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064-700-032
w.K. "V.. .•�� �y �'. 'i Ji•;.; t AP 64-70-32 i RALPH CLARK 20 Cody Ct., lot 139, PP#2, Magalia �,. contr. Paul Reimel, Paradise + \Permit# 1758-75E(e%ec. for exMI site) ELEC. F i/���GAS •, `< i f5-GAS _STRUCTURE- REQ.._ ... -A- COMPACTION TEST EQ. /ID ' R_ AP 64=70-32 RALPH CLARK' •conte Paradise Modular Co ceptsy. ' Permit# 1/x1,1-7 54H!7 I ! Issued �-- 7� - - AP 64-70-32 G17 CONTR: R. Stryker, Paradise Permit# 2514-75B(2 decks, 2 a �;s,MH) ! f a 064-700 032 -05-0163' THOMPSON;-GERALD r,� M t R 6203 CODY CT 1VIAGALIA _ ai Cont: GOODMAN SERVICES4L�,'�" %} ` ^ '.•REPLACE POWER POLE, r ' t r � � NOTES t RESIDENTIAL ` PERMIT NO. lo 4 SPECIAL CONDITIONS .CHECKED SRA wl FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER, }. A • OFFICE CQY _ _ Address �nC V S GAS x, Meter BY Date f / • - ` ELECT / ' : ' -Date '� B Meter � fo ���(((JJJ • JOB FINALED (Date) Signature k J=OK 0 = Not OK r = NotReadyable 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;-/ P' L'ft. / P Nat. or/ P' L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utilitv Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 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 DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 1. Zoning Requirements -Setbacks -Easements 5. 2. Footings; Size -Spacing -Marriage Line 6. Carports; Windows -Doors 3. Blocking Electric 4. Gas; MH Test -Demand -Valve 9. 5. Electricity; MH Test 10. Roof; Shthg-Roofing 6. Water; MH Test Ext.; Steps -Doors -Landings 7. Water and Sewer Connected 8. Gas and Electricity Tagged Card B-1 Date Card B-1 9. Exits Card B-1 Date Card B-1 Date 10. License Decals 1. Setbacks -Easements 11. Verify #'s with Office Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining Date Elec.; Receptacles and Lighting, Distance-GFI 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 Applicaole . = 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- Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel- Bloc kouts-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) Card B-1 Date Card B-1 Date Hangers -Post Caps -Anchors -Connectors Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 23. Fire Sprinkler; Test 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Date 57. Card B-1 Date Card B-1 Date 58. Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Glazing Area -Glass Protection -Skylights -Plastic 24. Fixture & Transformer Clearance -Ins. Protection Shear Walls; Nailing -Bolts 25. Elec. Receptacles Spacing -Lights & Switches at Doors Brace Interior/Exterior Wall Panels 26. Size Boxes & No. of Conductors Stapled Insulation -Walls -Ceilings 27. Romex Installed Close to Edge of Studs & C.J. Infiltration -Walls -Windows 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Card B-1 Date Card B-1 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI Card B-1 Date Card B-1 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 All Insulated Neutral 0 Yes l0 No 32. Service -Riser Conductors & Ground Main Disconnect 33. Equip. Clearances Panels-Motors-Mech. Equip. 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 69. Elec. Trim & Subpanel, Breaker Sizes & Labels Date 70. Card B-1 Date Card B-1 Date 71. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Elec. Outlets at Wood Panel, Int. & Ext. 36. A.C. Ducts Insulation & Support Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 37. Vent Fan, Exhaust above insulation Elec. Outlets & Receptacles at Kit. Counter 38. Condensate Drain & Overflow, Size & Grade Garage Fire Door; Swing -Landing -Closure 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet A.C. Duct in Garage -Damper 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 80. 41. Sills Proper Materials & Anchors 81. 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 82. 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 83. 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 84. 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-Underfir. 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 O Yes _ 83. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes D No/Planters 0 Yes 0 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: BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M (530) 538-7636 (OROVIIJLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAM (530)538-2140 WEBSITE: www.buttecounty.netldds LICENSED CONTRACTORS 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. 7 License Class : � V License Number. /� / Date: l" a 4 U s Contractor. PtE/C /B` OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any clty.or county which requires a permit to construct, alter, Improve, demolish; or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9, commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicaril for a permit subjects the applicant to a civil penalty of not more than live. hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If however, the building or Improvements are sold within one year of completion, the owner-bullder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Profdssions Code. The Contractors' Slate License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penally of perjury one of the following declarations: O 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 the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier and policy number are: Carrier. Policy #: IQ 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 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. Dale: 05 Applicant: WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097 Clv.) Address: PERMIT NO. BP050163 Issued Date: 01/24/2005 APN: 064-700-032-000 Site Address: 6203 CODY CT MAG Map Index: Description: POWER POLE DAMAGE/REPLACEMENT Owner: THOMPSON. FAMILY TRUST THOMPSON GERALD A & JOYCE B TRUSTEES P O BOX 1285 OAK HARBOR, WA 98277=1285 Applicant: GOODMAN SERVICES PO BOX 4070 95966 530-345-5003 1 r Contractor: GOODMAN SERVICES PO BOX 4070 95966 530-345-5003 License #: 673423 Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: This permit Is hereby issued under the Resolutions to d rk Indicated By. k-/ PERMIT EXPIRES ON: PjL / s < 0 provisions of the Butte County Code a, nrl/or fees have been paid. /f Date: ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification In accordance with Section 19827.5 of California Health & Safely Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information Is correct, and thal'I am the owner or the duly authorized agent of the owner. 1 agree to comply with all county and slate laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any,�ffic al form gr�cyyfi�ent of Bulla County. 1 hereby authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposos. y� PrinlName: P�7tr� (Y'l� 'Signature Date: -A l/ ❑ Owner AContractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER Last Name 9�i' _.N First Name �C Address pyNoW cRak n City Nv_f SQ Z�p0)74G/ Phone Fax E-mail CONTRACTOR Name GoU�M�N SEkrgr Co. P67ER 67,4t - Address U A10X I,U70 �1 Address City /Vj)f6 Hut StatpA Zl p°1�S' 6 s Phonej3u'S3�g3 Faxoo_54_93%. . E-mail Gu�A++l� T NEt Lic. #(� w3 ,c� APPLICANT NAME ARCHITECT/ENGINEER Name city . AVk6C_ 011L Address Zips �s City Fax 5;,30 9 3 9 y State Zip Phone Planner Fax E mail State License Number APPLICANT NAME Name GGOOMt ff �QW&5 Address P.0 60Y 40-70 city . AVk6C_ 011L Sta?e Zips �s Phone q3& 9 5 4 Fax 5;,30 9 3 9 y E-mail �OP'►tA/'i 5UW�6-r NCfi AP (CANT SIGNATURE X For office use only: Zoning Property AddressT�166wm �,Z� CoD1 c r Flood Zone SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc PERMIT 05-0l b-� BP BIN # LOCATION AP# �`� t76v Property AddressT�166wm �,Z� CoD1 c r Cross Street cGZ-rep WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: POMC I%Wek POCC Sq. Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I[Received by: IF Amount: Bldg I I Page 1 of 2 Receipt #: # Date: q q (• H SRA Sheriff SMIP Other Total REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site 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 (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). ❑ 13. Sanitation and site plan approval from the Environmental Health Department. Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In'order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7-27-04 i ' License Detail Page 2 of 2 CONTRACTOR'S BOND: This license filed Contractor's Bond number CLB2705025 in the of $10,000 with the bonding company PLATTE RIVER INSURANCE COMPANY. Effective Date: 01/01/2004 Contractor's Bonding History_ * * * Workers Compensation Information * * * This license is exempt from having workers compensation insurance; they certified that the} employees at this time. Effective Date: 10/02/2002 Expire Date: None Workers Compensation History_ Personnel listed on this license (current or disassociated) are listed on other licei Personnel List Other Licenses License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2005 State of California. Conditions of Use Privacy Policv http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 01/24/2005 License Detail California Home Page 1 of 2 Janu, License Detail CALIFORNIA CONTRACTORS STATE LICEN Contractor License # 673423 DISCLAIMER A license status check provides information taken from the CSLB license data base. Before on this information, you should be aware of the following limitations: . CSLB complaint disclosure is restricted by law (B&P 7124.6). If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. . Per B&P 7071.17, only construction related civil judgments known to the CSLB are di: . Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. . Due to workload, there may be relevant information that has not yet been entered ont Board's license data base. Extract Date: 01/24/2005 * * * Business Information * * * GOODMAN SERVICES P O BOX 4070 YANKEE HILL, CA 95966 Business Phone Number: (530) 872-3922 Entity: Sole Ownership Issue Date: 06/23/1993 Expire Date: 06/30/2005 * * * License Status * * * This license is current and active. All information below should be reviewed. * * * Classifications * * * ClassI Description C20 WARM -AIR HEATING, VENTILATING AND AIR-CONDITIONING C10 ELECTRICAL © GENERAL BUILDING CONTRACTOR C36 PLUMBING * * * Bonding Information * * * http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 01/24/2005 ;PERMIT NO. 2514-75B P E M . •moo .i r' MH UTIL. PERMIT NO. PERMIT EXPIRES wNER Ralph Clark `FONTR: Ron Str, ker, Paradise LOCATION (A.P. 64-70-32 ) ,L �20 RX Cody Ct., Magalia t� Fri , :1c_ j i i]t C! 9 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB 1 FINALED ✓`— IV/ (Date) (Signature) �. r; COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING j I BUILDING (Cont'd) I PLUMBING Setback oc Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing ,4- Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab" Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab. Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 75 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 DATE REMARKS .OR CORRECTIONS_ COUNTY OF BUTTE • DePARTMENT OF PUBLIC WORKS 7 County Center Drive.- — - OPoviIle, California 95965 Telephone: 534-4541 /ZDII APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / X a vn' _ f gtt—,ADate 6 � %� Signature of Permitee or Agent Receipt No. /,Z`,er 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 v ' 2j— ng permit expires Date ................. :-�P- 2 BUILDING Owner iL C LA SQ. FT. OCC. BUILDING VALUATION 6 r Mailing Address X0 cvC'-- G 1V ^ Telephone No. 3-- 0417 Fireplace Contractor 0N6-LiD 13, 5 it Y ke Total Valuation Mailing Address 13 `L 0. Permit Fee Plan Checking Fee &/or Penalty � A It f S r— Telephone No. T -2. C L Permit Fee $ $ / O I Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 0 C O O C: T-. 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. (o — KjU ^ 3Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F&6's WL11., Sa n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Platens I Parcel Declaration Parcel Ma P 60' R/W Im proveme is Lawn sprinkler system 2.00 Bldg. �s Rec'd I Parce proval Plans A oval Permit Fee $ $ NEWIV ADDITION ❑ UTILITIES ❑ OTHER [� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 o24kvf1irlO Main service incl. 1 meter 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 20 bal__(0 lo Receps., switches & fix outlets 2025 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: Ror(A La 0, RYKC& Hood, Ex. FanorF.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. A -7 37G Classification C-61 Misc. wiring ❑ 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. IC? 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 P ermit 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 $ OE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / X a vn' _ f gtt—,ADate 6 � %� Signature of Permitee or Agent Receipt No. /,Z`,er 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 v ' 2j— ng permit expires Date ................. :-�P- 2 I MH U il, iPERMIT NO. 1758-75E P ( E M 'MH UTIL. PERMIT NO. 'i PERMIT EXPIRES OWNER Ralph Clark ` Paul Reimel, Paradise LOCATION (A.P. 64-70-32 ) !� 20 Cody Ct., lot 139, PP#2, Magalia 14, 1(16 Temp. Power Pole Called PG&E _ Temp. Elec. Serv._ Called PG&E _ Temp. Gas Serv. _ Called PG&E _ ,/JOB FINALED (Date) (Signatu /2/ 2 _� MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lop.,lines and buildings and generally conform to plot plan? Yes No 4� 0 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 082 & 5083) Yes No `C(..d 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec.. 5566) Yes �. B.- Test - Does water piping withstand working pressure or 50 lbs.. air test?.Yes C_ o C. .Backflow - If coach is not State of California approved, does station have backflow device and pr e - e ief rvalve? Yes o 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors.at.each end? Yes el. No B. Does it have, minimum 4".per foot slope and is it properly supported? Yes' No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?..Yes No " D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connec r - Is mobilehome connected to.the gas supply with an approved 3/.4" 'n' um mobilehom connector not more than 6 ft..long? Note:' All piping is to be t least as large as the bilehome gas line inlet without reductions other than th mobilehome connector. Yes No B. Test OK as per followinrocedure? Yes_ No 1. Open.all appliance conne r valves. 2. Shut off appliance burner and pil valves. 3. Air test. with manometer to 10"-14" water 6oz.-maximum 8 oz.) calibrated in tenth pot drop. 011 or _test with slope gauge (minimum perements.. Test for 10 min. without 4. Connect gas meter to mobilehome with onnector, turn on test connections with soapy water. C. Are all appliance vents properly ins alled? Yes No i 9. Electrical , A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating mobilehome with a minimum of 140 amp)' and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes A_ No D. Is continuity test satisfactory as per the following procedure? Yes "o 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 theelectrical 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 Namle�style Length, Width .l Vehicle Serial No. State Identification NO.j�� Additional Information or Comments: h IP toq 9 _� I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin Test Water Htr. Stucco I Final Subpanels Mesh MECHANICAL Grd. Fault rot. Scratch Heating Service vdtv Brown Cooling Temp. Ifole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARrTMENa OF PUBLIC hM0 IS 7 County Center Drive, - Oroville, California 95965 Telephone: 534-4541 v APPLICATION. AND PERMIT a1,111u1 4C 1!4P[UWC11L0LJVeS ui ule wunly of nurse to enter upon the This permit is hereby issued under the applicable provisions of above ned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date DIRECTOR OF PUBLIC WORKS Signature//of Permitee or Agent •� Receipt No. /z/ <� By Date e . 1 White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant --B tHding permit expires Date......... ... ............ 4......... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address • Telephone No. Fireplace Contractor d Total Valuation Mailing Address 3 Permit Fee Plan Checking Fee &/or Penalty - T lephone Permit Fee $ Building Address �Q �' PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Z ( 3 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. - l� ®- 3 zi Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W6C ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans ec'd Parcel pprovol Plans pprovol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 P� pp ct�C.Cc� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil HomeK Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbol ai - ' Receps., switches & fix outlets .2U 25 ' CONTRACTORS LICENSE LAW I am licensed under the provisions of- Chapter 9, Div. 3, of the State�oiass ' Professions Code un r the Warne style 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 i License No. 2- Classification e ' �. Misc. wiring ❑ 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. EL��]aue placed on file with the County of Butte a certificate of orkmen's,Compensation Insurance. r 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 1 1 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 - rPG t� TOTAL PERMIT FEE $ a1,111u1 4C 1!4P[UWC11L0LJVeS ui ule wunly of nurse to enter upon the This permit is hereby issued under the applicable provisions of above ned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date DIRECTOR OF PUBLIC WORKS Signature//of Permitee or Agent •� Receipt No. /z/ <� By Date e . 1 White-D.P.W. _ Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant --B tHding permit expires Date......... ... ............ 4......... COUNTY OF BUTTE - DEPARTMENT OF PUBLIC KS 7 County Center Drive ©roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -men ' o erty for ins ction purposes. ate Signature o Permitee o'r Agent ' Receipt No. �(/ White-D.P.W. — fellorw-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) -'to —7J Belling permit expires Date ...............................7..... BUILDING Owner p SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty ^ Telephone No$ Permit Fee $ Building Address Q K27 el—I®Z., PLUMBING No. @ FEE -' PERMIT FILING FEE $2.00 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. - '^ �%(/ ; 2?' 1 zon n Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W4W4121 S i on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans arcel. Declaration Parcel Ma P 60' R/W Im rovem nts P Lawn sprinkler system 2.00 Bldg. Plans Recd Parc pproval Pla Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER r_1ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 696D 5 FT !/At Ft- 4�e 'WO tC_15� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethanl2) Single Family ❑ Duplex ❑ Mobil Home211" Others ❑ Range, Cook -top or Oven 1.00 ' Water Heater or Space Heater 1.00 Light fixtures b20 5 al 6l0 Receps., switches & fix outlets 20 25 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 qb Yz> 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. 41 Classification d�L.z �� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ �'vI $ cp IQ� 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. fel certify that in the performance of the work for which this rmit 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 TOTAL PERMIT FEE $ *S authorize representatives of the County of Butte to enter upon the above -men ' o erty for ins ction purposes. ate Signature o Permitee o'r Agent ' Receipt No. �(/ White-D.P.W. — fellorw-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) -'to —7J Belling permit expires Date ...............................7.....