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064-260-036
64-26-36 RobbeB ker lot 58, PP#�15, Maga. �•�'� 10 41 •, contr: Fuller Const., Magalia(�� a Permit # 70-77P,E(util.,MH) 1 ELEC. // S 6 GAS ../1 SUPPO T STRUCTUE REQ. COMPACTION TEST REQ. } 41 ----- --- 64-26-3b contr: Mari -John Const.,;�,Magalia } 4. Permit #4864-77B(dxe4 ori.Qaraje) / t ' l Mgt 64-26-36 Co ntr: Fuller Const.'Inc. Magalia Permit ##6214-77P (gas piping) MH' .64-26-36 -ontr:•-SOS '+Nff%°-S'ervi'ce Parad'i'se Permit #6345-77MHI � Issued 1 -`7--7% 71`11a 1 w y 420 -26-36 ROBERT BAKER 40 10 --Creston Rd;''lot -58,-"PP#15,M69- Permit #82-78B(new decks) MH 164- 6-36 SHIRLEY MEDAU ����Il 13915 Creston, Magalia �/7 ��� Contr: Sierra Mobile, Paradise Permit#780-85B(addition to deck & cover/MH) - �-- k�F 1, rA� =�., PERMIT NO. "'' 82-78B PERMIT EXPIRES OWNER ROBERT BAKER' CONTR. Owner LOCATION (A.§4-26-36 410 Creston Rd, lot 58, PP#15, Magalia 4 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Tem Gas Serv. Called PG&E JOB p� FINALED (Date) (Signature) ti COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING INSPECTION RECORD BUILD NGS ' BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. for phsic ally handica e. Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab 1-ReInf. Final '% '6 Sanitation Patio FIREPL CE Final Footings Footing ELECTRICAL sonry Walls Throat Rough Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole, Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTI; — DEPARTMENT OF PUBLIC WORKS 7 bounty Center Drive — OroviIIe, California 95965 ~ Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner K �S SQ. FT. OCC. BUILDING VALUATION Mailing Address C re °` T;N !�e a�3 Fireplace Contractor( LSIL, Total Valuation i Mailing Address Permit Fee Plan Checking Fee &/or Penalty T Telephone No. Permit Fee $ ' '` o Building Address PLUMBING No. ' @ FEE PERMIT FILING FEE $3.00 L 0T, �� �`/ .-. ` Each Trap 1.50 • Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 a(o — A. P. Nd�oZoni ng & Planning Gas piping system 1 - 5 outlets 1.51) Each additional outlet .30 F Vrt✓. S ti FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rov ents P Lawn sprinkler system 2.00 Bldg. PIOU4 Recd Parcel ApIroval 1 Plans Approval Permit Fee $ $ NEW' ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OROR L SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service 100EAMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Jal Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DACCLBLDGS.LING CCUP. &) 20sgft NEW C0NSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON- R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 joI 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. permit is issued I shall not employ any person in any manner FoI certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT 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 $ -� ODU IUI ILC ICIJICJCIIIQIIVCJ UI LIIU %,UUnty UI DUIIU tU enter upon the above-mentioned property for ins ection purposes. X Date Z Z7 '~ ignoture of Permitee or Kgent Receipt No. p 1 b 6 7:s 3, 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 FJOBLIC WORKS By�Date Building permit expires Date The undersigned Granton(s) declare(s): A.P.N. 064-260.036 Documentary Transfer tax is $ NONE* () computed on full value of property, or (} computed on full value less value of liens and encumbrances remaining at time of sale GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, THELMA R. WROTEN, aka Thelma Ray Wroten, who acquired title as her sole and separate property per AFFIDAVIT — DEATH OF JOINT TENANT, filed concurrently with this deed hereby GRANT(S) to THELMA RAY WROTEN, Trustee of The Thelma Ray Wroten 2007 Trust, for the benefit of Thelma Ray Wroten, and her issue under instrument dated September 27, 2007, separate property. The real property in the Unincorporated Area, County of Butte, State of California, described as: SEE ATTACHED EXHIBIT "A" FOR LEGAL DESCRIPTION This conveyance is to a revocable trust created by the grantor and does not constitute a change of ownership and is not subject to reassessment pursuant to Revenue and Taxation Code § 62. This conveyance is to a trust (The Thelma Ray Wroten 2007 Trust, Thelma R. Wroten, Trustee, and Grantor) which is not pursuant to a sale and is exempt from documentary transfer tax. State of California County of Butte On September 27, 2007, before me, Elisabeth Anne Daniey, Notary Public, personally appeared Thelma R. Wroten, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. Dated: lql'�Z74Z . Signature of Grantor(s) THE:LMA R. WROTE:N WITNESS my hand and official seal. H �� Com►ils+bn +f 1081 i011 Signator FNotaryFubft' ®utto C2xogy Notar*Prtc EZ1`Csab4eIDanley �+N�ornrn. F M 13,;pp10 MAIL TAX STATEMENTS T0: Per Above Page I of 2 a007-0047693 Recorded 1 RM FEF 11L OG Recording Requested by: ) Official Records I Kenneth J. Brown ) Co�tyeof I 0 3,00 Attorney at Law 6393 Skyway, Suite 2 ) ) Z affiBS I County Clerk-Recorderl Paradise, CA 95969 ) I When Recorded, Mail to, and ) tJ:4711P1ctl f Pa 1 2 Mail Tax Statements to: ) 9 8 of Thelma Ray Wroten ) 13915 Creston Rd. ) Magalia, CA 95954 ) The undersigned Granton(s) declare(s): A.P.N. 064-260.036 Documentary Transfer tax is $ NONE* () computed on full value of property, or (} computed on full value less value of liens and encumbrances remaining at time of sale GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which Is hereby acknowledged, THELMA R. WROTEN, aka Thelma Ray Wroten, who acquired title as her sole and separate property per AFFIDAVIT — DEATH OF JOINT TENANT, filed concurrently with this deed hereby GRANT(S) to THELMA RAY WROTEN, Trustee of The Thelma Ray Wroten 2007 Trust, for the benefit of Thelma Ray Wroten, and her issue under instrument dated September 27, 2007, separate property. The real property in the Unincorporated Area, County of Butte, State of California, described as: SEE ATTACHED EXHIBIT "A" FOR LEGAL DESCRIPTION This conveyance is to a revocable trust created by the grantor and does not constitute a change of ownership and is not subject to reassessment pursuant to Revenue and Taxation Code § 62. This conveyance is to a trust (The Thelma Ray Wroten 2007 Trust, Thelma R. Wroten, Trustee, and Grantor) which is not pursuant to a sale and is exempt from documentary transfer tax. State of California County of Butte On September 27, 2007, before me, Elisabeth Anne Daniey, Notary Public, personally appeared Thelma R. Wroten, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her authorized capacity, and that by her signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. Dated: lql'�Z74Z . Signature of Grantor(s) THE:LMA R. WROTE:N WITNESS my hand and official seal. H �� Com►ils+bn +f 1081 i011 Signator FNotaryFubft' ®utto C2xogy Notar*Prtc EZ1`Csab4eIDanley �+N�ornrn. F M 13,;pp10 MAIL TAX STATEMENTS T0: Per Above Page I of 2 r EXHIBIT "A" Legal Description Lot 58, as shown on that certain map entitled, "PARADISE PINES UNIT 15", which map was filed 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 42, 43, and 44. 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 herein described, and that no damages shall be done to the surface of said land. Subject to: Covenants, conditions, restrictions, reservations, rights, rights of way, and easements of record. Page 2 of 2 08/17/2009 14:44 FAX @ 002 Ub/A'1/ZUua 10:57 NAJL 5308776912 BIDWELLTITLE 10003/005 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT a� o . ID f Cod.. ww 1'�tle Search aDate Printed -,08/ 172009 Decal #:• LAM5545 Manufacturer; LCS HOMES Tradename: GCs Model: Manufactured Date: 00/00/1977 Registration Exp: Fust Sold On: 12/MIM Serial Number 811193CAA608111 811193CAB608171 Record Conditions: Registered Owner: HUD Label / Insignia CAL075656 CAL075657 PPF Exempt VoluntW Conversion to LPT Use Code: SM Original Price Code: AHQ Rating Year. Tax Type: LPT Last ILT Amount: Date ILT Fee Paid: ELT Exernption: NONE L.engtb width 6w IT 64' IT THELMA RAY WROTEN 2007 TRUST 13915 CRESTOW RD MAGALIA, CA 95954 Last 71Ee Date: 11/052007 Last Reg Cards 11/05/2007 SaleMransfer Info: Pnec S.00 Transferred on 09!17/2007 Situs Address: 13915 CRESTON RD MAGAL[k CA 95954 Situs County: BUTTE Inactive Decammv: DECAL AAP3578, DMV SB8430, DMV SB8431 Title Searches: BIDWELL 1TTLE 500 WALL ST P0BOX 5173 CEIICO. CA 95927 Tide File No: 237221 -PG ••• END OF TETLE SEARCH •## 2000-09-28 06:57 CENTURY 21 SELE Page 2/4 PERMIT NO. Q 780-85B PERMIT EXPIRES 31,U OWNER SHIRLEY MEDAU CONTR.. Sierra Mobile, Paradise ASSESSOR PARCEL 64-26-36 LOCATION 13915 Creston, Magalia Temp. Power Pole Called PG&E Temp. Elec. S Called P( Temp. Gas Sei Called PG JOB FINALE[ Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECK OVERS, CARPORTS, ETC. (Plans) OK except II's 1. Zoning Requirements -Setbacks -Easements Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support-SketchA,-Footings; Size -Depth -Spacing -Co nectors 3. Sewer; Location -Test -Fall -C/0 -Concrete s' Girders an /or Joi t ecking-Bracing-Stair ails 4. Water; Location -Test -Easement Needed (Sketch) ood Awn.; Posts ams -R .-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date • Card -BI Date Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except It's Date P S (Plan) O except q's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulaiing Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'a 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 16.D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt, & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter _ 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation-Foam-Looked am -Looked in Attic E) Yes 73. Guard Rails Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet -Light -Shower Light 78, Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except k's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39.Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) � I • COUNTY OF BUTTE --DEPARTMENT OF PUBLIC WORKS PERMIT NO., -.7 County Center Drive - OroviJle, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR P RCEL NUMBER ZONllyyrl BUILDING PERMIT OWNER TELEPHO E SO. FT. OCC. BUILDING VALU ON v OWNER'SIVMI NG ADDR SS CO�% CETOR'S NAME 18�� �� � � ( TELE -PHONE , CONTRACTOR'S MAILING PDDR SS se -7— Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ j Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee o $ ca BUILDING ADDEF� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDI VISION NAME f; S PARCEL MAP 3� L Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF [:1 Duplex[:] Mobilehome'J�[Other SPECIFY Building sewer 5.00 Mobile Home TS G W 10-00ea TYPE OF WORK Remodel ❑ Utilities ❑ Installation ❑ Other �] New ❑ AdditiZ�M/ Describe work: DA) 7-6 SEW . 122'$412 em^ 'oI �p /C) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 % Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2t/20sgft CONTRACTORS LICENSE LAW under penalty of perjury (check one): I dec;�l am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. �% 10 86 6 C �cense No. 4 ` � v Classification /✓ � �Y / Jell!"as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT R. BRANCMULTI-H C.IRCTITS2.50 ea NEW CONSTFL ( POWER APPARATUS &I NON -R ESI D. SINGLE OUTLET CIR. 20®50t Ex. Occu- Ts OR FIXTURES eAL®3ot FIXED EX. CCU FIXED TS (REAPPLS. OR p• OUTLETS (RESIT.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ e permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co sp nce of the granti of this per it. Q %� - to 3 �( 0 Signature of Applicant — caner ❑ Contractor Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. P RCE PD HD SsuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 3— —y —4 - Receipt No.By WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 6�-_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. T Model Year Insignia No. 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. I PERMIT NO. 4470-77P,E. PERMIT EXPIRES OWNER ROBERT BAKER a CONTR. ' Fuller Construction, Macgalia LOCATION (A:� ' 410 Magalia unit 15 lot 58 t Temp. Power Pole Called PG&E { Temp. Elec. Serv. �� J Cal Ied�PG& E a /Tems Serv. PG&E / , e— FINALED (Date) (Signature) PLUMBING Mesh MECHANICAL Gird. Fabit Prot. Scr ch H atin Servl B wn dooling T mp. Pole Finish Ducts nder round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - n - - - - - - - - - - - Elec. Service 7 Elec . Pedestal $ Water Piping Sewer 72A& Gas Piping E OME INSTALLATION = - - - - - - - - Support1 - Elec. Continuity 1 1 Water Piping % Drainage Gas Piping 2 DATE REMARKS OR CORRECTIONS 3 J\I o i ST f2 u► r1 'I- re (NOTE: An entry must be made on this form each time you visit the job site.) -`7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION, RECORD BUILDIyG BUILDING (Cont'd) Set ck Fire all Soil spin Form Para is 1st loor Mair Idg. Restro Finish 2nd oor Foo n s Windows 3rd F1kr Stem II Sidina To out Slab Roof Sheath Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings pehysically handicap of Conformance of ex structure Appliances Gas Piping & T Temp. Gas Slab Final Sanitation Patio FIREPL CE Final Footings Footing Masonry Wall Throat Rough Reinf. Ste 1 Final Fixtures PLUMBING Mesh MECHANICAL Gird. Fabit Prot. Scr ch H atin Servl B wn dooling T mp. Pole Finish Ducts nder round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - n - - - - - - - - - - - Elec. Service 7 Elec . Pedestal $ Water Piping Sewer 72A& Gas Piping E OME INSTALLATION = - - - - - - - - Support1 - Elec. Continuity 1 1 Water Piping % Drainage Gas Piping 2 DATE REMARKS OR CORRECTIONS 3 J\I o i ST f2 u► r1 'I- re (NOTE: An entry must be made on this form each time you visit the job site.) -`7 I MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wjth required separation from lot lines and buildings 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.) (Se/c. 5082 &.5083) Yes �XN o_ 4. Is the mobilehome level? (Sec. 5088) Yes V No 5. If more than a single unit, are crossover connections properly installed?.(Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes t1" No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes -'---No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes ! No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of_California approved, does station have required trap and vent? Yes � No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply .with an 'approved 3/4" minimum F mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobileh&ae gas line inlet without reductions other than the mobilehome connector. Yes tANo l y B. Test OK as per following procedure? Yes _VV o 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves.. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test'for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, /turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage -to mobillehome (must equal rating of mobilehome with a minimum of 1.00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes V, No B. Is there proper clearances around panels? Yes INO C. Is power supply cord,or feeder assembly properly fused? Yes /No_ D. Is continuity test satisfactory as per the following procedure? Yes_/140 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 completion of the d ectrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width %L Vehicle Serial No. State Identification No. C4 6) Sb G --5 j Additional Information or Comments: ". C-OUNT.'i OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 A��6- �� Telephone: 534-4541 APPLICATION AND PERMIT t cNicocn,uu vca v� int i.vuniy vi Quirt w CIIICI uNun uIC above-mentioned property for inspection purposes. X Date 2-9 'fi "4.2 Signature of Permitee or Agen Receipt No. 17 It 3 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. I T R OF P LIC WORKS 'j IA t ' A7niji-ri, 1.401449 1 1 V_ Date ` permit expires Date _/e % t% BUILDING Owner ko—oSQ. FT. OCC. BUILDING VALUATION Mailing Address , Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. 7r Permit Fee $ Building Address �-- .. 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. 11...1 GT Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W.C— Sanitation I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans'W`ec'd Parcel Apprd o Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home DS Others ❑ Main service OVERAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 `� ]j•� Y}r- q�p�,Q_` i/ e7 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 20 sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea C �y 7O - I NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y .151, In cc %%7� nt&e� • Ex. Occup(OUTLETS OR FIXTURES) 50 BA@� FIXED APP LNS. OR Ex. OCCup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.3Q eK2'4Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Law -sof 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. iave 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 N A I I rAc �%j� 1.t AT -i tlr✓ 3 U ®r - TOTAL PERMIT FEE $ V 6d cNicocn,uu vca v� int i.vuniy vi Quirt w CIIICI uNun uIC above-mentioned property for inspection purposes. X Date 2-9 'fi "4.2 Signature of Permitee or Agen Receipt No. 17 It 3 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. I T R OF P LIC WORKS 'j IA t ' A7niji-ri, 1.401449 1 1 V_ Date ` permit expires Date _/e % t% MOBILEHOME SUPPORT DATA •Mobilehome Mfr.Setup Model No. Year Width �` (ft.) Length.-_ (.ft.) .:.Expand' .Size ft.x ft. (Draw support details. below),. On all mobilehomes manufactured.after October 7, 1973, furnish manufacturer's installation manu 1 and structural setup sheets (if not on.file with .the County of Butte) . ���v ,mac - S�nle SOLO" G-kFootings- (check-. one) _RI �Ypressure . Wood.either - treated or Center Center Support fdn. grade. Suppor Footing -Sizes Locati nsl' (in.) 2..Concrete pad. r-„� 1/ 6� / / 3. Other,:specify n.n:j�in� Supports (check one) 1. Concrete block r.._-- _ �6 X�0 / / 2. Concrete piers In'� (in.) (in. ) 3. Steel piers 4.. Other, specify (M. (in.)(in.) i J In.) P312nfij (in.) (in.) 4,. *If.center piers are other than drawn above, draw in locations, spacing, and, dimensions. Typical Support !J Footing Size �in. in. f Max. Pier Spacing BUTTE COUNTY BUILDING DE?ARTW"T APPROVED 1. Owner's name: 2. Installer's na 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 No (If yes, furnish permit number ) OR mobilehome site gas pipe size? ----------------- --- Is the site an existing site? Yes 10. What is the (If yes, furnish two (2) plot plans.) LPG A-1/ 11. 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and 12. clear of all setbacks and easements? Yes No mobilehome gas demand? ------ --- ------------------- (BTU) ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �% Amps 6. What is the O ' mobilehome site service rating? ----`--- Amps 7. What is the mobil ehome site circuit breaker rating? ------------- s 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes (If yes, identify the load..and. size: (Load) No T, / Amps) / (This information not required if pipe 1 or less than 50 ft..'on LPG.) le s than 6 ft. on natural gas 9. What is the mobilehome site gas pipe size? ----------------- --- (in.) 10. What is the type of gas service? ------------------- --------- Natural / /, LPG A-1/ 11. What is the gas pipe length from meter or tank o the mobilehome? .� (ft.) 12. What is the mobilehome gas demand? ------ --- ------------------- (BTU) (This information not required if pipe 1 or less than 50 ft..'on LPG.) le s than 6 ft. on natural gas COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS 7 County Cepter Drive - Orovi lie, California 95965 ��_7 Telephone: 534-4541 Y7 APPLICATION AND PERMIT OULHU111C ICt/IeJeIILGLIVeS UI Lne LUUIIIy UI OULLe lU enter UpUn Ine above-mentioned property for inspection purposes. X ��� �/'�— Date Signature of Permitee or Agent Receipt No. I G 0/ � 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 OF PU LIC WORKS V�_ 7 By Date Big permit expires Date BUILDING Owner Robert Baker SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor eller Construction Total Valuation Mailing Address P.O. BOX 509 Permit Fee Plan Checking Fee &/orPenalty Ma.galia, Ca 95954 ophon T�I(3a=b068 Permit Fee $ Building Address 4.10 Brevard Circle PLUMBING No. @ FEE PERMIT FILING FEE X $3.00^ Maga;lla, Ca 5954 Unit 15 Lot 58 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping X X1-50 o, Zoning Verificat' n Only Each gas water heater or vent 1.50 A. P. No. (0Y - C-0 ing Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 / Fear S t Ion Fire Dept. Fire Zone Use Permit Building sewer U'� EQA Parking arcel arc Ma Declarations 60' R/W Im rove ents P Lawn sprinkler system 2.00 ��Pla�ns� Bldg. PI'ans Rlec'd ��r ParrceI Approval Plans Approval Permit Fee $ $ _ n NEW ❑ ADDITION ❑ UTILITIES (X.OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE X $3.00 '- Main service 10000 AMP ORSLESS 5.00 - ^ Main service EA. ADD'L too AMP X 2.50 Single Family ❑ Duplex ❑ Mobil Home © Others ❑ OVER Main service OVER 25.00 AMPP OR LESS Main service EA. ADD'L 100 AMP 1.00 A00 SQ. al. NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. .20 sq ft NEW CONSTMULTI-OUTLET NON•RESID R. ( BRANCH CIRCUITS 2.50ea EOR MOBILES NEW CONSTR. (POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Fuller Construction Ex. Occup(OUTLETs OR FIXTURES PBOAL@109 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 P.O. Box 509 Magalia, Ca 95954 Mobile Home Facilities 15.00 / ^- License No. 289775 Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1 have placed on file with the County of Butte a certificate of In 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 i� ► c / e TOTAL PERMIT FEE $ OULHU111C ICt/IeJeIILGLIVeS UI Lne LUUIIIy UI OULLe lU enter UpUn Ine above-mentioned property for inspection purposes. X ��� �/'�— Date Signature of Permitee or Agent Receipt No. I G 0/ � 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 OF PU LIC WORKS V�_ 7 By Date Big permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Gerrter 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. Date Signature of Permitee or Agent Receipt No. I -7 ( t ZN • 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 G ���-� Date % in permit expires Date BUILDING Owner Robert Bader SQ. FT. OCC.1 BUILDING VALUATION Mailing Address , 1 Telephone No.` Fireplace Contractor Fuller. Construction, Inc. Total Valuation Mailing Address , P.O. BOX 509 Permit Fee Plan Checking Fee&/or Penalty Magalij_jrr% Ga,. 95954 Td lyo TCS 7Y2 8 Permit Fee $ Building Address Unit 15 Lot 58PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3 - /p Brevard Circle, Magalia, Ca 95954 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent X 1.500 _2 �j A. P. No. J Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F&&< W. -d. I Saai4ati®a FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 ans Rec Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑X OTHER ,Q.. ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 4U A y % 0 --;f7 Main service 600v OR LESS 5.00 100 AMP OR LESS / Main service EA. ADD -L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &\ 20Sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS &) R. RESID. (SINGLE OUTLET CIR. NON. 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: Fuller Construction, Inc. 50 Ex. Occup(OUTLETS OR FIXTURES) BAL01104 FIXED APPLNS Ex. Occup. (OUTLETS ((RESID )REA) 2.00 Temporary service ! 10.00 P.O. BOX 509 Magalia, Ca 95954 Mobile Home Facilities ) 15.00 License No. `346997 Classification A Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ r 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. I -7 ( t ZN • 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 G ���-� Date % in permit expires Date PERMIT NO. 4864-77B .PERMIT EXPIRES OWNER Robert Baker CONTR. Mari -John Const., Magalia LOCATION (A.P. 64-2,6-36 410 Brevard Cir., lot 58, PP#15,Magalia a i o d 'A.4 r rc <�r b Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED ' (Signature) SC2-y 44161 C a" ti ... ..s� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS °�- - BUILDING INSPECTION RECORD , BUI D G BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms .y Parapets 1st Floor Main Bldg Restroom Finish 2nd Floor Footingd Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation ' Patio FIREPLACE 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 Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE 3 a REMARKS OR CORRECTIONS . (NOTE: An entry must be made on this form each time you visit the job site.) 340�? zN _ .i o ; yi••., ` rountw of! Butte 15 DEPARTMENT OF PUBLIC WORK NOTICE TO OWNER: Post job card in a safe, conspicuous place at front of lot. Do not remove until the required inspections are made and building is approved for occupancy by this department.. Plans must be available on job- I i OWNER _ — Robert Bake' 64-26-36 A. P. NO.----- —_ Mari -John Gnst. Magalia, CONTRACTOR.__..--___----- 1 -------- 477i364� B PERMIT N0. --- 9/2077 DATE — ------ ApprovalsA Following Must Otated Before Proceeding, - BUILDING PLUMBING ELECTRICAx s` R h Temp,Pole Setback �� _ --- - �— ---- -- Forms __- Topout — Rein. Stf�I V Water Piping_ _� ,I Underground ' Piers lGas Piping_ Subpanels_ -- Bond Beam _ - — Sewer —._ i-- Service_ r Final Framing Water Htr. — Stucco Mesh/Lath Fixtures �I MECHANICAL _ Stucco Coats 1- Water Sup ly_ Heating_ 2 /3_ _- Septic_ Tank_ I — Cooling Windows Final I Ducts _ �_ FIREPLACE I , Ventilation Sidin -------- .--�----------- Roofing —___-- Foo_ti�_, -Throat Final Insulation Cert.,! _ Throat _ T� MH INSTALLATION Final Final Final CHICO - 695 Oleander Ave - 343-4211, ,Ext. 70 OROVILLE - 7 County Cer Drive - 534-4541' PARADISE - Skyway and iott Road - 871-3435 Fq 3 n COUNTY OF _BUTTE — DEPARTMENAr QF,PUBLIC WORKS r 7 County Center Drive — 'Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize repre,?6-nf1iItives of the County of Butte to enter upon the above-mentiod perty for inspection purposes. Date '9 / Signature`oPermitee or Agent eceipt 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 DIRECTOR OF PUBLIC WORKS By Date ,:;,_ Z 3 -2 B Zng permit expires Date i' z3 ' 7 P BUILDING Owner �/ SO. FT. OCC. BUILDING VALUATION Mailing Address ' Telephone No. Fireplace Contractor Y j -- s Total Valuation L Mailing Address��� -�•y Permit Fee Q r- Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ' Building Address S -' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / l 0 eff S/ oh Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 91 Each gas water heater or vent 1.50 A. P. No. (6 ,_� Zoning Planning' & Zr Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 F W'Gr Fire Dept. FireZone Use Permit Building sewer 5.00 EDA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im t§ P rovemen Lawn sprinkler system 2.00 Bldg. M4"W`5 Recd �� Parcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHERELECTRICAL ❑ No. @ FEE PERMIT FILING FEE $3.00 ° 00V OR Main service 1000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. f DWELLING OCCUP. & OR ACDNS. ACC. BL2�Sq ft NEW CONST R. (MULTI -OUTLET NON•RESID. (BRANCH CIRCUITS) 2.50ea ., NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of* �/ �- °/:� y : — � o u �� S Ex. Occup(OUTLETS OR FIXTURES) 50 BAL21 EX. OCCup.(OUTLETSFIXED AP(RESID.)REA)2.00 Temporary service 10.00 7110K1 ��, �, Mobile Home Facilities 15.00 3 / License No. o��� � [ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Calif omia. 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 1� 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. 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 is authorize repre,?6-nf1iItives of the County of Butte to enter upon the above-mentiod perty for inspection purposes. Date '9 / Signature`oPermitee or Agent eceipt 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 DIRECTOR OF PUBLIC WORKS By Date ,:;,_ Z 3 -2 B Zng permit expires Date i' z3 ' 7 P COUNTY OF BUTT. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — "Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT nns✓� dulnorize repres tanves OT the county OT ttutte to enter upon the above -mention erty r inspection purposes. p X Date rip, natur o^�Pe'miitee or Agent eo. 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 which fees have been paid. DIRE_GTO�A OF PUBLIC WORKS i B BUILDING 7F 1 Owner '"'-" ��. SO. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty `, T�e,Ah;ny /// t,13 `j Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 /d C 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.�a l� �3 Z Zoning & Planning Gas piping system 1 - 5 outlets : 1.50 Each additional outlet .30 F ertrtattafl I Fire Dept. Fire Zone Use Pennit Building sewer 5.00 EOA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 B14—;4a d Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADD TION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 // �T �%��j j�-7�. Main service 600V ORLESSOR 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 �.i G NEW CONST. DWELLING OC 2�Sq OR ADDNS. ACC. BLDGS. ft NEW CONSTR. MULTI-OUTL NON.RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: aYi — ���}?�-S Ex. Occup(OUTLETS OR FIXTURES) BAL� Ex. OCCU FIXED A RESS. OR P• ( OUTLETS CESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No,Q *-3� � � Classification s Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws-iVating to building construction, and hereby TOTAL PERMIT FEE $ dulnorize repres tanves OT the county OT ttutte to enter upon the above -mention erty r inspection purposes. p X Date rip, natur o^�Pe'miitee or Agent eo. 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 which fees have been paid. DIRE_GTO�A OF PUBLIC WORKS i B 4' 1 �LI! ( • ' 1 i - t ' i - �_M, SI ' rjj,�Ii1 •t l�. 'I I �' -`. ?'t) 1 Gti•' ,- L' kt{/, ! � -- �. a rl,...: to } .�1 'Y ' I;t YCfR �II�. : f. 1`t"�''r'N.•�F 't r �+ ,.''}�r (� d �L% 'v� );�i ! 'T r t•'� �;y'!r 4 ,1 et{1a / r I .� 1 ; t �c r�� It/S � 'T Fr(1r�N,(rtq" 'F. 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