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HomeMy WebLinkAbout064-220-044r- " w . 64-22-44 " James C.Younger - ,�� 205-Carn ie Rd slot 107;PP��'14; Maga". t contra Ful Const,, Inc., Magalia Permit ik1527-8 P E(util MHS . , j. ELEC . r r - GAS SUPPORT STRUCTURR REQ, COMPACTION TEST REQ, o t 64112r -44 1 �-�• h h Contr : WW ° Coast T a' 1 Sales Perm' #3393-80MHI y, 64-22-44 { WILLIAM GIBBS 0095 Erie Ct, lot 10',V,5PP#4,Magg1ia ' .'- Z: i ' \ h ' ..Contra John Miller,. Magalia Permit '#2303-82B(2 decks) t 64-22-44 ,Contr:,John..Miller.Const, Magalia !` Permit#1320-83B(new private ara e)MH X64-22=44 ,5 3132-9?1--1 ' + • PEPPY, Graham;�_ 6095 Erie ' '. ' -Ct, Ma alia .�Y (r.onv decic- to -storage/mh) ,=3'd +. B08=05321b RESIDENTIAL' -SFD-Mobile Home RET f x MH PERM FND'EX S 11 X440 F ' + 6095 ERIE CT t x CSNYDER, SUZANNE o + is '•�' tr , • .... '� � . r _ ... a .,,.,. � ! _. r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 6095 ERIE CT Owner: Permit NO: B08-0532 APN: 064-220-044 SNYDER, SUZANNE Issued Date: 03/26/2008 By TMP Permit type: RESIDENTIAL 1681 SWEETBRIER LN Subtype: SFD-Mobile Home RET PARADISE, CA 95969 Expiration Date: 03/26/2009 Description: MH PERM FND EX SITE 1440 SQX Occupancy: Zoning: R-1 Contractor Applicant: Square Footage: PREMIER BUILDERS PREMIER BUILDERS Building Garage RemdUAddn 6055 TERRA VISTA 6055 TERRA VISTA PARADISE, CA 95969 PARADISE, CA 95969 a Other Porch/Patio Total (530) 872-1096 (530) 872-1096 FEE INFORMATION DBF MH Plan Check $241.16 DBMSC Mobile Home Permit Fee. $361.74 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires PREMIER BUILDERS 343173 / B / 09/30/2009 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) o wision 3 of the Business and Professions Code, and my license is in full force nand effect. X `77 /aL . , G�/i �,/� 03/26/2008 Contractors Signature Date WORKERS'_ COMPENSATION DECLARATION . I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. ) f] HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by LLLJJJ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: STATE FUND Policy Number: 1127626-06 Exp. Date:05/01/2008 (This section need not be completed if the permit is for one hundre dollars ($10057 less.) ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ---"% X 03/26/2008 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Balance Due: $0.00 Receipt No: B6812 OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law fcr the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: �•A ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: Owner's Signature 03/26/2008 Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner oauthorizg�d to act on the property owner's behalf. 03/26/2008 Name of Perimi tee rSIGNI Print Date ElOwner ontractor OR. ElAgent for Owner ElAgent for Contractor FILE COPY U BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION* OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds PLEASE PRINT CLEARLY PERMIT NO. -86'y-o53 BIN # "When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information related to this application is subject to public inspection and will be posted on the County's website for electronic access. CONTRACTOR OWNER INFORMATION Last N�amebJX � �) D�� LIF First Name Si9l; �tY Mailing Address �W e�c OR ZZ City Stale�P Zip23 6 Phone E-mail Fax I E-mail j CONTRACTOR Name Name Address Address City - City StateL I Zip�J y Phone5 7'� _leg Phone Fax E-mail E-mail Lic. #3 -413 / 7,3 Class i i APPLICANT INFORMATION ARCHITECT/ENGINEER Name Address Address j City State���! State j Zip Phone Fax Fax j E-mail State License Number i APPLICANT INFORMATION Name tLfit-�ie� ` ALL"c�G Address City _4 v l`Z5� I Yes State���! Zip�,S"Yr�f' Phone Fax E-mail i APPLICANT SIGNATURE: X s0' 95y � PROJECT LOCATION API _2 �® Property Address D S" C City S S'¢ Gvl /1k_ GL r4 WORKER'S COMPENSATION Policy Number (.f 2,6--an5' Carrier 5 «T Y. C,<,- At - j2 If hiring anyone other than licensed contrac ors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPEJOUMW.4 Sq FT- Living Garage Open C.ov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): f For office use only: Zoning Flood Zone SRA I Yes INo Occ. Type Const. M2 F6undAtion System Installation instructions for Califom'ia"-, for Ground & Concrete .Systems HUD, Wind Zon, e 1, 15 PSF Wind Load Seismic 4 By. Tie Down Engineering gum COUNTY BUILDING DEPARTMEW -.'APPROVED K T U ............. F Xi2 Concrete Systim Engineer Approval State Approval bIANUFACTURED HOMEIMOBTLE ROME FOUWDATION SYSTEM ' IMALT11 AND SAFETY CODE, SECTION 18551 APPROVED SUBJKT To CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS Oil APPLICABL8 STATE LAWS AND REGULATIONS Stite of CRINOMIS Departand ofRmiag aud Commuft DMIQPM9d D $1 OF ES AND STANDA:L, 4 �' =1 _D JrZ A SPAM. 17) Page 1 of 8 I -Ir- MVWM CMLx1ffCC"1ML7 W OVU-1 Iff"UnCU" WrIVW ' 0411142"taff %904.y %7%1*' www.tiedown.com o (404) 344-0000 # FAX (404) 349-040 EN LD .1., A2 Ground SysteM, F Xi2 Concrete Systim Engineer Approval State Approval bIANUFACTURED HOMEIMOBTLE ROME FOUWDATION SYSTEM ' IMALT11 AND SAFETY CODE, SECTION 18551 APPROVED SUBJKT To CORRECTIONS NOTED APPROVAL DOES NOT AUTHORIZE OR APPROVE ANY OMISSIONS OR DEVIATION FROM REQUIREMENTS Oil APPLICABL8 STATE LAWS AND REGULATIONS Stite of CRINOMIS Departand ofRmiag aud Commuft DMIQPM9d D $1 OF ES AND STANDA:L, 4 �' =1 _D JrZ A SPAM. 17) Page 1 of 8 I -Ir- MVWM CMLx1ffCC"1ML7 W OVU-1 Iff"UnCU" WrIVW ' 0411142"taff %904.y %7%1*' www.tiedown.com o (404) 344-0000 # FAX (404) 349-040 EN LD .1., Xi2 Foundation system REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. •' Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 75.5" - 99.5" * Except single sections 95" minimum • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces -end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. *Except for single sections -36". • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Designed for 7:12 roof slope. *Except single sections, (20° - 4.37 in. 12" patch)_ Additional- Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6°' deep. Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0:30 ounces per square foot of surface coating...." . Page 2 of 8 AMWWWW 0 Ln 0 0 0 t *- Installation of .Xi2 Ground Systems 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the systems will be installed. 3. Clear all organic matter and debris from the pad site. 4. Place U -bolts through holes in pan provided. 5. Place pad centered under beam with the lateral strut bracket towards the inside of the home. 6.. Press or drive pan into ground.until level and flush with prepared surface. 7. Build pier according to State, Local or Home Manufacturers guidelines. (Figure 1) . 8. Attach the end of the smaller tube to the inside of pan using U -bolt & nuts provided 9.. Attach the flag end of the larger tube to the opposite I-beam using the "J" bolt over the top of the I-beam with the nut & washer provided. (Figure 2) 10. Install a minimum of four (#12 x 1" tek screws) self -tapping screws into the holes provided in the lateral strut so that the two tubes are connected together. (Figure 1' 1-3/4" Tube J -Boit Nut & Washer i Lateral5truts Strut (flag end) 1-1/2" Tube 4-#12x1" = TekScrews I� Figure 2 U -Bolt & mounting - Figure 1 Bracket rn end - ���ui •� - :;"r 11. Install frame bracket clamps to I-beam on i r, p n "' '''°�'"'° � '•'"' �' side of bloc " k/pier. Do not tighten nuts at this time. 12: Attach longitudinal strut to U -bolt in pan using �.' nuts provided. 13. Insert strut in the frame bracket clamp, attach with . 8 , nut and bolt. Do not tighten at this time. �=V a - Pull -the frame bfacket'clarh with the fastened strut outward to remove any slack. 15. Tighten all nuts and bolts on the struts and beam clamps. 0 Page 3 of 8 DP r Xi2 Ground Parts Detail Xi2 Ground Lateral System Part Number 59306 Includes: 5' Strut, pad & hardware kit (#59329-1 includes all nuts and bolts) Longitudinal Hardware Kit Part Number 59331 Includes: 2 I-beam brackets & 2 U -bolts with all nuts and bolts. Lateral and Longitudinal Combination Part Number 59333 Includes: 5' Strut, Pad; Longitudinal Strut - - (#59329), Lateral and Longitudinal Hardware Kit with all nuts -and -bolts.... ........__ .... Struts .or Longitudinal Systems Part Strut Pier Height No. Length Up To: ®� �It�� ®zo gig � 59330-44 44" 4 Blocks or 32" 59330-65 65" 6 Blocks or 48" Ground. Longitudinal Hardware Kit Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement Xi2 Ground Longitudinal Strut & Hardware Kit Ground Longitudinal Strut Single Section Home Double Section Home 0 -80' (76' Box) 4 Xi2 Systems 0 -62' 3 Xi2 Systems* 63'- 80' 4 Xi2 Systems *2 Xi2 systems can be placed at either end of the home:' Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 4 of 8 �D�INN' ElIGINEFTf1NG': - • Installation of Xi2 Concrete Systems u 1. Identify the number of systems to be used on the home using the chart provided. 2. Identify the location where the.systems will be installed. 3. "Build -pier according to State, Local or Home Manufacturers guidelines. 4.. Drill two 3/8"x 3" deep holes in the concrete using holes in galvanized bracket as 65. a guide. Attach bracket to concrete pad using 3/8"x3-1/2"wedge anchors provided. Place nut.& washer on anchor, leave:enough room for 1 to 2 threads showing on top of bolt. Using a hammer, tap the wedge bolts into hole through bracket, leaving .nut & washer flush with bracket. Using a 9/16" socket wrench, tighten wedge/anchor bolt, securing bracket to the concrete. .. 5. Attach the end of the smaller tube to the bracket mounted on the pad, using the grade 5;1/2" x 2-1/2" bolt/nut provided. 6. Attach the ffag end of the larger tube to the opposite I-beam using the "J" bolt over the to p.of the .I-beam. with the nut &. washer provided. (Figure 1. next page) ...... . 7. Install a minimum of four (#12 0" tek screws) self -tapping screws into the holes provided -in the lateral strut so that the two tubes are connected together 8. Install frame bracket clamps on' l -beam on the inside of block/pier. 9. Insert strut in frame bracket clamp and attach with nut & bolt. Attach opposite end to concrete bracket. 10. Pull the frame bracket clamp with fastened strut outward to remove any slack. 11. Tighten all nuts and bolts on system. Page 5of8 0 Ld 0 0 XIS Lateral Concrete Systems -Part #59307 includes: 5' Strut, Bracket, & Hardware Kit #59315-1 with all nuts.and bolt. Longitudinal Struts for "Concrete Systems" Part No.. Length Pier Height #59013 44" up to 4 Blocks #59015 65" up to 6 Blocks Longitudinal Hardware Kit Part #59263 (Includes 2 sets per kit: I-beam bracket, nuts, bolts and washers) Lateral and Longitudinal Combination Part #59332 Includes: 5' Strut, Longitudinal Strut (#59364), Lateral and Longitudinal Hardware Kit with all nuts and bolts. Nut & Washer Figure 7 Beam Clamp 11,91" ` Bracket J -Bolt Xi2 Concrete ftLlo "WO Longitudinal Strut Concrete Longitudinal Hardware Kit 91 nd °¢14ome Lateral Longitudinal r `, — --- --- j -Beam iVol� M2 Installation. Placement Page 6 of 8 . - ." .............. m G LO O O 9 Diagrams represent examples of double and triple section offsets. Total size is determined by the length of unit plus offset. Xi2 Stabilization Pier Placement for Ground or Concrete Xi2 Pier Placement i f Single Section Home 0 -80' (76' Box) 4 Xi2 Systems Double Section Home 0 -62' 3 Xi2 Systems' 63' - 80' 4 Xi2 Systems '2 Xi2 systems can be placed at either end of the home. Triple Section Home 0 -62' 4 Xi2 Systems 63' - 80' 5 Xi2 Systems Page 7 of 8 DQINJV�' Emcuuffnws : • Hardware rakdon #59329-1 Hardware for 59306 Lateral System 1 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1 12107 1-3/4 zinc 4 10556 Tek Screw #12 x I" 1 10631Z J Bolt 1/2X 5-1/2 grade 5 zinc 2 10640 Push Nut 1/2 1 121.07 Flat Washer 1 x2" SS 1 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10519 Hex Nut 1/2" w/ Serr flange #59331 Longitudinal Hardware for 510306 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 10926 Carriage Bolt 1/2-12 x 1-1/4 Full Thread 10 10646Y Hex Nut 1/2-13 grade 5 zinc 2 10801 Carriage Bolt 1/2-12 x 2-1/2 Grade 5 2 84533Z U -Bolt 1/2-13 x 2.63 x 2.19 thread 1-3/4 zinc 4 10640 Push lVat 1/2 .. 4 10519 Hex Nut 1/2" w/ Serrflange # 59329 Hardware for 59333 Lateral and Longitudinal combination 1 59329-1 Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-12 x 1-1/4 full thread 5 10646Y Hex Nut 1/2-13 Grade 5 zinc 1 10801 Carriage Bolt 1/2-12 x 2-1/2 Gr8d,6 5'2iric .................. 1 84533Z ' U -Bolt 1/2-13 x 2.63 x 2.19 Thread 1-3/4 zinc 2 10640 Push Nut 1/2 2 10519 Hex Nut 1/2" w/Serr Flange #59315-1 Hardware for Lateral System 1 10631Z J Bolt 1/2 x 5-1/2 Grade 5 zinc 1 12107 Flat Washer 1/2" SS 4 10556 Tek Screw #12 x 1" 2 .1 0646Y Hex Nut 1/2x-13 Grade 5 zinc 1 10826 Carriage Bolt 1/2-12 x 3 . d 10801 Grade 5 zinc #59027 Hardware flit for 59307 Lateral System 2 59264 3 Way Concrete Bracket 4 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Hardware Kit #59263 Longitudinal Hardware for 59307 2 59272-1 Beam Clamp Base 4 59272-2 Beam Clamp Top Flange 8 1.0926 Carriage Bolt 1/2-13 x 1-1/4 1 59315-1 Full Thread zinc 12 10646Y Hex Nut 1/2-13 Grade 5 zinc d 10801 Carriage Bolt 1/2-13 x 2-1/2 4 10926 Grade 5 zinc ...#59364 Hardware for 59332 Lateral and Longitudinal combination 1 59264: 3 Way Concrete Bracket 2 10530 Wedge Anchor 3/8 x 3.50 1 59315-1 Lateral Hardware Kit 1 59272-1 Beam Clamp Base 2 59272-2 Beam Clamp Top Flange 4 10926 Carriage Bolt 1/2-13 x 1-1/4 Full Thread zinc 2....10801..... Carriage Bolt -1/2-13x2-.1/2 Grade 5 zinc 6 10646Y Hex Nut 1/2-13 Grade 5 zinc Page 8 of 8 0 FN 0 G) r 0 G Q Complainant: Address: Phone Number: Other Comments: BUTTE COUNTY DEVELOPMENT SERVICES . . . . . . .. . . . . . . . . Inspector must draw a plot plan with all building locations: Additional Comments from Inspector: 2 �urxUfa aYn 3. d ot X07f,PP14,° Maga. Const., `�Inc� ;���aga lia E (ut'il�',MH>i, ,. UR$ T -"REQ. = fk, M„ky�s r v z Ztr -W lxCoa st T 1 j A is les ZZ r 393. 80NgiI 4 8 .PTil K 44,,; " llff " �`.7 2'',S.,F ---64-22-- p--------------------- ILLWOdBBS: Z ori~ a `Ct;-lot lo,v, :PP�k4� Ma a �., .k I , glia' ontr r'Jotin Miller,. Maga1 FjMq exlqit!!t'f 23.3-82B(2, decks) �`I I &A —._-- !�#� err, 1tr ��oha ille� Const � �yjpryali� mi ,,r C i' rt#1320 �83B(new,,pri/vate � ars pe�)MH 64-22-44 3132-91B i PEPPY, Graham 4 6095 Erie Ct, Magalia (conv deck to storage/mh)-,3 v�i� 6 � � '' ti,. .. -. � ... - _;zT._. .� _�` _ ��� •a - _ . _ -- � -�. _ -_ ..«-� _ � � _ a { a/ C`n a � � M1 �� �i Qr.• p O06 r � 1 to ice. \ '� ,_�•� ' `ttxr •rri'.. c y w � S (!� � � �•� � //0.85 g xp2'� •0 9 a oo� � � � ` r„p �1-,ii w '� �T � • i �b9 O /�j, W ,x . aB Op n l�� . r sw , • � i yb •'-#�t i � • 6' - 1 I� r, • �a '` t�*r� .� z � .;Y ,xi •`,�'iw`I s�" s t04b � s � �.o Ch ♦O r ,� w op ,�sx :� 0 O Q' 172.06 �'w .IrAy ss y4 07 Ola `.• ® � V A "VVI �♦ ,; TY . w,. O ,J� N 0 X00 I{ #°�- �:r O yb♦ , ,: So, IN, i'�' f ,�. 'pC oo ,s .i F•. W ��O IF st '-s. �: • ` �! 1 s. ... r r ice. ri �� U a RESIDENTIAL 64-22-44 _ 3132-91B --� PEPPY, Graham 6095 Erie Ct, Magalia (conv deck to storage/mh) JOB FINALE Signature J=OK O = Not OK Y =NotNo Applicable 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-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"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 HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DEC AS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 15� . 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- Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. F ectric riot, B�Frmg; Sils-Anchors-Studs-Rftrs-Trusses Siding; Nailing -Veneer -Stucco -Mesh 11Y�of; Shthg-Roofing 1 . Ext.; Steps -Doors -landings Date g/70% y • Card B-1 GJ 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-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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O=Not OK Applic No Readyable RESIDENTIAL (Single. & Duplex) 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 (Permil),OK except k's 16. Water Hir.: 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/Meth. Fastners-Bond Gas & Water ---- --------------------------------------------------------------- 27 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------ ------------------------------------------------- 28. Subfeed Wire Size i ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al ------------ ---------------------------------------------------------- 29. Range Circ. / i 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 -Meth. 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 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 Card B-1 Date Card B-1 --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 39. Sits. Proper Material & Anchors ------ -------------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing-Plates-Sound --------------------------------------------------- Bearing-Walls ------------------ BearingWalls over Girders & Floor Nailing --------------------- 42. - - ---------- 42. Draft Stop in Walls (rat proof) ----------------------------------------------- --------------------------------- 43 -------- --------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------------------------ - Headers & Beam -Si zeA Bearing Date FRAMING (Continued) _ 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties -Purl in -root 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 _________ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except k's 61. Ext. Steps -Door & Sidelight Protection -Landings ________ 62. Smoke Detector 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------- ---------------- 64. Bedroom Exiting ------------------------ ----- 65. G.F.I. & Bath Fixtures & Tub Access -Spa ---------------------- ---------- 66. Elec_ Trim -& Subpanel: Breaker Sizes & Labels ----------------- ___ 67. Stairs -&-Rai-Is--- 68. Rails68. 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 -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection --------------------------------------- 75. Plb.. Elec. & Mech._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. Followinginstld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No 81. Stucco: Brow -Finish -------- -Brown-Finish -- -- - 82. -A.-C.-Unit: 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-1 Comments at Final: Date _ Card B-1 Date _ Card B-1 Date Card B-1 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPUCATION AND PERMIT PERMIT NO. .i1 n SSESSOR PARCEL NUMBER 64-22-44 ZONING RT 1 BUILDING PERMIT OWNER PEPPY TELEPHONE 873-1080 SQ. FT. OCC. BUILDING VALUATION 216 M 3 888 OWNER'S MAILINGGRAHM ESS 6095 ERIE CR. MAGALIA CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3,888 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 44.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $22.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6095 ERIE CR. MAGALIA Permit fee $ 76.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 . LOT NO. 107 SUBDIVISION NAME P.P. UTILITY PARCEL MAP Water piping , 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel U Uti lities ❑ Installation❑ Other ❑ Describe work: CABANA — STORAGE EXISTING Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ) El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification. I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑, a the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.y OR ACDNS. C ACC. BLDGS. ,/x¢sgft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR. / Ex. Occu p OUTLETS OR FIXTURES aoa 30 eAL0 FIXED APLINIS Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, sts nd expenses which may in any way accrue against said County ' c; q�e of the granting of this permit. X DatE ' Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ..7 TOTAL F 76..75 HA c P sc FL F P P I HD Issu This permit is hereby issued unser the applicable provi- Bions of the Butte County. Code and/or resolutions to do work indicated above for which fees have been aid. P DI T OF IC WORKS By Date "s PER T EXPIRES �-1 i Receipt No. 7 % S WNITC-D.P.W.. YELLOW-A9Bl330R, PINK -INSPECTOR, GOLDENROD -APPLICANT wr Ir COUNTY OF BUTTE - DEPARTMENT OF"PU'BL,I�C� WORKS - BUILDING DIVISION '~ 7 COUNTY CENTER DRIVE - CiRCY(JL6E-'CALIFORNIA 9596.5,- TELPHONE: 916/538-7541 PERMIT APPLICATIODATA.SHEET / f y� Permit No. OWNER '� y �^ 6q -2 � A P/A^ A. P:No. 7 ���io //► Proposed Building Use�1�� S���G Building Inspector C.�Sn/� Date 9 /' �✓ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid i ?�O_ School District fees paid ..............Sanitation approval from 16V f 4D/.s ` Health Department � Z �City of Chico plumbing permit ........................ .......... 16. Plot plan and business license approval from City of (see City for other requirements) 17:`Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... -A 22.. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0)..-. . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .................... ......... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant_ � .Date Copy of Hdz-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 issuanc : 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--nail—counter by ..date C/ Contractor, designer, owner, was advised of above required data by_phone_mall_counte �by date F ns checked by Date Plans approved by Date Sets of plans on hold in cabinet AP folder Copy—DPW ,.. TO Buildina Department FROM: Environmental Health C SUBJECT: Sanitation Clearance O er Location AP# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Cle rarce for --bedroom mobile Other J/home. Date Sanitari COON I Y UI t3V 1 11_ - uct roti 1 IWCIr 1 ` r ­-•--- /' 7 County Center Drive - Orovllle, CRIH01111H 95965 - Telephone: 916!5:36-7511 APPLICATION AND PERMIT AssEssoR P Rc L NUMBER - owiaER TELF_PHONE G� AH,6�__Z' P `373 - 1 v 40 OWNEE�R'S/MAILING ADDRESS /P/Y 9� 9��„/, Cr- 'Y C TELEPHONE C ONTRAAETOR'StNAME V 1..- BUILDING PERMIT 30, FT. OCC. BUILDING VALUATION ' ILING ADDRE CONTRACTOR'S MA59 FireplaceA• CONSTRUCTION LENDER UNKr10 WN Total Valuation $ _ Filing Fee 10.00 LENDER'S MAILING A50RES9 ARCHITECT OR ENGINEER LICENSE NO. __ __ Penult Fee_ an Checking Fee -- _$ 0 $ `L Z.Zf Energy Plan Checking Fee .— $ ARCFIITECT OR ENGINEER'S MAILING ADDRESS '- Penalty Permit fee -`.-_---_---__ _ $ _76,75- BUILDING ADDRESS PLUMBING PERMIT FfllrgFee 10.00 r 6 ©4J' F�r.� ems. %n/dG'�iL/ - Each Trap Solar or heat pump water heater 2.00 _ 20.00 Water piping — 5.00 LOT NO. /Q—? [ SUBDIVISION NAME p (�nl t r �/ PARCEL MAP heater or ve- m 1 - 5 0 lets — _5_.00 5. USE OF TRUCTURE SF❑ Duplex❑ Mobllehome Otlrer SPECIFY FPIPIng S.0U G W 10.00 ea TYP F WORK New❑ Addition❑ RemodeleUtilities ❑ InstallationD Other C����� _ ���� c f" Describe work: — PetmltFee $ Contractor -- ELECTRICAL PERMIT Filing Fee 10.00 Main service JOOV OR LESe 00 AMP OR LESS Main service EA. ADO'L 100 AMP CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I and licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in lull force and effect. License No. Classification. I I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is riot intended or ollered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) U I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.IM) OR A_DDNS. L ACC. SLOGS. r2.50 NON-RESOD,BRANCH CIRCUIT__ (POWER Ar'PARAT e) 1 SINGLE OUTLET IR, - OUTLETS OR Ix TURES _ Zo0,nne SALP301 FIXED APP tls—°R OUTLETS ESID.I EA.) 2.00 ervice _ 10.00 Fa lilies 9Petmit 15.00 — 15.U0 $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I 1 have placed on file with the County of Butte Building Department u a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall riot 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 pemilt shall be deemed revoked. MECHANICAL PE IT FilirgFee 10.00 Heating _ Cooling _ 3 —_ .00 - Hood— _— I _ - — Ventilation _ Pe��� F e $ --____ ___-_.--.....-----.-....----- ----- Contra for 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 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, indemnityand keep harmless the Count of Butte against P Y g all liabilities, judgments costs, and expenses which may in any way accrue against said C nt sequence of the granting of this permit. XDate'^� ' Signature of Applicant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ _Energy Inspection Fee —_ -$-to Dcc coNST TYPE ` �7 TOTAL FEE $ _ • i lilnZ l (A)A] rnnK sr..1l� 6- — I— -"-- ---[i Ll cur run ro I Glu . issue I This permit Is hereby Issued unoer the applicable provl- slons of the Butte County Code and/or resolutions to do work Indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. V 2 W IIITL-DJ. w., TtLLOW-ASSESSOK. PINK -INSPECTOR. COLD ENROD-APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION 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 unneces.sary 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) 'S 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 City Phone Contractors License No. 4. -I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: �� ` Property Owner Social Security Number Date — �— 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. '- •`" ale. `:�„'' ' • '� s-... 64-22-44 James .Younger 205 Carn ie Rd.,lot 107,PP#14, Maga. contr: Ful Const., Inc., Magalia Permit Ik1527-8 E(uti1.,MH- ELEC. - j GAS e_ - _ Y10SUPPORT STRUCTURH REQ. COMPACTION TEST REQ. ` Contr : W Coast T&T1 ales Perm' 393-80MHI I ed - 64-22-44 N�F.R � WILLIAM GIBBS brie Ct,lot 10V,,PP#4,Magalia Contr: John Miller, Magalia F'M4 1 Permit #2303-82B(2 decks) q /1 /g/� 64-22-44 ,.•Contr: John Miller Const, Magalia iy ,fit Permit#1320-83B(new private �. ppyajge)MH t. • t .. v �'.9` .>�`Y�'i.j'a . << �1 'a' '�`. r � . 1 / ! tr A ! _ w � As. ''. cr� iJ•yy�,�.. .tt'i`�'c'i'' v. �:�iy'da +� .`t' �`c 1�„!c, v +ir 1a�" y> �`A` `'j � r r y,. ., �y, ��; � ; �, •d`S TY X,>-- ,��. *�y� � F.: s 'M`c J"1�'' �>,R�1�. kf +� .�sit#'� y 'F? � r f :'�' ?f. � `.l ,1r .u;,,� l• .Ij�a�r ,� -: •.ice;. '+ w�, c. � . `ri ti 7 ' 4'" { > . r a : � ;�:' a t 4: , w-..'-. -,e. , r,.. 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J r , S' 'l.1( TU(, COUNTY OF BUTTE 14 DEPARTMENT OF PUBLIC WORKS y ' ' 196 Memorial Way, Chi co.. -_Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 i 747 Elliott Road, Paradise — Phone: 872-6307 `CORRECTION NOTICE f le"01) Z 6-7 OWNER / / / PERMIT NO. 4 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. f %sem A N't 1 P -S AM 1) C_. .d P Qi✓ . 7 Si L) s S ,pa v CA e. i ($f - .A; /d h r _f �az✓� J Ce?,A*L�, Date � I � Inspector i. � ^� cl 4-e"'d Fl f re 0 4� Temp. Power Pole I Calle�d PG&E Temp. lec. Serv. Ca led PG&E %-11JW Tern . Gas Serv. Called PG&E VB FINALED �1 / (Signature) , PERMIT NO— 1527-80P,E PERMIT EXPIRES ��1�/ OWNER James C. Younger Fuller Const., Magalia CONTR. 64-22-44 ,,'LOCATION (A.P. 205 Carnegie Rd., lot 107,-PP#14, Magalia Temp. Power Pole I Calle�d PG&E Temp. lec. Serv. Ca led PG&E %-11JW Tern . Gas Serv. Called PG&E VB FINALED �1 / (Signature) Set Form. Mai Piers I Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings Masonry Wall; Reinf. Stee COUNTY OF BUTTE — DEPARTMENT OF -PUBLIC WORKS, _ • BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING / Irewall So Pipin Arapets is loor Re room Finish 2nd hoor Windbivs 3rd FloNr Sidin To out Roof Sh thing Water Pi in Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov, for ph s1c ly handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Final x I Sanitation F LACE FFinal IN Stucco O 1 I Final \ ISubDanels/ ICA' (NOTE: An entry must be made on this form each time you visit the job site.) • t, MECHANICAL Grd. Fa t Prot. Heatl Servi /rIor Cool g TAP. Pole Du s nder round h V ntllatton Permanent r I -at inal MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping g la r\, Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping D T XX t. REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) • t, 9. Electrical A. Is service.large enough to provide adequate amperage -to mobile�lome°(must equal ratingof, mobilehome with a minimum of 100 amp) ^and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes= No B. Is there proper clearances around panels? Yes_ No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following. procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, ' 3. Switch all breakers and switches inl;the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including -fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor 0 .6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon,satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing, 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No, Additional Information or Comments: i MOBILEHOME' INSTALLATION INSPECTION CHECK LIST 1.Is the mobilehome 1vcate3 with required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances aboveground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ ! 6. Water / A. Is flexible 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? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device ..and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes_ No B. Does it'have minimum 4" per foot slope and is it properly supported? Yes_ 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 of California approved, does station have required trap and vent? Yes_ No� 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4".minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number 'k -S 7 4�0 for the following location: ?U \7 r.6. -It f ii t Owner ° 1 LAA'iJ& 111 Owner's Address n_.��^-h-' ) Mobilehome Mfg. C A��✓^' Model Year r� Insignia No. ,{� S'1 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By "w THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. County of Butto DEPARTMENT OF PUBLIC WORKS 695 Oleander Ave., Chico - 343-4211, Ext. 70 7 County Centei Dr., Oroville — 534-4541 . Skyway and Elliott Rd., Paradise — 877-3435 i fOf CTI N®® ICE . ..... ...............:......:..............................:........... Building or Property Address -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 .t., •,y, .•: additional explanation, please contact this office" r t • t • , f im_ mediately: :........... ..................... - :.: ... , : j... .......... ....................................... ipipip ••! to �Of9 i /v1 •l4DR , _0 � rI �X............C; y',Date.. `.:.�`'.... Inspecto ............... { ........... ......I.: I r Do Not +Re'm'o'v'e This Tog e J. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7.Cr.)unty Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 3 45�g"Pc) BUILDING 0111 J Owner Jh 6 4) SO. FT. OCC. BUILDING VALU Mailing Address fj2/f�n j� Tee no No. TRAILER P ' INC., Contractor WEST COAs DBA J. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7.Cr.)unty Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 3 45�g"Pc) authorize representatives of the County of Butte to enter upon the abgve-mentioned property for inspection purposes. XDate 5'" Signature of ermitee or Agent Receipt No.lws / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0.%PUBLIC WORKS BY Date 7— B ding permit expires Date 7- z-8/ BUILDING 0111 Owner Jh 6 4) SO. FT. OCC. BUILDING VALU Mailing Address fj2/f�n j� Tee no No. TRAILER P ' INC., Contractor WEST COAs DBA 3042 ESPLANADE , Mailing Address Fireplace Total Valuation CA r95926 T hone ,J''r- Permit Fee Building AddressPlan R c / % Checking Fee&/or Penalty Permit Fee ,J� C PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fkd's- S FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improveme is Each additional outlet .30 Building sewer 5.00 t Bldg. Plkr�iec'd Parcel A royal Plans pproval Lawn sprinkler system 2.00 P Y NEW E1 ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soov OR LESS 100 AMP OR LESS 5•�� Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS.r (, ACCLBLDGSDWELING COUP. 3) 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: °°�/ 129�. kit I� �/(� .� �iV�. NEW CON STR MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR/POWR APPARATUS B NON-RESID, \SINGLEE OUTLET CIR. EX. Occur) OUTLETS OR FIXTIIRES) 50@ 25 FIXED APLNS. OR . 2.00 Ex. OccupOUTLETSP(RESID,) EA) Temporary service 10.00 A9, ea I_ License NoC'•-,�/� ��tFTril� Classification ^y/ Mobile Home Facilities 15.00 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner - so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby $ ilo 4a TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the abgve-mentioned property for inspection purposes. XDate 5'" Signature of ermitee or Agent Receipt No.lws / White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0.%PUBLIC WORKS BY Date 7— B ding permit expires Date 7- z-8/ e_ —.: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville; California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auulullce lupivbentauves ui the Luunty of tsu.tte to enter, --upon the tab'ove-merrti-ned:prgperty,for)inspec'tion purposes. 66te�27'=80 JTenature Receipt No: White-D.P.W. tee or Agent Ir7j' ellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated -above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By — Date�J� eilding permit expires Date BUILDING Owner James C. Younger SQ. FT• OCC. BUILDING VALU TI N Mailing Address Telephone No. Fireplace Contractor Fuller Construction, Inc. Total Valuation Mailing Address P.O. BOX 509 Permit Fee Plan Checking Fee&/or Penalty Magalia, Ca. 95954 T��%3a-bb68 Permit Fee $ Building Address PP14 Lot 107 PLUMBING No.1 @ FEE PERMIT FILING FEE g $3.00 Each Trap 1.50 205 Carnegie Repair drainage or vent piping 1.50 Water piping XJ 1.50 /0,00 Magalia, Ca. Each gas water heater or vent 1.50 A. P. No. /�, 7 `+' .• Z ` Zdl,ing &f Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W . Sa on Fire Dept. Fire Zone Use Permit Building sewer xN 5.00 (6-6b EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans ec'd Parcel pproval Plans Approval Permit Fee $ 4-3— $ ZZj NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE XY $3.00 v1J Main service 100 AMP ORSLESS Xy 5.00 5 eV Main service EA. ADD'L 100.AMP XY 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 � Single Family ❑ Duplex ❑ Mobil Home l^i' Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.CCUP. &) 20sq ft NEW CONST. MULTI -OUTLET R NON-RESID, BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Fuller Construction, Inc. BALlmZ5C1 Ex. Occup(OUTLETS OR FIXTURES)@ Og Ex. FIXED APP LNS. OR Occu EA) 2.00 P• OUTLETS (RESID,) Temporary service 10.00 P.O. BOX 509 Magalia, Ca. 95954 Mobile Home Facilities 15.00 License No. 346997 Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ _9Z3 is 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. Xk-1 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, 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, .apd„hereby TOTAL PERMITFEE $ auulullce lupivbentauves ui the Luunty of tsu.tte to enter, --upon the tab'ove-merrti-ned:prgperty,for)inspec'tion purposes. 66te�27'=80 JTenature Receipt No: White-D.P.W. tee or Agent Ir7j' ellow-Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated -above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By — Date�J� eilding permit expires Date A V 1 t BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS - 7,County Center Drive, Orovill'e, CA. PHONE: 534-4541 . MOBILEHOME INSTALLATION SHEET . .1. Owner's name: �J 2. 7�,d��J Installer's nameC--57 ' 3. Is the site currently under permit? Yet No // (If yes, furnish permit number ) OR Is the site an existing site? Yes / No (If yes, furnish two (2) plot plans.) 4. Will the `mobilehome be located at least 5 ft. away. from septic tank and leash fields and clear of all setbacks and easements? Yes /77 No (If no, "clarify ) 5. What is the mobilehome electrical rating. ------------- Amps .6, . -What is the mobilehome site service rating? --------------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- �) Amps 8. Is there any other electric load to be served by the mobilehome 5 siteservice? --------------------------------------------------- Yes No (I£ yes, identify the load and size: (Load)-•= (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- -=10. 10. What is the type of gas service? ------------------------------ Natural/% LPG 11. What is the gas,pipe length from meter or tank to the mob•leho`me?l` _ (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.) BUTTE COUNTY BUILDING DEPWMENT; APPROVED MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. x I furnish Setup Model No. c Year Width(ft.) Box Length6eD -(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. Footings (check one) Single 1, Wood either, pressure treated or foundation grade. (ft.)(in:) (in.) (in.) ❑ 2. Other ( specify) Center support locations* Center support footing sizes Supyorts (check one) (in:) ❑ .1. Concrete block: 3 r x 3 ❑ 2: Other (specify) E -----Tagalong or Expando,' show support details. (in.) (in.) x -- Typical (in.) in. Footing Support Size (in.) (in.) -- Max. Pier Spacing. -- Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, __--draw in -locations,. spacing, and dimensions. James C. Younger t Fuller Construction, Inc. 6576 Bison Ct. P.O. Box 509 San Jose, Ca. 95119 Magalia, Ca. 95954 a (408) 225-4775 -.(916' 873-0668 PP14 Lot 107 Carnegie Magalia, Ca. A setback of 5 ft. from the property lines and a setback of t (lifrom e hall be clear of centerline structures or equipment except for a 2 ft. eave overhang: 7 .off 0 Ft. 0 Utility connections shall be `^ifthth 4 ft* of the mobilehome, either directly behind or de (left)tof the rear half of the ro mobilehome• A permit will be required b 0( rt�is in laAl tea a � yf t� on same without E e+r c + { ptab4ie . � �.",,r_,� x� '•�rry , ion � r orr+ t••he epartmenj o _ ' PARADISE�" r14+tat te: ' . - ARCH r PINE P.O.A. - .;, NAAQE.. _ C4t,1MITTEE :, ��_,�•,., . � j TRACE _ � � ::� -LOT-- ! �, shall SeAO n�P ovED By' ship � .4. 14 or'. Pnc�tices and 'ADDRESS ' '` �,� r ��*�•{' �.od G^ d use in aha ° r! v r• --y f crier * ; 03 ,the Swell. r Codes and -� i ,w .'�.i"'•e e� i��� a •"' & �achan�ca� APPROV.11 f= E� i ic�1i'ty Rr Yi , 'v+ng E�EVA' OT D`" ELOP!viE 1, ! •lelin�t� ,. Co IONS r ST EE NT �;,. iL'; 13ua T �j -sal O S?RUCTURA NU©n 'Pr to ' ton p ,v --,.........._ T � 13ME, COUIM 1 'BUILDING DE?ARiM' I t a 6 J Lf' _i e r `.e PERMIT NO. - 1320-$3B PERMIT EXPIRES zz� OWNER WILLIAM GIBBS CONTR. John Miller Const, Magalia ASSESSOR PARCEL 64-22-44 LOCATION 6095 Erie Ct, Magalia T a Temp. Power Pole— Called ole_Called PG&E _ Temp. Elec. Service_ Called PG&E_ Temp. Gas Service _ Cal led PG&E JOB FINALED (Date; Signature J OK •�, 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UN FLOOR Plans) OK except #'s Date FRAMI Continued Zoning requirements -Setbacks -Easements 48 roper6y Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth 49 xt. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- " Ftg. Depth - ea room -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Fig. Depth 5 lywacrd on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5 iding-Nailing-Veneer emwalls, Garage; Steel-Blockouts-Wrapped-SI 53. tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. lazing Area -Glass Protection -Skylights -Plastic - 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. S ear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FJEA Tans) OK except N's Card -BI Date ' Card -BI Date Date PLUMBING (Permit) OK except q's 5 Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Wat Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - oor-Ducts-Meeh. Protection 15. Water ipe; Test & Anchors -Nail Protectiono 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection roo xiting _ 17. Shower P ; Test, First Floor -Tub Access 60. G.F. & Bath Fixtures & Tub Access Test Tub & hower, 2nd Floor -Tub Access 61. EI c. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Siz & Anchors 62. airs & Rails _ 63. eplace or Stove; Clearances -Hearth 64. Elec. Otit4ejs at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Do r; Swing -Landing -Closer 68. A.C. Duct in G rage -Damper --- 20. Fixture & fransformer Clearance -Ins. Protection 69. Wtr. Htr.; Ven -Clearance-Comb. Air-Connector-P.R.V.- In Garage; A ve Floor -Meth. Protection 21. Slee. Rete tacles Spacing -Lights &Switches at Doors 22. Size Boxes No. of Conductors Stapled 70. Plb., Elec. Mech. Equip. Listed for Location 71.' Elec. Receliftacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Instald Close to Edge off Studs & C.J. 24. Equip. Ground ade up w/Mech. Fasteners -Bond Gas & Water 72. InsulationFoam-Looked in Attic ❑Yes73. -- 25. 2 Appliance Ci uits in Kitchen &Conductor Size Guard Rail &Deck Construction -Post Caps 26. Sub_feed Wire Si / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vent4 & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked uncker Floor ❑ Yes 27. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or At, _Insulated Neutral Yes DNo 75. Following t stld.: Drive g ❑ Yes No; Walks ❑ Yes ❑ No; Planters uYes EJ -No - 28. Service -Riser CondNiptors & Ground -Main Disconnect 76. Stucco; Bro -Finish -- 29. Equip. Clearances; P els-Motors-Mech. Equip. 77, A.C. Unit; Di connect-Clrnces-Brkr. & Cond. Size -115V Outlet -- 30. Clothes Closet Light -Shower Light - 78. Vents Above oof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------ - - ---- --- 79. Water Well; Di onnect, Electrical, Plumbing ------- Card B -I - Date_ - Card -BI _ Date 80. Exterior Elec. rim; G.F.I. Receptacle -Underground 81. Ventilation throilghout House Card B -I Date Card -BI Date 82. Glass Protectio Date MECHANICAL (Permit) OK except N's 83. Corrections fr6m Previous Inspections 84. 85. 86, Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ Card -BI ar Cd -BI 31, A. Ducts; Insulation & Support 32. V Fan; Exhaust above Insulation _33. Cond nsale Drain _& Overflow; Size & Grade 34. Furna e-Vent;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic A cess & Platform if Furnace in Attic ------ _ Date _- - Card -BI Date Date Card -BI Date Card -BI Date V Ir Aard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date F ING ans) OK except N's Comments at Final: S' s; Proper Material & Anchors _ 37. WallS'---S Nailing, Spacing & Bracing -Plates -Sound .-.37.-- eariU-Walls-over Girders & Floor Nailing raft Stop in Vz.11.s (rat proof) _ ps; Furred Ceilings -Stairs -Chases -Tub - 4141 e�m-Size & Bearing an rs-Post Zip -Anchors-Connectors 43 Ing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. rep ace Ties or Type A Flue -Fireplace Throat ttic Access: Size &_Ramex Protection -Draft Stop -Ins. Baffles r endows or @xiting Doors -Sill Hgt. &Dimensions _ 47 arage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ S. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except it's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to.Grade-HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Cab -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Qt'Jifo*. ia'95965 - Telephone 916/534-4541 APPLICATI A AND PERMIT PERMIT NO. J ASSESSOR � LBER Z0Rral' BUILDING PERMIT / OWNER - I Gil60 TELEPHONE SQ.FT. OCC. BUILDING VALUATIO ��• OWNER'S MAILING ADDRESS CON RACTOR'p NAME 1 U, R-- TELEPHONE CONTRACTOR'S MAILING ADDRESS A CONSTRUC TI�ENDER UNKNOWN Fireplace Total Valuation $ Filing Fee $ iVo LENDER'S MAILING ADDRESS Permit Fee $ Ls_�`50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -, Penalty $ ' ARCHITECT OR ENGINEER'S M LING ADDRESS Permit fee $ BUILDING ADDRESS © � (� C � PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. Q SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome y Other SPECIFY Building sewer 5.00 Mobile Home S G W 1 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other Ix Describe work:��J�i4(S.� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LEss 600 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP.& OR ADDNS. r% ACC. BLDGS. I 2/20sq ft 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 Profess ns Code d m license is in full rce and effect. y License No.,TC qJ0 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 NEW CONSTR MULTI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS & NON.RESID. ( SINGLE OUTLET CIR. 20e80C Ex. Occup(OUTLETS OR FIXTURES BALO SOC FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 yf Consent to Self -Insure. VI 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 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 s 'd o my in !�f the granting of this permit. X Date — Sig to of Applicant — Owner ❑ Contractor1WAgent ❑ An HA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ t�G OCCUP. GROUP TYPE OF CONST. I P 'RCE PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRZVELIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J Receipt NO. ZA& WHITE-D.P.W.• YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT I PERMIT NO.—_.23Q3-82B PERMIT EXPIRES OWNER ___WILLIAM GIBBS CONTR. John Miller, Magalia ASSESSOR PARCEL 64-22-44 LOCATION 6095 Erie Ct,lot 107,PVK-,Maga1ia r- 1' q. t `t a U 'L Temp. Power Pole Called PG&E t Temp. Elec. Service Called PG&E Temp. Gas Service CalledPG&E JOB FINALED (Date) 7� Signature V = OK O = Not OK — = Not Applicable * = Not Ready MOBLL,EH,OMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's r DECKS, VERS, CARPORTS, ETC. (Plans) u, except 0 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, VERS, CARPORTS, ETC. (Plans) u, except 0 1. Zoning Requirements—Setbacks—Easements 1 on' equireme'nts—Setbacks—Easements 2. Soils; Special MH Support -Sketch gotings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3.,eE!!r,.i-rders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4.995od Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.-Bracin_g__ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /•'L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc:us,.res 6. Carports; Windows—Doors .7. Elec. Card -BI Date Card - BI Date Card -BI ate .0 Ed -Bl Date Card -BI Date Card -BI Date Card -BI _ Dat Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date IDOOLS (Plans) 6K except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances _ 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures— Pane Iboards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Card B-1 Date Card -BI Date • Date Card -Bl Date Card -Bl Card -BI Date Card -BI Date Date Card -BI Date V = OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL ASingle and Duplex) � , Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 64. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date _ 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps _- - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes EJ No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing -- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except N's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. 34. Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI ----------- _ Date _- _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. _Sills; Proper Material & Anchors 37. Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. _Walls; Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -_Connectors Cing. Joist-Wtr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Rom ex Protection -Draft Stop -Ins. Baffles _ 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO S• 7 County Center Drive - Oroville, California 95965'- Telephone 916/ 4-4541 4 APPLICATION AND PERMIT PERMIT NO. Q 3Q:�> �a A ASS ESSO PARC L NUMBER ZONING44 BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC.1 BUILDING VALUATION ) OWNER'S MAILING ADDRESS CONTRACTOR'S NAME J0 ITELLEPHONE 993 303 CONTRACTOR'S MAILING ADDRESS _ Fireplace C614STRUCTION L NDER UNKNOWN Total Valuation $ g(p Filing Fee $ 10.00 LENDER'S MAILING ADDR Permit Fee $ ZS -co ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Penalty- $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ,yp BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LO//T NO. /Q4CV SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome5d Other SPECIFY Building sewer Lawn sprinkler system 5.00 . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: hEC(LS — 2/6` gaiis& an ZG� 010 EA) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 0 AMP ORLESS5.00 Main service//EA. ADD'L 100 AMP 2.50 NEW OR ADDNST 1,ACCLBLDGS.LING CCUP.p1� 20sgft 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 Professi s`C�d a cj, my license is in f force and effect. License No. IbL (c� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sat ion, 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 NEW CONST ID R BRANCH CIRCTITS 2.50 ea NEw CONSTR (POWER APPARATUS 6) NON-RESID. (SINGLE OUTLET CUR. 50@250 Ex. OCCUp OUTLETS OR FIXTURES BAL@1 Ex. Occu FIXED . OR p•�OUT LETTSS (RESRESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 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 f Consent to Self -Insure. shall not employ any person in any manner so as to become subject Nlll 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilit' judgments, 'costs, and expenses which may in any way accrue" against s u ty in co f the granting of this p rmit. %� Date G2 L Si f Applicant Owner ❑ Contractor'Agent ❑ An/Q�WHA permit is required for excavations over 5'0 ' deep and demolition or construct- iorV structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ O CUP. ROUP TYPE F CONST. PARCEL PD XD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC " By P IT EXPIRES Date the applicable provi- resolutions to to fees have been paid. WORKS Datex,6L y^ //3 Receipt No. " (fje� !T`� WRITE-D.P.W., YELLOW -ASSESSOR, PINK' GOLDENROD -APPLICANT 6 1 RTAIENT APPROVED