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064-410-033
:fir E• J. Hughes 64-41-33 l { 3f *.L ''Amherst Way lot CP ermi �' 120, PP#5, Magalia.. ' �� 98-77P,E(util. ,MH) E IEAL C rP/ 11 f GAS �REO --SUPPO T RUt URErCOMPACTION TES �� REQ NEW OWNER 64-41-33 �RANnR �rnmm � 201•Amherst,Way, ot•-120-P S�Ma . � g: Contr:Hansen's REpair S rvic , o Sacto _ •' Permit#31 9-80MHI e 's• ite) Issued --a( 64-41-3307 O Contr:Cal Gas, .Paradise -a Perm ?#3277-80P (gas Piping/3179 MH - 64-41-33 contr: Mobile Home Specialists,Para. Permit #4432-80B(new covered deck/MH) 64-41-331 WILLIAM BUCKMAN 6310 Amhurst Way, Magalia ✓ Permit#2502-85B(new,carport)3�,� 064- 41 v; f,•. ' H0::033'�'�;99 0340�BP ` �, ��; • TWIG,Matt xs� ��# AR „. 631aa Amherst Way �Magalia' i ° r.� ,t� t< (EgMH/perm�fcln)/'jSierra'MH�}" ' 9a`c'E F 9 , • J r , p , w Q e NOTES 064-41=0=033;,, �� g9-0340 BP a HARTWIG, -Matt � 6310 Amherst Way,'Maga\ a PERMIT �4,.��(EX NII /perm fdn)r Sierra_MH_.• r SPECIAL CONDITIONS . CHECKED BY SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER C'jaL ��6 X79 JOB FINALED (Date) Signature ./ = OK 0 = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Discorinect MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 8. Utility Clearance 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 Date Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures Card B-1 Date Card B-1 Date 7. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cent. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date 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- Panelboards-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 V=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-Rftr. Ties-Purlin-RoH Brac.-Truss-Shting.-Rfng. 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ r 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/O-Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. 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 AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or Al-Oven Circ. / / ga Cu or At Insulated Neutral O Yes O 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-Mach. Equip. Following Instld./Drive J Yes J No/Walks ] Yes 7 No/Planters 0 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 MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace-Vent Access-Comb. Air-Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic 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 Date FRAMING (Permit) OK except #'s Comments at Final: 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 'Ingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-RoH Brac.-Truss-Shting.-Rfng. 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-Undertlr. 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 J Yes J No/Walks ] Yes 7 No/Planters 0 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: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Dr p • Oroville, California 95965 • Telephone (530) 538-754 P IT (Rev. 12/96) APPLICATIdN AND PERMIT � �" ASSESSOR PARCEL NUMBER 064-41-0-033 ZONING BUILDING PERMIT OWNER MATT HARTWIG TELEPHONE P71-9161 SO. FT. OCC. BUILDING VALUATION 1296 R 69,984 . OWNERS MAILING ADDRESS 6110 AMHERST WAY, MAGAT-TA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 252.25 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 23.00 BUILDING ADDRESS 6310 AMHERST WAY, MAGALIA Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other IMH/PERM FDN SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15 00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 11 Describe Work: FX M141PERM FDN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 5.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 50.00 ELECTRICAL PERMIT Fling Fee 20.00 800VOR LE Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWERA License Class /j Lic. No. elTO 36'6 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insure a carrier and policy number are: Carrier Policy Number YC - 1750 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �( X _ /dui Date 2"1" 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. Main Service 200A TO 1000A 46.00 NEW CONST. OW EwNG OCCUP. OR ADDNS. ( a ACC. S. SO 3.50Fr. NEW REOSID. MULT., CRR UT 97,50 PPARATUS aSINGLE OUTLET CIR. ' 20 Q 1.00 Ex. OCCU OUTLET OR FIXTURES SAL O .50 Ex. Occup. o"E' Ra1D°Ea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE T TAL FEE $ HAz. D FE IM FLooD coF p HD p ISSUE This permit is hereb issued under of the Butte Coun Code and/or indi to ve fo Which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. 3 l Date [ Dete Receipt No.9583 2 WHITE-D.D.S.-B.D. CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .. .. - 'i. r �.rt, s.. .-� �,,.��r-mow+'-w."_„R.1��,�XrT-'c,-.....y►4�,ti61�151*ir�'Y.�""�"�". `,tip..; 4 .cb v.TY OF BUTTE DEPARTMENT OF DEVE OPMENT SERVICES -BUILDING DIVISION s » 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERItIIT APPLICATION DATA SHEET OWNER: W t ASSESSOR PARC ER: O �- (✓ — O Proposed Building Use: Building Inspector:Date: At time of permit application, I as ad ' ed the following data must be submitted prior to permit proce sin and/or issuance: Date Received By ❑ 1. All items have been submitted-------------------------------------------------------------------------------------- X Plot plans,( lans, 3/ sets, signed by the preparer of plans.------------------------------------------------------------ `jam ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 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. ------------------------------------------------------------------------------------------ anufactured�Hogme data and installation instructions including Tie Down Specifications.------------------ Feesof $ o� O . oZS ------------------------------------------------------------------------------------- 11. pact 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. ---------------------------------------------------- ------------------------------ 0 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- 7. Planning approval for (A) Use: Q 1 (B) Parking: -------------------------- ❑ 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 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------- 0 22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner 13) - -------------------------------------- 024. Letter of signature authorization. --------------- =--------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- E126. ------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- Existing viol 'o and/or ex .red permits. ---- ----- ------------------ ------------------------------------ ,/ �f nn Deed,�.,�itle, C7 �ck to H. C.D $ O9 Ot • ------------- 030. Other: ------- 7en you issue Mthe permit, process as follows El Mail to owner, Mail to c tractor. Telephone r f7 ! S7 and hold for pickup at c^V 7' office. ❑ Deliver with inspector. Applicant: &u e"- Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: 2. Additional items required: (Date) ❑ Plan Check List Contractor, designer, owner, was advised of the above required data by ❑ phone, b mail, ❑ building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ B ilding 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. COUNTY OF BUTTE • DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville. California 95965 • Telephone (530) 538-7541 PERMIT t (Rev. 12/961 APPLIC/kfIOkAND PERMIT "uN� DD1NO BUILDING PERMIT 0 ooNrsAcrorrs rwn ' OWNIUMV wuwo soouas 001hrnwcnoN u Wal urNoors WAK" ADOIIas AwCHffWr Da 04114M ARCffrtCr 011 0094=7 VAR" A00II111e susoeq so011ess 1 r7 • . .o. I sueonacwsMm USEOFSTRUCTURE SF O Duplex O Moblehome Other eaeMr TYPE OF WORK New O Addition O Remodel O U111fte O ineeeh8on O Describe Work: Receipt No. SO. FT. /►/Zi_I Fireplace Total Valuation is Filing Fee Permit Fee Plan Checking Foe Energy Plan Checking Fee PERMIT PLUMBING PERMIT Each Trap Solar or heat pump water he Water piping Each gas water heater or vei Gas piping system 1 - 5 oude Building sewer Moble Homo I S I G I W 20.0 long Fee 20.01 7.00 23.00 15.00 15.00 15.00 15.00 IS, C.D W20.00 PERMIT FEE _ ELECTRICAL PERMIT Fit On gfFee 20.0c Main Service �� 23.00 Main Service 20" TO IOWA 48.00 04Ew coo . ovrain+o Doan. 3.5trr. OA ADDW.NEW a �Dc. ons 140"®m.' f Ex. Occu p. olmar OR fnrnaa Ex. Occup. as oro. a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE I = Heatin Ventilation 8.50 20.0 PERMIT FEI: f Mobile Home Instanation Fee $ Energy Inspection Fee 1 L occ cclaT. ftK TOTAL FEES 11AZ 0. ►E0 WP f4000 COf PnRCiL f0 This permit is hereby Issued under the appikable prorlsi°r of the Butte County Code and/or Resolutions to do wor indicated above for which fees have been paid. By Date �-- PERMIT EXPIRES ON MOBILEHOME SUPPORT DATA Ifwattier than single wide, Mobilehome Mfr. furnish Setup Model No. %?-- Year 124,�d Width Z4- (ft.) Box Length_(ft.) Tagalong or Expando Size ft. k 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. Single (ft.)(in.) (in.) (in.) Center support locations* (ft.)(in.) (ft.)(in.) I. (ft.)(in.) Center support footing sizes (in.) (in.) (in.) (in.) (in.) (_ (Z x ?a _ / x � r (in.) (in.) #1 a *If center piers are other than drawn above, A—. 4— —A .i4m cinne Foot s (check one) 1. Wood either pressure treated o- foundation grade. I2. Other' (specify) Su orts (check one) Er-1-:--c—oncrete block: El 2: Other (specify) Tagalong or Expando,' show support details. _ x:�c2 -- Typical Support .) (in.) Footing Size (ft.)(in.) -- Max. Pier Spacing -- Max. Overhang Crit R L �1" f'otinlb(�T(04 FIT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: A 4pi5 cis aelo CT;r V C 3. Is the site currently under permit? Yes 77r, No (If yes, furnish permit number ) Is the site an existing site? Yes No (If yes, furnish two (2) plot plans.) OR 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- 7.. What is the mobilehome site circuit breaker rating? ------------- / `� Amps 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. ------------- - -------- . Lin.) 10. What is the type of gas service? ----------------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required -if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 3/7�-8� BUTTE COUNTP( •RIUILDING DEPART -MENT RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 11-flar-1999 1999-0010474 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBELEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property 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. FRANK MATTHEW HARTWIG REAL PROPERTY OWNER/LESSOR 6310 AN ERST WAY MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE LP RUTH DUREE ELEANOR UNIT OWNER (if ako property owner, write 'SAME') 3541 PINE STREET MAILING ADDRESS FLORENCE, LANE, OR 97439 CRT MUM STATE rm 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 LP 99-0340 (530)538-7541 BUILDING PERMIT NO. TELEPHONE NUMBER 3/10/99 SIGNATURE OF LOtAL AGENCTM14 DATE NONE DEALER NAME (ifnot a dealer sale, write *NONE") DEALER LICENSE NO. SKYLINE 1980 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMBER 02750436A/BN 60'X 24' 215967/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #064-410-033 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - Cowry Recorder CANARY • HCD PINK - Applicant GOLDENROD- Building Dept LEGAL DESCRIPTION A.P. #064-410-033 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 120, AS SHOWN ON THAT CERTAIN MAP ENTITLED "PARADISE PINES UNIT 5", WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 20, 1970 IN BOOK 35 OF MAPS, AT PAGES 88, 89, 90 AND 91. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HUDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND HEREIN DESCRIBED, AND THAT NO DAMAGES SHALL BE DONE TO THE SURFACE OF SAID LAND. STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT RFnT4TRATTnN roan MnATI FNnmr ncrAl un I AIt s, MANUFACTURER NAME/10 TRADE NAME MODEL DOM DOT OFS SPC EXPIRATION SKYLINE/ SKYLINE 00/00/80 00/00/80 U SERIAL NUMBER 10275043GAN LABEL/INSIGNIA NUMBER 215967 WEIGHT 000000 LENGTH 000720 WIDTH 000144 ISSUEDSCC 03/09/94 04 EXEMPT SF� 2 027504368N 215968 000000 000720 000144 P TOTAL 3 4 FEES s PAID: B $48.00 A HARTWIG FRANK MATTHEW O 6310 AMHERST WY D MAGALIA CA 95954 R 8 a a a R HARTWIG FRANK MATTHEW a O N X A 6310 AMHERST WY 6 T L E MAGALIA 95954 R fi D o s 6310 AMHERST NY w N T E U MAGALIA' Rs L E a A L O w N E R J U IF N I I R O 8 R T L I E N 8 N E O C L O D N E D R ELEANOR RUTH DUREE 3541 PINE ST3 FLORENCE DATE: 01/ IMPORTANT 03-063-01211 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. _ .a THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. 0300874 ORDER NQ ESCROW NO. 48772/P17954MS SPACE ABOVE RECORDER'S USE ONLY GRANT DEED (INDIVIDUAL The undersigned grantor(s) declare(s): Documentary transfer tax is f 44,00 ( )M Computed on full value of property conveyed, or (yyyy) Computed on full value less value of liens and encumbrances remaining at time of sale. ( XY4 Unincorporated area ( ) Cit of Tax Parcel No. 064-410-33 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ELEANOR RUTH DUREE, an unmarried woman hereby GRANT(S) to FRANK MATTHEW HARTWIG, AN UNMARRIED MAN the following described real property in the unincorporated area County of Butte , State of California: Lot 120, as shown on that certain map entitled "PARADISE PINES UNIT 5", which map was filed in the office of the Recorder of the County of Butte, State of California, August 20, 1970 in Book 35 of Maps, at pages 88, 89, 90 and 91. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land herein described, and that no damages shall be done to the surface of said land. 1: - V - II ..- . . ELEANOR RUTH DUREE STATE OF CALIFORNIA 84-UUIZ6 RECORDING REQUESTED BY BUTTE COUNTY TITLE COMPANY MAIL TAX STATEMENT TO as shown below 94-0001261 4-00 ry6 I 1 7 � � G Rec Fee 6-00 WHEN RECORDED MAIL TO FFRANK I Recorded- I Official DOC Check 44.00 50.00 �•me MATTHEW HARTWIG Records 1 itmtt 6310 Amherst Way County of 1 Add` a Magalia, CA 95954 Butte I Stuc ucty L ic � Candace J. Grubbs I , Recorder I 8:00am 3 -Jan -94 I BCTC VS 1 ORDER NQ ESCROW NO. 48772/P17954MS SPACE ABOVE RECORDER'S USE ONLY GRANT DEED (INDIVIDUAL The undersigned grantor(s) declare(s): Documentary transfer tax is f 44,00 ( )M Computed on full value of property conveyed, or (yyyy) Computed on full value less value of liens and encumbrances remaining at time of sale. ( XY4 Unincorporated area ( ) Cit of Tax Parcel No. 064-410-33 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, ELEANOR RUTH DUREE, an unmarried woman hereby GRANT(S) to FRANK MATTHEW HARTWIG, AN UNMARRIED MAN the following described real property in the unincorporated area County of Butte , State of California: Lot 120, as shown on that certain map entitled "PARADISE PINES UNIT 5", which map was filed in the office of the Recorder of the County of Butte, State of California, August 20, 1970 in Book 35 of Maps, at pages 88, 89, 90 and 91. EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon substances, with provision that any and all mining operations shall be done from orifices outside the surface area of the land herein described, and that no damages shall be done to the surface of said land. 1: - V - II ..- . . ELEANOR RUTH DUREE STATE OF CALIFORNIA SIERRA MOBILE SERVICE & SUPPLY 8965 SKYWAY PARADISE, CA 95969 530-877-8575 PAY REMITTANCE ADVICE 16011 11-8078 3211 ITilow-TYLl TIME WK'D DATE TO THE ORDER OF GR AMOUNT NET AMOUNT O DESCRIPTION V oeiam m aa. HOME SAVINGS OF AMERICA - PARADISE SKYWAY OFF., BR. 146 6848 SUITE 0 SKYWAY - PARADISE, CA 95969 1180 1,60 L LII' ': 3 2 L L80 7801:0 36 39 2 &0 586ii' w u 75 ]RECODOING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 1 999-00 1 0474 Recorded Official Records CoBU9Ef CANDACE J. GRUBBS Recorder ROSEMARY DICKSON Assistant 09:50AM 11 -Mar -1999 REC FEE .00 CONFORM .00 Myles Page 1 of 2 I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY/ NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. FRANK MATTHEW HARTWIG REAL PROPERTY OWNER/LESSOR 6310 AINIHERST WAY MAILING ADDRESS MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP RUTH DUREE ELEANOR UNIT OWNER (if also property owner, write "SAME") 3541 PINE STREET MAILING ADDRESS FLORENCE, LANE, OR 97439 CRY Coum SrA7E ffi 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 99-0340 (530)538-7541 BUIza!;� TELEPHONE NUMBER 3/10/99 SIGNATURE OF L AL AGENCY FI DATE NONE DEALER NAME (ifnot a dealer sate, write "NONE") DEALER LICENSE NO. SKYLINE 1980 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 02750436A/BN 60'X 24' 215967/8 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED ASSESSOR'S PARCEL NUMBER A.P. #064-410-033 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept. LEGAL DESCRIPTION A.P. #064-410-033 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 120, AS SHOWN ON THAT CERTAIN MAP ENTITLED "PARADISE PINES UNIT 5" WHICH MAP WAS FILED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, AUGUST 20, 1970 IN BOOK 35 OF MAPS, AT PAGES 88, 89, 90 AND 91. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER HUDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND HEREIN DESCRIBED, AND THAT NO DAMAGES SHALL BE DONE TO THE SURFACE OF SAID LAND. I PERMIT,NO. 3179,,L=80MHl (exist site)' PERMIT EXPIRES OWNER ELEANOR SCOTT "CONTR. Hansen's- REPair SErvice,Sacto .LOCATION (A.P. 64-41-33 20 Amherst Way,lot 120,PP#5,Maga1ia J pit Temp. Power Pole Called PG&E J Temp. Elec. terv. J! Called PG&E Temp. Gas'Serv. Called PG&E JOB FINALED (Date)'* UwA (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD r; BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer . Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water kir. Heaters Slab Carport Footings Slab Prov. for physically handicapped Conformance of ex. structure Final Appliances Gas Piping & Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing ELECTRICA- Masonry Walls Throat Rn -h Relnf. Steel I Final I Fixtures F-14ming Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -•---------------- Elec. Service , �jp . ElecPedestal , Water Piping 1 EHOME INSTALLATION - - - - - - - - - - - - - - Sewer �S VI, Support Gas Piping Elec. Continuity Water Piping--fj��8� Drainage �i J�0 ft Gas Piping DATE REMARKS OR CORRECTIONS / Alc Zo 14 a 103 (NOTE:, An entry must be made on this form each time you visit the job site.) U? Z' 14'aa-o� RAF 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 Califor a Administrative Code, Title 25, Chapter 5, under permit number �� for the following location: / Owner e Owner's Address'` Mobilehome Mfg. Model Year Insignia No. %1' 17L, .Z 7 9 1777n' -i Serial No. It is hereby certified for occupancy at the above described location and may be occupied. t Director of Public Works Date 7 V ' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED ,� White - Owner_ Yallnw - Installer- Pink - D.P.W. 'f COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE �^ OROVILLE, CALIF. - 534-4541 �r CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number .l z for the following location: A Owner Qwner's Address'�'t Mobilehome Mfg. 1� Model Year Insignia No. r} I It, 7 % 1770 '/ Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date '�tl s� �By ? THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE R DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive; Orovilte — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION N®TICE 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. X 60 O Inspector4fL-W Date 7-J!:2:1 MOBILEHOME INSTALLATION INSPECTION CHECK LIST P/� Is the mobilehome located with (required separation from lot lines and buildings and generally' conform to plot plan? Yes. o 016Does'the mobilehome have required clearances -above ground? (Sec.5085) Yesj.._Uo_ Are footings and supports properly sized, spaced, and braced as ppT approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes !/— No Is the mobilehome level? (Sec. 5088) Yes�— If more an a single unit, are crossover connections properly installed? (Sec. 5088) 4 Yes-- o— Water A. Is flexib e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 51566)' Yes— , B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ } BackfiUX'- If coach is not State of California approved, does station have backflow device \ and prure-relief valve? Yes— No— k Wastes and DrainsU41— �- A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes1>11'No WAre'sany D it have minimum 4" per slope and is it properly supported? Yes— No= leaks detected in drainage system after running 3- llons of water through each fixture including washing machine standpipe? .Yes— No u If c* is not State of California approved, does station have required trap and vent? Yes , 4016Viping and Gas Vents onnector - Is mobilehome connected to the gas supply with an %approved 3/4 minimum mobilehome connector not more Chan 6 ft. long? Note: All piping is to be at least as large as the mobileh he gas line inlet without reductions other than the mobilehome. connector. Yes, o r B.. Test OK as per following procedure? Yes_L14o `' t , i 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4, Connect gas meter to mobilehome with connector, turn n gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No • J i ./ /C.Electrical A. Is service large enough to provid d,equat� amperage -to mobile'tome'(must equal rating of mobilehome with a minimum of 10 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No_ B. Is there proper clearances around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes_ No_ D. _Is'continuity-test satisfactory as per the following procedure? YesL.,- No ,1. De -energize electrical wiring system of the mobilehome at the pedestal. 2%,,.MaRe sure..that.the power supply cord or feeder assembly conductors, including neutral conauctor,have been disconnected. 3. Switch all breakers and switches in the mobilehome-to the "on" position. 4. Connect one -'lead of a test instrument to the mobilehome grounding conductor and apply the,..bther;-lead to each mobilehome supply conductor, including neutral. �. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line),*_including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon.satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle L/ / Length ,5 2 Width Z Vehicle Serial No. State Identification No. r. Additional Information or Comments: Dov ,4�p S� ,, /oo /} CDa ce�- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi4le, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSE S PgCEL.NUMBERING '.� ZONING BUILDING PERMIT OWNER (7G ���/�� ( C,0 yT v TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CNRACTONAME � V .4J , TELEPHONE CO TRACTOR'S MAILING ADDR S CONSTRUCTION LENDER ( (4 nt-14l UNKNOWN Fireplace Total Valuation $ LENDER'S'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ".,VA /. LICENSE NO. Plan Checking Fee •$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDXS T PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. .✓� SUBDI ISION NAME �1',,/� 1�11. / PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets /0 I V -- USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U t i I i t i e s ❑ Installation ❑ Other Describe work: �t � S �, �. Permit Fee $ Contractor V ELECTRICAL PERMIT Filing Fee 3.00 Main service ;00V OR LES AMP ORS SLESS 5.00 ,./tel Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS, ( ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 1 ) a Classification t ^ y �� ❑ 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.OUT LET NON•RESID. BRANCH CIRC ITS)\\ 2.50 ea NON-RESID R. (SPOWER INGLE OUTLETTUSCIR.&) Ex. Occup(OUTLETS OR FIXTURESFIXED 50@25C BAL@10C APLNS. Ex. Occup.(0UTLETS P(RESID,)R EAJ 2.00 Temporary service 10.00 Mobile Home Facilities' 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATIONANSURANCE 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation Pit F 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 against o cons nce of the granting of this permit. / ; / —� Si / Data , C Signal re 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 $ Land Development Fee $ TOTAL PERMIT FEE $ —� OCCUP. GROUP I TYPE OF CONST. PARCEL PO No I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees D1 OR OF PUBLIC By. PERMIT XPIRES Date the applicable provi- resolutions to do have been paid. WORKS / Dat r "IU A Receipt No. I rl F WHITE-D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �„___ • 7 County Center Drive - Orov)lke, CalifQrnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMJ4 NO ASSESSOR P RCEL NUM ER — �$ ZONING 7lJ BUILDING PERMIT P OWNER CL� `���� W7 -T -�C� TELEPHONE S0. FT. OCC. BUILDING VAL ION OWNER'S MAILING ADDRESS s ac -PA -/J2 SL' �U'f�C = az3 ' MAILING ILING ADDRESS CONTRAC�T/OR�-— 1�Y/ 2rz)• -Ac- CA q_,5-g3d'' 7Z T CONSTRUCTION LENDEW UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT O ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDR SS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LO/TSO. SUBDIVISION N_pIE �p �� PARCEL MAP 1 Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeQ�ther SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK �� New❑ Addition [3 Remodel❑ Utilities❑ InstallationL Other [I Describe work:_ / 71 t- AC—(114 � _ 77 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELINGOR ADDNS. ( ACCLBLDGS.CCUP,&\ / 20 Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one):v I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and Professions Code and my license is in full force and ef License No. V7 881 C- 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 CONST. UTI.OUT LET NO .RES,., BRALNCH CIRC ITS 2.50 ea NEW CONSTR.POWER APPARATUS & NON.R ESID. ( SINGLE OUTLET CIR. ) " Ex. Occup(OUTLETS OR FIXTURES BALO Ifect. AL@0¢ FIXED Ex. Occup.(OUTLETS P(RESID IK EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ®/l have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, udgments, costs, and expenses which may in any way accrue against sai ount asequence of the granting of this p mit. X Date r .c/-' Signature of App icant — Owner [I Controctor ❑ 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 $ CDU I and n,-,%o49f Fee MSV40Y $ gO.00 TOTAL PERMIT FEE $ /70,00 OCCUP. GROUP I TYPE OF CONST, PARCEL I PD 1 11 99VE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR OF BLIC By '' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date G / Receipt NO. �' -� - 0 WHITE-D.P.W.. YELLOW-ASSESSO PI K TOR. GOLDENROD-APPLIC BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner l s name: / eke (_�1 C d aG 2. Installer's name :c� rrJS -e r V e , 3. Is the site currently under permit? Yeh / No (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 71� No (If no, clarify a. 5. What is the mobilehome electrical rating? -------------------- AmpE - .6. What is the mobilehome site service rating? --------------------- -T94PE 7.. What is the mobilehome site circuit breaker . rating? ------- .- ---- ..�o `� ANpE 8. Is there any other electric load to'be served by the mobilehome siteservice? --------------------------------------------------- Yes EI No (If yes, identify the load and size: (Load) (Amps) ,9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of.gas service? -------=---------------------, Natural /% LPG 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.s.on natural gas ' or less than 50 ft. on LPG.) (� p T "Y 7l—O v BUTTE COUNT jr BUILDING DEPARTMENT APpROVEp MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. furnish Setup Model No. % 9-r 2--- Year 11aS'4 Width Z¢ (ft.) Box Length �(ft.) Tagalong or Expando Size ft. k 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: c( (ft.)(in;) Center support locations* (ft.)(in.) U It x (in.) (in.) Center support footing sizes .(in.) / - /�-� d nXJ 0 (in.) (in.). D . (in.) (in.) 151(j'X5(::? (ft.)(in.) (in.) (in.) (ft.) (in.) (in.) (in.) Foot (check one) Single 1. Wood either pressure treated or foundation grade. El 2. Other' (specify) Su orts (check one) 1. Concrete' -block. 2� Other (specify) *if center piers are other than drawn above, ____draw_in locations, spacing, and dimensions. !r ----Tagalong or Expando,' show support details. Typical Support .) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) C -- Max. Overhang a�; PERMT NO,, 4998- 77P ,E PERMIT EXPIRES OWNER E. J.Hughes CONTR. owner 64-41-33 _ LOCATIONF�P. ) 20/Amherst Way,app lot 120, PP#5, Magal`ia l F t, Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E P Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Bond Be FIRE SPRINKLEFI& Motors Framing Test Water Htr/ Stucco Final Sub an s Mesh MECHANICAL Grd. F. ult Prot. Scr ch Heati Sery e B n Coo ng Amp. Pole nish D is nder round InArlor Lath ntllation Permanent oor Closer anal Ag tFinal MOBILEHOME UTILITIES -- Elec. Service /1—/6--77 Elec. Pedestal Water Piping — / j - `j7 Sewer S Gas Piping �S ; �/� %� 15 77 OBILEHOME INSTAL AT12 - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,BUILDING INSPECTION,RECORD, , BUILDING BUILDING (Cont'd) PLdJMB-ING S tback FI wall S '1 Piping / FJ s Par ets 1 t Floor j M n Bldg. Restr m Finish 2n Floor otin s Window 3rd oor j Ste wall Siding \ To out Slab Roof Sheaking Water PID1110 Piers Roofing Sewer Garage Fdn. Vents Fixtures / Footings Stemwall Garage Vents \ Insulation Water Htr. Heaters j Slab Carport Footings Prov. for ph .1 handicap ed Conformance of ex.. \ structure Appliances Gas Piping & Test j Temp. Gas f Slab Final \ Sanitation Patio F IEP�CE Final Footings Footing \ LECTRIC L Bond Be FIRE SPRINKLEFI& Motors Framing Test Water Htr/ Stucco Final Sub an s Mesh MECHANICAL Grd. F. ult Prot. Scr ch Heati Sery e B n Coo ng Amp. Pole nish D is nder round InArlor Lath ntllation Permanent oor Closer anal Ag tFinal MOBILEHOME UTILITIES -- Elec. Service /1—/6--77 Elec. Pedestal Water Piping — / j - `j7 Sewer S Gas Piping �S ; �/� %� 15 77 OBILEHOME INSTAL AT12 - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) / i 9 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965—�7 Telephone: 534-45,,41 APPLICATION AND PERMIT Receipt No. I I U I UWq White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B (dingpermit expires Date BUILDING Owner S � SQ. FT. OCC. BUILDING VALUATION Mailing Address 0 Pih t - 1f ° VV Fireplace Contract '� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. a Permit Fee $ Building AddressS A IV PLUMBING No. @ FEE PERMIT FILING FEE $3.00 f W 6141 YCh Each Trap 1.50 Repair drainage or vent piping 1.50 ,� ng y icaticn UnJ o Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. r( ' Zonil Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es >QI�G� S I on Fire Dept. Fire Zone Use Permit EQA IParking Parcel Parcel 60' R/W Im Plans Declaration P proveme s Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. P4 -n. Recd l Parc pproval Pla Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Q Main service 1011 DR LESS 100 AMP OR LESS 5.00 1 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service 1100 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 J SQ, NEW CONS. DWELING O OR ADDNST ( ACCLBL GS.CCUP. &) 20sgft NO N ESI D.R.( BRANCH CIRCUITS)2.50ea EOR MOBILES NEWCONSTNON.RESID R. ( POWER SINGLE OUTLETTUS CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code.under the name style of: Ex. OCCup(OUTLETS OR FIXTURES) 50 Ex. QCCU FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities '.15.00 License No.Classification Misc. Wiring 6.25 INN I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 ins tion purposes. X Dat a�^ nat of Pe itee or Agent *-2 .- a s. I MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee TOTAL PERMIT EE =� $ �> This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee paid. DIRECTOR F UBLIC WORKS I ---- By Date O' ->..-S — %% Receipt No. I I U I UWq White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B (dingpermit expires Date Fhis set of plans and specifications MUST �- Inept on the -4ob.at'all times and it is unlawY!-1 'c make any gh�anges or alterations on same withou � I �� written permission from Ce Department of Pub- ' lic Wor!4s, County of Butte. ,� $r'o o , � 58 F All utility connections sho I be i located wit 'n ft. outside th rear % 36 . third section of tho mobile ome on the left (r ad) side of the n obile home. V� odo. .- o, A ° - oOSO A 1 Sepficsys}n.an location a �` The . $etbac� shall be 5 ft. frog the ( ,.-- -!-- ��� to b' as PSP �- ---- �- -" - 50 ft. fron9 the , - butte .County He ^ith Dept Be side property line and centerline of the road, .permitting.a attic p•� . quirements. mum of a 2 ft. eave overhang but on out of all oaseMoratb© J/0 NOTE. --All Materials &_ Workmanship She[' Po Accordance, with Recocj ih:ed Good Tara--tices C: of a qualify prescribed for the .So6cificJ use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Codo. sy ) . L PARADISE PINES P.O.A. N ARCHITECTURAL CONTROL COMMITTEE NAME &A My 5 .E. J... u LL p S Q W 'N P. TRACT _ �� S` LOT 17 U $ -7 3 � D y�-1 DATE 7- . . APPROVED BY ADDRESS .3 lyg� -e APPROVAL FOR LOT Q"EVELOI?MENT ONLY ELEVATIONS MUST BE SUSIOITTED PRIi t TO STRUCTURALAPPROVAL. BUTTE COUN"I'Y BUILDING DEPARTMEN, Complaint -Date ❑ Other -Date WORKS SPECIAL INSPECTION REPORT `V ZONING Owner: Ig/c)S (L07-7-A.P. # Address • I���1n�-�r( �d�'� Date of Inspe ion Tenant: Inspector Building Location: .5,q /- n— Type of Inspection requested: / / 1. Housing / / 2. Financing / / 3. Change of Occupancy to 4. Work W/O Permit / / 5. Other, (specify) a �t Present use of building: 6j/4/2! (- Ii: L,( twx'G- l- Y1 P r KJY A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower; 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, headroom, 1HR, Tolerances,Handr ils) 15. Comments: 14 X B. Structural • 1. Piers and footings: — 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: N, D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents:. _ 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy: 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / /,D. Other: 1 4432-80B `PERMIT NO. I ` PERMIT* EXPIRES - Eleanor Scott h OWNER' Mo&ile Home Specialists, .Parad'ise ' CONTR: I 64-41-33 ASSESSOR PARCEL 20 Amherst Way, lot.120, PP#5, Maga, LOCATION h if 'I e, if • i ,r s .F Temp: Power Pole i Called PG&E F( Temp. Elec. Service ; .i Called PG&E Temp. Gas Service 3� Called PG&E i JOBINALEI Signature J = OK O = Not OK Id - = Not Applicable RESIDENTIAL (Singto and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-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 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 Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 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 p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic E] Yes 24. Equip. Ground made up w/Mech. Faslehers-Bond Gas &Water 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes []No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card B -I Card B -I _Date _ Card -BI Date Date Card -BI Date 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. 83. Glass Protection _ Corrections from Previous Inspections Date MECHANICAL (Penr,it) OK except q's 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/0 to Grade -HD Approval - Card -BI Card -BI 31. 32. 33. 34, 35. A.C. Ducts: Insulation & Support Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing_ 39. Draft_ Slop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors _ __ Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm_Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE: An entry must be made each time youvisit jobsite) J = OK 0 = Not OK Not+Applicable = Not Ready MOB6LEHOMES r t MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date S CO ans) OK except s 1.Zon' b sem l 2. Soils; Special MH Support—Sketch 2. Footi ze— g ector _ %����/ 3. Sewer; Location—Test—Fall-C/0—Concrete 3. D ird and/or Joists—Dec g—Bra ng—St iris—ilia s 4. Water; Location—Test—Easement Needed (Sketch) 4,os s— ms— — ng __ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"fl,/ /"Nat. or/ /"L"ft./ /"LPG 5. Alum_, Awn.; C ns—Conn ns—Spli sures 6., ows—oors 7. Utility ClearanceAA 7 f� I Card -B V Dale V Card -BI Date Card -BI Date Card -BI Date Card -Bl- Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Datet, f 1v Card -BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings;_ Size -Spacing -Marriage Line 2. Soils; Compaction—Structure Stability l,r 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. l Boxes—Enclosures—Panel boards—Ins. to Main in Conduit �r 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI _ _ _ Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -Bl Date Card -BI Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drive - Oroville, California 95965 Telephone:• 53414541 APPLICATION AND PERMIT _ BUILDING '' SQ. FT. I OCC. I BUILDING VALUATION fireplace total Valuation Permit Fee Plan Checking Fee &/or Pe aht Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE 800V OR LESS �/ Single Family ❑ Duplex ❑ �--K Mobil Home lOthers ❑ Main service 100 AMP OR LESS Ownerz_ /411 Mailing Address,:PQ 1414-114 Main service EA. ADD'L 100 AMP I phone No. Contracto����/ffp� MULT NEW RESID,CONST% BRANCH CIRCUITS NON -REST D. 1 BRANCH CIRCUITS Mailing Addressed EX. OCCUD(OUTLETS OR FIXTIIRE! Tt6phoneN9.� Building Address Mobile Home Facilities License Nom l .� 7!v Classification Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee A. P. No. ribn(ng/8. Planning F s SFire Dept. Fire Zone Use Permit EOA I PaiiJk_Fng1 Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Bldg. Plans cd I Parcel A ro a I Plans Appro NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ GD LE7zF,O . 9 Y --? C/ _ BUILDING '' SQ. FT. I OCC. I BUILDING VALUATION fireplace total Valuation Permit Fee Plan Checking Fee &/or Pe aht Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE 800V OR LESS �/ Single Family ❑ Duplex ❑ �--K Mobil Home lOthers ❑ Main service 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER e00v 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST.( DWELLING OCCUP. 5 OR ADDNS. ` ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Style Of: MULT NEW RESID,CONST% BRANCH CIRCUITS NON -REST D. 1 BRANCH CIRCUITS NEW CONSTR. POWER APPARATUS B NON- ( RESID. (SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRE! EX. OCCUp. FIXED APPLNS. OROUTLETS (RESID.) EA Temporary service Mobile Home Facilities License Nom l .� 7!v Classification Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE Heatinq Code which requires every employer to be insured against liability for Workmen's Compensation. Dhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n ZptN ature of P tee or`Agent Re. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling :�v C��) -10 (L� @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.50ea o @ z3¢ IAL @ 1 2.00 10.00 15.00 6.25 $ $ @ FEE $3.00 r� / 1r OQ /Q 00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE I $ gi, O This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIREC R OF PUBLIC WORKS `? By Date JV_ 2,,F, Building permit expires Date ��2 ���� 7. lioun . - - - LAND OF NA.TURAI WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY.CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA95965 Telephonc:(916) 534-4681 H. W. McDONALD Deputy Director December 185, 1980 Mr. & Mrs. Rosser Scott RE: Abandonment - PUE & RE 6310 Amherst Way PP 5, Lot 120 Magalia, CA 95954 Dear Mr. & Mrs. Scott: Pursuant to your letter of recent date received in this office December -15, 1980, concerning the above -noted abandonment, please complete the following on the attached. ,., petition for abandonment: 1. Get signatures and addresses of adjoining property owners who may have an interest in said public easement, plust other property owners in the area, totaling five or more. 2. Date petition. We need letters from all utility companies and Paradise Pines Property Owners Asso- ciation stating they no longer need said easement. Submit a check to this office in'the sum of Fifty Dollars ($50.00) made out to the Butte County Treasurer. . If we can be of further assistance, please notify this office. Very truly yours, Clay Castleberry Director of Public Works Original signed by �• W McDonald HWM:jm H. W. McDonald Encl. Deputy Director cc: Mappin g/owenc.l..`� BuIlding_Repar-tment/wo encl. a PERMIT NO.:`...,502-85B PERMIT EXPIRES v OWNER WILLIAM BUG/Mi, CONTR.. owner ASSESSOR PARCEL 64-41-33 LOCATION 6310 Amhurst Way, Magalia Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E Ja OK 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready t Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS OVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. oning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footi s; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. D s; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4: ood n.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. A m. Awn.; Columns -Connections -Splice -Decal -Enclosures Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -B AW X Date i Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card - BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 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. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -BI 10. Plumb; Cir. Test -Water Supply Test Date Card -BI Date Card B -I Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK ', v 0^ -•Not OX - = Not Applicable Not Ready RESIDENTIAL (Single and Duplex) � = ' Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Fig. 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 -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 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. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17, Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes ll 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. 25. Equip. Ground made up w./Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen &Conductor Size 72. Insulation -Foam -Looked in Attic ❑Yes73. 74. Guard Rails &Deck Construction -Post Caps Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. Following instid.: Drive ❑ Yes ❑ No; Walks [__1 Yes E) No; Planters ❑Yes ❑No 28. 29. 30. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 76. 77, Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86• Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; 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 Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthng.-Rfn_g_._ 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) i" 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 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 InspectorDate _9/4 A COUNTY OF BUTTE - DEPAR;LMENT'OP-PUBLIC WORKS 7 County Center Drive - Oroville,rCaliforr+ta 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PErRMIT NO. Si — ASSESSOR !AR EL BER ZONIK7G V.- BUILDING PERMIT oW/�Eq TELEPHONE SO. FT. OCC. BUILDING VALUATION � OWNE 'S MAILING AD ESS n IN CONTRACTOR'SN - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace' re ace'ValuatlOn CONSTRUCTION LENDER - UNKNOWN T 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADD Ess Permit Fee $ sp ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ! Z Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS R PLUMBING PERMIT Filing Fee 10.00 Each 2.00 Solar Wate Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAM PARCEL MAP Each qas wat heater or vent 5.00 Gas piping syst 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home IN I G IW 1 10.00 e, TYPE OF WORK Newel Add ition❑ Re odel❑ Utilities❑ Installation❑ Other [:1 Describe work:_ Feoo k I� Permit Fee $ Contractor ELECTRICAL PER#tkT Filing Fee 10.00 Main service 100 AMP OROR LESS10.00 Main serviiqe EA. ADD'L too AMP 2.50 DWELLING OCCUR.&) NEW OR ADDNS. CONST. ACC. BLDGS. / 2��2QSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I' am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense 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 NON-RESIT,NEW RANCH CIRCTITS 2.50 ea NEW CONSTR.�P wER APPARATUS &) NON-RESID. SI LE OUTLET CIR, Ex. Occu p�OUTLE s OR FIXTURES zo 050C BAL®30 FIXED PPLNS. OR Ex. OCCUp. OUTLET (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. ❑ I have placed on file with the County of Butte Building Department a Ce tificate of Workmen's Compensation Insurance or a Certificate Of onsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10,00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County In c se uenc of the granting of this permit. Date/ D S/ Signature of Applicant — Owner L.,� 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 $ lfj7 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR GE PUBLIC BY / PE IT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 2!0, WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT NOTE• X111 -- --------- ----- --- - -- - --.—:— -�- :;� � ' --- ------ . - fvlaterlaTs--&- c>r�Cmanjs .1P ShctH A8e • in - - : _.._ .y Accorda7ce _wadi Re agnized;-Goo�l :Frac#Ices'_-- of a }r.. Y -i? ide6r ��� Siaecif�gd--use.:in t :e Unlforrr-Builsiing, PIU_, I'r»rrc� eical Codes a +he NaA ion-l: Electric 1 tjA ---- r I ' �anld- speci�frcT-- fhlo o=-f1 _aho I - �� -• - - a - -- -=_ 72 Mmes STI t 45-. kePke .. ear orr slteratron smQ. f Pobr it '. r (rla - n Q - f am _t4 a Depa+ ritt;- ' T 'T- L. wIS , I -- r j- r-r-I-1--r! •',__._..;__ . _ I ' - ti i _ I - -r- r � ?_ I- Wor unty ; = - -r , ' `z _L_--- i.!:--'- _ -- -I-- ' � _ _ Lj_ _ r 1 _ _ r , ' L a r•#SKr_; ._ .�.r�_—�—r_. .. 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