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064-240-038
FIRE.D.MAGE REPORT D AT E: 16t A.P. 64-24-3 FRANK ON 0 FRANK Lot-26, P.P.#15,Mag. CON7TR:Ray N Munia aradise, N. M L y Permit 1077-73P.,E j jtj -(utilities for mobile home) AP 64-24-38 WO 285 Ponderosa Way, lot 26, PP#15., Maga. contr: Paradise Modular Concepts, Maga. Permit# 13;7-75MH Issued - —'/21� �;14 0 S/ .-AP-64-3-4-38- Permit# 1840-7.5R(2 covered, deck, garage, MH) 2-fz- )?* / 7— j064-240-�038`� PERMIT#98-1322 'P Pe garage, r rm a sue g d 4 2 M 8 H .13 2 JAN 0 fiSIBRI�N, Don Ponderosa Way', Magalia C t ,Cont: Henhing'Co'�nstruction Cabana & Deck/MH 0 0 00 64-240-038 99-2277 SABRIAN, DON 6304 PONDEROSA WAY, MAGALIA CONTR:_ AIORE HQUSE A/C -SERVICE GAS PIPING M I V� k FIRE DAMAGE REPORT XL l . OWNER: 1 b Y lar), I)pal cl L, M Q rQ Q.iC- 9. DATE.: ° �3p v LOCATION:D I _ A.P. # IV a 1 La-, M. �G CONTRACTOR: ZONING: — DATE TO INSPECTOR: 6 "l n PERMIT HISTORY ( ) NONE () AS FOLLOWS: 0 BUELDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied VfYes ( ) No AbandonedNacant: Electric: F Electric Currently ( ) Off ` Condition of Electric Gas: CurrentlyOn ( ) off , Condition Sanitation: Plumbing Working (/,�Ies ( ) No , Obvious Sewage Problems( ) Yes vl�io Mobile Home Condition of Utilities: ( ) Damaged -,Requires Permit Undamaged – No Permit Required Description of Damaged Area: N Estimate Cost of Repairs: Condition of Foundation: ( ) Good ( ) Poor Explain if repairs needed: IN)atj e. Inspector: Sketch building on reverse and indicate area of damage. rs Date: o -Q40 a CDF/BUTTE COUNTY FIRE INCIDENT LOG DATE 3/18/2004 REPORT TIME 15:07 INCIDENT NUMBER 1 30713071 LOGGED B �JK LOCAL FIRE NUMBE pa �ca1 Kim RO ORTER STATE FIRE NUMBER 61. $a :,.r cfara cin,, BI CASE NUMBER - _ i a.ri pp a MEDICS F. LOCATION 16304 PONDEROSA WY PRA JY2 ECC ❑ RP MARGE PHONE NUMBER 873-2875 REPORT METHO 911 WILDLAND FIRES ❑ ESTIMATED ACRES o FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HO EMAIL BY JK TO 33 OTHER FIRE 7 -DAY LOGGED / INITIALS JK MEDICAL AIDS INCIDENT NAM ISIBRIAN PSA/OTHER START DATE 3/1812004 START TIME 14:10 HAZ MAT DIAMOND # 12.0 COMMENTS CAUSE MISC EXTINGUISHED LAND USE DOMESTIC ACRES [� 0; TYPE OF ACRE DIAMONDS ONLY $ DAMAGE TYPE DOLLAR DAMAGE 1000.00 SAVE 145000.00 INJURIES/FATALITIES ❑ # CIVILIAN INJURIES _ 0 # CIVILIAN FATALITIES _0. EMD ❑ DES ❑ # FF INJURIE 0� # FF FATALITIES 0' FC -40 INFORMATION i ♦ .n♦ New lnc�den4 FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE ®�� FC -40 COMP BY County Notifications W EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ A.P. 64.-24.-38 FRANK-LBBARO N 285 Ponderosa ay, Lot 26, P.P.#15,Mag. CONTR: Ray N. Munja Paradise, Permit 1077-73P,E (utilities for mobile home) O. J AP 64'-24.-38 WJ. 285 Ponderosa Way, lot 26, PP#15, Maga. contr: Paradise Modular Concepts, Maga. e 37- /5MH l _ Issued Issu P AP 64-34-38 Permit# 1840-75.(2 covere deck, garage, MH) no / r'le,®" 064-240-038 PERMIT#98-1322 SIBRIAN, Don 6304 Ponderosa Way, Magalia Cont: Henning Construction r Cabana & Deck/MH X0094/- - 064-240-038 99-2277 SABRIAN, DON 6304 PONDEROSA WAY; MAGALIA CONTR: MOREHOUSE A/C SERVICE & GAS PIPING /D - I y 717 RESIDENTIA PERMIT#98-1322 064-240- SIBRIAN, Don PERMIT NO. 6304 -Ponderosa Way, Magalia Cont: Henning Construction n PERMIT EXPIRE � Cabana & Deck/MH- (e� OWNER CONTR. ASSESSOR PARCEL t, LOCATION f CHECKED S A� BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E xn/ JOB FINALED Signature ' t V=OK ' 0 = Not OKNot A `=Not Readyble MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements - Setbacks - Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 2. Soils; Special MH Support Sketch 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer, Location-Test-Fall-QO oncrete 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing 4. Water, Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location-TestaNrap; / ^:ft. / /Nat. or/ /'LYt./ /LPG 7. Electric 7. Well Clearance & Disconnect 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements- Setbacks Easements = Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test-DemandVake-Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting. Distance-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval S. Elec.; Pool Lighting; 15 Volts-GFI 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit Entries -Terminals -{.fisted 9. Tie Downs -Type -Installation Cert. 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 10. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtgq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 11. Cert of Occupancy 9. Health Departrnent Approval 12. Permanent Foundation Only: License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns-ConnectionsSplice Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting. Distance-GFI S. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -{.fisted 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtgq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Departrnent Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 o = No OK RESIDENTIAL - = Not Applicable = Not Ready Date OOR (Plans) OK except #s 12 el ningSetbacks-Easments-FloodSlope 2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth All 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ N Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts- Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped (Single & Duplex) Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s 40. Sits Proper Materials & Anchors 4 alts tads -Nailing Spacing & Braces -Plates -Sound 4 earing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 44 re S Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date ING (Continued) . Hangers -Po .Caps -Anchors -Connectors 4 mg. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. *-FirepFdM1M or Type A Flue -Fireplace Throat clearance 4R_A:tticssss,"Size & Romex Protection -Draft Stop -Ins. Baffles "--Bdn riadows or Exiting Doors -Sill Hgt. & Dimensions 6a. Hold Downs and Special Anchors 7. Slaby�rapped 53 -One 3 -Check Garage 3rd Story, 2 Exits iers-Fireplace Ftg.-Steel irs; Width-Headroom-Rise-Run-tanding-Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test $6 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stu -Drip Screed -Fd. Vents-Underfir. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 60-Brac erior / Exterior Wall Panels 13. Pienums ucts; Clearance -Material -Support -Ins. nsulation-Walls-Ceilings Infiltration -Walls -Windows Date rs-Sills-Anchor Bolts -Joists Vents-Crippies Date 15. Access & Ventilation FIN Plans) OK except #'s 16. Insulation' moke Detector 66 Date 566, Card B-1 Date Card B-1 Date & Tub Access -Spa Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection ec. Receptacles Spacing -Lights & Switches at Doors 0 25. Size B es & No. of Conductors Stapled 26. Ro stalled Close to Edge of Studs & C.J. F. -Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral [] Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels -Motors -Meth. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 39. 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 (Plans) OK except #'s 40. Sits Proper Materials & Anchors 4 alts tads -Nailing Spacing & Braces -Plates -Sound 4 earing Walls over Girders & Floor Nailing raft Stop in Walls (rat proof) 44 re S Furred Ceilings -Stairs -Chasers -Tubs eaders & Beams -Size & Bearing Date ING (Continued) . Hangers -Po .Caps -Anchors -Connectors 4 mg. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. *-FirepFdM1M or Type A Flue -Fireplace Throat clearance 4R_A:tticssss,"Size & Romex Protection -Draft Stop -Ins. Baffles "--Bdn riadows or Exiting Doors -Sill Hgt. & Dimensions 71, Panel, Int. & Ext. Ground. -Air Gap -Cooking Clearance epticales at Kit. Counter 7 . Swing -Landing -Closure Damper 76-AAW.44V+We"tseClearance-Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection tech. Equip. Listed for Location Qr Elec. Rece tacles in Garage G.F.I. -Romex Protection u ay Foam -Looked in Attic ua ils & Deck Construction -Post Caps dn. VB is &Crawl Hole Door Drainage 8 Wood -Earth CI an- Looked under FI Yes Following Insdd./Drive es o No/Walks s 0 No/Planters p Yes Q No t, Electrical -Plumbing 8 . -Appliance-Fireplace-Clearance to Openings lectrical, Plumbing 87 terio-Flex. Trim, G.F.I. Receptacle -Underground 40-ft-gWation Throught House Glass Protection q Corrxiiwis- fbm Previous Inspections 4U_Qaa4eeF hftrs Tagged, Gas -Electric netted -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Dat -jam Card gel< Date Card B-1 Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: tion Framing all & Openings 53 -One 3 -Check Garage 3rd Story, 2 Exits irs; Width-Headroom-Rise-Run-tanding-Fire Protection r on.Roof Overhang -Attic Vents -Rafter Outriggers $6 -Nailing Veneer 57. Stu -Drip Screed -Fd. Vents-Underfir. Access 1� ' ea -Glass Protection-Skyli hts-Plastic Shear Walls; Nailing -Bolts 60-Brac erior / Exterior Wall Panels 66, 62. nsulation-Walls-Ceilings Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FIN Plans) OK except #'s Ste - oor & Sidelight Protection -Landings moke Detector 66 Fiirnare- VPn_ t_�-rlpprance-Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 566, room Exiting 6ures & Tub Access -Spa Turn & Subpanel, Breaker Sizes & Labels Stairs & Rails nr .',tMX, Clearance -Hearth 71, Panel, Int. & Ext. Ground. -Air Gap -Cooking Clearance epticales at Kit. Counter 7 . Swing -Landing -Closure Damper 76-AAW.44V+We"tseClearance-Comb. Air Connector-P.R.V. In Garage; Above Floor -Meth. Protection tech. Equip. Listed for Location Qr Elec. Rece tacles in Garage G.F.I. -Romex Protection u ay Foam -Looked in Attic ua ils & Deck Construction -Post Caps dn. VB is &Crawl Hole Door Drainage 8 Wood -Earth CI an- Looked under FI Yes Following Insdd./Drive es o No/Walks s 0 No/Planters p Yes Q No t, Electrical -Plumbing 8 . -Appliance-Fireplace-Clearance to Openings lectrical, Plumbing 87 terio-Flex. Trim, G.F.I. Receptacle -Underground 40-ft-gWation Throught House Glass Protection q Corrxiiwis- fbm Previous Inspections 4U_Qaa4eeF hftrs Tagged, Gas -Electric netted -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Dat -jam Card gel< Date Card B-1 Date Card B- Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINISION 7 County Center Drive - Oroville, Califdrnia 9 965 - Telephone (530ler' 44 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT `��" 13zz ASSESSOR PARCEL NUMBER 64-24-38 ZONING ILDING PERMIT OWNER DON RTRRTAN TELEPHONE SO. FT. OCC. BUILDING VALUATION 84 R 4536.00 OWNERS MAILING ADDRESS 6304 PONDFROSA WAY CONTRACTOR'S NAME HENNING CONSTRUCTION TELEPHONE R94-1691 288-5 0 2019.50 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 90.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 58.50 BUILDING ADDRESS 6304 PONDEROSA WAY Energy Plan Checking Fee $ $ MAGALIA PERMIT FEE $ 168.50 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome R Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: CABANA & DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800VOR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. (p� �� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following mason: ❑ 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 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation hof one hundred dollars ($100) or less.) B' 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation p ovisions of section 3700 of the Labor Code, I shall forthwith comply with tho provisions. i X Date (Q— Si atur of Applicant - ❑ Owner tractor ❑ Agent An OSHA permit is required for excavation ver 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000ACU 46.00 NEW CONST. DWEWNO OCCUP. SO OR ADONS. ( DIT ACO. BLDS. 3.5¢FT. 9-95 MULTI.OLRLET 97,50 ID. _=R POWEPPAT.TUS, R ARAR Ex. Occup. OUTLET FIXTURES B20 @ 1:00 Ex. Occup. Pur rs RMED EID.Gew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ 22.9 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ �cDSPE TOTAL FEE $ 191.45 ES IMP FLOOD PARCEL HD S This permit is hereby issued under the of the Butte County Code and/or indicated ab ve for h fe s have By PERMIT EXPIRES ON I applicable provisions Resolutions to do work been paid. Date 471_717K fLiale 4� Receipt No. 7 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYO�TTE DEPARTMENT-OFD. :7 D. TY CENTER DRIVE - OROVILLE, V ENT SERVICES - BUILDNDIVISION I 95965 - TELEPHONE (916) 538-7541 r PERMIT APPLICATION DATA SHEET OWNER: dv S / �I'L r ASSESSOR PARCEL; ER: C( Proposed Building t2 (� d /�its.�$uilding 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 By ❑ 1. All items have been submitted .------------------------ ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ❑3. Complete plans, 3/4 se�o.gned by the preparer of plans. --------------------------------------------------=-- 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ T. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ ❑ 10. Fees of $ -:-..,------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees.------------- r ❑ . Fll elevation certificate. --------------------------------------------- V`4. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. --------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- 020. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). ---------------------- =------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- 024. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑ 26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑ 27. Ma ufactured Home utility clearance. --------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. . ---------------------------------------------------------------- 1129. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .-------- 030. ------- ❑30. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑Telephone and hold for pickup at office. ❑ Deliver with inspector-,,;,,:' , (Date) Applicant: Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Div�is�ion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, 13Buil ' Divlsion counter, by Da e/ Plans reviewed by: Date: Plans approved by: Date. Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY Plot Plan Attached Y; Floor Plan Attac ed VaS Sent to B. D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Si'1,In&4j �a W4- Pmy& o e,- 64- 7-4 -36 Owner Location AP# Plan Approved for: Sewage Disposal _jY Water Supply: Public - Private Well Clearance for ifrg. Other hediwYR4 6,11t� &a (YK SOU fA N/A- of tnobi e— Hold final for: Final clearance O.K. for: NOTE: leacr block -to be vn.r'vr. S Ff -Fmo4 sq -LL {utak a&y - evz aE lee Environmental Health Specialist Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER' —�� - ZONIN BUILDING PERMIT OWNER o�J Si TEL�FPHONE ' SO. FT. OCC. BUILDING VALUATION OWNERS MAUNO ADD SS C ,`/ J lA k CONTRACTOR' NAM /v (A Y /'/ /STP -0000 `�/ �( �Q ADDRES CONTRACTORS MAILING S CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ GI ARCHITECT OR ENNEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS6. /5� /`� Energy Plan Checking Fee $ $ PERMIT FEE $ c Z' LOT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Firing Fee 20.00 Each Trap 7.00 USE STRUCTURE SF ❑ Duplex ❑ Mobilehome 7Other SPECIFY Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Udlities ❑ Installation ❑ Other H' l� �L Describe Work: �� ��' Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. DECLARATION I 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 performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BIDS. SO 3.5QFr. L NEW REOSID. MULTI -OUTLET @7.50 POWER APPARATUS CI 8 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FOTTURES Occup. BAL O I.w FIXED APPLNS. OR Ex. Occup. ounETs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi= $ Policy Number (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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X ___ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ 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 $ ( f HAZ. D. FEES IMP ;MO COF PARCEL PO HD IS SUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date) ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r COUNTY. OF BUTTE BUILDING DIVISION ., DEPARTMENT OF DEVELOPMENT SERVICES Y 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE S1 15214 A/ /3Z Z OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, p ase contact this office immediately. �f� /rclzu��71' !Jlemo -/O LZ&R hlolbl& 1401.1- E Date -r7— / —C16 Inspector REV 10/92 ��-•...-. vis. ,.. _.. .. ...1'�I-Tr`_' _.•--ny-. --... �• ..�-.ie. �. � r -� _... - _ -....- .. r .. _--v ...-. � - r. ..� -.. 4r � �1 064-240-038 99-2277 SABRIAN, DON 6304 PONDEROSA WAY, MAGALL CONTR: MOREHOUSE A/C SERVICE GAS PIPING • i • i OFFICE COPY Address GAS Meter B • '� ELEC RIC Meter • Date /�/ /� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 / E MIT NO. (Rev. 12/96) APPLICATION AND PERMIT 177 ASSESS(ffTTAjicEMQEji (�qn C ZONING BUILDINGPERMIT OWNER F POr' rAT3PIAN TELEPHONE SO. FT. OCC. BUILDING VALUATION °W"ER)JhT IMftR(1SA 1 -!AY. FIA(7,ALIA COM OR'S NAME TELEPHONE C R'S MAILING ADDRES w. ` �J cdtLftTcnoALZNDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. $ 20.00 —FilingFee Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Buaowc3ARgp)rSlPNT)FRO-,A 14,4Y. 'IKATJA t( Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑T Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ulilifies ❑ Installation ❑ Other IT, Describe Work: QAC PI! LIC Gas piping system 1 - 5 outlets 15.00 ' Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S '� ELECTRICAL PERMIT Filing Fee 20.00 Main Service 00A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license ISI full force and effect. �I License Class ��_ Lic. No. 73C 033 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, army 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 Main Service zooA To ,000A 46.00 NEW CONST. DWEWNG OCCUP. OR ADDNS. a ACC. Bins. SO 3.50x: p10�}q�,pT' MULTI.OUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIS. Ex. Occup. OUTLET OR FDCTUREs �L ®' � LNS Ex. Occup. oflunErAPPOERA.5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ensation insur nce carrier and licy number are: Carrier'' Policy Number' ZC�G� + (The above sections need not be completed H 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 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 hwit omply with rovi�ipns. X r--- Date V Sig a ure of App icant - ❑ weerContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEES Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. ±TYPETALFEE$not FLooD CDF PARCEL PO HD tTUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have /% /[- By , f f PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ' Date j�� Jr�/�ci Date Receipt No. 280348 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. s COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 E IT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSQti�AjiCE�f�{I —T 038 Df UBRIAN ZONING BUILDING PERMIT OWNER DON N SA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER561#1dr'MWEROSA WAY, MAGALIA CONTOjR'SL}NAME TELEPHONE v_I CZ I&V 866To ORS MAILING ADDRESS A C CTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6304 PONDEROSA WAY. MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX Describe Work: GAS PIPING; Gas piping system 1 - 5 outlets 1500 15.00 ' Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 "OOVR LE Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is ' full force and effect.p^ License Class — Lic. No. OWNER -BUILDER DECLARATION I 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 Main Service 200A TO toOOA 46.00 NEW CONST. DWELLING OCC P. OR ADONS. ( a ACC. SLDS. S° 3.50FT. NoµRESD MULTI.OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. �(, OCCU OUTLET OR FDRURES @ t.50 B20 00 Ex. Occup. °uTL��°rs RAID.°Ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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 performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insur nce carrier and olicy number are: Carrier .S!rA,1% -� Ami MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 00M 296� �y-1 permit is for work of a valuation (The above sections need not be completed if the -permit 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 hwit omply with rovi ' ns. /'of �U, XE Date V Sig a ure of Applicant - ❑ wner Contractor ❑ 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 $ 35.00 HA2. D. FEES IMP I FLOOD CDF PARCEL Po HO UE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have i - By 4Date PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 10 /4 /99 10/4/2000 Date Receipt No. 280348 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD.APPLICANT 1077-73 P, E 1 i� LEBARON, FRANK 285 Ponderosa Way Unit- T5. Lot 26 Magalia (Utilities for mobile home) OAII a � ��T� �v �0l�ov.�t'Ar-�' Cio' ✓vii (JGiy�� S6Lvv,(1� 7-61 ��%��� �v.�Y�,� `�, ,vB s'Gv � �✓� C�" .rid-3� s� awl w � f, • COUNTY OF BUTTE - = DEPARTMENT OF PUBLIC WORKS C �/ I_ 7-H! 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 -Ifr' ` ' 'APPLICATION ANI PERMIT ' , r BUILDING Owner ����/` ��"���?��, : ; Frt�.. SQ. FT. -. OCC. BUILDING VALUATION Mailing Address�/)�/S%� nrfT Telephone No. Fireplace Contractor �/ �f� / ,�� �� /i•� Total Valuation Mai I i ng Address �'2' s�i�����/�U , Permit Fee Plan Checking Fee &/or Penalty li �% /�!� /6�r7�/.r' Telephone,No. N h' _r9�d7�• Permit Fee $ $ Building Address �> >�J''-�.�.�. ���'�� PLUMBING No. @ FEE PERMIT FILING FEE / $2.00 �QQ .�% /�j,//l,F•'/) Sf� /�/�Lj•// Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ASO Each gas water heater or vent 1.50 A. P. No. (l - -- 3 % ^ � Atoning &.Planning Gas piping system 1 - 5 outlets / 1.50 /,So Each additional outlet .30 Fees W. C. I (SanitatioJ' )Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W --plans Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval 71 Approval Permit Fee NEW E]ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE / $3.00 „, ;'� r/ ^� E`" Main service incl. 1 meter Y as , d(� Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family 0 Duplex ❑ Mobil HomeX❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal 1=0 — Receps., switches & fix outlets 2 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: "/! /yr /�/l%/t/��f%� �/i��'S�•C�t • Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disco. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 J,QJ Temp. Power Pole 5.00 r' License No. Classification Misc. wiring ❑ 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 $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ auuwricc relJreaerrtQUVeS ui mte uuunty yr nut a to enter upon ine above-mentioned property for inspection purposes. X Date ¢mob ~73 Signature of Permitee or Agent Receipt No. % :, f / -3 "7 % White-D.P.W. — Yellow -Assessor --Pink-Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. `DIRECTOR OF PUBLIC WORKS By �"Y .�y� Date #%/7- 7 r r u idint; ?crit a:nIX,10 qtr '1-.(7- 7V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — Oroville, California 95965 j Telephone: 534-4541 APPLICATION AND PERMIT WO R KS (� / /7-7-73 authorize representatives of the County to to enter upon the above-ment' ed property for inspection p rpose . 4 X ate 4, 73 Si a re of Permitee or Agent Receipt 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 been paid. DIRECTOR OF PUBLIC WORKS BY ` Date's3- Building permit expires ate 4f—/7-751 BUILDING Owner ���%���� LE��GD/CI SQ. FT. OCC. BUILDING VALUATION Mai ling Address lf�!/�� !%�.S' ��� d� 2/3 Telephone No. Fireplace ContractorTotal ' Valuation Mailing Address ���' v /�� �" Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ Building Address ��r��• `�� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 2�r� 2 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,SO Each gas water heater or vent 1.50 A. P. No. -' Z3 Y- �Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. anitation ire Dept. FireZone loor Use Permit Building sewer 5.00 „j,t?p EQA Parking Plans arcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ ,ea $ /10 lee NEW ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE % $3.00 j`,QQ Main service incl. 1 meter / 9,Q0 3, 6r Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bald to Receps., switches & fix outlets in 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: 101W_1/V/;?11e L'�/P/�y�. Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di so. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 S®Q Temp. Power Pole 5.00 License No. , /0_/9 Classification o4 Misc. wiring ❑ 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. @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $2/ Q authorize representatives of the County to to enter upon the above-ment' ed property for inspection p rpose . 4 X ate 4, 73 Si a re of Permitee or Agent Receipt 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 been paid. DIRECTOR OF PUBLIC WORKS BY ` Date's3- Building permit expires ate 4f—/7-751 A 'PERMIT NO. 1840-75B P E iX M "'MH UTIL. I PERMIT NO. -A PERMIT EXPIRES "'bWNER John Wolf '�:'CONTR. ,)!LOCATION (A.P. 64--24-38 285 Ponderosa Way, lot 26, PP#15, Magalid 14 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB /-7 FINALED_ (Date) (Signature) DATE REMARKS OR CORRECTIONS 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 Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer r Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically„_, handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final % Sanitation Patio FIREPL E Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS I I. .-'PERMIT NO. 1317-75MHI P E M r MH UTIL. ,PERMIT NO. PERMIT EXPIRES OWNER John Wolf '60NTR. Paradise Modular Concepts, Magalia ILOCATION (A.P. 64-24-38 ) 285 Ponderosa Way, lot 26, PP#15, Magalia rj• ti 1' ,1 1 r Temp. Power Pole Called PG&E Temp. Elea. ServCY .�� Called PG&E Temp. Gas Serv. Called PG&E JOB % FINALED / � 3. �7� (Date) (Signature) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Stucco Mesh. r Scratch Brown Finish Interior Lath Door Closer ro COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish , 2nd Floor Windows 3rd Floor SidingTo out Roof Sheathing \ Water Piping Roofing ' A Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physicallyHeaters ,, handicapped Appliances Conformance of ex. i structure Gas iping & T Ast Temp. Gas Final 493 �.4` Sanitation FIREPLACE, Final ,2 Footing I;' EL Throat \ Rough Final A Fixtures FIRE PRINK QRS Motors Test Water Htr. Final Subpanels MEC NICAL Grd. Fault Prot, Heating Service . Cooling Temp. Pole Ducts Underground Ventilation Permanent Final _ Final 5 -7 --m/ DATE REMARKS OR CORRECTIONS 4. 7� 0 :TRICAL MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is .the mobilehome located with required separation from lot lines�b"uildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (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 V_ No 4. Is the mobilehome level? (Sec. 5088) Ye5X 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 mmn.)? (Sec. 5566) Yes_X No B: Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not Statte,�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 " per foot slope and is it properly supported? Yes_X1 No C. Are any leaks detected in drainage system after running 3 -gallons of water.through each fixture in luding washing machine standpipe?,.Yes No D. If c c is not State of California approved, does station have required trap and vent? Yes 8. Gas Piping and Gas V is A. Connector - Is mo 'lehome connected to the gas suith an approved 3/4" minimum mobilehome connecto not more than 6 ft. long? Note -All piping is to be at least.as large as the mobileho a gas line inlet without red/tions other than the mobilehome connector. Yes No B.. Test OK as per following pcedure? Yes o_ 1. Open all appliance,conne or valves. 2. Shut off appliance burner an p' of valves. 3. Air test with manometer to "-1 ' water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) cal ib ated in th pound increments_. Test for 10 min. without drop. 4. Connect gas meter,t with conii�c.tor, turn on gas, test connections with soapy water. � � C. Are all appliancevents properly installed? Yes No q 9.. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum o 00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes B. Is there proper clearances around panels? Yes No C:. Is power supply cord or feeder assembly properly fused? Yes X 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 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. S. 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 compl,ation of .the electrical tests, the lot or site service equipment may be approved for energizing. 10. I.s 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 ely Length AW Width Vehicle Serial No. %�9% 71Z )el_ State Identification No. Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S 1,317, 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. xJf Date 7S Signature of Permitee Agent Receipt No./ z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS / By Date wilding permit expires Date ................... BUILD NG Owner o 14 t �,.�, l/ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor — U C S Total Valuation Mailing Address y Permit Fee Plan Checking Fee &/or Penalty — Telephone Na. —s c// permit Fee $ $ Building Address2 c9 ' - I Pa A,60 —L O S W �Q V PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. — Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees_ VFX. Sani io FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rove nts p Lawn sprinkler system 2.00 Bldg. Plans—Kec"d Parcel pproval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 A -7— u Ai Main service incl. 1 meter Additional meters, each -1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ba io Receps., switches & fix outlets 20 2.5 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: _ D"4 -,E "Cl-4*T 6_.00n1C-tn f S Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 .02,-z"? 444.33 4!, Temp. Power Pole 5.00 License No.C-9/.2 7l t/ Classification C' Misc. wiring ❑ 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. Elhave placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. iecertify 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 5 TOTAL PERMIT FEE $ p. authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xJf Date 7S Signature of Permitee Agent Receipt No./ z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F PUBLIC WORKS / By Date wilding permit expires Date ................... is set of plans and specifications 'MUSTi be kept do the job of all times and it is unlawf4l to make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. r f " ``"• `Fj„ 3` ii�v.. yiN'.tiR N ir'r fir' �'..ICoGF 5Tfl $417%6 � 6' Cl) ua ;o d N N V a C F- O a N o aO� o C 3•` aD Q E a O S cx a wo= 1 � Q d d ... C � E o 0 0 o � I d I 3 7 .� in E 0.w ' O a The Bldg. Setback shall be 5 ft. from r the side property tine and 50 ft. front 1 f6 centerline of the road, permitting a max(hman of a 2 ft eeavo 1t \0 P I ' It, i b ua � N a F- CO.) . 0 :C- I d I 3 7 .� -J a ivo > S U ¢ F- O CC C.. < Z cT, CI. t~ D d O a The Bldg. Setback shall be 5 ft. from r the side property tine and 50 ft. front 1 f6 centerline of the road, permitting a max(hman of a 2 ft eeavo 1t \0 P I ' It, i b IZ'p Pc3 v_ 90.00' S 8 9 `4.rr'4�„G✓ r ' t eUTTJIcouNrr .DING DEPARTMENT APPROVE© ��Eo�e� �y .• �:. c.�. 6v.�EEr�',e � � 3 zq 73 'Z 0 c Q /"'o N a 0 I d I 3 7 F�o�c a IZ'p Pc3 v_ 90.00' S 8 9 `4.rr'4�„G✓ r ' t eUTTJIcouNrr .DING DEPARTMENT APPROVE© ��Eo�e� �y .• �:. c.�. 6v.�EEr�',e � � 3 zq 73 'Z 0 c Q /"'o COUNTY OF BUTTE - Department of Public Works WOLF 7 County Center Drive, Orov-ille, California PHONE: 534-4541 T,Pngtb 13S, Ai Utility . L y 20' t7 min,cn rt M n w' In K M 5' n M �= n 1> n ' °� ° n n — ~--�-----------c~a ----- U n 76' r it PARADISE MODULAR CONCEPTS, INC. 6633 SKYWAY PARADISE, CA. 95969 PHONE: (916) 877-8541 C 61 28.8714 . Length = MOBILEIiOME INSTALLATION INFORMATION Lot Facilities 1. Plot plan dimensioned, -location of mobile and utility connections? Yes x No .2. Electrical.service equipment ampacity 200 Circuit breaker ampacity 200 Permanent Wiring Connection yes Ampacity 200 Receptacle ,c-��-Ampacity 3. Gas: Natural '_me—. LPG No Gas riser size No 4. Drain inlet size 3" 5. tater ris_-r size 3/4 6. Are utility counections located outside the rear 1/3 of the mobilehome within 4 feet of the left wall? Yes x No If not, show di.mensiOns.above. 7. Is the mobilehome clear of septic tank, leach fields and located outside public utility easements? Yes x No 8. Do.you propose to do other work on the property other than the mobilehome installation which will require a permit? Yes No x If so, specify Mobilehome Data 0 1. Length 64 Width 24 z Manufacturer Merry Homes - 1975 txj Vehicle Serial No.16494 Insignia Control No. 2. Feeder assembly ampacity 200' Conduit size 2" Power supply cord (amps) __. - Q — 3. Gas inlet size No red . Mobilehome connector size Capacity 4. Drain connector: describe on reverse side 5. Water connector: describe on'reverse side . 6. Designed loads: Roof live load 20 psf. Wind load 15 psf. (only for mobilehomes manufactured after October 7, 1973) 7. Manufacturer's installation.instructions? Yes x No 8. Will the mobile home be installed on a. separate support structure? Yes No x ^For plans and specifications of support system, see other side LOAD BEARING SUPPORTS ADDITIONAL COAD:'?' -,TS Drain Connector, Describe Water: Connector, Describe 5/8" copper from 3/4 "ga lv . pipe @ site N LOAD BEA1\ING SUPPORT AND I DOTING .INFORMATION Pier Spacing Used . -6A-19-re . sow ly*VC6,0; fV Maximum Pier Load ,;49 Column O m 'Column Load (multi -units:. only) Supports Soil Bearing Capacity 1000 lbs sq. ft. Footing Dimension Used 2." x 12" x 30" TYPE OF PIER. USED �. Steel Concrete Concrete Block x Other . TYPE OF FOOTING MATERIAL USED Pressure Treated Wood 2" x 12," x 30" Concrete Redwood (Grade) U, X( ther Approved Type n & 3 i t eo BUTTE COUNTY BUILDING. b5-PARTMr-NT APPROVED COUNTY OF BUTTE — DEPARTMENT O.F PUBLIC VORk S 7 County Center Drive. - Orbville, California 95965 V Telephone: 534-4541 APPLICATION AND PERMIT y authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 11Ge�ml'Date / Signature of Permitee gen Receipt No. ?) �2 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE TOR OF PUBLIC WORKS By, Date Building permit expires Date r ; BUILDING Owner SQ. FT. OCC. BUILDING VALUATION /'Z . D b Mailing Address �� O iOP-466 WA Z(o0 d Q tf0.0 b Tele hone No. Z D Fireplace Contractor Total Valuation Y100 Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address ONI>&-eoc PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �i �� Z� ' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe kf .0 Sa i o Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel M 60' R/W Im rove nts p Lawn sprinkler system 2.00 Bldg. Pldris Rec'd Parcel4<pro= Plans J pproval Permit Fee $ NEW JQ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 60 p2 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring EJ'ram exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. 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. 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 11Ge�ml'Date / Signature of Permitee gen Receipt No. ?) �2 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE TOR OF PUBLIC WORKS By, Date Building permit expires Date r ; v � s9s7 , r." -10 0 MR) PA