Loading...
HomeMy WebLinkAbout064-320-051i p Sl 0 o p Sl 0 ON ;I. • . RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 999-0027676 Recorded Official Records CoBBUU Of CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 10:02AM 28 -Jun -1999 E THIS LINE FOR RECORDER USE ON] REC FEE .00 CONFORM .00 Nikki Page 1 of 2 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. PAT INGLIS REAL PROPERTY OWNER/LESSOR 14243 SHERWOOD CIRCLE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COWRY STATE IIT 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 99-1310 . (530)538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 6/24/99 SIGNATURE OF LOCAL AGENC F DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. GODLEN WEST 1982 CALYPSO MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALCA85054A/B 56'X 24' CAL246375/6 SERIAL. NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #064-320-051 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Budding Dept LEGAL DESCRIPTION A.P. #064-320-051 All that certain real property situate in the County of Butte, State of California, described as follows:. lot 66, as shown on that certain Map entitled, "PARADISE PINES UNIT NO. 4", which Map was filed in the office of the Recorder of the County of Butte, State of California, October 1, 1970, in Book 35 of Maps, at pages 97, 98, 99, 100, 101. 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 surface of said land. NOTES RESIDENTIAL j 064-320-051 99-1310 INGLIS, Pat PERMIT NO., 14243 -Sherwood Circle, Magalia"' Contr: Ron's Mobile Home Service MH Perm On Ex site 11 SPECIAL CONDITIONS 11 CHECKED BY —_ SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature ✓ = OK 0 = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2., Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS bate DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romex Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor ❑ Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive ] Yes ] No/Walks Q Yes :1 No/Planters Yes J No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 87. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 FRAMING (Permit) OK except #'s 40. Sits Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Ring. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 82. Following Instld./Drive ] Yes ] No/Walks Q Yes :1 No/Planters Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: .RF7..1RDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 28 -Jun -1999 1999-0027676 Has not been compared with original BUTTE 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. PAT INGLIS REAL PROPERTY OWNER/LESSOR 14243 SHERWOOD CIRCLE MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write 'SAME') MAILING ADDRESS Crrr Comm STAia 7d 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 99-1310 (530)538-7541 BAa!1AKT5Y TELEPHONE NUMBER 6/24/99 SIGNATURE OF LOCAL AGENC DATE NONE DEALER NAME (if not a dealer sale, write 'NONE') DEALER LICENSE NO. GODLEN WEST 1982 CALYPSO MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER GW6CALCA85054A/B 56'X 24' CAL246375/6 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #064-320-051 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY-HCD PINK -Applicant GOLDENROD. Building Dept r LEGAL DESCRIPTION A.P. #064-320-051 All that certain real property situate in the County of Butte, State of California, described as follows: lot 66, as shown on that certain Map entitled, "PARADISE PINES UNIT NO. 4", which Map was filed in the office of the Recorder of the County of Butte, State of California, October 1, 1970, in Book 35 of Maps, at pages 97, 98, 99, 100, 101. 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 surface of said land. t BUILDING PERMIT NUMBER: 99-1310 Address or location of unit: 14243 SHERWOOD CIRCLE, MAGALIA, CA 95954 , Legal Description of Real Property: A.P. #064-320-051'- SEE 064-320-051 -SEE ATTACHED (x) Mobilehome/Manufactured Home O Commercial Coach Has been affixed to the real property above by installation on a foundation system ,pursuant to Health and Safety Code Section 18551. ' Owner's name: PAT INGLIS . Owner's address: 14243 SHERWOOD CIRCLE, MAGALIA, CA 95954 " INSIGNIA OR HUD NUMBER: CAL246375/6- SERIAL NUMBER OR V.I.N.:, GW6CALCA85054A/B MANUFACTURER'S NAME: GOLDEN WEST YEAR: 1982 OFFICIAL APPROVING INSTALLATION: DATE: 6/24/99 PHONE: (530) 538-7541 H.C.D. 513C . - s C :�h• ...7 �'=? 08: ?? F i [ :.ii U_ ? i TI . E _. FSCR'] J . FHRhU 1 SE _ E.511 051 r 10 E:57 7�3 OF CALIFORNIA -5U300235. TAAN8P0RT,tT1QN ANO 4OV4NG AGENCY swAr DAVT3, „oremw — 9TATE i7EP i� MENT OF HOUSiNC3 AND COMMLf ITY DEVELOPMENT OMatoa O(Cdodw and Sar:duM! Title Searchamocad Date printed: 0610999 Decal 0: LAW 129 . Usc Code: SFD Mmufacturer: 9248 GOLDEN WEST ROMPS Original Price Code: ALB Tradename: CALYPSO Rating Year: Modet. CA 564A 8 Tax Type: LPT IL.T Amount: Ni2riUfaCtured Dale: 10125A2 , Date II,T Pec Paid: Date Registration Exp: . � ILT Exemption: N01�1E First Sold On: 10/18/83 Serial Number HUD Label ,I.. Insignia Length Width GW6CALCA65054A CAU46375 GW6CALCAS50543 CAI?46276 56 12' itecord Conditions,- PPF Exempt Registered Owner: PAT INGLIS 14243 SHEWWOOD CLQ ' MAfjA1,IA, CA, 95954 Lao Title Date: 11!01/93 I.&St Reg Card: I1i01/93 5ple router info: Pncc $31,500.00 Trwfemd on 07127:93 Situs Address: 14243 SHaWCOD r-Tq M.AG.,kL , CA 95954 situs Cowuy. BVI'IT - • Title Searches: BIIDWELL TITLE PO BX 49C . PARADISE, CA 95961 Title File Plot 3187539 x#* END OF TITLE SEARCH r 9 :ST 666i-615-Mri_ RECORDING REQUESTED BY Butte County Title Company MAIL TAX STATEMENT TO Same As Be 1 cw WHEN RECORDED MAIL. Tri Nara• !Pat Inglis Sim"14243 Sherwood. Circle Addrem Magalia Ca. 95954 city a Ste" L ORDER ,io. 46488 Esc.Rou• No. 17670s j I 93-28550 93-0285501' I Recorded I Official Records I County of f Butte I Candace J. Grubbs ! Recorder I 8:008m. 8 -Jul -93 1 Rec Fee DOC Check 5.00 76.65 83.65 BCTC MD 1 GRANT DEED (INDIVIDUAL The undersigned grantor(s) declare(s): Documentary transfer tax is S 78.6 ( X ) Computed on full value of property conveyed, o! ( ) Computed on full value less value oA liens and encumbrances remaining at time of sale. ( ) Llnincorporatrdea Cityj Tax Parcel No. �b4(-3�0-U�'1— FOR A VALUABLE CONSIDER:NTION, receipt of which is hereby acknowledged, RUSSELL A. ERWIN and ESTHER M. ERWIN, husband and wife, as Joint Tenants hereby GR,ANT(S) to PAT INGLIS, an unmarried woman the following described real property in the County of Butte , State of California: All that certain real property situate in the County of Butte, State of California, described as follows: Lot 66, as shcwn on that certain: Map entitled, "PARADISE PINES UNIT NO. 4", which. Map was filed in the office of the Recorder, of the County of Butte, State of California, October 1, 1970, ir. Book 35 of ?`taps, at pages 97, 98, 99, 100, 10.1. EXCEPTING "I-IEREFROM 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 'st's- face of said :Land. Dated . June 23, 1993 RUSA. ERWIN ' ESTHER M. ERWIN State o6dl�_ — CAPACITY CLAIMED BY SIGNER County of "� �� _ _� _ INDIVIDUAL(S) -- r] CORPORATE--_ _--.._— On before me, ___ OFFICER(S) DATE NOTARY PUBLIC — TIT:E�.Si �� � ,,_%� (/ � G� i ❑PAR?NER(S) personally appeared 6L,+`—�L!__.�.�s'l/�X T ���/!' 4/l .,���� [7ATTORNEv-IN-FACT NAME(S) OF SIGNER(S) I O TkUSTEE(5) personally known to me - OR - proved to r:ie on the basis of satisfactory evidence; J suBSCR:BING WITNESS • --0 GUARDIAN/CONSERVATOR— to be the person b, whose name IS r p OTHER. --_.— sL.bscribed to the within instrument and acknowledged to me that h /she ` e . 1�WELL exe.uted th ame in his,'her�e' authorized ! capacity les and that by his/her SIGNER IS REPRESENTING: 11104 V C0�1 W MMM41 sicnatur s n the instrument the perso NAME OF PERSONIS) OR EN'r)T1!1W or the entity upon behalf of which the perso wMaculm Comm avow AOW 7 M7 :acted, executed the instrument. --- --- - --- Witness"nd and official seal. I STATE OF CALIFORNIA -DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT CFRTIFTCATF nF'-TTTI F MORTI FHnMF norm un I AflQto MANUFACTURER NAME/ID GOLDEN WEST HOMES/9248 TRADE NAME CALYPSO MODEL CA 564A 8 DOM 10/25/82 DOT 05/24/83 DFS 110/18/83 SPC EXPIRATIO GN6CALCA8��i4ANUMeER GW6CALCA850548 3 4 s 6 CALLABEL/�N.SIGNIA NUMBER CAL[Z2'446633377766 018000 016000 OHM 000672 OOOlT44 0001.. 11AV93 i� EXEMPT FF7EL2 TOTAL, 'FEES PAID: 645.00 A INGLIS PAT 3. D 14243 SHERWOOD CIR RELEASE OF DEALER D •MAGALIA CA'95954 ; NEW REGISTERED OWNER, FILL IN ITEMS 4 - 9 THE R *' E * 4.A) S AND • S OR 13 E NAME - PLEASE PRINT R INGLIS PAT' d z E CURRENT MAILING ADDRESS I A 14243 SHERWOOD CIRC S Z ` C17V maCNTY ST ZIP T L �a R MAGALIA CA -95954 6. FUTURE MAILING ADDRESS E 1. bar D RELEASE OF REGISTERED OWNER7�� at 3 S LOCATIONY' 'DRESS O s 14243 SHERWOOOACIR� 3 ✓ � s 'w . w x� gS gg� CITY CNTY ST ZIP E U MAGALIACA 95954 ;,.: R S s?i n �y� t Coll; y 8 --; *PURCHASE PRICE DATE 1 1: NEWREGISTERED OWNEW. SIGNATURE A �VI"E �' �j s.�HHeE NEW LEGAL�OWNER, FILL IN ZTEM5 0 - 12 jHHE ii III ti Iii ; r"i-10�A )�r mt� p kyr y s ? ygr�s° z Kss IS, •II2 's.�'�'sra,r:. �, s a`"Yisa'., '72 N ls.cros a - gg x % x`/ § x NAME - PLWEK� RINT E 2.A) --- s 3d�� x' �:" •'crsi.3a "''<A3,aY a', r R RELEASE OF LEGAL OWNER ��• �1._lei • �� � ADDRES�� RETENTION 460 LEGAL OWNER 12. A ' 3CITY > "�CNTY ST ZIP , C )— "�" • ate *90( NEW 1S'l JR, LIENHOLDER•, FILL IN ITEMS 13 - 15 iEiEiE ' ASSIGNMENT OF"LEGAL OWNER �t y? �tiRa 13. 'N s i p J q " r% - 1, NAME - PLEASE PRINT N I V% I R r £i4. ADDRESS O S R T 15. CITY CNTY 8T ZIP L 9HHE NEW 2ND JR. LIENHOLDER, FILL IN ITEMS 16 - 18 iF]t3E I E 16 N S NAME.- PLEASE PRINT. H E O C 17. L O ADDRESS D N it E p 18. R CITY CNTY ST ZIP IMPORTANT 01-300-00 THIS.CERTIFICATE OF TITLE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE'DESCRIBED UNIT. THE CURRENT _ TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0100034 REAL ESTATE PROFESSIONALS EXPLANATION 205 PEARSON ROAD nMouNr PARADISE, CA 95969 530-872-1600 1 � 1 •� V � UD 90-4202 1211 1 THE ORDER OF DOLLARS�°�'�'°°"^� DESCRIPTION t �� CHECK a NUMBER CHECK AMOUNT . BUTTE 672 PEARSON RE). COMMUNITY PRADISE, CA 95969 IIT 11.00178811@ 1: 1 2 1 11, 20 25i:0 100009 16611' W"tOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO `0' ev.1096) APPLICATION AND PERMIT ASSESSORPARC�fJUMBER 064-320-051 ZONING BUILDING PERMIT OWNER INGLIS, PAT TE"_6265 SQ. FT. OCC. BUILDING VALUATION 1344 72,576 .OWNERS MAILING ADDRESS 14243 SHERWOOD CICLE, MAGALIA CONTRACTOR'S NAME RON' S MOBILE HOME SERVICE TE365 -6118 CONTRACTOR'S MAILING ADDFifaSSO. BOX 305, ANDERSON, CA 96007 r CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 72,576 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 259.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS /4 J J (i/, 2 4� r*�OOD n ,��/ Energy Plan Checking Fee $ ic,I$ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )b Other SPT Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 19.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MH PERM ON EXISTING M SITE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 OV LE Main Service . ' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 't Lic. No. c�7O '% OWNER -BUILDER 13ECLARATI N 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW EwNG OCCUP. OR ADDNS. ( a ACC. BLDS. SO 3.5QFT. NpI�.ROMULE IDT OCUTS @7,50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR PocruREs 20@'•00 BAL @ .SO Ex. Occup. OPIX„�'(g.%.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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' compensIlion insurance carrier and policy number are: Carrier �y a Policy Number L (The above sections need not be completefl 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' comps ' ation laws of California, and agree that if I should become subject to the worke compensation provisions of section 3700 of the Labor Code, I shall f h ith mply with those provisions. ,, _ / � J� X /�' D to _� �J7�— Sig to of Applicant - ❑Owner ❑ Contractor Agent An OSH permit is required for excavations over 5'0" d p and demolition or construction of stru ures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTL FEE $ 35/0 0 HAz. D PEES IM PLooD cDP P C HD Iso This permit is hereby issued under of the Butte County ode and/or Indic o for w ieh fees have B PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Z ZHITE-D.D.S.-B.D. afe receiptNo. 265421 $63.00 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT *'(Rev. -12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 111y -/31d ASSESSOR PARCEL NUMBER 3�0/ ZONING BUILDING PERMIT OWNER st/' L S TELEr oNE -6 SO. FT. OCC. BUILDING VALUATION OWNERS MAIU ADDRESS .. CONTRACTOR'S!/ ( [[JJb\G�////Y✓/,TEELLEPH/ONN/E 0� lk-,04162, � J �LC��uzl ��� CONTRACTOR'S MAID ?R r ) CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS ' Fireplace Total' Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fi g Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 1 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ /Utilities ❑ Installation ❑ Other� Describe Work: i� ��GD`/f ��i�/1{�¢�Gr,E7�l�C/.y(%�%�0/J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE i v ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2oonORESS 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, ( g ) and my license is in full force and effect. License Class 'L Lic. No. %OZ-l� % 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 Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ACDNS. ( a ACC.Bins. So 3.5¢Fr; NEW CONST. MULTI.OUTLU NON-RESID. @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCLI OUTLET OR FurrURES 20 '.50 x BAL .50 Ex. Occup. ouiiT. AE�slo.oen 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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' erformance of the work for which this permit is issued. p3ompensation, as provided for by section 3700 of the Labor Code, for the I have and will maintain workers' compensation insurance, as required by Section 700 of the Labor Code, for the performance of work for which this permit is issued. My worker��compensatio insurance carrier and policy number are: Carrier d'� f MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this peimit is issued, I shall not employ any person in any manner so as to become subject --to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ X Date Signature of Applicant - ❑ Owner .❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ I Occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I COF PARCEL PO HD ISSUE This .permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Date Receipt No. Ou W WHITE-D.D.S.-B. D. CANARY -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES o BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 r i PERMIT APPLICATION DATA SHEET OWNER: T` ASSESSOR PARCEL ER:6(9 Y Proposed B ' ding Use: uilding Inspector: Date: At time of permit application, I was advised the following data must be witted prior to permit processing an or issuance: Date Received By ❑ 1. All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ Wer�tured Home data and installation instructions including Tie Down Specifications.------------------ esof$ ------------------------------------------------------------------------------------- . Impact fees as shown on the attached schedule.----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------ ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval ``frorp the Cityof Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: � �` � (B) Parking: -------------------------- 4--Z j — CQ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required. Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ❑ 22. Workers' Compensation carrier and policy number. ----------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). - 024. Letter of signature authorization. -------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------- 1126. Letter of intent on building use. ---------------------------------------------- ❑ 27. Manufactured Home utility clearance. --------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------- � V49` 9 ❑433 A, ❑Grant Deed, ❑ M.H. Title, U Check to H.C.D $ �?,' .--------------- 030. -------------- ❑30. Other: ------- When t/he permit, ro s lows ❑ Mail to owner, ❑Mail to ntractor. ❑Telephone b S '^� and hold for pickup at C(I Cd of aiCe. Deliver with inspector. Date: )n Date: By: Date: By: Applicant: _ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Copy of plans sent ❑ Health Department, ❑ Fire Department, q Other: 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. ��G k PERMIT NO. _ 498-83P-$, ) PERMIT EXPIRES t / OWNER RISSELL ERWIN CONTR. Paradise Modular Concepts ASSESSOR PARCEL 64-32-51 LOCATION 14243 Sherwood,lot 66, PP#4, Magalia Temp. Po OFFICE COPY Calle i Address Temp. Ele GAS i Callen y Date Meter B � ELECTRIC ` Temp.Gas I Meter By , Dat i = — Called PG&E JOB FINALED (Date) Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit nu'mrber J�� �Z for the following location: Owner .4, 1 - A Owner's address 1 1 t �• ; 1 Mobileho`^�e i��fg. .�� �1.n ��� Model Year Insignia No. f `� S Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public'Works Date ` By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. . r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Orovilie — Phone 53474541 Skyway and Elliott Road, Paradise — cs72-ZL9i.i kS7 CORRECTION' NN®TICE . BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinand'e exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. G`x2h4 ! lSy i 4u' f w� � • COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliztt Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need ,a0d�o�planation,'please contact this office immediately. Inspector J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready _ Date UNDERFLOOR flans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3: Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Fig., Garage; Soils -Steel- Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors - 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI: Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -fl Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI 'Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s - ' 67. Garage Fire Door; Swing -Landing -Closer ' 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69, Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Pr6tec. 23. Romex Installed Close to Edge of Studs & C.J. _- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size - - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ___ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No _ 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish _- 29. Equip. Clearances; Pane Is_Motors-Mech. Equip_ 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. --_ 30. Clothes Closet Light -Shower Light _ --------- -- 79. Water Well; Disconnect, Electrical, Plumbing ------- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI _- Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric - 31_ A.C-.-Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval - 32._ Vent Fan;Exhaust above Insulation 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 Card -BI -__ - Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date' Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: _--36. _ _- 37. 38. 39. Sills; Proper Material & Anchors _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor _Nailing- Draft Stop in Walls (rat proof) -40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub - - 41. 42. 43. 44. 45. 46. 47. _Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors - Cing. Joist-Rftr. Ties-Purlin-Roof frac.-Truss-Shlhnq.-Rfnq. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) J = OK O =' Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLAKEOUS Date MOBILE ME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1 ing Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements Soils; Special MH Support—Sketch 2, Footings; Size—Depth—Spacing—Connectors 3, ew r; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater Location—Test—Easement Needed (Sketch) _ 4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing_ 5 ectricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures ovation—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors jo_7� Utility Clearance 7. Elec. Alt Card -BI Date and -BI Date J' Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILE ME INSTALLATION (Plans) OK except H's Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except #'s oni Requirements—Setbacks—Easements 1. Setbacks—Easements 9otTn_gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability gam"Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4.�eetrity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5; Dj,vW, MH Test—Fall—Flex Connector { 5. Elec.; Pool Lighting; 15 volts—GFI 6�"Wat ; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—listed a Brand Sewer Connected—C/0 to Grade—HD Approval ! 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater as_"d Electricity Tagged 8. Elec.: Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enc losures— Pane lboards—Ins. to Main in Conduit xits, nsp.—Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I An IV Date lel 0,7Card-BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION.AND PERMIT �ERMIT NO. ASSE OR -PARCEL NUMBER _ _ S J ZONING BUILDING PERMIT OW TELEPHONE SQ. FT. OCC. BUILDING VALUATION OrWNER'S MAILING ADDRESS C ACTOR'S NAME G TELEPHONE NTRACTOR'S MAI I ADDRESS 3 w " -... Fireplace CONSTRUCTION' ENDER UNKNOWN LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Penalty $ 10.00 $ $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 .2—V3Solar Each Trap 2.00 Water Heater 20.00 Water piping 5.00 LOT NO. l& 6 SUBDIVISION NAME 1 V PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USEOF ST TURE SF ❑ Duplex ❑ Mobi lehome • Other SPECIFY Building sewer 5.00 Mobile Home S 10.00 e TYPE OF WORK New ❑ Addition [:1Remode1 [:1 Utilities Installation[] Other ❑ Describe work: �� Permit Fee $ =21. Cb 1 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare r penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@50C and Professi Qde nd license is in f forc a d effect. iJ m y License No / t Classification ° I ❑ 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 2.50 ea NON-RESID BRANCHPC IRC ITS NEW CONSTR. POWER AARATUS B: NON.RESID. ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SAL®30 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 Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The rmit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I a ree to save, indemnify and keep harmless the County of Butte against all Iiabl ' ies, judgments, sts, and expenses which may in any way accrue against s C unty in copse ence of the anting of thispermit. o X Date !U 3 0 Si nature of licont — Owner ❑ ontroctor ❑ Agent ❑ An SHA p it is required for excavations over 5'0" deep and demolition or construct- ion o ures over 3 S Dries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �CCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This ermit is here y issued under sio f the Butte ounty Code and/or w i dic ed a ove for which I CTOR OF PUBLIC IBy PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS p Date ��� 2^p0 ✓ r/2 `� Receipt No. ��/�� WHITE-D.P.W.. YELLOW -ASSESSOR , PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _7 County Center Drive - Oroville, Calif.*rnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT 2 PERMKT NO. ASSESSOR,, P RCE L NUMBER — 13 a-. s"/ z I G ` ' BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC, BUILDING VALUATI OW R'S MAILING ADDRESS n ACT 'S NAME TELE PH. E _j TOR' PO TA-CA NG ADDRESS 3-JJJJed' g, B Fireplace _6NSTRUCTION LJENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING A DRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEE 'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS " PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT o. suBDlvls(o AME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF ST TURE SF ❑ Duple Mobilehome � Other SPECIFY Building sewer 5.00 Mobile Home S FGJW 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other E]Contractor Describe work: Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 l Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20sgft CONTRACTORS LICENSE LAW I declare r penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions. V d license Is In fUI rce a d ffect. License No. Classification _ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR. ( POWER APPARATUS &') NON-RESID. SINGLE OUTLET CIR, EX. Occup( OUTLETS OR FIXTURES eql®30 BAL@30 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 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating Jo building construction, and hereby authorize representatives of the Countyot to to enter upon the above-mentioned property for inspection purposes. I als gree to save, Inde nify and keep harmless the County of Butte against all liab ities, judgments, osts, and expenses which may in any way accrue against s id County in co s quence of th granting of this permit. Date /J nature Applicant — Owner Contractor ❑ Agent�� An O permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ` OCCUP. GROUP TYPE OF CONST. IF- PARCEL PD No ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC �o By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateTE-D.P.W., LReceiptNo. �-3 YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. A, PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET I. Owner's name: hG81LO (916) 4NONPdARADISE MODULAR .CONCEPTS, INC. 2. Installer's name: - 69686 -- ARM SKYWAX ; • ANANS ££99 ' EAM�������� SE, CA. 95 3. ' Is the site curreW jSl+Il3RBOp� W 3S10 f��da"""` (916) (If yes, furnish permit ' number ) OR Is the site an existing site? Yes -No (If yes, furnish two (2) plot plans.) - 4. Will the mobilehome be•located at least 5 ft. away from septic tank and leach fields and clear'of all setbacks.and easements? Yes No ( If no, clarify ( ) 5. What is the mobilehome electrical rating? -------------------- ,/Uy Amps 6. What is the mobilehome site service rating? --------------------- �y Amps 7.. What is the mobilehome site circuit breaker rating? ------------- �Q 4 Amp8 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps). 9. What is the mobilehome site gas pipe size? ----- ----------- (in.) -- 1 ^7 LPG 10. What is the type of gas service? --------- ----- Natural / 11. What is the gas pipe length from meter or tank to the mobilehome? 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.) MOBILEHOME SUPPORT DATA 1 •If other than single wide, Mobilehome Mfr.- "--: c-/ furnish Setup Model No .�'/� - '� (�� � � Year Width �� (ft.) Box Length � -(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. 1 Single 1 �v� � x�v (ft. (in:) (in.) (in.) enter s pport Center support locati ns* ` footing sizes (in.) w x�U (ft. (in. V, � (in.) (in.) (ft. (in.). (in.) (in.) zC � /aux a/ �lX .. Footings (check one) 1. Wood either pressure treated o foundation grade. ED 2. Other. ( specify) Supports (check one) 1: Concrete block. E] .2. Other.. ( specify) Tagalong or Expando,' show support details. x2�6) -- Typical Support (in.) Footing Size s _ I -- Max. Pier Spacing j --t) 1, -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED �.�3 x,� (ft.- (in.) V C (in.) (in.) N W (ft. (in.) x-10 y (in.)1 (in.) /aux a/ �lX .. Footings (check one) 1. Wood either pressure treated o foundation grade. ED 2. Other. ( specify) Supports (check one) 1: Concrete block. E] .2. Other.. ( specify) Tagalong or Expando,' show support details. x2�6) -- Typical Support (in.) Footing Size s _ I -- Max. Pier Spacing j --t) 1, -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED �.�3 / :s ,i':, •�• a• mg .?!:►L4- 5'i::::'-,i':•,' `: ``iC'�'�':'r` ..P" moi, •-'i. r` �+u•S�Eiin.' .. • � , i � 11ti'' w :' �.4 iia.,: i1� � ,:�' ••: ` • 71 LLu�Q > Ow O•` " LU cD �' 177.0.r.\ 0 / 46 3 S.L. .M e !- ---- - - fo �'' L /vi�✓6 Pool, Oin/i.✓G Ly � Fi9TJiaY.Poe�s� n!. ,B�p /2=0~xG3 •-o' ' ®•- .s OP7Yo�/i4G C/�,QP.ET : /-z' 2^ a 6EO,Q00lW - - - - ,az' x /0'- dO' DO"83-81 . ENTRY LINO IS m..0. m�oo�zovE STD. at ALBANY . s. e so�,� �✓E ONLY SUPPORT PIERS c/9cy,90'So 13.Or QOLOEIhr 0, CAPACITY FOOTING SIZE CAPACITY FOOTING SIZE ,PEEBc��O,�L�l1 Fi4/�7iLy �7 s0. FT. ""08a�E :°� 0R�WNG MIRE ANA, v - _U 2000# 12"X24" 8000n° 48"X24" T,T�c CARPET LAYOUT AND RIDGE MOO1NO 04*onE:v14„ �) 4000# 24"x24" m 10,000# 60"x24' BEAM FIELD SUPPORT PIERS '/9-8 at _C% 60004 36"x24" ORwM,Nar ry/uuN x•,23.8,2 °"'"G "O IN It ,� FOR FIELD SUPPORT DETAILS, SEE DWG'S. S -I" and, S-3 OF INSTALLATION MANUAL. "�"'��� a• ---I-� a . , a . a a i .C/9--qC4Ig IV - `. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,-Califorw,ia 95965 - Telephone 916/534-4541 APPLICATION, AND PERMIT PEZMIT NO. ASSES R PARCEL NUMBER ZO G BUILDING PERMIT OWNETELEPHONE ,SQ. FT. OCC. BUILDING VALUATION OW ER'S MAILING DDR SS ' O TRACT R'S NAME - TELEPHONE I D2 _ 4 77// ' C TRACTOR'S MAILING ADDRESS / ,ems > (O Fireplace CONSTRUCTION LEND V UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRE Permit Fee $ ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT O. SUBDIVISION NA PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF SX.RGCTURE SF ❑ Duplex❑ Mobi Iehome Other SPECIFY Building sewer Mobile Home G t5.00 00 e TYPE OF WORK New❑ Add ition❑ Remodel❑ Utilities Installation❑ Other❑ Describe work: Permit Fee $ "3,0 - ov Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100Do AMP ORV OR LESS10.00 /0,00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (( DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. I 2h2sgft CONTRACTORS LICENSE LAW I declare der penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesszDesOa license is in f force d effect. and Professio s C d and.m n and Y License No Classificatio ❑ 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. ULT( -OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &'1 NON-RESID. (SINGLE OUTLET CIR. i Ex. Occup(o OR FIXTURES .20@50C IXED A R Ex. Occup. OUTLETS P(RESID )EA.1 2.00. Temporary service 10.00 Mobile Home Facilities 15.00• /S,' Q Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to,the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against a'. 'abilities, judg ents, costs, and expenses which may in any way accrue agains said County i consequencWbf the granting of this pe mit. D ign ure f Applicant — 0 r ❑ Contractor Agent n An A permit is required for excavations over 5'0" deep and demolition or -construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. F PARC HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREGTOR OF PUBLIC BY P i IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date3— —/''- 6 , Receipt No. 82� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -.'AND PERMIT PERMIT NO. ASSES OR ARCEL UMBER Z / I BUILDING PERM OWN TE71 EPHONE SQ. FT. OCC. BUILDING VALUATION !OWNER'S MAILING ADORES ON RACTO 'S NAME LEPHONE TRACTOR'S MAILING ADDRESS 3 Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ $ ARCHITECT OR ENGINEPenalty 'S MAILING ADDRESS ( Permit fee $ BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO SUBDI I�N NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome• Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 10-00e TYPE OF WORK New❑ Addition❑ Remodel❑ UtilitiesInstallation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR001 OR LESS10.00 _ O Main service EA. ADD'L too AMP Z 2.50NEW CONST DWELING OR ADDNS. ACCLBL GS.CCUP.&) 21h2sgft CONTRACTORS LICENSE LAW I declare u r penalty of perjury (check one): I am licensed under provisions of Chapt. 9,.Div. 3 of th Business and Professio a and m license is in f force and effect. y License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT'.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. / POWER APPARATUS &� NON-RESID. %SINGLE OUTLET CIR. / Ex. Occu Zoesoa OR FIXTURES 9AL®30 P�ou XED A FIXED APP LHS, 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 Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 4eeter upon the above-mentioned property for inspection purposes. to save, indemnify and keep harmless the County of Butte against es, judgmen ,costs, and expenses which may in any way accrue d County in c nsequence the granting of this permit. %O Date 93 pplicant — Owner Contractor❑ Agent mit is required for excavations over 5'0" deep and demolition or construct- ures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARC PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whi h CT R BLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS D/a�/yte ®�O _ v Receipt No.�g WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT �, 4 # AFLTIJRAL STA OF ACKNCx•JIDC>E[f' 5' P R SILK DE'VEIA'NI�1T WMA�. i c4i P"01 �Y o,. y1 �.� i�' t , "•W!`J yf iF tl r��Q 1t t zY 8 0� tte®i�rtt�y �ode''.requ> xis'this aak�a�rledt '1r dind q, -t I: ♦. 1 I�''A�'i` �J7y.� •i .� t i. The property described herein is -adjacent ta.land or included iI `within an area zoned for agricultural purposes and residents - of 8� this -property may be subject to inconveniences or discomfort arising from the use of agricultural 'limited t� gr chetrti.cals, including, but not'limited pesticides, and fertilizers; and from the pursuit of agricultural oA emis��€i� but not limited to cultivaticn, Plug, spraying, pruning, and harvesting••which -signally generate dust,.smoke, noise, and odor. Butte County has established.agricul- tutal zones which have as a priority use for productive agricultural purposes,;and. -residents within,said zones and on . adjacent property should be prepared .to accept. such' •inconvenience, or disoomfort from .normal, necessary • fam operations. All that real property situate in the County of Butte, State of California,t described as follows Lot 66, as shown on that certain Map entitled, PARADISE PINES•UN.IT,NO:4"; which Map was recorded in the office of the Recorder of the County of Butte, -State of California, October 1,1970 in Book 35 of Maps, at page,$ :97,,t 981 9.9's 10 0 and 101.f - :�� , fRx . 3 i EXCEPTING nEmF", all minerals, oil, gas, asphalum and other hydrocarbon -u substances, with provision that any and all mining operations shall be d,one.''. h.R' frau orifices outside the surface area of the land described herein, and that ' no damage shall be done to the surface of said land. Date: � - . PROPERTY. CIVERS: Uli rifJPSS-',0 .d y; .tl to • li!/CN ZE�G� x LA lee"' , State of ss. County of adib - I OFFICIAL SEAL KATHY DANCE a NOTARY PUBLIC • CALIFORNIA +� a1 PRINCIPAL OFFICE IN BUTTE COUNTY' MY' COMMISSION EXPIRES OCTOBER P. 1985 Present A.P. NO: 064-32-0-051-0 On this the�� day of before me, the undersigned Notary Public, perso4ly appeared >� proved to me on the basis of satisfactory evidence,'In the form of` the oath or affirmation of��-DELA•.P'���P���'� to be the persbn(s) whose name(s)subscribed to the,wlthin': instrument and acknowledged that -4 ecuted the same -,:- for the purposes therein contained. P ,IN WITNESS WHEREOF, I hereunto set my,hand',arfd official seal.' "''+ V p; Notary's Signature *r v PERMIT NO: 2643-84BC PERMIT EXPIRES �rh i V�{\ ) OWNER RUSSELL A. ERWIN CONTR., Sierra Mobile Ser. ASSESSOR PARCEL 64-32-51 LOCATION 14243 Sherwood Circle, Magalia Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) w Signature J = OK O = Not OK — = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s Zoning Requirements—Setbacks—Easements 2, Soils; Special MH Support—Sketch ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete . Awn.; Col —Gonne i —Splice-Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -Bl Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date PO LS (Plans) OK except #'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, Elec.; Receptacles and Lighting; Distances—GFI 4. Electricity; MH Test—Crossovers—Breakers—Clearances 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 DateCard-BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK r 0 = Not OK - = Not Applicable SIE = Not Ready RESIDENTIAL )Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. 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 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes No. of Conductors -Stapled 71. 72• 73. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 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 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes [__1 No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except p's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39.Draft Bearing Walls over Girders & Floor Nailing Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45.Attic Cing. Joist-Rflr. Ties-Purlin- Roof _Brac.-Truss-_Shth_ng.-Rfn_g._ Fireplace Ties or Type A Flue -Fireplace Throat Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �3A ,VAI ASS SSOR PARCEL NUMBER Sc4--3�- ZON G BUILDING PERMIT OWNER Russell A. Erwin TELEPHONE 873-1496 SO. FT. OCC. BUILDING VALUATI ,N OWNER'S MAILING ADDRESS 14243 Sherwood Circle. Ma alia . 95954 CONTRACTOR'S NAMETELEPHONE Sierra Mobile Service & S 1 -8 CONTRACTOR'S MAILING ADDRESS 8965 Skyway Fireplace CONSTRUCTION LENDER NKNOWN Total Valuation $ 'Q Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -60 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ I,�(s a Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee _ $ p•ot3 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehomeg] Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Install new AtylAtalilminELECTRICAL U IP r P \S \ d,Q � Permit Fee $ Contractor PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 -x Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS, l ACC. BLDGS. t 2/20sgft 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 m license is in full force and effect. y License No. �p0l Classification (: ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS NEW CONSTR.POWER APPARATUS &) NON-RESID. ( SINGLE OUTLET CIR. I 20@50t Ex. Occu B.L@30 P�o OR FIXTURES eAL�ao FIXED A Ex. Occup. our OUTLETS P(RESID )REA.) 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 of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga' st said County in copse uence of the granting of this permit. X g r Date Signature of Ap'licant — Owner ❑ Contractor ❑ Agent ® An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD RD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated aboveiw ich DIR UBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Date O /inn Receipt NO.26T,L 3 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT J e• PERMIT NO. 3647-83B PERMIT EXPIRES OWNER RUSSELL ERWIN CONTR. OWNER ASSESSOR PARCEL 64-32-51 LOCATION 14243 Sherwood, Lot 66 PP4, Magalia JOB FINALE[ Signature t i. .z Temp. Power Pole c' j'. Called PG&E f Temp. Elea Servi, ('r Called PG&E 1� Temp. Gas Servic( Called PG&E. JOB FINALE[ Signature = OK.' 0: Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * - Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DE S ERS, CARPORTS; ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements ?r!' g'Re ' ments—Setbacks—Easements 2. Soils; Special MH Support—Sketch ?! ' s; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete _oo _ 3. ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures T 6. Gas; Location Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7, Utility Clearance 7. Elec. i Card -BI Date Card -BI Date Card -BI Date rd -BI Date Card -BI Date Card -BI Date Card -136 _ Date and -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s Date _ POOLS (Plans) OK excep #'s 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.: Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Enlries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8: Elec.; Grounding; Equip. w/5'—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 -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0 = Not OK = Not Applicable it = Not Ready RESIDENTIAL-iCngle and Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg: 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access _ 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Comments at Final: 52. Siding -Nailing -Veneer Date FRAMING (Continued) Date Card -BI Date 48. Property Line Firewall & Openings Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Date Card -BI Date 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Elec. Outlets & Receptacles at Kit. Counter 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Comments at Final: 52. Siding -Nailing -Veneer Garage Fire Door; Swing -landing -Closer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 40. 54. Glazing Area -Glass Protection -Skylights -Plastic 41. 42. 43. 44. - 45 46. 47. 55. Shear Walls; Nailing -Bolts 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- - 21. Elec. Receptacles Spacing -Lights &Switches at Doors (NOTE: An entry must be made each time youvisil jobsite) In Garage; Above Floor-Mech. Protection Card -BI 22. Date Card -BI Date Card -BI 70. Date Card -BI Date Card -BI 23. Date Card -BI Date Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 57. Smoke Detector Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Insulation -Foam -Looked in Attic [-]Yes 59. Bedroom Exiting. 2 Appliance Circuits in Kitchen & Conductor Size 60. G.F.I. & Bath Fixtures & Tub Access Guard Rails & Deck Construction -Post Caps 61. Elec. Trim & Subpanel; Breaker Sizes -Labels Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 62. Stairs & Rails Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked Floor ❑ 63. Fireplace or Stove; Clearances -Hearth Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI _Condensate Drain & Overflow; Size & Grade Date Card -BI Date 34. 35. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date - - - --- - - - Date ^- -_Card-BI _ Date Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: ___36- 37. 38. 67. Garage Fire Door; Swing -landing -Closer Date ELECTRICAL (Permit) OK except N's 40. 68. A.C. Duct in Garage -Damper 41. 42. 43. 44. - 45 46. 47. 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- - 21. Elec. Receptacles Spacing -Lights &Switches at Doors (NOTE: An entry must be made each time youvisil jobsite) In Garage; Above Floor-Mech. Protection 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. -- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic [-]Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked Floor ❑ _26. 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No under Yes 75, Following instld.: Drive ❑ Yes C] No; Walks [I Yes Yes No; Planters ❑Yes ❑No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish --_ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_ 30. Clothes Closet Light -Shower Light _ 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------------- ---- 79. Water Well; Disconnect, Electrical, Plumbing ----. 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date_ Card -BI _ Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection 83. _ Corrections from Previous Inspections Date MECHANICAL (Permit) OK except N's 84. Gas Test -Meters Tagged; Gas -Electric - - 31_ A.C-.-Ducts: Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. _Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic - •- Card -BI--- Card -BI - - - --- - - - Date ^- -_Card-BI _ Date Date Card -BI Date Card -B I Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: ___36- 37. 38. Sills; Proper Material & Anchors _Walls; Studs -Nailing, Sp_acing& Bracing -Plates -Sound Bearing Walls over Girders & Floor _Nailing__ Draft Stop in Walls (rat proof) - 40. _Fire Stops: Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. - 45 46. 47. Header & Beam -Size & Bearing_ _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-R1tr. Ties-Purlin-Roof B_rac.-Truss-Shthnq. Rfng.� Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & R_omex Protection -Draft Slop -Ins. Baffles Bdrm. Windows or_Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisil jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cgliferni&95965 - Telephone 916/534-4541 APPLICATION "AND PERMIT P RMIT NO. �y �a ASSESSOR PARCE NU BE ZONING �— j�—,- � BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION "'OWNER' MAILING ADDR 5 Gr CONTRACTOR'S NAME 61 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING AD ESS Permit Fee $ ^ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ /S Penalty $ ARCHITECT OR ENGINEER'S M (LING ADDRESS Permit fee $ i BUILDING ADDRESS ?—q `j PLUMBING PERMIT Filing Fee 10.00 0 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 Lor o I sueDlvlsl E PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome p Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ �'stallation ❑ Other ] Describe work:_ gag=1 t ����;e�L — rtA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2�I zQSQft CONTRACTORS LICENSE LAW I declare under penalty of er'u� p y p � y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑T I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. U TI.OUTLET 2,50 ea ID BRANCH PIRA ITS) NEW NEW CONST R. I POWER APPARATUS &' CO NON.RESID. %SINGLE OUTLET CIR. Ex. Occup(oXTs OR FIXTURES 20®50m SALO 30 IEDPR Ex. OCCUp. OUTLETS (RESID )EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Ito the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aga)ns I County in consequenc f the grantOng of this permit. G Date lD ^tea Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP M _I �FOjNST. )�JPARC PD ND 19 E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF PUBLIC BY P MIT EXPIRES Date-. the applicable provi- resolutions to do fees have been paid. WORKS Date �o UC -dam fj (/ �d Z 6� Receipt No. f �Lb q WHITE-D.P.W., YELLOW -ASSESSOR, PINK- NSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 499-83B.%E Qlh- PERMIT EXPIRES OWNER RUSSELL ERWIN CONTR. Paradise Modular Concepts ASSESSOR PARCEL 64-32-51 . LOCATION 14243 Sherwood Circle, lot 66, PVP4 Magalia a �1 k t, Y Y l Temp. Power Pole Called PG&E Temp. Elec. Service Y' Called PG&E _ q Temp. Gas Service r Cal led PG&E JOB FINALED (Date) �jD ✓ Signature J OK O = Not OK - = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements � a. 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Water; Location -Test -Easement Needed (Sketch) ! r 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures — 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG ----- 6. Carports: Windows -Doors' 7, Utility Clearance 7. Elec. Card -BI Date Card - BI Date • Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability' e 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 -I Date Card -BI Date Card -BI Date Card -BI Date Y a � a. a r r V = OK O = Not OK = Not Applicable = Not Ready :i RESIDENTIAL (Single' -and Duplex) Date 'UNDERFLOOR Plans .OK except#'s Date FROM (Continued) > oning requirements -Setbacks -Easements 4l'ropLine Firewall & Openings 2. Fta Main Soils Sr - / /" Ftg. Depth 49 t. Doors -One 3' -Check Garage -3rd story, 2 exits Se-FIg., Gar oils -Steel- Ftg. Depth eadroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5 �od on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5*/Siding-Nailing-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 5 Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. lazing Area -Glass Protection -Skylights -Plastic Sh r Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _ 10. W ter Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI 06.Dat Card=B1 Date Card -BI D le Card -BI Date Card-BI1 Card -BI Date FIN Date Card -BI Date Date Card -BI Date Plans) OK except H's Card -BI ate Card -BI Date Date PLUMBING (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings 577S7ruke-Be4ector - 14. Water Ht.; Vent -Access -Combustion Airurnace; -50-Be4emm Vents -Clearance -Comb. Air -Connector - In a e; Above Floor -Ducts -Meth. Protection Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access Fixtures & Tub Access _ 18. Test Tub & Shower, 2nd Floor -Tub Access 6 lec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors _62_44&44r'&-Rai Is _ ep ace Stove; Clearances -Hearth Y 6JKElec. Outlets at Wood Panel; Int. & Ext. \ Card -B\ Date Card -BI Date ate+.+ �+-� Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date lets & Receptacles at Kit. Counter Date EL T AL Permit OK except N's S'�F' g Door; Swing -Landing -Closer Garage -Damper 20. ure & Transformer Clearance -Ins. Protection -- lith Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Bove Floor-Mech. Protection 21 c. Receptacles Spacing -Lights &Switches at Doors _ 22. ' e Boxes & No. of Conductors -Stapled 7R.' „ Elec. &Mech. Equip. Listed for Location 7YIffEiec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. ,Rox Installed Close to Edge of Studs & C.J. 24. quip. Ground made up w/Mech. Fasteners -Bond Gas &Water Win -Foam -Looked in Attic ❑Ye eo­ _ anc_e Circuits in Kitch & Conductor Size uar ai s &Deck Constructio aps - 26. Subfeed Wire Size i a. r AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, _ nsulated Neutral ;]Yes ❑No _ 28. S vice -Riser Conductors & Ground -Main Disconnect -_ 29. EqZkp. Clearances; Panels-Motors-Mech. Equip. 74. Fdn. Vents & Crawl Hole Doo !"e Wood -Earth Clearance Looked under Floor ElYes 75. Following instid.: D& ❑ Yes _ , No; Walks [I Yes o; Planters ❑ Yes o 7b.Stucce:-Brown-Finish 77.--A-e-44Trq; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _30. Cloths Closet Light -Shower Light - ove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - - ----- Card B -I Card -BI Date / 7 ; Disconnect, Electrical, Plumbing 8JKExterior Elec. Trim; G.F.I. Receptacle -Underground n i a ion throughout House rotection __Dat_ _ _ Card Date Card -BI Date Date MECHANICAL (Permit) OK except tl's 83 _ orrections from Previous Inspections est -Meters Tagged; Gas -Electric Connected -C/O to Grade -HD Approval -- _ 31. A_C. Du ts: Insulation & Supportewer 32. Vent Fa aust above Insulation - Condens Diain_& Overilow; Size & Grade rgy Compliance Certificate -Other Certificates _ _33. __ 34. Furnace _ nt; Access -Comb. Air -Return Air Vent -115V outlet _____35- 35. Attic , eX & Platform if Furnace in Attic Card -BI _ Card -BI Card -BI Date Card -BI Date Date Card -BI Date ate Card BI Date - - - - - - --- Card -BI - - Date _ _ -Card-BI Date Card -BI Date Card -BI Date Date FRAMI lans) OK except q's Comments at Final: '1§.Proper Material &Anchors -36 _ 37 aIIS: Studs -Nailing, Spacing _& Bracing -Plates -Sound 38.-9eering'4tl rlls_over Girders & Floor Nailing__ _ 3_ in Walls (rat proof) _ _ Furred Ceilings -Stairs -Chases -Tub 41 eader & Beam -Size & Bearing a ers- ost Caps -Anchors -Connectors 43 Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhng.-Rfnq. irep ace Ties or Type A Flue -Fireplace Throat 4 c cess; Size & Rom ex Protection -Draft Stop -Ins. Baffles eniting Doors -Sill Hgt. & Dimensions _- dows o_r_Ex 47 rage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) J �' COUNTY OF BUTTE `% DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE r� { BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, 'please contact this office immediately. ,f Inspectori Date �. t ----------- COUNTY OF BUTTE - DEP-ARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICKTION AND PERMIT PE MIT NO /1 ASSES R PARCEL NUMBER '0 V_ ZO NG BUILDING PERMIT OWNS TEL.EPHONE SQ. FT. OCC. BUILDING VALUATION dO L OW ER'S MAILING A DRESS) C RACTOR'S NAME TELEPHONE ' COTRACTOR'S MAI G ADDRESS 3 6 Fireplace CONSTRUCTION LENDER t UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER' MAILING ADDRESS 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. 44 SUBDI VISION NA E PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi Iehome ❑ Other_ SPEC(FOY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New Addition ❑ . Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: A i(I100 C) X � Q� ��� J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELL( UP.&\ OR ADDNS. ACC. B I 21�2Qsgft O, O CONTRACTORS LICENSE LAW I declare r penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Prof essi a and. my license is in ful orce and effect. License No.L Classification ` ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR ULTI.OUTLET 2.SOea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &•) NON.RESID. (SINGLE OUTLET CIR, / Ex. Occup(OUTLETS OR FIXTURES eA 5,0, 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 $ °aZ�r 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. have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I o agree to save, indemnify and keep harmless the County of Butte against all li lities, judgment,costs, and expenses which may in any way accrue against s 'd County i c sequence oft granting of this pe mit. D �t7 O SA�repplicant L Owner Contractor Agent it is required for excavations over 5'0" deep and demolition or construct- is 3 stories in height. Mobile Home Installation Fee $ ao TOTAL PERMIT FEE $ r^'' Occup. GROUP TYPE OF C NST. JPAZ�> PD V/ HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R F PUBLIC BY / PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date-7-1/—�� -over Receipt No.?�A_�' WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT