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HomeMy WebLinkAbout064-280-00564-28-5 beat McClure 17 Brevard Ci ., lot 111, PP#15, cont: Hess Backhoe Serv., Paradise Permit',3483-77P,E(uti1.,MH) ELEC GAS �. SUPP RT STRUCt RE REQ.- COMPACTIG TEST' , Q. -7zlej-- J �- — 64-28-5 Contr: SOS MH Ser, radi � se Permit #4843-77MHI Issued 64-28-5 Permit #825-78B,(new`bovered d MH) (n w er-k. Jame )-at - - 64-28-5 �®rinne Ca la_ 175 Brevard Cir., lot 111, PP#15,Maga, contr.:_J_.TW.--Mar_ler-, Ma-galia- -- Pefmit #5060r80B(new�op ? ope .,,s4MH) �fto w aar�an� II(54-28-5 44CC- 28��- 5 �/ ^� James M. JQtes y( Q/ ��/� a / b - 175 Brevard Cirk:, MagZia Permit # 1538-82B(Carport/Mfi) ..., � •.. �-O— -064-05 x �,# PERMIT`#98 129,.,. Pga THOMarjorie ��, �.r6263cle, Mli . ,Sierra Mobile - Cont: Ex MH•'on"tPerm' Fred .664;280-005 e '02-3402 'SECRETARY OF HO ING U AN' " 6263 BREVARD CIR CONT: DOUG Z#'IpgE RE=TAG ELECTRIC 1`•. �3�' 16 A i 064,-280-005 02-3402 MAI� ORB SECRETARY OF HOUSING URBAN 6263 BREVARD CIRCLE, AGALIA CONT: DOUG ZIMMERLY C RE -TAG ELECTRIC - OFFICE COPY Address GAS Meter B ELECTRIC Meter By7 Q�a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION C . , 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 (Rev. 12/96) APPLICATION AND PERMIT t z ASSESSOR PARCEL NUMBER r, it ZONING BUILDING PERMIT OWNER SECRETARY OF N 1S 1 G t 1520— TELEPHONESO. c FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ?A REALTLY CONTRACTOR'S 'NAME 11300 SAC TUN WAY. S TELEPHONE 5 CONTRACTORS MAILING ADDRESS Ctu0"9TTri,-KCilJR: DCUr ZI(`1MERLY Fireplace LENDER'S MAJUNG ADDRESS 5005 D CLARK RD. Ll 8ARA 0W Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6263 8R1✓VARI) CIP.CLE MAGA IA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE -TAG ELECTRIC 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 600V OR LESS Main Service 200A OR LESS 23.00 2 ? Cj 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. T 1r License Class Lic. No. ..(_/ j 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 TO 46.00so CCU000A NEW CONST. DWELLING OCCUP. W OR ADDNS. 6 ACC. S. SO 3.50FT. NE NON,RESIp. MULTI -OUTLET @7,50 POWER APPARATUS aUTILET OUTLET ES Ex. Occup. OurLEr OR FDRUREs 20 ®I 00 �� Ex. Occup.FIXED TLE S Ra D) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 1,) nrp_ PERMIT FEE Sj' 0.00 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' 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 of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �, Date Az �G iii, SigureofApp1' - -❑-O/wht'�I ntractor ❑ Agent f An OSHA permit is required fofexcavations over 5'0" deep and demolition or construction structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD T7D7CEL PD HD ISS This permit is hereby issued under of the Butte County Code and/or 4tedvafor which fees have Dof IRESO 1 ) the applicable provisions Resolutions to do work been paid. DateReceipt Date No. 364587 . 6G 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT FVA ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ...1., . "'' 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 OZ � pf1! T (Rev.12/96) APPLICATION AND PERMIT �i ASSESSOR PARCEL NUMBER '34-930-005 ZONING BUILDING PERMIT OWNER i F T,Ry OF TELEPHONE i _Z r SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS GOLDEN ^- - r CONTRACTOR'S NAMETELEPHONE T wAy, } % CONTRACTORS MAILING ADDRESS ' c(!15R RN R: DOUG ZTMMERLY Fireplace LENDER'S MAILING ADDRESS 5905 D CLARK RD. _2L13 00 =' ? (EgUI valuation $ ARCHITECT OR ENGINEER+ LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 5263 BREVARD CIRCLE MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome O 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 ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: =ZE—TAG ELECTRIC Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE Main Service GOzoOAov OROR IESSSS 23.00 2 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. -A_�CJ � 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 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 Main Service soOA TO tOCU00A 46. 00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. eLos. SO so 3.50FT; . LTI-OUTLET p6IDTMU @7.50 WER APPARATUS b SPOINGLE OUTLET S EX. OCCU OUTLET OR FIXTURES BAL Q .50 Ex. Occup. oFIxLITe ALNS of 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 T"" _ A - PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 o t - - er ntractor ❑ Agent An OSHA permit is required f 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 $ r . 0 HA2. D. FEES IMP FLOOD cDF PARCEL Po HD ISS This permit is hereby issued under of the Butt County Code and/or indic ted for which fees have y PERM1 XPIRE O the applicable provisions Resolutions to do work been paid. ` Date I_ Defe rReceiptNo. �F S 3 % , �� _ (1(1 ITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION „ 7 County Center Drive • Oroville, California 95965 ' ;'2'96� • Telephone (530) 538-75 P APPLICATION AND PERMIT ��� IT NC A;SESSORPARCELNUMBER 20MNG �L� Z��S BUILDINGPERMIT OwNEo TELEPHONE SO. FT. OCC. BUILDING VALUATION g yp� AD OWN Eq(\`/vji INQ ss l '--_ -- OC \ yl ` r> TELEPHONE V/ o , /•^ J �/1�� CDNT 5 MAIUNO ADpRE33 lU D. � --- NFireplace C 13 ----- — Total Valuation $ARCHITECT O ARCHOR ENGINEER �i _' \ 7 _ LICENSE NO. Fling Fee $ 20.00 Permit Fee $ -- Plan Checking Fee - ARCHITECT OR ENGINEERS "UNG ADDRESS BUILDING DOR AES , 0A6 ��� L w\� Energy Plan Checking Fee S -- PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex O Mobilehome Other Solar or heat um water heater 23.00 SPECIFv Water piping -- P p g 1 5.00 Each as water heater or vent 15.00 TYPE OF New ❑ Addition El Remodel ❑ Utilitiesa❑ Instal tion ❑ Other 13 Gasi in system 1 • 5 outlets 15.00 // V� Building sewer 15.00 Describe Work:-1,�1iI�Q ��SLI ] Mobile Home ISIG W @20.001 ! PERMIT FEE S IL LECTRICAL PERMIT Fling Feel 20.00 Main Service 600V oR LEss 200A OR LESS 23. • Main Service 200A TO 1000A l 46.001 NEW CONST. ( DWELLING OCCUP. SO "- OR ADONs. a ACC. elos. 3.5,s' • N CONS MULTI.OUTLET NON-RESIo. @7.50 POWER APPARATUS & SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES 20 0 I.00 84L (g� .501 Ex. Occup. OFIXUTtETS RESID.OE4 I 5.00 *PEP IT FEE Pith s `S Temporary Service 23.00 5M Mobile,Home Facilities 20.00 c_V" �'"�� 0' �r �* SHERIFF OTNE.R - s � RMIT FEE S tx � _ MECHANICAL PERMIT Firing Fee 20.00 Heating Cooling - Hood 6.50 Ventilation • AA6VNT RECEZVab PERMIT FEIE S Mobile Home Installation Fee Energy $ Inspection Fee $ A occ coNST. TMPE TOTAL FEE $ *To se � � comim HA2. D. FEES IMP FLOOD CDF PARCEL PD I HD i LSSCE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work - indicated above for which fees have been paid. By Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date p ' PRE -INSPECTION REPORT OWNER: r LOCATION: - CONTRACTOR.--,1)21/\C-,Z ,Z , 1b -i > l, -N 9�1__ PRE-INSPEnON DATE,TO INSPE&OR: L,/ PERMff HLSiORY:( ) NONE T �WAS DATE: A.P. #• 0 Building Description: Electric: Gay: Commercial/Usage: ResidendaYN of Units: Currently Occupied Abandoned/Vacant BUILDING IYSPBC[OR'S RKPORT Yes No Electric currently On Off Condition of Electric Natural Propane, Obvious Problems: Sanitation: Plumbing Working L_ - None_ Currently On Off Well Working_ Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED:' LSSUE HOLD FOR .h • Inspector. Date " �,`/�/ ' Sketch buildings on reverse and indicate location on proper COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive APOro ille, California 95965 • Telephone (530) 538-751 If?AZSESS RP ICATION AND PERMIT �j P lT N A,:SESSORPARCELNUMBER N t % G/ 20MN0 BUILDING PERMIT27 OwNE TELEPHONE SO_ FT. OCC.BUILDING VALUATION OW NERrB'MAR1N01OMPCe l . O D C T ^ TELEPHONE COM S MAIUNCI ADDRESS ` CIA 5pD`j� ARCHITECT OR ENGINEER ^ t EUCEIZE NO. ARCHITECT OR ENGINEERS MAKING ADDRESS BUILDING ADDRESS �j �� �� vn^ I-^ n LOT NO. I SUBDNISIONS NAME USEOFSTRUCTURE SF'❑ Duplex ❑ Mobilehome Other SPEC" TYPE OF WORK New ❑ Addition ❑ Remodel E3Utilities)❑ 71tion ❑ Other ❑ Describe Work:, PERAIT FEE PAU> SRA SHERIFF AAWW P-Wft Et> = " TO is rvr INTO COMA Fireplace Total Valuation V ra nnI ree b Permit Fee $ Plan Checking Fee $ Energy Plan Checking Fee ---L$ 3 PERMIT FEE $ PLUMBING PERMIT Each Trap Solar or heat pump water heater Water oioina tach gas water heater or vent Gas piping system 1 - 5 outlets ouiming sewer Mobile Home PERMIT FEE $ ELECTRICAL PERMIT Main Service .0 AOR LESS 200A OR LESS Main Service 200A TO 1000A i 20.00 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ng Feel 20.0.0 23.0& 4-6.00I' 3.5¢F° @7.50 Ex. Occup. OUTLET OR 11IMAES 20 ® I•00 Ex. Occup. FUCEO APPUtI OR BAL so otmt�s RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00. RMIT FEE IS f n(n MECHANICAL PERMIT I FiIna Fee 1 20.00 6.50 PERMIT FEI I S Mobile Home Installation Fee $ Energy Inspection Fee $ occ co�T• 'Pt TOTAL FEE $ NAZ• D. FEES IMP FLOOD CDF PARCEL PD I HD ; ISSUE This permit is hereby issued under the applicable provisions Of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By ReceiptNo. PERMIT EXPIRES ON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date 64-28-5 ber t McClure 7 _ Br evar'� bert McClure 17 Brevard Ciif/, lot 111, PP#15, Maga cont: 'Hess Backhoe Serv., Paradise jt , �4� Permit'.3483-77P,E(util.,MH) ELEC Z *ay.0'q!'Q GAS S SUPP T STE UPP RT 8TRUdWRE REQ. COMPACTIG TEST Q. -7z-dr— --.64-28-5 contr: SOS MH Ser, radise Permit #4843-77MHI Issued 64-28-5 Permit #82 5-78F(ned"bo vere d dec eCnI wIrP% dapta�Il�al_..64-28- orin e Callaghan - 175 5 Brevard Cir., lot ill, PP#15,Maga 7 tr. r ";6� a ia -�`-�con J.. W. Marler, Magalia 0 Pefmi #15060f-80 n e 7d L 4-28-5 /,D/ James M. Jdhes i / 7 / Y-1-- 4Magi a 17-5 Brevard Cirr. , Permit # 1538-82B(Carport 064-280-005. PERMIT#98-1298 THOMAS, Marjorie 6263 Brevard Circles MaZgaW Cont: Sierra Mobile. 7�� %8' Ex MH on Perm Fnd J L= F'I A RE00RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 99a—GDO28323 Recorded Official Records I REC FEE .00 I COWORM Countyy Of .00 I CAMEuJ. GRUBBS I Recorder i 09:12AN 08 -Jul -1998 i 1 PagesI of 2 3— SPACE ABOYE THIS LINE FOR RECORDER USE ONLY ' f 11 NOTICE OF MANUFACTURED HOME (MOBELEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property descnbed with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARJORIE E. THOMAS REAL PROPERTY OWNER/LESSOR 6263 BREVARD CIRCLE MAIIJNG ADDRESS _ MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP ROBERT S & JOANNE S. BOELTER/ I�AkJORIE -E-: UNIT OWNER fdalsoproperty owner, write'SAME') 6263 BREVARD CIRCLE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 crrt coorm srwrs av UNIT DESCRIPTION BUDDY 1977 BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT sad CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 98-1298 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 7/2/98 SIGNATURE OF LOCAL AG&CY.2fijefAL DATE THOMAS NONE DEALER NAME fJmt a dealer sak, write'NONE') DEALER LICENSE NO. CALYPSO MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 61811A/61811B 60'X24' CAL 064176, 064177 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER SEE ATTACHED LEGAL DESCRIPTION. A.P. # 064-280-005 HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - AppBcant GOLDENROD- Building Dept. LEGAL DESCRIPTION A.P. #064-280-005 The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 111, as shown on that certain Map entitled, "PARADISE PINES UNIT 15", recorded int he 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 described herein, and that no damage shall be done to the surface of said land. TOGETHER WITH an easement for driveway purposes over the Southeasterly 20 feet of Lots 109 and 110 of said subdivision. PARCEL II: A non-exclusive easement over Lots A, B and C (the common areas) of said Paradise Pines Unit 15 and the lots designated for common and recreation areas as described in the Declarations of Annexation for Units IV, VI, VIII, X, XI, XII, XIII, XIV and XV. _ RESIDENTIAL 064-280-005 PERMIT#98-11298 PERMIT NO THOMAS,Marjorie — 6263 Brevard Circle,-,Mag_alia------ PERMIT EXI Cont: Sierra Mobile / Ex MH on Perm Fnd C) - OWNER CONTR. ASSESSOR PARCEL LOCATION I 4rTHE-HCD-FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAVE BEEN TURNED IN TO THE BLDG DIV: j (1) LICENSE PLATE(S) or DECAL(THE INSPECTOR MUST RETRIEVE INSPECTOR TO VERIFY SERIAL & LABEL #'S CHECKED SRA BY FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY i Temp. Power Pole / Called PG&E / Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature � a V=OK ' 0 = Not OK Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location•Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /"L'ft. / /Nat. or/ /"L'Yt./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test-Demand-VaKe•Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Sg,"f Occupancy Permanent Foundation Only: License Decal Date Card B-1 Date• Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plane) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rttrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns-Connectons-Splice-Decal-Enclosures 6. Carports; Windows -Doors 7. Electric 8. Fnng.; 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 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pod Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. TesbWater Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #s Date 1. Zoning-Setbacks-Easments-Flood-Slope 2. Ftg., Main; Soils-Elec. Gmd. / P Ftg. Depth Hangers -Post Caps -Anchors -Connectors 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /` Ftg. Depth Cling. Joist-Rf r. Ties-Purlin-roff Bra c:Truss-Shting.-Ring. 4. Ftg. Porches & Decks; SoilsSteel-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat clearance 5. Stemwalls, Main; Steel-Blockouts-Wrapped Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6a. Hold Downs and Special Anchors Garage Fire Protection Framing 7. Slab, Steel -Wrapped Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 53. 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test 54. 10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 55. 11. Water Pipe; Test -Anchors -Regulator -Service Test 56. 12. Electric Underground 57. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation Shear Walls; Nailing -Bolts 16. Insulation 60. Brace Interior / Exterior Wall Panels 61. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Date PLUMBING (Permit) OK except #'s Card B-1 Date Card B-1 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor-NaH Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sae & Anchors 66. Bedroom Exiting Date 67. Card B-1 Date Card B-1 Date 68. Card B-1 Date Card B-1 Date 69. ELECTRICAL (Permit) OK except #s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Bo es & No. of Conductors Stapled 26. Romex kstalled Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water Garage Fire Door; Swing -Landing -Closure 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI A.C. Duct in Garage -Damper 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga Cu or Al Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or AI Insulated Neutral 0 Yes 0 No Plb., Elec. & Mech. Equip. Listed for Location 31. Service -Riser Conductors & Ground -Main Disconect Elec. Receptacles in Garage (G.F.I.)-Romex Protection 32. Equip. Clearances Panels -Motors -Meth. Epuip. Insulation -Foam -Looked in Attic 33. Clothes Closet Light -Shower Light -Spa Light Guard rails & Deck Construction -Post Caps 34. Smoke Detector 82. Following Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No Date 83. Card B-1 Date Card B-1 Date 84. Card B-1 Date Card B-1 Date 85. MECHANICAL (Permit) OK except Ws 35. A.C. Ducts Insulation & Support Water Well, Disconnect, Electrical, Plumbing 36. Vent Fan, Exhaust above insulation Exterior Elec. Trim, G.F.I. Receptacle -Underground 37. Condensate Drain & Overflow, Size & Grade 88. 38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet 89. 39. Attic Access & Platform if Furnace in Attic 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. 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 Card B-1 Date Card B-1 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Card B-1 Date Card B-1 42. Bearing Walls over Girders & Floor Nailing Card B-1 Date Card B-1 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rf r. Ties-Purlin-roff Bra c:Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior / Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except *'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 NoNValks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: i L F COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541R� PERMIT PL . -� (Rev. 12/96) ' ,APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER 064-280-005 ZONING BUILDING PERMIT OWNER MARJORTE THOT-JAS TELEPHONE SO. Fr. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 1440 R 771760. CONTRACTOR'S NAME SIERRA TELEPHONE a 877-8575 CONTRACTORS MAIUNG ADDRESS 8975 SKYWAY, PARADISE - CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23 , OO BUILDING ADDRESS 6263 BREVARD CIRCLE, MAGAITA Energy Plan Checking Fee $ $ PERMIT FEE $ 313.25 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: EX MH ON PERM FND Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Feel 20.00 Main Service 200AORLESS 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. u License Class LIC. NO. 1 70 j 8G OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLINUR G OCC OR ADONS. ( 8 ACC. BLD S. s0 3.50FT. NON-REIDT MULTI.OUTLET @7,50 POr APPARATUS a SINGLE OUTLET CIR. Ex, OCCU OUTLET OR FIXTURES 20 @ 1'00 BAL- @ .50 Ex. Occup. DU'TLEEDTS . o�1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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. ff 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 %_ 2 A A41 -4Q MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number `(G - (f -1 umzz Ll )-,c 7 (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'HAZ. compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. {� _ ,, / /) q p X 'd� '_''4 Date Pn 9 l o 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 $ 363.25 D. FEES IMP _ __ FLOOD -e CDF PARCEL PD ND o ISSUE This permit is hereby issued under of the Butte County Code and/or indicat bove for w 'ch fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. qlof,?? DReceiptNo. Dele 31394 63.00 02 3' .z) WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK-INSP CTOR GOLDENROD -APPLICANT ,�„h.-._r �,.s.,�. oF`,,..,+qw}�'RWi�M'ls�T�(""t„K"'y�;+�F`b4 �3'*ii`�4tTt`�'�i�.i�t4.1;,v�-;r• COUNTY O.F BUTTE •_ DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - - X 7 COUNTY CENTER DRIVE - OROVILLE, CA1;IFO1aA 95965 - TELEPHONE (916) 538-7541 `?�1IIT APPLICATION DATA SHEET OWNER: 4A�JtD&ier ASSESSOR PARCEL ER: Proposed Building Use: 171 .114- _ Building Inspector: Date: At time of permit application, I was advised the following data must bee miffed prior to permit processing and/or issuance: Date Received By It have been submitted.------------------- --- -- ------------------------------------------------------- 1o, 3/4 sets, signed by the pr ar�epparer f ----------------------------------------------------------- A/ ❑3. Complete plans, 3/4 sets, signed by p of ans.---=------------------------------------------------- ❑4. 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! ------------------ 06. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- a ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ ❑9. MF. anu- factured Home data and installation instructions including Tie Down Specifications.----------------- 4-11 Feesof $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------------------- I ❑ 12: California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. 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. ----------------- ---------------------------- 0 IT Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- 111. 9. ---------------------- ❑1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑ 20. Pre -inspection for required. Request to Building Inspector on (Date) ❑21. Contractor's license information. (Number, Name Style, Classification). --------------------- 0 22. --------------------❑22. Workers' Compensation carrier and policy number. -----------------------------------------=----------------- ❑;23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- E124. ------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use.---------------------------------- 1127. --------------------------------- ❑27. Manufactured Home utility clearance. -------------------------- 028. Existing violations and/or expired permits. -------------------- ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other:, When you issu thjermit, process follows 11 Mail to owner, []Mail to con actor. ❑Telephone 7 / OCf %.f and hold for pickup at ✓l L office. 11 Deliver with inspector. ? C�S� -�. • w , Applicant: �' Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: 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•t.)fe 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 Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D' 'sion counter, by D 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. utte -Coun LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: =15) 538-7541 FAX: f9") 538-2140 Building'Division Fax Cover Sheet Date 7/ �S- / y x Time P 5 To �a�r+raOl�� �P Individual Phone Fax _ e,g r%s From/Z -e- Phone Phone Fax # of pages being sent (including this cover sheet)_ Message • T kw 5 (h ' r/.. . .4' , RECORDING REQUESTED BY: .i i:i� xKi)JOA 13T►:Ii�f7ii i� BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 08 -Jul -1998 1998-0028323 Has not been compared with original Butte COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBMEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property descnbed with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. MARJORIE E. THOMAS REAL PROPERTY OWNFRAESSOR 6263 BREVARD CIRCLE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP ROBERT S & JOANNE S. BOELTER/ M�ARJORIE E. UNIT OWNER (d also pro" rover, writ'SAME•) 6263 BREVARD CIRCLE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CRT MUM RATA m BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 98-1298 (530) 538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 7/2/98' SIGNATURE OF LOCAL AG OjtWIAL DATE THOMAS ' NONE DEALER NAME (if na a dealer sale, writ *NONE*) DEALER LICENSE NO. BUDDY 1977 CALYPSO MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEMUMBER 61811A/61811B 60'X24' CAL 064176, 064177 SERIAL NUMBER(S) LENGTH XWIDTH p INSIGNWLABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL. NUMB�{ ER A.P. 1/ 064-280-005 SEE ATTACHED LEGAL DESCRIPTION. HCD FORM 433(A) REV. 8/91 WHITE - Cmaly Reoo'der CANARY - HCD PINK - Appli mm GOLDENROD- Building Dqa. e LEGAL DESCRIPTION A.P. #064-280-005 The land referred to herein is described as follows: All that certain real property situate in the County of Butte, State of California, described as follows: PARCEL I: Lot 111, as shown on that certain Map entitled, "PARADISE PINES UNIT 15 ", recorded int he 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 described herein, and that no damage shall be done to the surface of said land. TOGETHER WITH an easement for driveway purposes over the Southeasterly 20 feet of Lots 109 and 110 of said subdivision. PARCEL II: A non-exclusive easement over Lots A, B and C (the common areas) of said Paradise Pines Unit 15 and the lots designated for common and recreation areas as described in the Declarations of Annexation for Units IV, VI, VIII, X, XI, XII, XIII, XIV and XV. r BUILDING PERAUT NUMBER: 98-1298 Address or location of unit: 6263 BREVARD CIRCLE, MAGALIA, CA 95954 Legal Description of Real Property: A.P.#064-280-005 SEE ATTACHED LEGAL DESCRIPTION. (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: ROBERT S. AND JOANNE S. BOELTER/MARJORIE E. THOMAS Owner's address: 6263 BREVARD CIRCLE, MAGALIA, CA 95954 INSIGNIA OR HUD NUMBER: CAL 064176, 064177 SERIAL NUMBER OR V.I.N.: 61811A/61811B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1977 OFFICIAL APPROVING INSTALLATION: DATE: 7/2/98 PHONE: (530) 538-7541 H.C.D. 513C _ .JUN -19-98 Vraer No. Escrow No. Loan No, FFA I 09:23 FSBO r --. WHEN RECORDED MAIL TO: Marjorie E. Thomas 6263 Brevard Circle Magalia, CA 95954 DOCUMENTARY TRANSFER TAX $ 2h'.4. -S7 ................. Computed on the Consideration or value of propf7dy Conveyed; OR v ... Computed on the consideration or value less lieps or encumbrances remaining at time of sale. AF# 064-28U-005 872 6909 g 17,0363 `' 363 12 1 Rec Fee I DOC Recorded 1 IHF Official Rocorde 1 Check County of Butte t Candace J. Grubb& 1 Recorder 1 1s03pm 29 -Sep -97 t NUBL SPACE A60VE THIS LINE FOR R GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, cleranl or Al P.02 c�} 8.00 21.45 2. oo 31.45 XX 2 USE ROBERT S. WELTER and JOANNE S. WELTER, husband and wife, and MARJORIE E. THOMAS, a single woman. all as joint tenants hereby GRANT(S) to MARJORIE E. THOMAS, a single woman the real property in the City of f'�Q� �� ` p", County of Butte Schedule C attached Dated P—% '-C STATE OF CALIFORNIA. 11 /� 4 & c }ss. CQUNTtr OF [C%% } Onbefore me, SET 41 ti -(. personally appearedo� E /t r . o cc -7`L 4.)A--)6 personally known to me (or proved to me o basis of satisfactory evidence) to be the persons) whose names) ' ergibed to the within ,nstrumen acknowledged to me that he/ acute same hi;rA eir uthorized cdpecity(ies), and hitr/h en a�ir igna- ture(s) o instrument the person(s) or the entity upon be►r81Tof which the person(;) acted, executed the instrument. WITNESS my d and official se I. Signature 4/1—" MAIL TAX STATEMENTS T0: CZxULe , State of California, described as ROBERT S. WELTER, JOANNE S. ROUTER JANET A DANS IELCO COFAM...1022247 n NOTARY PUtsIr rAUF0MIA m ORANGE t:(1UfiTY My Com. Fxp, Apra (rhls area for official notarial Beal) • JIN- 1.3-90 F R. I I 1 :4'2 F _:E;0 872 _6909 P. 02 Order No. 3- SUEMULE C tF e C3 rp to" w. Cou nt.y of of All -oill property F;ituate 111 00 California, ay f(Ill(1wri, A R C. V; 1. .1 "PARAD11F.', PINU t1t4IT '15" t C. q 1: ta '01,40ty of P.ut.tf'., state Of recoroed in . the 1(! 0 -f f i <,'re cf t.11p Recorcler of the C cleg 42, 43, andc,44. Cal1971 I'll Bc)ok 38 of MAPS, at, Pa - j. f j,j).y 15. i1c) atiot . h I er jiyflrocarbotle ffille.rag , l TOEREFROM all 011., gas3. arphalrilin a rills shall I)e (3oll anand all In.ining CoPet' wj,th Tjr0vj5j()jI that a frim iri.f ices c��.itNicle t lie surface ar*;.ja <)f the l.aiad cje.qv.rfl:)cd hereill, ami e surface or lie. dol,le to 1:11 E.over rile jKmtheaet rly 20 1111 I flit %0ll 111i aeamelnetit. for driveway [it.v, of I.,r.)r..q 1()q and 110 (:)t said. nubdivi*i011- Ap Nc.. 0(.4 -?80-005 c -V4 e.a.sellient over bot.j A, (-ollilnoll All(j. 'Qcr.-Cation ots designatQd for L:Iljt 15 and tile 1. Unit',jV. VT. parmbse cril:,Pd In rhe Declara , t i xation f Area8 a8 d" " I XTV and Xv. V71-1, X, X11 x. 11. SND OF 'All DOCUMrr-N r . n A STATE OF CALIFORNIN-DEPARTMENT OF•HOUSING ANU COMMUNITY DEVELOPMENT benV0Y6AVVAll enAnn unwti runup tAAblJfAf,.TURER NAME/IO . _ _ _ _ ...... 1MOk' NAME .... MODEL .. OOM DOT DFS .,v .. SPC L 1%4'f Z I EXPIpA11c GOLDEN NEST/ CALYPSO CALYPSO 00/00/77 00/00/77 U SERIAL NUMBER f 61811A D'L/INSIGNIA UMBERy CAL064176 10 00000 ENGiH 00720 WIDTH 000144 ISSUED SCC 07/03/92 04 EXEMPT USE SFD z 618110 CAL064177 000000 000720 000144 TOTAL a FEES s PAID: s $39.00 A D D R 4 6 6 E R 6 0 M L A 9 2 T l IE R 6 D 0 s W I N T E V • R 6 f't L 0 A L 0 N N e R J u P N I I R 0e R T BOELTER ROBERT S/JOANNE S/ THOMAS MARJORIE E JTRS 6Z63 BREVARD CIR MAGALIA CA 95954 `yt t'y. rUN BOELTER ROBERT S'JOAIiNE S/ THOMAS HARJORIE E JTRS r�'� S. i,y 6263 BREVARD CIR MAGALIA e., <" �tA 95954 �:,... k �;rry 6263 BREVARD C & BK AMER 11090 HHITE:a RD RANCHO CORDWA"'� CA DATE: 05/4/92 12:00:00 OVPLICATR COPY �• TO OC FILEO WITH THE MOBILEHOMIR 'DARK 0PAPATOR A8 REQVIRED 8Y LAW 'r �b 0 ;r 00'. ^ f o4p : IV - IMPORTANT 03-182•-00388 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. z THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 030001. 6 Z' 9 1538-82B PERMIT N0. ' PERMIT EXPIRES OWNER James Jones CONTR. Owner ASSESSOR PARCEL 64-28-5 LOCATION 175 Brevard Circle, Magalia t i r i �r ;= Temp. Power Pole_ t Called PG&E _ ,,. s Temp. Elec. Service Called PG&E Temp. Gas Servi`c"e _ t CalledP&E .. J013 FINAL/ED (Date) Signature J = OK 0 = Not OK r - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready l� Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECj I COVERS, P , ETC. (Plans) Gr, except N 1. Zoning Requirements -Setbacks -Easements requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size-Depth--Spacing-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4.; ood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg. r3racing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum n.; Columns-Connections-Splice-Decal-Enc.os;,res arports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -B -ate �� /7jccd BI' Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating 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 -I 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 = Not Ready RESIDENTIAL (SPngle,and Duplex) Date UNDERFLOOR Plans OK exce t#'s• Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / _ f" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe: Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 53. 54. 55. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts _ 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 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 in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps -_ 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral r_Yes ❑No 75, Followinginstld.: Drive El Yes ❑ No; Walks ❑Yes ❑ No; Planters ❑Yes ONO 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 Card B -I -- Date_ Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'s 82. Glass Protection 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. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade __- 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access ,.& Platform if Furnace in Attic Card -BI Card -BI ---- - -- -- -- - ----- Date - - Card -B I__ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 36. Sills; Proper Material & Anchors Comments at Final: 37. 38. 39. _Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_ _ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles-- affles_46. Bdrm. Win_do_ws or Exiting Doors -Sill Hgt. & Dimensions_ Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) VCOUNTY OF BUTTE -DEPARTMENT OF PUBLIC W0 S VV 7 County Center Drive - Oroville, California 95965 Telephone 91 534 4541 APPLICATION'AND PERMIT PERMIT NO. .A ASSESSOR PARCEL NUMBER e �y/ j\ ZO IN' 1 BUILDING PERMIT k o ER TELEPHONE SQ. FT. OCC -1 BUILDING VALUATION J O ER'S A NG AD KESS , CON AC S 'S NnA E ONE V CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER W UNKNOWN n Total Valuation $ Z.. Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ - ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 C �J Each Trap 2.00 Repair drainage or vent piping 5.00 + Water piping LOT NO. 1 t1 I SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTUN SF ❑ Duplex[] Mobilehome� Other 9 4L - SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New* Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Descrri"''°°°°be work: 7900V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 OR LES Main service 100 AMP ORS SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) rZQ Sq ft OR ADDNS. \ ACC. BLDGS. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUS Iness and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason rNioN-R°esio R BRANCH CSLTs 2.50 ea NEW CONSTR. POWER APPARATUS O NON-RESID. %SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES gAL� 00 IXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai said County in consequ a of the granting of this permit. �_ 7 ,�� X Date Ignature of Applicant wner� Contractor ❑ Agent ❑ ren An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3ories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD I HD VISS VJ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS o By ` Date e PERMIT EXPIRES Date G / TGA'- Receipt No. r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ci ///c- O �' I a. fikRMIT NO. 3483-•17P,E • PERMIT EXPIRES 7// fl 7 OWNER Albert McCltae 64-28-5 CONTR. LOCATION (A.P. Hess Backhoe,-.-Serv., Paradise 175 Brevard Cir., lot 111, PP#15, Magalia •t � K • f � .,R r �1 • i a } ., t1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E b Temp. Gas Serv. Called PG&E 4 — FINALED _ l3 (Date) (Signatu -- 9. Electrical ' A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yeses No B. Is there proper clearances around panels? Yes`\ No C. Is power supply cord,or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes No , 1. De -energize electrical wiring system of the mobilehome at the pedestal 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the ' mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA J_ Manufacturer and/or Namestyle '(>.v Vv Length Width Z� Vehicle Serial No. State Identification No. Additional Information or Comments: 1 MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located' h 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) S)(— No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes\ No 4. Is the mobilehome level? (Sec. 5088) Yes�No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fl xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No ;Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No C. Backflow I coach is not State of California approved, does station have backflow device and pressur 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 (Z)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 i of State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Vents A. Connector : I mobileho a connected to the gas supply with an approved 3/4" minimum mobilehome con ctor no more than 6 ft. long? Note: All piping is to be at least as large as the mob'lehom gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per foll 1. Open all applia 2. Shut off appl g procedure? Yes_ No_ connector valves. rner and pilot valves. 3. Air test with man mete to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz ) ca rated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobil home with connector, turn on gas, test connections with soapy water. I C. Are all appliance vents properly installed? Yes_ No I F k Mesh COUNTY OF BUTTE — DEPARTMENT SOF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. F ult Prot. BUILDING BUILDING (Cont'd) PLUMBING Set k F ewaII Soil ipin Forms Par ets 1st Xoor Main Idg. Rest om Finish 2nd F or Foo gs Windo 3rd Fick Stem II Siding To out Slab Roof Shea'%Ing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sical handica ed Conformance of ex. V structure V A (lances Gas Piping &Test Temp. Gas Slab A Final Sanitation Patio F EP CE Final Footin s Footing ECTRICA Masonry Walls Throat Rou h Reinf. Stee Final Fixtures Bond BeaptIRE Olt EA I Motors Framing Test I Water Htr Mesh MECHANICAL Grd. F ult Prot. Scr ch Heatirli Servile B wn CooLfhg Amp. Pole ish D is nder round /IerlorLath ntllatlonPermanent Closer Inal Flnal MOBILEHOME UTILITIES ---------------•-- Elec. Service. -7 Elec. Pedestal Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity P d Watt,r Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS �Ly �� IL" (NOTE: An entry must be made on this form each time you visit the job site.) a .4 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 6f the California Administrative Code, Title 25, Chapter 51 under permit number .2 foi the -following location: 71 -owner Owner's Address til` A to Mobilehome'Mfg. Model Year '7 Insignia No. Serial No. It is hereby by for occupancy at Lite abovc described location and ..may be occupied. Director -of Public Works -D'a- te,_ &) By f 4 '' . , /Z . THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED ow COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS County CenterlDrive — Uroville, California 95965 Telephone: 5.34-4541 APPLICATION AND PERMIT 4 '^ ,cH,cacn.au VeS 01 Me %aouray UI Butte to enter upon the above-mentioned property for inspection purposes. Date "C Signature of Permi:�t!e or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOV'O)F PUBLIC WORKS BY Date �— z'� - % 2 wilding permit expires Date _ 2,1- 7,r BUILDING OwnerOC Im SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor .S.0-5. ,ery J Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty T ephoneo. , ,j Permit Fee Building AddressPLUMBING U No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 ,,,t 4,0%` Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ,� _� C� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Rec'd ParcelprovaI PI s Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �ry GlJq If(t 3 (Y�— % Main service 80000 V OR AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil HomeRl Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS & NON- R. 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: Ex. Occup(OUTLETS OR FIXTURES)@2511 BAL @' (FIXED Ex. OCCU FIXED APPLNS. OR (RE SID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.��9S�GS1 Classification � Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify 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 �y / A / 30 ITOTAL PERMIT FEE 0 ^� '^ ,cH,cacn.au VeS 01 Me %aouray UI Butte to enter upon the above-mentioned property for inspection purposes. Date "C Signature of Permi:�t!e or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOV'O)F PUBLIC WORKS BY Date �— z'� - % 2 wilding permit expires Date _ 2,1- 7,r ' MOBILEHOME SUPPORT DATA Mobilehome Mfr. e i �etup Model No./d — % ® Year. Width Jft.) Length (.ft.) . Exp/paando .Size ft.x ft. (Draw support details below)... On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. (.if not on .file with .th County of Butte). ,� /H �m S le Footings -(check one) Center Support Footing Sizes (in.) ZX� in: jZ iri.� (in.)(in.) 4 - R). (in.) (in.) �. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 1. Wood.either pressure,treated or fdn. grade. 2.. Concrete pad. 3. Other,:specify Supports (check one) Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support gx,3,�2 )Footing Size in. r Max. Pier Spacing t i.n . ) i Max. l Overhang BUTTE COUNTY BUILDING DRARTMENT i APPROVED �I Max. Pier Spacing t i.n . ) i Max. l Overhang BUTTE COUNTY BUILDING DRARTMENT i APPROVED �I BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center. Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Al _,('S _,�% / 2. Installer's name;,-), C/- 3. Is the site currently under permit? Yes No (If yes, furnish permit number 3 `% % %� ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobi-lehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes / / (If yes; identify the load..and size: (Load) No Tt_ _(Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ------------------------ ---- Nat 11. What is the gas pipe length from meter or tank to them 'leh (ft.) 12, What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less"-t-han-6�n natural gas or less than 50 ft_. on LPG.) `. COUNTY OF BUTTE„ - DEPARTMENT OF PUBLIC WORKS - 7 County Center Drive — Uroville, California 95965 � ���� �7�/J Telephone: 934-4541 I / • APPLICATION AND PERMIT /11I SILO �' ill_**� authorize representatives of the County of Butte to enter upon the above-mentioned property for insp tion purposes. �J X0 '` Date 7-11 " 77 Signature of Permite or Agent Receipt No. &4�z5� 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 OFnPBLIC WORKS BY Date 7—/, 77 But ding permit expires Date �' %� BUILDING Owner y S G U — SQ. FT. OCC. BUILDING VALUATION Mailing Address A _A 4v yG / n 9/ Telepho No. W ^ fU (� Fireplace Contractor 9,4 ZX C - r Total Valuation Mailing Address O v Permit Fee Checking Fee&/or Penalty A `G TPlan Telephone No. 3 Permit Fee $ Building Address 13 - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 O 17� I ' A Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping t'SD D CU P76nbg VQrlfice+ion Onik Each gas water heater or vent 1.50 A. P. �� f�7 r Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fkle's S a ion Fire Dept. Firezone Use Permit Building sewer EQA Parking A Plans Parcel Declaration Parcel Ma' p 60R/W Imvements Lawn sprinkler system 2.00 &P97 &P9 Pla4�'�Rec'd P el Approval Ions Approval Permit Fee $ 0 p $ O( NEW :, ADDITION ❑ UTILITIES' OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 too Main service 100v DR LESS 5.00 Q 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 O Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVER 60 Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ,,.,t ( C Q. �• �.1 ,i LiLi SW JV'1 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 20sgft NON-RESID NEW CONSTR. ( BRANCH CIRCUITS) 2.50ea �J/� MOMS FOR MOBIISC. NEW CONSTR. (POWER APPARATUS .&) NON-RESID. t 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:Ex. Ex. Occup(OUTLETS OR FIXTURES)50 @251 BAL@1 Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 ^/AC�c�jmL��jj ArCdelyi !'YES S Mobile Home Facilities 15.00 Q / �1 License No. 3© 66 / Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of LOL 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 lLJ �G 60t TOTAL PER MIT FEE $ 7-7 b 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for insp tion purposes. �J X0 '` Date 7-11 " 77 Signature of Permite or Agent Receipt No. &4�z5� 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 OFnPBLIC WORKS BY Date 7—/, 77 But ding permit expires Date �' %� Dh. yL� 4 , + F >PERMIT NO. 5060-80B. PERMIT EXPIRES /V/y 4 OWNER Corinne Callaghan H J. w. Marler, Magalia CONTR. ASSESSOR PARCEL 64-28-5 LOCATION 175 Brevard Cir., lot 111, PP#15, Magalia r� } ; Temp. Power Pole E1 Called PG&E i� Temp. Elec. Service Called PG 'E Temp. Gas'` ervice C IedPG&E VBFINALED (Date) — /0&ql�o Signature Y Dh. yL� 4 , + F >PERMIT NO. 5060-80B. PERMIT EXPIRES /V/y 4 OWNER Corinne Callaghan H J. w. Marler, Magalia CONTR. ASSESSOR PARCEL 64-28-5 LOCATION 175 Brevard Cir., lot 111, PP#15, Magalia r� } ; Temp. Power Pole E1 Called PG&E i� Temp. Elec. Service Called PG 'E Temp. Gas'` ervice C IedPG&E VBFINALED (Date) — /0&ql�o Signature J = OK O = Not OK ' = Not Applicable MOBILEHOMES * = Npt Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Ptsns) OK except H's Date DEC, COVERS, qlVPORTS, ETC.glans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support-Sketch/,'footings:-Size- oning Require a ts-Setbacks- sements pth-Spaci nnect rs 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girde a /oro' t - eckin Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. W sts- s - nnec.-Shthg.-Rfg.-Bracing 5. I ns -Conn ns -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ P'L"ft./ /"Nat.or/ /"L" ft./ /"LPGrp s; Wino s -Doors 7. Utility Clearance 7. Elec - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except a's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances -GF] 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 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 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 �Il J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth -- -- 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 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. 24. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ED No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes El 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 M's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. _Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. 34. Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI Date Date Card -BI Date - Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36. 37. Sills; Proper Material & Anchors 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. 42. 43. 44. 45. Header _& Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. 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 you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. T • - 7 County Center Dr-ive - Oroville, California 95965 - Telephone 916/534-4541 �-- U APPLICAT.101, ArND PERMIT � ASSE:q PARYL NUMBER �' ^J/ ZONING BUILDING PRIX I OW ERn n l•- 04L–LA h - TELEPHONE S0. FTS OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME v� Vis C -4Z70 -' TELEPHONE �y •- ©�i CON ACCT p"SS MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAI'UNG ADDRESS Permit Fee $ ( p ARCHITECT OR ENGINEER LICENSE NO.Plan Checking Fee $ !� Penalty $ AR HITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 13iQk��NtO cti PLUMBING PERMIT Filing Fee 3.00 Each Trap 1 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. 1 SUBDIVISION NAME PARCEL MAP Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome)6 Other SPECIFY Building sewer Lawn sprinkler system+-i.-00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP OR0V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. c� ` License No. sl RA 6 6 N Classification �) ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NON.RESID R BRANCH CTRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID, SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50@25C BAL@10Q FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. -n( I have placed on file with the County of Butte Building Department 9G� 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 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 ainstE agaid County in consequence of the granting of this permit. X Date 0 Sig at re of Applicant - Owner❑ Contractor ❑ Agent ❑ A SHA permit is required for excavations over 5'0" deep and demolition or construct- i of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE oc CUP. GROUP ` I TYPE of CONST. v �� IPARCELIPD C-1 ND S9U s This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PE#1T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ,erg Receipt No. 143G / y-- WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT { PERMIT NO. 825-78B PERMIT EXPIRES ;:, owNER Albert McClure CONTR. owner LOCATION (A.P. 64-28-5 ) f 175 BreVard Cir., lot 111, PP#15, Magalia �� drCiF 4,ers�esat � O s Temp. Power Pole Called PG&E Temp. Elec. Serv. -Called PG&E Temp. Gas Serv. Called PG&E JOB j FINALED t (Date) (Signature) I y / I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOP RECORD BUILDING BUILDING (Cont'd) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Footings Stemwa I I Slab Carport Footings Slab Patio Footings isonry Walls Reinf. Steel Bond Beam Mesh Scratch Brown Firewall Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for phsically handicapped Conformance of ex. FIREPLACE Footing Throat Final FIRE SPRINKLERS Test Final MECHANICAL Heatina Soil Pipin 1st Flo 2nd Flo 3rd Flo, PLUMBING Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECT 7a Water Htr. Subpanels Grd. Fault Pr Service Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -------------------- Elec. Service Elec_ Pedestal Water Piping Sewer Gas Piping MOBILEHO ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REM RKS OR CORRECTIONS of / a� � �l��sr . vdz Y-AZI>r. (NOTE: An entry must be made on this form each time you visit the job site.). COUNTY OF BUTTE. B�1TTE � DEPARTMENT OF PUBLIC WORKS w • 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICKION XND PERMIT Fo%5-:-7f, im L� wu m ze iepiesentauves of the L.OunLy UI Butte to enter upon the above -mention d property for ins p�cti{onnpurposes. 01 Date gnature-of Permitee—or/ Agent Receipt No. (0 (;l,' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have n paid. DIRECTO ROF PUBLIC WORKS By -Date _3— - % p Building permit expires Date �'� — BUILDING Owner L (l Lt SO. FT. OCC. BUILDING VALUATION Mai I i ng Address S H. , 8C9 _7 [— f' eex Telephone No. Fireplace Contractor ES'S(; Total Valuation [ L, Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 n r� 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 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fs ti Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Declaration Parcel Map�1660' R/W Improvements Lawn sprinkler system 2.00 Brans Recd Parcel Approval` Pans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 V OR LE Main service 10000 AMP 0RSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 60 Main service 00 AMR OR LESS 25.00 Main service EA. ADD'L loo AMP 1.00 V�i/1 LVam" V L. V VE NEW CONST LING CCVP. &) 2�sgft OR ADDNS( DACCLBL GS. NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTSL 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 04 FIXED ALNS. Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ;f �1 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.1 @ I 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 CountylOrdinances and State Laws relating to building construction, jand hereby TOTAL PERMIT FEE $ wu m ze iepiesentauves of the L.OunLy UI Butte to enter upon the above -mention d property for ins p�cti{onnpurposes. 01 Date gnature-of Permitee—or/ Agent Receipt No. (0 (;l,' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have n paid. DIRECTO ROF PUBLIC WORKS By -Date _3— - % p Building permit expires Date �'� — i A�� Gil-o�!•05 stat Of ph L Ppt, Qn t"11 -jo''b at "�� -611 to ria 16 €stay chntees or c. ttho t, z7 i LLe-??t pfirmicaion fmin ttj i-Idj ZZ 'w.c j— of Pub;" 1I ,) NOTE, All MatcWfi AncorclAnco Aor]an p ,fl re Its of 'with neOognt od Good ,Pr�.UtIM Quality PrV-scribed for 9nd L -t the 17niform BPOWIed un0 Codes a th, S Plumbing V I�i0oh4W04; owl.�eLI polo. J •�t�OEaK S�„ ; {1 •A ;G� �f K �. =' Iq IVA- 1 7,1 J �) <<s>��/ i � r r d� 01 • MOEILEHOME SUPPORT DATA Mobilehome Mf r6dL14 f Llr�6��etup Model No./ Year Width (ft.) Length (ft.) . •Expando�'Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets..(if not on file wi h th ,.County of Butte). &jt MIH : - S 1► Footings- (check ones I� ,d (in.) (in.) �. 1. Wood.either pressure treated or fdn. grade. 2.. Concrete pad. 3. Other,: specify Supports (check one'. 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify (� Typical Support Footing Size (tt �Max. Pier Spzcing - Overhang *If center piers are other than drawn above, _ COUNTY draw in locations, spacing, and dimensions. BUTTE BUILDING DE?ARTMENT IED Center Center Support Support Footing Sizes Locations (in.) a - . in. � i"-. ft) ET Col -)-(in.) jinn) in. 1 ,d (in.) (in.) �. 1. Wood.either pressure treated or fdn. grade. 2.. Concrete pad. 3. Other,: specify Supports (check one'. 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify (� Typical Support Footing Size (tt �Max. Pier Spzcing - Overhang *If center piers are other than drawn above, _ COUNTY draw in locations, spacing, and dimensions. BUTTE BUILDING DE?ARTMENT IED !± W T 1.01 EXISTING MOBILE I ppBT1110 RON" I ACH MEAM21I ACH SEAM c �EX1711No MOBILE I v !AM ACH B � � � L�J C3 ED CNI I I I I E I I I ® ® ' T ; � o a SEISMIC F 1CRS I Sr7E11IC PIERS I i B FOUNDATION I I I t FOUNDATION PADS � (� �I I OUTU NO OUTLINE "4 OP MOBILE OF MOMILE I COACH r, COACH I 1 j DOUBLE WIDE TYPICAL HiNGLE WIDE TYPICAL , r 201, 24', 26' OR 28' , .D T DOUBLE WIDE MOBILE COACH u , SINGLE 'WIDE MOBILE COACH Scale: 1" - 10' Scale: 1" 10' 1�OTE: STANDARD PIER & FOOTING SIPACING FOR MORE THAN TRIPLE WIDE UNITS, SUBMIT PER MOBILE HOME MANUFACTIURER'3 LAYOUT TO THARP R ASSOC. FOR APPROVAL. INSTALLATION MANUAL. STANDARD PIER tit FOOTING SPACING CONFIGURATION SHOWN IS THIE MINIMUM PER MOBILE HOUE MANUFACTURER'S NUMBER OF ?ADS REQUIRED. INSTALLATION MANUAL. CONFIGURATION SHOWN 13 THE MINIMUM NUMBER OF PADS REQUIRED. r ELEVATION NOT TO SCALE COACH I BEAM 3' X 3' PLATE 4 - 3/S' MAX TUBE HEIGHT BOLTS S' SHORT 'TUBE 14' LONG TUBE 2' DIA STD PIPE 4 - 3/9' 0 BOLTS TIGHTEN 3/16' PLATE TO ISO CLAMP IN -POUNDS TORQUE 3/4' THREADED 3/16' PLATE LEGS ROD TYP OF 4 5/16' PLATE 5/1' X 1 1/4' BOLT WITH HARDENED WASHER SEISMIC PIER Not to ScQl C.P. SEISMIC PIER#1 - PATENT PENDIN NOTE, 1S0 IN -POUNDS IS EQUIVALENT TO 15 FT -POUNDS 2 - 3/8' x 1' DOLTS FIELD DRILL HOLES ' OPTION OF 4 - #14 TEX STS COACH C OR J BEAM 1/4'x2'x4' 3" x 3' PLATE ANGLE 3' WIDE 4 - 1/2' SEISMIC DOLTS ,� PIER TYPICAL BEAM CONNECTIONS Not to Scale 12 SC iN OVERSIZE FDR CNippiNG AND tit CORNER BREAKAGE -4 8' h - INSERT F 5/4' x 1 1/4' M.B. • 8' 24' 1--- 36 1/2' --j 5/•• :TAINLESS`SAiiEL ANCHOR INSERT 3.5' 4x4 -4x4 WF 1• J 1 PRECAST CONCRETE FOUNDATION PAD 30'x32'x3/4' PLYWOOD HOLES FOR 1/2' x 2 1/2' C.D. 18'x32'x3/4' PLYWOOD SCALE, V = 1,5' x cll NKRAi. NOTES: RZFERENCI: CALIFORNIA CODE Olt REGULATIONS, TMX 23 AND U.1Q 1"41DTTION. 1, DESIGN LOADI: 2. THE DESIGN LOADS SMALL DE CONRiSTENT WITH ROOT LIYR LARD, WIND LOAD, AND SEISMIC ZONE AS 1s'TABUSHED FOR P1R:MANENT SunDr,IO WI'I M A S"LMW LOCAL ARIA. j' 3. THIS FOUNDATION iB C�ONSiDIRID TO OOTISITITTt1 A P1<RMANWT FOUNDATION 4. ALL FOOT" ARTS TO ESTE lUrPORM BY FIRM, UNSATURATED. bMWMWD OOIIESIVI SOIL, FOOTINGS AR1 DESIGNED FOR l000 mF TOTAL LOAD SOIL rRE v*z AND SHALL Bs CoMMTmUi WITH LOCAL sm CONDITIONS. 3. ITRUCfURAL STT'.RU. I a SHALL CgNFORM TO ASTM AM tL -� 36 KSI MINIMUM. . E' 11. SHALL BiI FABRICATED ACCOItDi 6 TO AISC SPECIE cAT10NS. , a SHALL Bit WEU ED ACCORDING TO MVS SPIC1r1CATIONS: �] L ELECTRODRS: E70 (L PLATES: ASTM A36 } OL ANCHOR BOLTS: ASTM A307 h. BOLTS: THREADED ORS -ASTM A44"ASTM A325 �. THREADED ROTI~ COLD DRAWN LOW CARBON WELDABLE 4 ALLMITI'ALCOMFONENTS INCLUDING NAILS R SOWS ITC. AR1 TO U PROTEOTIVX COATED. 6. THE PIER AND RiDGE f31!•AM SUPPORT MIEMBLIES SHAD. 151 COATED WITH SI IERMAN WI[ DAMS E61 -RC2 OR APPROVED 1QUIVALMNT AND SHALL BE USTID AND LMWM BY CERTIPM TI STINO AND CON9MTW0 SERVICES (CTC) FOR WIE FOLLOWING LOADS: 1 1700 M MAX { L LATERAII.: I RTiCJAL 13000 b MAX � k VE 7. THIS FOUNDATION iSS FOR ?LACING MANUFACTURED BUILDINGS CONSTRUCTED WITH LONGITUDINAL OR CROSS JOINTS I 1 S. THIS r'OUNDATION ?SAN IS DESIGNED TO Df i CONtMIJC'IL'D ON A FAIRLY IiVEL SE[1 ►ETH NO FJQ mo SOIL ?ROBLIZMS. Q I><TI'i.ftl uff OCCURS DUE TO POOR SOH, SUN= P. 9. iN AREAS WHERE DNFFERENTiAL SIT?LEMENT (D.S.) CAN OCCUR. MANUFACRIRED HommIHAfl. B1 READIUS MD WHEN' D.R EXCEEDS 1/47, OR WHEN II' WILL ADVIRSILY AF� THZ USE O i I THL MANUFACIVRID HOIMZ. 10. THIS SYSTEM 11 ADAIFTABLZ TO STANDARD iIOLIOW MASONRY BLOCK PIERS. I 11. FOR ROOF LM LOADS OF UP TO f0 rip. THIS FOUNDATION SYSTEM MAY BE USED WjM THE NUMBER OF C.P. SEISMIC PIERS SHOWIN ON THE PLAIN. HOWEVER, ROOF LOADS HIGHER THAN 30 FI[+ MAY "SQUIRE TILE US1 OF ADDITIONAL S'TANiDARD ?AD AND I'=$UP"TSASPIRTHI)V1A1NUFACITJRIR'SINSTALLATIONMANUAL. � w OUNUATION PAID NOTES: I 1 1. THE FDUNDATtoN PMD QIOWN ON THIS PIAN IS A PRECAST CONCRETE F OU NDAT1 PAD, THE PLYWOOD. FOUNDATION PAD MAY BR USED AN ALTERNATE ! -FOUNDATION PADS SHALL 11K FLACED ON L zVKL % tu)uTU1t!<ED SOIL2. , 3. L 30M Mi AT 23 DAYS A$ TESTED AND MAMJFAC'TUM BY STARU'11< WEIGHT CONCRIT>< ►. PREFERRED T'AD ormTrAT*N WHERE EVitR POMIBLE IS THAT THE LONG WMI4000 OF T1iR RAD 11., PERFINDICIPL.AR TO THR COACH BEAM (AS SHOWN ON THS PLAN} a WHERE FIELD CONDITIONS REQUIRE ?AD ROTATION, NO MORE THAN HALF OF THI rADR IN A TRAVERSE 11INE CAN 31 ROTATED SO THAT THS LONG DIMENSION OF 'M PADS ARI PARALLEL TO THZ COACH IBEAM. 4. PSirLntitsTLTEIII?LYWOODFOUNDATION tAD 3/4 INCH A P'.A. 024 EXTERIOR P.S.L43 CC. PUIOOED. NIR - QA 397. rR?-LOS- ' COACH SIZE NO'S'ES: 1. MAXIMUM UINGTH OF SIiNGLE WIDE COACH - 62 FERE: I I MAXIMUM LSNOTH OF DOUBLs WIDZ COACH - 70 FII•T. 3. UNLESS APPROVED ,BY THARP A ASSOC, FLOOR TO ROOK HEIGHT NOT TO 1xCEID: � IL S 11121 FOR 2INGf1 WIOR COACHES r k !0 FEET FOR 20' DOUBLE WIDS COACHRf a 12 FIB'S FOR 24'. W. A 21' DOUBLA WWI COACHES ( (: 4. FORTRI LX WI M CO►AIC11S{!„ FOLLOW ilAM3 PLACEMENT FATnRN AS lIIOWty ON TH1 DOvsti rvID1 fAOBII.t COACH. 1 { 1 i S. FOR ANY COACH SUR OTHER TITAN AS 211OWN ON THIS PLAN OR REFERENCED AsoM -i HI PIER AND PAD LAYOUT SHALL B1 IRRMWID AND APPROVED BY DONALD M. THARP A A960CIA7I2. I i BF;AM SIZE NOTES: t' 3/4' PLYWOOD SHEETS 1. IPACINO SHOWN 0)N THIS PLAN ARI FOR NIB COACWITH 101NCH AND 12 INCH BEAMS OR S INCH PACO SCREWED TOGETHER WITH CORRUOATID BLAINS. ; 12 NS x 1 1/2' FHWS 6' i---- 32' ------0 ALTERNATIVE PLYWOOD FOUNDATION PAD SCALE= V=1.5' 2. ANY OTHER S INCHI BEAM W NOT TO CAME RVER MORE 131AN 6.0 PEST ON EACH 1ND OF UNIT AND SPACING OF SS IS IC PIERS CAN NOT ECCEED 13.5 PITT. I' I *%m4k* >vA /Qxw.4�wwa B tii4A► f '1 ' '1A11N AMIE 3/r„Hif CV(1R. fE(11KThi Tit I ' A001t0VF0 F~ M, P. m*ci td comstu " iMano i S a+ .p,r yy/ j,,.r. +•m rMhMatr N 4pw'h• ,wwn r*N,-w.,wv+ ul w v1'.;uLN Subs lo" FMR 44MOMN 7R sme •t C•ul•..»• rr �3 Qry rnw.wK.t 1101401V Old C►srMrARy 0+.rixprwrM 'D p1V1Sa:7et C CG`OES PING STANOARITIS V v `L �lF CVIS �1� i QF, CAL1I'0 Ocite $PA NO. d coin. Foo -5P i�N +A iwwirAA FBtpk1N ..L�B RENEWAL OF STATIN 8fjRMn TAiS 304F AND 30-•5 I i i I REVISIONS I By v's His, k'3 ' �:. ''•#,'�',s,' ,Ise ; Sz < x. f qu N 't. WS, r; < fn F �+ • Lrr � W 0% cc a OV00 p�q 0� C/3 N WWW N Date 09/08/97 scale As Shown Drawn JLT Joe 95-36 Shoot 1 R of 1 Shoots