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064-230-034
64-23-34 Ernest Hardy 15 Carnegie Rd.,�kolt�W,//P-P5#�/14, Maga. contr: Tri -V Const., Magalia Permi9 #7092-78E,E util.,MH) ELEC P - SUPPO T l§RUCTURE REQ. --TfQ COMPACTION TEST REQ. 7 r 0, At 64'-23-34 Contrs Paradise ModularCoricepts Permit##659-79MHI Issued �-f 6 -7 % 64-23-34 Permit #2728-79B(new awning/MH) 64-23-34 Permit #k4 79B,E(new pri.det.gar e) 642334 - -- Permit #2900 (new op ` ec 1 G { _ r 44-23-34'. 3911-89B Ernie Ha 14792 -Carne ' e (�i✓ ;1' •Magalia, CA (carport);',',,•� / f ' f 64-23-34 "HARDY, Ern" + ` Coni r • . K Brown .Construction ' 14792• C negie,i' Magal Ad'd' sq ft `) ` [064-230-034 03-24 { HARDY, HARRIETT { 14792 CARNEGIE, MAGALIA INALE Cont: PLOURD, MARVIN EX MH PERM FND EX SITE 1> ;z:;4 i' '� t ��: �I � � � RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 0000 ��0 00� o o��0 0 u 0� �u00 0 �i 000i �0 1 Recorded Official Records I REC FEE N 1 COWORN 1.00 County Of BUTfE I CANDACE J. GRUBBS i Recorder I ROSENARY DICKSON I Assistant 1 Lisa @9:03AN 22 -Aug -20@3 I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document 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. HARRIET A. HARDY AND DEXTRA M. CHRISTIANSEN REAL PROPERTY OWNERILESSOR 14792 CARNEGIE ROAD MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME 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 03-2424 530 538-7541 B G PEW NO. PHONE NUhlDtR 164 C444 OF LOCAL AGENCY UtLA.L ATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. GOLDENWEST 1979 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMFJNUMBER GW4003A/B ' 64'X24' 135715/16 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) . REAL PROPERTY LEGAL DESCRIPTION, SEE ATTACHED ASSESSOR'S PARCEL NUMBER AP # 064-230-034 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. LEGAL DESCRIPTION A.R. #064-230-034 All that certain real property situate in the County of Butte, State of California, described as follows: Lot 88 as shown on that certain Map entitled, "PARADISE PINES UNIT 14", recorded in the Office of the Recorder of the County of Butte, State of California, on July 15, 1971, in Book 38 of Maps, at Pages 27, 38, 39, 40 and 41, inclusive. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land described herein, and that no damage shall be done to the surface of said land. f BUILDING PERMIT NUMBER: 03-2424 Address or location of unit: 14792 CARNEGIE ROAD, MAGALIA CA 95954 Legal Description of Real Property: AP # 064-230-034 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: HARRIET A. HARDY AND DEXTRA M. CHRISTIANSEN Owner's address: 14792 CARNEGIE ROAD, MAGALIA CA 95954 INSIGNIA OR HUD NUM 3ER:135715/16 SERIAL NUMBER OR V.I.N.: GW4003A/B MANUFACTURER'S NAME: GOLDENWEST YEAR: 1979 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C Registered Owner: HARRIET A HARDY DEXTRA M CHRISTIANSEN (Joint Tenants with Right of Survivorship) 14792 CARNEGIE RD MAGALIA, CA 95954 Last Title Date: 09/06/2001 Last Reg Card: 01/17/2003 Sale/Transfer Info: Price $.00 Transferred on 10/02/2000 Situs Address: 14792 CARNEGIE RD MAGALIA, CA 95954-9107 Situs County: BUTTE Inactive Decal/DW: DMV SM1803 * * * END OF TITLE SEARCH DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT Division of Codes and Standards o0sttvc O - 0 0 ®gip '� 1: W Title 3G��0 Search Date Printed: 08/11/2003 Decal #: ABI3215 Use Code: UNK Manufacturer: Original Price Code: AKA Tradename: GOLDEN WEST Rating Year: 1979 Model: Tax Type: ILT Manufactured Date: 00/00/1979 Last ILT Amount: $34.00 Registration Exp: 02/28/2004 Date ILT Fee Paid: 01/15/2003 First Sold On: 02/20/1979 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width GW4003A 135715 64' 12' GW4003B 135716 64' 12' Record Conditions: PPF Exempt Registered Owner: HARRIET A HARDY DEXTRA M CHRISTIANSEN (Joint Tenants with Right of Survivorship) 14792 CARNEGIE RD MAGALIA, CA 95954 Last Title Date: 09/06/2001 Last Reg Card: 01/17/2003 Sale/Transfer Info: Price $.00 Transferred on 10/02/2000 Situs Address: 14792 CARNEGIE RD MAGALIA, CA 95954-9107 Situs County: BUTTE Inactive Decal/DW: DMV SM1803 * * * END OF TITLE SEARCH RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO: HARRIETT A. HARDY 14792 CARNEGIE ROAD MAGALIA, CA 95954 A.P.N.: 064-230.034 Order No.: !ill III til l 1111 I I! 1111 I it ill I !1111 20ell 3—Q.J92D11 3513 Recorded Official Records CountyBUTTE f CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 12:41PM 04 -Mar -2003 REC FEE 7.00 1 I I I Andrew I Page 1 of 1 Above This Line for Recorder's Use Only Escrow No.: THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAX IS: COUNTY S 0.00 (*) [ computed on full value of property conveyed, or [[ computed on full value less value of liens or encumbrances remaining at time of sale, ] unincorporated area; [ ] Town of_, and FOR A VALUABLE CONSIDERATION, Receipt of which is hereby acknowledged, HARRIETT A. HARDY, SURVIVING JOINT TENANT ereby GRANT(S) to ARRIETT A. HARDY, AN UNMARRIED WOMAN AND DEXTRA M. CHRISTIANSEN, A MARRIED WOMAN AS HER SOLE AND SEPARATE PROPERTY, AS JOINT TENANTS /S�1 the following described property in the UNINCORPORATED AREA, County of BUTTE State of California; LOT 88 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 14", RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON JULY 15, 1971, IN BOOK 38 OF MAPS, AT PAGES.37, 38, 39, 40 AND 41, INCLUSIVE. ' EXCEPTING THEREFROM, ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF SAID LAND. (*)"THIS IS A BONAFIDE GIFT AND GRANTOR RECEIVED NOTHING IN RETURN, R&T 11911" rip.A.M. MORROW HARRIE17 A. HARDY COMM. # 1270696 Document Date: January 31, 2003 NOTARY PUBLIC•CALIFORNIA . COUNTY OF BUTTE w 6, 2004 STATE OF CALIFORNIA )SS QQ QQF/Ay Comnr. Expires JV 17 (-?V G COUNT 0 ) � - l�ilS/�- 60 /�v � On n� L Z�� �� before me, _ V i personally appearedy 17j4V- V I personally 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 on(s) or the en ' upon e f which the person(s) acted, executed the instrument. WITNESS my a o tcta 1. Signature A.M. MORROW'..This area for official notarial seal. !@my COMM. R 1270896 >dCTw'f PUBLIC•CAUFORNIA Comm. Expires July 16, 2004 COUNTY OF BUTTE Mail Tax Statements to: SAME AS ABOVE or Address Noted Below ft 47 NOTES _ :4 RESIDENTIAL -' • .- _ - 064-230-034 ` ' •' HARDY, HARRIETT 03-2424 I: PERMIT NO.-"14792'CARNE6IE, MAGALIA Cont: PLOURD, MARVIN EX MH PER FND EX SIT - E - ,L- THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE'OF THE FOLLOWING HAS , BEEN TURNED IN TO THE BUILDING DIVISION: r' .,; (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR'MUST RETREIVE). ! J2 STATEMENT OF FACTS (ONLY - ON, NEW = INSPECTOR TO VERIFY SERIAL" & LABEL #'S. 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINAL ED (Date) T Signature CHECKED BY J=OK 0 = Not OK . = NotReadyable 1. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 3. 1. Zoning Requirements -Setbacks -Easements Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Special MH Support Sketch 6. 3. Sewer;.Location-Test-Fall-C/O-Concrete Water and Sewer Connected -C/O to Grade -HD Approval 4. Water; Location -Test -Easement Needed (Sketch) 9. 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Roof; Shthg-Roofing 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG 12. 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. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. •Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11: Verifv #'s with Office Date Card B-1 Date Card B-1 Date -Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date, Card 8-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles.and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures -Panel boards -Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date, Card 8-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -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 -r Date FRAMING (Continued) 16. Insulation Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin=Roll Brac.-Truss-Shting.-Rtng. Date Fireplace Ties or Type A Flue -Fireplace Throat Clearance Card B-1 Date Card B-1 Date 51. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 53. 17. Water Htr.; Vent -Access -Combustion Air Baffle 54. 18. Water Pipe; Test & Anchor -Nail Protection Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 57. 20. Shower Pan; Test, First Floor -Tub Access Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 21. Test Tub & Shower, Second Floor -Tub Access 60. 22. Gas Pipe; Sixe & Anchors Brace Interior/Exterior Wall Panels 23. Fire Sprinkler; Test 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper Date 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 25. Elec. Receptacles Spacing -Lights & Switches at Doors 26. Size Boxes & No. of Conductors Stapled 84. Stucco Brown -Finish 27. Romex Installed Close to Edge of Studs & C.J. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 87. Water Well, Disconnect, Electrical, Plumbing 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 90. Glass Protection 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 32. Service -Riser Conductors & Ground Main Disconnect 93. Water & Sewer Connected -C/O to Grade -HD Approval 33. Equip. Clearances Panels-Motors-Mech. Equip. 94. Energy Compliance Certificate -Other Certificates 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing -r Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin=Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _ Clearance Looked under Floor ❑ Yes 83. Following Instld./Drive O Yes D NoMalks O Yes 0 No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 P T (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-230-034 ZONING R-1 BUILDING PERMIT OWNER Harriett Hardy TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 14792 Carnegie Road Ma alfa CA 95954 1536 R 82;94 4.00 CONTRACTOR'S NAME Marvin Plourd 872--1096 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $82094 00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS '4792 Carnegie Road Ma alfa Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: EX MH on 9 berm foundation Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I GI W1 @20.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 1100V LE Main Service 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, ( 9 ) and my license is in full force and effect. tL License Class �'— f Lic. No. ,��i-3l 7 3 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: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. W-lehave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier s TM 00X4P Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BEDS, SO 3.5¢FT: NEW CONS . MULTI -OUTLET NON aESID. BRANCH CIRCUITS97.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. OCCU ourLEr oa FDCTUREs BAS @':50 00 Ex. Occup. GMDsaMD°PR.n 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 - L PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 11 7_1 b 0,& — 2ry--m z (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit hose provisions. X r Date l 0 3 Signature of Applicant - ❑ Owner 0-eontractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ .359.90 HAZ su This permit is hereby issued under of the Bu a County Code and/or indicate which ees have By P MIT EXPIRES ON C� the applicable provisions Resolutions to do work been paid. + Date 1 5 ate Receipt No. D- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROAPPLICANT RUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BU LDING DIVISION ,7 County Center Drive - Oroviile, California 95965 - Telephone (5 0) 536-7541 APPLICATION AND PERMIT 2 O O i6mmm BUILDING PERMIT j n �G=Rs www ADM= - D15TAU rnoN LENmm ENDERS LWU= AODRELCS UCENSE NO. ACNO'ECI OR D=NEER ACNITEC:T GR ENODIEFR'S "MJ ADDRESS 513.6 ADDRESS -• ^^.. AwDEL ►LAP DT No. s.Dwsloms UWE USEOFSTRUCTURE >F ❑ Duplex ❑ Nfoblehome ) Other �FY \TYPE OF WORK New ❑ Addition ❑ /RRe`model E3 UaTr6es 13bstauaSxT ❑ Other Describe Work: C So. FT. I OCC, BUILDING VALUATION Total Valuation Is Fifina Fee S 20.00 Permit Fee s Main Service Plan Checking Few"s 23.00 �— Energy Plan Checking Fee s NEW cows -L / DwEL�No ocwP. s OR ADONS PERMIT FEE _ ten ..,.� ( PLUMBING PERMIT I @7.50 Firing Fee 20.00 Eat�3 Trap -- 7.00 ------'- Solar or heat pump water heater 23.00 Water piping 15.00 —� Each gas water heater or vent 1 5.00 Gas piping irystam 1 - 5 outlets 15.00 Building sewer 15.00 Moble Home I S G I W @2D.00 E>G Occup. ( OUnET OR POCTUREs �j r SIRt� PERMIT FEE _ ELECTRICAL PERMIT Firing Fee 20.00 Main Service = OR, LE�n 23.00 Main SerAce 2mA To -00A 46.00 NEW cows -L / DwEL�No ocwP. 3.5CFST° OR ADONS ten ..,.� ( Mu�rF°unET. 1 I @7.50 E>G Occup. ( OUnET OR POCTUREs �j r SIRt� Temporary Service Moble Home Facilities "14 Wain _ PER MECHANICAL PEF Heating Cooling Hood Ventilation s 4 PERMIT Moble Home Installation Fee 0 S —It) "On ' Energy Inspection Fee s "` TOTAL FEES IIAZ. D. FEES I LYP I FLOOD CDF PAACEL PO No 55J 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 bean paid. CA" "aTVy By PERMIT EXPIRES ON Date �__ S.DD 23.D0 20.00 Z . T FEE s IT Firing Fee 20.00 I I 6.5o l 4 PERMIT Moble Home Installation Fee 0 S —It) "On ' Energy Inspection Fee s "` TOTAL FEES IIAZ. D. FEES I LYP I FLOOD CDF PAACEL PO No 55J 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 bean paid. CA" "aTVy By PERMIT EXPIRES ON Date �__ ..An�'f•.`�':Y"....i'iftP+,,.,.,�.{¢,nw.,�`'�'V'a'ryrTM't 1N�'".A11..i.LM��i�'���.." i�'�K �'�'�rs`�"i'�^ "",H�4"y�i�'/'^`%�/� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: <:R�4ASSESSOR PARCEL NUMBER (Ag �- � Proposed Building Use: L� Counter Technician: Date: Q 1 a U Items required in or er to apply for permit. A boxes MUST be checked OR m ked NA in order to apply.~ _::n 1.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. 2. Complete plans, 3 or 4.sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and'signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan,, �) ie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the a engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form......................................................................:........ _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation andplotplan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: . (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ ncroachment Permit for driveway from the Publ'nWorks Dept. (construction approval prior to occupancy). X2. Pre -Inspection for required ................ 2 3. Contractor's license information. (Nu ber, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. E 'sting violati and/or expired permits.........�. ............................ .—;77 ...... ❑ 30.�rant Dee jb;M.H. Title/Statement of FactsMtll'Letter from Legal Owner, C� eck.to H.C.D. $ ❑ 31. Other. �� __�� '' When issued Telephone and hold for pickup. I have been informed of the above items and equirements for obtaining a building permit. Applicant: ~ - Date: 1. Index permit application for the above items numbered: Plan Check'Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: _ Contractor, designer, owner, was advised of the above dat by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: _ Date: ( Plans approved by: (� �', Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Buildine Division a PRE -INSPECTION REPORT OWNER ,i DATE: LOCATION: I �Cr A.P. #-D' CONTRACTOR. �) � � �' ZONING: PRE-1KSPETI0N FOR N1 DATE TO INSPECTOEL PBRMrP HLSTrORY:( )NONE \ ASFOLLOWS: BUMDING lKSPBCTOR'S REPORT . Building Desetiption: C,orrrmxciaWsage: . Residentialf# of Units C ied urreatly O� AbandonedMa=t / Electric: / . Yes No ,o Electric czcty On ✓✓/ Off Condition of Electric < O o Gas: .. �/ Natural Prune None__ Currcntiy On Off Obvious Problems Sanitation: t/ . Plumbing Working t Well Wmidnit i Potable Water Obvious SewaeeProblems 17 Comments: ' ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector Date r Sketch buildings on reverse and indicate location on proper t r_ 121DO :s�ESSOORR PA}R—M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 APPLICATION AND PERMIT gym" BUILDING PERMIT ��soxs www wDasL<ss - O/STALCTtDN LEtaflE31 :rroE;zs so== wars Rmum .-T OA k7= EM A=WM OA ENDv1M:m wan+a wDRESS SURDN@ONTHUE USEOFSTRUCTURE >F ❑ Duplex ❑ Nlobilehom` e �3. Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UoTroes ❑ Insfa6atnn ❑ Othe % Describe Work: C s1k )k Oar j� Aw4w4 i(ed j t4krn Fireplace Total Value! Firmp Fee Permit Fee Plan Checkh Energy Plan Each Trap Solar or heat Water piping Each gas wa1 Gas piping sY Building sews Mobile Home Main Service Main SBry De BUILDING VALUATION s 5 s s :king Fee s s PERMIT FEE s PERMIT X220..000 J `J s 20.00 - — --- 7:00 ip water heater 23.00 os�iLi�FATem 15.00 -� eater or vent 15.00 L 1 - 5 outlets 15.0 D W2D.W 15.00 5 G W @20.00 PERMIT FEE t :RMIT Firing Fee 20.DD eo-v Da trss 2oM OA LES^+ 23.0D 20" To 19naA 46.00 �vB u+o orxtw. 1 3.SeP Ex. OCMp. I OUTLET OR F'ICTUMM Ex- Oceu . os�iLi�FATem or Service Mobile Home Fac lilies W2D.W Vtrrin PER IT FEE uei+uwwrw� nceurr —1 , Fee I 2D.DD Hood - I I 6.5D PERMIT FEE s Mobile Home Installation Fee s Energy Inspection Fee s a:.e ` —' TMPE TOTAL FEE S MAZ. I D. FEES I DIP I FLDOD CDF I PARCEL I PD 16uE 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. By Date '� PERMIT EXPIRES ON --- - 64-23-34 ------- s Ernest Hardy /, / ; O��/.3�� 15 Carnegie Rd., lot tits, 514, Maga. } contr: Tri -V Const., Magalia Permi l#V092-78P,E uti1. ,MH) ELEC .y 111 GAS SUPPO T UCTURE REQ. . COMPACTION TEST REQ. --7-ZZ- , % -7-Z[7,% ) fl /, ?1/r/, � F 64,23-34 Contr: Paradise ModularConcepts Permit#659-79MHI a -7 q Issaed' '-i / / 64-23-34 Permit #2728=79B(new �awning/MH) �,�,� lel % 1y 4 64-23-34 Permit #4 9B,E(new pri.det.gar e) 6 - Permit #2900 (new o e U d4-23-34 Ernie Ha y 14792 Carne 'e Magalia, CA (carport) 64-23-34 43911-89B I Aj P a� 9 HARDY, /Erni 0 Contr:rown Construction 14792 Ce, Magalia (Add sq ftR) s l Building Permit Number: Owner Name: [+C- rd Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required. Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. I. 91 Page 2of 2 Building Permit Number: Owner Name: Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. 0 Fire sprinklers are required in this structure.. MThe following parcel map requirements shall be met: All structures anti equipment including overhangs shall be clear of all easements. A setback of feet from the side and I 5—f�eet from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes No (If yes, furnish permit number ) OR Is the site an existing site? Yes /. / No (If yes, furnish two (2) plot plans.) 4. Will tithe mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / t,/� 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 site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps)" 9. What is the mobilehome site gas pipe e?----------------� ---- (in.) _ 10. What is the type of gas service? -_------------=-----------.- / LPG 11. What is the.gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) information not required if pipe length less than 6 ft, on natural gas or, ess than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA _y�� If other',than single wid9RJ ly Mobilehome Mfr.. �ze�� y/�� furnish Setup Model No. Year) % % 9' Width -(ft.) Box Length(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. _F x (ft.)(in:) (in.) (in.) Footings (check one) Single cD/1. Wood either pressure treated of foundation grade. jE] 2.. Other (specify) Center support Center support Supports (check one) locations* footing sizes (in.)', Concrete block. 2. Other (specify) <---Tagalong or Expando, �® show support details. (ft.)(in.) (in.) (in.) / _?x -- Typical Support in.) (in.) Footing Size (ft.)(in.) (in.) (in.) _ -- Max. Pier Spacing (ft.)(in.) TT-,�x (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. _ -- Max. Overhang (ft.)(in.) buv- COUVM g�IL�1� ��Ro\ ry 4 QUS3 KEN SRO V� RL N CONSTOTION 1559 Mag Oh, Skyway Ila, CA. 95954 16) 87a4216 JR t -P 'vo y (r�.J��I }•�t101J SPECIAL ROOF COVERING.REQUAM I � SEE ATTACHF SHEET. j I -- A�� ►{8"0. > y p�,/ , .. � Cod.! [i�a� • 1 i -� +fix �."' •JW `'• �% �f 1 W�ro �•F �a�t;` N�l� .W _ ... RSC lel N BROW �M 0 ST • 14559• 9 54 3� AM Mapear7ds 's ar �-1 'I C In cl cccz;w,!-lLl W �j In the, and A, .-- Re- ,yr-,, KEN BROVVN CONSTRL OTION 19559 Skyway Magla, CA. 95954 16) 87a-1216,VA -z -z$, ) . � �i i.q Z (�' Y�R.►� b? -6, t t, �. 'h°i AG ►R�c.l tz--• KEN BROWN CON 14559 SkI Magalia, CA IDh. (916)480 n TR'Tt fl§)N 59CA �a ISS(=r�r � � � _•` ,. _ ol fou ►� I W t'r f�.C;IWr'' CEN BROWN CONSTRUCTION 14558 Skyway : m89*Ha; CA. 85954 19h. (91c) 873-12, ��' a' PERMIT NO. 4248-79B,E PERMIT EXPIRES ` Ernest W. Hardy - ,OWNER ;CONTR. owner 64-23-34 LOCATION (A.P. ) 15 Carnegie Rd., lot 88, PP#14, Magalia s w,,. • r I Temp. Power ole Called G&E Temp. EI c. Serv. Cal d PG&E ` Temp Gas Serv. ailed PG&E B FINALED (Date) � e (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD )BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Sidina To out Slab Roof Sheathing %7 A> 0 Water Piping Piers Roofing f ,, Sewer Garage Fdn. Vents Fixtures Footings \► Stemwal I Garage Vents Insulation Water Htr. Heaters Slab h Carport Po Footings Slab Prov. for physically handicapped Conformance of ex. structure Final — Appliances Gas Piping &Test Temp. Gas Sanitation Patio FIREPLACE Final Footings FootingEL CTRICAL Masons Walls Throat Rough t01A Q J a'"\ Relnf. Steel Final Fixtures Bond Beam FIRE JPRINKLERS Motors Framing! w— Test Water Htr. Stucco 1 I Final Suboanels Mesh MEQNANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ----------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping ME INSTALLATION - - - - - - - - -: - - . Water Piping Support Drainage Elec. Continuity Gas Piping DATE REMARKS OR CORRECTIONS to k/-)- x,&Cc _1A1 (NOTE: An entry must be made on this form each time you visit the job site.) Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. 'Called PG&E JOB FINALED (Date), - (Signatur ) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Stemwa I I Slab Carport Footings Slab Patio rN COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECORD II ING BUILDING (Cont'd) ism`^ PLUMBING )3 Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing/ Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Ve s Insulation Water Htr. Heaters Prov. for hvsically A II Footm si rootin MasonryWalls Throat Relnf. Steel Final Bond Beam Framin — Test Stucco Final Mesh Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilatio Door Closer Final MOBILEHOMEUTILITIES------------------ Elec. Ser ice Water Piping Sewer' B E ME INSTALLATION Support Water Piping Drainage DATE REMARKS OF f ex. FIREPLACE FIRE SPRINKLERS ECTIONS rt!ances Gas Piping & Test Temp. Gas Sanitation Final Grd. F ult Prot. Servic Te p. Pole Un er round Pe anent Fina Elec. Pedestal Gas qiping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL COUNTY OF BUTTE "-. DEpAR•TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. xrAeno , yox� Date ' /3 — %% — Signature of Permitee or Agent V Receipt No. ?4-7 Y White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O UBLIC WORKS By/=lDate Building permit expires Date -7--/ -7— c F4 BUILDING Owner �5r W O-/�-P—�Y S FT. OCC. BUILDING V ATION Mailing Address HP-4Fk-L,%r*1 C1} Contractor d CAI) �} Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ,Cj ����I� ��, Plan Checking Fee&/or Penalty Permit Fee . t9 -Q OG PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trao 1.50 A 14 Lol— 8 N PVC4 A -L -r A Repair drainage or vent piping 1.50 A. P. 6A.— " �� '& z g Planning Water piping 1.50 Each gas water heater or vent 1.50 s wC. ftp Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Pla Declaration Parcel Map 60' R/W Improvements Each additional outlet 30 Building sewer 5.00 Bldg. Parcel A roval Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Lawn sprinkler system 2.00 Permit Fee $ $ ELECTRICAL No. @ FEE Single Family ❑ Duplex ❑ Mobil Home Q Others PERMIT FILING FEE $3.00 ,aD 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 P 1.00 OR ADDNST ACCLB LOGSC22 sq ft CONTRACTORS LICENSECONSTR.MULTI.OUTL 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 CONST T 2.50ea NEW CO ID � BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS.5, NON.RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETs OR FIXTI1RES 5 L� Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESIDJ EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 i am exempt from the Contractors License Laws of the State of California. Permit Fee $ . ra 49 $ (y[ 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 N0.1 @ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. xrAeno , yox� Date ' /3 — %% — Signature of Permitee or Agent V Receipt No. ?4-7 Y White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR O UBLIC WORKS By/=lDate Building permit expires Date -7--/ -7— c F4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _ 7'County Center Drive'- Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR P e iELNUMBER zO'"G46 BUILDING PERMIT OWNER TELEPHONE / / SO. FT. OCC. BUILDING VA UATION a/104s''00 OWNER'S MAILING ADDRESS CONTRA TO SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' CONSTRUCTION LENDER Dye UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $Z A(� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ S^7J Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS Y PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 T Water piping LOT NO.SUBDIVISION IF 1P NAME i & /Z PARCEL MAP I Each qas water heater or vent 2,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: 4966d�>✓G/C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 8000 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 22 sq 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 Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR, Ex. Occup( 5AL@I p(o OR FIXTURES BAL@1 FIXED APPLNS. OR FIXED A Ex. Occup.(OUTLETS (RESID.I EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shat l be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 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 liabilities, judgments, costs, and expenses which may in any way accrue agai st said County in consequence of the granting of this/permit. — — �� X �� Date a/ Signature of Applicant — Owner ® qontractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ _ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF C ST. �J% i" PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.J �J ��1�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECTOR,/GOLDENROD-APPLICANT 7992-78P,E PERMIT. Nb.' PERMIT EXPIRES AzuOWNER Ernest Hardy —CONTR. Tri-V Const., Magalia 64-23-34 LOCATION (A.P. 15 Carnegie Rd., lot 88, PP#14, Magalia ii g Temp. Power Pole I Y, Called PG&E Tedp. Elec. Serv. ZV? C2( Called PG&E T mp. Gas Serv. Called PG&E JOB FINALED (Signatu,/) MairkBidg. Fo 'n s Stem II Slab Piers Stemwa I I Slab Carport Footings Slab Patio Footings isonry Wall; Relnf. Stee Stucco Iffinish . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTPON RECORD BUILDING IN BUILDING (Cont'd) F wall S. I Pipin 1 t Floor 2n Floor 3rd loor To out Water Pi Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Rest om Finish Windo n Fdn. Vents Garage Vents Insulation Prov. for ph sicalP. handicaDDe.1 Conformance of ex. FIREPIkACE Footing Throat Final FIRE SPRINKLE Test Final MECHANICAL 0 PLUMBING F Sub anel Grd. FaJit Prot. Servic T p. Pole der round 1 erior Lath ntilation X I Permanent oor Closer Nitinal Vinal MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service -.�?13d %j Elec. Pedestal „9p 0 4 , v= Water Piping —,70, Sewer - 7 Gas Piping 140131LEHOMEI STA LAT) N -------------- Support Ip Z9 § 11 Elec. Continuity Water PipingDraina e / %- 9 J-11 Gas Piping DATE REMARKS OR CORRECTIONS /CJ r to CA, Z Z�PA C41) Z�t-07 A/6Z& _7c R—,,4 ZV s / 4& atm -4, /A,4zi/ Av,144,1 �el '00, �--A J OLA 3 (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is.the mobilehome located with required separation from lot lines and buildings and -generally conform to plot plan?. Yesr"No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes, .No 3. Are footings and supports properly sized, spaced, and braced aper approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yep No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is f exible 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 coac i not State of California approved, does station have backflow device and pressure -relief ve? Yes— No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? YeNo B. Does it have minimum". per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running -gallons of water through each.. fixture including washing machine standpipe?,.Yes No D. If coach is not State of C ifornia approved; does station have required trap and vent?'-. Yes No 8. Gas Piping and Gas Vents % A. Connector - Is obilehome connected to -the gas supply with an approved 3/4" minimum mobilehome conn e for not mere than 6 ft, long? Note: All piping is to be at least as., large as the mobs ehome g s line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per foil i procedure? Yes— No 1.. Open all applian connector valves. 2. Shut off applian a urner and pilot valves. 3. Air test with 'mnomet r to 10"-14" water column, or.test with slope gauge (minimum 6oz.-maximum ca ibrated in tenth pound increments. Test for 1Omin. withoutdrop. 4. Connect gas mr to mobi ehome.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly talled? Yes No. 9. Electrical '. A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with' a minimum of 100 amp) and other facilities-om iot, 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? YesNo 1. De -energize electrical wiring system of the mobilehome at the pe stal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts,of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity 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. 1.40.1s 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. 312� State Identification No. Additional Information or Comments: 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 CaiforniaAdministrative Code, Title 25, Chapter 5, under permit number -21-y-72 for the following location: L' r� Owner -s .-✓�''' Owner's Address Mobilehome Mfg. Model Year 2C' Insignia No. r A'J... Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date �/ , By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. o i�UNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534;4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VA UATION Mailing Address Telephone No Contractor L / yy Mai I i ng Address C Te phone qi Building Address ov A. P. No. (f� o� �' •�ZI ng & Planning F416 FireDept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W ��Planns Declaration PImprovements. Bldg. f� Rec'd I Parcel AEEroval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 7 Single Family ❑ Duplex ❑ Mobil Home Others ❑ 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: ( C , License No. Classification ❑ I am exempt from the Contractors License Laws of the State of California. 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. (Cj I have placed on file with the County of Butte a certificate of 1��tt Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of Permitee or Agent ceipt No. T"I • ✓ I te-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant rrrepIace Total Valuation ELECTRICAL No.1 Permit Fee PERMIT FILING FEE Plan Checking Fee &/or Penalty Main service Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST. ( LING CCUP. 7e\ ACCLBLDGS. // r2PSgft NEW CONSTR. Nn N.RE51 o_ �ORADDNS. MULTI.OUTL T BRANCH CIRCUITS) 2.50ea EX: OCCUp(OUTLETS OR FIXTURES "4 BAL@1 EX. OCCUp • (OUTLETS APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee .11 $ Land Development Fee $ TOTAL PERMIT FEE $ 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. DIRECT PUBLIC WORKS By — Date 21f Building permit expires Date 2'! 3— FQ, MOBILEHOME SUPPORT DATA If "other' than single wid�vTA O Mobilehome Mfr. furnish Setup Model No. - Year 22 72 Width (ft.) Box Length. (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) . On all mobilehomes manufactured after October 7-2 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. 1 0 1 (ft.)(in.) Center ,support locations* (ft.)I (in.) Single EM x (in.) (in.) Center support footing sizes, (in.) 00 (in.) (in.) �a 321 (in.) (in.) x (in..) (in.) �x (in.) (in.) *If center piers are other than drawn above, draw in -locations,.spacing, and dimensions. Footings (check one) �1. Wood either pressure treated or foundation grade. Other (specify) Supports (,check one) Concrete block. . Other (specify) agalong or Expando, how support details. _�x --.Typical Support (in.) (in.) Footing Size ' — -- Max. Pier Spacing (ft.) (1n.) Max. Overhang (ft.)(in.) E CDUN ' ��p1NG pEpAR �U ,?PRO O�Ea 1. Owner's name: 2. Installer's na i BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes /--f' No / (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /- .No ( If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ------=---------------- 1-5-0 Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- / C7 Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe e? ---------------- ----� 10. What is the type of gas service? ------------=----- `�'"`- 11. What is the.gas pipe length from meter or tank to the mobilehome? Yes / / No / (Amps) (in.) / LPG (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) ;..(This information not required if pipe length less than 6 ft. on natural gas or;lbss than.50 ft. on LPG.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS -� 7 County Center Drive - Groville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT fiA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. �'�� O 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 ben paid. DIRECTOR OF -PUBLIC WORKS By Date B i (ding permit expires Date BUILDING Owner N P SQ. FT. OCC. BUILDING VALUATION Mailing Address L Ze Telephone No. Contractor �- — Mailing AddressFireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE iPERMIT S r h2 2 1"�• /Goo°� Q �la r 2 FILING FEE $3.00 3, va Each Trap 1.50 101 ff, I U04 14 rn Q Aepair drainage or vent piping 1.50 A. P. No JOLT Zoning & loon' g Water piping 1.50 /V Each gas water heater or vent 1.50 s San' nIre Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking I Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 10 Bldg. Plans Recd Parc A royal Plans proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ �� $ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00V �.v© OR LES SLESS 5.00 S bre Main service 100 AMP ORS Single Family ❑ Duplex ❑ Mobil HomeOthers ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNS. ACCLBLDGSLING CCUP. S� 20sgft CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name style of: _ a NEW CONSTR (MULTI.OUT LET NON-RESID 1 BRANCH CIRCUITS) 12.50eal NEW CONSTR. (POWER APPARATUS a . Ex. Occup(OUTLETS OR FIXTURES 1B L 1 Ex. 000Up.IIIED � OUTLETS P(RESIDIREA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3tn12 9 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ SO 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 Land Development Fee TOTAL PERMIT FEE $ C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. �'�� O 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 ben paid. DIRECTOR OF -PUBLIC WORKS By Date B i (ding permit expires Date PERMIT N0. 2728-79B a 1 PERMIT EXPIRES/ �/I ((•V JJ OWNER Ernest W. Hardy - CONTR. owner LOCATION (A.P. 64-.23-z34 ) 15 Carnegie Rd., lot 88, PP#14, Magalia y t i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E. JOB � • ' FINALED _ •;�'^ . ± (Dat) _^ „� . . '•+ � n ; .• ` i'' ..',a �• - (Signa `e) . a 1 N. :'lip stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ----------------- Elec. Service Water Piping Sewer MQlILEHOMEINSTALLATIO--------------Support Water Piping Drainage DATE REMARKS OR CORRECTIONS Grd. Fault Prot. Service Temp. Oole Under ound Penna ent Final Elec. Pill I I Gas Pi ing Elec. ontinuity Gas qping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTIt — DEPARTMENT OF PUBLIC WORKS BUILDING, INSPECTION RE800RD BUILDING BUILDING (Cont'd) PLU BING Setback Firewall Soll Piping / Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing/ Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Ventw Insulation Water Htr. Heaters Slab Carport p Footings Prov. for p ysically handica d Conforms a of ex. structu Appliances Gas Piping & Temp. Gas est Slab Final Sanitation Patio F EPLACE Final Footings Footin ELECTRICAL MasonryWalls Throat Rou h Reinf. Steel Final Fixtures stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ----------------- Elec. Service Water Piping Sewer MQlILEHOMEINSTALLATIO--------------Support Water Piping Drainage DATE REMARKS OR CORRECTIONS Grd. Fault Prot. Service Temp. Oole Under ound Penna ent Final Elec. Pill I I Gas Pi ing Elec. ontinuity Gas qping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE 1- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ep4one: 534-4541 APPLICATION AND PERMIT a 2 9 autnonze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date I )-7,9. Signature of Permitee 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. DIRECTOR Or PMLIC WORKS By Date 3217 —%,F Building permit expires Date ks 7 --Ab BUILDING JM I Owner r /V S ""- R D\/ SQ. FT. OCC. BUILDING VAL ATI N oo Dov z o0 Mailing Add %5- A AN C-- C f �. d, , CA /r`e�ss /d MAL7 4 L/ r7 Cv� /! Te�%p Contractor' Mailing Address 15 -CA tq Ah!� °l r, R IL Fireplace Total Valuation ZDD /1 ry Atl /} CA � � elephone No. l ph n W Permit Fee Building Address `� �� /�./1t(�� fl-=- PC/, Plan Checking Fee&/or Penalty Permit Fee _ _ 61 �� c .`� ' j� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 s� � A. P. No. 4"� G '� /5a4,ing &Planning Water piping 1.50 Each gas water heater or vent 1.50 FS ation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 1 60 R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. P ans Rec'd Parcel A proval Pla Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ IR ELECTRICAL No. @ 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 0100 AMVER BoovPOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. s� 22sgft 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 BRANC OUTL T NON-RESID BRANCH CIRCU ITS 12.50ea NEW CONSTR. POWER APPARATUS B NON.RESID, (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRE S, 50@ @1 BAL FIXED APPLNS, OR Ex. Occup. (OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wi'ring 6.25 =® 1 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. •NAI 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. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation L2.00 Hood 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 Land Development Fee $ TOTAL PERMIT FEE $ autnonze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date I )-7,9. Signature of Permitee 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. DIRECTOR Or PMLIC WORKS By Date 3217 —%,F Building permit expires Date ks 7 --Ab 64-23-34 3911- B --Er-nie 'Hardy 14792 Carnegie �:.._.: { ' Magalia, CA (carport) PERMIT EXPIRES OWNER CONTR. ASSESSOR PARCEL LOCATION d y �z �2®--gR 15• — �oR , a� o ti Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E _ Temp. Gas Service Called PG&E JOB FINALED (Date) Z Signature = OK 0= Not OK = Not Readyable MOBILE HOMES s MISCELLANEOUS Date ....MOBILE.HOME.UTILITIES. (Plans). OK except #'s.....:. ............ ..Date--.--.- DECKS,COVER : ARAGES, (Plans)OK-except-#' 1. Zoning Requirements -Setbacks -Easements ALzoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Z. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) OINood Awn.; Posts- Beam s-Rftrs.- Con nec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.: Columns -Connections -Splice -Decal -Enclosure 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8!,Pmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -B1 Date Card -B1 Date 1¢lfiaof; Shthg-Roofing Card -B1 Date Card -B1 Date 11.. Ext.;. Steps -Doors -Landings....... _......_ .-. ... ..._ .. Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -81 Date Card 2. Footings; Size -Spacing -Marriage Line (; �� 1 Z_�_9p� -B1 Date Card -Bt Date 3. Gas; MH Test -Demand -Valve -Connector e-. 1?,Za-$,Card-B1 Date 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s S. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval -3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater Card -B1 Date Card -B1 Date _. 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg Boxes-Enclosu Card -B1 Date Card -81 Date res -Panel boards- Ins. to Main in Conduit 9. Health Department Approval -• - 10. Plumb.; Cir. Test -Water Supply Test Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date =UK OK 0 = NotRESIDENTIAL (Single and Duplex) - =Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope Date _ FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 15. Stemwalls, Main; Steel - Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Bd'rm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51, Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 Date Card -B1 Date Card -B1 Date Card -81 Date Card -B1 Date Card -131 Date Card -B1 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -81 Date 67. Stairs &Rails Card -B1 - Date Card -81 Date 68. Fireplace or Stove; Clearances -Hearth _ Date ELECTRICAL (Permit) OK except #'s 69. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ins. Protection 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 71. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 72. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 73. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water _ 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection75. - 27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I. Plb., Elec. &Mech. Equip. Listed for Location 28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. or Cu or AlA 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 33. Smoke Detector - 81. Stucco; Brown -Finish Card -B1 _ Date Card -81 Date r 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. -_ Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House _ 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -81 Date Card -81 Date 92. Roofing Certificate Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -131 Date 39. Sills, Proper Material & Anchors - Card -81 Date Card -81 Date 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing U COUNTY OF BUTTE - E9E'PARirMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,;Califoraia 95965 - Telephone: 916/538-7541. APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER -3-3 y ZONING BUILDING PERMIT OWNER % n r� r TELEPHONE ' Gr Ll 52)SOWNER'S SQ FT. OCC. BUILDING VALUATION MAILING ADDRESS eQr h e i� CONTRACT 0 R'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS C —5-2 S 5- .S L..a P ct r,ci�(r Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 10,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS r 9�G r h e P Permit fee $ �O .9 AA I PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2,00 G? Lqq Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P CEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other .C7 ✓\��n� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00e TYPE OF WORK New ❑ Addition Re I Util' fes ❑ stallation❑ Other ❑ Describe work:Contractor Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declaare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess'o 5ggde 15d my license is in full c e and effect. J�1'' 11 1� License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.gd` OR ADDNS. ACC. BLDGS. ! 2,/20sgft NEW CONSTR. ULT"OUTLET N ON•RESID BRANCH .CIRC., TS 2.50 ea (POWER APPARATUS e) -SINGLE OUTLET CIR. Ex. Occu o Occup(OUTLETS OR FIXTURES eAL030 zAL@30 EX. Occup. OUTLETS (RESID )REA.; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Virin g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot en Butte to enter u n the above-mentioned property for inspection purposes. I•also agree to ve i deWnifandkeep harmless the County of Butte againstall Iia iliti s, udg ts,d expenses which may in any way accrue against aid in oof the granting of this permit. X j Date Signature of Applicant — O ner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over '0" ee nd a olition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE ,41 - TOTAL FEE $ f✓ 1- HAz CUA i� PARK �' SCHL FLD PA PD ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECT OF PUBLIC BY PER T EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date 17'"Z�' � �Z—'Z46—ia r r� Receipt No. `` ! 5 , J 9 WNITC-D.P.W., YELLOW -ASSESSOR, PIN K-INSPEC GOLDENROD -APPLICANT -,ir, IfiT''0 :t 4, , r COUNTY OF BUTTE - DEPARTME"PUBLIC WORKS - BUILDING DIVISION J 7 COUNTY CENTER DRIVE - OROVILLt, CA1LIF8RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATAUEET OWNER - .w. Permit No: - A. P. No. I#12/' Proposed Building Use k "Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED 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) Mobilehome installation data including manufacturer's installation instructions. ............... ..................... 10. Fees of $ f�� Z 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ........................... =' �I 13. hool District fees' paid .............. 14. Sanitation approval from T Health Department 15. City of Chico plumbing permit ..................................... 16. Plot.plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 1& Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 5. 26. Letter of signature authorization .... .......... ................... - t 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 l e , r. -- 57e17 e- Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date o" Contractor, designer, owner, was advised of above required data by_phone._mall—counter by• `date Plans checked by Date Plans approved by �`� Date /a' -2 Sets of plans on hold in . File cabinet AP folder Copy—DPW /+ ".� 4;;( �3 S ( COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California -95965 - Telephone: 916/538-7541. C7 _ �2 y APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER —e-wil- ZONING BUILDING PERMIT OWNER TELEPHONE SQ, FT. OCC. BUILDING VALUATION OWN R' MAI LI G ADDRESS 280 by 280 0 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS r-- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS �-- Permit Fee $ ARCHITECT O' R ENGINEER LICENSE No. Plan Checking Fee $ ! Z� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS , Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 ��2 �tfGn el t -e ,P Each Trap 2.00 Solar or heat pump water heater LOULOT N BDIVISION N.AME//G SUBDIVISION NAME�% 1� PARCE MA{P 3� Water piping 5.00 Each qas water heater or v 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehol Other SPECIFY Gas piping system 1 outlets 5.00 Building sew 5.00 Mobile Mcl S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ InstallationOther ❑ Describe work: Lt 1l _ Q W1L„l L° �X4r d!y- - Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 V OR Main service 10000 AMP ORSLESS 10.00 Main service EA. ADD'L too AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �Rg43O I) License No. Classification FJas 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 CONST. DWELLING OCCUP.81 , OR ACDNS. ACC. BLDGS. qft NEW CONSTRESID,MULTI-OUTLETI5CU NON.RESID .BRA C CIRC TS 2.50 ea /POWER APPARATUS (SINGLE OUTLET Ex. QCCUp(OUTLETS O XTURES 200506 eALa So D A Ex. QCCUp. OUTLS (RESID )RE A.) 1 2.00 Temporary s Ice 10.00 Mobile me Facilities 15.00 Misc. Wirin9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit F $ 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 sa e, indemnify and keep harmless the County of Butte against all liabilitie jud ments, costs, and expenses which may in any way accrue against sai noun in o eq nc f the granting of this permit. Date Signature of Applicant — OwnerZJ Contractor ion of structures over 3 stories in height. Agent ❑ An OSHA permit is required for excavations over S'0 deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE CONST.TTPZJ scNooL PLOOD PARCEL `/ PD I No 1 137' This permit is hereby issued under sions of the Butte County Code and/or work Indicated above for which CT� BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateA� �` a "Lf Receipt No. WHITE-D.P.W.. YELLOW-ASe[SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT a .. ...,- :.n•�R:♦:•.uy'i5,-..-t�Y"n'^...7w..�+.,. r-w;,rrc ;�c+va,..s �, �7•v ,... .:a.:.. a.-'; . Ti •'F.f..il`�a.�k��`!. ..4 •�..c� 'Y .} .0.'. �,. � � ..._.;� _ _ OF BUTTE -DEPARTMENT OF PUBLIC WORKS -BUILDING DI�/7S-t N 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET y Permit No. V r OWNER r O� A. P. No. __' �/ �2- 3_3 e-1 Proposed Building Use co 1-/ "'+Bu-ilding Inspector Date _ 4 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 ..................................................... 13. hoot District fees paid .............. .4. Sanitation approval from G �VLve Health Department P t- 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the 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 plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Cir le 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_pho_ nemail—counter by ..date Contractor, designer, owner, was advised of above required data by_phone—mal l—counter cby date Plans checked by Date Plans approved by Date Sets of plans on hold in . File cabinet AP folder Copy—DPW TO Buildinct Department FROM: Environmental Health SUBJECT: Sanitation Clearance 179Q Owner Loq4tionAP# Plan .Approved for: Sewage Disposal Water Sutinly Hold final for: Water Supply Final clearance O..R. for: Water Supply Clearance for bedroom mobile home. Other L�(. J, NOTE * * * GX/�1,�� 0 _ V i Isni, tarian Date � ' 1. A ry PL COUN )EPARTMr'rx- v w D r K 80 MAY Im �0 ro 81 His a IN Id 211001 a 1312 Nom' •ge as a 141 ,�- !!l1�5555v �i t� �o at 2180, MA SIR f� �� s f ilol o � 0 � d ^ R A o f � � �. � �� NsI logaxis P. I � Il K ra F t q a 111111 � � � � � � s 8 mmm54a t•.,e �j *� g� ... a �.. a � �l a a 5F a> H a �J' all YFOR: CENTRAL PIERS, INC. - THARP & ASSOCIATES, INC. 1:00 ^'284 N. THORNE GEOTECHNICAL CONSULTANTS FRESNO, CA'. 93706 Site Assessments •Foundation EngirwerkV •Constructlon Moidtoi kv (559) 268-0828 . MOBILE HOME. FOUNDATION SYSTEM (30-5F) 347 SPRECKELS DRIVE, APTOS, CA. 93003 CA31) 662-8590 h/c To S,6 I- cl or a, A/a ...... t46TE PAR 1p. - 7�-� C Al ARRI CAAOIECvlE IT 4q7- 00 4-