HomeMy WebLinkAbout064-560-03664-56-36
James T. Lutje Xv� Z/7b:
;on 135, PP#10, Magalia
t
':d
M ular Concepts, Para.
r: ad
Pamit #298 -77P E(util.,MH)
ELEC.-7,
(AS.
SUP TRUCTURE IM
COM CTION TEST REQ.
64-56�-��ts'�
Permit 2328-77 MHI
jorld.04
t
CONTR: Paradise Modular Concepts,P
ISSUED_
64-56-36
L. DeMartini _..
j;WD—awson Ct., lot 135, PP#10, Maga.
Permi #38 1 - 79B,E(new pri.det.
,t 1
garage) A-)x-4jvF
64-56-36
Permit #6 4 - 9B(-ew cov. or�h/MH)
-56-36
Permit #-170 1B, E(n6 r
cabana/MR)
064-56-0-036 98-2943 BP
DEMARTINI, Louis & Bernice
6201 Dawson Ct, Mag�lia
(MH/perm fdn) Ex si' e Bj-oct.erick
64-560-036 03-3234
MACHUTA, ROBERT &MARILYN -
I ' I
�fdl 1),AWSON CT,MAG�Ll `14-
INALE
Cont: OWNER
NEW LP TANK & LINE -4-0
=P B08-6554 064-560-036
0
§C�ELL�X�NEOU S Gas Lines
9kTERIOR GAS TLnINjjrE - RtPLACEME�,
6�01:DAWSONCT
I - CHUTA, ROBERT J ETAL
L1
4
5
A
I- M
',.'a
064-56-0-036 98-2942.B,E
RESIDENJAL' DEMARTINI, Louis & Bernice
6201 Dawson Ct, Magalia
(cabana/MH)
PERMIT NO.
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) -
Signature
V = OK
0 - Not CK
- - Not Applicable
* - Not R dy MOBILE HOMES
'Date MOBILE HOME UTILITIES �arw) OK empt 0-s-
1. Zoning Requirements - Seftmkcks - Eam, mm i
2. Soils; Spedal MH Support Sketch
3. Sewer Locatlon-Te�X)-� te
S. ElecvW, �,�Grnd-/ /Amp4COrcrete
Gas; Locadory�TesPhkap;/ A -it
/ /NaL or/ &tj A.PG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B -I Date Card B-1
Date 96!d B 1 Date Card B-1
Date MOS$CHO��ME 114STALLATION ftna) OK except#'s
±2�2N Requirernentw. Sebacks Easements
e Foolingr. Slz&-Spacing�Maffiage Line
3. Gas, MH Test-DernandNahe4Connector
4. ElectrW. MH Te*Cr*ssow*8mkers4CIe:aranoe9
,5. Drain; MH Teslfal+la Cawwctor
S. Water MH Te"aguleloWAxvvector
7. Water and Sewer Connected -C/0 to Grade -HD Appro%oal
8. Gas and Electikity Tagged
9. Tie D"ns-7ype-installation CerL
10. Exj)6* Inso.-Sketch
License Decal
Date Card B-1 Dabs Card B-1
Date Card B-1 Date Card B -I
MISCELLANEOUS
Date DECKS, COVERS. CARPORTS, GARAGE9 (Plans) OK acept re
1 . Zoning Requiren'tents-Sebacks-Easernents
2. Footings; Sofls-Sb*-Depti-SpacUV4onreebr*SbW
3. Decks; Ghlers and/or Joiste-Deciting-Bracing-Stairs-Rails:
4. Wood Awn.; Posta-BeamsMim-Connectors
Shft.-Rfg.-Bradng
S. Alum. Awn.: Cdurnn*4Connecdm*Sp5ce-DecaW-ndosures
6. Carporls: Wivx1ows-Doors
7. Electric
S. Frmg.: S1s-Anchom-Studs-Rfbv-Thnws
9. Skfing; N&WVAkneer-S�es�h
10. Root Shthg-Roofing
11. Ext.: Staps-Doore-I.Andings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK acept 0*9
1. Setbacks -Easements
2. Soils: Compaction -Structure SWAty
3. Pool Svucbjm Swel-Connec*vw7hickness
Dead Men4jr*v
4. Elec.; Receptacles and Lighling. Distance�GIFI
5. Elec: Pod Lighting: 15 VdtD46H
6. Br—; Enclosurew Conduit EnbiwTwminalw�
7. Elec.: BorxkV. Metal wiT-Cirpulalling Equip. -Healer
& Elec.; GroundirV. Equip. we Circulating Equip. -Pool Lghtg. -
Bcxe*EncIosuvies,Paneboardv4rAL Io Main in Conduit
9. Health Department Approvall
10. Plumb.: Cir. Ties~er Supply Ted
11. Light Niche
Date Card 13-1 Date Card B-1
Date Card B-1 Oate Card 5-1
OK
Not OK RESIDENTIAL
Not Applicable
Not Ready
Oat* 'UNDERIFLOOR (Plans) OK except ift
1. Zoning�ebacks-Easments-FbOd-SIOPe
2. Ftg., Main; Soils-Elec. Gmd.-I r FIg. Depth
3. Ftg. Garage; Soils-Steell-Elec. Gmd/ r Ftg. Depth
4. Ftg. Porches & Decks; S0ds-Ste&/ 1* Ftg. Depth
S. Sternwans, Main; Steel-Blockouts-Wrapped
6. Stenroans. Garage; Ste,-*BWckoutsANmpped
6.. Hold 5;;Ws and Special Anchors.
7. Stab. SteellWrappied
s. Piers -Fireplace Ftg.-Steel
9. O.W.V.; FaWitting-Test-2 Way C/O-Sewe W
10. UF Gat; Pipe; Size Anchors - Yard Gas Piping-, Size lest
11. Water Pipe; Test-Anchors-Regulattir-SerAcie Test
12. Electric Underground
13. Pienums & Ducts; Clearance-Materiall-SupporlAns.
14. Girders -Sills -Anchor Bdt&,kkftAknt!9-C�
1 S. Access & Ventgation
16. Insulation
Date Card B-1 Da* Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING ranni* OK vicepit ft
17. Water Htt-. . Air Baffle
18. Water PrK. Test & Pjck*Nail Prollectlim
19. D.W.V *. Test Fitting s & Andwr4illail PmWcfim
2D. Slower Pan; IwL Fkst Fkxw-Tab Access
21. Test Tub & ShMK SOCOnd F1001`16
22. Gas Pipe; Sixe & Anchors
Date Card B-1 Date Card B-1
Date Card B- I DOW Card B-1
Date ELECTRICAL Qiieimnl) CK except *'s
23. Foam & Transformer Clearance -Ins. Protection
24. Ekr- Receptacles SpackKRights & Swftdm at Doors
2S. Size Boxes; & No. of Conduclors Stapled
26. Romiex Vstalled Mw to Edge of Swds & CL
27. Eqtfip. dround made W wNech FasUmseand Gas & Water
28. 2 Appliancie Circuts in Kkhen & Conductor SIM GFI
29. Subfeed Wire Sim I I ga. Cu or All -A -C. Wire Size I /gaCuorAI
Single & Duplex)
Dew FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-FItIr. Ties-Purfln-roff Brac.-Truss-Shling.-Ftfing.
48. Fireplace Tiers or Type A Flue-Fireplaoe Throat clearance
49. Attic Access; Size & Romex Protection-Oraft Stop -Ins. Baffies
50. Bdrm. Windows or Exiting Doors -Sig Hgt & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. ExL Doors -One 3 -Check Garage 3rd Story. 2 Exits
54. Stairs; Width-+*adroom-Rise-Run4 anding-Fire Pro;,:�
S5. Plywood on Root Overhang -Attic Vents -Rafter Outriggers
56. Skfing-Nailing Veneer
S7. Stucco Mesh -Drip Screed -Fd. Vents-UndeffIr. Access
W Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls: Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62- Infiltration-WallsANindows
Date Card B-1 Date Card B-1
Date Card 8-1 Date Card B-1
Date FINAL (Plans) OK except ft
63. Ext Steps -Door & Sidelight Protection -Landings
64. Sffx*.e Detector
65. Furnace, Vents-Cleararce-Corrth. Air-Conector-,
In Garage: Above Floor:4)uc"ech. Protection
66. Bedroom Exiting
67. G.F.I. & Bath FkWres & Tub Access-Spia
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove. Clearance -Hearth
71. Elec. Outlets at Wood Panel. Int. & EXL
72. Kit. Fixt. & Appliance-. Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & RecepticaWs at Kit. Counter
74. Garage Fire Door Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Ak Connector -PRY
In Garage: Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed I I or Location
78. Elec. Receptacles in Garage (G.F.Q-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Constr=fion-Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor n Yes
82. Following Instid./Drive 0 Yes 0 NoNaks 0 Yes 0 NoiPtanters a Yes a No
93. Stucco Brown -Finish I
84. A.C. Unit Disconnect, Electrical-Piumbing
115. Vents Above Root, Plbg-Appliance-Fireplace-Clearance to Openings
66. Water Well. Disconnect, Electrical. Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
119.- Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/0 to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
Date Card B71 Date Card B-1
Date Card B -I Date Card B-1
Date Card B -I Date Card B-1
Comments at Final:
30. Range Circ. I -1g&CuorAK)venCirr_1 I ga Cu or Al
Insulated t4mitrall 1) Yes 11 No
31. Service -Riser Corductors & Ground -Main Dismonect
32. Equip. Clearances Panells-Motors-Mech. Epuip.
33. Clothes Closet LighkShower Light -Spa, Light
34. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permh) OK except #'s
3S. A.C. Ducts Insulation & Support
36. Vent Fan. Exhaust above insulation
37. Condensate Drain & Overflow. Size & Grade
3a. Furnarice-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platfo(m it Furnace in Attic
f
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Plans) OK except #Is
40. Sits Proper Materials & Anchors
41. Walls SWs-Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls ovw Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire -Stops, Furred Ceilings-Stairs-Chaws-Tubs
-45. Headers & Beams-Sizze & Bearing
Dew FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-FItIr. Ties-Purfln-roff Brac.-Truss-Shling.-Ftfing.
48. Fireplace Tiers or Type A Flue-Fireplaoe Throat clearance
49. Attic Access; Size & Romex Protection-Oraft Stop -Ins. Baffies
50. Bdrm. Windows or Exiting Doors -Sig Hgt & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. ExL Doors -One 3 -Check Garage 3rd Story. 2 Exits
54. Stairs; Width-+*adroom-Rise-Run4 anding-Fire Pro;,:�
S5. Plywood on Root Overhang -Attic Vents -Rafter Outriggers
56. Skfing-Nailing Veneer
S7. Stucco Mesh -Drip Screed -Fd. Vents-UndeffIr. Access
W Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls: Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61. Insulation -Walls -Ceilings
62- Infiltration-WallsANindows
Date Card B-1 Date Card B-1
Date Card 8-1 Date Card B-1
Date FINAL (Plans) OK except ft
63. Ext Steps -Door & Sidelight Protection -Landings
64. Sffx*.e Detector
65. Furnace, Vents-Cleararce-Corrth. Air-Conector-,
In Garage: Above Floor:4)uc"ech. Protection
66. Bedroom Exiting
67. G.F.I. & Bath FkWres & Tub Access-Spia
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove. Clearance -Hearth
71. Elec. Outlets at Wood Panel. Int. & EXL
72. Kit. Fixt. & Appliance-. Ground. -Air Gap -Cooking Clearance
73. Elec. Outlets & RecepticaWs at Kit. Counter
74. Garage Fire Door Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Ak Connector -PRY
In Garage: Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed I I or Location
78. Elec. Receptacles in Garage (G.F.Q-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard rails & Deck Constr=fion-Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor n Yes
82. Following Instid./Drive 0 Yes 0 NoNaks 0 Yes 0 NoiPtanters a Yes a No
93. Stucco Brown -Finish I
84. A.C. Unit Disconnect, Electrical-Piumbing
115. Vents Above Root, Plbg-Appliance-Fireplace-Clearance to Openings
66. Water Well. Disconnect, Electrical. Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throught House
119.- Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/0 to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
Date Card B71 Date Card B-1
Date Card B -I Date Card B-1
Date Card B -I Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965- - Teld*phone (530) 538-754�y P RMIT
(Rev. 12/96) APPLICATION -AND PERMIT
ASSESSOR PARCEL NUMBER
064-56-0-036
ZONING
BUILDINGPERMIT
OWNER
LOUIS AND BERNICE DEMARTTNT ISM
TELEPHONE
984-7996
SO. Fr. OCC. ERAILDING VALL10�
135 R 5576
OWNERS MAILING ADDRESS
8237 EAST FAY AVE, MESA ARTzoNA RsgnR
CONTRACTORS NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 81.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 59 - 65
BUILDINGAIDDRESS
6201 DAWSON COURT, MAGALTA
Energy Plan Checking Fee
$
PERMIT FEE
$ —1 '1 - 65
LOT NO.
SUBDIVISION I S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
-
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other GABANO
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
.23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New t Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: CABANA/MH
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I WT_
1@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( '..A OR .
vo
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 Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service( 200A TO 1000A
46.00
NEW CONST DVTLUNG UP.
OR ADDNS. ' S.
.C. :�C
so.
3.50FT. 76
NEW CONSY7- ( =T.,=
NON-RESID.
@7.50
OWEREAPPARArTU
PSINO, 0 ruf C SIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ 1.00
BAL @ .50
Ex. Occup. F.E' A '(g.,6.)0FR_,)_
5.00
Temporary Service
26.00
-
Mobile Home Facilities
20.00
- Misc. Wiring
23.00
I
PERMIT FEE
k
$ 24.76
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of evaluation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
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
orthwith co ly with those provisions.
a
X Da Is
Signature of Applicant - 0 Owner 0 I�o`n_tractor A9 Agent
An OSHA permit is required for excavations over 50" be and demolition or constru tion j,
of structuies over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEP_ $
Mobile Home Installation Fee $
- Energy Inspection e $
OCC
CONST.
_7]TOTAL FEE $ 178/41,
KAZ.
IV
I FLOOD
I CDF
Pp&
I HD/f
y I
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
1�2
Od
Oats)
ReeoffflW *J92. EIPC// 9,0 X1 I A
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GO17EITROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 9505 * Telephone (530) 538-7541 PEAMIT NO
(Rev.IZV6) APPLICATION AND PERMIT -
msenoltp
/r)� 777-
B U I LD I NO FE -R -M- 'IT—1
QW*A
17oe,11-6
SQ, U. OCC. OUILUINQ VALUATION
0WMM*A4M ADDrAMS
&Z 3-7 Ae,,ZoA�f
COMMAM" H"
ho, A"; e—
el,
0 e, �
cowmCM-9 "M momes
Erefin
UMOM WANM AWIMIS
Fi c 9
Total Valuation
ARCHff= OR ENODAM
E No.
Filing Fee
20.00
ARCHrr= OR 9POMURT VAA24 AD
Permit Fee -0
9
Plan CheckIna Fee f-2-
=0 /=s DYW5,W
Energy Plan Checking Fee
$
A fi��114-1 (�� -
$
PERMIT FEE
S
WNM sue"a"N"
1 1
FAMIL
PLUMBING PERMIT
FI9ng`F04 20.00
USEOFSTRUCTURE
Each Trap .
1
7.00
Solar or heat pump water heater
23.00
SF 0 Duplex 0 Wbilshome 0 Other
Water piping
15.00
Woo"
Each cas water heater or vent
15.00
TYPE OF WORK
Gas piping system 1 .5 ou%ft
15.00
Now 0 Addition 0 Remodel 0 LIDN" 0 butallation 0 Odw 0
Building sower
15.00
Describe Work:
Wbile Home I S I Gi W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
[Fillng[Feel 20.00
Wn Service ( =.A=
1 23.001
MainService —Tol—
NEW COMT. DVJMLM
OR ADOW. A AM IN -nit
I DRAWN CFAAM
POWER APPAPAnX
A SEX" oumEr OR
7 Ex. Occup. OLMLET OR MUM
F= APPLM. OR'
Ex. Occup. Ou`nz" 0%E30.) FA
Temporary Service
20.00
23.00
PERMIT FEE 1�z 70 1
MECHANICAL PERMIT Filing Fee' _a.0�0
Heating
Cooling
Hood
Ventilation
PERMIT FEIE S
Wbile Home installation Fee
Energy Inspection Fee
occ CONST. rfPE OTAL FEE $
I KAZ 10. Mo I IMP I PLWO I OOF I PARC& I PO I W IrSSLE
This permit is hereby Issued under the appkable provisions
of the Butte County Code and/or Resolutions to do woric
indicated above for which fees have been paid.
By Date
ReceiptNo.. PERMIT EXPIRES ON
11 .- I 'T . - , I I I
14
414"i!P�;74 �hQ-
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
3 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965, TELEPHONE (916) 538-7541
PE"IT APPLICA TION DA TA SHEET
I
OWNER: K- e- (5D I SESSOR PARCEL 4 C?"
Proposed Building Use: Building Inspector: = Date: /—,
At time of permit application, I was advised the following data musi Prior to peimit processing and/or issuance:
El 1. All iiems have been submitted ------------ -------------------------------------------------------------------------- Date Received By
02. Plot plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------
0 3. complete pl ans, 3/4 sets, signed by the preparer of plans - ---------------------------------------------
E14. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
El 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
E16. Energy Design Compliance and supporting documentation - -------------------------------------------
0 7. Statement of Intent. for Non -Heated and A/C Buildings - ------------------------------------------------
El 8. Hazardous Material Form - ---------------------------------------------------------------------------------
0 9. !�finufactured Home data and installation instructions including Tie Down Specifications ------------ 7 ------
Feesof $ F -5_f -7!Q -------------------------------------------------------------------------------------
Impact fees as shown on the attached schedule:--5:-&_4--1-a-e- L- ------------------------------------------------
1112. California Department of Forestry plan approval/fees - ---------------------------------------------------------
0 13. Flood elevation certificate - ---------------
P-/-4E-R -----------------------------------------------------------------
"dt;r-sanitation and plot plan approval ealth Department - ---------------------------------- �:� ------
0 ' 15. City of Chico plumbing permit - -----------------------------------------------------------------------------------
El 16. Plot plan and business license �pproval from the City of Biggs - ----------------------------------------------
El 17. Planning approval for (A) Use: (B) Parking:
El 18. Contact Land Development about El Improvements, El Drainage, El Legal Parcel.
0 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---
0 20. Pre -inspection for
required. Request to Building Inspector on
(Date)
C] 2 1. Contractons license information. (Number, Name Style, Classification) - ---------------------- -------------
E122 W6rkers' Compensation carrier and policy number - -----------------------------------------------------------
04�2�owner-Buflder Verification (Given to owner 11, Mailed to owner 0).
E124. Letter of signature authorization - --------------------------------------------------------------------------------
0 2 5. Recorded copy of Agricultural Acknowledgment Statement. -
E126. Letter of intent on building use - ----------------------------------
027. Manufactured Home utility clearance - --------------------------
028. Existing violations and/or expired permits - ---------------------
0 29. El 43 3 A, C1 Grant Deed, 11 M.H. Title, El Check to H. C.D $
030. Other:
When you issue the permit, Rrocess as follows C3 Mail to owner, OMail to contractor.
BT-el;)hone P�Z- (W7 ?and hold for pickup at office. 11 Deliver with inspector.
�ee,&, Date:
Applicant
Copy of Haz-Mat form sent 13 Health Department, 0 Fire De
, partment, 13 Air Pollution Date� By:
Copy of plans sent 0 Health Department, 0 Fire Departme t, 11 Other Date:' By:
1. Index permit application for the above items numbered: 12' El Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 13 mail, 0 Building Division counter" by Date:
Contractor, designer, owner, was advised of the above required data by 13 phone, 11 mail, 13 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by o phone, 0 mail, 0 Building Divisign counter, by Date:
Plans reviewed by: - - Date: Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
Q.B.ml
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner-buildee' building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
I personally plan to provide the m?Ljor labor and materials for construction of the proposed
property improvement: YES B -'—NO 11
.2.-JHAVE11 HAVE NOTE] signed an application for a buildLng permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
NAME:__Z,C�41 1, L2 C---' AA A P -:TZ /Y' /
ADDRESS: !FQ - e— A74 y 4,- VL:-- CITY: -Z
. __,4 2
PHONE;�002-,9,p,/_29,5�-Z, CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions -of this �vork,' but I have hired the following �erson to co
ordinate;
su�ervise, and �roVidethe major work. -
NAME:
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. 1 wi 11 provide some of the work but I have contracted (hired) the following persons to provide
the work indicated: -
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE: - d'v" , /_ / q (�71F
I I I - . . . - - - V
NOTE.' Thi's Own eii-Builder Veifeation is required by Section 19831 and 19832 of the
CalifornidHealth and Safety Code.' This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
816Z '15; fz
a�
County ofButte — Department of Development. Services
Btfilding Division
7 County Center Drive
Oroville,..CA 95965
To Whom It May Concern:
I hereby grant Eileen Broderick permission to act as my agent in order to file
p aw Ct., Magalia.
,�qrmits for the cabana room on 6201 D son
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One.form per Building)
School District.
Building Department -No.
A.P. Number
sdiction:
E;D
County
City E?O
Property Owner
Property Location/Address
Subdivision Lot No:
Residential Development L— L–J L-ff
No of Living Mobile Home Addition
Units Installation
Commercial/industrial
Building Department Representative
New Addition
it-ioor mans reviewea oy bcnooi uistrict Personnel)
District Identification No. e7- -3
11,144 la School District certifies that
(City)
has complied with the requir�ments of Resolution No.
/ 0 Zz
representing -?0 square feet.
School biit-rict Representative
fState)
Sq. Footage
(Group R)
Sq. Footage
111RAUU1119 FJ%LCFIUF
Roofed Areas)
bate
LA
(Applicant)
&7/ -
(Phone Number)
(iip Code)
by payment of $
PB 2926 $
LL MIT[G,�TION $
Date
Paid by Check # Remarks: n
Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition- of the fees In any court action.
If, subsequent to the School District Representative sighing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project Is being reviewed under the California Environmental Quall ty Act (CEGA),,
this project may be subject to additional school.fees to fully mitigate Its Impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm
. ............... . . ...........
N Mis Islet of plaw md ffp9cMmt1mna MUM be
k I)t on UnejeSo at aU. UTnues K -ad if, is uid,6w—ful. to
I , gaa oa, alteenW.orD on saino Twithout
in ae'e e , 11aX
y d. iar
qpitto... pm 71
�.uiiwlo- ij?om tM Depwtment of Publia
-.P US To*
.
(T 1
V)
N
7-
40
o5"
ct.. L r
74>1
/ 9 "" A L Ac
MaW,81S & WortMansbiTl MISU 150.P
�110 pmetices and
N jq0TE: All :�C.ogyjjtzed GOOd
e with Pue
ecordallc -p
for q
the b ecified use
1-:1ty J>reso-ribed - & jkeduanulo�'
a Gilue Buiddi"g, fl-=bing
;:.'e'
048
Codes
Y,
%3
00
4 -
Of
APPROVED
Butte County
Environmental Health
Date
Signature
Environmental Health
DEC 2 8 1998
Chico, California
12'
SD
co
6030 J- 21
10, 1-
12'xl l'-6" cabana
Envlmnmen,W V*oLlth
DEC 2 a A998
C,hlco, Carliothla
I
4X6 HEADERS
2X4 STUDS@16-0.(
Lu
ROLLED ROOFING
1/20C.D.X.PLY SHEATING
(q il c
�2M RAFT ERS@24'0.C.
,&----STUCCO EXTERIOR -tol'00(dll
3/8m PLY SHEATING NAILED @ 6- EDGE
----712' FIELD
4X6 GIRDERS@4'0.C.
2X6T&G FLOORING- u
CONSTRUCTION DETAILS
IRS@4'0.C.
'O.C.
.24*X240 CONC. PADS@4
RIGHT ELEVATION
674,
03,c
--------------- j
FRONT ELEVATION
EXISTING
MOBILE
LEFT ELEVATION
rA
cp
cc
C*4
F)(lqTl G MO BILE
674,
03,c
--------------- j
FRONT ELEVATION
EXISTING
MOBILE
LEFT ELEVATION
rA
cp
E.H. USE ONLY
Plot Plan Attached WS
Floor Plah Attached
S e nt to B. D. -11 -31 -9?p / -511
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Qg- Mar�h'�V* —62DI Gt-
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public _)c," Private Well
Clearance for —4vvelling. Other e -
Hold final for:
Final clearance O.K. for:
NOTE:
-.3 1-98
Environmental Health Specialist Date
L-*JPR
06/07/2000 21:56 9168776164 PARADISECONNECTION PAGE 02
17e a,41-
10 31TAINd—NNUIN UUN33—WOOVa3e a 81 ad No I Waxog'
0 Cie
woov AIIWV� It
110ev ISINIAII W60VO39
0
woomS W31SVW
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16—L
r r.;, alto"
!A
0100V DRINIO r--" tA
116.
Environmental Ilealth
APPROVED
Butte County DEC 3 0 1998
Environmental Health
---13!: 31 -76 ChICO, CA
Date
Signature
7 7 -6,Y3
FROM : CENTURY 21 RESULTS REALTY
:54TURY 21 RE-S�TS RE:FLTY
PHONE.NO. : 5,-,7,087?0?10
pHONE mo. - 5308-7'70710
cowlty of BUM — Dspat=m om"Opmnt Savices
No" Division
.7 county cefltar Drive
0mvine" CA 95%5
Dec. 23 1998 W:10PM PI
rac. 23 1998 11"58W P?-
-W,
To whom it may Concern:
grut Mean Broderir*MmissiOnto"ad as -MY asm in order to Me
I bcreby
for the cat"Wa room QU 6201 Dawson MA'Plia,
pamits
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 6201 DAWSON CT
Owner:
Permit No: B08-0554
APN: 064-560-036
MACHUTA,
ROBERT J ETAL
Issued Date: 3/27/2008 By GLB
Permit type: MISCELLANEOUS
13941 CHESTNUT CIR
Subtype: Gas Lines
MAGALIA, CA 95954
Expiration Date: 3/27/2009
Description: EXTERIOR GAS LINE
(530) 873-4581
Occupancy: Zoning: R-1
Contractor
Applicant:
Square Footage:
FERNEA CONSTRUCTION
FERNEA CONSTRUCTION
Building Garage RemdUAddn
135812 WITCHITA DR
135812 WITCHITA DR
MAGALIA, CA 95954
MAGALIA, CA 95954
(530) 216-7196
(530) 216-7196
Other Porch/Patio Total
FEE INFORMATION
DBP Gas System (includes I out $59.00
Total Charged: $59.00 Fees Paid: $59.00
Balance Due: $0.00 Receipt No: B6835
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class I Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am a xempt from the Contractor's License
FERNEA CONSTRUCTION 894704 / B / 4/30/2009
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF �FRJURY that I am licensed under provisions of Chapter 9
�oomme Ocg with Section 7000) of Divisi n of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is i I ful I effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
Wnd
X
bas is for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil of not more than five hundred dollars
3/27/2008
penalty [$500];
Please check one of the following:
Contr�_ctors Signaturd--- Date
1, 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 (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
C_
WORKERS' OMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
I HAVE AND
the work himself or herself or through his or her own employees, provided that such improvements
WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
E]
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Came, STATE FUND Policy Number:229,00 Ep. Date:41112008
Contractor's License Law.).
(This section need not be completed it me permit is Tor on. hundred dollars.($1001 or —less)
I AM EXEMPT under Section B. & P.C. for this reason:
CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
SSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation Laws of California and that if I should become subject to the workers' .
ROgr1he
X 3/27/2008
co tion provisions of Secti�n Labor Code, I shall forthwith comply with those
Owners Signature Date
prannsas
X 3/27/2008
1 hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
SighakrM5— Date
WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
const uction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte"County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
Count ter:e abouv"e mentiono properly for inspection purposes. I hereby certify that I am the
prope, at am horiz, IT the property owner's behalf.
LENDING AGENCY
-CONSTRUCTION
3/27/2008
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Mim-e—oTIPermoilfe [SIGN) PrinF_ Date
the performance of the work for which this permit is issued. (3097 civ. code)
Owner Contractor OR: E]Agent for Owner E]Agent for Contractor
FILE COPY
Lender's Address city S7 ip
ta
%3T BUTTE COUNTY 71
0 DEPARTMENT OF DEVELOPMENT SERVICES PERMIT "17
0 BUILDING PERMIT APPLICATION" NO.
0 0 OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
0
0
0 0 A FEE WIL L BE REQ UIRED A T TIME 0 F A PPL ICA TION
Website: www.buttecounty.net/dds BIN #
PLEASE PRINT CLEARLY
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
APPLICANT INFORMATION
0!!Y"E INFORMA TION
Last Name
onre"
Me. WINN
I First Namnen -
Mailing Address
—
citym
6 "
i A 6L
Sta?A
I Z2
Phon
Fax
Fax
E-mail
State License Number
APPLICANT INFORMATION
CONTRACTOR
Name
Me. WINN
Address
Sta),qd
I
City
rhone T
State
Zip
Fax
State License Number
APPLICANT INFORMATION
ARCHITECTIENGINEER
Name
Ci
6J
Address
Sta),qd
I
City
rhone T
State
Zip
Fax
State License Number
APPLICANT INFORMATION
Nameo
Address I
3Ed2
Ci
6J
-
iIIaL-
Sta),qd
I
'Zi
rhone T
Fax
t"', APPLICAtYt SIGNATURE
XL ------- -
PROJECTLOCATION
A1* 5Z30
4
Property Address
City
m2aa I a ,
111
WORKER'S COMPENSATION
Policy Number
.
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open Cov
0 Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
For office use only:
ZoningT
Flood
�IT_ypeConst.
SRA
I Yes
Occ.
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 9,5965 - Telephone (530) 538-7541 PE NO.
APPLICATION ANDPERMIT
21
ASSESSOR PARCEL NUMBER
064-960-016
ZONING
BUILDINGPERMIT
OWNER
. ROBERT AND MARITYN MACOTEA
TELEPHONE
87-Q-4581
SQ. FT. OCC. BUILDING VALUATION
OWNEWS MAILING ADDRESS
13941 aTESTMTr MR= MACALTA C.A.99994
CONTRACTOR'S NAME
Wm
TELEPHONE
CONTRACTOWS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEEWS MAJUNG ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
6901 DAWSON C1 MAGAIIA
Energy Plan Checking Fee $
$
PERMIT FEE
LOT NO.
SUBDIVtSIOWS NAME
II
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 14 Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
—Each gas water heater or vent 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 UtilitiesIA Installation 0 Other 0
Describe Work: NEW Z3.012ANE TACK ADM GAS 1-INES
Gas piping system 1 - 5 outlets 15.00 15. OC)
Building sewer 15.00
Mobile Home ISI GI WJ__ 920.00
PERMIT FEE $ 35. 00
ELECTRICAL PERMIT Filing Fee 20-00
Main Service .A DO,', 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 Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
La f the following reason:
71, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUR so.
OR ADDNS. & ACC. BLDS. 3.5g!FT.
CO LT'_O
NNON-RESID. @7.50
OWER AP=TUS
IPSIN.LE . C'R.
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @_ .50
Ex. Occup. (PL.16.) EA
..FIXED AP NIS OR 5.00
TemiPorary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
I
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
— Cooling
Hood 6.50
Ventilation
PERMIT FEt
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become,subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' c9;r9ens o pr isio of section 3700 of the Labor Code, I shall
forthwil PI it pr isions.
/I,,- ;
X Date _?
Signaxre of Ii nt - 0 Owner 0 Contractor 0 Agent
AnOSHAper it is required for excavations over 60" dee
/ Wnd demolition orconstructon
of structures over 3 stories in height.
it ::z
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ CONST. TYPE
TOTAL FEE $
-19 00
1
HAZ HIP E19em RA HD J.rs___
_LD.EEES,
This permit is hereby issued under the applicable provisions
T '5uT' '_OC ' "0
of the Butt County Code and/or Resolutions to do work
c O�e u
Indic ted ove for which fees have been paid.
fo s
Y"
By Date
PERMIT EXPIR" C9,0 C,6
(Da to)
ReceiptNo. :�>
10 M 4W
.-B.D. 11ANARY-WSSESBOR/ ftK-INSPECTOR GOLDEN ROF-APPLICANT]
r
O.R- I
OWNER-BUIELDER VERIEFICATION ]
Attention Property Owner:
An "owner-builder"building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit No building permit'will be issued until this
verification is received.
I personally plan to. provide the major labor and materials for construction of the proposed
IM overnent
property YES "0 11
I HAVE HAVE NOT 11 signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction:
��AMX:
.CONTRACTOR'S LICENSE NO.
4. 1 plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the rn�or work
NAM9:
ADDRESS;
CONTRACTOR'S LICENSE NO.
1 will provide some of the work but I have contricted (hired) the following persons to provide
the work indicated:
NANX ADDRESS PHONE TYPE OF WORK
NOTE.- This Owner-Builkr VerzfWation is required by Section 19831 and 19832 of the
California Heah* and Safety Code- This verifkadon must be conTleted and
retumed to our ojTxe before we are permitted to issue thepermit
OVER
0.&=-]
I OWNER BUILDER INFORMATION
Dear Property Owner
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified.
For your protection, you should be. aware that as "awner4milder" YOU am the responsible party ofrecwd on such
a permit Building parm are. not required to be. signed by property owners unless they are personally pm*ming their
own worL If your work is being performed by someone other than yourse)4 you may protect yourself from possible
liability if dud person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply -
If you plan to do your own work with the exception of various trades that you plan to subcontr-ac� you should
be aware of the following information for your benefit and protection:
+ Ifyou employ or otherwise engage any persons other than your.immediate finnily, and the work (including materials
and other co&U) is T300 or more for the entire project and such persons are not licensed as contractors or
subcontradDr-% then you may be an employer.
+ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject: to several obliptiong including stft and fixieral. income tax withholdin& federal social security twxs�
wod= compensation irwrance, disability insurance costs, and unemployment compensation contributions.
+ There may be financial risb for you if you do not carry out these obligations, and these risla are espwially serious
with respect to worlor's compensation hozance.
+ Formore specific inibrmation aboutyour obligatiow underFedez-al Law, oonfta the Internal. Revenue Service (and,
ifyou wish, the US. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial. Accidents.
If the structure is intended for sale, property owners who are not licensed contracton are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persom professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property ow ners: unless they am performing their own work personally.
hifianation about licensed contractors may be obtained by cantwting the Czntractors State Lio=e Board in your
community or at 1020 N Strut, Sacramento, CA. 95814.
Please complete the "Owner Builder Verificat:i=7 on the re-vem side of this fbrm so that we can oonfim that you
are aware of these maffam The building permit will not be issued until the verification is returned.
ly D
tA
MrI C V*
1( 1 0
hfic C. Nrldirs, C.B.O.
er, iuilV
Ii:m
er, Building lropmtion
NO TE.- Ykir Owner -Bu Wommfian is required by Sealon 19830 of the CWornia HeaM andSqhy Code.
OVER
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 959�5 - Telephone (530) 538;7,!�41 PER IT NO.
A 1) n -� �3.�
1) 1("-,&Tl()NAND ERMIT L/ _-� _� fl -
Rev. 12/96) - - ZONING BUILDING PERMIT
ASSESSOR PARCELNUMBIER 0 ON SO. FT. OCC. BUILDING VALUATION
717 �,4sl
OA'�
coNs,muanON LOMER
LEND R'S MAILING ADDRIESS
ARC rEar OR ENGINM
AR MW OR ENGINEERS MAILING ADDRESS
M&DIMM ADDRESS (, a 0 A
I rIT Un- I SUBDIVISION'S NAME
USEOFSTRUCTURE
[SF 13 Duplex 0 MobllehomeA other SPECIFY
TYPE OF WORK
New 0 Addition Remodel 0 Uffles E3 Instaflation
'A Other 0
Describe Work: (2 V -\t
PERMIT FEE PAID
SRA
SHERIFF
OTHER
AMOUNT RECEIVED 3 S
DATE RECEIVED
RECEIPT #
Total Valuation Is
siL -
FDOED APPLNS. OR,
Ex. Occup. oVrLM (RESIN E
Filinq Fee
$
20.00
Permit Fee
20.00
KM- MA—
Plan Checking Fee
Energy Plan Checking F
PERMIT FEE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.DD
Water piping
1 5.0D
Each gas water h
I S.D01
Gas piping systen
15. 00
Building sewer
1 15.001
Mobile Home I S I G W
1 @20.001
i�21
PERMIT FEE
$
Lj
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service "'.'V ORR
23.00
Main'Service 2MA TO IOWA
46.00
NEW CON!ST. DWELUNG OCCU
OR ADDNS. & ACC. SMS.
Q.
3.50'FT.
_�� LOPLST. __!Aq��OVTLET I
(M-7.50
E)L Occup. Ovn-Er OR 1`0c�
siL -
FDOED APPLNS. OR,
Ex. Occup. oVrLM (RESIN E
5.00
Temporary Service
I
23.00
tIAobile Home Facilities
20.00
KM- MA—
23.001
I PERMIT FEE S A
I MECHANICAL PERMIT Filing Fee I 20.DP
I Hood 1 1 6.501 — I
PERMIT FEt $
Mobile Home Installation Fee
Energy nspection Fee
""'ITOTALFE
RAZ I D. FEES I tMP I FLOOD I CDF I PARCEL PD HD ISSLJE
This permit is hereby issued under the applicable provisions
of the BLMe County Code and/or Resolutions to do - work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
te
Q
Date mmpomv,
�
REV 10/92
�
,
91
COUNTY @PBUTTE
BU,I�DING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
` 411 Main Street ° Chico, CA°(5�30) 801-2551 ! '
7County Cnnt» [}rive°OnovUe.CA°(530)538'7S41
r
�������������� ���U���
~~~~....~~~~."~~"°"~~~""~~~~
.—_-
A.
OWNER PERMIT hO.
A routine inspection indicat6s that the following violations of butte county Ordinances exist at the
'
above address and should oe ov,reomo. Please notice this office when correction v'work |n
ovmp|o|ou. 11 you have any questions pertaining w this matter, o,need additional explanation,
Q
Date mmpomv,
�
REV 10/92
�
,
91
(Rev. 12/96)
COUNTY OF BUTTE - DEkRTMENT OF DEVELOPMENT SERVICES - BUILDIN& DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541-u- ERMIT NO.
APPLICATION ANDPERMIT �):�
" ) _--Ir X. -O _101
ASSESSOR PARCEL NUMBER
064 -S60 -01A
ZONING
BUILDINGPERMIT
OWNER
ROBEW AM MARILYN MAMMA
TELEPHONE
873-4581
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS.
13%11. CW_r3Wff COMP MAGALTA CA 95954
CONTRACTOR'S NAME
OWIM
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
-Total
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
001 DAWON CT MAr.AY.TA
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome V Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
M
New 0 Addition 0 Remodel 13 Ublitiesiq Installation 0 Other E3
Describet Work: NW PRnPANP. �ACR Amet ms T.TW..q-
t
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer
Mobile Home I S I G I W
PERMIT FEE $ 35.00
ELECTRICAL PERMIT Filing Fee 20.00
Main Service .Ao.. 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 Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm,under Penpltjof perj6ry that'l , am e;Zempt from the Contractors License
Law for the-follov�ing reason: ' , 11 1 .4"; 1-
I
131"�% 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions 6ode for this
reason A
Main Service 200A TO 1000A 46.00
NEW CONST. OWEWNGffUP. So.
OR ADDNS. & ACC. S. 3.50FT.
ONST M T'_O LET
_=R ID ,�LC, C%,UT, @7.50
CES
( &POYWE.RAP�kRATUS
ET CR.
Ex. Occup. ounEr OR FD(TURES 20 @ 1.00
SAL @ .50
O.F01ED A UNIS R.
Ex. Occup. PPR 6.1 E 5
ES, 0 . 00
- Temporary Service 23.00
-Mobile Home Facilities 20.00
Misc. Wiring 23.00
I
PERMIT FEE $
1 WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
- 0 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.
0 1 have'and will maintain workers' compensation insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permit is issued.
My workers' compensation, insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
E/of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to 1516come subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' com atio�, provisions of section 3700 of the Labor Code, I shall
,,Pens
forthwith,e�mply wkit ose provisions.
X le Date e
p ican
Signa,t6re of Apf Ii 4'_ t 0 Owner 0 Contractor 0 'Agent
An OSHA peroit is required for excavations over 60" deep and demolition or construction k
of structures ovP'r.3 stories in height. / ;eA -_.9,
Mobile Home Installation Fee s
Energy Inspection Fee s
Occ
CONST. TYPE
TOTAL FEE$ 3�.00
W-geS. -'Mat—
OD—J_C1Q I.
wc"�l
HD I ISSUE"
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indic tedd a1;J)1ve for which fees have been paid.
B 6at.
By , . - -
V _0)N
PERMIT EXPIRES
I Pa te)
ReceipiNo. / --,I- _.) 7�
�77 ) � .
r
—
WHITE- I? —CANARY-KSSE�,S0R_/ r1N`K-INSPECTOR GOLDEN ROD -APPLICANT
10. --3 0 0
I
4
,4
F064-560-036 03-3234
�'MACHUT�: ROBERT &MARILYN
620'1 DAWSON C'T, MAGALIA
'Cont: OWNER
:NEWLP TANK,& LINE
R
m
OFFICE COPY
Address
GAS
Meter By— Date2/-"'/-'y
ELECTRIC
"Meter By Date
CIS fe,-5 f - V-,A�
It/0"y
f
RECORDING REOLIESTED BY:
Fidelity National Title Company of
California
Etcrow No. 305525 -WC
Title Order No. 00305525
When Recorded Mail Document
and Tax Statement To:
Mr. and Mrs. Robert J. Machuta
13941 Chestnut Circle
Magalia, CA 95954
GRANT DEED
Recorded
Official Records
Cou t Of
ME
CANDAM J. GRUBBS
Recorder
ROSEMARY DICASON
Assistant
09:00AN 02-clet-2003
The undersigned grantor(s) declarels)
Documentary transfer tax is $110.00
X I computed on full value of property conveyed, or
I computed on full value less value of liens or encumbrances remaining at time of sale,
I Unincorporated Area City of Unincorporated
REC FEE 10.06
TAX 110.00
Myles
Page I of 2
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Karrie A. Taylor and Kenneth J.
Taylor, Wife and Husband
hereby GRANT(S) to Robert J. Machuta and Marilyn L. Machuta, husband and wife as Joint Tenants
the following described real property in the City of Unincorporated
County of Butte, State of California.
SEE EXHIBIT ONE ATTACHED HERETO AND MADE A PART HEREOF
DATED: September 30, 2003
STATE OF CALIFORNIA
COUNTY OF — - Butte
ON Sel2tember 30, 2003 before me,
D,L. Wore, --4 notgU personally appeared
Karrie A. laylor
Kermeth J. laylor
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) islare subscribed to the within instrument and
acknowledged to me that he/she/they executed the
same in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
Witness my hand. and official seal.
$ignatur
D.L. DEFORE
Comm. #1428999
o NOTARY PUBLIC CALIFORNIA 0
BUTTE COUNTY
MyCoffftsionEy#resJuIy6,2D07
rv-V-V�— , V,
MAIL TAX STATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 7/96) GRANT DEED
EXHIBIT "ONE"
PARCEL A:
Order No. 305525
Lot 135, as shown on that certain Map entitled, "Paradise Pines Unit No. 10", filed in
the Office of the County Recorder of Butte County, California, on November 19, 1970,
in Book 38, of Maps, at Page(s) 11, 12, 13 and 14.
EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and other hydrocarbon
substances, with provision that any and all mining operations shall be done from orifices
outside the surface area of the land described herein, and that no damage shall be done
to the surface of said land.
PARCEL B:
A non-exclusive easement over Lots A and B (the common areas) of said Paradise Pines
Unit No. 10 and the lots designated for common and recreation areas as described in
the Declaration of Annexation for Units IV, VI, Vill, X, XI, XII, XIII and XIV.
Assessor's Parcel No: 064-560-036
2
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
CORY of Document Recorded
11 -Jan -1999 1999-0001246
Has not been compared with
original
BUTTE COUNTY RECORDER
I SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section
1855 1. This document is evidence that such local agency has issued a ceMicate 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 deal ui1g with the real property.
LOUIS P. & BERNICE E. DE MARTINI
MAL PROPERTY OWNEMESSOR
8237 EAST FAY AVE.
MAILING ADDRESS
MESA, MARICOPA, AZ 85208
CITY COUNTY STATE ZIP
6201 DAWSON COURT
INSTALLATION MAILING ADDUSS, IF DIFFERENT
MAGALIA, BUTTE, CA 95954
CITY COUNTY STATE 23P
SAME
UNIT OWNER Cifalso properly owner, write ISAME)
MAILING ADDRESS
CITT COUNTY STATE ZP
UNIT DESCREPTION
BUTTE COUNTY BUELDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVELLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
98-2943 (530)538-7541
BUIL.1 1/11/99
,����ONE NUMBER
SIGNATURE OF LOCAL AGENCV'�� DATE
NONE
DEALER NAME (Lfnot a deder sale, write 'NONE)
DEALER LICENSE NO.
HMTTE 1977
MANUFACTURER:S NAME DATE OF MANUFACTURE MODEL NAME(NUMBER
0141A/BL 60'X 24' CAL054641/2
SERIALWIMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #064-560-036
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE -County Recorder CANARY-HCD PNK-Applicant GOLDENROD- Building Dept.
LEGAL DESCRIPTION
A.P. #064-560-036
1
All that certain real property situate in the County of Butte, State of California, described as fonows:
LOT 135, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT
10", RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE,
STATE OF CALIFORNIA, ON NOVEMEBER 19,1970, IN BOOK 3 8, PAGES 11, 12,13 AND
14. . I
EXCEPYYNG THEREREROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER
HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING
OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF
THE LAND DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE
SURFACE OF SAID LAND.
AP NO. 064-560-036
BUILDING PERMIT NUMBER: 98-2943
Address or location of unit:, 6201 DAWSON CT., MAGALIA, CA 95954
Legal Description of Real Property: A.P. #064-560-036
SEE ATTACHED, '
(x) Mobilehome/Manufactured Home
() Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: LOUIS DEMARTINI & BERNICE DEMARTINI
Owner's address: 8237 EAST FAY AVE., MESA, AZ 85208
INSIGNIA OR HUD NUMBER: CAL054641/2
SERIAL NUMBER OR V.I.N.:0141A/BL
MANUFACTURER'S NAME:HMTTE YEAR: 1977
OFFICIAL APPROVING INSTALLATION:
DATE: 1/11/99
PHONE: (530) 538-7541
H.C.D. 513C
',T�A -4%.
T
-COUNTY-CAUf.
IJU rTE
E-IXLTCC� DY
MR. MRS. LOUIS DEMARTTNI TITU CWAM
...................... . . . ............. 'j" 19.
40 Dawson ft.
. . .... ................................... . ...... -CLARK A. 1111C.D11
ftgl . L11A, GL1jRK-FtEG0A0Cq
ham N& .2202-In2—
AN =0
Fervahmma9ved Jamas T, Lut4e and Alice D, Lutjst husband and wife as
-Joint Ton
awa ........ to Louis P, Do Martini'and Bernice 1, Do Martiniq husband and
wife as Joint Tenants
as J01W YMAM 41 #4 MW POP" MM" 1A #4 unincorporated
Butte
110 t 1 35 _\ an shown -on that certain map antitledt "PARADrsz PINES UNIT 10*9
r000rdel in the office of the Recorder of the County of Butte State of
Cali . fornia, on November 199 19709 in Book 38l pages li, 12q ii and 14.
NX01PTING THERMOM all minerals ' oilt gaal asphaltum and other hydro-
carbon substanoess with provision tha any and all mining operations
shall be done from orifices outside the surface area of the land describe
hersinj and that no damage shall be done to the surface of said land.
AP Nos 064-56-0-036-0
I
I— I $WW 44 0810FOO Is Orantee at address above
........... . it .... 72.
. . ............. .......... ..............
.................
UA" 0 MWOM 06
alkoft d
06 ................
Q6
SCHEDULE C
THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, DESCRIBED AS FOLLOWS:
PARCEL I:
LOT 135, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 1011,
RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF
CALIFORNIA, ON NOVEMBER 19, 1970, 'IN BOOK 38 OF MAPS, AT PAGES 11, 12, 13
AND 14. a
EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER
HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS
SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND
DESCRIBED HEREIN, AND THAT NO DAMAGE SHALL BE DONE TO THE SURFACE OF SAID
LAND.
AP NO. 064-560-036
PARCEL II:
A NON—EXCLUSIVE EASEMENT OVER LOTS A, B, 126, 127 AND 167 (THE COMMON
AREAS) OF SAID PARADISE PINES UNIT 10 AND THE LOTS DESIGNATED'FOR COMMON
AND RECREATION - AREAS AS DESCRIBED IN THE DECLARATION OF ANNEXATION FOR
UNITS IV, VI, VIII, X, XI AND XIII.
a
Exec 61
Comp IL
14
EICWE'—L TITLE I E_=CFCW. RAR.PDISE ;=77C-10
NO. 4127 902
STATC Of t.AL0j3;MtA, qjj5W t!-SSo TRM3ft0RTATp)*j Ar4O 4QU&ING AOF 4C f
SIS 323 9244 P. 0:5"0:3
of Godas aw stavdapds
Title Seard
S
Date Ninted: 12104/98
?
Decal
Use Code-.
NU=facturer-
UNX
Tradenaxne: Ori&al Price Code:
Ariz
Model., Rating Year.
1977
WnufacVured Date- Dofoof7s Tax Type:
n -T
Last ILT Ar�ounv
Registrationup: O&Y31199
S52.()o
1 Date ILT fee Paid:
First Sold On,
00 100M ILT Bxempfion*
NONE
.Senal Number HUD Label Insigria Length Width
0141BL' Unknown /.. I
014JAL �A L OS -q ($41 Unk:00wn 0
uldmown
Unknown
Q)�) LbSW) I vll�wown
Rccord Condl aons: ppV
unicnown
Exenipt
Rcgistered Owner:
LOUIS DEMARTINI
13EP-NICE DEMARTTNI TP-NCOM OIL
16201 DAWSON CT
PO BX 632
�11AGALIA, CA 95954-0632
Last Title Date: 00100/00
Last Reg C3rd! 081191911
SBIC/Tr2nsfer Info; Urikzowt
Situs Address:
6201 DAWSON CT
MAUALIA, "A 93954-89 18
LML/: BUTTE
Legal
Llactive Doc
Title Searches:
6295 SKY'kAy
PO BX 40 ��e
BIDWUL TITLE
PO BX 400
VA D A nTcr
Ti'tje Yde No: %,A 95967
BN D OF TITLE S EARCH
N 7�%tv,
" U"
RESIDENTIAL' DEMARTINI _�8-2
06,�-56_ 36
; ��3 B P
Louis & Bernice
6201 Dawson Ct,
Magalia
(Wporm fdn) ex site
_Broderick
PERMIT NO.
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
0.5 46YL-
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
Temp. Power Palo
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) —
0000F
Signature 77:0 Z��
V - CK
0 - Not OK
- - Not AppficaUe
* - Not Rea6i MOBILE HOMES
Date MOBILE—HOME UTIU11ES V%m) OK accept #*a
1. Zoning Requkements - Setmicks - Easernents
2. Soar Special MH Suppmt Sketch
3. Sewer Locadorv-Tedfjll.CA)-Corx:ret9
4. Water Locabon-Tegl�enf—Needed (Sketch)
S. EWcWcftf. L=dmC%amncc*Gmd./ /knp.C�le
S. Gas; Lacation-TestWeap. / PL1lL
/ /NaL or/ /tlftj APG
7. Well Clea noe & Disconnect
8. Utflity Clearance
Date Card B-1 Date Card B-1
uam (;drd B-1 IDate Card B-1
ljgE�n�W Requirenwrts- Sedmicks Eamnents
fw �06tingv Siz�41arviage Line
VGas-. MH t-A-DernardVaKeP-armector
4. Electricity: MH TessCmssavem4keakers-Clearanoes
S. Drain; MH1vAf&JWlexCorw*ctor
B. Water MH Te"egulaWFConnector
7. Water and Sewer Connected -C/0 to Grade -HO Appro%el
8. Gas and EWcbi* Tagged
9. Tie DcwrwNp&4nsWbdon Fe—t
10. J$Wls; Insp.-Sketch
I I' Cert of Occupancy
lw,rmr,rt Foundation onir. Ucense Decal
Card B-1 /,_
Card B-1
Card 8-1 Date Card B-1
9
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS. G�EB (Plans) OK mzent O's
1. ZbnkQ Requirements-Selbacks-Ensernents
2. Footirgs;
3. Decks; Girders and)br Joista-Decking-Brackv-Stairs-Rads
4. Wood Awn.: Posts4karng4fts.-Connectors
Shd-g.-Afg.-Bmcing
S. Alum. Awn.: Column*4Conneedons-Sp6oe4)emWjv*mm
6. Carports: Windows -Doors
7. Electric
S. FmV.'. Sils-Anchors-Stuids-Aki-Irussies
9. Sicfwg; NaffingAkneer-Stuoco-Mesh
10. Root Shft-Roo&q
it. ExIL: Step*4)oors-Undirgs
12. Braced Wag Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
POOLS (Plans) OK except O's
1. Setbacks-Easernents
I Soils: Compacdort-ftucture SUdKdy
Pad SVucbAe; SWeWAvvxx*n@-7hicknes*
Dead MaWu*V
4. Elec.. RecelAacles wd Llghft. Digance4H
S. Elec.; Pod Lightirg 15 VdbP-GR
6. Elm; Enclosures; CaAA Entrlewl-ninalw�
7. Elec.: BondirV. Metal wig-Circulaft Equip.4imer
& Elec.; GmundirV. Equip. w.6 Circulaft Equlp.-Pcd Lghtg. -
Boxes-Enclosuires-Paneboarda-Irm to Main in Conduit
S. Health Depertrnent Approml
10. Pkxnb.: Cir. TestWater Supply Ted
-I.. Light Niche
Data Card B-1 Date Card B-1
Date Card B-1 Date ran' B-1
OK
Not OK RESIDENTIAL
Not Applicable
NotReady
Date �uNDERFLOOR (Plans) OK except ft
1. ZonVig-SetbacksTasments-Floo""
2. Fig., main; Qods-clec. Gmd.-/ PFIC. Depth
�3
. Fig. Garage, sols-Ste"m Gmd/ r Fta. Depth
4. Ftg. Porches & Decks: 5011s-Sleel-/ 11 Ftg. Depth
s. Steffrwalls, Main; Steel-8kx*ou1s-VWaPPed
6. Sternwalls. Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7e Stab, Steel -Wrapped
8. Piers-Fweplace Fg.-Steel
'90 w V. Fall-Fitting:%st-2 Way CJO-S 'Test
10. UF Gat Pipe; Size Anchors - Yard Gas PON; Size Test
11. Water Pipe; Test-Archors-Reguiator-Service Test
12. Electric Underground
13. Pienumis & Ducts; Clearance-Matetial-Support-Ins.
14. Girders-Sills-ArcWBdL%,b6t~t*-C'
15. Access & Ventilation
16. Insulation
Date Card B -I Date Card B-1
Date Card B-1 Dme Card B-1
Date PLUMBING formill) OKwmWft
17. Water HX; YenllAwe=�C�n Air Baft
18. Water P-ipc Test & AndwFNaill Proftc6on
19. D.WX. Test Fdfts &Andx*M Protection
20. Shower Pan: Test. First Fkior-Tub Access
21. Test Tub & Shower. Se=d Pax)FTub
22. Gas Pipe; Ske & Andhors
Date Cafd B-1 Date Catd B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL 0miril) CK w=W ft
23. Famare & Transfornrier Clearance-Im ProWc6on
24. Elem Receptacles Spaciing-Lights & Swftdies at Doors
2S. Size Boxes & No. of Conduclors Stapled
26. Romem katalled awe Ito Edge of Studs & C -L
27. Equip. dround miade w wNech Fasltners�d Gas & Water
Z& 2 Appliance Circuts in Kilchen & Conductor size GR
29. Subfeed Wire Sim I I ga. Cu or AkkC. Wire Size / /ga Cu or Al
30. Range Circ. I I ga Cu or AR)ven Circ. I JgaCuorAI
Insulated Neutral () Yes DNo
31. Service -Riser Conductors & Gmund-Main Disconect
32- Equip. Clearances Pariels-Moln"ech. Epuip.
33. Clothes Closet LightShoo Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. DWs Insulation & Support
36. Vent Fan. Exhaust above insulation
37. Condensate Drain & Overflow. Size & Grade
38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet
39. Attic Access & Platform it Furnace in Attic
Date Card B-1 Date Card B -I
Date Card B -i Date Card B-1
Date FRAMING (Plans) OK except #Is
40. Sits Proper Materials & Anchors
41. Walls StWs-Nailing Spacing & Braces-Piates-Sound
42. Bearing Walls o�,er Girders & Floor Nailing
43. Draft Stop in Walls (rat prool
44. Firefitops, Furred Ceilings-StairsAChasers-Tubs
,45. Headers & Beams -Size & Bearing
Single & Duplex)
FRAMING (Continued)
46. Mangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rttr. Ties-Purfin-mll Brac.-Truss-Shting.-Rfrig.
48. Fireplace Ties or Type A Flue-Firepiace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -SM HgL & Dimensions
51. Garage Fire Protection Framing
62. Property Line Firewall & Openings
53. ExL Doors -One 3 -Check Garage 3rd Story. 2 E41ts
S4. Stairs; Widtt4*adroom-Rise-RLw�-Undkig-Ftre Protection
S5. Ptywood on Root Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
58. Glazing Area -Glass Protection-Skyrights-PLastic
59. Shear Walls: Nailing -Bolts
60. Brace Interior / Eiderior Wall Panels
61. Insulation-Walls-Cethrigis
62- Infiltration-Walls-INindows
Date Card B -I Date Card B -I
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except ft
63. Ext Steps -Doo( & Sidelight Protection-Landiings
64. Smoke Detector
65. Fiffnace; Vents -Clearance -Comb. Air-Conector-
In Garage; Above Floor-Ducts-Mech. Protection
66. Bediroorn Exiting
67. G.F.I. & Bath Futures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove. Clearance -Hearth
71. Elec. Outlets at Wood Panel. Int. & EXL
72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73. Elec. Outlets & Recepticales at Kit. Counter
74. Garage Fire Door Swing-Lancring-Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector -PRN.
In Garage; Above Floor-Mech. Protection
77. Plb.. Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (G.Fl.)-Romex Protection
79. Insulation-Foam-l-ooked in Attic
80. Guard rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood-Eanh
Clearance- Looked under Floor n Yes
82. Following Insdd.iDrive a Yes a NoMalks 0 Yes a NoRlanters 0 Yes 0 No
113. Stucco Brown -Finish
114.
A.C.'Unit Disconnect. Electrical -Plumbing
115.
Vents Above Root, Plbg-Appliance-Firepiace-Ctearance to Openings
86.
Water Weil, Disconnect. Electrical, Plumbing
87.
Exterior Elec. Tirim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
119.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas-Elec '
92.
Water & Sewer Connected-= to Grade -HD Approval
93.
Energy Compliance Certificate -Other Ceflificates
Date
Card B -I 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 DEVELOPMENTS'ERVICES - BUILDING DIVISION
7* County Center Drive e Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLLCATI'ON AND PERMIT __ - _� �; 6L3
ASSESSOR PARCEL NUMBER
064-56-0-036
ZONING
BUILDINGPERMIT
OWNER
LOUIS AND BERNTCF. TT MARTTNT
TELEPHONE
98_4-�9_9_6_
UA
SQ. Fr. OCC. BUILDING VALUAfION
144U //,/bU
_2
OWNERS MAILING ADDRESS
8237 EAST FAY AVEN, MESA ART70NA
CONTRACTORS NAME
BRUCE BRODERICK
TELEPHONE
877-6432
CONTRACTORS MAILING ADDRESS
P 0 BOX 2231 , PARADISE CA 95954
CONSTRUCTION LENDER
—Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee 77.50/2
$ 20.00
Permit Fee
$ 270.25
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 23.00
BUILDINGADDRESS
6201 DAWSON CT. MAGALIA
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome OX Other
SPECIFY
Each Trap
7.00
)0
Solar or heat pump water heater
23.00
Water piping
115.0NO15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: RETROFIT PERM FDN/EX MH
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI WF__
@20.00
PERMIT FEE
35.00
ELECTRICAL PERMIT
Filing Fee 20.00
R LESS
800V 0 LESS
Main Service .A OR
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 isin full force and effect.
License Class Lic. No. J el 112 z__
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
Xof one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
N 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 comp)f wit oseprovisions.
Da e /" Y
Si6nature of Applicant 0 Owner 0 Contractor Agent '_ i
An OSHA permit is required for excavations over 60" Of e and demol* * ons
X , &on or c !��Ction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DW:ULING OOCUP. SE
OR ADDNS.. ACC S. 3.50FT.
NEW CONST =.LTI-_OU LET
NOI+RESID. ' C,;..,TS @7.50
PO"WE.RAP= US
0 CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FixrURES BAL @ .50
Ex. Occup. o.FED"(.M'.)OE'A.)__ 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.001
I
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00 j
Heating
Cooling
Hood 6.50
ventilation
PERMIT FEt
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CMONSS . TYKE
-
TOTA J4 FEE $ -1ZR19 9
_HAZ�D.
FEES
1
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
B y
PERMIT EXPIRES ON
I
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo. 257813/63. 00PC= '78-malmw
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR I GOLDEN ROD-APFLICANT
I'll'
z-, - COUNTY OF BUTTE - DEPARTMENT OF DEVECOPMEN'T SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville.,California 95965 - Telephone (530) 538-7541 PEAmrr NO
(Rev. 12A6) APPLICATION AND PERMIT ---------------
MUM;= ZONM
BUILDINuPERMIT
ow" So. FT. J--Occ. BUILDING VA IIA"
L-6?t113 L-�.2-�Pq-7q97 ON
CW7 0!%A
;M AL
CONSTRUCTM Locut
Lzmam MARM ADDRESS
Fire2lace
Total Valunlfon9 $
AM:Mffg= OR EN09NEER
ucvaemm
Filina Fee I
$
20.00
AACWZCT OR CNOMMI MALM ADORM
Permit Fee YW)
S
r7:)
Plan Checkin Fee
Energy Plan Checking Fee
PERMIT FEE
WTHM USNAOX"Nue M AP
PLUMBING PERMIT
Filing Fee
USEOFSTRUCTURE
Each Trap
7.00
Solar or heat pump water heater
A20.00
23.00
SF 0 Duplex 0 Wbilehorne 0 Other
Water piping
15-00
Each gas water heater or vent
15.00
TYPEOFWORK
&a piping systern I - 5 outlets
1S.00
Now 0 Addition 0
Rernedel 0 LUIll" 13 Irtstallation 0 Other 0
Building sewer
15.00
Describe Work:
�/-o 1-1_1_4- &
Ae jf4 07W�.. Z
Wbile Home I S I G I W
(920.00
I
k liav e-
.
PERMIT FEE
ELECTRICAL PERMIT
'FiMngf Fee
Main Service = 0,
23.00
71
Main Service 2WA TO 100M
40.00
NM GOWT.
Oft ADONS. WaMALC MC
3.508a
'.
M'!=,. �MV "I, �&�
907.
EX. OCCU p. OUTLEr OR FWnAUN I sr -
Ex. Occup. 0= 5-00
Temporary Service 23.00
Wbile Home Facilities 2 *00
Msc. Wiring 23.00
PERMIT FEE $
MECHANICAL PER MIT Filing I" _"o 0
Heating
Cooling
Hood
Ventilation
PERMIT FEt S
Wbile Home Installation Fee $
Energy Inspection Fee is
occ CONST. TYK TOTAL FEE$ �-4—
KAZ IMP po W 6SLE
This permit is hereby Issued under the &ppilcable proviion,
of the Butte County Code and/or Rewlutions to do work
indicated above for which fees have been paid.
By Date
&
ReceiptNo. 7.77 T
PERMIT EXPIRES ON
q9UNTY OFBUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES - BUJLD1NG DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMITAPPLICATIONDATA SHEET
0 WNER: S ik & g-_ Qe/*,da E
L �prior to permit processing and/or issuance:
L
SESSORP - e
CE
Proposed Building Use: Budding hispe=or: L - Date: Z_
At time of permit application, I was advised the following data must be sub * edd DI
Date Received By
ar.-All iiems have been submitted --------------------------------------------------------------------------------------
E12. Plot plans, 3/4 sets, signed by the preparer of plans - ----------------------------------------------------
113. Complete plans, 3/4 sets, signed by the preparer of plans - ---------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
0 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
116. Energy Design Compliance and supporting documentation - -------------------------------------------
0 7. Statement of Intent. for Non -Heated and A/C Buildings - ------------------------------------------------
118. Hazardous Material Form - ---------------------------------------------------------------------------------
01CFanufactured Home data and installation instructions including Tie Down Specifications ---------
ees; of$ 1—C — ----------------------------------------------------------------------------
13 1 I'Jmpact fees as shown on the attached schedule - -------
0 12. California Department of Forestry plan approval/fees.
El 13. Flood elevation certificate - -------------------------------
9y1_QJ 4. Sanitation and plot plan approval Health Department - -------------------------------------------
0 15. City of Chico plumbing permit. -7 ---- — --------------------------------------------------------------------------
0 16. Plot plan and business license approval from the City of Biggs - ----------------------------------------------
0 17. Planning approval for (A) Use: (B) Parking:
1118. Contact Land Development about 0 Improvements, 0 Drainage, El Legal Parcel.
El 1. 9. Encroachment Permit for driveway (construction approval prior to occupancy). ---.
El 20. Pre -inspection for
required Request to Building Inspector on
El 2 1. Contractor's license information. (Number, Name Style, Classification).
0 22. Workers' Compensation carrier and policy number - -----------------------
E123. Owner -Builder Verification (Given to owner 0, Mailed to owner 0). -
1324. Letter of signature authorization - --------------------------------------------
El 2 5. Recorded copy of Agricultural Acknowledgment Statement - -------------
026. Letter of intent on budding use - ------- — -------------------------------------
027. Manufactured Home utility clearance - -------------------------------- - --- -------------------------
02
,8,�Existing violations and/or expired permits. -------- --------------------------
92'9. 1143 3 A, []Grant Deed, 0 M.H. Title, 1� �11 k to .C.D $ - ---------------
1130. Other: -------
(Date)
When you issue the r )cSss as follows 11 Mail to owner, EIM tnntractor.
Telephone p and hold for pickup at office. 0�peliver with inspector.
"c
Applicant: Date:
Copy of Haz-Mat form sent 13 Health Department, 11 Fire Department, 0 Air Pollution Date: By:
Copy of plans sent 11 Health Department, 0 Fire Department, 0 Other: D By:
1. Index permit application for the above items numbered: Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by 13 phone, 11 mail, 0 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above mquired data by 13 phone, 0 mail, 13 Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by o phone, o mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by 0 phone, 0 mail, 0 Building Divisi n counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in 0 Plan Cabinet, 0 A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
2987-77P,E
PERMIT NO.
t
PERMIT EXPIRES
OWNER James T. Lutje
CONTR. Paradise Modular Concepts, Pam
4LOCATION (A.P. 64-56-36
Alm 40 Dawson Ct.jot 135,PP#10, Magalia
4,
Temp. Power Pole
Called PG&E
-/(
Temp. Elec. Serv.
Called PG&E I(Q-2-7 1�1-- [/f D
Temp. Gas Serv.
Called PG&E
/ B
FONALED
(Date)
(Signature)
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORkS
BUILDING INSPECTION RECORD
BUJILDING BUILDING (Cont'd) PLUMB-ING
Setback Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd . Floor
Footings Windows 3rd Floor
Stemwal I Sidina Topout
Slab Roof Sheathing Water Piping
Piers Rooting Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwa I I Insulation Heaters
Slab -Prov. for physically - Appliances
Carport handicap e Gas Piping Test
Conformance of ex.
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
- on ---
MOBILEHOME UTILITIES --------- -------- Elec- Service S;— r7 7_6-aj-�Iec. Pedestal --7—q -7 &44 --
Water Piping Sewer Gas Piping
/ , / t;_ ") 7 �4 5-- -1. �1
DME INSTALLATIS?N --- ----Support Elec. Continuity
Water Piping Drainage Gas Piping LOCI
V
DATE REMARKS OR CORRECTIONS
. OJAA,
F-a),�q,
(NOTE: An entry must be made on this form each time you visit the job site.)
9. Electrical ` . ;;7 , , _; i
A Is service large enoklglt to provide ;._WeqLIdre amperage to . mobilcliome (must equal rating of
Mob ilehome with a -.-tinirwm of 1,00 amp) anJ oLher facilitiiis on lot, i.e., water pumps,
garae, cabana, Yes -,/No
ji is ther--� proper clearances around panels? Yes - No
C Is power sjpply cord or feeder assembly properly fused? Yes \,O—
g procedure? Yes No
D. Is Continil"Ity teSL satisfactory as per the f6llowin
1. De-energ-Lize electrical -wiring syste,.0 of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers, and switches in the mobilehome to the "on" position.
4. Connect one lo,.. -id of a test ins�rument to the mobilehome '.grounding conductor and
L lie LIJ.k::L le corl1kictor, ilielLidil-ig neuLrai.
apply U. - od ad v.o ea D 1_1 1
5. All non-current, carrying metal parts of the mobile'nome (aluminum siding, gas line,
w.ater line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.'
6. Upon .com-pletion of the above procedure, the power supply cord or feeder assembly
conductors shall. be connected to the site service equipment. A further continuity
te----t shall then be made between the grounding electrode.and the chassis of the
1110bilehome. UDon satisfactory com.p.letion of theolectrical tests, the lot or site
service c�qijipinent may be approved. f I or energizing.
;�O, Is job� card. signed -by Health Departmeat for, water and sanitation?
0
11. if evorything ol<ay, sign off card and ta,,, services.
MOBILEMME DATA
Manufacturer and/or Namesty�e
Length Width
V eh ic 1 e S er ial No. 42g -3
State Identif ication 'No.
A d �,,
Ltional InfoiniiatJon or Cornment,:
LIST'ALLATBR4 JNSPFCTION CHECK 1,ISq,
Is the. mobilehonit� located 1,7,1.1j,4-rcquired separation from lot lines and buildings and generill.�,
conform to plot plan? I Yos_V' No
2. DO(';.; thE! mc.)bilehoyne have requir(.---cl clearances above ground? (Sec.5085) Yeso��NL
3. Are footiii�:;s and supports properly sized, spa�ed, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yesc,��C�_
4. Is the mobilehome level.? (Sec. 5088) Yes ?,/No
5. If more-, than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes t/ No
S. Water
A. Is fl -,X'Ible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Ye s No
B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes,,/eNo
C.. Backflow � If coach is not State of California approved, does station* have backflow device
and pressure -relief valve? Yes— No -
7. Wastes and Drains
A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes z--�No
B. Does it have minimum 1k," per foot slope and is it properly supported? Yes V1__1No
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No �X
D. If coach is not State of Californiaap roved, does station have required trap and vent?
Yes * No 1p
8. Cas Piping and Cas Vents
A. Connector - Is mobilehome connected to the gas sUpply with an approved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
'Large as the mobilehome gas line inlet without reductions other than the mobilehome
connector. Yes V No
B. Test OK as per following procedure? Yes No
1. Open all appliance connector valves. —
2. Shut off appliance burner and pilot val'
ves.
3. Air test with manometer to 10'1-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
4. Connect gas meter to mobilehome with connector, turn..on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes / No
4r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the =ement.s
of the California Administrative Code, Title 25, Chapter 5 pepmit
number for the following location:
1( e,
Owner
Owner's Address
Mobilehome Mfg. Model Year,
Insignia No. P .4, Serial No. 3
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By C
THIS CERTIFICATE IS VOID WHEN �MOBILEHOME IS RELOCATED-'
COUNTY OF'BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
Teld0hone: 534-4541
APPLICATION AND PERMIT
2Y - 7
,� 97 7
All �X
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purpo es.
A.,
X 00, -,nQ date ;7
Signature if—, erme tee Ii. i Agent
Receipt No.
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod-Applicont
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BZUll Ing permit expires Date
BUILDING IV
Owner
JAX"AAE Z 0171rzF_
SQ. FT. OCC. BUILDING VALLIATION
Mailing Address 16 0
JAIV C',
p . h 037
V-
Fireplace
- _9�
Contractor a4,61aae Apdul/ld ok, C 4421'C
Total Valuation
Mailing Address as -A,�
Permit Fee
Plan Checking Fee&/orPenalty
Telephone No.
Building Address
Permit Fee $
PLUMBING No.1 @ FEE
$
PERMIT FILING FEE $3. 00 Jr, el 0
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 4 -ST 10e 0
Zoning VOrification Only
Each gas water heater or vent 1.50
A. P. 3(�
1 1(f Z 0 0!
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F/es
WX
VS?Ti on�
F ire Dept.
Fire Zone
Use Permit
Building sewer 4-ff
EQA
Parking 'IParce!
1 Plans I Declaration I
P arcel
60' R/W
_T_P1.ns4Jrp�r..I
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd I
L_�_
Parcel Approval
Permit Fee - $ 40
$
NEW JR ADDITIONE] UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.0-0 -7-06
Main service 600V OR LE SS
100 AMP OR LESS 5.00 j-
00
Main service EA. ADD -L 100 AMP 2.50 .%.r
Single Family N Duplex Mobi I Home X] OthersEl
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
SQ, FT. MIN`IMUNi
NEW CONST. ( DWELLING OCCUP. 9
OR ADDNS. ACC.BLDGS. 20sq it
NEW CONSTR. (MULTI -OUTLET
NONmRESID, BRANCH CIRCUITS) 2.50ea
FOR MOBILES
NEW CONSTR. (POWER APPARATUS
NON-RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
&aA,0I'SZ Mah&ZAR Coluc-L'or'.
Ex. Occup(OUTLETS OR FIXTURES) 50 @ 25c
BAL @ 104
FIXED APPLNS OR
Ex. OCCUP, %OLITLETS I R E S I'D.) E A) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License NoAs I y — Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
PUI I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
plermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
lid 4101 0561640- &f
R57 04
TOTAL PERMTIT FEE
Is 7-7 Lr�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purpo es.
A.,
X 00, -,nQ date ;7
Signature if—, erme tee Ii. i Agent
Receipt No.
White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod-Applicont
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BZUll Ing permit expires Date
le_ A
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NOTE:—All Materials
Z)U r<_
&,W is him Shall B in, $A -
Good > LL
Accordance with Recognir orkman
urnbiPgr & Mechb
' 0 q i6d fo' racf ices nd 0
0 t ua'ify pr�cr r- 46 SPeci ed use i f h�l
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L
A/ ef 6
IV S ack Shall -be 5 f+..from fhr
q, .side property line and So ff.-'-from -fh
denierline of the road;, Perm iff ing a maxi-
1-luin of a 2 fti eave ov
erhan but entirely
/#C out af al. easem njj�-
ilk.
'A. t 0
o
wo,
-ohis.set of pla n and., LQ
rig,
ns
-sf� MU T 4 0
ie; h ' b a all times* andt011t 'nlawful to to" V
Pt on t e io U
any.6ang § -or Ite Qns on &4rne %with I oui Vo
!kaike a rati'
w6tten f m ihe Do arim ht
permiss n ro e of- Public V,
W�&s,l Coun Of Buff��
IL
system art'd
ati+, to be as. per
utte County Health De t. Re�_-'.
quirements.
X.
A 'll/Utility 'Zbn9-�Cti'ori� - �Vfall.,,be
ated
loc within 4 r
ft-"i!YUt-,iJde'ih' ar
third section of t I he m(3 -Bi
-�T V
on the left (roa& side of' ae
th BU/ F= COUN^1 Y
home,
LE iNG DEPA
4ikN1
f plan-' a n. -d
2, F?q!Jt-,
h /ip
ices nc
s. /ehc(
i f
d an
iob a a 11 tim
a or It
, /na e
9
iss n from i
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0 4.
�e ';t Sys le'T
Utte 'Cou nt
au I re en ts_
A P P"R
Sl
p�,
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
V 7 County Center Drive — Qroville, California 95965
A.- Telephone: 534-4541,
APPLICATION AND PERMIT
9 �L-77
42)
duinurize representatives oi ihe Gouniy or t3utte to enter upon the
above-mentioned property for inspection purposes.
X Date J /2 -
Signature of Pgmitee or Agent
Receipt No. 1W, -'5'7q
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appliccnt
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
��R OF UBLIC WORKS
By
_9�9 permit expires Date
BUILDING '(—/
Owne
SQ. FT. Occ. BUILDING VALUATION
Mai I(dAddress
Telephone No.
Fireplace
I
Contrac6r /I/
,;j04X�-,:)TotaI
Valuation
Mai I ing Address /
Permit Fee
P I an Checki ng Fee &/or Penal ty
Permit Fee $
Building Address 0 A At(M
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N9,,
Zoning& Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
FeK
W. CT-4arw�l
re Dept.
FireZone
Use Permit
Building sewer 5.00
EOA
I Parking
Plans
Parcel
I Declarqj�en
Parcel Map
I I
60' R/W
Improvements
I
Lawn sprinkler system 2.00
T_�
Bldg. Plans Rec'd PT Parcel Ap4—,al
Plans A4�f .. �l
P�rmit Fee $
$
NEW ADDITION UTILITIES OTHER,X_
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Y_'e
S ta 01A
600V OR LE SSESS 5.00
Main service 100 AMP OR L
-1
70 t r
Main service EA. ACD'L 100 AMR 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Dup
Single Family lex Mobil Home Others
Main service EA. ADD -L 100 AMP 1.00
NEW CONST- ( DWELLING CCCUP. 11)
OR A..NS. ACC. BLDGS. 20 sq ft
NEW CONSTR. (MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW_CONSTP. (POWER APPARATUS.&)
_tLON RESID. SINGLE OUTLET CIR
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) 5BOA@L @251CO9
FIXED APPLNS. OR
Ex. Occup. ( 0 UTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License N �2!�Z_ Classification �0
Misc. Wiring 6.25
I am exempt from the contractors License Laws of the State of California.
Permit Fee $
is
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
plermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL @ FEE
—No.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.001
Fee
--Permit
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
duinurize representatives oi ihe Gouniy or t3utte to enter upon the
above-mentioned property for inspection purposes.
X Date J /2 -
Signature of Pgmitee or Agent
Receipt No. 1W, -'5'7q
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appliccnt
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
��R OF UBLIC WORKS
By
_9�9 permit expires Date
1. Owner's name:
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
3. Is the site currently
under permit?
Yes 47
No
7_1
.(If
yes, furnish
permit number
9.
What
OR
Is the site an existing site?
Yes
No
7377
(If
yes, furnish
two (2) plot plans.)
0 —Amps
LPG
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
gas
(If
no, clarify
No _7
(If.yes, identify the load and size: (Load)
(Amps)
9.
What
5.
What is
the mobilehome electrical rating? -----------------------
Amps
6.
What is.the
mobilehom6 site service rating? -------------------
0 —Amps
LPG
7.
What is
the mobilehome site cir*cuit breaker rating? -------------
(ft.)
Amps
8.
Is there
any other electric load to be served by the mobilehome
site
service? --------------------------------------------------- Yes
No _7
(If.yes, identify the load and size: (Load)
(Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
(in.)
10.
What
is the type of gas service? ------ ------------------- Natural
LPG
11.
What
is the gas pipe length -from meter or tank to the mobilehome?_
(ft.)
12.
What
is the mobilehome,gas demand? ------------------------------
(BTU)
(This'informa:tion' not required if pipe length less than.6 ft. on natural
gas
...or less than 50..ft. on LPG.)
MOBILEHOME SUPPORT DATA
Mob ilehome Mf r. Setup Model No. Year
Width �Z (f t.) Length (ft.) Expando Size ' ft.x -ft.
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
L
ingle t>1 Footings (check one)
t r
ort
�(on,.
i
Cent r
Sup ort
Loc ti6n.,
tt.) in.)
in 11
Center Support
Footing Sizes A
(in.)
14�=
Z ino ( iif.'j
:Ln.,
in in.)
t. (in.)
41.
*If center piers are othe.r_,than drawn above,
draw in locatio'ns�,,spa cing, and dimensions.
1. Wood either
pressure treated or
fdn. grade.
2. Concrete pad.
3. Other, specify
Supports (check one)
1. Concrete block
2. Concrete piers
3. Steel piers
4. Other, specify
Typical Support
Footing Size
kh -. )x, N�)
Max. Pier
Spacing
Ht T11 -i - )
Max.
Overhang
BUTTE COUNTY
BUILDING DEPARTPW
APPROVED
011P
VA
CLAIMANT:
ADDRESS: __
C"'TY & STATE: Magalia, CA. 95954 IMPORTANT:
DATE OF CLAIM: March 11, 1981 SEE INSTRUCTIONS
ON REVERSE SIDE
SUSMJT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
0 '�" 3.7 &W
F
OROVILLEE, CALIFORNIA
GENERAL CLAIM
Louis DeMartini
P.O. Box 632
Ut_-�oUKIH I IL)N UF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
1/15/81 Oxmer unable to get sanitation clearance from Health Dept. so
(Bldg.Permit Appin. #170-81B,P,E Receipt #47349 AP 64-56-36)
Building permit.fee paid ----------- $142.00,
Retain.filing fee
Retain plan check fee --- $44.00
ount feral ned ------------- $54-.-00— —$
Amount of refund due ------------------ -------- $ 88.00*
Plumbing permit fee paid ----------- $ 17.00
a -Min 110. 00
1 Amount of -refund due -------------------------- $ 7.00
Electrical permit fee paid --------- $ 19.00
------------ Z__ "0—
Amount of refund due ------------------------- 9.00
$ .0
TOTAL REFUND DUE ----------------------------- $104.00 104'' 0
TOTAL $104:00
I, the undersigned, declare under penalty of perjury that.the services or articles laimed have bee�n�5orrned 070de�ivered, and that this
c
cleld,,':true and correc�'as stated. A*
't d t .. ........................ d., a, Calif.
t d 9kF
c
this f z;:4F
Signature of CWmant
1, the undersigned, hereby certify that, to the best of my knowledge, thn service or articles specified above have been perfonn-d or de-
livered and that there is a Budget Appropriation[:] or Specific Board Approva., EJ (Csheckone) for the same.
Dated this ........ l.l.th ................. day of ....... March ....... 9.�� .,,..Oroville
............ ............................ . Calif . .............. ... ... ...
D e par"t n**'t'* H**
a*d" A u"t
Dept. Exp.
Code .... Code ................................................ PAYABLE FROM ............................................................. FUND
DO NOT WRITE BELOW THIS LINC — AUDITOR'S USE ONLY
VENDOR DEPT. SUB. CLAIM INVOICE INVOICE GROSS
CODE & SUB. PROJ. I DISC.
0 Bi. NO. NO. DAT E AMOUNT ENCUMB. SUB -DIST.
7"
C . OUNTY OF BUTTE - DEPARTMENT OF PUBL'IC WORKS
7 County Center Drive - Oroville, Qalifopria 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSL 0 PARCEL NUMBER
2--5-6-36
ZONING
P --r- t
BUILDING PERMIT
7�;R I "
() __, 1) %P )V aa V\ I
TELEPHONE
-
SQ' FTI OCC. BUILDING VALUATION
O,KNER'S MAILING ADDRESS
T.0 r.3 3-
Q 6-0
CONTRACTOR'S'NAMEE A
_�HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
Ip
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
IF
Permit Fee
$ 9R -
ARCHITECT OR ENGINEER
a -y" V_
LICENSE NO.
Plan Checking Fee
$ 13
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ �10
.UILCIING :2RESS
PLUMBING PERMIT
FilingFee 10.00
Each Trap
J] 2.00
Repair drainage or vent piping
5.00
Water piping
x'00
LOT NO. UBDIVISION NAME JPARCEL
axr P P *- / -6
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF TRUCTURE
Duplex F1 Mobi Other
SF[ leho SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New e"�Addition [:Irl�emodel [:] Utilities ElAnstallationD Other[]
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING SOyf/�M
OR ADDNS. ACC.BLDG _ ,
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busi . ness
and Professions Code and my license is in full force and effect.
License Noi 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)
El 1, 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 1;ON5TR.(MULTI-OUTLET,,, 2.50 ea
N.N.RES., BR AN CH CIRCU ')
NEW C ONST R. I POWER APPARATUS &I
NON . RES] 0. 1 SINGLE OUTLET CIR. 1
50 @ 25t
Ex. Occup(OUTLETS OR FIXTURES BAL@100
(FIXED APPLNS OR
Ex. Occup. 0 UTLETS (RESI'D.-) EA.), 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
Contractor
MECHANICAL PERMIT
Fi I ing Fee "".00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100-00 (valuation) or less.
F� I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to beccme 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
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of. the County ot
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 Iiabilitj*<_J'�dgment s t s , and expenses which may in any way accrue
odh ty, in c,
agains5Afid C o' ffe:nce t e grant' g of this permit.
XC-2 Z�'&_ �_
Signature of Applicant OwnerV Contractor El Agent FJ
An OSHA permit is required for exca�ations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occup rROUP
I TYPE OF CONST.
IPARCELI
's, E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date
Receipt NO. 47 3 S� �?
-
WHITE-D.P.W., YELLIOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
a
to-FAL Ro
co
V9
MOBILEHONE SUPPORT DATA F.
-. Year
Mobilehome Mfr. 141wuzzoe Setup Model NoZ�3
Width Z/ (ft.) Length �& (ft.) Expando Size ftmx —ft.
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte),
S. le
Sin Footings (check one
A 0 A
M
rt
Loc tion
f
t)
Center Support
Footing Sizes
V X
- a-,
in.) ( i fi._
in.
-IV
�__ = 0)
Cu__o �arl-._'
J
1. Wood either
pressure treated or
fdn-. grade.
2. Concrete pad.
3. Other, specify
Supports (check one
1. Concrete block
2. concrete piers
3. Steel piers* .
4. Other, specify
Typical Support
Footing Size
Pil—l_ A in.
F Max, Pier
6
( t ( 2 spacing
-_j
T in.)
Max.
Overhang
r Nir
*If center piers are other -than drawn above,, E COUNTY
BUTT
draw in locations,.spacing, and dimensions.
-_NT
fNG DEP ART�_.�,
6, 3 -APPROVE
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or NONA COACH
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WIDE. MOB LE—WIDE MUBILF, COACI
L DA? COACH scale: 1, - 10'
scale: I" - 10'
893 -.-
VOL STANDARD P10 h FOOTIMU SPACRIC,
roR MORE THAN TRIPLE WIDE UNIT3. SUBMIT 111:11 Y011111 110ME HANUFAMRER'�
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RI'ANDARD PIER A FOOTING SPACRIG CONFIGURAT13M SHOWN IS THE MIH.'MUM
pf,R MOBILE IMF. MANUFACTURER'S HUMBER OF PADS REQUIRED-
HISTAI.JATION MANUAL.
CONFIGURATION SHORN 19 THE MINIMUM
HUMBER OF PADS REqUIROD.
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