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Home My WebLink About064-320-022i COMPLAINT TO INSPECTOR '1131o4 BIMT COOPER � 9 �,�—Cumberland Dr., lot 22, PP#4 "contr: J.T. McGregor, Paradise --Perit# 414745P,E(util,, MH ELEC . GAS �• L,,/�c�, SUPPORT STRUCTURE REQ' gyp COMPACTION TEST REQ.` 4D 64-32-22 C tri • ,adi�e o ar Conce s ara 568 -' 7 M13I� - s ued-zQ-/ - 7 - 64-32-22 - 1 contr:Earle Toume,. Par - - L Permit ��19„Q.1=77MHI -#;Zoll>> Issued y`ZZ—Z 7 64-32-22 t Permit #2512-7WB(ne;a deck/MH) 7 , 64-32-22 contr: Sierra Mobile Home Supply, Para:` Permit �� i7-77B(n w a nings/MH 64-32-22 { j contr: Richards.,Pa irting & Remodeling, Paradise Permit #1541-78B,E(new private garage) 64$32-22 I C/ l T' 64-32-22 Permit#1185;,83B(adds or a shed/garage t; h uJ G%2% 064-320=022— ' 'f #98-2815 STEINLE, LEO & LINDA �. 6389 CUMBERLAND RD.,MAG , DAN NESSI �riG•� �/- REPLACE MAIN SERV. PANEL 064-320-022 06-0255 STEINLE, LEO ' 6389 CUMBERLAND RD, MAGALIA Cont: OWNER MH PERM FND (EX)l�`O 1Pr^ n t t i 1 ' BIMT COOPER � 9 �,�—Cumberland Dr., lot 22, PP#4 "contr: J.T. McGregor, Paradise --Perit# 414745P,E(util,, MH ELEC . GAS �• L,,/�c�, SUPPORT STRUCTURE REQ' gyp COMPACTION TEST REQ.` 4D 64-32-22 C tri • ,adi�e o ar Conce s ara 568 -' 7 M13I� - s ued-zQ-/ - 7 - 64-32-22 - 1 contr:Earle Toume,. Par - - L Permit ��19„Q.1=77MHI -#;Zoll>> Issued y`ZZ—Z 7 64-32-22 t Permit #2512-7WB(ne;a deck/MH) 7 , 64-32-22 contr: Sierra Mobile Home Supply, Para:` Permit �� i7-77B(n w a nings/MH 64-32-22 { j contr: Richards.,Pa irting & Remodeling, Paradise Permit #1541-78B,E(new private garage) 64$32-22 I C/ l T' 64-32-22 Permit#1185;,83B(adds or a shed/garage t; h uJ G%2% 064-320=022— ' 'f #98-2815 STEINLE, LEO & LINDA �. 6389 CUMBERLAND RD.,MAG , DAN NESSI �riG•� �/- REPLACE MAIN SERV. PANEL 064-320-022 06-0255 STEINLE, LEO ' 6389 CUMBERLAND RD, MAGALIA Cont: OWNER MH PERM FND (EX)l�`O 1Pr^ n t I RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 2006-0008285 Recorded I REC FEE 10.00 Official Records I County of I CONFORMED COPY 1.00 Butte I CMCE J. GRUBBS i County Clerk—Recorderl I KL 010:07AN 16—Feh—M I Page 1 of I I I I !! 1 1 1 1! 1 1 I! I I I I! ! I! I I! I! l l! I!I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LEO AND LINDA STEINLE REAL PROPERTY OWNEWLESSOR 6389 CUMBERLAND ROAD MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0255 530 538-7541 BUILDI PERMIT N0. TELEPHONE NUMBER 2--14 -0 C� SIGNATI]!IRE_0_F LOCAL AG IV Y OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1977 MOUNTAIN HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 2503AM 60 x 24 042873/4 SERIALNUMBER(S) LENGTH XWIDTH 1NSIGNIA/LABELNUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER 064-320-022 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. PARCEL I• S LOT 22, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 1, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 97 THRU 101. - CERTIFICATE OF CORRECTION RECORDED. DECEMBER 2, 1970, IN BOOK 1648, PAGE 4, OFFICIAL RECORDS. 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. PARCEL II• A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C AND D (THE COMMON AREAS OF SAID PARADISE. PINES UNIT NO. 5, AND THE LOT A OF PARADISE PINES UNIT NO. 4, FOR INGRESS, EGRESS AND THE USES AND PURPOSES SET FORTH IN THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS, AMENDMENTS THERETO AND THE DECLARATION OF ANNEXATION FOR .PARADISE PINES UNIT NO. 4. f 1 1 � 1 - I I END OF DOCUMENT ' K. i RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 16 -Feb -2006 2006-0008285 Has not been compared with original BUTTE COUNTY COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LEO AND LINDA STEINLE 1977 REAL PROPERTY OWNER/LESSOR MANUFACTURERS NAME 6389 CUMBERLAND ROAD MODEL NAMEINUMBER MAILING ADDRESS 60 X 24 MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 06-0255 530 538-7541 BUILD PERMIT N0. TELEPHONE NUMBER E 2 14-oC) SIGNATtRE O LOCAL AG151 Y OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO UNKNOWN 1977 MOUNTAIN HOME MANUFACTURERS NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 2503A/B 60 X 24 042873/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSORS PARCEL NUMBER 064-320-022 kD FORM 433(A) REV. 8/91 PARCEL I- LOT 22, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 4", WHICH MAP WAS. RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON OCTOBER 1, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 97 THRU 101. - CERTIFICATE OF CORRECTION RECORDED DECEMBER 2, 1970, IN BOOK 1648, PAGE 41 OFFICIAL RECORDS. 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. PARCEL II- A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C AND D (THE COMMON AREAS) OF SAID PARADISE PINES UNIT NO. 5, AND THE. LOT A OF PARADISE PINES UNIT NO. 4, FOR INGRESS, EGRESS AND THE USES AND PURPOSES SET �FORTH IN THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS, AMENDMENTS THERETO AND THE DECLARATION OF. ANNEXATION FOR PARADISE PINES UNIT NO. 4. �y END OF DOCUMENT a 0 RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE TRIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to -the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. LEO AND LINDA STEINLE REAL PROPERTY OWNER/LESSOR 6389 CUMBERLAND ROAD MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT SAME CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS - SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE Zi 06-0255 530 538-7541 BUILD�TIJG PERMIT N0. TELEPHONE NUMBER 2-I `I-0 v SIGNATMtE–O—F LOCAL AGIVY OFFICIAL - DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. UNKNOWN 1977 MOUNTAIN HOME MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 2503A/B 60 X 24 042873/4 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) 1 REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER 064-320-022 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. PARCEL I• LOT 22, AS.SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. -4", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,.STATE OF CALIFORNIA, ON OCTOBER 1, 1970, IN BOOK 35 OF MAPS, AT PAGE(S) 97 THRU 101: CERTIFICATE OF CORRECTION RECORDED DECEMBER 2, 1970, IN BOOK 1648, PAGE 4, OFFICIAL RECORDS. 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. PARCEL II• A NON-EXCLUSIVE EASEMENT OVER LOTS A, B, C AND D (THE. COMMON AREAS) OF SAID PARADISE. PINES UNIT NO. 5, AND THE LOT A OF PARADISE PINES UNIT NO. 4, FOR INGRESS,. EGRESS AND THE USES AND PURPOSES SET FORTH IN THE DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS, AMENDMENTS THERETO AND THE DECLARATION OF ANNEXATION FOR.PARADISE PINES UNIT NO. 4. END OF DOCUMENT FOUNDATION SYSTEM CERTIFICATE OF OCCUPANCY.. BUILDING PERMITS NUMBER: 06-0255 Address or location of unit: 6389 CUMBERLAND ROAD, MAGALIA Legal Description of Real Property: 064-320-022 SEE ATTACHED (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: LEO AND LINDA STEINLE Owner's address: 6389 CUMBERLAND ROAD, MAGALIA INSIGNIA OR HUD NUMBER: 042873/4 SERIAL NUMBER OR V.I.N.: 2503A/B MANUFACTURER'S NAME: UNKNOWN YEAR: 1977 OFFICIAL APPROVING INSTALLATION: DATE: PHONE: (530) 538-7541 H.C.D. 513C REQUESTED BY MID VALLEY TITLE Escrow No. 127459DH Loan No. WHEN RECORDED MAIL TO: - MR. & MRS. LEO STEINLC 6389 CUMBERLAND RD. 'MAGALIA, CA. 95954 MAIL TAX STATEMENTS TO: S A NI E v "..FOV` AP 064-320--022-000 011"[ill4 92-0281141 Rec Fee 8.00 DOC 66.00 Recorded I Check 74.00 Official Records I County of - Butte Candace.J. Grubbs I Recorder I 8:00am 20-May792 I MVTC JJ 2 DOCUMENTARY TRANSFER TAX $66.00+MOBILE HOME Computed on the consideration or value of property conveyed; OR cor,ifueti on diw CCnS1O%r'n::cl: vi vzii;e;c*3 :Ien3 of %iOwioiw'ldrices remaining at time of sale. ThP undPr-�nP(I r!2rantnr t1prlarps Signature of Declarant or Agent determining tax - Finn Name GRANT DEED FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, BURTON L COOPER AND ANN H. COOPER, HUSBAND AND WIFE hereby GRANT(S) to LEO STEINLXAND LINDA STEINLE HUSBAND AND WIFE AS JOINT TENANTS the real property in the County of as Dated May 5, 1992 UNINCORPORATED AREA BUTTE , State of California, described SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF } STATE OF CALIF RNIA )ss. COUNTY OF v4 } On 1 8� bebe me, the undersigned personally appeared_ i L l�7 D C0 O 49 - fa, .9 rVo Atiti H - e2eo z personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within Instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the Instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS.my.hand and official seal. Signatures OFFICIAL SEAL MAURINE R. JOHNSON • NOTARY PUBLIC • CALIFORNIA BUTTE COUNTY l44y Comm. Expires Feb. 5, 1993 STATE OF CALIFORNIA "e10f 3 `� BUSINESS, TRANSPORTATION AND HOUSING AGENCY �' DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT �e �s s DIVISION OF CODES AND STANDARDS `4yo�n REGISTRATION AND TITLING PROGRAM APPLICATION FOR DUPLICATE CERTIFICATE OF TITLE FDECAL TMENT USE ONLY Name of Manufacturer MFG ID # yT�raa�de Name " 1 � l� L'IL '1� -1Vl 1'i Model Name or # Date of Manufacture O i'1 C/ Calif. Dealer License # Date of Transfer to Dealer from MFG ILT Exemption Date First Sold New DECAL/LICENSE # MANUFACTURER SERIAL NUMBER(S) HUD LABEL OR HCD INSIGNIA # LENGTH (inches) WIDTH (inches) WEIGHT (pounds) DATE FIRST SOLD (if different than above) `fa53 S 3 (� O 190 ft tLty'' �AV q.0- ---W �s0 3 Iq a-73 ADD UNITS ❑ DEPARTMENT USE ONLY USE CODE EXPIRATION DATE TAX TYPE ORIG COST PRICE CODE YR SALE PRICE PPF ILT EXT LPT PPT RF RECEIPT NUMBER(S) RECEIPT DATE(S) CLERK'S INITIALS SALE DATE ILT REGISTERED OWNER(S) [Print True Name(s)] Last 1 Irk First O Middle MRF PEN1 PEN2 MAILING ADDRESS .LOCATION ADDRESS OF UNIT Street (03 �'y(� LLM �Q b — 1 t- I/ 0j)5K 0A q 5� Street City U State Zip TRF LEGAL OWNER (print true name) (�//�1 '� a-4 `�� r TOD DUPT MAILING ADDRESS /1 Street S fM �e i a ' \C State �" �` J DUPR APPLICATION FOR TRANSFER BY NEW OWNERS Me request that the new Certificate of Title and Registration Card to be issued as follows: susD CONF REGISTERED OWNER(S) [Print true name(s)] Last 1' S�- n 2� First �Q Q Middle S )�— 3. If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ VRREG MAILING ADDRESS FUTURE MAILING ADDRESS LOCATION ADDRESS UNIT Street �^ (� _ Street Street (/,_ [) City �(j( City County cCl�OMPRO Tle �Staatle State Zip ZipOF LEGAL OWNER (print true name) O N \ i v CCP If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO TOTAL MAILING ADDRESS Street City State Zip FIRST JUNIOR LIENHOLDER 'v (print true name) If applicable, check one of the following: ❑ TENCOM OR ❑ JTRS ❑ TENCOM AND ❑ COMPRO MAILING ADDRESS Street City State Zip HCD 480.4 - Side 1 (7/97) } Butte County Department of Development Services. a°TrE. rRE' IN O T E S 7 County Center Drive, Oroville, CA 95965 _ . !� 530 538-7601 • °°uw�y• ( ) vnvw.butt�county neudds RESIDENTIAL APN: Permit No. Owner. 064-320-022 — r _ -- �06-0255 j STEINLE, LEO Site Address: 6389 CUMBERLAND RD, MAGALIA F Cont: OWNER Contractor- ,I`1VIH PERM FND i- TYpe of Permit, S SPECIAL CONDITIONS CHECKED BY 0 SRA ❑ FLOOD CERTIFICATE EQUIRED ❑ FIRE SPRINKLERS REQUIRED ❑ SPECIAL INSPECTION ITEMS ❑ VERIFY ❑ USE PERMIT CONDITIONS ❑ SUB -STANDARD HOUSING LETTER ❑ ENCROACHMENT PERMIT ❑ REINSPECTION FEE PAID ❑ ENV HLTH CLEARANCE E-1 E. N1 1` DATE JOB FINALED: `O I SIGNATURE: �� +=OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION Lj SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap . Nat Q or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S'C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Encisrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis s` DATE jPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel -Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding-, Metal w/5'-Crcitng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Bones-Enclsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide .e s` 0'6 m� o'er ds Pool Drawing = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE JUNDERFLOOR DATE JPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd flr - Tub•Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test o'• 1.t Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16• Insulation 64 Furnace -Vent Acc-Comb Air RtrnfVent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic c` DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE F I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & flr Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties -Purl in -Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpnl, Breaker Sts & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood PnI, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrfir Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-Skylts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loan 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Ins ultn-Walls-Ceilin gs 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑ Yes [::]No o'`• o` o'• 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GF1 Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 9 ❑ CU or ❑AL 98 Address Posted AC Wire Sz ga ❑CU or [_1 AL 99 Fire Sprinkler 48 Range Circ ga ❑CU or❑AL Oven Circ ga ❑ cu., ❑AL Insulated Neutral ❑Yes ❑No o+`• 0�� o.• �s 0 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP060255 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 02/13/2006 APN: 064-320-022-000 the Business and Professions Code, and my license is in full force and effect. License Class : License Number: Site Address: 6389 CUMBERLAND RD MAG Date: Contractor: Map Index: Description: EX MH PERM FND OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: STEINLE LEO & LINDA to its issuance, also requires the applicant for such permit to file a 6389 CUMBERLAND RD signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section MAGALIA, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95954 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, avid the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: STEINLE LEO & LINDA owner of property who builds or improves thereon, and who does 6389 CUMBERLAND RD such work himself or herself or through his or her own employees, MAGALIA, CA provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one 95954 year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Ex� pt under Arti of the Bu�� Professions Code Date yLj�4 Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Architect: ElI have and will maintain workers' compensation insurance, as Engineer: 9 required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 1 certify that in the performance of the work for which this permit.is Census Code: issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forth ith co ly with those provisions. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one / �LI,/�yl�� hundred thousand dollars ($100,000), in addition to the cost of 1"JI f compensation, damages as provided For in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby iss ed under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions -to wor ndicate bove for which fees have been paid. t ) - t 3 'r G ( _ Name: By: Date: `� 1 PERMIT EXPIRES N: V Address: Date ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize rep sentatives of Butte ounty to a er upon the above mentioned property for inspecti�poses. Print Name: Signature Date: 7 5 -.Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF A PPLIC,4 TION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name �1�ei!% s� f irst NaFme /� Address�3�v/ bee r ate► CityMa Q_ State zip�S95� I' Phone — ?&_q &q Fax _ E-mail APPLICANT SIGNATURE % �Vffiz For office use only: CONTRACTOR Name Flood ZoneSRA Address WORKER' COMPENSATION City No State Zip Phone Map Book Fax E-mail Planner Lic. # Class APPLICANT SIGNATURE % �Vffiz For office use only: ARCHITECT/ENGINEER Name Flood ZoneSRA Address WORKER' COMPENSATION City No State Zip Phone Map Book Fax E-mail Planner State License Number . APPLICANT SIGNATURE % �Vffiz For office use only: APPLICANT INFORMATION Name Flood ZoneSRA Address WORKER' COMPENSATION City No State Zip Phone Map Book Fax E-mail Planner APPLICANT SIGNATURE % �Vffiz For office use only: Zoning - Flood ZoneSRA Cross Street C—. WORKER' COMPENSATION Policy Number No Occ, I Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT BP : . I BIN# PROJECT LOCATION AP# OW - 3ao- o.aa - o C) L) j7je4Ad ess be i ^ LL cA-, Cross Street C—. WORKER' COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: /560 Sq FT- Living Garage bpen aov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees fat v�erk planAlTpc4d apd°othe�4epa,�tfnept costs are not Received by: Amount: Bldg Receipt #: /7/ 3 ?,5s 0-/2&� Date: 9-- 3 _,�j 6 SRA Sheriff SMIP Other Total SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a rmit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK 1: Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, Tie down or 1d plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter f Signature authorization (if required). ❑ 10. Re ded copy of Agricultural Acknowledgment Statemen ❑ 11. Legal description from current recorded grant deed, Copy of M. H. Title, Title transfer , or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION' Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D' VISION 7 County Center Drive, Oroville, CA .95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: el/I �L�Or ASSESSOR PARCEL NUMBER 1 )lam -�3?[Z 4 Proposed Building Use: M.44. /o P �4aj T_Permit Technician: __Date: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. g� 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. 8. Manufactured homes: (A) Installation manual, including marriage line info, (C) Floor Plan, (0Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate. ❑ 11. Hazardous Material Form ❑ 12. Acknowledgement of building permit application without required clearances. ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ❑ 15. Fire Sprinklers............................................................................................ ❑ 16. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 17. Soils Report and/or Engineered Foundation required ........................................... 18. Erosion Control Plan Required........................................................................ 19. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 20. City of Chico Plumbing permit........................................................................ ❑ 21. Site plan and business license approval from the City of Biggs .............................. ❑ 22. California Department of Forestry plan approval ❑ paid. Sent by: ❑ 23. Planning approval for (A) Use: (B) Parking: (C) Parcel Check: ............ ❑ 24. Contact Land Development about _ Improvements, _ Drainage ........................ ❑ 25. Fire Marshall Review (commercial projects only). Sent by: ...................... 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Contractor's license information. (Number, Name Style, Classification) ................... ❑ .29. Worker's Compensation Carrie rld Policy Number .......................................... 30. Owner -Builder Verification (#/Given to owner, _Mailed to owner) ..................... ❑ 31. Letter of Signature authorization.................................................................... ❑ 32. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 33. Existing violations and/or expired permits......................................................... ❑ 34. Deed Restriction.......................................................................................... ❑ 35. a -Legal description, J1W.H. Title, title search, registration or MCO ......................... ❑ 36. Other: ❑ 37. Other: When issued Telephon - v G-//7 and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant:�\�i c �� Date: 1. Index permit application for the above items numbered: Plan Check L tter 2. Additional items re ' Contractor, designer owner, as advised of the above data by phone, ❑mail, ❑counter, by Date:44 Contractor, designer, was advised of the above data by phone, ❑ mail, ❑ counter, by Date: r" Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division K/Building/Plan Check/Data Sheets/data sheet page 2 9.27.05 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 vvwvv.buttecounty.net/dds PHONE (530) 538-7541 FAX 538-2140 RECEIPT OF FEES SCHEDULE - RESIDENTIAL Owner STEINLE, LEO APN No: 064-320-022 Application Date 2/3/2006 Permit No: BP 06-0255 Permit Type: M.H. RETRO FIT PERM FND 1 BUILDING PERMIT FEES ESTIMATED AT APPLICATION $549.90 Plan Check portion of Permit Fee $219.96 $329.94 Balance of Building Permit Fee 2 FEMA RYes Flood Elevation Review $109.98 0 3 SRA* Yes Fire Plan Check - Non -Refundable $95.00 0 (State Responsibility Area) Building Inspection $109.98 0 1 - $204.98 NON-REFUNDABLE portion of fees due at application $219.96 FEES DUE AND PAYABLE AT TIME OF PERMIT APPLICATION $219.9( FEES (BELOW) DUE PRIOR TO ISSUANCE OF PERMIT 5329.94 Yala.l- VI ... tI1 V111 1\v. 1 awv.vy SMTP* - Strong Motion Instrumentation Program (Enter amount from permit system) Additional Plan Check Fees (NON-REFUNDABLE) Other*: Other*: 12 SCHOOL DISTRICT FEES* 12a RECREATION DISTRICT FEES* $329.94 RECEIPT DATE Tech/Asst 443735 2/3/06 Tammie KLULIF I UA 1 L Tech/Asst At the time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checking process. Applicant: Date: Pursuant to Government code Sectio 66020, you are hereby notified those Items followed by an "*" may have been imposed yo& project. You have 90 days from the date of approval of the porject or from the impostion of the above referenced items during which you may protest. The requirements for a protest are specified in Goverment Code Section 66020(a). K:/Building/Forms/Schedule of Receipt Fees Residential 121205 DECAL (LICENSE))�NUMBER(R(S)) SERIAL NUMBEER((S))9 /l�j TRADE NAME "zoo 1pak,;U� k2 Z��M SECTION I. CERTIFICATION OF MISSING TITLE The original HCD Certificate of Title or DMV Ownership Certificate (pink slip) was: Lost, ❑ Stolen. If the title was lost or stolen after receiving it from a party other than the Department, enter the party's name here: ❑ Illegible, ❑ Mutilated. A mutilated or illegible title must be surrendered to the Department. ❑ Not Received from the Department. This box can only be checked by the Legal Owner of Record (lienholder), or if none, the Registered Owner of record. I/We certify under penalty of perjury under the laws of the State of California that there are no liens against this unit other than those shown on this application and the statements made on this application are true and correct. I/We agree to indemnify and save harmless the Director of the Department of Housing and Community Development for any loss suffered resulting form the issuance of said duplicate Certificate of Title. Va Executed on 0S at / Cis ?e) ( (State) Signaturdy,< / Printed Name of Person Completir CG( TIf1N II RFI FACE CIF FRSHIP ANIS/17R INTEREST /, I 3 A. NAME OF DEALER RELEASE DATE A. RELEASE OF REGISTERED OWNER B. RELEASE OF DEALER RELEASE DATE B. RELEASE OF REGISTERED OWNER SECTION IV. NEW REGISTERED OWNER SIGNATURE(S) RELEASE DATE ► sale, the sale price and sale C. RELEASE OF REGISTERED OWNER ► RELEASE DATE PURCHASE PRICE C. NEW REGISTERED OWNER SIGNATURE Z .REL ASE O L L OWNER L NHOL R l RELEASE DATE B. RETENTION OF LEGAL OWNER / DATE C. ASSIGNMENT OF LEGAL OWNER DATE SECTION III. DEALER'S RELEASE OF ACQUIRED UNIT 3 A. NAME OF DEALER DEALER NUMBER B. RELEASE OF DEALER RELEASE DATE SECTION IV. NEW REGISTERED OWNER SIGNATURE(S) 4 A. NEW REGISTERED OWNER SIGNATURE If this transfer is the result Of a sale, the sale price and sale date must be entered below. ► B. NEW REGISTERED OWNER SIGNATURE PURCHASE PRICE C. NEW REGISTERED OWNER SIGNATURE PURCHASE DATE HCD 480.4 - Side 2 (7/97) �n::..,.�� :.x�x,_...usi;rn�.�r.,_,r� �...S1rr..',..�...+;��.��;.r.:.�,,s- ,y .-._x..,�.'Za.;�•;F�.��.'. Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is,received. 1. I personally plan to provide tie major labor and material for construction of this proposed prope improvement: YES NO[ ]. 2. I HAVE ] HAVE NOT [ ] signed an application for a,buildirig permit for the proposed . wo1.rk. . 3. I have contracted with the following person (firm) to provide the proposed construction: NAME. ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the,major work: NAME. ADDRESS: PHONE: CONTRACTOR'S LICENSE NO: 5. I will provide soine of the work but I have contracted (hired) the following persons to provide the work indicated: NAME, ADDRESS PHONE TYPE OF WORK r SIGNED: PROPERTY OWNER\ �C", DATE: 1 v NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Rev'd 11/42004 Butte County Department of Development Services ADMINISTRATION : BUILDING ` GIS ` PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile Dear Property Owner: . An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice- of unlicensed persons professing to be contractors is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Z Micyael C. Vieirl C.B.O. Marlager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Department r -N 11 n $ V j. Michael Crump, Director of Public Works o f B Q t...t e LAND DEVELOPMENT DNISION Storm Water Management Noorzm 7 C6uny Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National Pollutant Discharge Elimination System (NPDES) Phase ll Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THAI�d ACRE Pro! ect Description: //l -l - Project Location and/Or Parcel Number: By signing below, L the project owner/owner's agent, certify that this project WII�L 00-0 DISTURB 1 acre or more of land and that L therefore, do not need to apply for a Construction Storm Water Permit frcn the State of Califo-Lnia Regional Water Quality Control Board. Phased projects that contain multiple site build -outs of less than one acre but when combined with subsequent phases total more than -one acre of disturbed soil will require a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: Title: Date: AN �1( Part#59307 Xi2 Concrete System ®3 X12 Foundation System Installation Instructions for California for Ground & Concrete Systems HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Updated: 7/21/2005 REAL= AND SAFETY COD$ I$Sn 1 vED SUN= r000RREcnow At+!WVAL DOES NOT AUTRORUS OR ARRONE OMISSIONS OR DEVIATION FROM APP AM STATE LAWS AND Rzou nam Stm etaxrora. god Coa�wld► Da�M )F Approval 4 .26070 MAR 311006 CWIV to OF CA1 �k�� TTE- COUNTY ILDING DIVISIO OVED Page 1 of 8 O Xi2 Foundation System Installation Instructions for California AAj,k- for Ground & Concrete Systems �HUD Wind Zone 1, 15 PSF Wind Load Seismic 4 By Tie Down Engineering Updated: 4/5/2005 REQUIREMENTS • These plans and specifications meet the requirements of Title 25 Section 1336.3 Sub Section A and 97 UBC Seismic Requirements, CBC 2001 addition. • Maximum vertical projection at sidewall is 9'. Higher walls may be used when the design loads are adjusted accordingly and approved by HUD. • Main rail spacing must be 95.5" - 99.5" • Additional vertical anchor ties that are unique to a home's design may be required by the home manufacturer. These locations may include shear walls, marriage line ridge beam support posts, and rim plates. The longitudinal component of the Xi2 system replaces end frame ties. Check manufacturers set-up requirements. • Maximum pier height is 48" pier. Contact Tie Down if piers exceed these heights. HUD approval required. • Steel piers must be fastened to the I-beam with clamps provided with steel pier. • Systems must be placed as evenly as possible, no more than 10' from end of home. • Additional systems may be needed for roof slopes greater than 20 degrees, (4.37" in 12" Pitch ) See 7 of 8. Additional Requirements for Concrete Systems • Poured concrete must be 2,500 PSI minimum at 28 days. • Square concrete pads minimum is 18" wide by 12" deep. Round concrete pads minimum is 18" wide by 14" deep. Strip footings minimum is 18" wide by 14' long by 6" deep. * Xi2 components exceed HUD code 3280.306g "Anchoring equipment exposed to weathering shall have a resistance to weather deterioration at least equivalent to that provided by a coating of zinc on steel of not less than 0.30 ounces per square foot of surface coating...." Page 2 of 8 BUTTE COUNTY DEVELOPMENT SERVICES COMPLAINT FORM Date: o LlAP#: V n % —� 0 2 Owner: in 1.0 Zoning: 'Address: / �� ''IG�1'� �-�/• IVLA- cyaru (!tA- 8595 Complaint/Violation Location: TYPE: { } Building{ } Health { } Planning 1�^ COMPLAINT: �s 2 �--\j General Plan: Lbk Supervisorial District #: Caution: { ) Yes Why: Permit History on File { } None { } See Attached Tenant: Description of Violation: Approx. Size of Bldg/MH: INSPECTOR'S REPORT Address: Approx. Age of Bldg/MH: { } Occupied Has Electricity { } Yes { } No Has Gas/Propane { } Yes { } No { } Vacant Has Sanitation { } Yes { } No Obvious Sewage Problems { } Yes { } No Under Construction { } Yes { } No. Built by/for { } Present Owner { } Previous Owner Hazards: { } ,No { } Yes (explain) Person Contacted: Describe Action Taken: INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE!! Inspector: Date: ACTION RECOMMENDED { } Information Only, File { } Hold for Days { } Complaint Unfounded { } Other { } Resolved per Inspector's Report { } Send Letter of Compliance li r064-320-022 #98-2815 STEINLE, LEO & LINDA 6389 CUMBERLAND RD., GAIL DAN NESSI _REPLACE MAIN SERV.PANEL `COUNTY OF BUTTE - DEPARTME ENT SERVICES - BUILDING 7 County Center Drive • Orovill 9591 965 • Telephone (530) 538-7541,-1,--, PERMIT NO. (Rev.12/96) APPLICATI N AND PERMIT `` ZONING R_1 BUILDING PERMIT O'M & LINDA STEINLE TELEPHONE 873-4094 SO. FT. OCC. BUILDING VALUATION OTW"OAMAND RD., MAGALIA, CA 95954 COAT CT J M .rTEUEPHONE LL�Ajj11�i ��JJ1 54400--7806 CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS : Fireplace 1 Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS t 6389 CUMBERLAND RD., MAGALIA Energy Plan Checking Fee $ i $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE i Each Trap Solar or heat um water heater 7.00 23.00 rr SF ❑ Duplex O Mobilehome H Other Water piping 15.00 SPECIFY Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New O Addition ❑ Remodel ❑ Unities O Installation O Other MX Building sewer 15.00 Describe Work: REPLACE MAIN SERVICE PANEL Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service QOO200AOVORRLELESSSS 23.00 23,E 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Main Service TO 46.00 YTL200A CCU000A NEW CONST. DWEWNO OCCUP. OR ADONS. ( 8 ACC. BLDS. SO 3.50FT. NON-REOSIO. T. MULTI-OUTLETITS 97.50 APPARATUS 8 SINGLE OUTLEr CIR. Ex. Occup. OUTLET OR FIXTURES .00 BAL 20 O I.50 FU(ED APPLNs. OR Ex. Occup. OUTLETS RESID. EA 5.00 Temporary Service 23.00 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. Mobile Home Facilities 20.00 Misc. Wiring 23.00 I, as owner of the property, am exclusively contracting with licensed contractors PRE—INSPECTION 23.00 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating 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. Cooling Hood 6.50 Ventilation ❑ 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 PERMIT FEE $ Mobile Home Installation Fee $ Policy Number Energy Inspection Fee $ (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 certify that in the performance of the work for which this permit is issued, I shall OCC CONST. TYPE TOTAL FEES 66.00 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 HAZ. D. FEES IMP FLOOD CDF PARCEL r PD HO ISSUE forthwith comply with those provisions. X N /.' 41 ( /J Date �� &I'm 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. Srgnatu—re of App icant'= 1W" wner O Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. r ` [ B /�� JM"� Date (/ z — (`i 'd Y ° Leo c.4r •' PERMIT EXPIRES ON�HITE-D.D.S.-B.D. rReceiptNo. L5 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Data COUNTY OF BUTTE - DEPARTMENT OF DEVE,LOPMEN— SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965: • Telephone (530) 538-7541 MILao- (Rev.12-196) APPLICATION AND PERMIT q�R-a�`�i ASS�SSgR PA�C{JUy- ZONINGR_1 Y BUILDINGPERMIT TE OTT0 & LINDA STEINLE 873.4094 SO. FT. OCC. BUILDING VALUATION DT1WnMFffLAND RD., MAGALIA, CA 95954 ccuoRtnt TE EPHON540.7506 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS } Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS 6389 CUMBERLAND RD., MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 Solar or heat pump water heater 23.00 SF ❑ Duplex ❑ Mobilehome Iff Other Water piping 15.00 SPECIFY Each as water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other WX Building sewer 15.00 Describe Work: REPLACE MAIN SERVICE PANEL Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ".pq'R LEss 23.00 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.8 License Class LIC. NO. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Main Service To 46.00 W:L200A CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. SO 3.5¢FT. T. I.OUTLEf I,GµgESID. MULT 97,50 R ACIR. PSINGOUTLET OWELEPPARATUS Ex. OCCU GurLET OR FDTTURES BAL p 1.50 Ex. Occup. GurLt°rs p IES p,OEk 5.00 Law for the following reason: Temporary Service 23.00 ❑ 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. Mobile Home Facilities 20.00 Misc. Wiring 23.00 .,.� I, as owner of the property, am exclusively contracting with licensed contractors PRE—INSPECTION to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating 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. Cooling Hood 6.50 Ventilation ❑ 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: PERMIT FEE $ Carrier Mobile Home Installation 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.) I certify that in the performance of the work for which this permit is issued, I shall Energy Inspection Fee $ occ CONST.TYPE TOTAL FEE $ 66.00 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 HAZ. D. FEES IMP FLOOD CDF P CE I PD I HD ISSUE workers' compensatio provisions of section 3700 of the Labor Code, I shall This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work orthwith comply wit ose provisions. Date / indicated above for which fees have been paid. Ign ure of Applic 10 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. B Date lZ PERMIT EXPIRES ON 1"Z'� ate Receipt No. 251212 1 WHITE-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 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZO�NO BUILDING PERMIT OWNER t ^e- TELEPHONE 0 5 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS COMM OR's NAME OL V It/e. TELEPHONE Sal®-7so� COMRACTOWS MA0.JNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BU4.D940ADDRESs � Energy Plan Checking Fee $ S C. PERMIT FEE $ LOT NO. SUSONIS IDNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [H" 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 nn s Describe Work/: /(. V-_ A!,L L -e— /i'�r'i i✓ P/ 1/ (' ( —a Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ''. 9R LErss 23.00 ,23, on 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. OWNER -BUILDER DECLARATION [,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 Policy Number (The above sections need not be completed If the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height. Main Service To 1—A 46.00 NEW CONST. OWEiEE lINO OCCVP. SO OW OR ADS• a ACC. stns. 3.5¢Fr: NEW NON-REOSIO. MULTFOUTLET @7,50 POWER APPARATUS & SINGLE ounIT CIR. 0 B20 pl0 OUTLET Occup.L��L'R� Ex. Occup. ourLETsS( o.OREA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 E I N V PERMIT FEE $1141-00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI_ $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $cs-c) KAZ. I O FEES IMP I FLOOD I CDF PARCEL PD HD 6SUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ro Receipt No. a.5 % a % Z WHITE-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 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: P Proposed Building Use: At time of permit app] ❑ 1. All items have been submitted. -I. 02. Plot plans, 3/4 sets, signed by the _ ASSESSOR PARCEL NUMBER: 4/, L% 3 Z - D Z- Z- _ Building Inspector: 46, _Date:* following data must be submitted prior to permit processing an or issuance: Date Received By of plans. 133. Complete plans, 3/4 sets, signed by`the preparer of plans. --------------------------------------------- 04. Engineered plans, 3/4 sets, with wetl'signature on plans. All engineering must be shown on plans. 4 ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- El 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----------------------------------------------- ❑ 8. Hazardous Material Form.-------------,------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate.------------------------------- 1114. ----------------------------- ❑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. ---------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: --------------- --- 0 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- Cl 1 9.,gricroachment Permit for driveway (construction approval prior to occupancy). --------------------- E920. Pre -inspection for ��-e G� . required. Request to Building Inspector on 112 1. Contractor's license information. (Number, Name Style, Classification). ❑22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. -------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. ------------- ❑26. Letter of intent on building use. ---------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------- 028. Existing violations and/or expired permits. --------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: (Date) Whenn ou issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor. Z'Telephone L/ 0 9 y and hold for pickup at ('► i L D office. ❑ Deli er with inspector. Lj ��Date: Apphc t: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Po ution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: 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. OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sigaatut+a. Please complete and return this information at your earliest opportunity to avoid t -a a - - ssmy delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property =pr vement : YES M"' NO C3 2. I HAVEHAVE NOT 0 signed an application for a building permit for the proposed w 3. I have contracte4 with the following person (fum) to provide the proposed coaatruation- NAME: Wks ADDRESS:. . CI', T'Y PHO -- 2so6 CONTRACTORS LICENSE NO. 4. I plan: to. provide portions of this work, but I have hired the following -person to coordinde6 supervise; and prdvide the major work: NAME: ADDRESS.' CITY: . PHONE. CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons toprpvide the work indicated: NAME ADDRESS PHONE TYPE, OF WORK - SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: t5& ,(e Z2Z, / DATE: NOTE: Thu Owner -Builder Ver cation is required by Section 19831 and 19832 of flit. California Health and Safety Code. This verification must be completed acrd returned to our office before we are permitted to issue the permit. ?i3AO 7P03 107fDS puD IMD-'g vIUJOIJDJ 2W f0 O£861 uolpaS Xq pa tInbal sy uoj;vutjOIUI japjjng-.jaum0 s7t11 '310N uopoadsul 8uiplin8 `Ja8 ueyy •O•g•O'en lA •0 p olNl r •patun3aJ st uopeoguaA atp 1pun.pansst aq 3ou plM 3luuad Sulpllnq aqL •sJauew asatp jo anmi art no t ntp uuguoo ueo aM 3stp os uuo3 sttp jo apls auaeaJ ag3 uo NuolxoguaA Japling JauMO,,.ay»aldwoa aseald 'b1SS6 *vo'O3uourtJoeS `102AS H ozol 38 Jo /luntutiioo JnOA to pJeog 0su0311 MIS sioidinuoD atp 2ul36eauo3 Aq pauTmgo aq ,<ew srd'immoo "pasuawl 3noge uollemojul : ti ';lituosrad )po'm umo notp guluuo}tad are �Catp ssaltm ssatuho iC3radosd Aq pau8ls aq o3 pannba�•3oti ase•sjliuJad S�P1mfl 'AIleuosJad leua3¢tu pue JOgEJ t3Mo day Jo sly StnpinoJd st taumo Avadwd atp lmp SutAidun Aisnomoma limuad Sutpltnq „ tapl!nq Jaumo„ us amoas o3 sl sro3otauoo aq of Subs" d suosJad pasuooilun 3o oopoeld 3uanbalg y _ •suol31pa03 pa3ltull Japun quo 'Jo3p=go*gns Jo Jo3 amoo pasuaoll s 3notp!m '"24oldwo uMo Jtay3 gSnanp Jo Alleuosiad )pgA1 magi u3Jo3Jad o3 paMolle wv sro3=uoo pasuaoll Sou an oqm sJauA%o /4iadcud 'ales Jo; papua3tq sl a=rLas otp3I, ;n .•s3uapl33V lelasnpu13o uotstnla atp pue s3uatubd 3gouag jo 3uatuutda(3 otp 33e3uoo A%u l amS Japuit saoj3a!jgo JnoA 3noge uoueuuo;ul ayloads asow Jo3 •(uopepsltnwpv ssatnsng llewS •S•n ay3'yslM no.(3l 'pue) aotnJOS anuaAa'g lewa3ul ay3 3oeAuoo'Me1 leJapa3 Japtm suo! qo moA 3noge uoijvtuJolu! og!oads a' J0.4 •aduwnsut uopesuadwoo s'.io)pom'6i ioadsaJ tp!m moues iCllstoadso an s�lsu asotp pus `suopeSllgo osay3 3no /im Sou op noAji not Joj qsu 1e,oueug oq .(ew a1aq 1• ♦ •suotinqu3noo not3esuadwoo 3uatt3�Coldwatm put `s3soo aotremsut �lllgeslp `aotrtmsul uoussuadwoo sJa3poM `n= AVIMM ISIS IwaPa3 'Sutplotlgwn = awootn puopa3 pus ams Sulpnlout suouegilgo lemmas o3 3oafgns are no,( pus JaAoldtua ue se s3uaunuano0 lwapaq Put als3S atp tpun. jm4g J 3snw noA 'Jo4oldwa ut are not 3I •Jakoldum ue aq Aetu no.0 uatp •sro3oeouoogns Jo uaa�qmuoo se pasuaoll Sou ars suossad yons pue 'moa(bJd amuo atp Jo3 asow Jo 00cg sl (s3soa Jatpo put std ftIPnlom) 4jom atp Puc '/4nue3 a3elpawan Jno�C trstl3 mtpo suosJad �tue aStSua asi mg3o Jo Aoldtua noA3l ♦ - moamosd pus 3gauoq moA Joj uol3euuojul Sutmo11o3 atA3o aJewe aq pings n6t'3otquo3gns o3 usld not 3eg3 sapzu snoucAjo uopdaoxa atp tpyA Vom uMo most op o3 ueld nog jj -Aldde Aag3 q*np ► Jo3 alauad llt uo mgwnu asuaoll natp and o3 mel Aq pamnbaJ osle ase Aaq jL -A3tmo3 Jo /jto otp wojj osuaoll ssautsnq a aneq o3 pus elwo3lle:) jo aimS atp Aq papuoq pus pasuaoll aq o3 Mel Aq pannbaJ ase sso33ezuo, -oumu say Jo sty ul 3luuad Jadosd atp sol sa1ldde uoslad 3etp,lt ACnligerl algtssod wog jlasmoA 3omid Arw noA jlasmoX uttp Jatpo ouoowos Aq patuso3lad Smaq s1 3lsoM JnoA ji •l1oM uMo Jl*W Sutuuo3Jad Allmossad ase Aay3 ssalun sioumo Auadosd Aq pausis oq o3 pMnbal Sou am s3!=ad Stnpltng -ilturad e gags uo pJomjo Ausd algtsuodsar atp an no.C,,tapllnq jauA%o„ so 2m anme aq Plnoys noA'uol3 mwdJno,(Jod •pagloads s3uawanosdun Auadord jo sapllnq vip so jlasmoX Sunsil auteu JnoA tq pamwgns uaaq sey 3luuad Stnpllnq t Joj uom!ldde trd jou,%0 iand01d JeaQ NOLLVIAMOINI H3UgIf1S 2 3NTM0 } Y iY' f : ... .. ...ti:;;.��:. ...... :...:. :'::�:•:i•i. �'..i• :v:•:: �":ti�r<4YT}'Y.:sy. '' is/lYf: !%:'r<'. ...,. .....:::.:.:. � ...,�.; ..�w��M��Y�'.: � � ° '' :.��.�:. { '� i:. `F'iZ.•: •:: •. �:..: ;....: Yrri:iekC"¢ yY.:•,�j,.>: .. ..:...:.. ... .... ... .......... .. ........... ..-. •. n ... : �: ��:::::.:� �.:, .: ii'.. �• ::1:J.v.\• n ."{.ylj•w/..... ••':f�.Y?i::"l'ii : .. ........ .., :..::: •:: •::::.�::.�..�•.w..•:::;:•: :•rlyo�cor.....<:y.!Oi.Y...>:: k.fia.....«.at.•v:::,.....c<:,:,,.:..e:.:zit?i::n<%'n:.........-z.:Y.::..:...:.;.:2`::::`.:.........:1.:i:::k�:E+i<i.��r-..+::....,,,:..u:.��<r•:: -: 1.:� OWNER:�eD CONTRACTOR. La ,Ale- -< j PRE -INSPECTION FOR: PERMTr HISTORY: ( ]NONE ( ]AS FOLLOWS: �— TYPE OF OCCUPANCY: ng Description: [ ] Commercial/Usage: DATE: AP.#: 3 2 —0 -Z 2— ZONING: ZONING: /� DATE TO INSPECTOR: S BUILDING INSPECTOR'S REPORT 0. [ ] Residential/# of Units: Mobile Home: Yes�XNo[ ] [ J Currently Occupied. [ ] Abandoned/Vacant. C. �1�ectric es [ ] No is currently : [ ] On voff Condition of electrical? 0UG Natural[ ] Propane[/4""None[ ] Currently OnV]-"*"Of ] Obvious problems: _ nitation: Plumbing working Y Well: Yes[ ] NoVr Obvious Sewage Problems: ] No[ ] Potable water: Ye�No[ ] n Recommended:Issue*old for: nspector• Date: May 1995 4.7 �4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER BUILDING PERMIT OWNER iv A TELaNONE SO. Fr. OCC. BUILDING VALUATION OWNER'S "LINO ADDRESS Ll COMM R'S NAME .v c TELEPHONE Syo- 7 s o CO R'S MALJNO ADORESS I CONSTRUCTION LENDER [Fir, lace LEN06M MAILING ADDRESS Total Valuation $ ARCHITECT OR EMN EER LICENSE No• Slina Fee S 20.00 Permit Fee = ARcwmar OR Ewamm'S kOWNG ADDRESS Plan Checking Fee S a'LDI+oAoo"ESS Energy Plan Checking Fee t Q G� �i� !ti PERMIT FEE : ICTNO, su°°N°°N''s""'e P""oa ""t PLUMBING PERMIT Filing Fee 20.00 Each Tr 7.00 U8EOFSTRUCTURE SF O Duplex O Mobilehome 1810ther SPECIFY Solar or heat pump water heater 23.00 Wafer piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel O AJtiities O Installation O Other Describe Work: JGn ) a L e_ 1446 i �/ S� / IJ C C --� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W Q20.00 PERMIT FEE : ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2oDA ocen t 23.00 - p -p 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 Lk:. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. , Business and•Profeseions Code for this reason 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 lowed. O 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 If the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that If 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit Is required for excavations over 90' deep and demolition or construction of structures over 3 stories In height Service zooA To + 48.00 NEW Cain CONST. OWElil10 OCCUP. 3.Sd� OR ADOW. a NOWRESID. COHIST' MULTFOLlTLEi @7.50 POWER APPAMTB aSINGLE OUTLET CIR. Oyu e 0 0 I o owner ORFKnr m Ex. Occup. O==.OR FA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mise Wiring 23.00 y PERMIT FEE : ' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt2 ! Mobile Home Installation Fes i Energy Inspection Fee i OCC CON9r Type TOTAL FEE $ HAL O. FIEs DPP I Nt000 I cop PARCEL ro No 69LAE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Receipt No.PERMIT WHITE-O.O.S.-B. O. CANARY -ASSESSOR PINK -INSPECTOR QOLOENROO-APPLICANTADAM) BURT COOPER. Cumberland Dr. , lot 22, PP##Z- contr: J.T. McGregor) Paradise Perit## 4,11,.7-75P,E(uti1.) MH ELEC. fpr i GAS SUPPORT STRUCTURE REa._,Op _ COM_PAC_TION TEST REQ._ nZ) 64-32-22 c t i e ar Conce s ara. J 56 - I s ed - �• > 64-32-22 contr:Earle Towne, Par dim Permit #19,C1-77MHI .-, Issued t 64-32-22 } #2512 ' � Permit-�ZB(new deck/MH) SAV 77 64-32-22 a , # contr: Sierra 7M0,bile Home Supply Para, Per �Gs�+�tJ_ Z f a y� //w �7n ngs/MH) , ' •"- ., - I I �__ 1/7 - ... - 64-32-22 '> contr: Richards g .:Paint in & Remodeling, Paradise ` 3n Permit #1541-7 E 8B, (new private garage) a 64',,,32-22 y. t 64-32-22 Permit#1185^83B(add sor h'd ara � • n _ r �t•r .. +fir- j ♦ W�. ,o-1 z 83 I ry p7 1 'F 1185-83B PERMIT NO. Q-l�j PERMIT EXPIRES /�//�/ 7� / OWNER BURT COOPER CONTR. owner ASSESSOR PARCEL 64-32-22 LOCATION 6389 Cumberland, Magalia 4 Temp. Power Pole_ Called PG&E 1 Temp. Elec. Service T 1 r JI t t ' E� V = OK' O = Not OK P Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, RS, C RPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1 46!!<9 Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Dec irders and/or Joists—Decking—Bracing—Stairs—Rails — 4. Water; Location—Test—Easement Needed (Sketch) 7 ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg--Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete —5. _ Alum wn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LocatiorYTest—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG - --- arports: Windows—Doors 7. Utility Clearance 7: Elec. Card -BI Date Card -BI Date Card -B ate--' Card -BI Date Card -BI Date Card -BI Date Card -B ateCard-BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK cepl k's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL-(Sin,gle and Duplex) Date UNDERFLOOR (Plans) OK except k's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth - - - - - Date Card -BI Date Date Card -BI Date 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Date FRAMING(Plans) OK except q's 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer 6. Stemwalls, Garage; Steet-Blockouts-Wrapped-Slab Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air _ 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access 60. 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 19. Gas Pipe; Size & Anchors 62. Stairs & Rails Card -BI Date Card -BI Date Card -Bl - Date Card -BI Date Date ELECTRICAL (Permit) OK except q's 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water _ 25. 2 Appliance Circuits in Kitchen & Conductor Size - 26. Su_bfeed Wire Size i / 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 ❑Yes El No ^ 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B-1 Date Card -BI Date Card B-1 _ _ _ Date Card -BI Date Date MECHANICAL (Permit) OK except k's 31. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - - - - - Date Card -BI Date Date Card -BI Date 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date FRAMING(Plans) OK except q's 52. Siding -Nailing -Veneer Sills; Proper Material & Anchors _ Walls; _Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors - Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. &_Dimensions _ Garage Fire Protection Framing 55. Shear Walls; Nailing -Bolts (NOTE: An entry must be made each time you visit job site) Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels IL 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Oyes ❑No 76. Stucco; Brown -Finish _ 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 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 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84, Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain _& Overilow; Size & Grade _____34. -.Furnace-Vent:-Access-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date -- Card -BI - - Card -BI - - - - - Date Card -BI Date Date Card -BI Date Card -BI Date Card -81 Date Date FRAMING(Plans) OK except q's Comments at Final: _36. 37. 38. _ 39. -40. Sills; Proper Material & Anchors _ Walls; _Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _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-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. &_Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill6; California 95965 - Telephone 916/534-4541 APPLICATION AD PERMIT PERMIT NO. && . M � ASSESERM ZO NG BUILDING PERMIT O WNE TELEPHONE -O SQ. FT. OCC, BUILDING VALUATION OW ER's MAILING A901FESS r CONT AC O 'S NAME TELE ONE CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER 'p�,� v „ UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ K160 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee r $T�� Penalty $ ARCHITECT OR ENGINEER'S MAILING A DRESS Permit fee $ , (� BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME r0RCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUC RE Other r SFDuplex❑ Mobilehome❑ SP ' ECIE Building sewer 5.00 Mobile Home S G W 10.00_ TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �tor o" �P - QMain Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCL)P.Ik OR ADDNS. ACC. BLDGS. 2h0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 9 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR( ULTI-OUTLET NON.RESID. `BRANCH CIRCUITS 2.50 ea NEW CONSTR. (POWER APPARATUS &1 NON-RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETs OR FIXTURES BA @6 oQ FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent 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. Heating I 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. 1 also agr save, indemnify and keep harmless the County of Butte against al a Ili 'es 'ud s d expenses which may in any way accrue a' t sai o my a of the granting of this p rmit. Date �� f Signature of Applicant — rier� Contractor E]AgentF-1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ O CUP. GROUP I— I TJPZOFqTTVJPPZ/LJ PD H S VE This permit is hereby issued under sions of the utte County Code andior work indi to above for which ZR PUBLIC By PERMIT EXPIR S D -the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK-If1SPECTOR, GOLDENROD -APPLICANT l` 1541= COUM • OF'BUTTE Departme4it of Public Works 7 County Center Drive Oroville-•- -534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Owner l Location_�LJ �Y j�V /,/7J%�y�i��L R Mobilehome Installation Permit No. FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width % x Box Length 60 x 3 = 'Y 3 :- J 2. 2 Kitchen Appliance Circuits ................. = 3,000 3. 1 Laundry Circuit ............................ = 1,500 4. Ovens ................................... = 5. Cook Stove Top ............................... = 7 c L 6. Hot Water Heater ............................. = y S D t 7. Dishwasher & Disposal ........................ = t/ G 670 8. Clothes Dryer ................................ = 0 0 9. Other specs y, i.e., motors, exhaust fans, etc.) Sub -total - Watts ..... 3 5 v First 10,000 watts @'100% ................................ = 10,000 Remaining 2�J`? 0 watts @ 40% ....................... 10. Air Conditioner watts.0100%.. Largest -Demand Central Heat System %.5.0 watts @' 65�/ _ ) TOTAL DEMAND .WATTS REQUIRED ............. "Demand Watts Required" 230 ............ _ lJ- AMPS De -rate Mobilehome to ..................................... a e) AMPS BUTTE COUNTY R1 11 LDIMG DEPARTMEM APPROVE D COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDIN BUILDING•(Cont'd) PLUMBING Setback Firewall R Soil Piping Forms Parapets 1st Floor Main Bldg. Y Restroom Finish ; 2nd Floor Footings V Windows ' 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents ! Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica edy Conformance of ex. structure z nX7 Appliances Gas Piping &Test Temp. Gas Slab Final '� Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors aiuccv rinai suo aneis Mesh MECHANICAL Grid. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath I Ventilation I Permanent Door Closer Final Final MOBILEHOME UTILITI S - - - - - - - - - • - - - - - • - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILE TOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Zy- 9 14 (NOTE: An entry must be made on this form each time you visit the job site.) .COUNTY OF.BUTTE — DEPARTMENT OF PUBLIC WORKS ~ 7 County Center Drive - Oroville, California 95965 Telephone: 1534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above=me 'oned property for inspection purposes. / Date -7 Signature of P`errmitteeeo/r Agent Receipt No./ J 7 7 J " y�^ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees havepaid. DIRECTOR'OF PUBLIC WORKS lding permit expires Date E BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address %` fireplace Total Valuation f I e�jwp e N (�_ � /' (j Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee (Li q-4,, L il 0. PLUMBING No. @ FEE 2 n� 1K /" PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. (p 32' ^ Z Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Faoe W -C. S t' Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration I Parcel Map R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg.•.;' �cins Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 �'� I p�C/,.Q�'/'� , Main service OVER 6 OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING 0 OR ADDNST ( ACCLBLDGS.U . S) 20sq ft 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 0 / " C.`.�7/1c�S ��i/✓7L/Y�� I�/►'►D�/�LiN9 NEW CONSTR. MULTI.OU T 1 NON-RESID, (BRANCH CIRCUITS/ 2.50ea NEW CONST R. (POWER APPARATUS .&, NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXT11RES g L@; FIXED APLISIS Ex. Occup.( OUTLETSP(RES(D,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �� 3 License No. �_ Classifications Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ % $ 7r MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance.• G3I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $37, authorize representatives of the County of Butte to enter upon the above=me 'oned property for inspection purposes. / Date -7 Signature of P`errmitteeeo/r Agent Receipt No./ J 7 7 J " y�^ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees havepaid. DIRECTOR'OF PUBLIC WORKS lding permit expires Date E CLAIMANT: t/J�ILiL�i eount* OROVILLE, CALIF6RNIA GENERAL . CLAIM Dale R. Balcom ADDRESS: 595 Wycliff Clay CITY & STATE: Magalia, CA. 95954 IMPORTANT: DATE OF CLAIM: A-pril 18, 1975 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT (Ormer: Burton L. Cooper Duplication of garage permits. (Permit ,4069-77B;Receipt #167911 an - AP 64-32-22) Building permit fee ----- --------------------------- ---------- $19,00 TOTAL $19 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Datedthis .................................. day of ............................. 19 Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation O or Specific Board Approval a (Check one) for the some. Dated this .................................... day of ............................. 19....... at .............................. , Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. l PERMIT N0. 4069-77B PER EXPIRES y� � OWNER B. Cooper CONTR. owner LOCATION (A.P. 64-32-22 70 Cumberland RL, lot 22, PP#4, Magalia Temp. Power Pole Called PG&E _ Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) M PLUMBING Setback Firewall ' Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Sidino To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation [ Water Htr. Heaters Slab Carport Footings handicap for pehysically Conformancdde of ex. structure f Appliances v Gas Piping & Test 1 Temp. Gas Slab LFInal Sanitation Patio FIREPLACE Final Footings Footing I ELECTRICAL Reinf. Steel Final I Fixtures Bond Beam FIRE SPRINKLERS I Motors . Stucco Final 1 Subpanels Mesh MECHANICAL 1 Gird. Fault Prot. Scratch Heating Service Brown Cooling j Temp. Pole Finish Ducts I Underground Interior Lath Ventilation >1 Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal =Mo- Water'Piping Sewer Gas Piping i; MOBILEHOME INSTALLAT� - - - - - - - - - - -- - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) �, COUNTY Or BUT-rE — DEPARTMENT OF PUBLIC WORKS AW ` " County Center Drive grovi'lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �06�'-77 • ,' Yc V11 1VV0 VI Me %�OUJILY UI OUILC to enter upon the above -m oned property for inspection purposes. X Date/ Signature f Per'miitee or Agent Receipt No. White-D.P.W. — y �wt _ ink -Ins to i enrod-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 bun paid. DIRECTOR OF PUBLIC WORKS ilding permit expires Date 7E BUILDING Owner C (te SQ. FT. OCC. BUIL ING VALUATION Mailing Address 1. ! 09- T�IephonejN _ b J1� FireplaceZ d 0 Contractor Total Valuation Mailing Address Permit Fee 0C Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �y C) 1. L/ !�►1 r3 k, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 4- Repair drainage or vent piping 1.50 Water piping 1.50 151 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe S tion ire Dept. FireZone Use Permit Building sewer 5.00 EQA IParking ParcelParcel Plans Declaration Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg '. `ns Recd Parcel oval Plan A vol Permit Fee NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP. OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ , Duplex ❑ Mobil Home ❑ Others/ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L. 100 AMP 1.00 [ , �� fWA V NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 22sgft NEW CONSTR. MULTI -OUTLET NON.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) @@1 109 Ex. Occu FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 rVI If 19Wam exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this VLJ 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 relatingTOTAL to building construction, and hereby „+tip PERMIT FEE • ,' Yc V11 1VV0 VI Me %�OUJILY UI OUILC to enter upon the above -m oned property for inspection purposes. X Date/ Signature f Per'miitee or Agent Receipt No. White-D.P.W. — y �wt _ ink -Ins to i enrod-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 bun paid. DIRECTOR OF PUBLIC WORKS ilding permit expires Date 7E -// a��-� 2 2 , r �..'�. PERMIT NO. -6067-77B PERMIT EXPIRES OWNER Burt Cooper CONTR. Sierra Mobile Home Supply, Paradise LOCATION (A.P. 64-32-22 70 Cumber]Aill;Rd. , lot 22, PP#4, Magalia Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) pp/� (Signature blucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS � r, BUILDING INSPECTION RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback / Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport po Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final ` / / Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE CPRINKI FRC UM-- blucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS _ (NOTE: An entry must be made on this form each time you visit the job site.) .W -.] File No BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Sr. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Drng. / S. I. Sub. & Pcl. Maps Permits March 1, 1978 Burton L. Cooper RE: Permit #6067-77B P.O. Box 903 ) (AP 64-3222) Magalia,, CA. 95954 Dear Mr. Cooper: With reference to the above subject and your letter dated February 21, 1978, the valuation shown on the permit is based upon a uniform coat per square foot which we charge to offset the costs of the Building Department. On awnings, we use $4.00 per square foot which determined the $2,072.00 rather than the "$1,577.67 which you stated was the contract price. .(The fee difference on the two figures would have only been $4.00.) As to the change you requested in valuation, we cannot accomplish this. The actual cost for taxing purposes will be determined by the Assessor and not the Building Department, but I am sure he will also include labor coats. Should you have any further questions, please contact us. ' Yours very truly, Clay Castleberry Director of Public Works JFGsdd J.F. Glander Chief Buildiing Inspector P. 0: Box 903 Magalia, Ca. 95954 February 21, 1978 J. F. Glander, Assistant Director of Public Works Butte County 7 County Center Drive Oroville, Ca. 95965 Dear Mr. Glander: On November 17, 1977, Sierra Mobile Supply of 8965 Skyway, Paradise; California applied for permit No. 6067-77B to construct an awning on our property at 70 Cumberland Rd., Magalia. We note on copy of permit.they put a building valuation of $2,072.00 which is incorrect. The price Sierra charged us is $1,577.67 which includes labor. This is a difference in valuation of $494.33 plus the fact the labor should not be added in to the valuation, only the materials. The valuation, in our opinion should be approximately $1,000.00,.which i -s $1,072 less than shown on the permit. We would like this to be corrected. A final inspection was made by your office on February 17, 1978 and approved. Please advise when,you.make a change on the valuation. Thank you for your cooperation in this matter. Very,,Itruly yours, 76 Burton L. Cooper -7- - -,-9 °1101161814 (' kvH u v S�bO�Q V 01land j0 'ldio 3-una d0 'UNn00 r 7 County Center Drivq Otoviile, California 95965 s Telephone: 534-4541 APPLICATION AND PERMIT r,��„,�.,v�� vi uic �wnty Ur ouue tU enter uNun ute above-mentioned property for inspection purposes. i(_ r" .r'��=•� ., .pate Signature of Permitee or Agent' MIirn-0,P.W .. Y'oilow•Aasoaeo.r-- Pink -Inspector .- Coldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS .. t f By ' Date Building permit expires Date BUILDING Owner t f J,.. } n t•i v < r , r' I, f,. SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ---- Telephone No. Fireplace Contractor jt ` •' ,. r r r Total Valuation Mailing Address ' �' ;' �;,'' , ��', Permit Fee Plan Checking Fee &/or Penalty ' Telephone No. �, Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,r l'1 1 r• , ! t r I, % /r if ,' ; I 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.Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees ' W.C. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel DeclarationParcel-Map 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORLESS5.00 Main service EA. ADO'L too AMP 2.50 Main service OVER 600V100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 1.00 • NEW OR ADDNST ( ACCLBL GDWELING OCCUP. &) 22syft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONBTR. ((POWER APPARATUS IN NON•RESID. 191NGLE 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)BAL2ta Ex. QCCU (( FIXED APPLNS. OR P• (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00• Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed •on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ T-77 I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ r,��„,�.,v�� vi uic �wnty Ur ouue tU enter uNun ute above-mentioned property for inspection purposes. i(_ r" .r'��=•� ., .pate Signature of Permitee or Agent' MIirn-0,P.W .. Y'oilow•Aasoaeo.r-- Pink -Inspector .- Coldenrod-Appli cant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS .. t f By ' Date Building permit expires Date y. COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WORKS 7County Center Drive, 0PoviIIe, California 95965 " Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- ioned property for inspection purposes. X Date Signature ofp�Permitee�o/r Agent Receipt No. 1-7 v W, 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 UBLIC WORKS By Date�� Building permit expires Date BUILDING Owner / lV T 00 d l -M_ ` , SQ. FT. OC BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor S r3�L1� SO' /�P/ Total Valuation Mai I i ng Address 0 7 G� LV6f Permit Fee Plan Checking Fee &/or Penalty r Tephne Not-7 . - 6 B Permit Fee $ G Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 '7,ffl 06r ~-A Cl /� 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., L1 — 2 Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S a7TVAZnFire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Par Parcel Plans Declaration Parcel Ma 60' R/W p Improvements pp Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel App al 11'a—ns Approval Permit Fee $ $ NEW ZL ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e10v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 pe/�// /J/// 0 �/1, lV CB ,J NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTR MULTI -OUTLET NON_RESI(D, BRANCH CIRCUITS) 2.50ea • _ NEW CONSTR. (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. CONTRACTORS_ LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style ofd" /� /f �i1 1 _y f/ leo f/0 /3 //—,C ' �V PF/ ` Ex. Occup(OUTLETS OR FIXTURES)BqL 25 FIXED APP LNS, OR Ex. OCcup.(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Zv o y,6 Classification 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. j( I have placed on file with the County of Butte a certificate of �!\ Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of" California. MECHANICAL No. @ FEE PERMIT FILING. FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction; and hereby TOTAL PERMIT FEE$ a authorize representatives of the County of Butte to enter upon the above- ioned property for inspection purposes. X Date Signature ofp�Permitee�o/r Agent Receipt No. 1-7 v W, 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 UBLIC WORKS By Date�� Building permit expires Date F Ir ;a ✓J� v OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Paradise Modular Concepts ADDRESS: 6633 Skyway CITY & STATE: Paradise, CA. 95969 IMPORTANT: July 11, 1977 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Contractor did not do job. (Owner: Burton L. Cooper - Permit #5688-76M1 - Rm AP 64-32-22) Mobilehome installation permit fee ---------------------------- $30 00 i TOTAL 430 00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services. or articles specified above have been performed or de- livered and that there is a Budget Appropriation [] or Specific Board Approval [] (Check one) for the same., 11th July 77 Oroville Dated this .................................... day of ............................. 19....... at .............................. . Calif..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC . GROSS AMOUNT ENCUMB. SUB -DIST. INSTRUCTIONS t0' CLAIMANTS All claims against the -county must be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — D PARTMENT OF PUBLIC WORKS 7 County Center Drive t ville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,5GI%P76 aUL"G IGC IC)J1C5CIILQLIVCJ UI the bounty of Butte to enter upon the above-mentioned property for inspection purposes. Date '�aatu .. of J�jerm to yf _-/' „� , en O � Recei p1 0. White-D.P.W. — Y 11 - sess r —'PSnk-Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/NUBLIC WORKS BY—�diMgpermiit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace F. Contractor �� AC(IlIx"l—Total Valuation Mailing Address c3 3 S'� w Permit Fee PI an Checking Fee &/or Penalty .o T -1 -phone N _ �'y� Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ^-1 J 0 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ] A. P. No. `� 32— ---2 2 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bl dg.Rec'd Parce pproval Plal a s Approv Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ Main service 100 AMP ORV OR LE LESS5.00 -75� Main service EA. ADD'L toe AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. OR ADDNS. (DACCLBLDGWELING OCCUP, &\ 22sgft / NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS& NON•RESID. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cali ornia Business & P ofessions Code under the name style Of: Y p ASe ®CLQ I ate KTemporary c Ex. OCcup(OUTLETS OR FIXTURES) BAL25104 FIXED APPLNS. OR \ Ex. Occup. OUTLETS (RESID.) EA/ 2.00 service 10.00 Mobile Home Facilities 15.00 License No. /Classification U2` 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. i4have placed on file with the County of Butte a certificate of orkmen'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?� aac 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 a - 7!s� A-1 o rdE TOTAL PERMIT FEE $ aUL"G IGC IC)J1C5CIILQLIVCJ UI the bounty of Butte to enter upon the above-mentioned property for inspection purposes. Date '�aatu .. of J�jerm to yf _-/' „� , en O � Recei p1 0. White-D.P.W. — Y 11 - sess r —'PSnk-Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF/NUBLIC WORKS BY—�diMgpermiit expires Date 1 �kq 9 r � �J PERMIT NO. 2512-77B PERMIT EXPIRES OWNER Burton Cooper CONTR. owner LOCATION (A.P. 64-32-22 ) 70 Cumberland Rd., lot 22, PP#4, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E B c.C� INALED (Date) (Signal e) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD IBU)LDING I BUILDING (Cont'd) I PLUMBING SetbackWT/// I rewa I I Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. . Heaters Slab Carport Footings Prov. for physically handicap ed � Conformance of ex. structure � Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELE TRICAL Reinf. Steel I Final \ 1 Fixtures Bond Beam r . n I I u...— MECHA G Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALL�AT� N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you %isit the job site.) Owner !c Mailing Address c Contractor IF) (W Mai I i ng Address Building Address .COUNTY OF BUTTE• —, DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroviile, California 95965 �J l /� �J Telephone: 534-4541 ,� /5 1c / / APPLICATION AND PERMIT tJ�- V` BUILDING — , K SQ. FT. OCC. I BUILDING VALUATION r Te phone No. Telephone No. A. P. No. y-3 z - .2 Z , Zoning & Planning F We. I Sa n Fire Dept. Fire Zone Use Permit EQA I Parking arcel Ma I 60' R/W I Improvements Parcel Plans Declaration p p Fireplace Parcel A oval Plans royal Total Valuation r NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee @ FEE -77 Plan Checking Fee &/or Penalty Main service 100 AMP OR111 OR LESS5.00 Permit Fee $ Main service EA. ADD'L too AMP PLUMBING No. @ FEE PERMIT FILING FEE Main service EA. ADD'L too AMP $3.00 Each Trap NEW CONST.DWELLING OCCUP. & OR ADDNS, ( ACC. BLDGS. 1.50 Repair drainage or vent piping 2.50ea 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets Ex. Occup(OUTLETS OR FIXTURES)@8Q 1.50 Each additional outlet 2.00 .30 Building sewer 5.00 Lawn sprinkler system License No. Classification 2.00 Bldg. PUAW5�Rec'd Parcel A oval Plans royal Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP OR111 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 1.00 Gl/ lot Gam- NEW CONST.DWELLING OCCUP. & OR ADDNS, ( ACC. BLDGS. 2¢Sq ft NEW CONSTR MULTI.OUTLET NON- (MULTI-OUTLET BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@8Q BAL@7 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 19 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize .e resentatives of the County of Butte to enter upon the above- nt' ned property for inspection purposes. X Date44h / Signature P m�itt.e or Agent Receipt No. �! 1! White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ `7 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 PUBLIC WORKS BY Date 49�uZllding permit expires Date G VI's / FS i F/A / VA )lt 5711J uf'•.f^Y'eHi'..'YAYW-� f♦ -2 :Lu DVFY.y7°•'12� PWt'1pL/\D iu..-.r.� '47' L R �w• "mow ♦♦- A q�lr F� Lt+� P rc. itAC) 077 -'?7G2 ' "!a. 1' 2763$33 IL iQ] -4d 41 1 14 4.1 Ij �� `�' ��•� � � � III � _ � �i"6 �', ' 4'r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,' Oroville, CA. PHONE: 534-4541 y� MOBILEHOME INSTALLATION SHEET ". 1. Owners name • 2. Installer's name: 3. Is the site currently under permit? Yes_ No -75 (If yes, furnish permit number VI V %— ) OR. Is'the site an existing site? Yes / / No /_ t Al ' (If yes, furnish two (2) plot plans.)' 4. Will the mobilehome be located at least'S ft. away from septic tank and leach.fields and clear of all setbacks and easements? 'Yes No %/ ,' ,A ` (If no, clarify '�'_ G•: 5. What is the mobilehome' ---- --=-----== lot % Am electrical rating? -- 6. What is the mobilehome site service rating?' ------------- -- Amps ` 7. t What is the mobilehgme,site circuit.. breaker rating ` Amp Mc 1 y w a. 8. Is there any other electric load to be served by .the mobile ome site service? . ---------------------------------------------------Yes / / No �� • ` tr. a, ,' ria .1 (If yes, identify the load and size': (Load). (Amps) , 9. •. What is the mobilehome site gas pipe size? ------------------------ " (in.') 10. What is.5the type 'of 'gas service? ----------------------------- Natural ?LPG 11. What is the gas pipe length from meter`or tank to the mobilehome? s• (ft.) 12. What is the mobilehome gas demand? -----------------r, .• BTU ---------------(BTU) 4,+i d ' (This information not required if pipe length less than 6 ft. on .natural gas. or less than 50 ft. on LPG.) c• •v '' ` .{�� . . `is .Y _ '.x P�. F.. ��. �. ✓.':.i 1. .r.. !'il.'�y � ^r. � . i 4 L r -- p I��`M .. n � 'a.' T..k •.��i�1•'�,��4l.R.ZAi0 ..1 MOBILEHdME !iUPPORT DATA Mobilehome Mfr. Setup Model No. /_-S"�,2 Year Width 2 (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 with the County of Butte). - Sin le –►. Footings-- (check. one) 1. Wood eit�er ti,•. —t� pressure treated or Center Center Support y fdn. grade. Support Footing Sizes Locations (in.) 2a2. Concrete pad. x .3 7-7-3. Other,. specify ktt.in. in.jZ'In. Supports (check one) T .-Concrete block rg� Q f kn(in.) 2: -concrete piers (in.) , 3. Steel piers •4. Other, specify �Q xPTypical Support , Footing Size (in..)(in.) ' (Max. Pier Spacing in. t In.)n. I , (in.)(in.) i Max. Overhang in.� *If center piers are other than drawn above, draw in locations, spacing, and dimensions. �UT"rE COUNTY, BUILDING DEPARTMENT APPROVED X. _s __ :_. .. ' _. - �• 1. .'.�•:��- .. ��"si'."`"'CC1C'I�iZ�'}�.-"7a :L'."!:1T'RP!'^� ViLva --- R7 J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive —, Oroville, California 95965 Tel epliQ. ie: 5304541 APPLICATION AND PERMIT -' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X/t) Date Sign lure of,Peerrmitee or Agent_ Receipt No. X3ry 7141 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. DIREC OR OF PUBLIC WORKS BY _ZfDate L.a Byi WiRg. permit expires Date - r9'/��i � or BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace r - Contractor / `.. Total Valuation Mailing Address � Permit Fee Plan Checking Fee &/or Penalty Telephone No. % G Permit Fee $ Building Address �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3 Z-0 Each Each Trap 1.50 s Repair drainage or vent piping 1.50 Water piping 1.50 L U4 Z_ Each gas water heater or vent 1.50 A. P. No. Z ni / Gas piping system 1 - 5 outlets 1.50 re 6-L) Each additional outlet 30 Fe-&,— k7e. S t Fire Dept. Fire Zone Use Permit Building sewer 5.00 1p,0-13 A EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W I Im r p ovements Lawn sprinkler system 2.00 ESI 9laanns Rec'a' Parcel Approval PlonstAlproval Permit Fee $ $ 3� NEW ❑ ADDITION ❑ UTILITIES V OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ Main service incl. 1 meter,�IQQ Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures Receps., switches & fix outlets 20 P25 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:/� 621ZFz 1 2 Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 2.7� . License No. �L [ `a Classification Misc. wiring ❑ 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. 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 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X/t) Date Sign lure of,Peerrmitee or Agent_ Receipt No. X3ry 7141 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. DIREC OR OF PUBLIC WORKS BY _ZfDate L.a Byi WiRg. permit expires Date - r9'/��i � or PP P PERMIT NO. 4'i 7 ---7 5P ii P E M MH UTIL. PERMIT NO. ? PERMIT EXPIRES �— 76 `'OWNER Burt Cooper coNTR. J.T. McGregor, Paradise .LOCATION (A.P. 64-32-22 ) 70 Cumberland Dr., lot 22, PP##4, Mgalia , y1 r: -1 h Temp. Power Pole Called PG&E Temp. Elec. Serv. $ Called PG&E Temp. Gas Serv. Called PG&E JFIOB NALED s (Date (Signature) 9. Electrical A Is sei-vice l.arg';e enailgl. to provide adequate amperage to mobilehome (must equal rating; of mobilehome <�ith a ::;ici.u-um of /100 amp) and other facilities on lot, i.e. , water pumps, -arae, cabana, crc.:f Yes. t/ No B. Is ther•-� 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? Y"es_✓ No_ 1, De -energize electrical wiring system of the mobilehome at the pedestal 2. Magee sure that the power supply cord or feeder assembly conductors, including neutral conductor, hive been disconnected.. 3. Swi.tch all breakers and switches in the mobilehome to the "on" position. 4. Connect one 1• --..rd of a test instrument to the mobilehome grounding conductor and Y t 1 1 1 '. .. 1. ... 7_ 1 1 apply tie oiu.3 Lead %o each CiiUul.:�uume supply conu:ictor, ilicluding neui_rai. 5. All nor. -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 shah be connected to the site service equipment. A further continuity te;t shall then be Wade between the grounding electrode and the chassis of the riobilehome. Upon satisfactory completion of thedlectrical tests, the lot or site service equipment may be approved for energizing. Isjob card si-ned by Health Departmeiit for water and sanitation?, 1.;.. If everything ol:ay, sign off card and to services. MOBI:LEil0i^E DATA Manufacturer and/or Namestyle Length L 0 4.'icith ?il Vehicle Serial No. State Identificati-on No. 4de_ttional Infornataon or Corrnr.ents: I ii013 ti.i?IiO�t.E IIVS7'ALIyt`C1Oi3, INSPECTION CHECK LIST 1. Is the mobilehome 10cated,.wiLh required separation from lot lines and buildings and generally conform to plot plan?' Yes l%No '.Does the mrtbil.ehome have requirccl clearances above ground? (Sec.5085) Yes No 3. Are footin;s and supports properly sized, spaced, and braced asp,er approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes('—No 4. Is the mobilehome level.? (Sec. 5088) Yes c�' No� 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No h. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes '-� No B.. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes ✓ No C. Backfl.ow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes '-"No B. Does it have minimum I;" per foot slope and is it properly supported? Yes' No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No 1,.0--t B. Test OK as per following procedure? Yes_ No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in -tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mc�bilehorae with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes/ No Je .awk X DATE REMARKS OR CORRECTIONS q11 1/7 1/7 -S C l a�o 7C ago. �s c 4,4(� �- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback �O y� e Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows ] 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in r/0 r - Piers Roofing Sewer A04— Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation 1 ., Patio FIREPLACE Final- inalFootin Footings s Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service - 4,10z— Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final I Final 4 v 177 DATE REMARKS OR CORRECTIONS q11 1/7 1/7 -S C l a�o 7C ago. �s c 4,4(� �- 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 of the California Administrative Code, Title 25, Chapter 51 under permit number - "Ll } -7 *1r for the following location: J Owner Owner's Address Mobilehome Mfg. ��-- CModel -fit Year Insignia No. /'-;//-2 F i 1— 7 V Serial No. b�Z It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date '�3 A i Ely THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED Owner 61 Mailing Address /e 7- COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 1• Telephone'. 534' 4541 APPLICATION AND PERMIT o PEi� Telephone No. Contractor FA d2.L E 0tom 9 Mailing Address j'0357 C/12CLe L.v 10A fz A 0/5 C I Telephone7-2, 7 - Building Address 7o C61AI-69WLAVO 121--> 1 z A. P. No. J �� Z — Zoning & Planning F We. -ftmatm FireDept. FireZone Use Permit EOA Parking Parcel Parcel Ma 60' R/W Im Plans Declaration p provements Bldg. M -d s Recd Parcel 4roval Planproval NEW ❑ ��AnnDDITION [:]TILITIES ❑ OTHER 0.�JC z y 7 - 7,S- Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &&J Professions Code under the name style o�az L � ?uA /4 License No. 19/ 29 Classification Com— G BUILDING SO. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. OR ADDNS. DWELLING OCCUP. & ACC. BLDGS. NEW CONSTR. NON.RESID, /MULTI.OUTLET l BRANCH CIRCUITS NEW CONSTR. NON•RESI D. /POWER APPARATUS 6 1 SINGLE OUTLET CIR. $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 22sq it EX. OCCUp(OUTLETS OR FIXTURES) BAL t>11 EX. Occup.(OUTLETS APPLNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 U I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. �I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 7 ignature of rmitae or Agent Receipt No.[I��b Z, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling. Ventilation Hood Permit Fee $3.00 2.00 $ FEE FEE FEE TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. DIRECTOR OF PU LIC WORKS By— Date— 2Z—%72Z—%7 Building permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: � Q � E �D W A! 3. Is'the site currently under permit? Yes /1G / No / / ( If yes, furnish permit number �{� 7- % ) 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? --------------- -0-0Z p Amps 6. What is the mobilehome site service rating? --------------------- 2-00 Amps P 7. What is the mobilehome site circuit breaker rating? P s . 8. Is there any other electric load to be served by the mobilehome = site service? --------------------------------------------------- Yes / / No 3F"—/ (If yes, identify the load and size: (Load) (Amps) ' 9. What is the mobilehome site gas pipe size? ---------------------- Aj (in.) , 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) z MOBILEHOME SUPPORT DATA Mobilehome Mfr.h!E &-Id i Setup Model No ;I� 4 q /" Year It Width (ft.) Length 6b (ft.) Expando' Size' ft.x ft. '(f (Draw support details below) 03 On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). fin. X5.i (in.)(in.) jI I (ft. in.) I S in�le , *If center piers are other than drawn above, draw in locations, spacing, and dimensions. D. Footings (check one) /r 1. Wood either pressure treated or fdn. grade. aim -y x� Typical Support Footing Size 1 i Max. Pier Sp. ing (ft.) ('in.) .Z -ID J Overhang i 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers - 4. Other, specify Center Center Support Support Footing Sizes Locations (in.) 90.4 t j in.) ( iri : ( t� (inl. (in.)(in.) fin. X5.i (in.)(in.) jI I (ft. in.) I S in�le , *If center piers are other than drawn above, draw in locations, spacing, and dimensions. D. Footings (check one) /r 1. Wood either pressure treated or fdn. grade. aim -y x� Typical Support Footing Size 1 i Max. Pier Sp. ing (ft.) ('in.) .Z -ID J Overhang i 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers - 4. Other, specify