOIN FOR UNITS IV, VI. VIII, X. XI. XII. XIII AND XIV. -- ------ -a at-Lurer. \ Manufacture Year. If other than single wide, furnish Se C) C) \ Width: �� p Model Number: y�� e t \q oa v, 3 0� (ft.) Length:So ti (ft ) Tagalong or Expando Size ft. x On all mobilehomes manufactured after October 7 ( ) �(ft•) installation manual and structural setup sheets. 1973, furnish manufacturer's FOOTINGS: Wood pressure treated or foundation grade[ C-1— Other: SUPPORTS: Concrete block[(x Other: Provide Tie Down Specifications for all Mobilehomes: Line 1 SINGLE WIDE Pier Footings Sizes and Location Line 2 MULTI -WIDE Line 1 . Line 2 Main Bcmu ......................... LineI .................................................. e2 Line 3 .......... .............................. Line 2 Main Bruns Line 2 Line 1 Tag or Triple C5 ................................................. F - fin, eI 4 Line.1 Piers: Size minimum: x Spacing maximum:< From ends -maximum: L� Line 2 Piers: Size minimum: Spacing maximum: x From ends -maximum- n Line 3 Roof Loads: Size minimum Location (fi-omo f;e it): Q�,Uraw- Line 5 Roof Loads: Size minimum: Location (from front): I �'� 1 ,� 41:5 5 4" Line 1 Openings Size minimum: [41 ] x Each side of openings with width over: < Line 4 Piers: Size minimum: [ ] x [ ] Spacing maximum: < From ends -maximum: ` < OVER - of 1. Owner's Name:. '(ah Ire.�` 2. Assessor's Parcel Number: O G'L\ - X. o - O 3 3. Installer's Name: Gn �, �,� ,, C�r^� c r 4. Is the site currently under permit? Yes[ ] No[ -]'Permit No. 5. Is the site an e)dsting site? Yes[ 4 --No [ ] (If yes, furnish two plot plans).- 6.. lans):6.. What is the electrical rating of the mobilehome? 10 0 .:.Amperes. —� -- 7. What is the mobdehome site circuit breaker rating? l O O Amperes. 8. What is the electrical rating of the mobdehome site? D © Amperes. 9. Is the main service remote from the mobdehome site? Yes[G]' No[ ] If it is, what is the rating? j O 0 Amperes. 10. Is there any other electric load to be served by the mobdehome site electric service (Le. well, garage etc.)? Yes[c,]-No[ ] If yes, please identify the load and size: a) The mobile home site: Load- 1 O c7 Amperes - b) The main service: Load- \ 0 v Amperes - 11. Type of gas service at mobilehome site: Natural[ ] Propane[ Cj-None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? 10 (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 ,'LINES HOMES INC. 7169 eas G;e 510 bbb '(Jbd t. li ZT olep T 0 T A L4 P v 0 t, rn Gm cx: tP Rt C -i G" C7: it M ,'LINES HOMES INC. 7169 eas G;e 510 bbb '(Jbd t. li ZT olep T 0 T A L4 P v 0 t, C1�Estbrook M N 3702CT1525024 3BEDROOM - 26ATHS - CATHEDRAL THRU-OUT (i J98 SOFT-) OPTION DEN _ � S P@'RMIT NO. 3210-78;E PERMIT EXPIRES — .re?1 •OWNER R & K Dilley CONTR. Paradise Const_, Paradise 64-21-37 LOCATION (A.P. ) 210 Lafayett8 Cir., Magalia I Temp. Power Pole Called PG&E Temp. Elec. Serv. ` x Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED ate) (Ti gnatur COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD • BUILDJW BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows -7- 7.9-79, I 3rd Floor Stemwall Siding - To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents : Water Htr. Stemwa l l Insulation I HHeaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab FinVJ'-:J_-_-7 CC,4 Sanitation Patio FIREPLACE Final Footings Footin ELECTRICAL Masonry Walls Throat Rou h — 7 Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing — `— Test Water Htr. Stucco Final ( Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - • - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTWOF 9UTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 4r%� Telephone" 534-4541 �/ APPLICATION AND PERMIT aUlrIUrrLe reNreseniauves or me County or Butte to enter upon ine above-mentioned property for inspecti purposes. X 47 ej Dat IF 21 Signature of Permitee or Agent Receipt No. I 6 L ® L• I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC +OF PI LI01 C WORKS By Date Building, 9 permit expires Date � OZO BUILDING Owner D, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor S S -b Mailing Address C3 0„— Fireplace Total Valuation �15 C3 elephone o. Permit Fee Building Addressj I Plan Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.0 Each Trap 1.50 �v Repair drainage or vent piping 1.50 A. P. No v Zonln & Planning Water piping 1.50 Each gas water heater or vent 1.50 F n Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P ns Recd ParcelA rovoI Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @FEE PERMIT FILING FEE $3.00 t Single Family ❑ Duplex ❑ Mobil Home ❑ Others 600V OR LESS 'Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 ' r � 011 100 AMP O 25.00 Main service OVER s OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR CONST. ( DAC CCUP. S) 20sgft • CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St f: LET NEW CONSTRESID, M LT BRANCH NON-RESID � BRANCH CIRCUITSI 2.50ea IRCU NEW CONST R. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET - - EX. OcCUD(OUTLETS OR FI X T I IRES, BAL@1 Ex. Occup.(OUTLETS FIXED APPLNS. OR (RESID.) EA) 2.00 Temporary service 10.00 4 Mobile Home Facilities 15.00 License No. R3~�.� �O Classification i Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 1 $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California.' MECHANICAL iNo. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee. $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee Is TOTAL PERMIT FEE $ aUlrIUrrLe reNreseniauves or me County or Butte to enter upon ine above-mentioned property for inspecti purposes. X 47 ej Dat IF 21 Signature of Permitee or Agent Receipt No. I 6 L ® L• I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC +OF PI LI01 C WORKS By Date Building, 9 permit expires Date � OZO 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 t MOBILEHOME INSTALLATION SHEET 3. Is the .site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site?, Yes / / No / a4— (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes 717 No Yes / / No site service? ----------=---------------------------------------- ) (If no, clarify (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? -------- --------- ---- Natural / / LPG 5. What is the mobilehome electrical rating? ----------------------- S� Amps 6. What is the mobilehome site service rating? --------------------- �U 0 Amps 7. What is the mobilehome site circuit breaker rating? ------------- less than 6 ft. on natural Amps 8. Is there any other electric load to be served by the mobilehome Yes / / No site service? ----------=---------------------------------------- (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? -------- --------- ---- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other'"than single wide, Mobilehome Mfr G . Z��=� ,� furnish Setup Model NoSR -3 Year Width (:;)-!Z Box Length Q (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Single 0— .— % x3v (ft.)(in.) (in.) (in.) Center support Center support locations* footing sizes (in.) /3 - &70" (ft.)(in.) (in.) (in.) (in.) (in.) ( t. ( •) (in.) (in.) oe erw�- oZ x v (ft.)I (in.) (in.) (in.) Ater piers are other than drawn above, /in -locations, spacing, and dimensions. Footings (check one) ®'1. Wood either pressure treated or foundation grade. 0 2. Other (specify) Supports (check one) Concrete block. 2. Other (specify) ---Tagalong or Expando, show support details. /;�-x 6i -- Typical Support in.) (in.) Footing Size (✓J -- Max. Pier Spacing -- Max. Overhang BUTTE COUNTY BUILDING DEPARTMEN 1 APPROVED CZERMIT NO. --2771-79B PERMIT EXPIRES OWNER Rueben Dilley CONTR. par-A-Dise Const -,—Paradise 64-21-37 LOCATION (A.P. ) 210 Lafayette Cir.,lot 13, PP#14, Magalia Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ a JOB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOW-RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l . Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Finales Sanitation Patio 461REPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE' - DEPARTMENT OF PUBLIC WORKS �. �7 County Center Drive — Oroville, California 95965 Telephone: ,34-4541 192191-2 j219/%-2 Q APPLICATION AND PERMIT CXAA authorize representatives of the County of Butte to enter upon the above-mentioned property for insp tion purposes. X Date Signature of Permitee or Agent Receipt No. :Z '1441111�, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of theM0i County Code and/or resolutions to do work indicated abwhic�jfees/Ihave been paid. AEQTA OF PUBLIC WORKS _14 Y/ A54f .. ' ' Building Date Is BUILDING r OwnerU� ny�,�% ���L, �74 N SQ. FT. OCC. BUILDING VAL ATION Mailing Address Telephone No. Contractor Mailing AddressFireplace Total Valuation T/—lam Permit Fee Building Address SS g G Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. — 21-37 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 a ( Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. P1.4—r.. Parcel A roval Plans 41415pro vol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER, Permit Fee $ $ o �C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service i°oo AMP ORV OR SLESS 5.00 Single Family ❑ Duplex Mobil Homeja Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP. Y) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State f California Business & Professions Code under the name styl J _ •' NEW CONSTR. BRANCH CIRCU 1 NON-RESID BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS .&, NON-RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) B L01 FIXED APLNS. OR Ex. Occup.(OUTLETsP(RESID.) EA) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License NojL 3 15�/ 0 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of V Workmen's Compensation Insurance. YYNI ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for insp tion purposes. X Date Signature of Permitee or Agent Receipt No. :Z '1441111�, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of theM0i County Code and/or resolutions to do work indicated abwhic�jfees/Ihave been paid. AEQTA OF PUBLIC WORKS _14 Y/ A54f .. ' ' Building Date Is t�ERMIT No. 3221-78P,E • iV PERMIT EXPIRES OWNERRueben Dilley CONTR. Par-A-Dise Const., Paradise 64-21-37 LOCATION (A.P. ) 210 Lafayette Cir., lot 243, PPIP+, Magalia Temp. Power Pol Called PG&sE Temp. Elec�Serv. Ca I I edyP G& E Temp. Gas Serv. Cdlled PG&E 6OB FINALED XxC7 (Date) (Signal ) M n Bldg. otin s St wa I I Sla Piers Gara e Footings Stemwal I Slab Carport Footings Slab Patio Footinas COUNTY OF BUTTE`— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD q BUILDING BUILDING (Cont'd) . ewal l of Pa ets 1 ResADom Finish Windo Siding Roof Shea in Roofing Fdn. Vents Garage Vents Insulation Prov. for ph sicall handicapped Conformance of ex. structure Footin Throat PLUMBING I Piping st Floor d Floor r Floor Water Pi in Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final EL Bond Beam' \ I (FIRE SPRINKLEFU i Motors F Mesh Cool sh woor closer NJ yinal MOBILEHOME UTILITIES ------------------ Elec. Service Water Piping Sewer — V, ME INS ALLATI N --------------Support Water Piping Drainage DATE REMARKS OR CORRECTIONS -7 eye ff A tA,AAA�h CtV 4L"-\_� `J Gird. Faulf Prot. Service TerA. Pole U der round ermanent inal Elec. Pedestal -4 Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) N. F COUNTY OF BUTTE I DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with therequirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner It % . /)", t ` Owner's Address Mobilehome Mfg. Model Year -4- Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied., Director of Public Works Date 21 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED �\ White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical. " A. Is service large enoirgl. to provide adequar_e amperage to mobilehome. (must equal rating of mobi-lehome.iaith a. ::;iniv.um of 100 amp) and other faciliti-E!s on lot, i.e., water pumps, garage, cabana, etc.. Yes No B. Is ther�-� proper clearances around panels? Yes _N No C. Is power supply cord or feeder assembly properly fused? Yesy No_ D. Is continuity test satisfactory as per tate following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pede tal. 2. Make sure that t'.he power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehomegrounding conductor and • , ,. _... _ , _.. , app iy Lite Uitt�'_ .LUait %U each TIIUUL.LCLtUIIIt Siipply CunutiCtUr, llii liiulitg Y►e�1�ra1. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, salter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. b. Upon completion of the above procedure, the power supply cord or feeder -assembly conductors shall be connected to the site service equipment. A further continuity te_;t shall then be made between the grounding electrode and the chassis of the t:ioi�ilehome. Upon'sati_sfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. ;ob card signed by health Departme.at for water and sanitation? �.;.. If evarything ol<ay, sign off card andt.a- services: �iUl3TLi ilUt1j� DATA d'to Manufacturer and/car Namestyle Ler.gth VO Width '2 Vehicle Serial No. State Identification No. P.ddi.tional Information or Cortunents: ii0}3T!,i ItULiG IIVSTALL.,VFI(JU ,INSPECTION CHECK LIST 1. Is the mobilehom,� locatedi.li required separation from lot lines and buildings and general].\ conform to plot plan?4' Y(':3 No ?, Does the mobilehome have required clearances above ground? (Sec.5085) Ye�C— No 3. Are footin,s and supports properly sized, spaced, and braced a er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level.? (Sec. 5088) Yeso+ 5. If m than a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 5: Water A. is f exi_ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test. YO—C No C. Backflow - If coach is n tate of California approved, does station have backflow device and pressure -relief valve? es No 7. Wastes and Drains A. Is connection made withSchedule 40 DWV and have' flex connectors at each end? IYhs1 No B. Does it have minimum per foot slope and is it properly supported? Ye No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State o California approved, does station have required trap and vent? Yes No 8. Gas Pipingand Gas Vents A. Connect r - Is mob home connected to the gas supply with an approved 3/4" minimum mob ileho e Is not more than 6 ft. long? Note: All piping is to be at least as large as e mobi dome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as poll -owing procedure? Yes_ No 1. Open all pliance connector valves. 2. Shut off app iance burner and pilot valves. :3. Air to t with nometer to 10"-14" water column, or test with slope gauge (minimum 6oz.- aximum 8 o .) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Con�ect: gas meter td�mobilehome with connector, turn. on gas, test connections with soz y water. C. Are al7/1 appliance vents pr%erly installed? Yes_ No COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 O� Tel ephorie:-534-4541 APPLICATION AND PERMIT D auinvnze represeniaiives of the county of Butte to enter upon the above-mentioned property for inspection purposes. v�1 �— Date //'— / O Signatu f Permitee or Agent/ Receipt No. % ?_ � y -L White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F UBLIC WORKS By Date %P Bilkooi ding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contract .�: Mailing Address Fireplace Total Valuation 'p lei, eA, -5/ Permit Fee Building Address — / _ Plan Checking Fee&/or Penalty Permit Fee %4 PLUMBING No. @ FEE �� PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. q_ a—% — -i�,Zonin &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fed Sanitat of n I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd Parce A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ( ACCLBLDGS.LING Ccup- Y) 20sgft CONTRACTORS LICENSE LAW ' I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI -OUTLET NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 5 L 250 @ 100 (FIXED TS (RESAPPLNS. OR Ex. Occup • OUTLETS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification C j Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby (/ TOTAL PERMIT FEE auinvnze represeniaiives of the county of Butte to enter upon the above-mentioned property for inspection purposes. v�1 �— Date //'— / O Signatu f Permitee or Agent/ Receipt No. % ?_ � y -L White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO F UBLIC WORKS By Date %P Bilkooi ding permit expires Date COUNTY OF BUTTE • — DEPARTMENT OF PUBLIC 7 County Center Drive - Oroville, California 95965 Tel ephorte:' 534-4541 APPLICATION AND PERMIT WORK 174 • BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor -- /�— /',S� Qo'I S �� Mailing Address � U G,L � � Fireplace Total Valuation � fcj& ele ono t� Permit Fee Bui (ding Address Plan Checking Fee &/or Penalty Permit Fee -�-� �r o�% O f} F4 \A0 / ! e- 6 (�' PLUMBING No.1 @ FEE 7 PERMIT FILING FEE $3.00 �- Each TraD 1.50 Y.Qr1ffc f;o 0nf Repair drainage or vent piping 1.50 A. P. No. Cp`'l -d Y7 Water piping / 0 Each gas water heater or vent 1.50 F s Sa Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements,-- Each additional outlet .30 Building sewer .4.90 %V Bid II�eed ParceLArin royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS^ too AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ P ❑ ❑ -L Main service EA. ADD100 AMP �00SQ. FT. MINIMUM EOR ILS Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLDGS.LING CCUP. 6) 2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex.Occup.(OUTLETSP(RESID.)REA) NEW CONSTR -OUTLET NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIiRES B L@; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 (3 " License No. 22 3 6110 Classification Mise. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ S WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. al have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE�� auurunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permittee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECZ.OR1 OJPBLIC WORKS By Date 4�'77o20— Building permit expires Date CWcftbrook Man M= ■■l ■a■■■■t ■c■ ■ ■DINING'i amino NONE ROOM r �_� ■i ----- �■■■Maon ■■■■t ��■■ ■� LLM ■■, �■■■■r ■■r■■1■■■■■r I■c■■r us■.■t /■■2 I MASTER BEDROOM UVING •• I EWIRONMENML HEALTH ........... MAR 0 Chico, CalNomia 24 SER APPROVED Butte County Environmental Health. Date OPTION DEN r -O ..-. - �-a on.T-A --IF) i J13 17 i. 1>1 OZ v, 7.1 07- g4 J Ok ON-\ C( R o A o o p 'APPROVED ,Y\G Butte County I Environmental Health I----3-�l Date Q /� Z- <-2; & 'l- ----- Signature ��i ��cesvS Yz (' 1O` v) wnY�ctr