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HomeMy WebLinkAbout064-690-033, r 3j AP 64-69-33 �� W HAMILTON, Fred a 'y<25 Hickok Court, PP#2 lot 175.Ma`g _ contr: Fuller Const., Magalia6 �c _ Permit # 214 74P E uti1; MFi)_- Aa/aZ//6/_1 ............ 64-6g-3341 PERMIT #6283-75PO NST. GAS PIPING CONTR: CAL GAS I P4 K. %S✓. �J��K n,��e AjJ/f- E LE C . C 1490 Am Ifee S GAS � SUPPORT STR TUBE REQ . /1J�0 OMPACTION - TEST, REQ . -' .y0- — AP 64-69-33 Permit 6414-75MHI S for 2145-74) X26 y CONTR: Bernie"' s'MH" Service, Para 64-69-33 contr.:. Bern,ies .Mobile...Home .Serv..,,_.Para Permit #5562-76B(new covered deck/MH) u 1 0 0 'y LESS THAN 3 ACRE CONVERSION EXEMPTION FOR ADMIN. USE ONLY STATE OF CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION Ex. # NOTICE OF TIMBER OPERATIONS THAT ARE EXEMPT FROM CONVERSION AND TIMBER HARVESTING PLAN REQUIREMENTS Date of Receipt RM -73(1104.1 a) (9/99) Date Accepted VALID FOR ONE YEAR FROM DATE OF RECEIPT BY CDF TIMBER OPERATIONS CANNOT START UNTIL VALID COPY Date Expires OF A NOTICE OF ACCEPTANCE IS RECEIVED FROM CDF 1 The Director of the Department of Forestry and Fire Protection is hereby notified of timber operations under the requirements of 14 CCR 1104.1(a). Harvesting of trees which is a single conversion to a non -timber growing use of timberland of less than three acres. (See 14 CCR 1104.1(a) for a description of the conditions on the conduct of - this type of timber operation, and additional information that is required to be submitted.) Complete Items 1. through 8. on both pages of this notice. 1. TIMBER OWNER(S) OF RECORD: Name Gene Jefferry Rolls Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 SIGNA Date TIMBER TAX EXEMPTION: Timber owners owe timber yield tax when they harvest trees unless the harvest is exempt (Revenue and Taxation Code sec. 38116) _Some small or low value harvests may be exempt from timber yield tax: Timber removed from an operation whose value does not exceed $3,000 within a quarter, according to BOE Harvest Value Schedules, Rule 1024. If you believe your harvest may qualify for this exemption, please complete items A and B below. For timber yield tax information or for further assistance with these questions call the state Board of Equalization, 1-800-400-7115, or write: Timber Tax Section, MIC: 60, State Board of Equalization, P.O. Box 942879, Sacramento, California 94279-0060; or contact the BOE Web Page on the Internet at isms_.//3a A. Circle the option that most closely estimates the total volume for this harvest, in thousands of board feet (mbf - Net Scribner short log):Under 8 mbf 8-15 mbf 16-25 mbf Over 25 mbf B. Estimate what percentage of timber to be removed during this harvest will be: Redwood _%; Ponderosa pine/Sugar_ %; Douglas -fir %; Fir %; Port -Orford Cedar—%; Cedar (IC, WRC)_ %; Other, conifer_ %; Other, hardwood %. 2. TIMBERLAND OWNER(S) OF RECORD: Name Arron Hall Address 2505 England Street City Chico State CA Zip 95928 Phone (630) 680-5988 I certify, under penalty of perjury, that this is a one-time conversion to a non -timberland use, that there is a "bona ride intent" [14 CCR 1100 (b)] to convert to home construction site and yard area and that I have mailed a letter of notice of intent to harvest timber, prepared by the Registered Professional Forester, to all adjacent landowners within 300 feet of the boundaries of the exemption. SIGNATURE Date 3. LICENSED TIMBER OPERATOR(S): Name Gene Jefferry Rolls Lic. No. A7332 Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone(530)343-7341 SIGNATURE Date 4. Designate the legal land description of the location of timberland conversion. A map showing the location of the timberland conversion MUST be attached. The map must show the ownership boundaries, the location of the timber operation, boundaries of the conversion, location and classification of all watercourses, and landing locations. Section Township Range Base & Meridian County Acreage to be Converted Assessors Parcel Number 14 23N 3E MDBBM BUTTE .25ac 064-690-033 Page 1. NOTE:This form has two pages. Continue on and complete Page 2.. Read the instructions before attempting to complete. LESS THAN THREE ACRE CONVERSION EXEMPTION, Page 2. 5. The following are limitations or requirements for timber operations conducted under a Less Than Three Acre Conversion Exemption (Notice, Notice of Conversion Exemption, Conversion Exemption): A. Timber operations shall comply with all other applicable provisions of the Forest Practice Act and regulations, county general plans, zoning ordinances, and any implementing ordinances: copies of the state rules and regulations may be found on CDF's Web Page on the Internet at http://www.fire.ca.gov. B. All timber operations shall be complete within one year from the date of acceptance by the Director. C. All conversion activities shall be complete within two years from the date of acceptance by the Director unless under permit by local jurisdiction. Failure to complete the conversion requires compliance with stocking standards and stocking report requirements of the Act and board regulations. D. The timber operator shall remove or dispose of all slash or woody debris in accordance with 14 CCR 1104.1 (a) (2) (D). The timberland owner may assume responsibility for the slash treatment, provided the landowner acknowledges in writing to the Director such responsibility at the time of submission of this notice. The specific requirements shall be included with the acknowledgment. E. Timber operations shall not be conducted during the winter period unless a winter operation plan or in lieu practices required by Forest Practice regulations are specified within (attached to) this Notice. F. No timber operations are allowed within a Watercourse and Lake Protection Zone unless specifically approved by local permit(e.g. county, city). G. No timber operations shall be conducted until the Director's notice of acceptance is received and a valid copy of this Notice and the Directors acceptance shall be kept on site during timber operations. H. No sites of rare, threatened or endangered plants or animals or species of special concern shall be disturbed, threatened, or damaged. I. No timber operations are allowed on significant historical or archeological sites. J. Within one month of the completion of timber operations, including slash disposal, the timberland owner shall submit a Work Completion Report to the Director. 6. I, C IIKC , declare as the authorized designee of Butte County that this conversion exemption is in conformance with all county regulatory requirements, including public notice. (If the county /town has, authorized a designee this i MUST be c eted. If it has not, see item 7.) SIGNATURE Date f46,kRegisteredv— Registered Professional Forester preparing Notice: Name Randolph Vasquez Number 1884 Address PO Box 5663 City Oroyille State CA Zip 95966 Phone (530)534-5229 I certify that 1, or my supervised designee: prepared this Notice of Conversion Exemption Timber Operations; visited the site and flagged the boundaries of the conversion exemption, applicable WLPZ's and equipment limitation zones; prepared a notice according to 14 CCR 1104.1(a)(3) to be mailed by the landowner and that a copy of the notice was posted and dated on the ownership, visible to the public, at least 5 days prior to the postmark date of submission of the Notice of Conversion Exemption; and that if the County Board of Supervisors has not designated a representative authorized to sign in Item 6., that 1, or my supervised designee, contacted the county andthe otice is in conforman with county regulations. SIGNATURE of RPF Date 8. NOTICE SUBMITTER(S): Name Gene Jef rry Rolls Address PO Box 432 City Forest Ranch State CA Zip 95942 Phone (530)343-7341 Submitter must be either 1, 2, or 3 above, and must sign. SIGNATURE Date FILE THIS NOTICE WITH THE NEAREST CDF OFFICE BELOW FOR THE COUNTY IN WHICH THE OPERATION WILL OCCUR: Humboldt, Del Norte, Mendocino, Sonoma, Marin, Lake, Napa, Colusa, Solano, Alameda, 135 Ridgway Avenue San Mateo, Santa Cruz, Santa Clara, Contra Costa, and western Trinity Counties. => Santa Rosa, CA 95401 Siskiyou, Modoc, Shasta, eastern Trinity, Lassen, Tehama, Glenn, Butte, Sutter, Plumas, => 6105 Airport Road Yuba, Sierra, Nevada, and Placer Counties. => Redding, CA 96002 EI Dorado, Amador, Alpine, Calaveras, Tuolumne, Mariposa, Merced, Madera, Fresno, Tulare, => 1234 East Shaw Avenue Kern, Stanislaus, San Benito, Monterey, King, San Joaquin and Sacramento Counties. => Fresno, CA 93710 Ventura, Los Angeles, San Bernadino, Orange, Riverside, Inyo, Mono, San Diego and => 2524 Mulberry Street Imperial Counties. => Riverside, CA 92501 WINTER OPERATIONS Hall Proyerty less than 3 acre conversion For Timber operations occurring within the Winter Season the following plan shall be used; The in -lieu option as allowed in 14 CCR 914 (934, 954) .7 14 CCR 934.7(c) 1) Tractor yarding, or the use of tractors for constructing layouts, firebreaks or other tractor roads shall be done only during dry, rainless periods where soils are not saturated. 2) Installation of drainage facilities and structures, is required from October 15 to May 1 on all constructed skid trails and tractor roads prior to sunset if the National Weather Service forecast is' a "chance" (30% or more) of rain within the next 24 hours The provisions of this subsection do not apply to mechanical site preparation. 3) During winter operations after rains, road use shall be suspended until the running surface has stabilized by; freezing or drying. Hauling operations to cease when surface material must be shaped to develop a driveable medium. * No hauling, road construction, or maintenance shall occur when road surface is saturated as defined in CCR 895.1. Emergency road maintenance conducted to alleviate erosion problems does not fall under this limitation: * Erosion control structures will be maintained in working condition during wet weather road use: at any time of the year. NOTE: "Winter period" means the period between November 15 and April 1,'except as noted under special County Rules at Title 14 CCR 925.1, 926.18, 927.1, and 965.5 (a) except as otherwise provided in the rules: (1) All waterbreaks shall be installed no later than the beginning of the winter period of the current year of timber operations. (2) Installation of drainage facilities and structures. is required from October 15 to November 15 and April 1 to May 1 on all constructed skid trails and tractor roads prior to sunset if the National Weather Service forecast is a "chance" (30% or more) of rain within the next 24 hours. r i • 1,i 1 z �' a. •. j j i F i. "'•t _ _ Y Iola, e: [' i t • ' r' i i 11 - . �. ! • • it ,�\ • "� { tE It t�� _ FL,.. rP , .�.1 \ "''(? 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"i..-. -"�. ,..�ff� 07A��-`•�� -t....._.__ a rrllJ�f� 16° E Name: PARADISE EAST Date: 11/22/2005 Scale: 1 inch equals 1000 feet 1 � f• tea✓ q„— Location: 039° 50' 57.65” N 121 ° 36' 17.68" W Caption: Hall Conversion Sec 14 T23N R3E MDBM Butte County 64-69-33 Maptech, Inc. _ Name: PARADISE EAST Date: 11/22/2005 Scale: 1 inch equals 1000 feet 1 � f• tea✓ q„— Location: 039° 50' 57.65” N 121 ° 36' 17.68" W Caption: Hall Conversion Sec 14 T23N R3E MDBM Butte County 64-69-33 Maptech, Inc. PR OF SE //4 OF SEC. 14 T 2.3 N RJE M D B 8 /W 64-69 PARADISE PINES UNIT --NO. '2 cpr a L I/ \ 148.M 4 t pp N C \ g 99po2oas0 l 11946 m N i p9� 0/ i 9 0 m /QgO OOp 4eDp U 6500 O/7/ /00 304 O 9soo 51 iD f0 28 1j9 316 0? 114 BB1 i. " 32 /0/ 96 9 � O 5Oo BK 65 it /70 �_ �/72 /02 �yz 6 19000Z I ' /69 �- 0591 �O?as 0 /03 Bye O 60.00 n Z10 ;68 w 104 :3742 55A0 SSD ,J 2se Zy4ZB51 /05 00 R� 43 2 /Bs 14 C39 Ci X05.00 OI/ /o�se /06 221073 q /73 /O�se / \\' yb n 6' /08 QO /74 u 3/ /O9•.sy / / �\ /66 10492 rl'/T5 :c' © gi5'61 //oy �. 7 _ © '4 1055 /76 �` O 6000 qo /80 �b /40.00 i9 c /79 ry� 38 �` A /8/ Mo a Q o m lO3'g6 24 o O /82 m 177 0• 4 /65 O Q /78 116.50 //4.6/ /20.00 /80.00 99.40 Si%ep 88'9 KL A MA TH COUR T 6 152 36 .59 94.17 69.97 704 .4 67. 7 6 6. 7 5 4 A 2 2346/ 0 ' h l64 2/ 130 0 /6/ /60 /59 m /58 0 /57 /56 h 0 . a /6 _ O a ^ /55 0 /54 w /53 �- I a /62 /9 /8 /7 /3 // I 150.00 283.23 /84.64 5/.00 70.00 70.50 70.50 68.00 68.00 68.00 .98.00AC7/20.D0 CENTER SEC. 14 N 00' 20 59 W 65 9 cA NOTE These parcels are for assessment purposes 11 V7 only and may not constitute kpol parcels. Awesso/ S Map NO. 64- 69 PARADISE PINES UN/7' NJ 2 8K. 35 M. 0. R. P6. 7/, 72, 738 74 lY Of 9Uf1Boan Rec. 6//0/70 C , Calif. REVISED, l �n 8-94 Hickock (--'outt Hall {'c: nvei-slon Plat. Alap T t. PERMIT NO. P E M 'MH 6TIL. PERMIT NO. 2145-74P,E PERMIT EXPIRESi� I OWNER Fred Hamilton 4. 0 N T'R. Fuller Construction, Magalia ,LOCATION (A.P. 64-69-33 25 Hickok Court, PP#2 lot 175, Magalia o) a. Temp. Power Pole Called PG&E *emp. Elea. Serv. &�La—u .--I C'AA Called PG&E Tewq3,, Gas S �V—' ed PG&E JOB FINALED i" COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback mel ---j Firewall Soil Piping Forms Parapets 1st Fldor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping— — Piers Roofing Sewer — . 2_q Garage Fdn. Vents Fixtures Footings Garage Vents { Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure 1. Gas Piping & Test OF o Temp. Gas Slab 1 Final Sanitati Patio r jv FWPL!AClf Final IVAC z, Footings Footing IVEL CT CA Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service ^ .2c) -- Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Perma en Door Closer Final Final DATE REMARKS OR CORRECTIONS r -7 / - �-,- / .i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S 7 County Center Drive OroviIIe, California 95965 +f ` Telephone: 534-4541 APPLICATION AND PERMIT (fit authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. X 6d' ,' 4,41yebt, Date —A- — ?_ Signature of Permitee or Agegt 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 UBLIC WORKS By Date — 'LY— % Y 6 7,y - 7 LJIding permit expires Date ............................................ /I B 0 ILDIN Owner 1g SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address 0 3 Permit Fee Plan Checking Fee &/or Penalty Q T le hone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 .D 1-75- Each Trap 1.50 ��y� ' //G ` Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �� ^� A. P. NO. 3 i Zin2� A!U1 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. S a Fire Dept. Fire Zone se Permit Building sewer 5.00 as EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im prove ents Lawn sprinkler system 2.00 �� Bldg. Plans eFf ed �DQ a2 17 -�3s- Parcel Approval Plan Approval Permit Fee $ g�9 .^ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,0a, Main service incl. 1 meter 3. rid Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal io Receps., switches & fix outlets 2u (4115 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: �4•lt� �/ Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 S a d Temp. Power Pole 5.00 License No. 2.9 9% 176 Classification Q Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 01 001 $ �� 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 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 $ SG authorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. X 6d' ,' 4,41yebt, Date —A- — ?_ Signature of Permitee or Agegt 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 UBLIC WORKS By Date — 'LY— % Y 6 7,y - 7 LJIding permit expires Date ............................................ /I MOBILEHOME su1jY0K'1' iwm Mobil ehome Mfr. (Ijt' lfW[Ir 11", .. 11 c---�-J�6�'�� ,1 � Setup Model No. <; ' 'nom' Year c { ((JI Width 4C2 (f t.) Length (ft.) --Expando Size __. ft.x — ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, -furnish manufacturer's installation manual and structural setup sheets :.(if not .on .file with the County of Butte). Sin le . -� Foot ings- ( check . one) A 0i ' 1..Wood 'either , 4`' pressure treated or Center Center Sup ort ... fdn.':grade.,:" Supp Locat ons Footing S. es (in.) / .2. -Concrete pad. 3. Other, 'specify in. kin. k in. Supports check one) fir/ 1. Concrete block —� / :/ .2. x / Concrete piers 3. Steel piers r / / 4. Other, specify, :I .... ....... Typical Support Footing Size CM y C in. .(ine) in ........... `4 .... ..... _ �,• Max. Pier. Spacing ft in.) in. in. .. Max %�If center piers are other than drawn above, draw in locations, spacing, and dimensions, e_ �o�t dodroe A/ S ee- A./d'PS/ 401� BUTTE COUNTY x' BUILDING DEPARTMENT APPROVED, 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 / X/ No ( If yes, furnish permit number / `'� S —Zel ) OR Is the site an existing.site? Yes / / No N (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? ----------------------- _ ::-El-h Amps 6. What is the mobilehome site service rating? --------------------- 422 1 Amps 7. What is the mobilehome site circuit breaker rating? ------------- r"�3. Amps c 8. Is there any other electric load to be served by the mobilehome (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) *100 a- site service? ---------------------------------------=----------- Yes 1y No (If 'yes, identify the load and size: A.0 (,)A^ 13 (Load) !l 42 (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.) *100 a- ;;COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK: 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT twinurite represeniaiives Of the County of butte to enter upon the above-mentioned property for inspection purposes. X!/ - —Date% ignoture of Perrmitee or Agent Receipt No. / J J j 7�/ 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 �2 7 ci permit expires Date , BUILDING Owner z2LZW SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor C, Total Valuation Mai I i ng Address Q Permit Fee Plan Checking Fee &/or Penalty l) 14)k9 p one lyo . �'- Permit Fee Building Address-'A1_1_,,1,_�2 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 k0 %— 12S(/�P fi�L ,-�� 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.6q ,� - Zoning 8 Planning Gas piping system 1 - 5 outlets Each additional outlet .30 F641- WLC. -San4a4en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 -Wdg--P♦an•s--Rec'd Parcel Approval Plans Approval Permit Fee $ / NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter �� $=7 41 d AnSub-panel Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home R] Others ❑ (12 or less) (more than 12} Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures a (dd2 Receps., switches & fix outlets 120 %25 6M In 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.-� �3 �J' Classification Misc. wiring ❑ 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 J 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 $ r3 twinurite represeniaiives Of the County of butte to enter upon the above-mentioned property for inspection purposes. X!/ - —Date% ignoture of Perrmitee or Agent Receipt No. / J J j 7�/ 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 �2 7 ci permit expires Date , Permit #6414-75MHI Fred Hamilton 25 Hickok Ct.,- Lotl75., PP2., Naga'lia AP 614-69=33 Contr: Bernie's MH Serv.) Para. 7t;7 -� Ij _ COUNTY•OF, BUTTE DEPARTMENT DEPARTMENT OF PUBLIC •WORKS [�! 7 County Center Driv& - , Uroville, California 95965 .. .� , / � 7" ' ZIS r ..' ' Telephone: 534-4541 APPLICATION AND PERMIT ' autnonze representatives of the county of ttutte to enter upon the above-mentioned property for inspection purposes. X .f .. �i- . - >>�'� • f Date / -2 Signature of Permitee or Agent Receipt No. 1,1-y 0 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 i ��. a� rP�' L Date Buildinf permit expires Date BUILDING (XI • $' a it �a Owner ,�? SQ..FT.� . OCC.', , _ BUILDING VALUATION , Mailing Address ,.. . 't•a., ; :�7 t r Telephone No. Fireplace tTotal Valuation Contractor �%�, , _ �� �e- ����, �, Mailing Address (�. j"� ��/ -� !-t!GE- Permit Fee Plan Checking Fee&/or Penalty Telephone No. V7'7_ G�`D 7 Permit Fee $ Building Address� PLUMBING No.1 @ FEE PERMIT FILING FEE J$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 FeesW.C. Sanitation• Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plane Recd Parcel Appyo,; Plans App�000* Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 -� //i•c��r�-�� Main service i°o°o AMP ORSLESS 5.00 Main service EA. ADD -L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 0 Others ❑ OVER 60 Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 20sgft 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 State of California Business & Professions Code under the name style of:, �.y� t %Ai.r,r' Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 Ex. Occup ( FIXED APPLNS. OR • OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 72/ 7S c Gl Classification C �/ 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 $ $ 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 41111 TOTAL PERMIT FEE autnonze representatives of the county of ttutte to enter upon the above-mentioned property for inspection purposes. X .f .. �i- . - >>�'� • f Date / -2 Signature of Permitee or Agent Receipt No. 1,1-y 0 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 i ��. a� rP�' L Date Buildinf permit expires Date 9. Electrical A. Is service large enough to provide a�quatt' amperage -to mobilehome (must equal rating of mobi_leh.ome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? YesNo ry "B. Is there proper clearances around panels? Yes ), No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is 1 continuity test satisfactory as per the following procedure? YesX No 1. De -energize electrical w,}'r•ng system (of the mobi�lehome at. the p destal. 2. Make sure that the power supply cord or Needer 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. S. 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? If everything okay, sign -off card and tag services.' . MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identificatie Additional:Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required geparwtion from lot lines end buildings and generally conform to.plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) YesNo 3. Are footings and supports properly sized, spaced, and braced as p r approved_ plans? (Note possible variation at spring shackles.) (Sec. 5082.& 5083) Yes No 4.. Is the mobilehome level? (Sec. 5088) Ye,sXrNo ewe-- azr-a- single unit, are crosso3nsta le 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Testt-- Does water piping withstand working pressure or 50 lbs. air test? Yes4 No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A: Is connection made with Schedule 40 DWV and have flex connectors at. each end? Ye sf No B. Does it have minimum 'k" per foot slope and is it properly supported? Ye No C. Are any leaks detected in drainage system after running 3 -gallons of water through each f.ixture.including washing machine standpipe? -..Yes No_ D. If c a h is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as.the mob'lehome gas line irilet without reductions other than the mobilehome connector. Yes No B. Test OK as pe, following procedure? Yes o 1. Open all appliance connector valves. 2.. Shut.off appliance burner and pilot valves. 3. Air test with manometer to 10" -14" -water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test.for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance.vents properly installed? Yes- No FA r COUNTY OF BUTTE — DEPARTAWT OF PUBLIC WORKS 7 County Center Drive t}roville, California 95965 Telephone: 534-4541 ` APPLICATION AND PERMIT 1VFrVQei1wuv1a5 UI uIC UL)UIILY UI [3URe to enter upon the above-mentioned property for inspection purposes. X Date ZS— Signature f P r I r Agent Receipt No -Z 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. DIREC OR OF PUBLIC WORKS BY Date Z L3 B idrtfTpermit expires Date / /24; BUILDIN Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractors .eQTotal Valuation �— Mailing Address �p /—� // t��— Permit Fee Plan Checking Fee &/orPenalty Tele hone No. Permit Fee Building Address �' r s 5! C� 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. o. �. A/ r -^� 3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s I Wj Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkiarking n Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Pits Parcel A al Plans Ap oval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 y— 7 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 4r Others ❑ OVER 600V Main service 1100 AMP OR LESS 25,00 Main service EA. ADD'L too AMP 1.00 NEW CONST. ODWELING R ADONS. ( ACC`BLOGS.CCUP. &} 20sgft 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 State of California Business & Professions Code under the name style of: J ''1"// �'`�� Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 LNS. OR Ex. QCCU FIXED APP ) Occup. 2.00 OUTLETS (RESID.) EA Temporary service 10.00 Mobile Home Facilities 15.00 �, �� License No. 26 T_��5V 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 OrdinancesTOTAL and State Laws relating to building construction, and hereby A4111 - PERMIT FEE $ �d 1VFrVQei1wuv1a5 UI uIC UL)UIILY UI [3URe to enter upon the above-mentioned property for inspection purposes. X Date ZS— Signature f P r I r Agent Receipt No -Z 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. DIREC OR OF PUBLIC WORKS BY Date Z L3 B idrtfTpermit expires Date / /24; PERMIT NO. 55 62-TaB PERMIT EXPIRES OWNER Fred Hamilton CONTR. BerniOu Mobile Home Service,'Para. LOCATION (A.P 64-69-33 25 Hickok Ct., lot 175, PP#2, Magalia 1. 4 11 Temp. Power Pole Called PG&E Temp. Elec Serv. Call PG&E Ternp�Gas Serv. Aalled PG&E JOB FINALED (Date) re) (Signatu Motors 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 DATE REMARKS OR CORRECTIONS -7 7 0 N�e-e %a'P P d S'e.71 O F F L A Ki S. O v o f a 1j N c9 b e ll y „ 7 M 0 ►-c 2, (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 i Firewall Soil Piping Formsgr Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final .� Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final 91whirac Motors 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 DATE REMARKS OR CORRECTIONS -7 7 0 N�e-e %a'P P d S'e.71 O F F L A Ki S. O v o f a 1j N c9 b e ll y „ 7 M 0 ►-c 2, (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE —-DEPAATMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Tel ep,-'ion'e. 534-4541 APPLICATION AND PERMIT autHOrLe Iep esehtauVes 01 the County or Butte to enter upon the above-mentioned property for inspection purposes. X �' •�✓ Date 0— Signature of Permi ee or ent 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 O"UBLIC WORKS lild�ingpermit l/— expires Date BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION '-' Mailing Address Telephone No. Fireplace Contractor /v/��� Total Valuation 0 (� ass© D Mailing Address /l�h Permit Fee PI an Checki ng Fee &/or Penalty • T�ephone o N Q,� 7. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �—^ c 7L C ,L 6 Each Trap 1.50 1 % S ; Z Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _. / p A. P. N . \0 '1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fiesl W.C. n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel PI s Declaration arcel 60' R/W Improvements P Lawn sprinkler system 2.00 BId . Ions Recd � r/ ���rApproA Plo pproval Permit Fee $ NEW "ADDITION ❑ UTILITIES ❑ OTHER ILM❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 1000 V DR AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L foo AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sq ft NEW CONSTR. MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, (SINGLE OUTLET 'Ill. 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' � Cl,O ��/ Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 04 FIXED APPLiT OR Ex. ( LETS (R ESIDJ EA) Temporary service Temporary service 10.00 0.00 Mobile Home Facilities 15.00 License No._2l6ZSSSC/ 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 El 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. `a- MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that l 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 autHOrLe Iep esehtauVes 01 the County or Butte to enter upon the above-mentioned property for inspection purposes. X �' •�✓ Date 0— Signature of Permi ee or ent 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 O"UBLIC WORKS lild�ingpermit l/— expires Date