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Home My WebLink About064-680-0100 JACK 0. HART 14848 Masterson Way, galla Permit#3694=88MH- ting its) Issued _C'� Permit#3836-88P (gas 64-68 p" ing/MH) -� 10 c(c)4-6So-o(�rl I ' PERMIT NO. 3694-88MH'I ex* site PERMIT EXPIRES OWNER JACK JACK 0. HART CONTR. OWner ' ASSESSOR PARCEL 64-68-10 LOCATION 14848 Masterson Way, Magalia 4 Temp. Power Pole Called PG&E Temp. Elec..Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED-(Date) Signature i. = OK 1 D'Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity;'Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -81 Date 10. Roof; Shthg-Roofing Card -81 Date Card -B1 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s -Zoning Requirements -Setbacks -Easements Card -131 Date Card -61 Date e�Footings; Size -Spacing -Marriage Line Card -131 Date Card -B1 Date .2r' -Gas; MH Test -Demand -Valve -Connector p�-Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s .&"brain; MH Test -Fall -Flex Connector 1. Setbacks -Easements .Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability j!Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness- Dead Men -Lining -W -Gas and Electricity Tagged �17xits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI Cert. of Occupancy 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 -Panel boards -Ins. to Main in Conduit Card-61ate Card -B1 Date (Sr_G-Z9- Card -131 r_g Date and -B1 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -131 Date Card -131 Date Card -81 Date =OK - = Not ° plicable RESIDENTIAL .(Singple and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De _ 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -B1 Date Card -131 Date Card -B1 Date Card -61 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -61 Date Card -B1 Date Card -61 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -81 Date Card -B1 Date Card -B1 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -131 Date Card -81 Date Card -Bi Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48..Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration -Wal Is-Wndws Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE • DEPARTMENT OF PUBLIC, WORKS .:'. ,- 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWN 1 ' io . T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and .should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 1 - 12C, TRN k< 'goo cu Gs 4- 'Co rY 2ru (S' i I W A i 1a- l -Qi All N -I M01GILr7 Inspector Date V� COUNTY OF_ BUTTE i DEPARTMENT -OF F 13LIC WORKS'. 196 Memorial Way, -Chico -,Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 ;fi CORRECTION NOTICE8 3r -? OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. T LOCRtgL LjN,�A& of �7=0_A 2 Itki.E nE y ✓s1zx..�S� WQ> �-_LUC.CtfLIS"' JZJIC VL_ lS lao Arv\p :k N•>TZaa �rnm� RL 1'j fk '-(L To TW sr- aYo- Ml�x, 1 3s' dN \.bwJ oc- MoG11fT _ y i •a: T�-Sir or M0 C.rr `A Inspector /:yj1_ rb Date_ 1 — 2-7 -8 MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT N0. Address or location of mobilehome � % - Owner's name 1 Owner's address �^ Insignia or hud number Manufacturer's name Serial number of V.I.N. i Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBIL�HOME IS INSTALLED ON A FOUNDATION SYSTEM. a �513B White - Owner, Yellow - Installer, Pink - D.P.W. r J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P / E MIT 0.�� 7 County Center Drive - OrovitYe; Califprlaia'95965 ^Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARC BER r�J U ZONING BUILDING PERMIT OWNF Ttej ELEPHONE SQ. FT. OCC. BUILDING VALUATION. OWNER'S AILING ADD ESS " CONTRACTOR'S7NAME TELEPHONE . CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee .$' 1000 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 10.01) Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ OtherBuilding sP CIF Gas piping system 1 - 5 outlets 1 5.00 sewer 5.00 Mobile Home S I G 110.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities[]. Installatjon❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.0) Main service 100 AMP ORSLESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑, a the owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.pi ,h¢sgft NEW COrNSTR� AMULTI-OUTLETBD NON.RESID BRANCH CIRCUITS) 2.50 ea (POWER APPARATUS e (SINGLE OUTLET CIR. ! Ex. Occup OUTLETS OR FIXTURES BAL030 FIXED APPLNS. OR - Ex. Occup. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 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. ❑ 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 o 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 1 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 1b)Issu! all'rSlities, judgments, costs, and expenses which may in any way accrue C a ainst aid unty in conse ce ofttt granting of this permit. XDate/��`l � Si ature of Applicant — Owner ❑ Contractor ❑ Agent Elwork n 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 $ 4 TOTAL PERMIT FEE OCCUP. CONST.TYP! SCHOOL FLOOD PARCEL I Po I No- This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been pai ]. `DIRECTOR OF PUBLIC WORKS By r ac�� Date PERMIT EXPIRES Date Receipt No. ? 7 YELLOW WNIT!-O.P.W.. W�-A78OR, PINK -INSPECTOR, GOLD IN RDD -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) �114,y( 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 Sof 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 /t9 /SCLI� 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 5�L Address Phone Type of Work �F Signed: Property Owner Social Securit mber Date 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. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALIATION SHEET 1. Ganer's nme: JACK 0. HART 2. Installer's name: 9. Is the site currently under permit? Yes / / No /X (If yes, furnish permit number ) OR Is the site an existing site? Yes / X/ No (If yes, furnish two (2) plot plans.) = 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes / X/ No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- 100 Amps 6. Wbat is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 100 Amps S. Is them any other electric load to be'served by the mobilehome siteservice? --------------------------------------------------- Yes No T �. (If yes, identify .the load and size: (Lead) - (Amps) 4. What is the mobilehome site gas pipe size? ---------------------- 3/4 10. What is the type of gas service? ----------------------------- Natural T% LPG %fid 11. `N"'a_t is the gas pipe length from meter or tank to the mobilehome? 10 ft. or b2tt-( t.) 12. Q. -hat is the mobilehome gas demand? ------------------------------ (BTU) (T`his information not required if pipe length less than 6 ft. on natural or less than 50 ft. on LPG.) SUM DEOARTMEN' If other than single vide, D Mobilehome Mfr. GOLDEN WEST furnish Setup Model No. C* 0�Year a .width- ` 24' (ft.) "Box -Length - 52 (ft.) Tagalong or Expando Size ft. x`ft. (SHOW SUPPORT DETAILS BELOW) a• On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check oae di. Wood either pressure treated 4 foundation grade . (in.) (in.) (in.) (in.) Xaa (ft.)J (in.) (in. .)I (in.) 2. Other. (specify) SuAAOrte (check one a1. Concrete block. El -2. Other. ( specify) Tagalong or Fxando, " show support details. 7, x --Typical Support n.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) I i _ -- Max. Overhang (ft.)(in•) *1f center piers are other than drawn above, ::..raw in -locations, spacing, and dimensions. `LInter s pport Center support, locat ons* footing sizes'.. _ (in.) _ ( ft (in.) (in.) (in:) (in.) (in.) (in.) (in.) Xaa (ft.)J (in.) (in. .)I (in.) 2. Other. (specify) SuAAOrte (check one a1. Concrete block. El -2. Other. ( specify) Tagalong or Fxando, " show support details. 7, x --Typical Support n.) (in.) Footing Size -- Max. Pier Spacing (ft.)(in.) I i _ -- Max. Overhang (ft.)(in•) *1f center piers are other than drawn above, ::..raw in -locations, spacing, and dimensions. MANNS DEPARTMEM APPROVED. 112 i - CD tilli or to P v Hive M ff3l S'V N U MANNS DEPARTMEM APPROVED. 112 �.. COUNTY OF BUTTE - D ?ARTMENT OF PUBLIC WORKS r 7 County Center Drive - Orovillealiforrfia'95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT 1` 1 PERIIIINT 0�0 ASSESSOR PARCEL NUMBER 64-68-10 ZON I BUILDING PERMIT OWNER JACK 0. HART TELE O E 872-3623 So. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 3173 TANGEMAN TRAIL, PARADISE, CA. 95969 CONTRACTOR'S NAME OWNER/SAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $-� ARCHITECT OR ENGINEER 7_1LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty • $ BUILDING 14848 MASTERSON WAY, MAGALIA, CA. 95954 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOTNO. SUBDIVISION NAME PARCEL MAP 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 I G W 10.00ea ; TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations] Other ❑ Describework:_ Installing M.H. on previously developed site. /�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR 00 AMP ORLESS10.00 Main service 1 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines and Professions Code and my license is in full force and effect. License No. Classification IX -1 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 NEW CONST. DWELLING OCCUP.N A CC • BI ) LOGS. NEW , 2h2sgit CONSTR� U -OUTLET NON•RESID .BRA CH CIRC ITS 2.50 ea POWER APPARATUS IN (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES eAL020®30505 FIXED APPLNS, OR EX. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 15.00 P rmit Fee $ 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. 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue a;n, aid unty in consequence of the granting of this permit. 3 4�_Date��LLV - Sure of Applicant — Owner ® Contractor ❑ Agent ❑ AOSHA 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 oe CUP. CONST.TYPE IVOLI FLOOD P)R:ELJ PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees IRECT R UBLIC By PER IT EXP S Date the applicable provi- resolutions to do have been paid. WORKS Date ✓J /� rr// Receipt No. �� aQd"� WHITE-O.P.W., YELLOW-ASSE630R. PINK -INSPECTOR. GOLDENROD-AP►LI CANT 00 FOR DATE M `0F PHONE so EA CODE " NUMBER EXTENSION SIGNED LITHO IN U.SA. - TOPSFORM 3002S - - - � 1�� - - -- �� -- �� _ �e �` d J _ �� S �� - �� -- - - �`�� . �� Cwriet - . ,� ,�e .� �,�v� �I�/� • � - - ary ,•, y��a,� — a'- -1.z�- r- rL. ;t'....R ... ,�- r . a..-yii'rY'i.:tL`«:.'S'iUl'/'..',""-v". x.%�.�.-..�,MyriL"iT'�c".�'�.:;4.Y�,:_ti.'' �-:'�C.a%-f::.-'i7i'}=-C• :"iJ. ,�.., -. %.C.�" .. � +R � ,c COUNTY OF BUTTE - DEPARTME¢-6Ft;PiJBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE. CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ' i PERMIT APPLICATION DATA SHEET Permit No. OWNER JACK 0. HART A. P. No. 64-68-10 Proposed Building Use M.H.I. Building Inspector -S 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. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate./triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , . . . , , , 9. Letter of signature authorization�� l0. Sanitation approval from /' � Health Dept. • �/ / _5- - 11. Planning approval for (A) Use: (B) Parking: l 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. Mobi lehome Installation Data. . . re- nspec. request to 7. Pre -Inspection for si .equir d. Building Inspector (Date 8. Recorded copy of Agricultural Acknowledgment Statement. c� 119. Driveway Permit. — 06 t i 20. Plot plan approval from city of 21. Engineered trusses'in duplicate (required prior to plan check). 22. When you issue the permit, process as follows: ail to owner, Mail to contractor. Telephone and hold for pickup at office, Deliver w/inspector. Other ct Applicant 42 / ate /Z'y"� Copy of plans sent Health Dept., Fire ept., Other Date The following data must be submitt prior to er it issuance: (Circle new item not checked above). 1. Index permit for above items No /V P r, , 2. Additional items required:.Q1i. (d, r Contractor, design (S> wn was advised of above required data by'! p� mounter b"We Contractor, designer, owner, was advised of above required data by —phone _maII—counter by` -� date Plans checked bO—Date lans approved by Date _ Sets of plans on hold in File cabinet AP folder Copy—DPW a c t _ , BuiYvingrDepartment FROM: Environmental Health '`'SUBJECT: SANITATION CLEARANCE P 1 OWNER Plans approved for: Sewage Disposal ` Hold final for: r !,Final Clearance O.K. for: i r � s Clearance for 3 b Broqom mobile home. Other ' LO CATIO N Water Supply Water Supply Water Supply Clearance for addition of / v ��,�L��f��/ l_k��f� No* { SAN DATE BUTTE COUNTY SCHOOLS.DEVELOPMENT-FEE CERTIFICATION FORM (One Form per Building) A.P. Number 64-68-10 1 Building Department No. School District PARADISE City Q Property Owner JACK 0. HART Project. Location/Address 14848 MASTERSON WAY Subdivision County ® Jurisdiction Lot Number Y Residential Development: 1 ~ Sq. Footage 1248 # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq.`.Footage New Addition (Including Exterior Roofed Areas) • e 'Building Department Representative Date a District Id No. PARADISE UNIFIED School District certifies that JACK 0. HART 872-3623 (Applicant Name) (Phone Number) 14848 MASTERSON WAY (Street Address) MAGALIA CA. 95954 (City) (State) (Zip Code) has complied with the requirements of Resolution.No. by the payment of $ EXEMPT representing 1248 square feet. F_�)tA,14—fio S�� I S'bthool District Representative Date PAID -BY CHECK NO. BANK NO PAID BY CASH REMARKS: Moving M.H. purchased in 1981 to another '*P.iece of.property that was developed several .years ago. white -applicant, yellow -building department, pink -school district SCHOOL FEE (5/88) A Ketrurn . i u..DPW ACRTCULTURAL STATF.ME:.N'T OF ACKNOWI.EDGI.21ENT FOR RF'SIDF%ITIAL DKVElDPMF'VT -- Sert it,n ZG-K.I of the Butte County Code requ i rc•s this acktruwledgement be recorded I,riur to issuance of a_ bui (ding permit. h6 -, The d property described herein is adjacent V/ to land or included within an area zoned for agricultural purposes, and residents of this properly may be subject Lo incon— veniences or discomfort arising from the use of agriculLural chesicals, including, but. not. limited to herbicides, pesticides, U� (J and ferLi1izers; and. from the pursuit of agricultural operations including, but not limited to cultivation,_ plowing, spraying, pruning, and harvesting which 11 occasions y generate Cnst, smoke, noise, and odor. Butte County has establishvil agrirul tural zones which have as a priority use for productive agr.icu] tur.rl purposes. ;uid t osi4lc•nt:; within said zones and an ad jacenL property should be prepared to accept surf i iu(mvru i t•nt-,- or discoiiform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, (N -scribed ;is follows: Lot 10, Paradise Pines Unit No. 2, which map was recorded in the office of the Recorder of. the County of Butte, State -of California on June 10, 1970 in Book 35 of Maps, at pages 71, 72, 73 and 74. AP #064-68-0-010 WITNE.SS State of California) S.S- ® tP'■,-T WiF 1,11 But to ) m o R■ a M -J •. a a Y;m n ay 0sUJ 0 ■ s.cn >m • ° f s PST COMPARED VM, ORIrANA1 DOCUMENT PROP OWNERS: V/ On this the 7th day of—Nnuembar , 1988 before mv.. the undersigned Notary Public, personally appeared JACK 0 HART ® Personally known to me.. E Proved to me on the Imsis of satisfactory evidenrr. to be the person(s) whose name(s) -i subscribed to the within instrument and acknowledged tit;it he executed the same for the purposes therein contained. IN WI'I'Nl:titi '•1{F.REOF, 1 hereunto set my hand anti official seal. Ret urlt__t oDP'W _ ACRTCI;LTURAL STATFMEN7 OF ACKNOw1.ED(.I•:MI•:NT FOR RFSf ENT1AL 01':VF.IDPMF.N1' %ect ion 26-M-1 of the Butte County Code requires i.h i s acknuwledgement be recorded prior to issuance of a_building permit. llie property described herein is adjacent co bind or included within an area zoned ® for agricultural purposes, and residents 138-0385138 ; Rec Fee 5.00 of this property may be subject Lo incon- Cash 5.00 r veniences or discomfort arising from the + Recorded use of agricultural chemicals, including, + Official Records but not limited to herbicides, pesticides, County of ; and fertilizers; and from the pursuit Butte ; of agricultural operations including, Candace J. Grubbs ; PARTY SHOWN E but not ,. li.mi ted to cultivation,. plowing, j Recorder spraying, pruning, and harvesting which `._8:21am 14 -Nov -88 - occasionally generate dust, smoke, noise, and odor. Butte County has establ islivil ;i;;ricill tural zones which have as a priority use for productive agricultural purposes, ;ind rrsidc•ui:; within said zones and an adjacent property should be prepared to accept slit -it hic-4mvi•nii•nct- or discouform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, ;is follows: Date: Lot 10, Paradise Pines Unit No. 2, which map was recorded in the office of the Recorder of the County of Butte, State of California on June 10, 1970 in Book 35 of Maps, at pages 71, 72, 73 and 74. AP #064-68-0-010 WITNESS PROP F State of California) ® ",!nle¢? 443 Butte ) O ® In 0 o B ° o J r� W D U j ro • ® m dw v o (L a E ® s Z 0 a an e is PROP F OWNERS: On this the 7th day of Dkiembe•3= , 1988 hcfory mc. SS. the undersigned Notary Public, personally appeared JACK 0 HART ^ ' ® Personally known to me. ❑ Proved Lo me on• the luisis of satisfactory evidence. to be the person(s) whose name(s) subscribed to the within 'instrument and acknowledged that he executed the same for the purposes therein conLa i ne•d • IN WITNESS HFREOF, 1 hereunto set my hand and of f i c i ai seal. tary Public tkb OF DOCUMENT 0