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064-580-023
T- 64-58-23 Harold Herrig -4A*(A$ R -9-M 70 Chatham Ct., Magalia contr:,Feather River const., Magalia--- Permit 876-76P,E(uti1.,MH) ELEC. GAS S Tj SUPPORT TRUCTURE REQ, COMPACTION TEST 1312. 4j 'ez s� 06#58-23 co9t 4Z� Unk s.q lelzMagalia Permit #363-77B(new private garage) 64-58-23 Contr. ��,K e, n tvy o 0 d MH Sales, lChico Permit #123-78MHI Issued f G--7 - 58-23 -contr: Gerald Blake, Paradise Permit #1214-7.9B(new open deck/MH) 064-580-023 01-0312, ELLIS, MARGARET TRUST 6312 CHATHAM CT.'; MAGAL '&V-4�0 - - - - - - - - - - 3 , CONTR: CHICO ELECTRIC REPLACE EX POWER POLE TO E 66 .. — - - - --. - . - - - - - - ---- - 4 4-,580-023 03'-19727 E TO ELECTRIC 03--1977 ELLIS, JERRY 6312 CHATHAM COURT, Cont FORRESTER, JOEL EX MH ON PERM FND '9-50-03, I N Pr - EEIG Ln r`. RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 ilii ifl llf f iffl l 11 11 fill ffl l{ Ilffl Recorded I REC FEE 10.00 :lfficial ;iet_ortis I DiN ORlN 1.00 C:nunty [If CITY COUNTY STATE ZIP 03-1977 530 CNNLIF)C1. J. GRLIBBS I R?corder I ROSEMPRY MCKSCIN I 'ilssistant I Karen 12:34PM 30—Jul-2003 I !Jape 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED ROME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. JERRY S. ELLIS AND MARGARET A. ELLIS REAL PROPERTY OWNEWLESSOR 6312 CHATHAM CT MAILING ADDRESS MAGALIA BUTTE CA 95954 CITY COUNTY STATE ZIP SAME INSTALLATION MAILING ADDRESS, IF DIFFERENT TY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-1977 530 538-7541 BUIIAII7TG PERMIT NOL TELEPHONE NUMBER 9,30- C S ATURE OF LOCAL A ENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, wnte "NONE") NONE DEALER LICENSE NO. HALLMARK 1978 LEXINGTON 256 MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER CAHKO1256781290 A / B 60'x24' CAL095018/9 SERIAL NUMBERS) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY t ULAL DESCWTION ASSESSOR'S PARCEL NUMBER AP # 064-580-023 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY.Ht:n PINK.An 1;, flli T1CURr111. A.�IA:... T..., c LOT 231 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 1111, WHICH MAP WAS RECORDED IN "THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 17, 1970) IN BOOK 38 OF MAPS, AT PAGES 17*1 18', AND 19:- EXCEPTING THEREFROM ALL MINERALS, OILv GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LAND HEREIN DESCRIBED AND THAT NO DAMAGES SHALL BE DONE TO THE SURFACE OF SAID LAND. .0 O�LIN�DATI a N�SYSTE BUILDING PERMIT NUMBER: 03-1977 Address or location of unit: 6312 CHATHAM CT., MAGALIA CA 95954 Legal Description of Real Property: AP # 064-580-023 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: JERRY S. ELLIS AND MARGARET A. ELLIS Owner's address: 6312 CHATHAM CT., MAGALIA CA 95954 INSIGNIA OR HUD NUMBER: CAL095018/9 SERIAL NUMBER OR V.I.N.: CAHKO1256781290 A / B MANUFACTURER'S NAME: HALLMARK YEAR: 1978 OFFICIAL APPROVING INSTALLATION:, vq2 , QId DATE: PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT REGISTRATION CARD Manufactured Home Decal Mn• A ATIIQn Manufacturer ID/Name HALLMARK Trade Name LEXINGTON 256 Model DOM 00/00/1978 DFS 00/00/1978 RY 1978 Exp. Date Jun 30, 2004 Serial Number Label/Insignia Number Weight Length Width SPC SCC Exempt Use Type CAHKO1256781290A CAL095018 60' 12' AJN 04 SFD IL CAHKO1256781290B CAL095019 60' 12' Issued Total Fees Paid Jun 18, 2003 $54.00 Addressee JERRY S ELLIS 6312 CHATHAM CT MAGALIA, CA 95954-9417 Registered Owner(s) JERRY S ELLIS * ►*.**.. ►* **.,**. �..**.******.«.. MARGARET A ELLIS ATTENTION OWNER: Joint Tenants with Right of Survivorship THIS IS THE REGISTRATION CARD FOR THE UNIT6312 CHATHAM CT DESCRIBED ABOVE. PLEASE KEEP THIS CARD IN A SAFE MAGALIA, CA 95954-9417 PLACE WITHIN THE UNIT. Situs Address 6312 CHATHAM CT MAGALIA, CA 95954-9417 Legal Owner(s) BANK OF AMERICA - CONSUMER LOAN CENTER PO BOX 2190 RANCHO CORDOVA, CA 95741-2190 Lien Perfected On: 01/26/89 14:01:00 .INSTRUCTIONS FOR RENEWAL: REGISTRATION FOR THIS UNIT EXPIRES ON THE DATE INDICATED ABOVE IN THE BOX LABELED "Exp. Date". THERE ARE SUBSTANTIAL PENALTIES FOR DELINQUENCY. IF YOU DO NOT RECEIVE A RENEWAL NOTICE WITHIN 10 DAYS PRIOR TO THE EXPIRATION DATE, CONTACT H.C.D. FOR RENEWAL INSTRUCTIONS. IMPORTANT THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING -AND COMMUNITY DEVELOPMENT- AGAINST THE'DESCRIBED UNIT. THE CURRENT TITLE STATUS OF THE UNIT MAY BE CONFIRMED THROUGH THE DEPARTMENT. DTN: 2873364 R 06182003- 390 t e r �_ -��- =�1 �� � �.___1 �� �. Fidelity National Title Company OF CALIFORNIA Butte County Development Dept c/o Hand Delivered Dear Sir/Madam, DATE: July 2, 2003 ESCROW NO: 104434 -CC PROPERTY ADDRESS: 6312 Chatham Court, Magalia, CA 95954 Through the above numbered escrow the unit located at 6312 Chatham Court, Magalia, CA 95954-9417 known as a 1978 Hallmark by Lexington will go through the title elimination process and a 433 will be recorded. Through our escrow the existing legal owner, Greenpoint Credit, will be paid in full and their interest eliminated. Sincerely, 1 Cindy Costa U Escrow Officer CC enclosure(s) 455 Oro Dam Blvd. # A • Oroville, CA 95965 • (530) 533-5511 • FAX (530) 533-1526 July 1, 2003 Butte County Building Department County Center Dr. Oroville, CA 95965 Washington Mutual RE: Permanent Foundation System on Manufactured Homes Quo II Gentlemen: Jerry Ellis is applying for a Residential Refinance of his home at 6312 Chatham Ct., Magalia, CA, APN #064-58-0-023-0. Washington Mutual requires that the structure is placed on a Permanent Foundation System and issued a 433A Certificate in order to process the loan request. Should you have any questions regarding this matter, please give me a call. tl Center Manager Oroville Financial Center 2001 Oro Dam Blvd. Oroville, CA 95966 phone 530.533.6771 fax 530.533.3257 r 9-13594 RECORDING REQUESTED BY: Donald R. Travers WHEN RECORDED RETURN TO:013594 ; Bee Fee 7.00 Donald R. Travers -1 Check 7.00 +' Attorney at Law Recorded 529 Pearson Road., Off :i cia l Records t' l Paradise, California 959139 County of ; Butte MAIL TAX STATEMENTS TO: "andace J. Grubbs i Jerry S*Ellis Recorder Margaret A. Ellis 8:02am 9 -Apr -91 S CD 2 6312 Chatham Court Magalia, CA 95954 �. A.P.N. 064-=58-0-023-0 GRANT DEED The undersigned grantors declare: Documentary transfer tax is NONE. No consideration given. Change in formal title only. (See note 1 below) FOR NO CONSIDERATION, JERRY S. ELLIS and MARGARET A. ELLIS, husband and wife, do hereby REMISE, RELEASE AND FOREVER GRANT to JERRY S. ELLIS and MARGARET A. ELLIS, as Trustees of the ELLIS REVOCABLE INTER VIVOS TRUST initially created on January 24, 1991, all of their right, title and interest ,in and to the following described real property in Magalia, County of Butte, State of California: LOT 23, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT 11", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON DECEMBER 17, 19701 IN BOOK 38 OF MAPS, AT PAGES 17, 18, AND 19. EXCEPTING THEREFROM ALL MINERALS, OIL, GAS, ASPHALTUM AND OTHER iiYDROCARBON SUBSTANCES, WITH PROVISION THAT ANY AND ALL MINING OPERATIONS SHALL BE DONE FROM ORIFICES OUTSIDE THE SURFACE AREA OF THE LANDHEREIN DESCRIBED AND THAT NO DAMAGES SHALL BE DONE TO THE SURFACE OF SAID LAND. NOTE #1: Conveyance transferring Grantors, interest into a revocable living trust: This conveyance transfer he Grantors' interest in the described property into .their revocable living trust which is not pursuant to a sale and is exempt pursuant to Rev. and Tax Code Section 11911. 1 91-13594 NOTE #2: Grantor JERRY S. ELLIS is the same person as Trustee JERRY S. ELLIS, and Grantor MARGARET A. ELLIS is the same person as Trustee MARGARET A. ELLIS. This conveyance to a revocable tru3t, and pursuant to Rev. and Tax Code Section 62(d) (2), does not subject the property to reassessment. Dated: , 1991. J E77Y S.,, LIS MARGAR A. ELLIS ` ACKNOWLEDGMENT STATE OF CALIFORNIA COUNTY OF BUTTE ) ;04 -,Aft ®r$f gi,119—Pd ?i ,?n'�1 y':!z'y } Os'ai airl On �}Er'?,�►"r'"J :9:21tpfore me, the undersigned, personal l§r:(1 and MARGARET A. ELLIS, known to me basis -of -satisfactory ' cp,.Ato me on the evidences ,byeithe;E�ey�ons whose namee are subscribed .to the foregoi r_$:1:mnta Ac nowledged to me that they., executed the salve ? na '�+ ?�:� WIC1AL sut EL AM.TQAVM NOTARY PUBLIC NOTARY MOW— CALVCRMA BUTTE COMTY �NTY W 1'ftSSiCW EXP. FE0.11.1M 0 op- 2 END OF DOCUMENT JUL-23-2003 09:35 GREENPOINT CREDIT 858 513 7578 P.01 H1 .\ /V. ` k -i11 I I1 ti 1 \ vw tri GreanPoiet �G�edM �r Butte County Building Department 2 Oakhill Dr Oroville, CA 95966 RE: Mobile Home Surrender to -Real Estate -for Jerry -&-Margaret Ellis_ July 23; 2003. To Whom It May Concern: This letter is to serve as permission for the above named person to place -the -manufactured home with-thefollowing-description on a -permanent foundation: Trade Name: Hallmark Model: Lexintgon 256 Year' 1978 Serial--#-:. CAHK&1-25678,129.QA/B If you have any questions I can bereaehed-at 85&5-13=6251..ext_66,17. Sincerely, Deborah Dornber g Lien Perfection/Titling Department GreenPoint-Credit, OU TOTAL � TOTAL P:01 064-580-023 �. �'', v/ p 170312 " ET LIS, MARGARET TRUST ' 6312 CHATHAM >CT., MAGALIA (.CONTR: CHICO ELECTRIC • r _ REACE Ek POLE, PLEX MHS ELECTRIC. r'r GAS COMPACTION ST REQ SUPPORT • STRU URE tr . THE..HCDIFORM 3A FOR THIS MH CANNOT? -? {'BE RECORDED NTILE' OF.=THE ;FOLLOWING;;•. HAVE BEE URNED IN 0 `THE BLDG, DIV:,-. CENSE+PLATE ) -o.r ;DECAL(THE';' _.INSPECTOR, MUST ETRIEVE) . ( } -STATEMENT OF FA S (ONLY. ON • • .�� • .., �r ANEW -,MH' S) ..:.. ' r -;�.-.► �� , r INSP_EC_TOR ;,TO VERIFY }SERIAL.; & LABEL S' J M COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541NIERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT CIO � t,'/- S ASSESSOR PARCEL NUMBED%• r� r, L-/ J c :i U 3 2O°NNO l BUILDINGPERMIT OWNER s t �- • �i� + (, i I r 1- TELEPHONE 1 0 + SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS , �'Y;•• i ti r _ - 'a CONTRACTORS NAME}/» Cc TELEPHONE CONTRACTORS MAILING ADDRESS r tj CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOINGADDRESS Energy Plan Checking Fee $ I ► ( 4,' % If PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome P, Other WY SPEC 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: ��i r �� _ . y/� Gas piping system 1 - 5 outlets 15.00 sewer 15.00 —Building Mobile Home S FbTW 020.00 PERMIT FEE $ ' ELECTRICAL PERMIT Filing Fee 20.00 Main Service *oA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. License Class / • c, Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors license Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project: ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier IL- , � . - . � Policy Number -+ -- ' - (The above sections need not be completed If the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X t �`: . 1. Date i - I = - ' Signature of Applicant - ❑ Own' ❑ Contractor' ©'Agent An OSHA permit is required for exca3ations over 5'0" deep and demolition or construction+I� of structures over 3 stories in height, Main Service WEA TO ISA 46.00 NEw CONST. DWF11M10occuP. F°. OR ADDNS. ( a ACC. BLDS. 3.5¢ NewrMT. NON•RESID. MULTI.OUTLET @7.50 POWER APPARATUS 6 SINGLE CUTLET CIFL EX. Occup. OUTLET OR FIXTURES eA�L ®I:� FIXED APPLNs. OR Ex. Occu . ouTLETs R®ID. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 !10: _ � w , ; 1 4 ; PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ (� 1,� , (• HAz. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE 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 i ;/r , _. •�.. Vie, Date PERMIT EXPIRES ON Date ReceiptNo. - if, 11_� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. ----L - - -N (Rev. 12/96) APPICATIOAND PERMIT � ASSESSOR PARCEL NUMB5N G ZO BUILDING PERMIT OWNER IFLEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAIr ATIS J( CONTRA R' NAME '_EPHONE 71-033 /^�^J �� /�/� �/J� CONTR TO S MARINO ADD k Ir(.�. C `.'_"r`+ ! s� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFO Duplex ❑ Mobilehome Other SPECIFY Each Trap 7.00 Solar or heat pump water heater [Each 23.00 Water piping 15.00 gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel g Utilities ❑ Installation ❑ Other ❑ Describe Work:ALA�k FYI /, ] p.4o b� 'P22i�t • l � - Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (9?20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2200A OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect.PSING License Class �' % b Lic. No. As" 3`-1S -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for thisERMIT 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. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier kx_g I Policy Numbe -= ..J--IZL % 49-`3 C)8 ct,—=X (The above sections need not'be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that 'rf 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Ownr ❑Contractor Agent An OSHA permit is required for exca ations over 5'0" eep and demolition or construction of structures over 3 stories in heigh Main Service ZOUA TO tOooA 46.00 NEW CONST. DWELLING oCCUP. 3.5QSo ORADEN ET MULTI -OUTLET NON -EW RESID. 97.50 OWELEPPARATUS 8 R AOUTLET CIR. Ex. OCCU ouTtEr OR FrxruREs en �';� OWNER Ex. Occup. Els R� D J E 5.00 OM Temporary Service 23.00 Mobile Home Facilities 20.00 M' c. Wiring 23.00 kkk ^ ,W 23 OO FEE $ ' 00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI= S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ , Haz. D. IMP I FLOOD I CDF I PARCEL PD I H6 ISS 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 -� to PERMIT EXPIRES ON to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION a:. 7 COUNTY CENTER DRIVE - OROVIL,LE, COAL IFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARC ER: Proposed Bwlding Use: • Building Inspector: At time of permit application, I wAs advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------1 03. Complete plans, 3/4 sets, signed by the preparer of plans. --------------------------------------------- 114. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 0 6. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form.--------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications ---------- 0 10. Fees of $ ----------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. --------------------- ❑ 12. California Department of Forestry plan approval/fees.-------------- ❑ 13. Flood elevation certificate. --------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ❑ 15. City of Chico plumbing permit. ------------------------------- ------ ❑ 16. Plot plan and business license approval from the City of Biggs. --- ❑ 17. Planning approval for (A) Use: (B) Parking: _ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ l0. Encroachment Permit for driveway (construction approval prior to occupancy). --------------------- V 20. Pre -inspection for Ac - required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ----------------------------- ❑22. Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - ------------------------------- ❑ 24. Letter of signature authorization.-------------------------------------------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------ --------------------------------=----------- ❑ 28. Existing violations and/or expired permits. --------------------------------------------------------------- ❑29. 11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . -------- ❑30. Other: a When you issue the permit, process as follows ❑ Mail to owner?CMail to contractor ❑Telephone and hold for pickup at office. �5eliver with inspector. Applicant: f` l Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, o Air Pollution Date: By: Copy of plans sent o Health Department, ❑ Fire Department, ❑ Other: Dat: By: 1. Index permit application for the above items numbered: JJ ❑ Plan Check List 2. Additional items required: a- I -01 P (Date) Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: _ Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: _ Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date: _ Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, o Building Division counter, by Date: Plans reviewed by: Date:-'. Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. PRE - OWNER: LOCATION: (0 a CONTRACTOR: c kab EkQ,c� PRE-INSPETION DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE Building Description: Electric: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant N REPORT DATE: A.P. # ?Yo (''J '� d- 003 ZONING: PC- =T' ( S FOLLOWS: BUILDING INSPECTOR'S REPORT Yes No Electric currently On Off Condition of Electric + Gas: + Natural Propane . None Currently On Off_ Obvious Problems: P Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: ✓ HOLD FOR Inspector: Date Sketch buildings on reverse and indicate location on property. } =ft.�, •;,,int -,r ' .. •' �•:'�� �•: .. A. 44 .��•''/'• 1. i '.� a :� • , y»� •K� K(/ .�� .r_.�.�_... '� �r.i:....�.._•'--c::�'__.-._..d��a�.'��,�"�•';,iY:.f♦a� -y?';L::.;' �?;r .r' - �•w.�• ��!'�' •'�7. •� 1 r. .�,'..k?is—.,•• ;'.!R,�gw•y!VO Rki"' '`�;:�.: f•.' •:tib`?iw:i..t�,7,•.1.�'�•n'r�°�'' I•� - f�'a ?F•.'.•' •-' K 2 �;.ilyrl•��:;. 4+i�bi• •r,.ai� ,1•. .: �P!5 9 .oiFl�.'�1 c-`.e��%S.•;•.A,J V•;. �.f2'�,+.��1 e�,:aa' '.� i 1J 41 .—.l�i,.'x',r`•.�_e"•"�Fe.i':•,ky_:!a.l_,._:3. :-Y .'. (;!; •..��q_,._':.:'•:.. �'i'.r. -'yygp �3r ri'r,, ...�•, 6 ~ d 1 bo a3 v-4 ^� v '4 CO to eo oo ri c I OD N60 cn N I � to a 00 ld in rc N N d to MU 44 Ln 4) v w oG f' °' II aJ _tib ,> • �. f to a� _ fYr n+ P4 (U td ^ ,00 u aa) 1 I'— - 1 O I e°\. ' 1 �� dg4-0 o 4 1 c1 14� M a) -4 abC b cc 4=url U 7W. V 4J rO C la yyI •r{d1+ 43L to O O a) Ct8 • a 1 � to i• + uww0cn Om°a1+ 4) " !r ';,fi kkv .-- v ••56 Y,j`�CJ :: Viiia •..1: t:' .;f�.,.; .. •: iJ bite:.. •J=a:�% .fe.i � V9t :60 tC �z &.f , , I . ��{fir,. � ',�•;.', t -'r NOTES RESIDENTIAL 1 T064580 -023J 03-1977S, JERRY _ PERMIT NO. --`6312 CHATHAM COURT, MAGALIA Cont: FORRESTER, JOEL ` EX MH ON PERM FND THE HCD FORM 433A FOR'THIS'MH CANNOT BE; RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED -IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE'.. INSPECTOR MUST RETREIVE). " r. (2) STATEMENT OF FACTS (ONLY ON NEW MH'S') r LINSPE&Ok-TO VERIFY SERIAL & LABEL #'S. SPECIAL CONDITIONS CHECKED BY r t i� I SPECIAL CONDITIONS CHECKED BY t t � 1 t � •� •,' � \� 1 J=OK 0 = Not OK . = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or/ /" L "ft./ P LPG Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 7. Well Clearance & Disconnect 2. 8. Utility Clearance 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. Date 7. Card B-1 Date Card B-1 Date Frmg.; Sills-Anchors-Studs-Rftrs-Trusses Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Roof; Shthg-Roofing 1. Zoning Requirements -Setbacks -Easements 12. 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected-C/O.to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11. Verify #'s with Office 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-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date .Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards--Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors Date Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. Card B-1 Date Card B-1 Date 50. Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 52. 17. Water Htr.; Vent -Access -Combustion Air Baffle Property Line Firewall & Openings 18. Water Pipe; Test & Anchor -Nail Protection 55. 19. D.W.V.; Test Fittings & Anchor -Nail Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 20. Shower Pan; Test, First Floor -Tub Access Siding -Nailing Veneer 21. Test Tub & Shower, Second Floor -Tub Access 59. 22. Gas Pipe; Sixe & Anchors Shear Walls; Nailing -Bolts 23. Fire Sprinkler; Test 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 83. Following Instld./Drive O Yes D No/Walks 0 Yes 0 No/Planters D Yes O No 25. Elec. Receptacles Spacing -Lights & Switches at Doors 84. Stucco Brown -Finish 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 87. Water Well, Disconnect, Electrical, Plumbing 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 90. Glass Protection 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes O No 93. Water & Sewer Connected -C/O to Grade -HD Approval 32. Service -Riser Conductors & Ground Main Disconnect _ 33. Equip. Clearances Panels-Motors-Mech. Equip. 96. Fire Sprinkler 34. Clothes Closet Light -Shower Light -Spa Light Date 35. Smoke Detector Date Card B-1 Date Card B-1 Comments at Final: Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 83. Following Instld./Drive O Yes D No/Walks 0 Yes 0 No/Planters D Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE ,DEPARTMENT OF DEVELOPMENT SERVICES M BUILDING DIVISION NOTICE 0 Post this job card in a safe, conspicuous place. Do not -remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site.. A 064-580-023 03-1977 ELLIS, JERRY O' 6312 CHATHAM COURT, MAGALIA Q Cont: FORRESTER, JOEL PE EX MH ON PERM FND PERMITTEE MUST CALL FOR INSPECTIONS INSPECTION DATE INSPECTOR Footings Piers Underground Conduit Pre-Gunite p Not;Pour:;t;onc- te.tlnfw ., .ove St net::;::;:::::.:::.:.::::::::.::s.:.:.:.: Underfloor Plumbing1 Underfloor Electrical Ij Underfloor Mechanical Underfloor Framing Slab l Not.InstaFl: Fr. br or:.Slabl3ntil Rough Plumbing --- Rough Mechanical Framing Shower Pan o.Plot.lnsufate.tlniilAlmvo:Si insulation :...ot,Couer;Unitl ...."i. -S"' Fireplace Footings Fireplace Throat ;..:..::...:.: .::::...:. N. ;Jll.AoConitnue.Fb....... ve;e Stucco Lath Scratch and Brown «Do f io. . t:Coyer:t)nttt>AboueSi Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUfY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY >::::;::;::> dlddresses::::>::>:<:::::<:::>:>::>::>.<Infvcmaton::':z4=Hr;::lnsp><::: :... Oroville - 7 County Center Drive 538-7541 538-7636 Chico. - 411 Main Street 891-2.751 891-2834 Revised 7/94 L COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03-1977 ASSESSOR PARCEL NUMBER 064-580-023 ZONING RT -1 BUILDING PERMIT OWNER Jerryand Mar aret: Ellis 8 TELEPHONESO. 3-1071 FT. OCC. BUILDING VALUATION 1440 R . OWNERS MAILING ADDRESS 6312 Chatham Ct Macalia CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $77 760.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ blfrMtham Ct Ma alis Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 15 oo Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ex MH perm fdn Gas piping stem t - 5 outlets 15.00 5.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 50.00 ELECTRICAL PERMIT Fling Fee 20.00 800VLESS Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) °. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hh lith those provisions. f"Applicant XDate /' �L� Owner ❑ Contractor ❑ Agent An OSHA permit is required for excav 'ons over 5'0" d 71 24e demolition or construction of structures ov r in e' Main Service TO L 46.00so NEW CONST. DWEILNG OCCUP. SO W U OR ADONS. ( a ACC. BLDS. 3.5QFr. DK)µHEOS,DT. MULTI -OUTLET @7.50 APPARATUS a SINGLE OUTLET CIR. zo@ 1,00 EX. Occup. OUTLET OR FIXTURES BAL @ .w Ex. Occup. ouT1FTs qD .oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $363.25 HAZ IssuE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic abov for hich fees have been paid. a By Date PERMIT EXPIRES ON -7/0193 Mte Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN30D-APPLICANT M :i �� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER:Jell, ASSESSOR PARCEL NUMBER Proposed Building Use:6 &;_ Ctounter Technician: `U Date: Items required in order to apply for a permit: All boxes MUST be checked OR marked NA in order to apply. ' J 1.. Plot plans, 3 or 4 sets, signedyby the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. Id 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or oundati pIans;�all in duplicate. ❑ tal-buffding§T A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 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 Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet. 54/1...?�W/ .. -tv..... _ ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. _ ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... — ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... _ ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: _ ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... e❑ Encroachment Permit for driveway from the Public Works Dept. (construction a o1 vv I p for to occupancy). 1 22. Pre -Inspection fore < m '�l,m Er d equ ed. ... .!.. ❑ 23. Contractor's license information. (Number, Name Style, Classification).... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:...................... ..... ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner)......."..... ❑ 26. Letter of Signature authorization.................................................................. ❑ 27. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Fx�istmg violation,Aland/or expired permits.........,;. (............................. �.. . ❑ 30. Grant Deed,�+M.H. Tit e/Statement of Facts, etter from Legal Owner,heck to H.C.D. $ ❑ 31. Other: When issued Telephone S3O- � Oc,( . and hold for pickup. I have beeninformed of the above items and requirements for obtaining a building permit. Applicant: /, Date: % o) -�� 1. Index permit application for the above i ems•n�umber df Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ c .un}�by�r---Date: Plans reviewed by: Date: Plans approved by: Q / /' l,l Date: - - Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division `REQUEST FOR Ify.SFEr,TION iRermit NQ.. Location: Owner: _>`_�— 1 �- I / Contractor: Call Q Phone: BLDG. PLUMB/MECH ELECTRIC M.H.I./M PRE - INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipingfrect Main Scrvice Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final ilities Woodstove Sewer Piping Well Circuit Ex Mobile Site,, Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Ready for Final Final Final Corrections Final Inspec. on: Date: Comment: PRE -INSPECTION REPORT OWNER 6 � 1-5 LOCATION: Ch CONTRACTOR: PRE-INSPEnON DATE TO INSPECTOR PERMIT HISTORY:( ) Bu riding Deseslpdon: ResidmaaYf of Units: Currently Oxupicd Abandone&V=wt Electric: Gas: Yes 4 No Condition of El *c, Electric currently On )Q, AS RX"RT DATE: ` U A.P. ZONING: i _ Natural Propane Non:______ Currently On Off Obvious Problems: Sanitation: Plumbing Worting Well Working Potable Water. Obvious SewageProblems _ ACTION RECOMMENDED: ISSUE:. HOLD FOR — Iuspecto Date���_� i Sketch buildings on reverse and indicate location on proper - ' ,� � „�' � �' - . , • �' Fir > • • ` ' o a o PARADISE PINES P.O.A. =- w'. n a ECTURAL _N a 3 U - j4. 3 NAME CO v OL COMMITTEE ' TRACT 2 m D - LOT . :h y . ATE o 0 a . APAR .OEQnvo , �. o`�:�,vp ' A ESS F + its 0,�-U ELEVATIONS1/AL FO LOT DEVELOPME MU BE SVT ON ' ,'',.` 4 ` + - a.: TO ST SUBMITT , � ' a J STRUCTURAL APPROVAL. ED .PRIOR —.Y11 C., 0 ICZ4, L•,: cis, e $etbac Ee 5.ff t-- o o Zr �' tide property ii and from the. �o 2 !� centerline of the road, permittin a %s r mtIrtof a 2 ft. eave ov 9a m easementserhang , L i II C AII` iii connections shall be `�� 2 v / <Y.loca+e within 4 ft, outside the rear;lin ST £ 'third's tion of the mobil@ 'home ' �4 Re• .%,�� �T/vim �w o 'the le t (rood), /�s L.home�' ,�� K fp/j4t�o17 Yc l j � ✓moi hu.,o � '' /o .``-_ �6 /' �.'`� ,� .; ^/�� f , Septic'sysferit "ATO Buttef'County. Health De�t,'��e, - `u'' � ,, � ;', puirementsa �.� o ., 1p till �Y..� V r $ ;/ 1 y°� G, sS r5r ✓ shy o/ 4 -RR ✓ 41 71V - s• ' 70 Z/6 f77 3`6.a3l 330147 N BUILDING DEPARTMENT 0141 z YN,he €r,> 'J, i�:�'� .'�•,, �_.,,•:Y r,r• ' •a y. ✓, / .,\ PP.ROV E.D.. ' � k � � � 1 �� .. � �' ' 1 t � t � 1 i t i 1 ' i I I i I � I } 1 z I S� r f ' . a } � •l . L j: �f' i. '� Tj. f �, � � , �• , lV� 1 1 . i �,� t �, •. Building Permit Number: 03-/9 7 -� Owner Name: Residential Construction Requirements \ IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 1998 California Building Code (1997 U.B.C), 1998 California Plumbing Code ( 1997 U.P.C.), 1998 California Mechanical Code (1997 U.M.C.) and the 1998 California Electrical Code (1996 ME.C.) COMPLY WITH ITEMS CHECKED BELOW ❑ Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required --Note:--We will -normally -accept tfie following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4: At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Pagel of 2 Building Permit Number: 03 Owner Name: j S Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. ❑ Fire sprinklers are required in this structure. ❑ The following parcel map requirements shall be met: All structures and equipment including overhabe shall be clear of all easements. A setback of4d 5% eet from the side and%w S1'from the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. j Expansive soil may be encountered on this site. This condition may require the Y� foundation to be designed by a California registered engineer or licensed architect. Page 2 of 2, e.. /VTS Ljic COUN i I�LDING ®EPARTME PPV t,. -,BUTTE, COUNTY DEPARTMENT .OF PUBLIC WORKS 7 County Center Drive, Oroville; CA. PHONE: 534-4541' . MOBILEHOME INSTALLATION SHEET 1. Owner's name:. (f 1 I<OA� 2. Installer's name.: 3. Is the site currently under permit? Yes: / k / No (If yes,. furnish 'pei-mit number OR Is the. site an -existing -site? Yes / / No /JC/ (If yes, furnish.two (2) plot plans.) 4. Will the mob1eh6me be located at least 5 ft. away from septic.'tank.and leach. fields and. clear of all. setbacks. and easements? Yes % / No (If no, clarify ' ' 5. �. 1.7.E =:.. What is the mobilehome. electrical rating?=----------qile Amp 6. What is the mobilehome site service rating. Amps. 7. What is the.mobilehom'e site circuit breaker rating? -- / %.J s:. , 8. Is there an'y.o.ther electric load to be served .by the :. f ----- Yes ./site service?..---=----=------------------------------------- / No / (If yes; identify the load and .sizes (Load). (APs) 9. What is the mobilehcaie site -gas pipe size? --------------------`` 10. What is the'type of gas service? ----------------------------- Natural /' LPG. 11. What is the gas pipe length from meter or tank to the mobilehome? (ft:) 12. .BTU). What is themobilehome'gas demand? ------------------------------7 "" (This information.not required if pipe length less than.6..f.t. on natural.gas or less than 50. ft. on LPG.) UTTEE COUN I a gUIL®ING ®EPARTM '' �PP�'.' MOBILEHOME SUPPORT DATA If other than single wide, _ Mobilehome Mfr. 2 . furnish Setup Model -No. Year . Widt(ft.) :Box Length n (ft.) T�galeng (SHOW SUPPORT. DETAILS BELOW) On*all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation. manual and structural..setup sheets (if.not on file with the County.of'Butte). All center supports measured.from front of mbbileho'me:unless. otherwise specified. Footings (check one Single .1. Wood either pressure treated L3.. foundation grade. . (ft.)(in:). (in.) (in:):.. 2. Other .(specify) Center .support Center' -support locations*.. footin' sizes Supports (check.one (.in. Tn... J. 1. Concrete .block, 2: Other (specify. at..) (W (in:) (-in.) Tagalong or Expando, show §upport .details (ft.)(in.) Typical Support Footing Size ` (in.) (in'.) -.- Max. Pier Spacing (ft.)(in.) Max.. Overhang (ft.) (in.) (in..) (in.) (.ft.)(in .) . SUM: CO�N. ��� %I ®N.DEP'AR NE , V *If.center piers are other than drawn above, draw in. -locations, spacing, -and dimensions: i' 2"x 2-x 3/16' STEEL ANGLE DETAIL "A" CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4' GRIPPER BASE 1/2-T3UNC-A307 x 4' BOtt WITH NUTS (4) REQUIRED 01 10" SCH 40 RPE RISER M714- 0 /2 MT1101/2 ADJUSTER HOLES AND 3/8" THICK TOP fl -ATE 02" SCH 40 PIPE STAND WITH TWO — 01/2" ADJUSTER HOLES ABESCO ABS PAD 1503 —� STEEL FRAHE SEE DETAIL "A" 3/8" CAD PLATED BOLT. NUT & WASHER COUNTER BORED FLUSH WITH BOTTOM AT 8' O.C_ (8) REOUIREB 1/4' STAND SASE ASESCO ABS PAD 0503 36' MAX TO 80TTOM OF PAD f1/2"x 3" C.R. LOCK PIN WITH 01/8" BRIDGE PIN yr I� J 37" 18 1/2' COACH 'C" FRAME 2" CHANNEL 1/4"x1-1/4"• TEK STS (2) REOIfRE.D 1/4' GRIPPER BASE 1/2" A307 BOLT (2) REQUIRED 3/8"x 6"x 6" STEEL PLATE 1/2" A-107 BOLT (2) REQUIRED �tU.OU� 10.00 L o 09/16 HOLE (TYP) STAND BASE TOP VIEW 17f 1;3 TUF-1 PERMANENT FOUNDATION SYSTEM COACH "J" FRAME 1/4" GRIPPER — 1 TEK STS/4^ PLATE G (4) REOUIRED rill n = °•a e 11 'pm i •� �' BASF \` ate• '�.I A307 BOLT � (�( RRED C—BEA�A J—BEAM sjj IIS ATTACHMENT ATTACHA�FNT�l'i Pte. r,z g' 1/2' DIA. HOLE (8) ! ES L] -- �_ 30- STEEL FRAME TOP VIEW STATE APPROVAL -- l � X ' z Q� odo <�6 O no°a 0 z e in > o� � z° p sA WAYNE T. POLVADO, PE -LISTING NO. F94249 SHEET 1 of 3 A I c GENERAL NOTES GUS GUARD `PUF-1 1. DESIGN LOADS: LIVE LOAD - 30 LB. FLOOR LIVE LOAD - 40 PSF WIND LOAD - 80 MPH EXPOSURE -C- SEISMIC ZONE '4" 4E SNOW LOAD 100 PSF (SEE NOTE 115) 2. TINS FOUNDATION SYSTEM IS DESIGNED TO DE CONSTRUCTED ON A FAIRLY LEVEL. SITE WITH NO EDOST NG SOIL PROBLEMS. 3. CHASSIS BEAW SUPP0915 SHALL BE LOCATED AND SIZED FOR INE LOADS AS SHOWN IN THE 'MOBILE HOME INSTALLATION INSTRUCTIONS. 4. IN AREAS WHERE DIFFERENTIAL SETTLEMENT (D.S.) CAN OCCUR, MANUFACTURED HOME SHALL BE REALLRISfED WHEN US EXCEEDS 1/4', OR WHEN IF WILL ADVERSELY AIFECT MOBILE HOME UNIT. 5. CARRY AL FOOTINGS DOWN TO FIRM, UNDISTURDED SOIL FOOTINGS AR£ DESIGNED FOR 1,000 PSF TOTAL LOAD SOIL PRESSURE, AND SHALL BE COMPATIBLE WITH LOCAL SOIL CONDITIONS. COWACTED SAND MAY BE USED 10 FILL LOCAL VOIDS UNDER PADS. 6_ STRUCTURAL STEEL: FABRICATED ACCORDING TO AISC SPECIFICATION- KLD ACCORDING TO AWS SPECIFICATIONS. ELECTRODES-3YO PLATES -ASTM A36 BOLTS -SAE GR 5=ASTM A449=ASTM A372S. 7. THE GUS GUARD ASSEMBLIES SHOWN ON THIS PAGE SHALL BE LISTED AND LABl1LD BY BSN AND ASSOCIATES FOR THE IOUffMNG LUAUS: ALLOWABLE LOADS: 110111%ONTAl. VERTICAL GUS GUARD TUF-1 22001 60001 GUS GUARD MGP PAO 22001 60001 GUS GUARD E -Z TIE PAD 22001 60001 B. 1111RING PRO MDIARY INSPECIIUN, 111E ESTIMATOR SHALL ENSURE IHAF. MOBILE HOME CHASSIS BEAMS ARE OF SFANUARU SECTION. 9. EXISTING COACHES MAY BE RETROFITTED TO RESIST SEISMIC FORCE'S BY IRSIALIING GUS GUARD NF -1 UNITS AS SHOWN 011 THIS PAGE OF TYPICAL FOUNDATION PLANS. lU. TIF_ rAlS GUARD IUF-1 SYSTEMS ARE SAFE FOR INSTALLATION IN FL000 PLAIN AREAS WHERE DEPTH OF FLOODING DOES NOT EXCEED) THE HEIGHT OF THREE FFDT. 11. MULTIPLE UNIT INSTALLATION IS ACCEPTABLE PROVIDED THE NUMBER OF TUF-T UNITS UNDER EACH UNIT IS THE SAME AS SHOWN REQUIRED PER EACH UNIT. 12. SINGLE—WIDE UNITS REQUIRE ADDITIONAL RESTRANI. • (SEE SHEET /3) • 13. ALL METAL COMPONENTS AND ATTACHMONIN ITEMS SHALL BE PROTECTIVE COATED. 14. MEN CONCRETE SLAB IS IN EXISTANCE, PAD IS NOT 16. TOUNDATION BLOCKS 16': 16":12' POURED IN PUCE AT GROUND LEVEL MAY BE USED AT INSTALLERS DISCRETION ALTI71RATIVE TO PADS. �r SINGLE WIDE COACIIS DOUBLE/MULTIPLE COACHES. E= 2' MIN. / 8' MAX. E= 2' MIN. / It' MAX. S= 6' MHN. /16' MAX. 5= 6' MN. / 22 MAX. VARIES 10'-70' (SIE TABLE ON SIIEET 03) -E -- S _S__ - S RIDGE BEAM SUPPORT AS REQUIRED BY MANUFACTURER f—I O (TYPICAL) 0 U- 0.0 8' NOM. PADS IN ANY PAIR MAY BE T STANDARD M.N. FOUNDATION- ROTATED 90 DEGREES OR PIERS AS RECOMMLINUED BY PVC SERIES OFFSET TO OTHER SfOE 10 THE MANUFACTURER OR THE SUPPORT AVOID CLEARANCE PROBLEMS. ENGINEER. TYPICAL THROUGHOUT PAO (TYP) REOUIREO. ANCFIOR STAND TO CONCRETE SLAB WITH TUF— 1 PERMANENT FOUR (4) 1/2',r 3 ►/2" EXPANSION ANCHORS. FOUNDATION SYSTEM 15. GUS GUARO TUF-1 FOUNDATION SYSTEM PROVIDES ALLOWABLE SNOW LOAD 10 100 PSF WHEN INSTALLED WITH EXISTING STANDARDS REQUIRED BY COACH [S7AONE MANUFACTURER OR REPLACE THEM ON A ONE TO BASIS. STATE APPROVAL WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 2 of 3 ,a c r c c L n c 3/4' DIA. x 18' LG. 1/2% 3 1/2' 1/2'x 8" LONG (4) REQUIRED L DWANSHIN ANCHOR ANCHOR BOLT 3/8" CAD PLATED BOLT, NUT A WASHER - (4) REQURED (4) REWIRED COUNTER BORED FLUSH WITH BOTTOM r° AT 8" O.C. , (8) REQUIRED e--*ry CONCRETE PAD INSTALLATION 1� �. d POURED IN PLACE 16x16x12 CONCRETE FOUNDATION INSTALLATION CHASSIS FRAME 1/4" GRIPPER PLATE (2) REQUIRED 1/4- GRIPPER BASE a 1/2-13UNC-A307 x 4" BOLT WFFH NUTS (4) REQUIRED 111 1/2' SCH 40 PIPE RISER Wm1-- a 01/2- ADJUSTER HOLES AND 3/8' THICK TOP PLATE 02' SCH 40 PIPE STAND WITH TWO 01/2" ADJUSTER HOLES ABESCO ABS PAD #503 �f STEEL FRAME-, 36' MAX TO 80TTOM OF PAD i - 03/2-x 3" C.R. LOCK PIN WITH 41/8" BRIOCE PIN y LIGHT HEAVY—WEIGHT .».) PLASTIC PAD INSTALLATION IQJISI-�. U1lIIlS SUITGLI3 IF]= UNM . . LENM OF HOME 24 WIDTH`OFH ME 2 44 UP TO 447 8 8 1 8 I I2 -1'b es. 12--[ 12 12 18 6s'-1' toS0 201 20 1 20 NVVAEK OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED ROM SINGLE WIDE LIMITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL WMRVALS ALONG EACH FRAME RAIL r' _ STATE APPROVAL 6 OKI L) BIC OF Uo TUF-1 PERMANENT. FOUNDATION SYSTEM z ARMCO -GUS GUARD COMPANY y U51 FLORIN - PERKINS ROAD WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 or 3 O G 0 u a n c a 0 MOTH OF HOME 12 14 16 mlo 6 6 10 NVVAEK OF TUF-1 REQUIRED NUMBER OF TUF-1 REQUIRED ROM SINGLE WIDE LIMITS REQUIRE (4) E -Z TIE PADS. GUS GUARD TUF-1 PIERS ARE TO BE PLACED AT APPROXIMATELY EQUAL WMRVALS ALONG EACH FRAME RAIL r' _ STATE APPROVAL 6 OKI L) BIC OF Uo TUF-1 PERMANENT. FOUNDATION SYSTEM z ARMCO -GUS GUARD COMPANY y U51 FLORIN - PERKINS ROAD WAYNE T. POLVADO, PE—LISTING NO. F94249 SHEET 3 or 3 O G 0 u a n c a 0 r MOBILEHOME INSTALLATION LNSPECTIOR CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes `-No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yee \ No 3. Are footings and supports properly sized, spaced,,and braced a per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Ye No 4. Is the mobilehome level?.(Sec. 5088) Yes No 5. Ifmo'te'than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water A. Is\ f�e xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes/ No ` ?kflow B. `TestiDoes water piping withstand working pressure or 50 lbs. air test? YesC. Backflow - If coac is no State of California approved; does station have"bdevice and pressure -relief v ? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end?—'Yes 'Vo B. Does it.have minimum '" per foot slope and is it properly supported? Ye�No fC. Are -any leaks detected in drainage system after runnin .3 -gallons of water through each .� fixture including washing machine standpipe? Yes_ No d D. If coach is n tate of California approved, doesat -stion have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome c nnected to the gas supply with an approved 3/4" minimum mobilehome' connector.not re than 6 ft, long? Note:. All piping is to be at least as, large as thmobilehome s'line inlet without reductions other than the mobilehome connector. s No B. Test OK as per Xllowint procedure? Yes_ No 1. Open all app fiance ponnector valves. 2. Shut off appli'knce/burner and pilot valves. 3. Air test with ma meter to 10','-14" water column, or test with slope gauge (minimum ,6oz.-maximum 8 oA o,calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas me er to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliancq/vents proRerly installed?* Yes_ No 9. Electrical A. Is service large enough to provide adequate ampetage-to,'mobilehome (must equal rating of mobilehome with a minimumo 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes1 No a - B. Is there proper clearances around panels? Yes No C. Is power supply cord,or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, -the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle LOA Length 0 Width , 21 Vehicle Serial No. C (Pd CA O/° State Identification No. Additional Information or Comments: IFC.OU,*TY -OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATEOF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 under permit number for the following location: .t T Owner e c Owner's Address Mobilehome Mfg. .Model Year Insignia No. ' t� +l�v(1 102 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. DateBy Director of Public Works THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - O.P.W. Permit: 1233-78MHI Herrig, Harold 70 Chatham Ct, Magalia i (MHI Kentwood MH Sales) Chico AP: -64,58-23 1 COUNTY OF &UT.TE, — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivel — Or/ iIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT OU a IUI ILC ICfll esenlaUve5 UI Int,uunty oI butte to enter upon the above-mentioned property for inespection purposes. X Date Signature of Permitee 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_ Building permit expires Date BUILDING Owner ' SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Buil�;ng Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning $Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 - 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home❑ Others ❑ Main service OOEAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADONS. ( ACCNEW CONST. LBLDGLING OCCUP. &) 22syft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR./POWER APPARATUS & NON -RES ID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Style Of: Ex. Occup(OUTLETS OR FIXTURES) BAI @251't(Di EX. Occup.(FIXED ALNS. OR OUTLETSPP (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 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.1 @ 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 TOTAL PERMIT FEE $ OU a IUI ILC ICfll esenlaUve5 UI Int,uunty oI butte to enter upon the above-mentioned property for inespection purposes. X Date Signature of Permitee 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_ Building permit expires Date i 1 COUNTY OF 4;UTT.E — DEPARTMENT OF PUBLIC 0 1 7 County Center Drivp f (3roviIle, California 95965 %f Telephone: 534-4541 APPLICATION AND PERMIT ..,�..,........... ..... .. ....... ny v. uu ua w cerci upvn uic above-mentioned property for in pection purposes. A,"X Date Sign re of Permitee or Agent Receipt No. / l 7" ol-2 [J White-D.P.W. — Yellow -Assessor — Pink -In ctor — Goldenrod -Applicant This permit is hereby issued under the'applicable provisions of the Butte County lode and/or. resolut,ions.fo do work indicated above for which fees have%been. aid_. DIRECTOR `y PU LIC WORKS BY Date�% wilding permit expires Date 7� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor I 4014, 110e�_& Total Valuation Mailing Address Pct �)( Permit Fee Plan Checking Fee &/or Penalty Tf;Iph_ne I cjo CA No. Permit Fee $ Building Address IPLUMBING No• @ FEE PERMIT FILING FEE- J$3.00 70 Each Trap 1.50 �S Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �-- A. P. N r Z� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im prove ents Lawn sprinkler system 2.00 131 4. Plans Recd Parcel Appro al P I a4 Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ® ❑ Main service OVER 600V too AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING CCUP. & OR ADDNS. ACC. BLDGS. ) 2�sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea ' NEW CONSTR. POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the sions Co a under the name State of California Business & Prof09 Style f: AN , Ex. Occup(ouTLETs OR FIXTURES) BAL@�t FIXED APP LNS, OR Ex. Occup. (OIXED AS (RESID.) EA) 2.00 Temporary service 10.00 Motiile Home Facilities 15.00 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 I 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation t,o,x,.i•t ''°`i Hood yrt ,.'I^';j'ic 2:00 wi Permit Fee N;jt $ $ 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 -rt i?t j�•t ' j t j `'' 1 r ; TOTAL PER I;T FEE ��'1 -. $ ..,�..,........... ..... .. ....... ny v. uu ua w cerci upvn uic above-mentioned property for in pection purposes. A,"X Date Sign re of Permitee or Agent Receipt No. / l 7" ol-2 [J White-D.P.W. — Yellow -Assessor — Pink -In ctor — Goldenrod -Applicant This permit is hereby issued under the'applicable provisions of the Butte County lode and/or. resolut,ions.fo do work indicated above for which fees have%been. aid_. DIRECTOR `y PU LIC WORKS BY Date�% wilding permit expires Date 7� 6 d!1iplelatriglU10i161g1Z CL) 8L61. T �dwv '' u L 3J Lne d'� tNnO� 3a 1. Owner's name: 2. Installer's na .,BUTTE COUNTY DEPARTMENT .Of PUBLIC WORKS 7 County Center. Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes / k/ No Il (If yes, furnish 'permit number %G-' ) OR Is the site an existing site? Yes / / No /JC/ (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / / No (If no, clarify ) 5. What is the mobilehome electrical rating? ------------------Le'. / 7s, Amp 6. What is the mobilehome site service rating? --------- ------T Amps 7. What is the mobilehome site circuit breaker rating? --- -% J s 8. Is there any other electric load to be -served by the mobile Yes / / No .T site service? -----------------------------------------=--------- (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site -gas pipe size? ----------------- ----- (in.) 10. What is the type of gas service? ----------------------------- Natural / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft:) 12. What is the mobilehome gas demand? ---------------------------- (This information not required if pipe length less than 6 ft. ,on natural gas' or less than 50 ft. on LPG.) MOBILEHO SUPPORT DATA If other than single wide, - Mobilehome Mfr. ��� furnish Setup Model No. ! Year Width a T (ft.) Box Length 0(0 (ft.) (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if.not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. tTagalong show support details. - Footings (check one) . Single (in.) (in.) 1. Wood either pressure treated or Typical Support foundation grade. (ft.)(in:) (in.) (in.) 2. Other(specify) Center support Center support Supports (check one) .locations* footing sizes (in.) (in.) -- Max.'Pier Spacing (in,) -V 1: Concrete block. El 2. Other (specify) Max. Overhang. (ft.)1 (in.) (in.) (in.) (ft.)(in.) .(ft.)(in..) (in.) (in.') or Expand, tTagalong show support details. . (ft.)(in.) (in.) (in.) Typical Support (in.) (in.) Footing Size 3DB V ` (ft.)(in.) (in.) (in.) -- Max.'Pier Spacing �6 _- -V x � -- Max. Overhang. (ft.)1 (in.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, �•-` draw in, --locations, spacing, and dimensions. t PERMIT NO. - P� 5876-76P,E " . PERMIT EXPIRES / /-J Ap� r.OWNER Harold Herrig CONTR. _ Feather River Const., Magal;a a LOCATION (A.P. 64-58-23 70 Cha --tram Ct. M-agaba r l' i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E ' JOB FINALED (Date) (Signature) y i i Setback Forms Main Bldg. Footings Stemwal l Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall; Reinf. Stee Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE DEPARTMENT OF PUBLIC' WORKS BUILDING INSPECTION RECORD BUILDING' BUILDING.(Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom'Finish 2nd Floor' Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handica ped Conformance of ex. structure Appliances Gas Piping & Test Tem . Gas Final Sanitation FIREPLACE Final Throat Final FIRE SPR Test MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS_ - ELECTRICAL Rough Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service // - 3P J Temp. Pole Underground Permanent Final (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 G5ive rUroville, California 95965 �%/ Telephone: 534-4541 � 6F/6-6 / APPLICATION AND PERMIT i •� �.. )+�a..acn�uu vco V� ano VUurlly V1 Quilt lV CIIICI uPUII IIIc above-mentioned property for inspection purposes. /Signatureff DateS�G Permitee 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 F PUBLIC WORKS BY Date /0 3 T C. ,Bailthug.permit expires Dater 7-- % BUILDING Owner �� SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor ` Total Valuation Mailing Address 1.2 Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ Building Address PLUMBING No• @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 4-&Q- 26ntng Verification Only Each gas water heater or vent 1.50 A. P. No. 6�`'Y^ S zK—moi %-= °"ging Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W. S io Fire Dept. FireZ a Use Permit Building sewer EGA Parking Plans Parcel Declaration el 60' R/W Improvements p ovements Lawn sprinkler system 2.00 92fLOT Plans Recd Z Porcel Approy�C� Plans pp1� royal Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _Je; Main service V OR LE 10000 AMP ORSLESS 5.00 ,00 Main service EA. ADD'L 100 AMP 2.50 _Sp Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 `, 5_0 SQ. FT. MINNUM NEW CONST. /DWELLING ACCBLDGS.CCUP. &) 22sgft OR ADDNS. NON_RESID R (BRANCH CIRCUITS) 2.50ea EOR MOBILES NEW CONSTR. POWER APPARATUS &) NON.RESI D. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ...///JJJ ✓�(/ _ Ex. Occup(OUTLETS OR FIXTURES) 50 @ 254t 109 FIXED APPLNS. OR Ex. Occup.RESID.) EA) 2.00 LETS ( Temporary cserviervice 10.00 Mobile Home Facilities 15.00 d License Nom /l O ff _Classification /,?, Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $,Z!5-.5-6 $mss' 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. XI have placed on file with the County of Butte a certificate of ---K Workmen's Compensation Insurance. I certify that in the performance of the work for which tris permit is issued_ I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation 42.00 Hood Permit Fee $ $ TOTAL PERMIT FEE •� �.. )+�a..acn�uu vco V� ano VUurlly V1 Quilt lV CIIICI uPUII IIIc above-mentioned property for inspection purposes. /Signatureff DateS�G Permitee 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 F PUBLIC WORKS BY Date /0 3 T C. ,Bailthug.permit expires Dater 7-- % I �i PERMIT NO. 3763-77R PERMIT EXPIRES OWNER ..H. Herrig � CONTR. Frank D. Vasquez, Magals LOCATION (A.P. 64-58-23 ) 70 Chatham Ct., lot 23, PP#11, Magalis Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED % (Date) (Signature) Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS u r</ (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list 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 handica ed Conformance of ex. structure Appliances Gas Pi in &Test Temp. Gas Slab Final Z Sanitation Patio FIREPLACE Final Footin s Footina ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures O Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS u r</ (NOTE: An entry must be made on this form each time you visit the job site.) I GOI3NTY OF BLT1-TE - DEPARTMENT OF PUBLIC WORKS -" 7 County Center Drive -. U Mille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AA (/000111 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. a Signatureof Permitee or en Receipt No. `% 76 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appliccnt This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By(JIRE OR OF PUBLIC WORKS OA `Date Z Building permit expires Date o �Z��-7 BUILDING 01F I Owner SQ. FT. OCC. BUILDING VALUATION O` 0 Mailing Address Telephone No. Fireplace Contractor C Total Valuation 176 Mai I i ng Address 1 ° Permit Fee Plan Checking Fee &/or Penalty lephone No. Zg.3 Permit Fee $ '000—PLUMBING Building Address -� - �42 No. @ FEE PERMIT FILING FEE $3.00 Ste' _ Each Trap 1.50 D Repair drainage or vent piping 1.50 Water piping 1.50 d Each gas water heater or vent 1.50 [ � A. P. No 4(0 g - 0c3Zonin g &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ��/ ed. S do FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. ahs Recd Parc pproval P 1 .!!4 111rova1 Permit Fee $ $ NEW ADDITION IN UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 f (f T NEW OR ADDNST // DWE% ACCLBLDGS.LING CCUP. &) 2¢sgft NEW CONST. .MULTI -OUTLET NON.R( RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON.RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 @25¢ 109 Ex. QCCU FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Noa��� -2____ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California LEbor 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. permit is issued. I shall not employ any person in any manner NNI certify that in the performance of the work for which this 0 as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE - PERMIT 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 TOTAL PERMIT FEE is�� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. a Signatureof Permitee or en Receipt No. `% 76 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Appliccnt This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. By(JIRE OR OF PUBLIC WORKS OA `Date Z Building permit expires Date o �Z��-7 i :._1214�79B ?ERAIT NO. PERMIT EXPIRES OWNER H. Herrig CONTR. Gerald Blake, Paradise LOCATION (A.P. 64-58-23 ) 70 Chatham Ct., lot. 23, PP#11, Magalia t fis . t l G I QQM t a Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) Setback Forms Main Bldg. Footings Stemwai I Slab Piers Garage Footings Stemwa I I Slab Slab skaffw 17, e7 asonry Walls Relnf. Steel COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI'DN REZORD BUILDING BUILDING (Cont'd) i f PLUMBING • Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidina To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Final Sanitation _ FIREPLACE Final Footing I ELECTRICAL Fixtures FIRE SPRINKLERS Motors Water Htr. Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEH )ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) f. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive - Oroville, California 95965 Tel ephc3:s:•534�4541 APPLICATION AND PERMIT BUILDING Owner �i, ���1 SO. FT. OCC. BUILDING VALUATION ��ayd f1 61 00 Mailing Address Telephone No. Contractor Mailing Address 5 Fireplace Total Valuation y Telepho_n� o.� 3 , Permit Fee �D uilding Address d C �� Plan Checking Fee&/or Penalty Permit Fee p PLUMBING No.1 FEE PERMIT FILING FEE $3.00 Each Trap 1.50 6 Y.O-4, 6Z Repair drainage or vent piping 1.50 1 A. P. No. �j -� S� — a � ZJning a Planning Water piping 1.50 Each gas water heater or vent 1.50 lf F Sa ion Fire Dept. Fire Zoe Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel p 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 � � Bldg. P161rS�ftec'd Parcel A royal �� Plans pii provol Lawn sprinkler system 2.00 NEW .® ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ cy ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. C ACC. BLDGS.DWELLING CCUP. S) 20sgft 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 le of: C NEW RESID,CON I BRANCH CIR T NON.RESI D. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCcuv(OUTLETS OR FIXTIIRES BAL�10C Ex. OCCup.(OUTLETSP(RESID.)FIXED ALNS.REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 C, t R License No -Q-1 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. @ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above- ntioned property for inspectio urposes. c Dat Signature of Permiteeeor Agent / Receipt No. / � 2; 3 L/ 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. DIRECT.@t OF PUBLIC WORKS BY Date_ B ilding permit expires Date