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HomeMy WebLinkAbout064-570-021s �! J��a AP 64-57-21 CHARLES J. GUY 170 Racine Circle, PP#10,•lot 143 Magalia ' contr: Ray Mmnjar, Paradise Permit# 274777 ,E._. _ (util. , MH) r `&104 ���f�_%5-.. 64-57-21 Permit 582-78B(new open deck/MH) T/ 64-57-21 Permit �k1299-81B, (new r1 dde 0;;vgarage) ��ti/ 64-57-•21 14162 cine Circle, iyagalia Pe2mit#3413-87B(Ist 9-86B(new.cover d deck/ ) ------------- " 64-57-21 P: renewal/2900-86)de r i • i 064-570-021 02-1 ALED GUY, ELEANOR (• (� . c� 14162 RACINE CIRCLE, MA NEW MH PERM FND EX SI Itk I L t • U , BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE NAME DEPT. � DATE NAME DEPT. of r NOTES ,�� RESIDENTIAL PERMIT N-064-570-021_ 02-19_96_ I GUY, ELEANOR Y 14162 RACINE CIRCLE, MAGALIA NEW MH PERM FND EX SITE ti f CTHE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS IBEEN TURNED IN TO THE BUILDING DIVISION: _ . (1) LICENSE PLATE(S) OR DECAL (THE INSPECTOR MUST RETREIVE). (2 STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. i y( SPECIAL CONDITIONS ? CHECKED BY JL SRA OFFICE COPY Address_/ /J(% l �2- 3 t � GAS �j Meter By Date l ELECT R Meter By Date r (l/ Jf i �C Wks 1W A-/5 yyi JOB FINALED (Date) tl , Signature V = OK 0 = Not OK - = Not Applicable . = Not Ready, MOBILE HOMES -, Date WOBILE HOME UTILITIES (Plans) OK except #'s Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance i Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE OME INSTALLATION (Plans) OK except #'s Zgpdng Requirements -Setbacks -Easements ootings; Size -Spacing -Marriage Une YVV,Aa"s; MH Test -Demand -Valve -Connector ricity; MH Test -Crossovers -Breakers -Clearances j.,Krain; MH Test -Fall -Flex Connector 'rr rater; MH Test -Regulator -Connector Water and Sewer Connected -C/O to Grade -HD Approval J Gas and Electricity Tagged IU I A/i Downs-Tvoe-Installation Cert. X910. Exits; Insp.-Sketch of 12-411'ermanent Foundation Only; License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane lboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J = OK 0= Not OK - = Not Applicable = Not Ready RESIDENTIAL (; Date Underfloor (Plans) OK except #'s Hangers -Post Caps -Anchors -Connectors 1. Zoning -Setbacks -Easements -Flood -Slope Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rffg. 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Fireplace Ties or Type A Flue -Fireplace Throat Clearance 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 5. Stemwalls, Main; Steel-Blockouts-Wrapped Garage Fire Protection Framing 6. Stemwalls, Garage; Steel-Blockouts-Wrapped Property Line Firewall & Openings 6a. Hold Downs and Special Anchors Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 7. Slab, Steel -Wrapped Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 8. Piers -Fireplace Ftg.-Steel Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test Siding -Nailing Veneer 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 11. Water Pipe; Test -Anchors -Regulator -Service Test Glazing Area -Glass Protection -Skylights -Plastic 12. Electric Underground Shear Walls; Nailing -Bolts 13. Plenums & Ducts; Clearance -Material -Support -Ins. Brace Interior/Exterior Wall Panels 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies Insulation -Walls -Ceilings 15. Access & Ventilation Infiltration -Walls -Windows 16. Insulation Date Date Date Card B-1 Date Card B-1 Date Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings 17. Water Htr.; Vent -Access -Combustion Air Baffle Smoke Detector 18. Water Pipe; Test & Anchor -Nail Protection Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection Bedroom Exiting 20. Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access -Spa 21. Test Tub & Shower, Second Floor -Tub Access Elec. Trim & Subpanel, Breaker Sizes & Labels 22. Gas Pipe; Sixe & Anchors r Stairs & Rails 70. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Elec. Outlets & Receptacles at Kit. Counter 23. Fixture & Transformer Clearance -Ins. Protection Garage Fire Door; Swing -Landing -Closure 24. Elec. Receptacles Spacing -Lights & Switches at Doors A.C. Duct in Garage -Damper 25. Size Boxes & No. of Conductors Stapled Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 26. Romex Installed Close to Edge of Studs & C.J. Plb., Elec. & Mech. Equip. Listed for Location 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI Insulation -Foam -Looked in Attic 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI Guard Rails & Deck Construction -Post Caps 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral ❑ Yes ❑ No Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth 31. Service -Riser Conductors & Ground Main Disconnect Clearance Looked under Floor O Yes 32. Equip. Clearances Panels-Motors-Mech. Equip. Following Instld./Drive Q Yes ❑ No/Walks 0 Yes ] No/Planters] Yes ] No 33. Clothes Closet Light -Shower Light -Spa Light Stucco Brown -Finish 34. Smoke Detector A.C. Unit Disconnect, Electrical -Plumbing 85. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Ventilation Throughout House 35. A.C. Ducts Insulation & Support Glass Protection 36. Vent Fan, Exhaust above insulation Corrections from Previous Inspections 37. Condensate Drain & Overflow, Size & Grade Gas Test -Meters Tagged, Gas -Electric 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet Water & Sewer Connected -C/O to Grade -HD Approval 39. Attic Access & Platform if Furnace in Attic Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Date 40. Sits Proper Materials & Anchors Comments at Final: 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rffg. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romer. Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive Q Yes ❑ No/Walks 0 Yes ] No/Planters] Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: ,� FLEETWOOD HOMES OF WASHINGTON, INC. #031 211 5TH STREET WOODLAND, WA. 98674 MC# 3. Date of ManufactureHUD label N -).(s) ``', wAs091031 WAS09►b33 1�"V WAS 09 l V 5? _ Manufacturer's Serial Number(s) and Model Unit Designation+. A'QNI'VERSARY 7 6 6 4 B WAFL231A17938-AV13 WAFL231B17938-A'V13 W2.^L231C17938-AV13 Design Approval by (D.A.P.I.A.) PFS CORP. This manufactured home Is designed to comply with the federal manufactured home construction and safety utandards in force at timr, of manufacture. (For additional information, consult owner's manual.) The factory installed equipment includes: Equipment Manufacturer Model Designation For Heating COLEMAN EB23B For Air Cooling N/A ----------- Water Heater RHEEM 71 -40S -B For Cooking WHIRLPOOL RF365PXKQ !refrigerator WHIRLPOOL EDOGTQXKQ Rasher WHIRLPOOL LXR9445JQ Clothes Dryer WHIRLPOOL LER7648KQ 01shwasher WHIRLPOOL DUB40SWKQ tiicrowave/Hood WHIRLPOOL MH6150XHQ Garbage Disposal MONARCH 810XL Smoke Detector LIFESAVER 1275E HOME CONSTRUCTED FOR X ZONE 1 ZONE II ZONE III EXP. "D" This home has not been designed for the higher wind pressure and anchoring provisions required for ocean/coastal areas and should not be located within 1500' of the coas line :n Wind Zones II and III, unless the home and its anchoring and foundation system have been designed for the increases requirements specified for Exposure D in ANSI/ASCE 7 - 88. This home has ( ) has not (X) beer, equipped with storm shutters or other protective coverings for windows ar.d exterior door openings. For homes designed to be located in Wind Zones II and III, '.:hica', have not been provided with shutters or equivalent covering devices, I: s strongly recommended that the home be made ready to be equipped with these devices in accordance with the method recommended in manufacturers printed instructions. BASIC WIND ZONE MAP }} L '` 1 - ✓ do ZONE IX H Design roof load zone map: _ North 40 psf X South 20 psf ( X Middle 30 psf _ Other psf NORTH'1 COMFORT HEATING This manufactured home has been thermally insulated to conform with the requirements of the federal msaufaclured home construction and safety slanda,ds for all locations within Oct value Zone 1, 2-1.1-- (See map at bottom) Heating equipment manufacturer and model (See list at left). > The listed heating equipment has the capacity to maintain an average 70 degrees Fahrenheit temperature in this home at out loor temperatures of — 3 5 degrees Fahrenheit To maximize furnace operating economy, and to conserve energy, it is recommended that this home be installed where the outdoor reinter design temperature (97 :;°„) is not higher Char, —3 degrees Fahrenheit. The above informatinn has been calculated assuming a maximum wind velocity of 15 mph at standard atmospheric pressure. COMFORT COOLING FlAir conditioner provided at factory (Alternate 1) Air conditioner manufacturer and model (see list at left). Certified capdcity B.T.U./hour in accordance with the appropriate air conditioning and refrigeration institute standards. The central air conditioning system provided in this home has been sized assuring an orientation of the front (hitch end) of the home facing . On this basis the system is designed to Maintain an indoor temperature of 751F when outdoor temperatures are F dry bulb and °F wet bulb. The temperature to which this home can be Cooled will change depending upon the amount of exposure of the windows of 'his home to the sun's radiant heal. Therefore, the home's heal gains will vary dependent upon its orientation to the sun and any permanent shading provided. information concerning the calculation of cooling loads at various locations, window exposures and shadings are provided in Chapter 22 of the 1989 edition of the ASHRAE Handbook of Fundamentals. Information necessary to calculate cooling loads at various locations and orientations is provined in the special comfort cooling information provided with this home. ® Air conditioner not provided at factory (Alternate II) The air distribution system of this home is suitable for the installation of central air conditioning. The supply air distribution system installed in this home is sized for a manufactured home central a'. conditioning system of up to 5 9 , 0 0 0 B.T.U. /hr. rated capacity which are certified in accordance with the appropriate air conditioning and refrigeration institute standards, when the air circulators of such air conditioners are rated at 0.3 inch water column static pressure or greater for the cooling air delivered to the manufactured home supply air duct system. Information necessary to calculate cooling loads at various locations at d orientatio,s is provided .n the special comfort cooling information provided with this manufactured home. To determine the required capacity of equipment to roof a home efficiently and economically, a gooi.ng load (heat gain) calculation is required. The cooling load is dependent on the orientation, location and the structure of the home. Central air conditioners operate most efficiently and provide the greatest comfort when their capacity closely approximates the calculated cooling load. Each home's air conditioner should be sized In accordance with Chapter 22 of the American Society of Heating, Refrigerating and Air Conditioning Engineers (ASHRAE) Handbook of Fundamentals 1989 edition, once the location and orientation are Known. INFORMATION PROVIDED BY THE MANUFACTURER NECESSARY'i0 CALCULATE SENSIBLE HEA- GAIN WIIith t id cid •05 a S, ou wn ow, an oors.... ... ....... .................. U Ceiling and roofs cf light color ....................... .............. "U” 03 Ceilings and roofs of dark color .......................... _...... .. "U" 03 Floors.................................................................. „U., .0.5 Air ducts in floor......................................................... "U' 14 ducts in ceiling .......................... ............................. ..U., . 21 1AirAir Air ducts installed outside the home ................................. "U" . 23 The following are the duct areas in this home: Air ducts infloor........................................................... 12 3 • aq. fl. Air ducts in ceiling.......................................................... — — — — sq. It. Air ducts outside the home ............................................... 12 5 . Coq, fl. U/O VALUE ZONE MAP MIDDLE MIDDLE WA J t ' " _ �,",\.. NH / MT ND _ VT ME --- LE IMN MIDDLE — — 1r i/.r -..._ �3 OR ID Nry SD WI �MI� NY MA t; ( .......1 -...� i },...,.� RI IA C7 NE PA ?l.l-r NV NJ UT CO IL IN OH DE .. ...__ _.._�•.J- -1 r -SOUTH �/ VA MD ONES U SC 2 VALUES ••�_/,...�..._.' S ' l l I r �� ; - - Ms AL GA J 0.116 1".'. AK ,.> TX LA 2 `L; (e.` ! `r \ •. !� T .,..� c- b "V� FL 0.096 HI (> \ ` 1 0.079 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date (1' ' + 6 (�— Inspector REV 10/92 Z COUNTY OF BUTTE ri BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 4° . , 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 • a. CORRECTION NOTICE rt' OWNER f PERMIT NO. y A routine inspection indicates that the following violations of, butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction,of work is ` completed. If you have any questions pertaining to this matter, or need additional explanation,. k .1 . -6 7, y F fl Y Tz :f l T: j. % �l INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: ,LCe �� I �t�' , ENVIR. HEALTH, CHICO DATE:O) RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC: V WELL: AP#: CJO ZJ5�10-0 ADDRESS/LOCATION: /V/("-;�, /C g1k)E cze- Comments: _i GL/memos/releasehold ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ®_�Etl�• (Rev.1�/96} ' APPLICATION AND PERMIT (•�- (� ASS ESSOR PARCEL NUMBER 064-570-021 ZONING R-1 BUILDING PERMIT OWNER GUYNOR TELEPHONE .271-0167 SO. FT. OCC. BUILDING VALUATION 2560 R 138,240. .OWNERS MAW ADDRESS CONTRACTOR'S NAME EXECUTM HOWS— TELEPHONE CONTRACTORS MAILING ADDRESS I I CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 776/2 $ 388.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-3.00 BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW MH PERM FM EX SITE Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2aDAORLESS 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.POWER License Class C- - Lic. No. 10 Q S�3 O NBUILDER DECLARATION ER- I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 5 K VA v- cle Policy Number - 'D (The above sections need not be completed if the permil is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall employ any person in any manner so as to become subject to workers' compensation laws of California, and agr@@e that if 1 should become subject to the workers' compensation provisions of se`uti?n 3700 of the Labor Code, I shall hwit Aomply with those provisions. rll,of X _� -' Date _ 1g -�Z Signature of Applicant - ❑ Owner XContractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To LDDDA 46.00 NEW CONST. DWELLIG OOCUP. sD OR ADDNS. ( a ACC. S.3.50x' NEW NST. MULTI-Ol7TLEr NONR.COI. CUITS @7.50 APPARATUS 8 SINGLE OUTLET CIR. .00 EX. OCCU . OUTLET OR FDCTURES SAL @ I .0 Ex. Occup. OUTLETSFIXEas DORA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST.ATYPE❑ TOT L FEE $ 6�0not HAZ. ...- DIMP FLOOD C0�/ �/ Pqq pD H ISsuE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. c2�/ Oz By D to 7 l PERMIT EXPIRES I IDate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR- PINK-N-SP5MOR —� GOLDENROD -APPLICANT % I �" T�:Building Department )FROM: Health SUBJECT: Sanitation Clearance E.H. USE ON Piot Pian Attnchad Floor Pian Atuchad sent to ®.D. or Gut A l91 (02 RC, c I V029- 0-� Owner jLocation AP# Plan Approved fo • Sewage Disposa � n Watel Supply: Public' V1 Private Well Clearance for�j welling. Other o'Id ff nal for• _�— - - Fina clearance O.K. for: NOTE: _- \Ij �L►IIl•Irii7VAYAW� ��VWA S o 1s] 8/96 �/ k COU f OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION unty Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 °" ` PERMIT APPLICATION DATA SHEET OWNER: "� �l 'r,;??� ASSESSOR PARCEL NUMBER Proposed Building Use: 1WX liil CW \Counter Technician:�__' Date: Items required in order to apply for a p rmit. All boxes MUST be checked OR rte ked NA in order to apply. 1.. Plot plans, 3 or 4 sets, signed ty the preparer of A, an . �2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. a ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ` 1 6. Manufactured homes: i) Data sheets and installationinstructions Marriage'line'information,. L Floor Plan, Tie down or foundation plans, all m ualicate. ❑ 7. Metal buildings: (A) Metal; Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (b)��IloorplatisiriP.triplicate� All of these must be stamped and wet -signed by the engineer. Items required for initial plan review.' If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to'the plan review line-up when YequireAd items are received. 1 Date Received By ❑ 8. Flood Elevaii6W Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... `- ❑ 10. ~Letter of intent for non-residential buildings......................................................:.. ❑ 11. Detached Accessory Building Form filled•out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ .❑ 13. Other Re i ing items needed to issue the permit. (May require additional plan review upon receipt of the following items.) r ;s as shown on the attached schedule of Fees Due Sheet ....................................... C*X gement of Intent for Non -heated and A/C Buildings ................................. :,.. Wf iitation and plot plan approval from the Env' onmental Health Department in N 1 tOily�^©ethiEo trm-9 pefft it.` A...0v ...... f.. �t ............................................... F Lr. • :,18Nalif6rn)a0epWjffetn't 62 Forestry plan approval ❑ paid. Sent. by:8 / oz J,,, c� O 19. Planning approval for (A) Use: t0 K (B)Parking: ( arcel Check: 7,30 L 12- 20. Contact Land Development about ❑ Improvements, ❑ Draina o... ;...L.... 21. Er/i oro,achment Permit for driveway from the Pu is orks De . ( t'bpr� al pri to:occupancy).' 12. re Inspection for P CSI ie e) 8 3 Q `L i ontcactor's license information. (Numbe'r;-Na e Style, Cl sifica )... ��( J... 4 ! ❑ 24. orker's Compensation Carrier and Policy Number .... ............. ..... .........--....... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to ow ..................... `❑ 26. Letter of Signature authorization ..................................... %..... ... tA27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance ............................................................... ❑ 29. Existing violations and/or expired ermits ..... f . ............................... ........... ❑ 30,�CF1 rant Deed,' M.H. Title/Stat Invent of Facts Letter from Legal Owne�,Check to H.C.D. $ ❑ 3I. Other: .� When issued Telephone T T77 and hold for pickup. 1 11 ) 3 I have been informed o he above items and requirements for obtaining a building permit...,, Applicant: Date: 7 o 1. Index permit application for thea items nu 2. Additional items required Contractor, designer, owner, was a wised e Contractor, designer, owner, was advised of the Plans reviewed by: RA Date: Structural reviewed by: Date: Note.'.;trarisfer by: Date: V, Plan Check Letter data by ❑ phone, ❑ mail, ❑ counter, by Date: _ d a by ❑ phone, ❑ mail, ❑ counte , by Date: 3 b L Plans approved by: - Date: ! l - Structural approved by: Date. Vellnw• Rnilriino rlivi6 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTEk DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER P P SED BUILDING USE \ M� -Q� ry.) BUILDING PERMIT FEES Balance Due .................. ... $ Additional Fees Due ......... . $ Additional Fees Due ...............\\$ Revised Plan Checking Fee .............$\ 2 CHOOL DISTRICT FEES (paid at District Office) (Available after Plan Check A. P. # � -4- - �6 C) DATE RECEIPT # NAF 3. SHERIFF FEES (paid at Building Division) 0\ Residential ...................... x $360.00 = Units Commercial (sq. ft.) .............*.-x' $0.03=$ Sq. ft. 4. URBAN AREA FEES (paid at Building Division) Residential ................... -x-=$ # Units Amt. Commercial (sq. ft.) ........... x ---= $ Sq. ft. Amt. 5. RECREATIONAL DISTRICT FEES (paid at District Office) (Available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) RA FIRE INSPECTION AND PLAN CHE $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER A/ DATE REC. /B At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking process. APPLICANT DATE -2 ` ?-S `0 Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Buiding Div. 2nd Copy - Applicant 3rd Copy - Owner " (Rev. 6100) aev.12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P R IT NC APPLICATION AND PERMIT — (�-1 2 ASSESSOR PARCEL NUMBER 61 _ 570- 0oS/ ^' �--/'7 (' � I I BUILDING PERMIT OWNER` Q t, P, 6 )jI7 Y /p owNEAs MAJUNO 1 HI GASB COMMCTO�j1'S NAME l ` r�C 2cv f ', YP c!�►''P f CTNTRAC YMAILING 1 s CONSTRUCTION I FNOEA LENDER'S MAIUNG ADDRESS ARCNIIECI UN EN UINEEN ARCMTECT OR ENUNLE S MARJNG ADDRESS 95973 X573—©167 TELEPHONE a (Qf- 0q, 2 ADD BUILDINf4162 /,&c;ne C r'/. %iifyG/3ufl �1'� .S LAT NO. ) jq SUBDIVLS IONS NAME r 11 1) jOMCEL MAP USEOFSTRUCTURE Q SF ❑ Duplex ❑ Mobilehome �v Other RPFCFY TYPE OF WORK New ❑- Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: For ) 6-lI N SdV 011V L o `L15 0-0 ! 1T', F i, O-z>D - its 0 Li 0--D 0-1 57" .� VOL""44.1. d --SRA O nl+%ewsn AW~4 TCC6,/.d monsoon SO. FT. OCC. BUILDING VALUATION PERMIT FEE I i C p I - ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceoR °O0V oR Less pow Le 23.00" in Service 20" To 1000A 46.00 N Nsr:BAJNG DR AD Wa ALx, SLDS. )T. 3.54UR CONSTNEW HONRESID. MULTFOUTLET cincurrs ) I 1 @7.50 Fireplace Total Valuation b Filing Fee E 20.00 Permit Fee % b Plan Checking Feel _ Energy Plan Checking Fee b b PERMIT FEE b -- PLUMBING PERMIT Filing Fee 20.00 Each Trap 7,00 Solar or heatpump water heater 23.00 Water piping 15.00 —_ Each gas water heater or vent 15.00 Gas plping system 1 - 5 outlets Building sewer Mobile HomeSIG W @20.00 GJc. Occup. ovTLET OR ES 20 ® I'00 SAL w . Ex. OCCU FIXED APPLNS. OvnETs ESID. EA 5.00 Temporary Service 1 23.00 Mobile Home Facilities • 20.00 Misc. Wiring 23A0 PERMIT FEE b ME�ANICAL PERMIT I Filing Fee 1 2 0. 00 Hood __ � 6.50 Ventilation PERMIT FEE f Mobile Home Installation Fee b Energy Inspection Fee b «c I CONST. TYPE TO-YAL FEE $ !nLz 6SUE 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. By PERMIT EXPIRES ON Date _ PERMIT FEE I i C p I - ELECTRICAL PERMIT Filing Fee 20.00 Main ServiceoR °O0V oR Less pow Le 23.00" in Service 20" To 1000A 46.00 N Nsr:BAJNG DR AD Wa ALx, SLDS. )T. 3.54UR CONSTNEW HONRESID. MULTFOUTLET cincurrs ) I 1 @7.50 GJc. Occup. ovTLET OR ES 20 ® I'00 SAL w . Ex. OCCU FIXED APPLNS. OvnETs ESID. EA 5.00 Temporary Service 1 23.00 Mobile Home Facilities • 20.00 Misc. Wiring 23A0 PERMIT FEE b ME�ANICAL PERMIT I Filing Fee 1 2 0. 00 Hood __ � 6.50 Ventilation PERMIT FEE f Mobile Home Installation Fee b Energy Inspection Fee b «c I CONST. TYPE TO-YAL FEE $ !nLz 6SUE 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. By PERMIT EXPIRES ON Date _ AND WIIEN RECORDED NUUL TO: :BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 COPY of Document Recorded 06 -Aug -2002 2002-0040592 Has not been compared with original BUTTE COUNTY RECORDER AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, Pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: A.P.N. 064-570-021-000 Parcel 1: Lot 143, 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, pages 11, 12, 1.3 and 14. Date ,u C 3 State of California County of 2vtk-Lt-tL. PROPERTY OWNERS: On 0 7 - 31 -yc&) before me, personally appeared V E- 1t amore M. C. IA�I V personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the Instrument. WITNESS my, han: and official seal. 44 AAAJ Signature Seal: S. AMBROSE COMM ! 1295163 Wt.. NOTARY PUBLIC-CALIFORNIABCOUNTY OF BUTTE A.P.Comm. Expires Feb. 24, 2005 -,: 1 ` School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form pet Building) �i `�''' �✓ s Building Department No. �� ��d oy Jurisdiction: �JCity County Property Location/A( w4 ' SSubdivision a Residential Development No of Living MobileeHHo'me Units Installation Commercial/Industrial �. New Addition Building DebartmN11Representative (City) .ry ' Sq. Footage Addition/ 'Supplemental toA (Group R) Conversion Permit # LLr `(No foundation inspection): 1. Sq. Footage (Including Exterior Roofed Areas) -qS-v� (Floor Plans reviewed by School District Personnel) Identification;No.��� School District *certifies that '`7,•�,/, \ (Applicant) Address) (Phone Number) C -- (State) (Zip Code)' has complied with the requirements of Resolution No. 1 repres ting �,J square feet. Paid by Check # Remarks: -. . by payment of $ ICY AB 2926 $ FULL MITIGATION $ D vL Date L, 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 signing 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 Quality Act (CEQA), 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.xls (10/98)dmm 4 ' PRE -INSPECTION REPORT OWNER:/ e a Nor LOCATION: CONTRACTOR:_..X PRE-INSPETION FOR DATE: D Z A. P. 7- oZ l ZONING: DATE TO INSPECTOR: / D'L� PERMIT HISTORY:( )NONE (FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Electric: Gas: ComrnerciaUUsage: Residend&Y# of Units: Currently Occupied AbandonedNacant Yes No . Electric currently On Off Condition of Electric t Natural Propane None Currently On Off Obvious Problems: Sanititlon: Plumbing Working Well Working Potable Water. Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: KHOLD FOR Inspector: Date Sketch buildings on. reverse- and indicate location on proper Y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541P R IT NC `vA2/96) APPLICATION AND PERMIT ASSESSOAeAACEL .J1 wjum �'/ _ ["/GJ `^ � Odt I y1 BUILDING PERMIT tAr 0 v OWNERSMAILINO 1'1/676° l3Rc,,?e 1%FCGNTRACTW's NAW y-, eCv t, ,,e tk e CONTRACT yZ rS0A40e CONSTRUCTION i PNOEA X73-016 7 SO. Fr. OCC. IAE�uAdA '?c f TELEP+gme ?A/_ /AD n CA cv,C4. 96973 BUILDING VALUATION 1i. _ LENDEA•s kWUNG ADOREss - Fireplace MCNrrECT OR ENOINEEA LICENSE NO. Total Valuatlon E / Filing Fee I E 20.00 AACWTECT OR ENOwEEAS MAILING ADDRESS Permit Fee % $ WILD$Nj ADDRESS Plan Checking Fee S �tL,'n2 C I,/ %%'�ff G/�L/� S Energy Plan Checking Fee S LOT No.SUMVISIONSNAYE PARCEL w�P PERMIT FEE S y -i c PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE )`�Each Trap 7.00 Solar or heat um water heater 23.00 SF ❑ Duplex ❑ Mobilehome �v Other Water pipin 15.00 •PEcry TYPE OF WORK Each gas water heater or vent 15.00 New CIAddition ❑ Remodel ❑ Utilities ❑ IninstallationGaspiping system 1 - 5 outlets 15.00 installation A other ❑ Buildin sewer n — 15.00 Describe Work:1'lac1.►.. _ �y�F-A LT��{}'� °�-}�M� Mobile Home S G W @20.00 �•�"` �A � E '��n $ice A � i FO v.rj>.f►3) per. - PERMIT FEE S 'C�-�.'P �-tA +Y► G X ,S �`►,� 6 ��{� t�� �-0.�� ELECTRICAL PERMIT Fling Fee 20.00 Main Service 800V OR LEss � / soa oA uess 23.00 I v n M n L 1 in Service xw To I000A 46.00 '�/ 1 ' -�/� J N NST: DwEillq .Do. SO ' o ` °fi AO a ACC. erns. � 3.5¢FT' NON-RESID. MULT�OUTLFT _ 5 @ 0 Ex. Occup. OLMET OR ES 20 o I.00 F L ('iZ717� LI 0—^v 01 Ex. Occup. SAL >a FIXED APPLNS. ovnFrS ESIO. EA 5.00 S. Temporary Service 23.00 • e Mobile Home Facilities 20.00 Misc. Wiring 23.00 S'RI'- — PERMIT FEE S samr S �i �i M ANICAL PERMIT Fling Fee 20.00 HtLtN Cooling Hood 6.50 Ventilation PERMIT FES S Mobile Home Installation Fee $ kvIwm4 ��� Energy Inspection Fee $ /� ) Occ CONST. TYPE TO AL FEE 'RR, o w ' /'� 1 /1 O NAz co `/ �/ 0. [VrjssuE This permlt Is hereby Issued under the applicable provisions NkYY1�� ,� Q of the Butte County Code and/or Resolutions to do work fib 6C.,Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON �, �---- &4j4jgO4J AP 64-57-21 CHARLES. GUY ` 170 Racine Circle, PP#10, lot 1431 "ag alfa jcontr: Ray Mmnjar, Paradise t Permit# 2747-7 ,E_ �. .�. `r(util . , MH) �� I 64-57-21 Permit 0 582-78B(nea open deck/MH) 64-57-21 Permit #129 -81B (new rii. def garage)T�o 64-57-21 s j 1416 cine Circle, 'agalia Permit#29 -86 (new cover ddegk/1�H) , P mit#3413-87B 64-57-21 (1st renewal/2900-86)deck a rvYt 4", r,�J rM &, M Equipment Eleanor Guy 452Mann Nolta Ridge Road 14162 Racine Circle Cohasset CA. 95973 Magalia CA. 95954 LIC.# 646049 AP# 064-570-021 (530) 343-6244 1000-Gallon Tank 150' Leach Field July 23,2002 12" Rock Under Pipe V 30' 5' Building Set Back Line Proposed leach fields to tie into remaining existing { fields. Total amount 8' L:' p t✓ -R'2 -y fw._�necessary to be determined by N . 45' \ abandonment of existing -- 63 _ � _ fields Existing leach fields to be Basket Ball Abandon existi'm Ta t abandon as needed for 62' Loop Court 0 o and install new taa in 's house placement Replacement location \ Field " Existing _T Gars / G ge Proposed House X3 1 40X66 / � 23 Water Meter An< d6e Bans i i 12' L - Slope 15% 20' Building Set Back Line Legend Proposed Leach Fields -- — -- -- PLANNING DIVISION- BUILDING PLAN APPROVAL Repair Leach Fields — — — Use: 0Y` Date: ?''sal-04— Existing Leach Fields Parking: Landscaping: - - � - - - - - - - Other- signature: INTER -DEPARTMENTAL MEMORANDUM TO: BUILDING DIVISION, OROVILLE FROM: ICP �I' , ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR: OWNER NAME: SEPTIC:' V WELL: AP#: DSP Z— —0 DRESS/LOCATION: 1414 o� All C1j12 Comments: GL/memos/releasehold '\_\1. fl- WUa e i� 5S- I IE 06O Lf- ! '10-6 0-[ BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEM INSPECTION CERTIFICATE S P. O. BOX 5364 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965. TEL: (530) 891-2727 TEL: (530) 538-7281 The Sewage Disposal System was inspected at FOR SEPTIC TANK .Size ( Gallons Material Co (1c LEACHING FIELD Length I' !Z)U feet Width �,� inches No. of lines Rock Under Pipe inches The above dimensions meet the minimum requirements of Butte County Code, Chapter 19. Additional leaching area will be r q uired If experience shows it to be necessary. Remarks: .A ��t' 4 M C64 I1 Date: ' " • � S2 - 7788 (Rev. 4/98) Sent By: BUTTE CO ENVIRONMENTALHEALTH; 530 895 6512; Nov -6-02 12:50PM; Page 212 BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTFC SYSTEM INSPECTION CERTIFICATE P. O. BOX 6364 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95927 OROVILLE, CALIFORNIA 95965 TEL: (530) 891-2727 TEL: (530) 538-7281 The Sewage Disposal System was inspected at 4 lO FOR e SEPTIC TANK Size Gallons material Co n LEACHING FIELD Length feet Width �q —inches No. of lines , Rock Under Pipe inches The above dimensbons meet the minimum requirements of Butte County Code, Chapter 19. Additional leaching area will be Remarks: Date: ' " 0 9 82 - 77eR (Rev. 4198) If ezporlence shows h to be necessary. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 COPY of Document Recorded 06 -MOV -2002 2002-0059967 Has not been compared.vith original BUTTE COUNTY RECORDER SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBII,EHOME) OR CO MMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. ELEANOR M. GUY REVOCALBLE INTER VIVOS TRUST REAL PROPERTY OWNER/LESSOR 14162 RACINE CIRCLE MAILING ADDRESS MAGALIA - BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING AD)RESS, IF DIFFERENT CITY COUNTY STATE 21P SAME UNIT OWNER (if also property owner, write °SAME') SAME MAILING ADDRESS • • wow"IY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS-- - - — - - - - - - - UVILLE, BUTTE, CA 95965 I COUNTY STATE ZIP 02-199 (530)538-7541 N TELEPHONE NUMBER MW 11 6 02 SIGNATURE OF LOCAL AGENCY 0 CIAL DATE EXECUTIVE HOME DEALER NAME (if not a dealer sale, write "NO 92081 DEALER LICENSE NO. FLEETWOOD 2002 ANNIVERSARY MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAMEINUMEER WAFL231 A/B/C 1793 8 -AV 13 64/66 X 40 NU SERIAL WAS0091631/2/3 SERIALIvIDER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBSgS) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 064-570-021 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY . HCD PINK - APPlicant GOLDENROD -Building Dept. BUILDING PERMIT NUMBER: 02-1996 Address or location of unit: 14162 RACINE CIRCLE, MAGALIA, CA. 95954 Legal Description of Real Property: A.P.# 064-570-021 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: ELEANOR M. GUY REVOCABLE INTER VIVOS TRUST Owner's address: 14162 RACINE CIRCLE, MAGALIA, CA. 95954 INSIGNIA OR HUD NUMBER: WAS0091631/2/3 SERIAL NUMBER OR V.I.N.: WAFL231AB/C17938-AV13 MANUFACTURER'S NAME: FLEETWOOD YEAR; 002 OFFICIAL APPROVING INSTALLATION: ' DATE: 11/6/02 PHONE: (530) 538-7541 H.C.D. 513C re MMA �+ don PWperty located at; 14162 Racine Circle Magaiia, California 95954-9603 A P. N.: 064-S70-021-000 All that certain real property situated in the County of Butte, State of California, desc rymd as follows: • PBMI I Lot 143, as shown on that certain map entitled, "PARADISE pDW UNM 10", r coded in the Office of the Recorder of the County of Butte, State of California, on November 19,1970, in Book 38, pages 11, 12,13 and 14. EXCWW0 THEREFROM aU minerals, oil, gas, asphaltum and other hydrocarbon enbstances, with provision that arty and all mining opMtions shall be dean from orifices outside the surface area of the land described hw+ein, and that no damage shall be done to the surface of said ]and. PARCEL 2: 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, M and X A as described in Parcel 3. Fee title to the real property described in Parcel 2 shall be and is vested in the hereinbelaw referred to Association for the common use and enjoyment of the owners of lots in Paradise Pines Unit 10 and in any other tracts heretofore and hereafter annexed, as more fully set out in the said Declaration hereinafter referred to. PARCEL3: , A membership appurtenant to the lot described as parcel l hereof, in the Pa2dise Pines Property Owners Association, a non-profit corporation, the fee owner of the common areas. SUBJECT TO: 1. General and Special County Taxes for the fiscal year 1970-71. 2. Covenants, conditions, restrictions, reservations, rights, rights-of-way and easements now of record. This conveyance is made and accepted and said property is hereby granted upon and subject to that certain Declaration of Covenants, Conditions and Restrictions recorded on September 4, 1970 in Book 1632, pages 578, of the Official Records of said County, amended by an instrument recorded on October 16, 1970 in Book 1639, page 433 and an instrtabmt recorded on March 16, 1971 in Book 1663, page 348, of the Official Records of said County, and the Declaration of Annexation for Paradise Pines Unit IV, recorded on October 16,1970 in Book 1639, page 437 and the Declaration of Annexation for Paradise Pines Unit VI, recorded on October 16, 1970 in Book 1639, page 440 and the Declaration of Annexation for Paradise Pines Unit VIII, recorded on November 4,1970 in Hook 1642, page 210 and the Declaration of Annexation for Paradise Pines Uwit X, recorded December 15, 1970 in Book 1649, page 528 and the Declaration of Annexation for paradise Pines Unit XI, recorded on June 10, 1971 in Book 1680, page 206 and the Declaration of Annexation for Paradise Pines Unit XIIX, recorded Jnne 289 1971 in Book 1683, page 399, all recorded in the Official Records of the Butte County Recorder and the covcmts, conditions, rights, restrictions, easements, reservations, benefits and burdens therein contained each and all of which are hereby expressly incorporated by reference as though set out herein in M. I-1Lt No. -(V'( 0912'( '02 AM 07:40 ID:EXECUTIVE HOMES FAX:530 891 8753 PAGE 2 *%TOP STATE OF CALIFOZNIA ' BU81NESS. TRANSPORTATION AND HOUSING AGENCY DEPARTMENTH COMSTAMUNITY AN R' OFINO CO AND TARDB DEVELOPMENT 8 6 8 7 8 9 MANUFACTURED MOUSING PROGRAM fY2111P MANUFACTURER CERTIFICATE OF ORIGIN ❑ CHECK r IF THIS IS A DUPLICATE MCO•ENTER ORIGINAL MCO NO. : NII MANI ACTURED HO SINQ NUMBER OF ❑ 8FD (SINGLE FAMILY DWELLING) ❑ MUMH (MULTI -UNIT MANUFACTURED TRANSPORTABLE 3 COMMFRCIA�OAC�; HOU91N0 3EC110Nt3 OCCUPANCY GROUP NUFAC NAMRBT FLNETWOOD 'HOER® OF NASNINGTON, INC, #031 MANUFACTU N&t NU BER: MAI JW MPIO92463 611e WOODLAND KA 9867 9000 : D RETAIL PRIC AC URER T DE NAME: ANNZVl61t8ARY C► Slete SLI V. MODEI. NA E ANDiOn NUMB t�� ATE 76688 F MANUF CTU NA RS 3003 09/20/2002 6FE REO TO .& I DRAT EZXDCUTIV3 HOURS CALIF. DEALER NU B_ OR DATE OF TRA FER: TRAN5FEREF�1081 NATION: DFALERO TRA NGFERE DDRESS. 99 as 09/30/3002 3042 nopLANADN tree INVE Y CRE D CHICO CA CII 95973 Mt:. _, , Dzw scn Y JFTkhNCIAL 83RVICm� Ste a (ZIP) �►.A+ BOX 411997' Mn ..... .: BHZTtON MANUFACTURER AeRIAL NUMBER . L'q Stets 63141 r( " 1 IICD INSIGNIA Oil HUD LABEL NUMBEIL• 1 NAYL331A17938-AV13 LENGTH INOHlB WIDTH tMNOe INCHINCHle POUNDS ..... . _. WA80091fa. 31 3 i0]1D'LZ31D17-J�y13. 776 160 .: 31, ➢Od WASD916J2 '107Ti331C17#39-AV13 900 160 37,150 WASQD91633 776 160• 26,000. �. ��!•iuia,VHYORT • I :.TR�NBPORTIjR ADDRl88: � ' ' 8.` 0. nOX •179 :,' .: r BItDM . DURHAM .. . ca CA95938nA:- OtBTiMATIpN FOR UNIT DlBCRIBEO ABOVE: 9tete Z Inel t aeARy under away a perpay WMar ur8hb 1 . Owe W W 8bM d Cellrornh that the eaave fetAe erg uw m0 wlroct. 't' 09/30/2002 WOODL&RD ' Qeetntteaon eI COWLITl. t u WA. • ...X41 —' (Ca„ntrl ,.. •, } Isle) SIGNATURE OF AUTHORIZED AGENT; :,• '" Copy/07 I1LLVVNN((PINK) ' FORWARD TO T�N{�ONyENTDgY CREDIT R UNLB®B THERE IS NONE,'I'11EN FORWARD TD TME PUACNABER tp LER O T • COPY ] (YetjljT,OM :DELIVER rbi E T ARTMENT AT v,� BOK IAZ0, annAMENTO CA 9ESt$•187 - WnIIN FIVE IBI DAYS OF RELEASl. . COPY 7 (GOLDENROD) TORE RETAINED BY TNp MATE I T TACCOMPANY Ttir UNIT TO IT9 DESTINATION. A �WOPEA6!),. ,r MCD 483.0. Side 1 - (7/87) STATE OF CALIFORNIA - —, lyluuncuome u Commercial Coach ❑ Floating Home Decal (License) No.(s) Trade Name I/We, the undersigned, hereby state: 24C - (/,3 Dealer Report of Sale # ❑ Truck Camper Serial No.(s) The Above Described Unit Has Been Placed On An Approved Foundation System In Accordance With 18551 Of The Health And Safety Code. UWe further agree to indemnify and save harmless the Director of Housing and Community Develo California, and subsequent purchasers of said unit, for any loss they may suffer result' above-described unit in California, or from issuance of a California certificate of title sultancoveringpmatio State e resulting fiom registration of the the same. We certify un Uder penalty of perjury that the foregoing is true and correct. Executed on % I I, ";L_ at n (Date) (City) Signatw,e(s) (State) Printed name(s) 9 ✓e. Address 3 0 City HCD 476.6 (REV 12/00) State 07/18/02 10:36 BIDWELL TITLE 4 530 891 8753 RECORDING REQUESTED BY: Donald R Travers WHEN RECORDED RETURN TO: _ N0.962 P004 fl�illNllllff f Ilfllllllf�I�I1l ao4b x—04&aaS 19 Recorded I REC vEE 13.98 OfficialRecords CounNof I 1:ANOAX J. eRUBBy j Recorder Rusmly 01cxb)m Assistant 1 Maureen 09: WAN 04 -jun-ml 1 Page 1 of a Donald R. Travers Attorney at Law 529 Pearson Road Paradise, CjL0jnia 95969-5113 A. P. N 064.570-021-000 QUrrCLAIM DEED 15 The undersigned quitclaimor declares: Documentary transfer tax is NONE No consideration given, Change in formal title only. (See Note 1 below) FOR NO CONSIDERATION, ELEANOR M. GUY does hereby RfiMIME, RELEASE AND FOREVER QUITCLAIM to ELEANOR M. GUY, as Trustee of the ELEANOR K GUY REVOCABLE INTER VIVOS TRUST initially created on May 14, 2001, all her right, title and interest in and to the following described real property in the Town of Paradise, County of Butte, State of California: SEE ETT "A" ATTACHED HERETO AND INCORPORATED HMBIN Commonly (mown as 14162 Racine Circle, Magana; C difomia 95954-9603. NOTE: Conv ance 'n uitcl ' o into a Revoc 'vin Trust: This conveyance transfers the quitclaimor's interest in the described mpert,y into the quitclaims revocable living trust which is not pursuant to a sale and is exempt pursuant to Rev. and Tax. Code section 11930. OTE #2: nve�ce Chan e M rl W ich Title is Held; 'I'llis is a conveyance, revocable trust yance to a and, Pursuant to Rev. and Tax. Code section 62(d)(2). does not constitute a change in ownership and does nq_t subject the property to reassessment. Executed this f7` day of 2001, at Paradise, Cammia " iWelaimor" ELEANORM. CrUY IL T A Q; Eleanor X Guy, Trudee, 14162 Racine Circle, Maplia. California 95954.9603 WY/18/02 10:37 B I DWELL T I TLE � 530 891 8753 N0.962 P005 CER'1MCATE OF ACKNOWLEDGMENT OF NOTARY "LIC State of California ) ss. County of Butte ) 4n2001, before me, cfiZA � %e ve&S notary publicTmand2:f±or::k State �afCnliflnrm a 'a, personally appeared ELBANOR M. GVY, Personally known to me (or proved to me on the basis of satisfactory be the whose name is subscribed to the within instrument and acknOwlOddgtonin than he executedn the same in her authorized capacity, and that by her signator on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WXTNESS my hand and official seal. ► k. iRAVEI;S COMA - A �2s3663 /1.cw,wi/e�l) +e Rararr r�ueur..cAu Notary public mm U;MTY 41 BLUEoo� E39PMA Legal Desedpdon Property located at: 14162 Racine Circle Magalia- California 959549603 A- P. N.: 064-570-021-000 All that certain renl property situated in the Co follows: unty of Butte, State of California, described as am 11: Lot 143, as shown on that certain map entitled, 44PARADISE pig LNIT 10,, recorded Office of the Recorder of the County of Butte, d in the recorde Book 38, pages 11,12, 13 and 14. grate of California, on November 0, in EXCEPTING THEREFROM all minerals, oil, gas, with provision that any and all asphaltum and other hydrocarbon substances, Ma of the land described herein, tge s be d60 d�ne one to the OrifIseSurface ide the surface f said land. 07/18/02 10:37 BIDWELL TITLE 4 530 891 8753 N0.962 P006 RAkCEL 2. Anon -exclusive easemont over Lots A, B, 1260,127 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 XV, VI, VIII, X, XY and XBI, as described in parcel 3. Fee title to the real property desmbed in parcel 2 shall be and is vested in the hereinbelow referred to Association for the common use and enjoyment of the owners of lots in paradise Pines Unit 10 and in any other tracts heretofore and hereafter annexed, as more fully set out in the said Declaration hereinafter referred to. ARCEL 3; A membership appurtenant to the lot described as parcel 1 hereof, in the Paradise pines prop, Owners Association, a non-profit corporation, the fee owner of the common areas. SUBJECT TO; I. General and Special County Taxes for the fiscal year 1970-71. 2. Covenants, conditions, restrictions, reservations, rights, rights-of-way and easeattents now of record. This conveyance is made and accepted and said property is hereby granted upon and subject to that certain Declaration of Covenants, Conditions and Restrictions recorded on September 4, 1970 in Book 1632, pages 578, of the Official Records of said County, amended by an instrument recorded on October 16, 1970 in Book 1639, page 433 and an instrument recorded on March 16, 1971 in Book 1663, page 348, of the Oficial Records of said County, and the Declaration of Annexation for paradise pines Unit N, recorded on October 16, 1970 in Book 1639, page 437 and the Declaration of Annexation for Paradise bines Unit VI, recorded on October 16, 1970 in Book 1639, page 440 and the Declaration of Annexation for paradise pines Unit V]A recorded on Noveanber 4, 1970 in Book 1642, page 210 and the Declaration of Annexation for Paradise Pines Umit X, recorded December 15,1970 in Book 1649, page 528 and the Declaration of Annexation for Paradise Pines Unit n recorded on June 10, 1971 in Book 1680, page 206 and tine Declaration of Annexation for Paradise Pines Unit y3lC recorded June 28, 1971 in Book 1683, page 399, all recorded in the Official Records of the Butte County Recorder and the covenants, conditions, rights, restrictions, easements, reservations, benefits and burdens therein contained each and all of which are hereby expressly incorporated by reference as though set out herein in full. D'�A'P���OW4�Q�ritefmn,ded M & M Equipment 452' Mann Nolta Ridge Road Cohasset CA. 95973 LIC.# 646049 (530) 343-6244 NOTE: See _ attacted Al MIM • 1=11 Eleanor Guy 14162,Racine Circle Magalia CA. -95954 AP# 064-570-021 1000 -calf -" -r-"11 150' Lea( APPROVED July 23,2002�Ow®v��• 12" ROCM'` Envi once n a ealth 1 " = 30'�t U ignatum oft- 4HP� G N�e�PD �5x' Building ea I�Ae PSP PSD Set Back Line Proposed leach fields to �pM .SES tie into remaining existing fields. Total amount cnR P g' to be 'S,3, = determined by 45' 62' Loop Replacement Field N abandonment of existing 63' Basket Ball ' Court fo � Fxisti� 9 l 31X3 e fields 55' _ _ Existing leach fields to be Abandon exist) Ta abandon as needed for and install new to c in 's house placement location Proposed House 40X66 0�zrr� Mak HomE W— ,4 `�.0 0f �REg�� BUT D� T'X CA► -1F' �ub�►i���.'� 17.� approved as ..O"s 12' / app B oved with c t era acr.� „eet p s;ana' a 20' Building Set Back Line SlI� Legend sib° . Proposed Leach Fields by C•Ug- -- ,� -- -- r Repair Leach fields Existing Leach Fields ale 2:XX % water Meter Slope 15% COWN UK DM DEPAMMEN7 PLANNING DIVISION- BUILDING PLAN APPROVAL Use: OK Date: ? _e Co— �) I?-- Parking: Landscapirg: Other: cc beftDM Sea a ,Lt Nit .0 LJPl N MASTER BEOROOM 18-4" X 15'-O" I I I LINEN Q 0 U 1 1 I M. 1 BATH WALK-INCLOSETCLOSET I I I I W \ I � I W ry' LIVING ROOM 15'-2"X21'-5" PLANT SHELF j ENTERTAINMENT 1 CENTER I sEE-rHRu = FAMILY ROOM FIREPLACE I 1 11� 11= IIN IIZ 11< I I I I LINEN MACAO 019m- -• •,- ...� H -'.O.. M E S :-• •• :. •� • -- i'P''�� 7'5'+'�"t.,�.���' 3�j C�+.�'��Y7'<Yrs=i�' �"� .. �. ._n �i� "$`-tYk'a'Y'Lbn'L Tu. �F dYY v.Rey^-'.2._ y Yi' :r ...... .y�'f R'r ,d' 3�1 �. } - l�"� z`u� �".�$naa„�a % c""R^+41!' iw'c�+T-r,��.+�4..��'�'i ,',• �� � ~.�: ' I 1 I /qm■i./■ iii.:.. gtgtm/mq/■ggqmtq /tm/q/u//t/m�� ME MIR ��m�ot�atm//t/gm■mi //t/q■/q/t�.mmmtq■ mq/tV ■qm■ /tt0■/■// m//////t/q■/t/m/ti/mm■qm■ mqutlm /m■■►i/m■//t//q/■ tggq/tt-----./■ tmWAIMRgt�����■�/�����/Pa • •I RETREAT ■ ■■ /q n■m/ /t■m��---�t/�ad MM 7ttM I ,• • N �■m/t■mtt��miui//t/timi �i in/m I ' �/i I� r ���qi■�a�+!/,����■t�//mm��■■■g�■mtmtq■q/■gt�/'mr ISM mums iImma tr - I_ �� a/m■m/gCm/t m �■m S ��■mtq■Muni t■gt■gMMMj n■tn. /tLa SMm .tI! poll - WIN MASTER BEOROOM 18-4" X 15'-O" I I I LINEN Q 0 U 1 1 I M. 1 BATH WALK-INCLOSETCLOSET I I I I W \ I � I W ry' LIVING ROOM 15'-2"X21'-5" PLANT SHELF j ENTERTAINMENT 1 CENTER I sEE-rHRu = FAMILY ROOM FIREPLACE I 1 11� 11= IIN IIZ 11< I I I I LINEN 11 I WALK-IN 1 CLOSET I �?'uo y 15'-2 "X IY-V BEDROOM #2 ta-4•X1z-a" AV/31/DECOI 1. Owner's Name:_ k-- 1, e ar.o-a G—y 51 2. Assessor's Parcel Number: 13 do LA - .5 3. Installer's Name: C- 4..' 4.: Is the site currently under perrrut? Yes[ j NoN ] Permit No. 5. Is the site an existing site? Yes`r' ] No[ ] (If yes, furnish two plot plans). 6. Wliat is the electrical rating of the mobilehome? S Amperes. 7. What is the mobilehome site circuit breaker rating? a Amperes. 8. What is the electrical rating of the mobilehome site? -L-00 Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] NoN ] If it is, what is the rating? Amperes. 1, 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ j No[ ] If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- G11144 -AGI A1..______ C-1 11. Type of gas service at mobilehome site: Natural[ j Propan-e"v ] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank: 3 ) y" inches. 13. What is the gas pipe length from the meter or tank to the mobileliome?Z) 14. What is the mobilehome gas demand? V -,l -A B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). 1 PROCESS THIS PERMIT APPLICATION en LTTE COUNTY �u��.D� �EPART�iE t May 1995 APPROVED 8.5 Mobilehome Manufacturer: F %� eManufacture Year: 1-c',03If other than single wide, furnish jSetpp Model Number: bb 9 B Width:_LjS0 (ft.) Length _ bb . Eft.) Tagalong or Expando Size�(ft.) x ($.) On all mobdehomes manufactured after October 7, 1973, furnish manufacturer's installation. manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade ] Other: SUPPORTS: Concrete block ] Other: Provide Tie Down Specifications for all Mobilehomes:QOM Pier Footings Sizes and Location SINGLE WIDE Line 1 IDNIULTI-WE Line 2Line I Line 2 ................................................................................................. Line 2 Main Beams ............................................... Line 1 '-.Line 2 Line 3 Line 2 ............................... Main Beams ................................................................................................ Line 2 Line 1 ................................................. ----Line S Tag or Triple ine 4 ine 1 Line 1 Piers: Size minimum:Z`'1 x z -'i Spacing maximum: g ` o ` From ends -maximum: � O ` Line 2 Piers: Size minimum: Spacing maximum: From ends -maximum, c� ` Line 3 Roof Loads: Size minimum Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): 0 Line 1 Openings Size minimum: x [ ] Each side of openings with width over: ` Line 4 Piers: Size minimum: [ li ] x Spacing maximum: 6 o ` From ends -maximum: L�p 'L'i x�° Z`I k'3 0 3`�? o '3b x'� o ' ,k30 3b •30 37►•3 2 o 1' y" $' 6" t2' 31 v" MZ. . 5 bb 'L'1..30 `1K3otMy3o 3�0�'3� "3�x3v Z`1�3o 3:x30 SY, 13E 5 ' v�tar 1 n -n' ",�>Cr�t_-5 1�7 �U Aa t ,, .JY _ ami aifr:ti r t 'r' u, tl MIS 'low ?m aol b he i m my near H ' ir(d !tL AR S" ��• ux I � �r'aft as II,i „ j � KIT^�,; mJ Sm Ft r� 1 S i 31-wrK mbw�m s4, Aim v4z lea Vm is M, I r.: - 1St ` :--, — 1 Ddu �' ' x I+c4x r�ane,a SEW ;I i u L its 7. ..;3" Iq +a, 3L ' Cil RGCtIr AmIRI' t -4m it HAI I So 34n ZZ� i�DAh tS-3' ,fir3. ` =� i 1 1 r` = si FE accu �S2 F F ai r- _pr s !� iDd1A y t aC r 4JW'!3 Al .13 ...� 7♦ ; 4! Eleflor 67v r 14P-144 06Y-570— 02/ 2"x 2'x 3/16' STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4' GRIPPER BASE 1/2-13UNC—A307 x 4" BOLT WITH NUTS (4) REQUIRED 01 1/2- SCH 40 PIPE RISER WITH 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02" SCH 40 PIPE STAND WITH TWO 01/2' ADJUSTER HOLES p ' ABESCO ABS PAD $503 STEEL FRAME SEE DETAIL "A" 3/8" CAD PLATED BOLT, NUT do WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REQUIRED 1/4' STAND BASE I l— ASESCO ABS PAD ¢503 36" MAX _ TO BOTTOM OF PAD 01/2"x 3" C.R. LOCK PIN WITH 01/8- BRIDGE PIN J COACH "C" FRAME 2" CHANNEL 1/4'x1-1/4"- TEK STS (2) REQUIRED 1/4' GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6'x 6" STEEL PLATE 1/2" A307 BOLT (2) REQUIRED 10.00 ---I 0 0 10.00t—1 O 0 09/16 HOLE (TYP) STAND BASE TOP VIEW TUF-1 PERMANENT FOUNDATION SYSTEM ABESCO-GUS GUARD COMPANY 5851 FLORIN - PERKINS ROAD SACRAMENTO, CA 95823 PH: (800) 382-8831 FAX: (916) 383 -5207' - c: t %b�; OF r WN 1/4" GRIPPER PLATE COACH "J" FRAME 1/4"x1-1/4" TEK STS (4) REQUIRED 114- GRIPPER BASE 1/2' A307 BOLT (4) REQUIRED C—BEAM J—BEAM ATTACHMENT ATTACHMENT 7— $ $ $ 8" 1/2- DIA. HOLE (8) PLACES 30" STEEL FRAME • TOP VIEW STATE APPROVAL o o w y z In olms po Q o P" ri =�� RF- o ci i3 C O d¢ C 8y� z 9 WAYNE . T. POLVADO, PE s C�iA ;vrIN r4 R GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. 16. FOUNDATION BLOCKS 16% 16'x12 POURED IN PLACE AT GROUND LEVEL MAY FLOOR LIVE LOAD - 40 PSF BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE "4' *SNOW LOAD 100 PSF (SEE NOTE #15) SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS VARIES 10'-70' (SEE TABLE ON SHEET #3) 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, E S S E�� MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEDS 1/4% I OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. I FOOTINGS RIDGE BEAM SUPPORT AS 0 O 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSURE. AND REQUIRED BY MANUFACTURER SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND a a (TYPICAL) O a MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. E37WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 8' NOM. 7. THE GUS_GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND El LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: 2' NOM. ALLOWABLE LOADS: HORIZONTAL VERTICAL PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES GUS GUARD TUF-1 2200# 6000# OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT GUS GUARD MGP PAD 2200# 6000# AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) GUS GUARD E -Z TIE PAD 22001 6000p 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. t,4ESSI0 � 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY Q� B�� STATE APPROVAL INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL 1 FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. ` 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED Exp l 0zp a THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS vg c THE SAME AS SHOWN REQUIRED PER EACH UNIT. :!'j�'9t"�`�' G ZP op 99 1 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET S) • �� �F ��1`�O U >0 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. a 0 0 14., WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT v� < Z h REQUIRED.. ANCHOR STAND TO CONCRETE SLAB WITH TUF -1 PERMANENT g 's z FOUR (4) 1/2x 3 1/2- EXPANSION ANCHORS. - FOUNDATION SYSTEM pq — 15: GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES H 0 _ z 9' ALLOWABLE'SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCG-GUS GUARD COMPANY y Rggc A r WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PFIWJNS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMlIn. 95823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 o F R GENERAL NOTES GUS GUARD TUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. 16. FOUNDATION BLOCKS 16% 16'x12 POURED IN PLACE AT GROUND LEVEL MAY FLOOR LIVE LOAD - 40 PSF BE USED AT INSTALLERS DISCRETION ALTERNATIVE TO PADS. WIND LOAD - 80 MPH EXPOSURE 'C" SEISMIC ZONE "4' *SNOW LOAD 100 PSF (SEE NOTE #15) SINGLE WIDE COACHES DOUBLE/MULTIPLE COACHES 2. THIS FOUNDATION SYSTEM IS DESIGNED TO BE CONSTRUCTED ON E= 2' MIN. / 8' MAX. E= 2' MIN. / 11' MAX. A FAIRLY LEVEL SITE WITH NO EXISTING SOIL PROBLEMS. S= 6' MIN. /16' MAX. S= 6' MIN. / 22' MAX. 3. CHASSIS BEAM SUPPORTS SHALL BE LOCATED AND SIZED FOR THE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS VARIES 10'-70' (SEE TABLE ON SHEET #3) 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, E S S E�� MANUFACTURED HOME SHALL BE READJUSTED WHEN OS EXCEEDS 1/4% I OR WHEN IT WILL ADVERSELY AFFECT MOBILE HOME UNIT. I FOOTINGS RIDGE BEAM SUPPORT AS 0 O 5. CARRY ALL FOOTINGS DOWN TO FIRM, UNDISTURBED SOIL ARE DESIGNED FOR 1.000 PSF TOTAL LOAD SOIL PRESSURE. AND REQUIRED BY MANUFACTURER SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COMPACTED SAND a a (TYPICAL) O a MAY BE USED TO FILL LOCAL VOIDS UNDER PADS. 6. STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION. E37WELD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES -370 PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A3725. 8' NOM. 7. THE GUS_GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND El LABELED BY BSK AND ASSOCIATES FOR THE FOLLOWING LOADS: 2' NOM. ALLOWABLE LOADS: HORIZONTAL VERTICAL PADS IN ANY PAIR MAY BE STANDARD M.H. FOUNDATION ROTATED 90 DEGREES OR PIERS AS RECOMMENDED BY PVC SERIES GUS GUARD TUF-1 2200# 6000# OFFSET TO OTHER SIDE TO THE MANUFACTURER OR THE SUPPORT GUS GUARD MGP PAD 2200# 6000# AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAD (TYP) GUS GUARD E -Z TIE PAD 22001 6000p 8. DURING PRELIMINARY INSPECTION, THE ESTIMATOR SHALL ENSURE THAT MOBILE HOME CHASSIS BEAMS ARE OF STANDARD SECTION. t,4ESSI0 � 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCES BY Q� B�� STATE APPROVAL INSTALLING GUS GUARD TUF-1 UNITS AS SHOWN ON THIS PAGE OF TYPICAL 1 FOUNDATION PLANS. 10. THE GUS GUARD TUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FLOOD PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED THE HEIGHT OF THREE FEET. ` 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED Exp l 0zp a THE NUMBER OF TUF-1 UNITS UNDER EACH UNIT IS vg c THE SAME AS SHOWN REQUIRED PER EACH UNIT. :!'j�'9t"�`�' G ZP op 99 1 12. SINGLE -WIDE UNITS REQUIRE ADDITIONAL RESTRAINT. • (SEE SHEET S) • �� �F ��1`�O U >0 13. ALL METAL COMPONENTS AND ATTACHMENTS ITEMS SHALL BE PROTECTIVE COATED. a 0 0 14., WHEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT v� < Z h REQUIRED.. ANCHOR STAND TO CONCRETE SLAB WITH TUF -1 PERMANENT g 's z FOUR (4) 1/2x 3 1/2- EXPANSION ANCHORS. - FOUNDATION SYSTEM pq — 15: GUS GUARD TUF-1 FOUNDATION SYSTEM PROVIDES H 0 _ z 9' ALLOWABLE'SNOW LOAD TO 100 PSF WHEN INSTALLED ABESCG-GUS GUARD COMPANY y Rggc A r WITH EXISTING STANDARDS REQUIRED BY COACH 5851 FLORIN - PFIWJNS ROAD MANUFACTURER OR REPLACE THEM ON A ONE TO SACRAMlIn. 95823 ONE BASIS. PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 2 of 3 o m 1/2`x 3 1/2" 3/4" DIA. x 18" LG.� EXPANSION ANCHOR 1/2"x 8` LONG (4) REQUIRED (4) REQUIRED ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT do WASHER (4) REQUIRED COUNTER BORED FLUSH WITH BOTTOM AT 8" O.C. (8) REOUIRED CONCRETE PAD INSTALLATION —t POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION - u i t _j� ,►' CHASSIS FRAME LIGHT HEAVY -WEIGHT PLASTIC PAD INSTALLATION 36" MAX MUM—WERE UNITS 1/4" GRIPPER PLATE TO BOTTOM SINGIS NIDE UNITS LENGTH OF WIDTH OF HOME (2) REQUIRED OF PAD LENGTH OF WIDTH OF HOME I HOWE 24 26 28 44 HOME 10 12 14 16 1/4" GRIPPER BASE - M 1 UP TO 44' 8 8 8 12 UP TO 44' 6 6 6 6 44'-1- to 66' 12 12 12 18 44'-1- to 66' 8 8 8 8 1/2-13UNC01/2"x 3" C.R. 66'—t- to 80 20 20 20 24 66'-1- to 80 10 BOLT WITHTH NUTS 01/8- BRIDGE NUMBER 10 10 10 LOCK PIN WITH OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED NUx 4" (4) REQUIRED PIN NOTE, SINGLE WIDE UNITS REQUIRE (4) E—Z TIE PADS. GUS GUARD TUF-1 PIERS ARE 01 1/2" SCH 40 PIPE RISER WITH TO BE PLACED AT APPROXIMATELY EQUAL INTERVALS ALONG EACH FRAME RAIL. I � I _ 01/2" ADJUSTER HOLES AND 3/8" THICK TOP PLATE 02` SCH 40 PIPE STAND WITH TWO ��Es �<<;;;,, STATE APPROVAL 01/2" ADJUSTER HOLES i ., ABESCO ABS PAD X503 STEEL FRAME - �`� • :: _ l' f : :-✓ k. Z {� EXP% &� ca 0 9 c J'l U a a I 0 d OF Ci 4a I. i d O u r h > 37 TUF-1 PERMANENT J `- FOUNDATION SYSTEM < Elly z a -g s , /2" ABESCO-GUS GUARD COMPANYo 5851 FLORIN - PERKINS, ERKINS ROAD SACRAMENTO, CA 95823 t PH: (800) 382-8831 FAX: (916) 383-5207 WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 3 of 3 0 CDF FIRE SAFE REQUIREMENTS AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made apart of this permit. These requirements are minimums and will be superseded by Butte County local regulations .which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. [ 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards [A 1273.02 Surface. All driveway surfaces.and structures (bridges, 1273.07 culverts and other appurteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. [� 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway'shall have a horizontal inside radius of i� curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. 2. The length of vertical. -curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 14 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [ 1273.05 Turnouts. Shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. [�] 1270.10 Width. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along,its entire length. Page 1 of 3. AP # PERMIT # NAME 1273.10 Turnouts. Driveways exceeding 150 feet in length, but I less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [xl 1273.10 Turnaround. A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates } 1,.. Gate entrances shall be at least two feet wider than the roadway it serves. 2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01, Setback for Structure Defensible Space. [ ] 1. All parvels 1 acre and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from 411 property lines and/or the center of the road. ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. J 1276.02 Disposal of Vegetation and Fuels. Disposal, including chipping, burying, burning or removal to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall ba completed prior to completion of road construction �r fi.ial inspection of a building permit. Page 2 of 3 �7 z AP # PERMIT # NAME Other Recruirements [�] If Building Setback is 15 to 30 Feet: Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 0% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials 9, ( 3 -Uz Date IS Signature Page 3 of 3 i c t 1299-81B,E . � PERMIT NO. Q t PERMIT EXPIRES '-.:—/ 7 �y OWNER Charles Guy a CONTR. owner X8RRK8�R 64-57-21 ASSESSOR PARCEL ' LOCATION 14162 Racine Cir.,lot 143, PP#10, Magalia 4 u. r k f' t t M yf 'r f t t ? t11' Temp. Power Pole_ �l Called PG&E _ i Temp. Elec. Service V Called PG&E_ t Temp. Gas Service _ i Called PG&E_ } .. JOB FINALED ('Date) Signature i i J = OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Pl,-ns) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC, (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date 1' Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line - 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date n 1 J = OK t 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL,(Single and Duplex' r � Datej UNDERFLOOR PI s OK except#'s Date FR Continued 1. Zoning requirements -Setback ase 48. Pro Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 xt. Doors= heck Garage -3rd story, 2 exits tg., Garage; Soils -Steel- /1-U/" Ftg. Depthair • Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches &Decks; Soils -Steel- / /" Ftg. Depth 5 ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab ing-Nailing-Veneer SoWli-ernwalls, Garage; St4pel-Blockouts-Wrappe - -1!!!?-2 3. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access W_-F4e+�Fireplace Ftg.-Steel 5 ."Glazing Area -Glass Protection -Skylights -Plastic 8. .W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. r Walls; Nailing -Bolts ; Size -Anchors 1 e; Test -Anchors -Regulator -Service Test 1 Xlectric; derground 1� ums & 1&cts; Clearance -Material -Support -Ins. 119..liW4w-Sills--A'h0or Bolts -Joists -Vents -Cripples Card-BIate Card BI Date 24 . Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI JkZ Date Card -BI Date Date F/Nge tPlans) OK except #'s Card -BI ate Card -BI Date Date PLUMBING (Permit) OK except #'s "IV. Ext. Steps -Door & Sidelight Protection -Landings Smoke Dete for _ 14. Water Ht.; Vent -Access -Combustion Air 5 Furnace; encs -Clearance -Comb. Air -Connector - yn Gara d; Above Floor-Ducts-Mech. Protection 15. Npter Pipe; Test & Anchors -Nail Protection 16. D. .V.; Test-,VMgs & Anchors -Nail Protection 59. edroom Exit"ng 17. Sho r Pan; est, First Floor -Tub Access 60. F.I. ath Fixtures & Tub Access 18. Test b Shower, 2nd Floor -Tub Access 61 c. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pip ize & Anchors 8&r'-8teire & Raile [rep ace or Stove; Clearances -Hearth 84�-Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. E4%e Outlets & Receptacles at Kit. Counter Date ELECT ICAL Permit OK except #'s 6�:e-9eracJe-Pir>r•Door; Swing -Landing -Closer ucTin Gara a -D r Fixture & Transformer Clearance -Ins. Protection Htr.; Ven earance-Comb. Air-Connector-P.R.V.- Garag � ve Floor-Mech. Protection 2 ec. eceptacles Spacing -Lights &Switches at Doors ogPIion-Foam-Looked Plb. ec. &Mech. Equip. Listed for Location ec. Receptacles in Garage; (G.F.I.)-Romex Protec. 2 ize x & No. of Conductors -Stapled 23 me stalled alled Close to Edge of Studs & C.J. 2 uip. Ground made up w/Mech. Fasteners -Bond Gas & Water in Attic E3 Yes Circuits in Kitchen nductor Size Za-auarMails & Deck Construction -Post Caps 26. Subfeed Wire Size / ga. Cu r A.C. Wire Size / / ga. Cu or Al dn. Vents &Crawl Hole Door -Drainage & Wood -Earth Clearance - Loo < or - ❑ Yes '• 27.%QAa>_e Circ / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, 1 Insulated Neutral El ❑No 75, Following instld.: Drive ❑ Yes No_; Walks ❑ Yes �No; Planters ❑Yes!o 28r-&aLv ae-Riser Conductors & Ground -Main Disconnect wn- [Wish 29:­EJo4p. JRAr_ances; Panels-Motors-Mech. Equip,isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet es 301-,&QUtCloset Light -Shower Light pve Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Disconnect, Electrical, Plumbing Card B-1 Date and -BI Date Card B -I Date Card -BI Date 8 x erior EFec• .. c e- n er round W. 82�1Pt0taction VUlliftEM11 ughout House Date MECHANICAL (Permit) OK except #'s84. 8 . _ Corrections from Previous Inspections as Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. W Sewer Connected -C/O to Grade -HD val 32. Vent n; Exhaust above Insulation 86. Energy Compliance Ce icate-0th t• icate 33. Conden to DraijJ& Overflow; Size & Grade _ 34. Furnace- nt Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Acces2Platform if Furnace in Attic Card -BI Card -BI Card -BI Date Card -BI Date Da I Date ate and -BI Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FR MIN ens) OK except #'s Comments at Final: 36. IP -roper Material & Anchors _ ds; 37 13f s Studs -Nailing, Spacing & Bracing -Plates -Sound 399 -01a -ring Walls over Girders & Floor Nailing 3 op in Walls (rat proof) _ , Furred Ceilings -Stairs -Chases -Tub 41 er & B am -Size & Bearing _ 4 _Post Caps -Anchors -Connectors 4 ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 4ace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. age Fire Protection Framing IN, (NOTE: An entry must be made each time you visit job site) = ' ' COUNTY OF' BUTTE - DEPARTMENT OF PUBLIC WORKS PE I N0. 7 County Center Drive - Orovllle, California 95965 - Telephone 916/534-454 zzpc APPLICATION AND PERMIT r/ ^ v ASS E SO PAR��{JMBiR/ zO =�� BUILDING PERMIT OWNER ITELtPHONE cS'�Mo SO. FT. OCC. BUILDING VALUATION ®® i .-OWNER'S MAILING A SS c / CONTRACTOR'S NAME f n ELE ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ZRDO ARCHITECT OR ENGINEER �- LICENSE NO. Plan Checking Fee $ no Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee ' $ BUILDING ADDRESS y PLUMBING PERMIT Filing Fee 10.00 " Each Trap 2.00 Repair drainage or vent piping 5.00 -,--4 Water piping LOT NO.SUBDIVISION NAME PA EL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCNRE _� r- SF[:]Duplex❑ Mobilehome❑ Other -1►J7-I Q. SPECIFY Building sewer Lawn sprinkler system 5.00 ,_,_,� TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ g Describe work:. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. '(DWI- CCUP.y' OR ADDNS. \ ACC. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. Classification �I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 NON.RESID R.BRANCH CIRETITS 2.50 ea NEW -CONSTR. (POWER APPARATUS &I NONRESID. ( SINGLE OUTLET CIR. so @ 250and Ex. OCCUp OUTLETS OR FIXTURES BAL01 FIXED ALNS. Ex. Occup.(oUTLETSP(RESID )REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. . ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate � of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C - laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shal I 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the'County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X�This �/ Date - Signature of Applicant - Owner g pp Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ I t� occu . GROUP _ J TYPE 01 CONST, yr _ // 11A"111_1 v PD HD LJ e-1, ISSUE d permit is hereby issued under sions of the Butte County Code and/or work indicated above for which By. Q�)DIREC R F PUBLIC PE T EXPIRES Date the applicable provi- resolutions to do fees have been aid. P WORKS ate ( ��. /L K 47 aj Receipt No. �-'n a E9 WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT i Butte -coun LAND OF NATURAL WEALTH ANL` BEAU T1' DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4681 H. W. McDONALD Deputy Director October 23, 1979 Eleanor M. Guy RE: Proposed Abandonment 170 Racine Circle PUE & RE, Paradise Pines #10 Magalia, CA, 95954 Lot 143 - AP 64-57-21 Racine Circle Dear Mrs. Guy: Pursuant to your letter of October 4, 1979, concerning the abandonment of a public utility and recreation easement located on Lot 143 of Paradise Pines Unit No. 10, please complete.the following on the attached petition for abandonment: 1. Get signatures and addresses of adjoining property owners who may have an interest in said public utility and recreation easement, plus other property owners in the area, totaling five or more. 2. Date petition. 3. We need letters from all utility companies stating they no longer need said easement, 4. Submit a check to this office in the sum of Fifty Dollars ($50.00) made out to the Butte County Treasurer. If we can be of further assistance, please notify this office. Very truly yours, Clay Castleberry Director of Public Works Original sign" by H, Wi IMdGD I� HWM: jm (Encl.) H. W. McDonald GA Deputy Director cc: Mapping/wo encl. Building Depar, tmenti/�o=encl t ,. -?,74'7-- 7y -A !PERMIT NO. P E M MH UTIL. PERMIT NO. 2747-74PPF PERMIT EXPIRES '.OWNER Charles MY f-CONTR. Ray Munjar, Paradise k A<LOCATION (A.P:64-57-21 ) 170 Racine Circle, lot 143, PP#k10, Magalia rss r Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called JOB FINALED E SPRINKLE Framing 'Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish- Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS 471' V_ea 6�? 71�p a 2,at, Z55� Fixtures Motors Water.Htr. Subpanels Grd. Fault Pro Service Temp. Pole Underground Permanent Final Q/1/ 6, /_ , , 16-1 /�/ 1017 COUNTY OF BUTTE — DEPARTMENT 00' PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE I Final Footings Footing ELE TRICAL E SPRINKLE Framing 'Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish- Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS 471' V_ea 6�? 71�p a 2,at, Z55� Fixtures Motors Water.Htr. Subpanels Grd. Fault Pro Service Temp. Pole Underground Permanent Final Q/1/ 6, /_ , , 16-1 /�/ 1017 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC W R S 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541��� (r/ APPLICATION AND PERMIT authorize representativescounty of t3utte to enter upon the above-menti,ned pert or spe on purposes. Xr Date 7-12-74 Sig tur of ermitee or Agent Receipt No. ;;� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date 7-2cf"7� 7- Z"!- �S Building permit expires Date ...._....._..�.__.._... BUILDING Owner Charles J. Guy SQ. FT. OCC. BUILDING VALUATION Mailing Address 10330 Oak _Gate St. Bellflower, Ca. 90706 (21)gl�ehaJ377 y Fireplace Contractor Ray N. Munjar Cgnst.Y Total Valuation Mailing Address 5248 SCOttwood Rd. Permit Fee Plan Checking Fee&/or Penalty Paradise, Ca. 95969 873 11I n No. Permit Fee $ $ Building Address 170Racine Circle PLUMBING No. @FEE PERMIT FILING FEE 1 $2.00 2 .00 Ma alfa Ca. Each Trap 1.50 [ / Repair drainage or vent piping 1.50 Water piping 1 1.50 1.50 Each gas water heater or vent 1.50 A. P. No. (o�` s�-- V9 Gas piping system 1 - 5 outlets 1 1.50 1 . Each additional outlet .30 s S o FireDept. Fire Zone Use Permit Building sewer 1 5.00 5.00 EQA Parking P ahs Parcel Declaration Parcel Ma p10.00 60' R/W Improvements Lawn sprinkler system 2.00 ai. Plans Recd / 'IF/199.1--Approval Pd'r el Approval ` Plans Approval Permit Fee $ $ 309901 NEW ® ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE 11 $3.00 3.00 Main service incl. 1 meter 1 3.00 3.00 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑x Others ❑ Range, Cook -top or Oven 1.00 � S.Q F,T Water Heater or Space Heater 1.00 20 5 Light fixtures bald 10 rz?Ag Receps., switches & fix outlets 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: Ray N. Munjar Const. Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 5248 Scottwood Rd. Temp. Power Pole 5.00 License No. 271019Classification A Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 11.00 $ 11.00 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. 0 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. lecertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby 21.00 TOTAL PERMIT FEE authorize representativescounty of t3utte to enter upon the above-menti,ned pert or spe on purposes. Xr Date 7-12-74 Sig tur of ermitee or Agent Receipt No. ;;� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date 7-2cf"7� 7- Z"!- �S Building permit expires Date ...._....._..�.__.._... r, •' �" x ERMIT NO. 1582-78B. PERMIT EXPIRES 6wNER Eleanor Guy CONTR. owner LOCATION (A.P. 64-57-21 1 170 Racine Cir., lot 143,.PP#10, Magalia ,G 3 fi Temp. Power Pole_ Called PG&E Temp. Elec. Serv.— Called PG&E-, Temp. Gas Se Ca.1-fed PG&E /OB FINALED—y-o (Date C (SignaVire) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONItCORD ' UILDING; BUILDING (Cont'd) PLUMB G*' Setback Firewall Soil Piping Forms Para ets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handicapped Conformaof a X. structur Appliances Gas Piping & Test Temp. as Slab Final Vl Sanitation Patio I FIREPLACE Final Footings Footino E ECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Begim IRE SPRINKLE Framing Test Stucco r Final Mesh MECHANICAL Scratch Heatin Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOM UTILITIES --- ------------- Elec- ervice Water Piping Sewe I E ME INSTALLATI N -------------- Su ort Water Piping Drbinage t DATE REMARKS OR CORRECTIONS .I"- ZG- -!f 4P WB' oew" 4-1 Fo-r _1. S A Grd. Fault Service Under r and Penman nt Final Elec. Pe estal Gas Pipi g Elec. C tinuity Gas Pio na (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oro` ille, California 95965 �/TCX �� Tel ephorre: 534-4541 /OOVV c;2 APPLICATION AND PERMIT e—) ✓ uuuI . . Ico... ' vca UI UIC \Iuullly VI OULLC LU CALCI UNUII u1e above-mentioned property for inspection purposes. X x -A z 1M-z4c*4_ >-;v �,t-r`� Date %dam Signature of Permitee or Agent re Receipt No. / ZV_6� White-D.P.W. - Yellow -Assessor - Pink -Inspector r Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date Cl 6 - 7;F Building permit expires Date —6 —7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION a is jo 0 Mailing Address %� P Telephone No. Contractor Mailing Address 0 Fireplace Total Valuation Q Q (, Telephone No. Permit Fee O Building Address ZZ2��� �� £ P I an Checki ng Fee &/or Penalty Permit Fee () PLUMBING No. @ FEE PERMIT FILING _FEE $3.00 Each Trap 1.50 1-�>�i ✓� -�Q Repair drainage or vent piping 1.50 A. P. o. oC Ste- Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 4/es I .C. S n tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60''R/W Improv ents Each additional outlet .30 Building sewer 5.00 Bldg. ans Rec'd Parcel Approvalt Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Sin le Famil ❑ Duplex ❑ Mobil Home Others 9 Y ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600 V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING CCUP. Y\ rLP sq ft I 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: NEW CONSTR BRANCH CIRCUITS) NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS .&, NON-RESID, SINGLE OUTLET CIR, EX. OCCUD(OUTLETS OR FIXTURES 50@25 Ex. Occup.(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 1.5. 00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ C uuuI . . Ico... ' vca UI UIC \Iuullly VI OULLC LU CALCI UNUII u1e above-mentioned property for inspection purposes. X x -A z 1M-z4c*4_ >-;v �,t-r`� Date %dam Signature of Permitee or Agent re Receipt No. / ZV_6� White-D.P.W. - Yellow -Assessor - Pink -Inspector r Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS BY Date Cl 6 - 7;F Building permit expires Date —6 —7 S7 PERMIT ERMIT NO. i PERMIT EXPIRES OWNER CHARLES GUY N CONTR. owner ASSESSOR PARCEL 64-57-21 LOCATION 14162 Racine Circle, Magalia Temp. Power Pole_ Called PG&E Temp. Elec. Service t Called P( Temp. Gas Sei Called PC JOB FINALE[ y Signature r S7 PERMIT ERMIT NO. i PERMIT EXPIRES OWNER CHARLES GUY N CONTR. owner ASSESSOR PARCEL 64-57-21 LOCATION 14162 Racine Circle, Magalia Temp. Power Pole_ Called PG&E Temp. Elec. Service t Called P( Temp. Gas Sei Called PC JOB FINALE[ y Signature J = OK 0 = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS •= Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS VERS, CA_RPORTS,4T . PI K except N's Zonigg-REq rements—Se' cks—E�serrtems��_ 2. Soils; Special MH Support—Sketcho 3. Sewer; Location—Test—Fall-C/0—Concrete _ zings; — —S ing— ors Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch)' Anood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete- 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -BI Date Card -BI Date Card -BI Date/L'), 4 7 Card -BI Date Card -BI Date Card -BI Date Card -BI _G Date6,?81 8 Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements ' Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead-Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8, Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date V = OK NO 0 = Not OK - = Not Applicable Not Ready RESIDENTIAL (Single ,and Duplex) = Date UNDERFLOOR Plans OK except H's Date FRAMING (Continued) _t. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings ` 2. Ftg., Main; Soils -Steel -Elect Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3. Fig., Garage; Soils=Steel-'/ /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Solis -Steel- / /" Ftg. Depth 51. _ Plywood on Roof OverhangTAttic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. _ Siding -Nailing -Veneer 6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers -Fireplace Fig. -Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. 55. _ Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts _ _ 9. 10. Gas Pipe; Size -Anchors Water Pipe: Test -Anchors -Regulator -Service Test d/ 6 11. 12. 13. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI %-Taff Card- I Date Card -BI DateCard-BI Date Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except It's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's Card -BI Card -BI 14. 15. 16. 17. 18. 19. Water Ht.; Vent -Access -Combustion Air Water Pipe: Test & Anchors -Nail Protection D.W.V.: Test-Fttngs & Anchors -Nail Protection Shower Pan: Test, First Floor -Tub Access Test Tub& Shower, 2nd Floor -Tub Access Gas Pipe_Size & Anchors Date _ _ Card -BI _ _ Date Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66.' 67. 68. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer A.C. Duct in Garage -Damper Date ELECTRICAL Perrrit) OK except q's Gard B -I Card B-1 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture & Transformer Clearance - Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners_ -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral Yes _j No _ _ _- _ Service -Riser Conductors & Ground-MainD_isconnect _ ____ Equip. Clearances: Panels-Motors-Mech_Equip. Clothes Closet Light -Shower -Light _ Date Card Bi _ Date Date Card -BI Date 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic C] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ElYes 75. Following instld.: Drive ❑ Yes ❑ No; Walks 0 Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. Gas `est -Meters Tagged; Gas -Electric Card -Bt Catd-BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support - _ _ Vent Fan: Exhaust above Insulation _ Condensate Drain & Overflow: Size & Grade _ _ Furnace -Vent: Access -Comb. Air -Return Air_ Vent -_115_V outlet____ Attic Access & Platform if Furnace in Attic Date Card -BI Date _ Date Card -BI Date 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates - Card -BI Date Card -BI Date Card -BI Oate Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Com tents at Final: 36• 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills: Proper Material & Anchors Walls. Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop to Walls (rat proof) Fire Stops: Furred Ceilings-Stairs-C_hase_s-Tub Header & Beam -Size & Bearing i Hangers -Post Caps-Anchors-Conneclors Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng. Ftreplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm, Windows or Exiting Doors -Sill Hgl. & Dimensions Garage Fire Protection Framing !~ _ y (NOTE An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P IT N 7 County Center Drive - Oroville, Californila 95965-) Telephone 916/534-4541 APPLICATION AND PERMIT AS ES R PA C7`B R ZON BUILDING PERMIT "" � E TELE HONE SO. FT. 0rec. BUILDING VALUATION OWNE 'S MA ING A RESS 1*16 6i 4.r CON ACTOR'S NAME ELLPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON T UCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCH CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 91 Penalty $ BUILDING ADDRESS ' / ^ V Permit fee PLUMBING PERMITFiling Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. Ii SUBDIVISION NAME �R C�Ep MAP C) cX> Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK . New � Addition ❑ Remodel ❑„ Utilities Installation❑ Other ❑ Describe work: O IJ (�, _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is In full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.✓4 New CONSTR,( A , qft h�sea ULTB OUTLET NO N.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e\ SINGLE OUTLET CIR, / Ex. Occup OUTLETS OR FIXTURES 20050e SAL030 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESIO.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. XI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. O X . Date ` Signature of Applicant — Owner XContractor ❑ Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE � 01© occu P. CONST.TYPFJ FLOOD P CEL PD HD ✓ TISSUE 11,101, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC By PER E PIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. Q== WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I r.Y;.::,&:y+ N Y q .,.;; ly '..y.,� .FrFNl42..: r ..•/..Ji w'+i4'i7'Jf.; k. _. .'1 ,"' .titer 'W.� --.�' ... 1'.-, , +- •.r :-. COUNTY OF BUTTE - DEPARTMENT.OF,. PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFdR 995 65 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. G OWNER �� r C S A. P, o. 3 �C2 Proposed Building Use Building Inspector C Date / At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or. issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . lot plans inuplicate triplicate, signed by preparer of plans. . I /_ Complete plans in duplicate. triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . , . etter of signature authorizati . ^ OeLanitat ion approval from ✓� S•c'Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ), _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Ins 18.. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. When ou issue the permit proc s as follows: '-Mail to ner, Mail to contractor. " Telephone � and hold for pickup at r�n fice, Deliver w/inspector. Other Appl i c a n t <� -r 7� �? %?7 4�D'ate l r - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior t9 pert 1. Index permit for above items No. 2. Additional items required: uance: (Circle new item not checked above). Contractor, designer owne was advised of above required data by_phone---nail �' counter by 148 date- Contractor, designer, owner, was advised of above required data by—phone —ma ll_counter,6y��,,,,,�; date Plans checked by Date Plans approved by �' C'l -Date /0 alto Sets of plans on hold in File cabinet AP folder - Flours: 10:00 a.m. - 3:00 P.M. .Copy—DPW TO.: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER Plans approved for: Hold final for: LOCATION AP # Sewage Disposal )c Water Supply Final Clearance O.K. for: Clearance for - bedroom mobile home. Other Clearance for addition of, A-45t Not Water Supply Water Supply ARIAN r -DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not), signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. ! i 5. I will provide some of the work but I have contracted (hired) the following' persons to provide the work indicated: Name Address Phone Type of Work' i Signed: Property Owner Social Security Number ,,? Date V1_2 e4AW 4 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 11,11,. (y1,CRJR f fCf 91211019 /0/0#/0 407--9*, (3 f i r 5'v FW11-0000 ,RD PF{ -rjj6� xr.Cd�WER;,G ,90706 PAourf, �� "All M Workmanship Shall 1 �,.1, . Yr9S 53 Si . • . RCT Materials & Accordance with Recognized Good Practices and �;. of a quality prescribed for the Specified use in the 'C4 FAR AND, 'R0 GA/ GAel)o or Uniform Building, Plumbing & Mechanical Codes anal s2- 1A1STAC'L.'ST!gNDARD BUTTE" (.n ;�,��� the National Electrical bode. .o ') : /000 GA. 5EPTIC S Y.S ? E�ti� w/ 16" Ti TE ! in/E 'o, �"W. !00' . WATER 5YST_M W/ ti ,A/. B, Cz-. zr COMP. n/6t/ c°wd�°c C— /RO S." , AS/'///1 / 7 ,4OG? 63x2 J" 131115E ROCK CL ff COMP. CCACH PAD °° °i �a, 0, �j S ,' ,200 /1MP ELEC. •SES'I/ C- 9.- - `' '� • 9 - DE,[ o.PlJ .WATER CO. NOTE• SAVE A4,4 W0001 FU,4I. t. r: ;''.'GT// f) f A,��,p� nd specifications '. kept on e io� a`t all times and it is unlaiyf@ to make any changes or alterations on some without O`Y'NE'Written permission frorr��V ),Q Department,of Public _ \Narks, County of Bu`ffe. ' PARADISE P0115 Contractors are B, t.by iaW t.:)?0_ 4 •ARCHITECTURA:COi licensednn_i ter ►,', the r_�nt:r;c ' r. �C,l� tato Licon,r, iz,,, .TRACT he r gist'a,- rf t:... con1,.•ecto,s' Stafo Lic�ntic� :ia:,•r qP 6Y o _ 1020 N Sire I Sara:rmer.,o. California 95+;11 t, s i'�9 i O A setback of 5 ft. from the s '�� t'4,*Y , � .` �..._:., _.... , property lines and aAetbadt h:b%':1�' • of'50ft. from the road p center ine-sha•Il be%lear of . s _ strict res or equi�ment exct for 4�,ft, eave overhang. ,,•G n . �• TC• Yt i l k1p 'y o v l 0 0 u XW BUTTE `C/A/ 3UILDING 'E TM SCALE-- APPRO �::'4_-Brit ,;Z'i•�`' .. . _ �.;',1Q:�3,•;lVO. �?5� . O/�'AN/�/• 8Y--' G. /�, �'7/EiPy:4R.0�� r Q Y Max. Aise 45 Min. Run Run measured toe to too, 3 5 %" max. tolerance between largest & smallest rise/rLin, 14 vc6 v IFP eBr7� Qa ep$0a�o/ �' o Of ' ��0�� �aQgO Top rad to 6e 36 in. high with in- .� X tarmediate rails to be not over Provide adequate bracirtq. b in. apart. CK�K� "X & ", fi�/R DE Ole LAIAL , n o 0,x.4 BUTTE COUNTY BUILDING DEPARTMENT APPROVED 7 F'73- a/67 R�Sib,EN71flk Dick. NFA aTr��N� DoT 1,�3 Ch8Rl,Es 0, -Li .6 N/62 RRC / N E C'iRckE. M II CTAJ- i&, 09, q6-176-4 J I w O �OA , > -�, -- G Z- av"` Q. `' rn: , Z J I w O �OA , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESS R PA,gEL NUMBE ZONING BUILDING PERMIT O R TELEPHONE SQ. FT. OCC. BUILDING VAL ATION O R'S AILI ADORE , C N ACTOR'S NAME f TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONST UCTION LENDER UNKNOWN Total Valuation $ Filing FeeIQ $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME 1 J JPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[]MobilehomeM Other �da-t-IL" SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other r Describe work: P r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, 8S the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason oa ADDNST DWEACCLLIN GOCCUP.81) S. ,h¢sgft NEW CONSTR. U TI.OUTLET2,50 ea NON•RESID BRANCH CIRC TS POWER APPARATUS e (SINGLE OUTLET CIR. I EX. Occup(OUTLETS OR FIXTURES eAL@30 FIXED APPLES. OR EX. Occup. OUTLETS (REBID.) EA.I 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 9 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X xt ra;J yl% Date 4,611yIav % Signature of Applicant — Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $db 0��� Occu P. CONST.TYPIJ ISCHOOLIFLOOOIPAR.CFLI PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above to w 'ch ,-.DIREC R F BLIC PERMIT EXPIRES ate the applicable provi- resolutions to do fees have been paid. WORKS Date `� Receipt No. WHIT[-D.P.W.. YELLOW-, seF I R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will'be issued until this verification is received. 1. I personally plan to provide the major. labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not)�signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will 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: Property Owner 2,..6,0t� Yom% Social Security Number Date 7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832.of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. _