HomeMy WebLinkAbout064-480-037r BUILDING CODE VIOLATION
LETTER 30 DAY
64-48-377
Gordon Wallin
1 121 Temple Cir., lot 5, PP#8,Xga_.
contra: Para.Mod.Conc.,Para.
Permit # 9s04-81P,E�uti1.,MH)
ELEC.-23-5/,__ 200fJ
GAS _6-23-g/
SUPPORT STRUCTU REQ. �(!D •
COMPACTION TEST RE,,.
contr: Para�lqod.Conc. ParA,i-Al
Permi905-81M,H/I_-
�srs'ued
64.48_37_._
Gordon Wallin
contr: Para.Mod-Conc., Paradise
Permit #3607-81B(m w cov, red deck/
MH)
64-4g-37
eonit: William Blackwelder -
Permit#1698-83B new
( patio-__cover/MH)
64-48-37 38-90
WALLIN., Gordon (;
-14121 Temple Cir Magalia
l� �a3- ��
064-480-037 Q06
RODERICK, WILLIAM
14121 TEMPLE CIRCLE,
Cont: PLOURD, MARVIN ' 3
EX MH ON PERM FND
0
�1��� � 1
rT� T�
Butte County Deparanent ofDevelopment Services-
ADMINISTRATION * BUILDING * GIS * PLANNING b w T rho
o _O
7 County Center Drive o 0
Oroville; CA 95965 0 _� y= o
(530) 538.7541 Telephone o -` o
(530) 538-2140 Facsimile
August'28, 2003
William K. JR, & Phyllis Lorene Roderick - +
14121 Temple Circle
Magalia, CA. 95954 r ��
RE: Building Code Violation.- ;
Location: 14121 Temple Cir.
AP# 064-480-.037 • .
Dear: William K. JR. & Phyllis Lorene Roderick:
.This is a courtesy notice to notify you that you are in violation of the Butte County Code, at the above -referenced
location, as follows:
� 5
Failure"to obtain the required permits, inspections and approvals from this office for the 24'x12' carport.
Since permits and inspections are required for the above work, please submit three (3) complete sets of plans,
apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and
you are authorized by our field inspector to proceed. The field authorization cannot_ be made until the existing
work is inspected and approved.
It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be
advised that Butte County has an active Code Enforcement Program which provides an effective means of
enforcement if voluntarycompliance is, not obtained. Enforcement may be pursued through the issuance of
citations, fines and the recording of a Notice of Violation including a description of the action necessary to, abate
the violation.
You have thirty (30) days -to voluntarily comply with the above directions or to present an acceptable plan for
abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please
contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above.
Sincerely, s
Scott Rutherfor
Chief Building Inspector
SR: ms e '
cc: Assessor
i
!i wTrF
Oe
Building Permit Nu ber: zooj�
Owner Name- Lode/0 C -/(--
Residential Construction Requirements
IMPORTANT
This set of plans and specifications MUST be kept on the job site at all times and it is
r
unlawful to make any changes or alterations on same without written permission from the
Building Division, County of Butte. ,
All materials and workmanship shall be in accordance with recognized good practices
and of a quality prescribed for.the specific use in the 1998 California Building Code
(1997 URC), 1998 California Plumbing, Code ( 1997 U.P.C.), 1998 California
Mechanical Code (1997 U:M.C) and the 1998 California Electrical'Code '(1996 N.E:C.)
COMPLY WITH.ITEMS CHECKED BELOW
❑ Your parcel lies within a designated 100 -year floodplain. Finish floor, electrical,
H.V.A.C. equipment and services shall be.a minimum of one foot above the elevation
shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certifcate .
will also be required '
h:ote:--We will -normally accept -the following as compliance with the flood elevation
requirements:
1. Building is anchored to concrete stemwall system with conventional anchor bolts.
.2. Building plate on top of stemwall to be one foot or more above the 100 -year flood
elevation. (Plate height less than 247 above grade, or engineered design required).
3. Electrical, heating, ventilation, plumbing and air conditioning equipment and
facilities located above the plate.
4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total
net area of not less than 1 square inch for"every square'foot of enclosed area.
5. The bottom of the openings shall be no higher than 1 foot above grade.
6. The openings may be screened or covered with other devices that will permit
automatic entry and exit of floodwater.
Page 1 of 2
Building Permit Num r: ' D 3 , ZOb"
-Owner Name: G/
Parcel lies within the State Responsibility Area (SRA): Comply-with attached
requirements.
❑ Fire sprinklers are required in this structure.
❑ The following parcel map requirements shall be met:.
r -
,
m l ,
All structures and equipment including overhangs shall be clear of all easements.
A setback of 15/0 feet from the side and 0 feet from the rear property lines and 20
feet (25 feet if Federal Aid Route) from the
edge of the right of way shall be clear of
structures and equipment except for a 2 foot overhang.
Expansive soil may be encountered on this site. This condition may require the
foundation to be designed by a California registered engineer or licensed architect. `
don e-d
- 1 p
Page 2 of 2
A P PLS G'r�) 4 1r� N i3YZ. ►^^� S` .
Pn P i.. J -moo fZ, 3aY3 aNA �JJ�
4Z .
BUTTE COUNTS DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner ° s name: 0 FJ i.- . \-j Ct./0 - --
2. Instal.-ler"s name: 1
3. Is the site currently under permit? Yes / / No / L-7
(If yes, furnish permit number ) OR
Is the site ari existing site? Yes / / No /
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at-least.5 ft. away from septic tank and leach fields and
clear of all setbacks and easements? Yes No
(If no, clarify.
5. What is the mobilehome electrical rating.
�----------------------- Amps
6'. What is the mobilehome site service rating? ---------
------------ Amps
7.. What is the mobilehome site circuit breaker rating? -------------- mps
8. Is there'any other electric load.to.be served by the mobilehome
site service? --------------------------------------------------- Yes.= :...No /, /.
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome.site gas pipe size 1�-- ,-� -- (in -0
10. What is the type 'of gas servi �� - -------------------- Natural / / LPGI/ /
�
11. What is the gas pipe length rd eter k 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.)
,UELDING DEPAR 1 MEN,
y,
L MOBILEHOME SUPPORT DATA
If other than single wide,
Mob ilehome. Mfr \�-.�? V� \lG���`F-a furnish Setup Model No. 2- C= j Year ?�
Width (ft.) Box Length S Z-- (ft.) Tagalong or Expatdo 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.
Footings (check one)
*---Tagalong or Expando,' ,
r show support details.
(ft.)(in.) (in.) (in.)
Typical Support
(in.) (in.) Footing Size
M
D M U
(ft -)(in.) (in.) (in.) ,� -- Max. Pier Spacing
Max. Overhang
(.ft.)((in.) (in.) (in.)
U -UT
-T/T��O �
PUrk.PING DEPAOTWNT'
PPRVE.
*If center piers are other than drawn above,
Single
1. Wood either
'
pressure treated d
x
foundation grade.
(ft.)(in;)
--(in.) (in.)
2. Other (specify)
Center support
.Center support
locations
footing sizes
Suorts check one)
i
(in.)
. Concrete block.
2 : • Other (specify)
(fti(in.).,J...
in. (in.)
*---Tagalong or Expando,' ,
r show support details.
(ft.)(in.) (in.) (in.)
Typical Support
(in.) (in.) Footing Size
M
D M U
(ft -)(in.) (in.) (in.) ,� -- Max. Pier Spacing
Max. Overhang
(.ft.)((in.) (in.) (in.)
U -UT
-T/T��O �
PUrk.PING DEPAOTWNT'
PPRVE.
*If center piers are other than drawn above,
NOTES RESIDENTIAL
F,R)(ODERICK,
4-480-037 03-2006
PERMIT NO. �WILLIAM
5 14121 TEMPLE CIRCLE,'MAGALIA
Cont: PLOURD, MARVIN
EX MH ON PERM FND
THE HCD FORM 433A FOR THIS MH CANNOT BE
RECORDED UNTIL ONE OF THE FOLLOWING HAS
BEEN TURNED IN TO THE BUILDING DIVISION:
(1) LICENSE PLATE(S) OR DECAL (THE
INSPECTOR MUST RETREIVE). .
(2) STATEMENT OF FACTS (ONLY ON NEW
MH'S).
,• t
INSPECTOR TO VERIFY SERIAL & LABEL #'S.
SPECIAL CONDITIONS
CHECKED
BY
SRA
` FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
• F
T03'JOB FINALED (Date)
i
Signature
J=OK
0 = Not OK
= Not Ready
Card B-1 Date Card B-1
MOBILE HOMES.
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
2. Footings; Size -Spacing -Marriage Line
1.
Zoning Requirements -Setbacks -Easements
Electricity; MH Test -Crossovers -Breakers -Clearances
2.
Soils; Special MH Support Sketch
6.
3.
Sewer; Location -Test -Fall -C/O -Concrete
Water and Sewer Connected=C/O to Grade -HD Approval
4.
Water; Location -Test -Easement Needed (Sketch)
9.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
Exits-, Insp.-Sketch
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or / /" L "ft./ P LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected=C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10:
Exits-, Insp.-Sketch
11.
Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PERMANENT END SYSTEM (ONLY)
1.
Oing Requirements -Setbacks -Easements
.
Footings; Size -Spacing -Marriage Line
3.
Blocking
'4" GO; MH Test -Demand -Valve
Wood Awn.; Posts- Beams- Rftrs-Connectors
Shthg-Frg-Bracing
lectricity; MH Test
6.
Wpter; MH Test
Carports; Windows -Doors
ater and Sewer Connected
8.
Gas and Electricity Tagged'
9.
E
4D,01
icense Decals
11.
Verify #'s with Office
Ext.; Steps -Doors -Landings
12.
Date i`
and B-1 +Date- Card B-1
Date `
Card B 1 c Date Card B-1
W
ce
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- Beams- 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 POOLS (Plans) OK except #'s
1. Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals- Listed
7.
Elec:;.Bonding; Metal w/5' -Circulating Equip. -Heater
I 8.
r
Elec.; Grounding; Equip. w/5'Circulating Equip. -Pool L ht 9•
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1 -
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
48.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
5. Stemwalls, Main; Steel-Blockouts-Wrapped
50.
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
7. Slab, Steel -Wrapped
52.
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
11. Water Pipe; Test -Anchors -Regulator -Service Test
55.
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Siding -Nailing Veneer
15. Access & Ventilation
58.
16. Insulation
59.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
'Date
PLUMBING (Permit) OK except #'s
Brace Interior/Exterior Wall Panels
17. Water Htr.; Vent -Access -Combustion Air Baffle
62.
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
Infiltration -Walls -Windows
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
Date
22. Gas Pipe; Sixe & Anchors
Card B-1 Date Card B-1
23. Fire Sprinkler; Test
FINAL (Plans) OK except #'s
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
66.
24. Fixture & Transformer Clearance -Ins. Protection
25. Elec. Receptacles Spacing -Lights & Switches at Doors
Bedroom Exiting
26. Size Boxes & No. of Conductors Stapled
68.
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Trim & Subpanel, Breaker Sizes & Labels
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
70.
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
Elec. Outlets at Wood Panel, Int. & Ext.
33. Equip. Clearances Panels-Motors-Mech. Equip.
73.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Elec. Outlets & Receptacles at Kit. Counter
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
36. A.C. Ducts Insulation & Support
78.
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
80.
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
41. Sills Proper Materials & Anchors
_
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
Stucco Brown -Finish
44. Draft Stop in Walls (rat proof)
85. A.C. Unit Disconnect, Electrical -Plumbing
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
86.
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
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
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77.
Wtr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83. Following Instld./Drive 0 Yes 0 No/Walks O Yes O No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90.
Glass Protection
91. Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95. Address Posted
96.
Fire Sprinkler
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 Drive • Orovile, California 95965 • Telephone (530) 538-754 ERMIT No.
(Rev.12/96) APPLIr�ATIONAND PERMIT b 3 - o- <
ASSESSORPARCELNUMBER
064-480-037
Z R NG
BUILDING PERMIT
OWNEtODERICK, WILLIAM
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.1NT41Tff SLE CIRCLE MAGALIA, CA 95954
1 468 R
79,272.00
CONTRACTOR'S NAME
MARVIN PLOURD
I TELEPHONE
72-1096
CONTRACTORS MAILING ADDRESS
1584 WAGSTAFF ROAD PARADISE, CA 95969
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 274.75
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDING ADDRESS
14121 TEMPLE CIRCLE MAGALI
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 317.75
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF -,q Duplex ❑ Mobilehome M Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
1 15.00 L5. 00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EX
Describe Work: EX MH PERM FM EX SITE
Gas piping sy2tern 1 - 5 outlets
15.00
Building sewer
1 15 •0® 15.00
Mobile Home_1 S I G I WT
@20.00
PERMIT FEE
$ 50.00
ELECTRICAL PERMIT
Filing Fee 20.00
R LESS
Main Service zo.A 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 B-- t Lic. No. 3 �% 3 / 7 3
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLDS.
SO
3.5¢FT.
NON•RESID. RANCHO CIRCUITS
97,50
POWEPPARATUS
8 SINGLER AOUTLET CIR.
EX. OCCU OUTLET OR FDCTUREs
SAL @':50
Ex. Occup. oinlEEis AF�sID.) A,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier s'rA ,n5 -,9
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number t f 2 ? le — %
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the_
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with thus provisions.
X Date
Signatu e o Applicant -'0- Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $367.75
:H:AZ.
D. FEES IMP FLOG
CDP
PARCEL
This permit is hereby issued under
of the Butte County Code and/or
indi e v or ich fees have
,/ /�
BYMM "
ERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Dat
7 Z8 o
Dete
Receipt No. 3 i
WHITE-D.D.S.-B.D. CA OR PINK -IN P TOR GOLDEN M -APPLICANT
f�i'Sf�PF„�",w�•,'�p►I�Rf;,Y...�'Io'►�+'I..ir"'.�.,.r-.-x+a,..�.xT--�r..�'r-+•�w^�.ly--.�w�.rr.+'�r�;s.a.�jyw x'�.:...."�i�^n"'�"""r'�Rlhr�wcl �-�}'�w.r�i �T�tiAi�r'►.�,�`ti'�{"�f'�
JV
COUNTY OF BUTTE-DEPARTMENT•OF DEVELOPMENTSERVICES-BUILDING DIVISION
m 7 County Center Drive, ffif AgCA : 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT�APPLICATION DATA SHEET �/ p
OWNER: Y ��C �W���C:--IY� ASSESSOR PARCEL NUMBER � [ U 7
Proposed Building Use: 2 Z -, 1 O Counter Technician: - Date:
_Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
'0�1..Plot plans, 3 or 4 sets, signedty the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
P, Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans,..(B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of th foll ing items.)
4. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... 3
��
15. Statement of Intent for Non -heated and A/C Buildings ...............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.............................................................. ;
❑ 18. California Department of Forestry plan approval ❑ paid. Sent. by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ..............................
21. Encroachment Permit for riveway from the Public Works Dept. (construction approval prior to occupancy).
2. Pre -Inspection for _ r�t7o M � required ................
23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone / 0 and hold for pickup.
I have been informed of the above items and requirements for;obtaining a building permit.
A a icant: 7 at
Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised cf the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by: Date:
Plan Check Letter
❑ phone, ❑. mail, ❑ counter, by Date: _
❑ phone, 0-inail; ❑ counte , b Date:
Plans approved by: Date:
—17
_Structural'ap`proved by: Date:
Yelinxv Rnildina Nvicinn ti
u
k 03
„
COU -'TTY OF BUTTE
DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541,
SCHEDULE OF RECEIPT OF FEES
OWNER PA.P. #
PROPROSED BUILDING USE �j)""1 DATE &7)-
' RECEIPT # DATE REC.
1. BUILDING PERMIT FEES
s ,
--- Balance Due ..................... $ d Y.F? 3
--- Additional Fees Due........... $
--- Revised Plan Checking Fee.... $ t
2. SCHOOL DISTRICT FEES ,
(paid at School District Office) (form available after Plan Check)
3. SHERIFF FEES (paid at Building Division)
Residential....:....... X $360.00 =$ F
Units
Commercial (sq. ftg.)..... X $0.03 _ $
Sq.Ftg.
4. URBAN AREA FEES (paid at Building Division)
Residential (per unit)..... X _ $
# Units Amt.
Commercial (Sq. Ftg.).... X. _ $
Sq. Fig. Amt.
5. RECREATION DISTRICT FEES
(paid at Recreation District Office) (form available after Plan Check)
6. THERMALITO DRAINAGE DISTRICT FEES
$510.00 (paid at Building Division)
7. SRA FIRE INSPECTION AND PLAN CHECK FEE
$89.00 (paid at Building Division)
8. WATER TENDER FEES BATTALION #
$200.00 (paid, at Building Division)
9. NORTH CHICO SPECIFIC PLAN (paid at Building Division)
Residential Zone X = $
Zone # Units Amt.
Commercial (sq. ftg.) ......... X = $ }
Sq. Ftg. Amt. -
10. OTHER
At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees
may be changed during the plan checking process.
APPLICANT
+y DATE
Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You
have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a
protest are specified in Government Code Section 66020(a).
Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003)
C�
t
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • OroVlle, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.1.2/96)' .* APPLICATION AND PERMIT 03 01CgL00 �
-
ASSESSOR PARCEL NUMBEROro e('
ZONING -
BUILDING PERMIT
OWNE '
119`��1
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
' . OWN7S MAILING ADDRESS
// q `
/ ry
6
/`
T LEPHONE
Cgl�iI�TORS MAIU�C, ADDRESS
CONSTRUCTION LENDER•►GK
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
3
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
20.00
Permit Fee
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 013 CJ 1�
BUILDINgADDD SSS
/�/ ✓
Energy Plan Checking Fee
$
F -LAl
if'�28��f� �l)V r✓S
$
PERMIT FEE
$ 3 .�
LOTNO.
SUBDNISDN'SNAMEO
J� — f;Q—'Zj .'�O
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome they
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
L15.00 45—
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: N� 166dMobile
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 J
Home S G W
@20.00
PERMIT FEE
S S C1
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 000V OR LESS
OA OR LESS
23.00
1v OW t-0 X -i t�> _ 1BT�rz> --ro GI -7 -
�-• pp ry� '^
i'•-' V�/V� '. 2 U (�
1 1 J V
sr� b
OC
22 V I
®
+b be. Y4
��VM
GHAZ.
X Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mai ice 200A TO 1000A 46.00
NEW NST. DWELLING OCCUP. SO.
OR 8 ACC.
`97.5 .
CNS.
OUTLET
ONSTI OUTLET �a 7.50
NOMI -RES D.
POWER
& BINDLE O CIR.
0
Ex. Occup. FOmJRES OUTLEr OR 20 Q 1.00:
BAQ .50
Ex. Occup. DSS R!%.) EX S.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
He ting
Coolin
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Dco
NST. TYPE
TOTAL FEE $
D. PEES
IMP1.
FLOOD
CDF
PARCEL
PD
HDJISSUE
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.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
• 2003—!053215
• Recorded
Official Records
Couniyy Of
BUTTE
CANDACE J. GRUBBS
Recorder
ROSEMARY DICKSON
Assistant
03:26PM 06 -Aug -2003
I REC FEE
I CONFORM
;I
I
I Karen
I Page 1 of 2
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
10.00
1.00
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.
WILLIAM K. RODERICK JR.
AND PHYLLIS LORENE RODERICK
REAL PROPERTY OWNEWLESSOR
t
14121 TEMPLE CIRCLE
MAILING ADDRESS +
MAGALIA BUTTE CA 95954
CITY COUNTY 1 STATE ZIP
SAME
INSTALLATION MAILING ADDRESS, IF DIFFERENT
SAME
CITY COUNTY STATE ZIP
SAME
UNIT OWNER (if also property owner, write "SAME")
SAME
MAILING ADDRESS
SAME
CITY COUNTY STATE - ZIP '
UNIT DESCRIPTION
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
k
OROVILLE BUTTE CA
'95965
CITY COUNTY STATE
ZIP '
03-2006 (530) 538-7541
BUILANVO PERMIT NO TELEPHO
R
O
�_SJGNATURE OF LOCAL AG O ICIAL
DATE
NONE
DEALER NAME (if not a dealer sale, write "NONE")
'
NONE
DEALER LICENSE NO.
GOLDEN WEST HOMES UNKNOWN VILLA WEST / VW32C5
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
VW4384 A/B/C 52'X24'& 52'X10' CAL19078 3/4/5
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION
SEE ATTACHED
ASSESSOR'S PARCEL NUMBER AP # 064-480-037
k l
HCD FORM 433(A) REV. 8/91 ;
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. d
k
C
.
i
k l
HCD FORM 433(A) REV. 8/91 ;
WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD- Building Dept. d
r
07/02/2003 17:05 FAX 530 872 9089 REAL ESTATE PROFESSIONAL Z003
LEGAL DESCRIPTION
ALL;-TRAT-CERTAIN REAL PROPERTY SITUATE IN THE UNINCORPORATED AREA
OF !;',THE COUNTY OF BUTTE, STATE 'OF CALIFORNIA, BEING MORE
PARTICULARLY DESCRIBED AS FOLLOWS:
LOTS, AS.SHOWN ON THAT CERTAIN MAP ENTITLED "PARA*DISE PINES UNIT
NO. .:8°,.FILED IN THE .OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY,
CALIFORNIA, ON OCTOBER 21,. 1970, IN BOOK 38 OF MAPS,
3 AN 4 PAGE (S) 1, Z,
CERTIFICATE OF CORRECTION WAS RECORDED_DECEMBER 2,
1648 1970, IN 800K
, PAGE S, OFFICIAL RECORDS OF BUTTE -COUNTY.
y
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 0? SAID LAND,
AP# 064-480-037
EAR= B
A NON-EXCLUSIVE EASEMENT OVER -LOT A `(THE COMMON AREA) OF SAID
PARADISE PINES UNIT NO. 8, AND THE LOTS DESIGNATED FOR COMMON AND
RECREATION AREAS, AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR
UNIT IV AND VI.
r
i
END OF.LEGAL
mmw=
'RECORDING REQUESTED BY:
AND WHEN RECORDED MAII. TO: .
i
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
P
, H
GC�t�'Y of Document Recorded
08 -Aug -2003 2003-0053215
Nas 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 FOUNDATIONSYSTEM
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 ceitainty 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.
WILLIAM K: RODERICK JR.
AND PHYLLIS LORENE RODERICK
BUTTE COUNTY BUELDING DIVISION
REAL PROPERTY OWNER/LESSOR
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
14121 TEMPLE CIRCLE
7 COUNTY CENTER DRIVE
MAILJNG ADDRESS
MAHING ADDRESS
MAGALIA BUTTE • CA
95954
OROVILLE BUTTE CA " 95965
CITY COUNTY STATE
ZIP t_
CrrY COUNTY STATE ZIP
SAME
03-2006 (530) 538-7541
INSTALLATION MAU ING ADDRESS, IF DIFFERENT
BW PERMIT NO TELEPHO
SAME
oDATECIT
COUNTY STATE
I
S OF LOCAL AG O CIAL
SAME
NONE -
UNIT OWNER (if also property owner, write 'SAME') -
DEALER NAME (if not a dealer We, write 'NONE")
SAME
NONE
MAUJNG ADDRESS
DEALER LICENSE NO.
SAME
CrrY COUNTY STATE
ZIP
+
UNIT DESCRIPTION
GOLDEN WEST HOMES
UNMOWN
VILLA WEST / VW32C5
MANUFACTURER'S NAME
DATE OF MANUFACTURE MODEL NAME NUMBER
VW4394 ABIQ
52X24'& 52x10' . CAL19078 3/4/5
SERIAL- NUMBERS)
LENGTH X WIDTH
INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCREMON ASSESSORS PARCEL NUMBER AP # 064-480-037
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY - HCD PINK - Applicant " GOLDENROD- Building Dept.
07/02/2003 17:05 FAX 530 872 9069- REAL ESTATE�PROFESSIONAL Z003y
LEGAL: DESCRIPTION ,
ALiii.Ti3AT CERTAIN REAL PRQPERTY'SITUATE IN THE-UNINCORPORATED AREA
OF!:*THE COUNTY OF BUTTE, STATE OF RMCALIFORNIA, BEING, MORE
PAICULARLY DESCRIBED AS FOLLOWSa
LOT! AS SHOWN ON THAT CERTAIN MAp EF4TITLED p
NO.
PARADISE PINES UNIT
8°j FILED IN THE OFFICE OF THE COUNTY. RECORDER OF BUTTE COUNTY
CALIFORNIA, ON,OCTOSER 21, 1970, IN BOOK 38 OF MAPS
3 ANp q, PAGE (S) 1, 2,
. ..
CERTIFICATE OF CORRECTION WAS RECORDED DECMMER 2, 1976, IN BOOK i.
1648!,. PAGE 5,' OFFICIAL RECORDS OF BUTTE COUNTY. '
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 HEREIAT DESCRIBED, AND THAT NO DAMAGES SF3ALL BE DONE TO THE
SURFACE OF SAID LAM.
AP# 064-480-037 ,
A N0k-EXCLUSIVE EASEMENT OVER LOT A (THE COMMON AREA) OF SAID i
PARADISE PINES UNIT N0. 8, AND THE LOTS DESIGNATED FOR COMMON AND
RECRTION AREAS, AS DESCRIBED IN TF�F3 DECLARATION OF AHIVEXATION FOR'
UNIT , IV AND VI.
0-1/02/20 03 17:06 FIT 530 872'9089 REAL ESTATE PROFESSIONAL
Z004
DEPARTMS!NY�OF HOUSING AND COMMUNITY DEVELOPMENT
. A1vIsI0n at Codef end Stamdsrd6
0}SING
Title Search
SGy�
Date Printed: 06/27/2003 k
00w
I)eCal #: LAA1450 USS Code:
Manufacturer:
SFD
9248 GOLDEN WEST HOMES � Original Price Code:
APL
. Tradenalne:' VILLA WEST Rating Year:
Model: V W32C5 , • Tax Type:
Manufactured Date:
LPT
Last TLT Amount:
Registration:L'xp; .
`
Date iLT Fee 'aid:
First Sold Oi'i: 06/26/1981 IY T Exemption:
1,pNL
y . Seriai'NumberHUD Label / Insignia . Length {
g Width
V� :4384A CAI, 190784 52'
V W'438413
12'
CRL 190783 52'
VW4384C CAL 190'185 '52.
12'
-
. Record Qonditions:PPF Exempt
10
Registered'Owner:
WILLIAM K RODERTCK JR
'
' PlgYLLIS LOREVE RODF.=K (Joint Tenants With kight of Survivorship)
14121 TEMPLE CTR
MAGALIA: CA 95954
Last Title Date: ' 09/01/1999
Last Reg Card: - 09/01/1999
SuWrrT anter Info: Price $33,500,00 Transferred on 9M'j/1995
Situs Address;
`
14121 TEMPLS CLR '
• • 'VAGALIA, CA 95954-94'13 p
I' ,. SituS County • BUTTE
Legal Owner:. ,
,
WESTERN SUNRiSF, AKA GROSSLAND .MORTG
j 2865 SUNRISE BLVD STE 101 a
�,
' RANC140 CORDOVA, CA 95742 �..
,.
Lien Perfected On; 02/17/1999 15:49:22
w*'* END OF TITLE SEARCH
'
JULY 29, 2003
COUNTY OF BUTTE
DEPT. OF DEVELOPMENT SERVICES .
BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE, CA 95969 Y
ESCROW NO. 211989CH ,
PROPERTY:-' 14121 TEMPLE CIRCLE,.MAGALIA, CA 95954'
# A.P. NO.: 064-480-037
To Whom It May Concern:
THE ABOVE REFERENCED, PROPERTY IS BEING SOLD. A PERMANENT
FOUNDATION SYSTEM HAS BEEN, OR WILL BE, APPLIED FOR IN ORDER TO
OBTAIN A 433A ON THIS PROPERTY. THE 433A IS REQUIRED BY THE NEW LENDER
FOR THIS TRANSACTION TO OCCUR. THE CURRENT LIENHOLDER, IF ANY, WILL
BE PAID THROUGH THE CLOSING OF THIS ESCROW AND THE LIEN RECONVEYED.
THE ESTIMATED CLOSE OF ESCROW, IS SCHEDULED FOR AUGUST 11, 2003, '
PENDING THE RECEIPT OF THE RECORDED 433A. 1
- SINCERELY; '
• Mid Valley Title and Escrow
CHERI HOVEY
Vice President / Branch Manager
cc: MARVIN PLOURD 3
s
07/02/2003 17:04 t•:AX 53U 672 UU68 KtiAL ta'lni'r rnurraalvrvAL ���
RECORDfNG REQUESTED BY: ' , '
, , 199 --IM ®3?89'
FidelOy National Title company Revorded I KC FEE j8,88
When Recorded Mail Document Official Records 1 TAX 74.25
County Of
and Tax Statement To: Butte f
William K. Roderick, Jr. J. swim
Recorder I'
Phyll.id;Lorene Roderick a
14121 Temple Circle 1 Vickie
Magali '. CA '95958 itEel9pl! Ai-Sgp-1998 1 Page t of 2 .'
Escrow N4} 365997 -WC ,
Title OrdedjNO: 365997
Y APN: 064-490P037-000 SPAWABMT ISUNIFORRECOFEM SUS6oNLr
JPDT GRANT DEED � 5
The under fined grantor(a) declare(s) • '
Docuntsirttery. transfer leer to $ 74.25 City tax 3
(n) :bomputed on full value of property conveyed, or
I I ,; mmputed on full value less value of lions or encumbrances remaining at time of sale, ' k
( Ix I k incorporated Area' City of
FOR A VALUABLE CONSIDERATION, receipt alt whlch le hereby, acknowledged,
GORDON L� WALLIN AIM ROBERTA L. WALLZU, HUSBAND AND WIFE
hereby GRANT(S) to • WILLiAM X. RODERICK, JR. AND PHYLLIS LORENE RODERICK, i-rusBAND AND
WIFE, AS ';JOINT TENANTS;
the following described real property In Leif the uniaoa'rporated area of Magal is
County of ' Butte State of CaOfornW
SEE LE=a . DESCRIPTION ATTACHED HERETO -AND MADE A PART HEREOF
DATED: August 29, 1999 ^
STATE OFIFOiTNIA
COUNTY OF, . Butte ' Gordon L.: Wallin
ON
a, tgt at 2A 1898 before me,
` Mar£on L. dBecker. Notary personally appeared
Gox&n LL. jWai in & Rdberta.L. Wallin rta LT. walLin
personally *own to me (or proved to me on, the basis of ,
satisfactory iovidence) to be the person(s) whose names)
Is/are sulAcribed to the within Instrument and & ICW L BECKER
acknowiedgOd to me that he/she/thay executed .the same 0 C311M.01MUM
In his/her/their ai thorized capachyoes), and that by wl NOTARY PUSu�ARNIa
WrTE hls/her/theltjsianaturs(s) on the instrument the person(s), hyCanffLE wAprflt3,zmt
or the enaq upon behalf of which the person(s) acted,
executed tholinstrument.
y �
WITNESS hand and.offlcial seal.
Signature 4
i
(MAIL TAX STATEMENTS AS DIRECTED ABOVE
r FD -213 (Rev 3/04) GRANT DEED
F.
07/02/2003 17:05 -'FAX 530 872 9089 REAL ESTATE'PROFESSIONAL wJvu .
LEGAL DESCRIPTION
h
ALL! THAT CERTAIN REAL PROPERTY SITUATE IN THE'UNINCORPORATED AREA
OF;;THE COUNTY `OF BUTTE, STATE OF CALIFORNIA, BEING
PARrICULARLYY-DESCRIBED AS FOLLOWS: MORE
• • _PARE A: . •
LOT S, AS SHOWN•ON'THAT CERTAIN , MAP .ENTITLED "PARADISE PINS UNIT
CA FO FILED IN. THE OFFICE OF THE'COUNTY RECORDER-OP.BUTTE COUNTY,
CALIFORNIA, ON,OCTOBER 21 1970, IN BOOK -38 OF MAPS, •,
3 A� 4. , PAGE (S) 1, 2
CERTIFICATE OF CORRECTION WAS RECORDED DECEN.BER 2, 1970, IN 800K
1648, PAGE. S, OFFICIAL RECORDS OF BUTTE COF)NTY.
'EXCEPTING •THEREFROM ALL MINERALS, OIL', GAS, ASPHALTUM AND OTHER
HYDROCARBON SUBSTANCES,. WITH PROVISION THAT ANY AND ALL MINING
OPERATIONS SHALL HE 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.
AP# P64-480.037 s
A NON-EXCLUSIVE EASEMENT OVER LOT A (THE COMMON AREA) OF SAID
PARADISE PINES UNIT NO. 8, AND ..THE LOTS DESIGNATED FOR COMMON AND
RE A TION AREAS, AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR
UNIT IV AND VI.
i
Ic
1
Ic
3607x8113
PERMIT NO. l l
PERMIT EXPIRES
OWNER Gordon Wallin
CONTR. Para.Mod.Conc., Para.
ASSESSOR PARCEL 64-48=37
LOCATION 14121 Temple Cir., lot 5, PP#8,
Magalia
m•
's
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CaIledPG&E
j c.
' JONALED (Date)
Signature
V = OK
0 = Not OK v .t '` srr.� '•1.t.t., ,' `h `; { ,
= NotApplibable MOBILEHOMES
Not Ready MISCELLANEOUS
. = _ t
Date
MOBILEHOME UTILITIES (Plans) OK except q's =
1. Zoning Requirements—Setbacks-Easements
Date
DEC ..S, CARPORTS, ETC'. (Plans) OK except N's
o'ng Requiremenis—Setbacks—Easements • __
2. Soils; Special MH'Support—Sketchotings;
Size—Depth—Spacing-Connectors'
3. Sewer; Location—Test—Fall-C/0—Concrete..
D -ks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)'
. Wood Awn.; Posts—Beams—Rftrs.-Connect-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. Carport s;.Windows—Doors • ..•
7. Utility Clearance
__
7. Elec.
Card -BI
Date Card -BI Date
Card -B
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) M except #'s
1• Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
3. Gas; MH Test—Demand—Valve—Connector
2. Soils; Compaction—Structure Stability
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers-Clearances
5. Drain; MH Test—Fall—Flex Connector
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries_Terminals—Lisled
7. Water and Sewer Connected—C/0 to Grade—HD Approval.
7. Elec.; Bonding; Metal w/5'—Circulatirig 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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card-BIDate
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Ry ble
= Not ReadeadRESIDENTIAL(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 -B loc kouts-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
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 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
15. Water Pipe; Test & Anchors -Nail Protection
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. 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.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
19. Gas Pipe; Size & Anchors
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 & 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 [3 Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails &Deck Construction -Post Caps
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ElYes
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 0 N
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
Date
MECHANICAL (Permit) OK except N's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI
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 N's
36. Sills; Proper Material & Anchors
Comments at Final:
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
Header & Beam -Size & Bearing
_41.
42.
Hangers -Post Caps -Anchors -Connectors
_
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
_Bdrm.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS/41
PERMIT NO.
7 County Center D41ve - O'joville, Californi 95965 - Telephone 916/534-4� 9 /
-APPLIf,'ATiON AND PERMIT r1
ASSES OR P ARCEL.NUMBER�ZO
/
BUILDING PERMIT
TELEPHONE
I /✓
OW'NER'S MAILING ACFDRESS
/A'
SQ. FT. OCC. BUILDING VALLPATION
�!J O
O TRACT 'SN E TELEPHONE
TRACTOR'S I 1 G ADDRESS
,33 o �'
Fireplace
CONSTRUCTION LE ER UNKNOWN
Total Valuation $ 80
LENDER'S MAILING ADDRESS
Filing Fee
Permit Fee
$ 10.00
$ a,0
ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee
$ 10
I
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
Permit fee
$
$ 1
BUILDING ADORES
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Cq
Water piping
LOT NO. I SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE ® V
Building sewer
Lawn sprinkler system
5.00
SF ❑ Duplex❑ Mobilehome❑ Other�� u�� ��
SP CI FY
TYPE OF WORK
Permit Fee
$
Contractor
New Addition❑ Remodel❑ Utilities❑ Installation ❑ Other ❑
ELECTRICAL PERMIT
Filing Fee 10.00
Describe work:
n 00v OR LESS
Maiseryice 1
100 AMP OR LESS
5•00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. (DWELLING OCCUP.51
OR ADDNS. ACC. SLOGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declar rider penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi o e a my license is in ful forcetdfffect.
License NM Classification
NEW CONSTR I.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS p\
NON-RESID. (SINGLE OUTLET CIR. 1
EX. Occup OUTLETS OR FIXTURES BAL@1
00
FIXED APPLNS. OR
Ex. Occup. (ouTLETS (RESID.I EA.) 2.00
❑ 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
Temporary service
10.00
Mobile Home Facilities
15.00
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
Misc. Wiring
7.50
Permit Fee
$
❑ I am exempt under Sec. , Business and Professions Code
Contractor
for this reason
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
Heating
I declare under penalty of perjury (check one):
❑ The ermit is for $100.00 (valuation) or less.
Cooling
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.
Hood
3.00
Ventilation
❑ 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.
Permit Fee
S
Contractor
I certify that I have read this application and state that the above.information
Mobile Home Installation Fee
$
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.
TOTAL PERMIT FEE
$ J
I also agree to save, indemnify and keep harmless the County of Butte against
a liabilities, ju ments, cost and expenses which may in any way accrue
agai t said CVunTAin conseq n e of the granting of this permit.
OCCUP. GROUP
`f
I TYPE OF CONST.
�a—A/
PARCEL
PD
�
HD
ISSUE
(�
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
ate
Signor re f Applicant — L caner ❑ Contractor Agent ❑
permit is required for excavations over 5'0" deep and demolition or construct-
ion o structures over 3 stories in height.
9—DIRECT OF PUBLIC
BY
PER EXPIRES Date
WORKS
Date – Zj
Receipt No. C
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
I
3 PERMIT NO.
J1 rf
1904-81P,E
i
PERMIT EXPIRES
OWNER Gordon Wallin
f
CONTR. Paradise -Modular Conc.;•Para.
y ASSESSOR PARCEL 64-48-37.
LOCATION 14121.8, Temple Cir., lot 5, PP#8, Maga.
•:�_ has
A
" Temp. Power Pole
Called PG&E
Temp. Elec. Service ✓
Called PG&E 1y11
Temp. Gas Service
Called PG&E
JOB FINA (Date)
Signature -
O = Not OK ^� —. . • „ 9w �'c..
=Not Applicable MOBILEHOMES f +' ("I MISCELLANEOUS
' = Not Ready f
Date
MOBILEHOME UTILITIES (PIM�s) OK except H's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
oning Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
I s; Special MH Support Sketch
2. Footings; Size—Depth—Spacing—Connectors
er; Location—Test—Fall-C/0—Concrete
_
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
.4
r; Location—Test—Easement Needed (Sketch)
4, Wood Awn.; Posts— Beams— RItrs.—Connec.—Shthg.—Rfg.—Bracing
lectricity; Location—Clearances—Grnd.—/ IRAP Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal-Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
,t.-dlility Clearance. '
6. Carports; Windows—Doors•-
7. Elec.
Card -BI
Date 9/Card-Bl j Date —.23—ZT
'Card -BI
Date Card -BI Date _
Card -BI"
` Date g Card -BI. Date
Card -BI
Date Card -Bl Date
Date
MOB HOME I ALLATION (Plans) OK except k's
Date
POOLS (Plans) OK except #'s
Zoning Requirements—Setbacks—Easements
.
1. Setbacks—Easements
ootings; Size—Spacing—Marriage Line
2., Soils; Compaction—Structure Stability
--a--Ga_S; MH Test—Demand=Valve—Connector
ectricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4, Elec.; Receptacles and Lighting; Distances-GFl
Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
.__XaEe_r;,MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
ater and Sewer Connected—C/0 to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
-8. Gas and Elec I y Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panelboards—Ins. to Main in Conduit
xq ; Insp.—Sketch
. -Cert. of Occupancy ;.
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1.
( Date = Q 6 ( 'Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
.4
1
b,
4
A:,
,
tr
J = OK
0 = Not OK
- = Not Applicable -4�.. RESIDENTIA•l (Single and Duplex)
* = Not Ready
_ r
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Fig., 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/0 -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 #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
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.
Elec. Outlets at Wood Panel; Int. & Ext.
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-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑ Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75,
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
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
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/0 to Grade -HD Approval
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except #'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.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-_Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_46.
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
County qf, Rutti.
-
DEPARTMENT 0'F PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
........................................................ I.d'.-(....
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.
.............� mow...........
A
...�..................................................
-.41,.x... ............... ...........
Date. 16Z.—I..:rnn spe ctor'���..........
Do Not Remove This Tog
Cann -at
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OE OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the Cal n—ia odministrative Code, Title 25; Chapter 5, under permit
numbery/ y for She following location:
Owner
Owner's Address -
Mobilehome Mfg. , Model Year
_ �.
Ci / b
Insignia No. t'� y 7 ��. Serial' No.
0Y5
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 2D.P.W.
-S COUNTY OF BUTTE
DEPART&bENT OF. PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211 ; Ext. 70 ,.
7 County Center Drive, Oroville — Phone 534.4541 *>
Skyway and Elliott Road, .Paradise — Rharte8TT-3�i35
X7.2 --A946 / - XS -7
C��1TICE
BUILDING bR 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.
Inspector-._.__,..- Date._...., -.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
' 7 County CenterDriv3-ibroville,.•Califorriia 95965 - Telephone 916/534-4541
- . -APPLICATION AND PERMIT
ASSESSOR PA CEL NUMBER
` -
Z ING
I
BUILDING PERMIT
O ERr
TELEPHONE
SQ. FT. OCC. BUILDING VALUA ON
OWNER'S MAILING ADDRESS
NTR CTOR'S MTELEPHONE
I
"
O TRACTOR'S MAILING ADDRESS
�pi-3 S S.
Fireplace
CONSTRUCTION LEN ER
UNKNOWN
Total Valuation is
Flling Fee
$ 10,00
LENDER'S MAI ING ADDRESS
Permit Fee
$
ARCHITECT O ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT O ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDF
Z
PLUMBING PERMIT
Filing Fee 1000
hiell
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
16 —+
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF UCTURE
SF ❑ Duplex❑ Mobilehome ll"Other
SPECIFY
Building sewer
O —
Lawn sprinkler system
5.00
TYPE OF WORKPermit
New F]Addition [:]Remodel ❑ Uti lities Installation ❑ Other ❑
Describe work:
Fee
$ S, -0
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS'
.�•
5.00 J
Main service EA. ADD'L 100 AMP
2'.50 Sa
NEW CONST. (DWELLING OCCUP.B\
OR ADDNS. \ ACC. BLDGS.
I 2Q Sq ft
CONTRACTORS LICENSE LAW
I declarer penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi de d my license is in ful force effect.
License N Classification
F1 1, as the owner, or m em to s with wages as their sole com en-
sation, will do the work,anff teehe 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 COESIo R BRANCH CIRCUITS 2.50 ea
NEW CONSTR. POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES BALO L@1
FIXED APPLNS. OR
Ex. DCCup tOUTLETS (RESIDJ EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 D -D
Mi sc. Wiring 7.50
Permit Fee $ ,. Z,S-0'
Contractor
MECHANICAL PERMIT
FiIingFee 10.00 .
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
El ermit 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
S
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, j dgments, costs, and expenses which may in any way accrue
i t said oun y in conse ence of the granting of this p rmit. , p
Da �ZZ O
lure of Applicant - Ownar ❑ Contractor Agent ❑
ZAnpermit 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 $ Z Sb
OccUP. GROUP
I TYPE OF CONST.
PAZ
PD
HD
ISSUE
��
,This permit is hereby issued under
cions of the Butte County Code and/or
work indicated above 'for which
DIRECT F PUBLIC
13Y
PERJO EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
�y
Receipt No. -9-0 S a ?) .
WHITE-D.P.W., YELLOW-ASSESSOR,'PINK-INSPECTOR, GOLDENROD -APPLICANT
COUNTY!OF BUTTE - DEPARTMENT OF PUBLIC WORKS REF IT NO;
7 County Center Qriv4 - Giovi`le, California 959E5 -Telephone 916/534 41
APPLICATION AND PERMIT
ASS OR PARCEL N MBE
4,# ,— 1
ZO NG ,
/ BUILDING PERMIT
Ow
O!" Dn7 I�
TELEPHONE SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS -
A -
O TRACTOR'S NAME
TELEPHONE
C NTRACTOR'SAI NG ADDRESS n
vl S Fireplace
CONSTRUCTION LENDE
UNKNOWN Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING AD RESS
Permit Fee $
ARCHITECT OR ENGI ER LICENSE NO. { Plan Checking Fee $ 10—
I .
ARCHITECT OR ENGI EER'S MAILING ADDRESS Penalty $
Permit fee $
BUILDING ADDRESS -
'L lam_
Pilin Fee 10.00
PLUMBING PERMIT9
Each Trap 2.00
Repair drainage or vent piping 5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
r
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
USEOF STRUCTURE
SF ❑ Duplex ❑ Mobilehome /Other
SPECIFY
Building sewer
Lawn sprinkler system 5.00
TYPE OF WORKPermit
New F1Addition [:1Remode1❑ Utilities [:1Installation Other ❑
Describe work: _
Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 60ov OR LESS
-100 AMP OR LESS 5.00
Main service EA. ADD -L. 100 AMP 2.50
NEW CONST. (DWELLING OCCUP.81 2�sgft
OR ADONS. ACC. BLOGS.
CONTRACTORS LICENSE LAW
enalty of perjury (check One):
I decA��=censedunder provisions of Chapt. 9, Div. 3 of the Business
and Profession Code and license is in full rte d effect.
License No._f)19,9,)/ Classification
❑ I, as the owner, or my employees with::wages as their sole compen-
sation, will do the work,and the strulcture 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 CONSTFL-OUTLET 2,50 ea
NON-RESID (BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS !1\
NON-RESID. (SINGLE OUTLET CIR, 1
50 @ 25¢
' Ex. Occup OUTLETS OR FIXTURES BAL@10S
Ex. Occup. (OUTLETS FIXED P(RES(D,)LNS REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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.
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 also agree to save, indemnify and keep harmless the County of Butte against
II liabilities, judg ents, costs, and expenses which may in any way accrue
age t said Cou ty 'n consequent of the granting of this per
Date ZZ )
pplicant — Owner ❑ Contractor ❑
mit is required for excavations over 5'0" deep and demolition or construct-
Woses over,3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
55
This permit is hereby issued under the applicable provi-
Bions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECT R OF P IC WORKS
By DatQ ;
PERMIT EXPIRES Date 6-g
Receipt NO. XID kms. �.
WHITE-D.P. W.. YEL LOW�A55 CS SO R, PINK -INSPECTOR, GOLDENROD -APPLICANT
" BUTTE 'COUNT4 DEPARTMENT OF PUBLIC WORKS
7 County,Center Drive, Oroville, CA.
PHONE: 534-4541
• i
MOBILEHOME INSTALLATION SHEET
G_
f
1. Owner's name: U `J � •
7. Instal:ler's name: .L �Q
4 C10
3. Is the site currently under permit? Yes 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 No
(If no, clarify )
5. What is the mobilehome electrical rating? ------------------------ Cd Amps
6
g?--------------------- �`:�ad:.;,:::... What is the mobilehome site service rat•in -�', Amps
7.. What is the mobilehome site circuit breaker rating?-------------%J _` Amps .
8. Is there any other electric load to be served by the mobilehome
siteservice? ------------------------------------------------- Yes. = No'/ /
t
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pi a size 1------------- l.(in.)
10. What`is the type of gas servi -- ----- ------------ Natural ,LPG~/ /
' �
11. What is the gas pipe length ro eter k 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.)
F
MOBILEHOME SUPPORT DATA
I If other thiin.siilgle wide,
Mobilehome Mfr V \lGJ`�.� furnish SetupModel No. C'
-.�! • Year
Width tet- (ft.) Box Length 5 Z— (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.
Foot -in s (check one)
Single 1. Wood either
/ pressure treated or
foundation grade.
x
(ft.)(in:) � (in.) (in.) ❑ 2. Other (specify)
Center support Center support
locations* footing sizes Supports (check one)
(in.)
: Concrete block.
x
X El 2. Other (specify) L. - _J
(in.) (in.)
I
(ft.)(in.) t (in.) (in.)
LI
(ft.)(in.) (in.) (in.)
(ft.)l(in.) (in.) (in.)
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
Tagalong or Expando,'
show support details.
/,?- x 3 -- Typical Support
in.) (in.) Footing Size
Max. Pier Spacing
(ft.)(in.)
(ft.)(in.)
-- Max. Overhang
H05 O/
BUTTE COUNTY
BUILDING DEPARTMENT.
APPROVED
V :s+a[:a.�...T-�
a NOTE:—All Materials & Workmanship Shall. Be in
' - Accordan^e� with Recoani7ed Good Prrctices and
® =of; tx duality prescribed for the Snecified use in the �.
.. - . Uniform ' Building, Plumbing & Machanical Codes and ;
Paradise the National Electrical Code. ,
Modular Concepts
PARADISE MODULAR CONCH-"5.4.NC. • 6633 SKYWAY • PARADISE, CALIFORNIA 95969
MOBILE, HOMES SALES • LIC. 28871` • PHONF. (916) 877..- 8541
Utility connections shall be within
4 ft. of the mobilehome, either
#4 1.- tl b h• d h'
ec y e In or wit In the rear
half of the roadside (left) of the j
mobilehome.
k
a
500 SQ%FT>N1INIMUNI
FOR' 'AO5ILES
• i f •!
MU
This set of plans and specificationsto
, T e
kept on the job at all times and it is #aw ul, Ito
make any changes or altern.+;ons on so ry� a wit out
itten permission from the Department of Iblie
wr
Works, County of Butte. ! >,
A sett gk of :5 ft. f rom the
Property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
A permitwil�be reiui
I
installa}ion of the me
I.
f
for the
BUTTE COUNTY
BUILDING DERARTMENI
`APPROVED
_ .�. .. t _
- s' ,�.: �PARMIT
NO. 1698-.83B
'
PERMIT EXPIRESy✓ T
OWNER GORDON WALLIN-
CONTR. William Blackwelder
ASSESSOR PARCEL 64-48-37
�< <�
LOCATION .14121 Temple .Circle, Magalia _
. f
Temp. Power Pole
Called PG&E
t
Temp. Elec. Service
Z,
Called PG&E/
Temp. Gas Se vice
Called PG&E
JO F1, ALED (Date)
f t
-Signature
b K
-
O = Not OK
DECKS COVE CARPOR TC. (Plans) OK except #'s
= Not Applicable MO B I LEHOM ES
1. Zoning Requirements—Setbacks—Easements
= Not Ready
o R quirements—Setbacks—Easements
2. Soils: Special MH Support -Sketch
ootings;,Size—Depth—Spacing—Conneclors —�
r ,
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECKS COVE CARPOR TC. (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
o R quirements—Setbacks—Easements
2. Soils: Special MH Support -Sketch
ootings;,Size—Depth—Spacing—Conneclors —�
3. Sewer; Location—Test-Fall-C/O—Concrete 4
3. ks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
. Wood Awn.; Posts-Beams-Rftrs.—Connec.—Shthg.—Rfg.—Bracing_
5. Electricity; Location—Clearances—Grnd.—/ / Amp -Concrete
_!
5. tum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L" ft./ P'Nat.or/ /"L"fL/ /"LPG
Carports; Windows—Doors
7. Utility Clearance•
7. Elec.
Card -BI
Card -Bl. ,
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
K at Card -BI Date
Se�ate and -BI 'Date _
Date
MOBILEHOME INSTALLATION' (Plans) OK except #'s
-Date //P
OLS (Plans) OK exce #'s
1. Zoning Requirements—Setbacks—Easements
I. 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-GF1
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 Lghig.
Boxes— Enc losures— Pane Iboards— Ins. to Main in Conduit
9. Exits; Insp.—Sketch.
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date,
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date.
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
+ = Not Ready
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Gmd.- / /" 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.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
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 -Meeh. Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.: Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
61.
62.
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe; Size & Anchors
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 k's
67.
Garage Fire Door; Swing -Landing -Closer
68.
69.
A.C. Duct in Garage -Damper
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meeh. Protection
--- 20. Fixture & Transformer Clearance -Ins. Protection
21. Receptacles Spacing -Lights &Switches at Doors
-
22.
Size
Size Boxes & No. of Conductors -Stapled
70.
71.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
24.
Romex Installed Close to Edge of Studs .& C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
Guard Rails & Deck Construction -Post Caps
-
-
25.
_26.
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size i / 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.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral -jYes ❑No
Service -Riser Conductors & Ground -Main Disconnect
75,
Followinginstld.: Drive Yes No; Walks
❑ ❑ ED Yes ❑ No;
Planters []Yes 0 N
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
78.
79.
80.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
- 30. Clothes Closet Light -Shower Light
Card B -I
Date- -__ _Card -BI __ Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
_33.
Vent Fan; Exhaust above Insulation
Condensate Drain _& Overilow; 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
Card -BI
Date
_- Date _-_ Card -BI _ Date
Date Card -BI Date
FRAMING(Plans) OK except q's
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
_
36.
37.
_i8.
39.
40.
_Sills; Proper Material & Anchors _
Walls; Na Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-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: An entry must be made each time youvisit jobsite)
COUNTY. OF BUTTE - DEPARTMENT• OF PUBLIC WORKS, PER IT N
7 County Center Drive - Oroville, alifor a 95965 -'Telephone 916/534-4541 f
- ,
APPLICATION AND. PERMIT ^
ASSESSOR PARCEL NUMBER •,
64-48-3?
ZONINGS
• BUILDING• PERMIT
OWNER - -
Gordon Wallin
TELEPHONE
- SO, FT. ,OCC, BUILDING VALUATION
(4
OWNER'S OWNER'S MAILING ADDRESS y „
CONTRACTOR'S NAME- _ -
William Blackwelder
TELEPHONE
877-8035
- -
,
CONTRACTOR'S MAILING ADDRESS
P.O. Bol[ 388 Paradise, California 95969'
Fireplace
'
CONSTRUCTION LENDER
UNKNOWN ,
"-Total Valuation $
_ Filing_Fee'
' $ 10.00
LENDER'S MAILING ADDRESS•
Permit Fee
$
ARCHITECT OR ENGINEER -
„
LICENSE NO.
Plan Checking Fee
$ nl
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
_
Permit fee
$
BUILDING A14p1 Tempi's •Circle . 14121. Tem le C.
PLUMBING PERMIT
' Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
'
Water piping
5:00
LOT NO.
SUBDIVISION NAME •
•
PARCEL MAP
Each qas water heater or vent. '
i 5.00 '
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ •Other' Patio Cover
-- SPECIFY -
Building sewer
` 5.00
Mobile Home I S I G W
10.00e
-
TYPE OF WORK
New® Addition Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: 10 x 24 covered natio —
*
-Permit Fee
$
Contractor
ELECTRICAL PERMIT,
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
'
Main service EA. ADD°L 100 AMP
2.50
NEW CONST.(DWELLING OCCUPM
OR ADDNS. ACC. BLOGS. /
I
2/20sq4t
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One): -:NEW
- •� �
® 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. '36()76S Classification 'n-3 h
❑ 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)
❑ l,' as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044) • -
❑ I am exempt under Sec. •' Business and Professions Code
for this reason ;
NEw CONSTR ULTI.OUTLET
NON.RESID. BRANCH CIRC ITS
2.50 ea
•CONSTR. ( POWER APPARATUS .&)
NONR ESI D, SINGLE OUTLET CIR &)
Ex. Occ Up(ou TLETS OR FIXTURES
BA ®6 OQ
FIXED APP LNS, OR°A.)
Ex. OCCUp. OUTLETS (RESID.) EA.�
Z.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,
❑ •1 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. •r r
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.. l 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
liabilities, jud ments,:costs and expenses which may in any way accrue
against said Cou in onseq of the granting of'this permit.
t `
X Date
Signature of Applicant — Owner �
9 PP ❑ Contractor El ❑
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
$
TOTALPERMIT FEE $ J
O
CUP• GROUP
T OF ONST.
(�
77FPD
H
155,all
This permit is hereby issued under
sions of the Butte County Code and/or
work
k idiated above for which
_ .
DIRECTO OF, PUBLIC
t'By
•P 0161T. EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date —
ReceiptYNo.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECTOR:.GOLDENROD-APPLI•CANT'�
Raj
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
Is
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
(? — It U
ASSESSOR PARCEL NUMBER .y
6 - y
ZONING
BUILDING PERMIT
OWNER - '
or )I ( a, It
TELEPHONE
7 3 326 /
,SQA FT. OCC.. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
V1 '2 r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN Total Valuation $
LENDER'S MAILING ADDRESSF / Filing Fee
'1 -"" Permit Fee
$ 10.00
$
ARCHITECT OR ENGINEER N LICENSE NO.
4
ARCHITECT OR ENGINEER'S MAILING ADDR€SS a
r�
Plan Checking Fee .
Ener Plan Checking Fee
Energy g
Penalty
$
$
$
BUILDING ADDRESS ,
N 1Z-
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
-
Each Trap
2.00
I A
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobileho4 Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
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: / `
�r"oy. o U f 1-e is
T
i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main Service 1001 OR 0 AMP ORSLESS
10:00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
cation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044) W, A, t
❑ 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. DWELLING OCCUP.EI
OR AODNS. ACC. BLDGS.
,/2Osgft
NEW CONSTFL ULTI.OUTLET
N ON.RESID BRANCH CIRC ITS
2,50 ea
(POWER APPARATUS eI
l SINGLE OUTLET CIR.
Ex. Occu po UTLETS OR FIXTURES
.20050t
z0 o e0e
AL@30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS IRESID.1 EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$ " cc;
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 .
NEA I shall not employ any person in any manner so as to become subject
j� 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 shal I be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 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
1s 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 againstTOTAL
all liabilities, judgments, costs, and expenses which may in any way accrue
ag lnst said County inconsequence of the granting of this permit.
X 11.ALsJ 'rrr! 4n1 ._.-�_.., Date 9�
��'
Signature of Applicant – Owner
g pp 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 $
Energy Inspection Fee $
occ
CONST TYPE
FEE $
O
�---"'
HAz
CUA
PARK
SCHL
FLD
I PAR
PD
HD IssuE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
Of CTOR OF PUBLIC
By.
PE M T EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
P
WORKS
' J
Date
f�
A�
Receipt No. Z a5
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 -Memorial Way. Chico — Phone: 891-2751
7 County Center Dive. OroviIle — Phone: 538-7541
' --747 Elliott Road, Paradise— Phone: 872-6307'
zCORWTION NOTICE
'La r
-/C-
OWNER PERMIT NO.
A routine Inspection indicates' that the followingjvlolations. of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work`lis compFeteo: 'If you have any que'ation pertaining to this
matter, �needItlonalexplanation, please contact this office Immediately.
-e)4 UC(S _
w -i
�1�
r x Q
Inspector. � Date
+4
F�
�1�
r x Q
Inspector. � Date
+4
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541.
APPOGATISN AND PERMIT Q U
ASSESSOR PARCEL NUMBER
—/-/1-37
ZONING
BUILDING PERMIT
OWNERTELEPHONE
01 ord�n 1 a ��
3 326
.SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESSC
CONTRACTOR'S NAME
►n 'e r
TELEPHONE
t
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS ,
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS '-
2 �iPH� le Cl n -Cl
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
`
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEQ PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTUREE�
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
10.00e .
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: _
(�^IOp- (7 (Lis
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
CONTRACTORS LICENSE LAW
I declare under penalty .of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, 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)
❑, a the owner. am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.pi
OR ADDNS. ( ACC. BLDGS. )
, /20sgft
NEW CONSTR. ULTI.OUTLET
NO N.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
200806
eAL030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 S
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
9
Hood
3.00
Ventilation.
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
1s 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
a Inst said County in consequence of the granting of this permit.
(� _ �—� 9'®
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 $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HA2
CUA
PARK
SCHL
FLD
I PAR
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIR CTOR OF PUBLIC
By
P T EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date I
Receipt No. .5(.�
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
li. 1r g�+£+'F:f{ r�i.. .=•hil rlt��V.Qry,•irt i�'q ""�T..yye'�.a. e+r .-" tM1-, , A. 'To,- v~" ` /5 .,, ,I,_/
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING D IS N
7 COUNTY CENTER DRIV.E--..OROVILLE CALIFORNIA 99965 - TELEPHONE: 916/538-7541
PERMJT A_PPCINTION DATA SHEET w
�^ Permit No.
OWNER '3 . 4 A. P. No. 6 --4/y--3.'7
Proposed Building Use4�Building inspector_ U Date/—! �6
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ..............
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plansAndicaycs, with wet signature on plans ..
5. Hazardous Material Form .............. .......
6. Energy Design Compliance and supporting documentation ......... F
7. Statement of Intent for Non -Heated and AeBuildings .............. f
8. Engineered truss details and layout in duplicate (required prior to plan check) �T
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
.1.410. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ...................
23. Owner -Builder Verification (Given to owner o, Mail to owner o) .....
24. Recorded copy of Agricultural"Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26. .f
27.
Date)
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephoneand hold for pickup at —office. _Deliver w/inspector.
Other
Applicant
Patel f5--_11?
Copy of plans sent Health Dept., Fire Dept., / Other Date
The following data must be sybmitted prior to permi�,t'is
1. Index permit for above items No.
2. Additional items required:
nce: (Circle new item not checked above).
d
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date
Contractor, designer, owner, was advised of above required data by—phone —mai l—counter by date
Plans checked by Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Copy—DPW
eA
Date
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