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064-700-033
64-70-33 Beryl Woolsey `n4 t, 210 Colter Way, lot 140, PP#2, Magal' + contr: Tri -V Const., Magalia hermit 155 9-78P,E(util ) LEC. 3 GAS f 3 UPPOR ' S RUCTURE REQ. -1�' ` COMPACTION TEST REQ., 64-70-33 Contr: Ben Alirs, MH Ser, Magalia Permit #6963-78MHI; - Issued 1-2 64-70-33 10 Cody Ct. , lot 140, PP#2, Magalia contr: Tri -V Const., Magalia rmit #250-.79B(new carport, cov.deck., t r cov.porch & open deck/MH) PIA 064-700-033 0.3 ! WOOLSEY, BERL,, INALE t 6207 CODY• CT, MAGALIA Cont: PREMIER BUILDERS, r EX MH PERM FND EX SITE J 1 . 1 ---t - ' �i � ct- �• � � �, 3 i ' �d RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DMSION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. BERL J. WOOLSEY AND VERA J: WOOLSEY REAL PROPERTY OWNER/LESSOR 4127 W AM HERST AVENUE MAILING ADDRESS FRESNO, FRESNO, CA 93722 CITY COUNTY STATE ZIP 6207 CODY COURT INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUELDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE Recorded I - REC FEE 10,00 Official Records I CONFORM 1.00 County f CITY COUNTY STATE TTE I CANDACE J. GRLIBBS I Recorder I ROSEMARY DICKSON I Assistant I Travis 03:31PM 29 -Aug -2003 I Page i of 2 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. BERL J. WOOLSEY AND VERA J: WOOLSEY REAL PROPERTY OWNER/LESSOR 4127 W AM HERST AVENUE MAILING ADDRESS FRESNO, FRESNO, CA 93722 CITY COUNTY STATE ZIP 6207 CODY COURT INSTALLATION MAILING ADDRESS, IF DIFFERENT MAGALIA, BUTTE, CA 95954 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") MAILING ADDRESS CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUELDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE UNKNOWN MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 03-2515 530 538-7541 TELEPHONE NUMBER B G PERMIT NO.W1 8/28/03 SIGNATURE OF LOCAL AGFr 09ACIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") DEALER LICENSE NO. RAMADA 1978 UNKNOWN MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 20730259AMM 60'X 24' CAL124282/3 SERIAL NUMBER(S) - LENGTH X WIDTH INSIGNWLABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSORS PARCEL NUMBER AP #064-700-033 SEE ATTACHED HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. Order No.: 00209760-003 LEGAL DESCRIPTION THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 140 AS SHOWN ON THAT CERTAIN MAP ENTITLED, "PARADISE PINES UNIT NO. 259 , 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. EXCEPTING AND RESERVING THEREFROM ALL OF THE VALUABLE MINERALS AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES BENEATH THE SURFACE OF THE SAID LANDS WITH THE RIGHT TO MINE AND EXTRACT SAID MINERALS AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, IT BEING AGREED AND UNDERSTOOD THAT IN ALL OF THESE OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OPERATIONS RELATED THERETO SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY. AP NO. 0647700-033 r . o BUILDING PERMIT NUMBER: 03-2515 Address or location of unit: 6207 CODY COURT, MAGALIA, CA 95954 Legal Description of Real Property: SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: BERL WAYNE WOOLSEY Owner's address: 4127 W AMHERST AVE., FRESNO, CA 93722 INSIGNIA OR HUD NUMBER: CAL124282/3 SERIAL NUMBER OR V.I.N.: 20730249A/BM MANUFACTURER'S NAME: RAMADA YEAR: 1978 OFFICIAL APPROVING INSTALLATIO DATE: 8/28/03 r7l PHONE: (530) 538-7541 H.C.D. 513C STATE OF CALIFORNIA - BUSINESS, TRANSPORTATION AND HOUSING AGENCY GRAY DAVIS, Governor. `DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT O )SING y Division of Codes and Standards 0 0 0 . �� 7 - oil W Title Search3G"' 0 Date Printed: 08/15/2003. DE�� Decal #: ABH2364 Use Code: SFD Manufacturer: Original Price Code: AFX Tradename: RAMADA Rating Year: 1979 Model: Tax Type: ILT Manufactured Date: 00/00/1979 Last ILT Amount: $25.00 Registration Exp: 12/31/2003 Date ILT Fee Paid: 12/11/2002 First Sold On: 12/08/1978 ILT Exemption: NONE Serial Number HUD Label / Insignia Length Width 20730249AM CAL 124283 60' 12' 20730249BM CAL 124282 60' 12' Record Conditions: PPF Exempt Registered Owner: BERL WAYNE WOOLSEY 4127 W AMHERST AVE FRESNO, CA 93722 Last Title Date: 01/16/1999 Last Reg Card: 12/13/2002 Sale/Transfer Info: Price $.00 Transferred on 11/25/1997 Situs Address: 6207 CODY CT MAGALIA, CA 95954-9628 Situs County: BUTTE Inactive Decal/DMV: DMV SL4076 Title Searches: BIDWELL TITLE 7126A SKYWAY P O BOX 490 PARADISE, CA 95967 Title File No: 209760-JPC * * * END OF TITLE SEARCH 1't C i E 2 7 Ov �i u a G G v C O • R .e w .o os e ^p •C C.<O o n a. o • .+ •• 3.D �•. ✓ p e au...•uc CO ...•r0 OK?Iq.. v Y 0 U ✓ o w p wOmAIC u ✓- C✓ G ✓.. 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Ca. O A 41% OOaeo C 6.00 r tlA �UC4.p O u .+ a .+ o /. tlu V Y ✓✓ p c ✓ q i Y O 07e•.oHs. ✓ • —M ell* O ✓ 10 tl C:3 0 n vv To w4 C f. .. . q ✓ tl O 0 e 0 y M poYa.O.rO O C 4.. ✓ . w O O O < ✓ S C V u-• c. t w/ .A . Y.. tl c •.v vv q M Y u w >.V /. m<C C w 0.•Or 0u✓ > { L ✓ ✓ . c c✓ ac✓ a O N6.6./. tlq H u 003 :,O r, A. ✓ 4. S. /. • w C. 0 4 Y .+p gIn00,44 Uww G /..O,C 0 o w pp A aLr L/• • vo:...ec�p•a rv.•.-ICO•• ..l. O•✓pl...� rL w a s •v.. w✓ r•... 1. C C a ou •O CLC 0 0 u ��~v 0-0 E. i 0'a p C w• m ... p 4 .. r O w r.. • Dvr uo .rL• C w w C L p --1 .<r ..r✓OL S .. 4"1 ✓ w y :i✓tlr.0Y0.. ✓ c] s✓✓a• ...w -.ores 0406 ..Mf.L✓ S-.. '0 0 O ---C 46f, L ry wu•.AC•✓✓O Mqr •L.—O #,. lJ �.w 0p..• .L .1. 0✓.•.O{.i OAU 1. C.. r • z Y) OO✓ 3.4 /. •L✓LOw4 O - FROM RECORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 FAX NO. : 5308768247 Nov. 11 2003 12:01PM P4 t=ppN of Document. Recorded 29 -Aug -2003 2003-0059477 Has not been compared with original BUTTE COUNTY RECORDER SPACE ABOVE THIS RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILETIOME- OR COMMERCIAL.COACIII, i INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency- indicated is in accordance_ with California hlealth and Safety' Code Section 18551. This•docurncnt is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described -with certainty-bclow,_as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the.real.property. BERL 1. WOOLSEY AND VERA J: WOOLSEY Rt:AL PROPERTY oWNEWLESSOR 4127 W AMHERST AVENUE MAILING AllnRESS FRESNO FRESNO CA 93722- c•ry COUNTY STATE ZIP 6207 CODY COURT INSTALLATION MAlllNG ADDRESS, IP DUftK T I _MAGALLA- BUTTE, CA 95954. CrrY COUNTY 5n"AT13 TIP I SAME UNIT OWNER (iratto p -p -y ovaa• win'SAME..) MAILNG ADDRESS CITY COUNTY STATE ZIP I LM DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PBRMrT and CERTINICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE 7•.& TNG ADDRESS OROVILL' - BUTTE- CA 95965 CRy COUNTY STATE ZIP 03-251.5 530 538-7541 PEIIMIT NO. THLTiPHONE NUMBER XG �11CTAII: 8/28/03 .IRE OF LOCAL AG DATE - NONE DEALER NA,%W (,I nut a demi iatc; wiu NO IR*) DaALER LICM,SE NO. R.AMADA 1978 ; CJNKNOVJN MANUFACTURERS NAME_ DATE OF MAKWAC rURL' MODEL NADM/WN HER 60'X 24': 1-2. 2/3 20 3025 N IMI SERIAL NUM9tRA 1.kNGTH % wMTn ENSIG.ABEL NUM4ER(S) A6A1, Yk01`ERTr t �tSC,U,•T,nN ASsa.SSOR't PARCEL NUMBER AP #064-700-033 SEE ATTACHED IiCA FORbt 433(A) REV: 8/91 _ FROM ' FAX NO. : 5308768247 Nov. 11 2003 12:01PM P5 Order No.: 00209760-003 LEGAL DESCRIPTION THE LAND REFERRED TO HEREIN IS DESCRIBED AS FOLLOWS: ALL THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOWS: LOT 140 AS SHOWN ON THAT CERTAIN. MAP ENTITLED, "PARADISE PINES UNIT NO. 2", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON NNE 10, 1970 IN BOOK 35 OF MAPS, AT PAGES 71, 72, 73 AND 74. EXCEPTING AND RESERVING THEREFROM ALL OF THE VALUABLE MINERALS AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES BENEATH THE SURFACE OF THE SAID LANDS WITI;I THE RIGHT TO MINE AND EXTRACT SAID MINERAI'.S AND ALL OIL, GAS, ASPHALTUM AND OTHER HYDROCARBON SUBSTANCES, IT BEING AGREED AND UNDERSTOOD THAT IN ALL OF THESE OPERATIONS THE SURFACE OF SAID LANDS WILL BE PROTECTED AGAINST DAMAGE AND THAT ALL OPERATIONS RELATED THERETO SHALL BE CARRIED ON FROM TUNNELS, SHAFTS OR DRIFTS HAVING THEIR ORIFICES OUTSIDE OF THE SURFACE AREA OF THE ABOVE DESCRIBED REALTY. AI' NO. 064-700-033 NOTES RESIDENTIAL 064-700-033 03-2515 WOOLSEY, BERL PERMIT NO. ? 6207 CODY CT, MAGALIA Cont: PREMIER BUILDERS EX MH PERM FND EX SITE THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS _BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE { _ INSPECTOR MUST RETREIVE). j (2) STATEMENT OF FACTS (ONLY ON NEW _ MH' S). INSPECTOR TO VERIFY SERIAL & LABEL #'S. 11 SPECIAL CONDITIONS 11 SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER CHECKED BY JOB FINALED (Date) Signature 0 = OK = Not OK = 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;-/ /" L 'ft. / P Nat. or/ /" L "ft./ P LPG 7. Well Clearance & Disconnect 8. Utility Clearance 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date 11. Card B-1 Date Card B-1 Date 12. Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line Card B-1 Date Card B-1 3. Gas; MH Test -Demand -Valve -Connector, 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9. Exits 10. License Decals 11: Verify #'s with Office Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements:Setbacks-Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs-Connectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool. Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 _ Date Card B-1 V=OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ N Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 81. Guard Rails & Deck Construction -Post Caps Date Card B-1 Date Card B-1 Date 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 91. Corrections from Previous Inspections Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 25. Elec. Receptacles Spacing -Lights & Switches at Doors Date 26. Size Boxes & No. of Conductors Stapled Date 27. Romex Installed Close to Edge of Studs & C.J. Date 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water Comments at Final: 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral O Yes 0 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Vent Fan, Exhaust above insulation 38. Condensate Drain & Overflow, Size & Grade 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) "��. �'3t• 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist -?Ir. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng. _ 49. Fireplac - r *;3r Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51, Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 6` -mace Interior/Exterior Wall Panels 6_r`-' '.,,tion -Walls -Ceilings 63. Infnu; `ion -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 ❑ Yes 83. Following Instld./Drive O Yes O No/Walks 0 Yes D No/Planters O Yes O No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 0_3_11r,16 (Rev.12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 064-700-033 ZONING BUILDING PERMIT OWNER Bim' W. WOOLSEY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MANG ADDRESS w 4127 W. AMHERST AVE FRESNO 93722 1440 R 77 760.00 CONTRACTOR'S NAME I TELEPHONE PREMIER BUILDERS 72-1096 CONTRACTORS MAILING ADDRESS 1584 WAGSTAF'F RD , PAWISE CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee 540.50 2 $ 270.25 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2-1-00 BUILDING ADDRESS 6207 CDDY CT, MAGATIA, CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBON610NS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF O Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Va'ckMH PERM FM Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W 920.00 PERMIT FEE $'is no ELECTRICAL PERMIT FilQM1 20.00 Main Service noon oA Mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is infull force and effect. License Class -- i Lic. No. 3 C43 1 7 3 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 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 Wormance of the work for which this permit is issued. G1,11 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurancp carrier and policy number are: Carrier{-a�.�F, Policy Number 12 7 <o Co —O (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with provisions. X Date ���0 0 Signature of Applicant - ❑ Owner C3�t Wactor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP, SO OR ADDNS. ( Y ACC. BLDS. 3.5¢FT: T. IRCUITS NO" p�Ip MULTI -OUTLET @7,50 POWER APPARATUS 6 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES B00 AL @':5050 Ex. Occup. ouTLEEDTs .=) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE OTAL FEE $ 348.25 HAZ. D FE IMP _ FLOOD CDF -► PARCEL "� PD HD 5 E This permit is hereby issued under the applicable provisions of the tte County ode and/or Resolutions to do work Indic ed a r w _chlees have been paid. By Dat a PERMIT EXPIRES ON Det, Receipt No. 150.1w vr",M WHITE-D.D.S.-B.D. CANARY -ASSESSOR I PINK-INSPECTO GOLDENROD -APPLICANT " 1.a'i.,^.,�' �.:,l�.nr .-...-'wr�•;►1i,� -''* : �...,;..� ,-„ � ..,, ,:'t•,� . �.ti � �� a4 � r-�... 'f:}: i"tiY^. ti--,,- � �'• - n: -�� .. "�'-r7�'�`+ ... ra ., .. „Y..• ti -aYC' Mfr, k-� ".. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA' 95965 Phone (530)538-7541 Fax (530)538-2140 , PERMIT APPLICATION DATA SHEET OWNER: % JS , �(,' ASSESSOR PARCEL NUMBER (� (J �� - /U U S Proposed Building Use: 4,2 Counter Technician: ' � Date: Ite, ryhs required in order to apply: or a permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered''trussdetaiIs and layouts in duplicate. No faxes! 0.5. Energy compliance design and supporting documentation in duplicate. ❑ '6, Man homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Planp)Tie down or fn p ns all in duplicate. El 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans inin ripe. All of these must be stamA and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Fire Sprinklers............................................................................................ ❑ 14. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 15F .Other Hing items needed to issue the permit. (May require additional plan review upon receipt of the following ite� as shown on the attached Schedule of Fees Due Sheet ....................:.................. 17. Statement of Intent for Non -heated and A/C Buildings ............................................. ; ❑ 18. Sanitation and site plan approval from the Environmental Health Department in ❑ .19. City of Chico Plumbing permit........................................................................ ❑ 20. California Department of Forestry plan approval ❑ paid. Sent by: ...................... 0, 21. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: O 22. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 23. NPDES Form............................................................................................. ❑ ,9 "Encroachment Permit for driveway from the Public Works Dept! 5. Pre -Inspection for required ................ 26. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 27. Worker's Compensation Carrier and Policy Number ............................................. ❑ 28. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... _ .❑ 29. Letter of Signature authorization..................................................................... b 30. Recorded copy of Agricultural Acknowledgment Statement .................................... _ ❑ 31. Manufactured home utility clearance............................................................... ❑ 32. Existing violations and/or expired permits......................................................... ❑ 33. Grant Deed, jP4.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 34. Other: When issued Telephone i and hold for pickup. I have been informed of the above item d requirements for obtaining a building permit. Applicant: CIU�t.�e-�-- !kms Date: 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, w s advised of the abo da a by ❑ phone, ❑ mail, ❑ counter b Date: Plans reviewed by: Date: 0� Plans approved by: Date: S (� Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 SCHEDULE OF RECEIPT OF FEES OWNER Jo a 'IR'r L PROPROSED BUILDING USE BUILDING PERMIT FEES - -Balance Due ..................... $ A.P. # &/V_ M0 "W DATE �' 161 —t�)3 RECEIPT # DATE REC. --- Additional Fees Due........... $ --- Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES (paid at School District Office) (form available after Plan Check) 3. SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit)..... X = $ # Units Amt. Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid. at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. Commercial (sq. ftg.) ......... X = $ Sq. Ftg. Amt. 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. These fees may be changed during the plan checkin ess. APPLICANT DATES Pursuant to Government Code Section 66020, you are hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 6PILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 30) 538-7541 p 96) APPLICATION AND PERMIT cl/ E soRPARCELNUIIBFR LON1N° BUILDING PERMIT TELEPHONE �er�. f.v. ,&Q, AD s SO. FT. OCC. BUILDING VALUATION SOMRaGTDR � TELEPHONE I TDRS IAA6J TRVCTIDN LM V% Fireplace EA5 WWNG ADDRESS Total Valuations S ARCH -ECT OR ENgNEEA ucENSE NO. Filing Fee $ 20.00 Permit Fee ARgp'ECT 'OR ENOWEEIM MARJNG ADDRESS Plan Checking Fac BunDWCADDREss Energy Plan Checking Fee S PERMIT FEE = 2 LOT NO. uBDtvrcknmAuzPARCEL MAP PLUMBING PERMIT FllrmgFeel 20.00 7 -00 ---- USEOFSTRUCTURE SF ❑ Duplex ❑ Nlobilehome ❑ Other Solar or heat pump water heater 23.00 Water piping 15.00 . s.A Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addriim ❑ Remodel ❑ Uff&ts ❑ installation ❑ Other ❑ Describe Work: �X_i�%� � � !/, Gas piping system* 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S d ELECTRICAL PERMIT I Firing Fee 20.00 Main Service oa E. 23.00 . Maus Service 2DOA TO IOWA 46.00 NEW CONST: ( DINELUM OCOUP. OR ADDNS \ t AMC. MEDS. 3.50r. NON•RESIb' MULT40NTLET @7.50 POWERe APPoLmFTARATLS s saet em Ex. OCCUD. OvnFr OR FWPJRM I eat. m Is' I.ro ® .so Ex. Occup. DvrTs 0m.7JL 5.00 Temporary Service 23.00 ��1 � � /O�• L (5 Mobile Home Facilities 20.00 ::11•�• ( Wsc. Wein 23.00 PERMIT FEE S sps Firing Fee 2 0.0 0 MECHANICAL PERMIT 9 Heating 0 44 -me- 4 Coolie Hood , 6.5 0 Ventilation :T� PERMIT FEt S Mobile Home Installation Fee S a Energy Inspection Fee S PwwwA�� �" `D�' TTPE TOTAL FEE $ p�FEES IYP FLOOD COF PARCEL PD SUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ta tkindicated above for which fees have been paid. Cc" By Date PERMIT EXPIRES ON (Dela) i ,. OWrIER LOCATI CO pm-mPETION PRE -INSPECTION REPORT IN. DATE TolNs?ECTOR: O��O�J-S_ PHRMITfiLStOttY:( )NONE Badding Description: C.ommaziaWsagn: Resideat"f of Units: Ct==4 Oxupied Abandone&Va:aat Electric: (ya6s'FOLLOWs: r BUILDING INSPECTOR'S REPORT Yes No Electric currcatly On Off Condition of Electric Gu: Natural Propane None Currently Oa Off Obvious Problenw. SanUtion: Plumbing Worldng WCU Wort lag Potable Water Obvious SewageProbl— _ ACTION RECOMMENDED: ISSUE: HOLD FOR Date Sketch buildings on reverse and indicate location on proper COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541) �PE MIT NC ev 12/96) APPLICATION AND PERMIT 60C., 0.S SESSOR PARCEL HtJLJBEi r AS ZONING BUILDING PERMIT 0,MER TE`D-"ONF er OWNERS UAU AD S i SO. FT. OCC. BUILDING VALUATION I�NTRAC7flR TELEPHONE CpNnpAGTDRS IAARJ =NsTRUc=m %.MER ' Fireplace LENDE3t5 1ANLRJG ADDRESS Total Valuation S ARCK ECT OR ENWNEER LJCENSE NO. Filing FeeS 2 D.00 Permit F995140.,50-; 7- S • Aft CHRE,OR ENDWEERS MAMUNG ADDRESS CT Plan Checkin Fee S av euwwcADDREss Energy Plan Checking Fee S S PERMIT FEE S 2 LOT NO SUBDIV&DUS NWE ._._.___.–___.__._.____...—.__._._.____...__. ill-*-..,--------*-.----..--.--.-.-.------.--- PARCEL WP PLUMBING PERMIT Filing Feel 20.00 Each Trap ..— • — --- -- ----- — -- - 7:0 0 ...--- USEOFSTRUCTURE SF ❑ Duplex ❑ Niobilehome ❑ Other LOPMFY Solar or heat pump water heater 23.00 Water piping 15.00 s Each gas water heater or vent 15.D0 TYPE OF WORK New ❑ AddLTwn ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: •[o)ciM ��(� r 4-l�,= t_ �" ��1 Gas piping syztqm t - 5 outlets 15.0 o BuId'ing sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT I Fling Feel 20.00 Main Service oa ODa LLEM 23.00 • ♦ ` "� TWro ' ( SIPS S�vtr O _ �� 6C--,?"+ ` 6� `1 Main Service io" TO JDDDA 46.DD NEW CONST.rdt;w ( OWB1JaJG OCCUP. 3.S¢ DA ADDNS. \ i ACC. �.DS. wN asm ' �uLT1 °urLaT @7.50 POwEA APPAR4TV5 s sD�mF oLJTLtT CIR Ex. Occup. OUTLET OR FTr;MWM gqL ®L.SO . FUCED Ex. Occup.ET vrL��iD OEJI SAD Temporary Service 23.00 Moble Home Facilities 20.00 Wsc. Wirin ±f!E-- PERMIT FEE _ MECHANICAL PERMIT Fling Fee 2D.00 Heating Cooling H 6.5 0 Hood Ventilation :T� PERMIT FEt S Moble Home Installation Fee S Energy Inspection Fee S "` "�• TYPE --[TOTAL FEE Sg. ZS WIZ. D. FEET.+ IAtP FLOOD CDF PARGFJ_ PD (�' This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions 10 do work indicated above for which fees have been paid. Date PERMIT EXPIRES ON 64-70-33 Beryl Woolsey- ,`ndj/ 210 Colter Way, lot 140, PP#2, Magal contr: Tri -V Const., Magal�a Permit 155 9-78P,E(util. ) d) CLEC. GAS SUPPORT S RUCTURE REQ. �?�© COMPACTION TEST REQ. f 64-70-33 E Contr: Ben Afire MH Ser, Magalia ,Permit #6963-78MHI Issued /02-/-%J14 '/.SAW-0?K 64-70-33 I 110 Cody Ct., lot 140, PP#2, Magalia lcontr' Tri -V Const., Magalia "ermit #250-79B(new carport, cov.deck, +cov.porch &en deck/MH) �(i Building Permit Number: 03-Z5)5 Owner Name: W00(� Residential Construction Requirements IMPORTANT This set of plans and specifications MUST be kept on the job site at all times and it is unlawful to make any changes or alterations on same without written permission from the Building Division, County of Butte. All materials and workmanship shall be in accordance with recognized good practices and of a quality prescribed for the specific use in the 2001 California Building Code (2001 U.B.C), 2000 California Plumbing Code ( 2000 U.P.C.), 2000 California Mechanical Code (2000 U.M.C.) and the 1999 California Electrical Code (1999 N.E.C.) COMPLY WITH ITEMS CHECKED BELOW Your parcel lies within a designated 100 -year flood plain. Finish floor, electrical, H.V.A.C. equipment and services shall be a minimum of one foot above the elevation shown on the attached Flood Elevation Certificate. A Post Flood Elevation Certificate will also be required Note: We will normally accept the following as compliance with the flood elevation requirements: 1. Building is anchored to concrete stemwall system with conventional anchor bolts. 2. Building plate on top of stemwall to be one foot or more above the 100 -year flood elevation. (Plate height less than 24" above grade, or engineered design required). 3. Electrical, heating, ventilation, plumbing and air conditioning equipment and facilities located above the plate. 4. At least 2 openings in exterior walls, located on opposite or adjacent walls with a total net area of not less than 1 square inch for every square foot of enclosed area. 5. The bottom of the openings shall be no higher than 1 foot above grade. 6. The openings may be screened or covered with other devices that will permit automatic entry and exit of floodwater. Page 2of 2 Building Permit Number: d 3- Z S IT Owner Name: [A)0-Ot�A T Parcel lies within the State Responsibility Area (SRA). Comply with attached requirements. Fire sprinklers are required in this structure. The following parcel map requirements shall be met: All structures and equipment including overhangs shall be clear of all easements. A setback ofW 5 e„e} from the side ander eet om the rear property lines and 20 feet (25 feet if Federal Aid Route) from the edge of the right of way shall be clear of structures and equipment except for a 2 foot overhang. Expansive soil may be encountered on this site. This condition may require the foundation to be designed by a California registered engineer or licensed architect. MOB ILEHOME, SUPPORT DATA 6,q) v ? Pb R XJM/90)� If other than single -wide, 0robilehome Mfr.furnish Setup Model No. Year7e_ Width (ft.) Box Length _(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either AA pressure treated of 3, Q MM )-q3, x grade. (ft.)(in:) (in.) (in.) ❑ 2. Other (specify) Center support Center support locations'; footing sizes Supports (check one) (in.) 1. Concrete block. 2. Other (specify) (ft.)(in.) (in.) (in.) (ft.)(in.) 0� 9_ WSi 41, (ft.)(in.) ,a� a (ft.)I (in.) (in.) (in.) (in.) (in.) (in.)I (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Tagalong or Expando, show support details. %,Z x 30 -- Typical Support in.) (in.) Footing Size ` /" -- Max. Pier Spacing (ft.)(in.) • j �' -- Max. Overhang in.) i3L1�L_ Ci1JUt�I b �. gLALDING DEPAR i M , bUTTE WLPTP R 0 V ; BUILDING DEPARTMEN3 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 / No (If yes, furnish permit number(" j/ �O �`� ) OR Is the site an existing site? Yes / / 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 2W No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 0� Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natu Yes / / No —(Amps) (in.) LPG / / 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) �. (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) '-1uILDINU DT- ` P P Ft 0 OERMIT NO. 250-79B PERMIT EXPIRES �V Beryl Woolsey ;OWNER ",;CONTR. Tri -V Const., Mai a]ia 'LOCATION (A.P. 64-70-33 ) 10 Cody Ct lot 140, PP#2, Magalia 9 • i� i " 4 :1 } F !f.- I, Temp. Power Pole k 3 Called PG&E Temp. Elec. Serv. �,'�"- Called PG&E - Tem . Gas Serv. - Called PG&E r e E" O B FINALED Fate) J; . ' (D (Signature) _zr �(4 1 . Finish COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RE'C�iRD Underground BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica e. 11 C7 Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin Footing ELECTRICAL 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 Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES --------------•--- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE ryREMARKS OR CORRECTIONS i7 �11i( V" Xcukw 9.0 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DE ARTAi1ENT OF PUBLIC WORKS 7 County Center D .-vie . Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT autnorize representatives of the county of tfutte to enter upon the above-mentioned_property for inspection purposes. DateZgy�2� ature of Permitee or Agent Receipt No. mo! � 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 R OF UBLIC WORKS By Date Building permit expires DateC��""�� BUILDING Owner e SQ. FT. OCC. BUILDING VA U 10 -90 Mailing Address 7Ey 0 4,01 z ®o 1 00 Telephone No. 9" 614kv I 904D, 00 I 67 0 Contractor _ ea 'V leFireplace Mailing Address Total Valuation L Te ephone No. Permit Fee Building Addre ` Plan Checking Fee&/or Penalty Permit Fee �UCy 3 �C PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �^ P� fitt/0 ? ��y �f/�,�-ErX3lI Repair drainage or vent piping 1.50 A. P. No. 64 — 70 " 3,3 iZoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Sa n Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �� Bldg. P anl�'s Rec'd Parcel rovol Pla pproval Lawn sprinkler system 2.00 NEW W ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE ®� PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP ORLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L loo AMP 2.50 �A— A_ n•_ l' '1. Imo+ 6lI�Gl� Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCL BLDGS.0 cup- 4') 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI-OUTL T NON-RESID. ( BRANCH CIRCUITS)i 2.50ea NEWC ON ST R POWER APPARATUS B 1 NON .RESID. (SINGLE OUTLET CIR. / 0Q EX. Occui)(OUTLETS OR FIXTIIRES 6AL@1FIXED ALNS Ex. Occup. (OUTLETSP(RESID)RI-A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�3��') �f Classifications 9�-,�� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL. No. @ FEE 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. j I have placed on file with the County of Butte a certificate of /yV 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ �� autnorize representatives of the county of tfutte to enter upon the above-mentioned_property for inspection purposes. DateZgy�2� ature of Permitee or Agent Receipt No. mo! � 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 R OF UBLIC WORKS By Date Building permit expires DateC��""�� y J u e PERMIT NO. 5569-78P,E PERMIT EXPIRES 1 Q OWNER Beryl Woolsey Tri -V Const., Magalia CONTR. 64-70-33- ;j LOCATION (A.P. ) 210 Colter Way, lot 140, PP#2, Hagalia a,�T�d 9 %i i ' P � 4 Temp. Power Pole Called PG&E lftp. Elec. Serv. / 2' `-/- -7 91 Called PG&E Te p. Gas Serv. Called PG&E JOB FINALED (Date) (Sfg N I i e _.Ir i . 8 ., b • n � � �. ' �. � • � l ,. T , _ '� ' � I' • � ' � '.r '1 r ._ .. ... .... ., t� • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD \ BUILDING BUILDING (Cont'd)PLUMBING a toacK Fir all SAV Piping Fo Para is 1 t Floor M n Bldg. Les trolm Finish 2nX Floor Aotin s Windows ' 3rd loor Ste wall SidingTo out Slab Roof Sheatkng Water Pi Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V Prov. forph sical 4 handicap ed Conformance of ex. structure Y Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio IRE ACE Final Footings Footing /ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test - Water Hff. Stucco Final Sub a els Mesh MECHANICAL Grd. ault Prot. Scra h Heatl SerAce BrqAn Coo ng 11 emp. Pole F ish D isUnder round In rior Lath ntilation Permanent Mor Closer final Final MOBILEHOME UT! TIESElec_ """------------ Service p—lT Elec. PedestalO- _ 8 Water Piping 70 7 77 Sewer /0 qg;� Gas Piping MOSILEHOME INSTALLATION - - - - - - - - - - - - - - Support Z,-� _ i Elec. Continuity l Water Piping y � - ) - J?SDrainage i 2— f _ 77 Gas Piping - DATE REMARKS OR CORRECTIONS 'k' i'� W< TG , e? 11VC 61>Srtvzr 4�G ,F ! > &v c,*Ae 3-7 �' a�t3 Guu�� dir/dE�F vo drJc� s .loo Qu�D �Le,! it/ O lli S -- iVo SJ/�a�7 .v0 ,— —7 o olz Pi a �r ..?'�w� U -Ar' a/c . (rLYdT Jc -Cr BS c tri• ;AZ /77 i'��D• /gyp a �3c-�-�T'xJ d uNT (� s /3 ca x/ iv`az-z a'3 vas+ e T Strr,- 7 70,03 -iP9J2Z 9,9t> (NOTE: An entry must be made on this form each time you visit the job site.) J1, MOBTI-CH021.G INS`' LA` ION INSPECTION CHECK LIST. 01./Cis the. mobilehome located N,11A.- i required separation from lot lines and buildings and generally conform to plot plan? Yes< No GDoes the mobilehome.hiave reyuircd clearances above ground? (Sec.5085) Yes No r4re footin,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes <1 No 0.1.Cls the mobilehome level.? (Sec. 5088) Ycs4 No+ C506f more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No L�r.0 Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes ,/' No_ e B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow -If c is not State of California approved, does station have backflow device and pressurWeieft valve? Yes_ No 77 CWastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum ," 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_ Noi� k D. If coach is n t e of California approved, does station have required trap and vent? Yes No� ((LCas Piping a d Gas Vents V A. Connector - Is mobilehome connected to the gas pply with an approved 3/4" minimum mobilehome connector not more than 6 ft, lone. Note: All piping is to be at least as large as th mobilehome gas line inlet wi hout reductions other than the mobilehome connector. �S No B. Test OK as per f lowing procedure9 Yes No 1. Open all applZ mtkce connectorwalves. 2. Shut off appliance Nkrne' and pilot valves. 3. Air test with mano etero 10."-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz. calibr ted 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 wat¢ . N N C. Are all appliance vents properly installed?. Yes No I 4 i y lectr.ical i% Is service large. enoktgh to provide ;:idequ<ir_e amperage to mobilehome (must equal rating; of Mobilehome (vitii a n:riri.uum of 100 amp) and other faciliti_E!s on lot, i.e. , water pumps, g :tai e , ca�.lna, cr c .:- Yes No B. Is thee,proper clearances around panels? YeX— No C. Is power supply cord or feeder assembly properly fused? YesV— No D. Is continuity test satisfactory as per the following procedure? Yes No_ I. De -energize electrical wiring systenii of the mobilehome at the ped -stat. 2. Flake 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 1 ---.:id of a test instrument to the mobilehome grounding conductor and applyti.e U u.P_1' .i.�uaYU each Cu.� Gu1e�i7liit iii iiil �i" CG[iiitiCtGr, lili lii rieui tai, 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, ,.,.iter 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 to<;t shall then be Wade between she grounding electrode and the chassis of the i9iobilehome. Upon sat-i.sfactory completion of the electrical tests, the lot or site service equipment may be approved f:at energizing. ;_ii, �s job card sincd by health Dt�partmeilC far:+ water and sanitation? �h everything olay, sign off card and ta; services. 'MOB IL L�:?OML _DATA Manufacturer and/or Namestyle Length 4�6 Width��_� Vehicle Serial No.ct State Identification No. r.&,itional Infoi-nation or Corcunents: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY _°C This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter• 5, under permit number /. Gam? ?k for the following location: —)�/I "..-, Tcd' Owner 2'L,* 4 i /o Owner's Address Mobilehome Mfg. Model Year Insignia No. f ?;IZ� y Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date S 7b Director of Public Works By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED _ White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE,. CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25i—Chapter 5, under permit number r+L? • "7k for the following location: OwnerR��ri /�ieri �1u Owner's Address Mobilehome Mfg. �" — �" Model Year Insignia No. (� Z/`.4 /�y"JSerial No. or It is hereby certified for occupancy at the above described location and may be occupied. Director of'Pnblic Works Date ' 1 _ 3 7& Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED Whin - Owner, Yellow - COUNTY OF -BUTT y.DEPAPTMENT OF PUBLIC WCWKS 7 County Center Driv'a - Oroville, California 95965 Telephone: 534-4541 g—/ -7p APPLICATION AND PERMIT NEW F1 ADDITION UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home EOR MOBILES Others ❑ 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: License No.�!.j 7/ Classification I am exempt from the Contractors License Laws of the State of California. 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. 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-rgeptioned pgperty for inspection purposes. 'I V Date Sign re of Permitee or Agent )ceipt No. ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $ BUILDING ELECTRICAL No. OwnerSQ. FEE PERMIT FILING FT. OCC. BUILDING VALUATION $3.00 Mai I i ng Address 600V OR LESS 100 AMP OR LESS 5.00 6400 Main service EA. ADD•L 100 AMP 2.50 Telephone No. l OVER 100 AMPP OR LESS O 25,00 Main service Contractor 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP 21 Mailing Address NEW CONSTR. Nn N.RESIn_ Fireplace 2.50ea Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 0AIL77 c2 40 r Z50PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �Q Each Trap 1.50 Z �(ga�%4f1cn Oo1 Q4Al1tQ b1 Repair drainage or vent piping 1.50 A. P. 7 e -r Z nin 8 Planning Water piping -4.613 Q Each gas water heater or vent 1.50 F s Sa i n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plan Parcel Declaration Parcel M • 60' R/W Improvements Each additional outlet .30 Building sewer -C.60 Qv Bldg. ans Rec'd Parcel roval Plan pproval Lawn sprinkler system 2.00 NEW F1 ADDITION UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home EOR MOBILES Others ❑ 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: License No.�!.j 7/ Classification I am exempt from the Contractors License Laws of the State of California. 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. 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-rgeptioned pgperty for inspection purposes. 'I V Date Sign re of Permitee or Agent )ceipt No. ite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Permit Fee $ G ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 6400 Main service EA. ADD•L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25,00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING CCUP 21 20 sq ft NEW CONSTR. Nn N.RESIn_ (MULTI -OUTLET BRANCH CIRCUITS 2.50ea Ex. OCCUR OUTLETS OR FIXTURES '''s BAL@1 FIXED APPLNS. Ex. Occup. (OUTLETS ((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00s' C) Misc. Wiring 6.25 Permit Fee $ _ J - MECHANICAL No @ FEE PERMIT FILING FEE 1$3.00 Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ j TOTAL PERMIT FEE $ 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. DI CTQ_R PUBLIC WORKS 7 By Date —< `Bg permit expires Date This set of plans and specifications MUST be kept on he job at all tiro^s and it is unlawful to make any, changas or alterations on sarne without wriffen permission -from the Depar ent u lic Works, County of Butte. NOTE:=sill Mareridsi Y� ; v; ..mcn ..;; Shail Be In Accordance with Rcc;:gnizesa wood %'ractices and of a quality prescriLeJ 'or f! -,e Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. 13L�- All utility connections shall be located within 4 ft. outside �Pe r9ar �r third onhe left (road) side of tike' mobile home. u j r b l i)�ef Theback. shall be 5 ft. Jrom At �0 side property line and 50 ft. Irom the centerline of the road, permittin+q a maxi- mum of a 2 ft. eave overhang b,entirely out of all easements. i X �D installation;red for the of the mobilehome. _..._._. ..._.....__Z.q X Lo 24"0Nte i 2F cCPVC LEA( F; L Ad E 20' SET jL,nLV- 0 9'c u C O L..T 7 P_ UL) 6=� �C �V1Q� [3E2`�L U)DC�LS� y SPC 0-11= t CIT 10P,I S PO t3Ox l� 32 o CLECTIL.tL ND Amp. �IHODLI- (OJOD S DaUE L CA_ 95QT3 UJAT�fL /.a" PVC + C 1�1.1)A1.ltirf. 409 41S- 4_7L' a SEPTIC. 10W (n%kL TAk11C 100' LEALN LftlI o PIAO 3'I1L' AIS CD�1Pi?.CS�C(}` 12DtlL UNIT Z LOT 140 ® O�iVC� 3'!z RI.L C'8NPV'.C1) RC (tC t2_GG1� PINES S�)13i V. m MPUR(O AIL+ RLA(k. TOP U,) m L 12 !A? P 0 it'd A i_._ O9c ry ;; r• c �� SepIc sys 1' but ##e Co } 0 x quigements �► Z6 �y> N nt (:TL fZ. and location &;L� to be as :Per Health Dept, fRe- BUTTE COUNTY 1UILDING DEPARTMENT APPROVED JCOUNTY OF BUTTE — 9DEPARTME-NT OF PUBLIC WORKS 7 County Center Drive — broville, California 95965 . Telephone: 534-4541 /n APPLICATION AND PERMIT autnorize representatives or the county oT ttutte to enter upon the above-mentioned property for inspection purposes. ie�5& � aim i Date Signature of Permitee` or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which feesre— e en Id. DIREC OR P BLIC WORKS By Date �y�7 �11ng permit expires Date 7 BUILDING Owner 8 , P SQ. FT. OCC. BUILDING VALUATION Mailing Address ® CO iC rylf` Telephone No. Contractor Beo II 8 01b t�to �y S c9t�_o Mailing Address ftltb���S> Fireplace Total Valuation �j T 43'�Igq�J Permit Fee a Building Address Plan Checking Fee &/orPenalty Permit Fee $ 2•1OLTE12 w Y PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 9 LoT 14o FP Z Repair drainage or vent piping 1.50 � y3� A. P. NO. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 / FWs W �ac>iEalien Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking sans Parcel Declaration Parcel Ma p 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 Bldg. Ions Recd Porcell4poporavol P pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ W1 kre— Ij}'rm . PEem ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR LE Main service 10000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home [Z Others ❑ Main service EA. ADD'L 100 AMP 2.50 PV Main service OVER sOOV 100 AMP OR LESS 25.00 Main serviceEA. ADD'L 100 AMP 1.00 NEW OR ADDNS((% CONST.DWEACCLBLDGSLING CCUP. 51 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State State of California Business & Professions Code under the name style o ( �t42A NEW CONSTRES'., MULTI.OUTL T NON-RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS S NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIPES g L@ FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �qn���,,4//,,// License No._r:K 164 Classification "' ' Mise. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. fG1 I have placed on file with the County of Butte a certificate of y� 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 Cal i forni a. 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 Land Development Fee $ .� TOTAL PERMIT FEE $ autnorize representatives or the county oT ttutte to enter upon the above-mentioned property for inspection purposes. ie�5& � aim i Date Signature of Permitee` or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which feesre— e en Id. DIREC OR P BLIC WORKS By Date �y�7 �11ng permit expires Date 7 MOB EHOME : SUP'PORT DATA �,C�� �/ AL2.4 OR IL If other than single - wide, Mobilegome Mfr. &177" furnish Setup Model No. Year 19 7e Width -2,4 (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) - On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one)' Single I. Wood either 'A ft'A_ . __ pressure treated' or foundation grade. 0 Q z41 x �0 (ft.)(in; (in.) (in.) Ej 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) D' l: Concrete block._ 2. Other (specify) (ft.)(in.) (in.) (in.) , - 1�---Tagalong or Expando, show support details. g„ 2y 30] (in.) (in.) _ Typical Support (in.) (in.) Footing Size '/5' 4j" (ft.)(in.) (in.) (in.) ' �'� -- Max. Pier Spacing Max. Overhang (ft.) (in.) (in.) (in.) t BUTTE COUNTY. BUILDING DEPARTMEN3. /APPROVED *If center piers are other than drawn above, draw in locations,.spacing,-and dimensions. 'f BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: V �'� W� S ,- r 2. Installer's name:A/ir/��v�e� 3. Is the site currently under permit? Yes / / No / / ( If yes, furnish permit number1-79 �`�7�I ) OR Is the site an existing site? Yes / / 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 / No ( If no, clarify ) 5. What is the mobilehome electrical rating? -----------------------Amps 6. What is the mobilehome site service rating? --------------------- c2ly Amps 7. What is the mobilehome site circuit breaker rating? ------------- otic Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No =7 (If yes, identify the load and size: (Load) (Amps) BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: V �'� W� S ,- r 2. Installer's name:A/ir/��v�e� 3. Is the site currently under permit? Yes / / No / / ( If yes, furnish permit number1-79 �`�7�I ) OR Is the site an existing site? Yes / / 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 / No ( If no, clarify ) 5. What is the mobilehome electrical rating? -----------------------Amps 6. What is the mobilehome site service rating? --------------------- c2ly Amps 7. What is the mobilehome site circuit breaker rating? ------------- otic Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No =7 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size- ---------------------- (in.) 10. What is the type of gas service? --------------------------=-- Natural / /"" LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) AL? 5 1-7 Pa;• i 1 0 i 0 6aC).7Cn�y M14 L I A 700 , 03-5 N0 T E: See the attached R Li "er RD9j9MMI� Pages .( rr Z57 5-- fiq c BLJ7Ta%- COUNT--*( 1AUILDING DEPARTMC-EK A P P R 0 V R r3 ,=J 0 F R a 4 `. j a r 0 L W I -CIO :.; r w O 7U D Z� mat tJ ZA< 12 - a� ° :. z-0 rn �r D z tj �• - O • C-) --, is � � �� : • r ' D W ' J r ■ : Irn V M D �� • r qb R r3 ,=J 0 F R a 4 `. j a r 0 L W I -CIO :.; r w O 7U D Z� mat tJ ZA< 12 - a� ° :. z-0 rn �r D z tj �• - O • R r3 ,=J 0 F R a 4 `. j a r 0 L W I -CIO z a � v p • 0 I O cis �v� o�"o°°'g a��4 _ e.$� o aQ. �p� Oily r� •o •° ire- n gigUn Arno P11,1188 pp 15 �� a s p 444 0 s .a low 1 999 R ago - lip El LL Si �$� w oil 8 " SCK: �� G8 6 "" 06s j R! s a o 8a as 6Sol y o € ��€ V4.1 a a aFP a l all a INCC �•j. i `� w D FOR: CENTRAL PIERS, INC. THARP & ASSOCIATES, . r °° g .284 N.. THORNE . GEOTECHNICAL CONSULTANTS FRESNO, • CA. 93706 Site Assessmmts •Foy fttlon EroVwer V 9Constructlon "00t rn IA oNinp 1 . H w c H � (559) 268-0828 ;: •�y m : MOBILE HOME: FOUNDATION SYSTEM (30-5F) 347 SPRECKELS DRIVE, APTOS. CA. 93003 (831) 662-8390 BUTTE COUN gUILDING DEPAR T MF , A P P R 0 V r � w Q D � mat td ° D z z rri C-) --, z a � v p • 0 I O cis �v� o�"o°°'g a��4 _ e.$� o aQ. �p� Oily r� •o •° ire- n gigUn Arno P11,1188 pp 15 �� a s p 444 0 s .a low 1 999 R ago - lip El LL Si �$� w oil 8 " SCK: �� G8 6 "" 06s j R! s a o 8a as 6Sol y o € ��€ V4.1 a a aFP a l all a INCC �•j. i `� w D FOR: CENTRAL PIERS, INC. THARP & ASSOCIATES, . r °° g .284 N.. THORNE . GEOTECHNICAL CONSULTANTS FRESNO, • CA. 93706 Site Assessmmts •Foy fttlon EroVwer V 9Constructlon "00t rn IA oNinp 1 . H w c H � (559) 268-0828 ;: •�y m : MOBILE HOME: FOUNDATION SYSTEM (30-5F) 347 SPRECKELS DRIVE, APTOS. CA. 93003 (831) 662-8390 BUTTE COUN gUILDING DEPAR T MF , A P P R 0 V r