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064-700-042
64-7072 ga Don Freese -p 2 - a g a 1 --140 Colteray, lot -1 ?m 3- 1 ia contr: Fe ther River Const., Magalia Permit #5014-77P,(util.,MH) S ELEC GAS -401�- SUPPORT STRUCTURE REQ. 0 - COMPACTION TEST REQ. 64-7 -42 Don Preesep, L �- 3 140 0 C o lter,Way, _, lot 49!,7PPI2, MIa ga--l- i contra: Feather'River Const.,.Magalia Permit #5015-77B,E(new-private garage' 64-70-42 contr:Beich Mobilg.Homp, Chico Permit. #5614477XI—"�//Issued 64-70-42 contr: Don,Free6e -i3--fmit #249-78B(new deck/MH) 64-70-42 & 14801 Colter'-,,-W!,y, Msgajio w�/�'� Permit#969'-'-6B'0tew4 open decvklvH).! - P E RAI T49- 6 -054-4 - 064�4501042*j-. 'T ROUTMAN; = D. L -,;t -`x14801 z , . I � J; 4 01--'c( )u,lfj'r4Way, 'Magaliale- C6nt';"'Rel" P iance ropaneF., .�v '.. �' fi �,!f. Propane--,-- vlj 1 '' .. (40 , 64-700-4.9_ 01-1650 -TROUTMAN DON. Pah 4 21�171* �1- 14801 COLTER WAY; MAGALIA CONTR: SUBkUBAN PROPANE �'J:,G-.&A-S-PIRING 1 Icn NOTES I RESIDENTIAL 64-700-4ai 01=1650 TROUTMAN, DON 14801 COLTER WAY, MAGALIA CONTR: SUBRUBAN PROPANE OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By, �_ Dat II SPECIAL CONDITIONS . . II SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB-FINALED (D ) �' -7,01 Signature CHECKED BY V=OK 0 = Not OK - = Not Applicable ZMOBILE HOMES = Not Ready 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./ PLPG 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 FINAL (Plans) OK except #'s 4. Electricity; MH Test -Crossovers -Breakers -Clearances Setbacks -Easements 5. Drain; MH Test -Fall -Flex Connector Soils; Compaction -Structure Stability 6. Water; MH Test -Regulator -Connector Pool Structure; Steel -Connections -Thickness Dead Men -Lining 7. Water and Sewer Connected -C/O to Grade -HD Approval Elec.; Receptacles and Lighting, Distance-GFI 8. Gas and Electricity Tagged Elec.; Pool Lighting; 15 Volts-GFI 9. Tie Downs -Type -Installation Cert. Elec.; Enclosures; Conduit Entries -Terminals -Listed 10. Exits; Insp.-Sketch Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 11. Cert. of Occupancy Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Panelboards-Ins. to Main in Conduit 12. Permanent Foundation Only; License Decal Health Department Approval 10.. 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 FINAL (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 in Conduit 9. Health Department Approval 10.. Plumb.; Cir. Test -Water Supply Test .11. Light Niche Date Card B-1 Date Card B-1 Date Card.B-1 Date Card B-1 J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (� Date 46. 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.-/ P Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ P' 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/0 -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 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. 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 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral Q Yes O No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) ' 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-Roft Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Ramex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. 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 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets & Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor D Yes 82. Following Insild./Drive J Yes J No/Walks J Yes J No/Planters J Yes J No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted 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 PERMIT NO. (Rev. 12/96) + APPLICATION AND PERMIT Z (-X3 I - A' ASSESSOR PARCEL NUMBER goo °�� --o ZONING - BUILDING PERMIT OWNER � T LEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS KES. inS 1 i� a CONTRAC R'S NI�MC ELEPHONE, CONTRACTORS MAN DRESS ,l/ Y `I✓� n j_ _KG�/��_j[�SAgs VI /l/'Yu (,� (,� CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS O j— t'C, Energy Plan Checking Fee $ $ PERMIT FEE S LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: G . /'\ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service noon oRR V ss 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 isQQin�ifull force and effect. �n1 License Class rl (: �oo3le Lic. No. 7A�1 OWNER -BUILDER DECLARATION 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 performance of the work for which this permit is Issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' co,9p�ensation insurance carrier and policy number are: Carrier ( i ftw\oPERMIT Policy Number (The above sections need not be completed if the permit Is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. f% 1 X iV (/��! �/ Date ` o I Signature of App i a t - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excava ions over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( 6 ACC. BLDS. 3.50FT. -IO.' MULTI -OUTLET CG 7.50 —NON POr APPARATUS 8 SINGLE AP= CIR. Ex. Occup. OUTLET ORFDLTURES 200'"00 BAL O .w FIXI UIID)EA 5.00 Ex. Occu OUTLETS(RES Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE o O TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PO HD Is U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date -7-3.01 PERMIT EXPIRES ON Q (Date) rReceiptNo. �.i ��� TE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0,6/+-7b0-042 "', ',t ;._; PERMIT#96-0544 ,, `CI Y, ,' TROUTMAN- D "; L '" ;4` ' • A 14801' Coulter`Way,' Magalia Cont, ,Reliance Propane' Propane`Line /MH a `t. ."'j �•'3 ""' "16FFICE COP.y. Address r AS Meter Bye + .; at • _ ELECT"RIC "y:. .-!V Meter By Date f tF � COUNTY OF BUTTE- DEPARTMENT OFDEVELOP14ENTSERVICES - BUILDING `DIVISION �T 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541n PERMIT O. APPLICATION AND PERMIT `� ASSESSOR PARCEL NUMBER —7 ZONING RI BUILDING PERMIT OWNER-'!` D.L. ST TRGMAN QppTELEPHONE 7 SO. FT. OCC. BUILDING VALUATION OWNERS MAUNG ADDRESS PO B0, ALTA CONTRACTOR'S NAME RMIANCE 1 TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 141301 COULTER WAY MAOALIA PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duolex ❑ Mobilehome IN Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublibes ❑ Installation ❑ Other ❑ Describe Work: PROPANE LINE — Mobile Home I S I GI W @20.00 PRE INSP. R3.00 PERMITFEE g 58.00 Contractor ELECTRICAL PERMIT Filinq Fee 20.00 - a OR LESS Main Service ( 200A OR LESS ) 23.00 Main Service ( 200A TO IaooA ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1 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 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) SO. 3.5¢ FT. NEW CONST. MULTI.OUTLET NON -RID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( & SINGLE OUTLET CIR. ) Ex. Occup. (OUTLET OR FIXTURES ) BAL 0 1.50 Ex. Occup. ( OUFIXED TLLZSPRESID.OERA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is,issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ' , O I certify that in the performance of the work for which this permit is issued, I shall not employ any person- in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,fes X c_f I� %fig. __ Date _ Signature of Applicant - LI"Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 33 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 58.00 HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE V 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 helve been paid. `�fl B� ` / Date y-� — G a PERMITEXPIRESON "� ` -/ 7 (Date) r7Receipt No. /'Ikj� D.D.S.-B.D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENTZFDEVI LOPMENTSERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT O. APPLICATION AND PERMIT - Gas ASSESSOR PARCELNUMBER 064-700-042 ZONING R1 BUILDING PERMIT OWNER T) -T,. ST TRIOTTEMAN TELEPHONE 873-3119 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P0 BOX 1218, MAGALIA CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 14801 COULTER WAY MAGALIA PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome [A Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: _ PROPANE LINE Mobile Home IS I GI W I @20.00 PRE INSP. 3.00 PERMITFEE J$ 58.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service / 000V OR LESS 200A OR LESS ) 23.00 Main Service ( 200A To I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 21I, 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 NEW CONST. DWELLING OCCUR SO. OR ADDNS. ( a ACC. BUDS. ) 3.S¢ FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 WER9 (a SIINGLE OUTLETTUS C R. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .50 Ex. Occup. I FIXEEDrs PES D.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall orthwith comply with those provisions. s % X -' _ Date � �%�� _ Signature of Applicant - ET -Owner ❑ Contractor ❑ Age An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 58.00 HA2. I D. FEES I IMP I FLOOD CDF PARCEL PD I HD I ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/o Resolutions to do work indicated above for i fes h ve been paid. Q B Date ✓ ��' / 6 y o PERMITEXPIRESON /' / % (Date) rwReceiptNo.I ,�� HITE-D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER: /Z DATE: -3//y g� LOCATION: 180 .�-t��r✓. A P # �j % C>..� b �Z CONTRACTOR: - PRE -INS PECTION ONTRACTOR:_PRE-INSPECTION FOR: ZONING: C DATE TO INSPECTOR PERNIIT HISTORY: [ ]NONE. [ f%]AS FOLLOWS: _�L �is✓,���jl %'f� TYPE OF OCCUPANCY: 447 Aiding Description: [ ] Commercial/Usage: [ ] Residential/# of Units: _ [ ] Currently Occupied. [ ] AbandonedNacant. ectric: [ es [ ] No Electric is currently :[ ] On BUELDING INSPECTOR'S REPORT [ ] Off Mobile Home: Y Condition of electrical? Natural [ ] Propane[ ] None[ r]� Currently On[ No[ ] Obvious problems: sanitation: - Plumbing working Yes[�No[] Well: Yes[,] No[ ] Potable water: Yes[ No[ ] 'Obvious Sewage Problems: _ D " ction Recommended: [ ssue [ ]Hold for: pector: //,0_�f— Date: 0 Q��1t,ENT OFHpG� STATE OF CALIFORNIA—BUSINESS, TRANSPORTATION AND HOUSING AGENCY m� DEPARTMENT OF HOUSING AND,0OMMUNITY DEVELOPMENT DIVISION OF CODES AND STANDARDS o e a C� �HITYDE1`��ACTIV�TY REPORT AREA OFFICES Date U 1 " 9 G Report by z( [. / _/N-orthern Area 8911 Folsom Blvd. ��e / /sem � �/��� 1 ✓ �` ( J� r C Sacramento, 7 95828 To: Name !� lam' i / J // P.O. Box lao7 Sacramento, CA 1" Address �0 /.S f 95812.1407 /} Activity Site (If other than above) C/ ( ❑ /� ✓ Tel. (916) 255.2501Southern Area 2038 Iowa Avenue Bldg. B, Suite 102 Riverside, CA Owner (If other than above) 1/'" r"_ 14 a n, 92507.2435 Address Tel. (909) 782-4420 / � i'/A�g/! �i PURPOSE OF REPORT: (Checked( \/) as appropriate) INSPECTION RECORD ONLY ❑ INFORMATION ONLY ❑ NOTICE OF VIOLATION AND RELATED INFORMATION: This report provides notice of violations of the California Health and Safety Code, Division 13 or the California Code of Regulations, Title 25, Part 1, Chapter _, Sections indicated. Copies of the regulations may be obtained from Barclays Law Publishers, P.O. Box 3066, South San Francisco, CA 94083-3066. Violations indicated shall be corrected and a written request for further inspection filed with the Area Office indicated above on or before . The request for inspection shall be accompanied by minimum fee of $ A permit shall be obtained from the Area Office identified above for work to correct item(s) # t If you believe this report has been issued in error or is factually incorrect, please contact the Area Supervisor at the Area Office indicated above. INSPECTED UNIT IDENTIFICATION: 7 Type of Unit �''//Box Size /Overall Size f RT Decal No. Manufacturer, Year and Model 7 �/ ✓��N%eGS > % /.,il % u HUD LABEL or HCD Insignia No. 1G aJ �t y A-t^Serial No. or V. I. N. �/ �/-I � z INSPECTION RESULTS, OR INFORMATION: to LZ r ve— C_ ! e�_ P/; A r � 4�fi7 r '00117! 1 RECEIVED wrEPARTMENTAL USE ONLY: Action: ❑ Enforcement Action Needed SEND COPIES TO: ❑ Recipient SUPERVISOR REVIEW HCD-61 (REV. 7-94) 94 85249 TITLE FILE IDENTIFICATION CPT # FAC. ID # ASSIGNMENT # LABOR DATA: DR ID DATE ' PCA/ACT `C,ODE/%i�I/ �/ AREA Al cc �y LOC TR MILES TIME: INSP/ACT TR INSPECTION DATA: ❑ TIME REPORT ONLY -[J INITIAL INSPECTION ❑ REINSPECTION # HOME/UNIT _ �� # FLOORS 1 VIOLATION DATA: TOTAL MP TENANT S _ F _ E _ M _ P _ G/O _ NP MH ALTERATION TYPE: AC ❑ ACC ❑ ROOF ❑ FP ❑ O C THIRD -PARTY MONITORING: OAA @ HO ❑ IP ❑ DL ❑ IS C DAA #PLANS #COMPLY MP INSPECTION DATA: BLG/FIX _ MH LOT— RV LOT_ AS — EH INSPECTION DATA: ❑ ACTIVE ❑ INACTIVE MAX CAP P CAP OCC SFD DORM MH/RV O FEE ACCOUNTING: h �/ ,( COL # r�/' // / 4f USED DUE IATTACHED INSPECTION INSIGNIA OTHER ATTACHED FEE I.D. e• u P O "7 Ali% Close File ❑ Reinspection Required ❑ Progress Inspection Required ❑ Other4t y ❑ Owner ❑ ; SAA ❑ OL DATE ❑ Other COPIES SENT BY — DATE PAGE 1 of PERMIT NO. PERMIT EXPIRES 7 OWNER DON CLAIRE TROUTMAN CONTR. owner ASSESSOR PARCEL 64-70-42 LOCATION 14801 Colter Way, Magalia Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB V c OK 0 _ Not OK = Not Applicable MOBILEHOMES = Not Ready / MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DE S,PWERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. o g Re uirements-Setbacks-Easements 2. Soils; Special MH Support -Sketch. _ Fo gs; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatiort-Test-Wrap:/ /"L" ft./ P'Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. A Card -BI Date Card -BI Date Card -BI 4 ate - Card -BI Date _ Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead' Men -Lining 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49: Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. 12. Electric; Underground Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s _ 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails _ 19. Gas Pipe; Size & Anchors - -- 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. Fixture &Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23• Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic F] Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al _ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral '--Yes EJ No Service -Riser Conductors & Ground -Main Disconnect _ 75. Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters F-1 Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Card B -I Card B -I _ 30. Clothes Closet Light -Shower Light _ - - Date _ Card -BI Date _ Date Card -BI Date 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Perrr.it) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ Card -BI Card -BI 31, 32. 33. 34. 35. A.C. Ducts_ Insulation & Support _ Vent Fan; Exhaust above Insulation _ _ _ _ Condensate -Drain & Overflow: Size & Grade---- Furnace-Vent_Access-Comb. Air -Return Air Vent_ -_115V outlet Attic Access & Platform if Furnace in Attic ____ _ _ _ _._ Date Card -BI Date Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Card -BI fate Card -BI Date Date Card -BI Date Date _ FRAMING(Plans) OK except #'s 3_6. Sills; Proper Material & Anchors__ _ 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Its over Girders & Floor_Nailing_ 39. Draft Stop in Walls (rat proof) 40_.__Fir_e Stops: Furred Ceilings -Stairs -Chases -Tub 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop_ -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing Comments at Final: _ (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AW PERMIT I Lff-0 � F, NI. ASSESS PA CEL NUMBER ZONING BUILDING PERMIT O WN�1R / TELEPHONE SO. FT. OCC. BUILDING VALUATION G ..S O D //�j//A� OWNER'S AI LIN ADDRESS � e' ,"L CONTRA TOR'S NAME fes. TELEPHONE CO RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ U ARCHITECT OR ENGINEER X/9 41 LICENSE NO. 1 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF SJFil7CTURE SF El Duplex❑ Mobilehome/Ji/Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home is G W 10.00ea TYPE OF WORK New Addition ❑ Remodel Utilities ❑ Installation[]Other ❑ Describe work: �A/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1 100V DR LESS 00 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of p y perjury y (Check One): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BusineSS and Professions Code and my license is in full force and effect. No. Classification []' I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.ad) OR ADDNS. \ ACC. BLDGS. /22Sq ft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6\ SINGLE OUTLET CIR. ! eALoso EX. OCCUp�OUTLETS OR FIXTURES 20050tLicense FIXED APPLNS. EX. OCCUp. OUTLETS ((RESID.)OR-EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. E3 -'I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid unty in consequence of the granting of this permit. X Signature of Applicant — Owner � Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCcUP. CONST.TYPEJ FLo D ARCED. L:oJ D ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR PUBLIC 1. By. PERMI X ARES Date the applicable provi- resolutions to do fees have been paid. WORKS --Z? Receipt No. LJ���( / WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT . �. � _ r i`:. ` •t.S .C. ..^� lit 1 COUNTY OF BUTTE - DEPARTMEN 1 1OF OUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLF�;XC,ALL Q,RNIA 95965 - TELEPHONE: 916/5 ''454'1 / P v PERMIT APPLICATION DATA SHEET Permit No. OWNER Gi�,/l/ ���f //l /�/,aJA/'�i�f/.,�/ A. P..No. y' 70 - Proposed Building Use Permit Fee Based Upon: Complete Contract Price � DPW Valuation _ _Ot!he (Explain) Building Inspector �i'?��/% ��//�/i Date At time of permit application, I was advised the fo1loW4ng data must be submitted prior to permit processing and:/or issuance:' DATE RECEIVED. APPROVED 1. All items have been submitted. . . . . . . . . . 2.. Plot plans in duplicate./triplicate. . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ , 19: Letter of signature authorization. l;66�10..Sanitation approval from l/eG Health Dept.. ` r/ 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 1.1. Contractor's License Information (no., name style, classif.) �14. Owner -Builder Verification (Given to owner©!Mail to owner ❑.) z/_ I;z rel. 6L- 15. Improvements may be required. . . . . . . . . . .. 16. Mobilehome Installation Data. . . . . . . . ' •Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector > 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other �-- When you issue the permit, process as follows:y� Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w. /inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept.,, Other Date During the plan checking process,—the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle .item.) ll 1. Index permit for above Items No.4 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by :Date Plans approved by "Date Other: Copy—DPW TO: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER 4190 � r /71�6 &�qjj &-70-�1 LOCATION AP # Plans approved for: Sewage Disposal_ Water Supply__ Hold final for: Water Supply Final Clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other / Clearjnce for addition of J��_ x �4-, No t• I J,, DATE 9 r Us W of plans and specifications MUST be kept on the job at all times and it is unlawful to mare any changes or alterations on same without wriffen permission'from the Department of Public Wepks, Caunty of Butte. j PARADISE PIN "S P.C.A. NAME i --�-- TRACT DATE. APPROVED BY DESIGN .O � if..f ®lNGe-.0rEi APP-:! / C- a Aa T"� /- O WNey;:Do G/avAL . o-rA&an� L N8 0/ Co/Te ea, C' wipf D w N e ii'o'ex ; s /U S7-3-31/9 STRAIGHT HEAVY LIGHT STRAIGHT HEAVY LIGHT TOT. WGTS. SE PRICING 1, r. 18 18 1.00 Base 14 14 x 1.00 S.E. 11 11 .50 Fab. lol 10 .50 1 Det. 91 9 t u ' ����� .50 Tax 81 8 :50 Haul 7 7 .50 Access. 6 6 .50 Place 5 5 .70 Wele. 4 41 1.00 Sub. 3 3 1.40 Travel 2 2 2.50 Test T T Total M.U. 11 11 .50 Unit 0 10 •V 9 9 .50 8 8 •50 r7 7 .50 '6 6 .50 5 5 .70 4 4 1.00 3 3 1.40 2 2 2.50 T T 11 11 .50 10 10 .50 9 9 50 8-1 8 .50 7 7 .50 61 6 .50 51 5 .70 4 41 1.00 33 1.40 2 2 2.50 T T MESH SPIRALS ETC. U- 13272 �o 14 Z!V- 4 6--4k----ol- NOTE:—=All Materials & Workmanship Shall % to Accordance with -Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and ** National Electrical Code. h `Kith be 36 h;g 101P raid to to rads tO be rot ince g ,�•aepa& O`er 1 RME COUNTY1i t)1LDIPlG DEPARTMENT, APPR !/ l_ E/eva7; o,/ o/ CoLuz a 14— Al 7yo L4-7'—AA N STRAIGHT HEAVY LIGHT STRAIGHT HEAVY LIGHT. _ TOT. WGTS., SE PRICING ' , 18 18 r -, .1.00 Base , 14 14 1.00 S.E. 11 11 T ".50 Fab,. 101 10 ;'' .50 'Det: 91 9 - .50 Tax 81 8 .50 Haul 7 1 7 .50 Access. 6 6 .50 Place 5 5 .70 Wele. 4 4 1.00 Sub. 3 3 1.40 Travel 21 22:50' Test T T T6tal M.U. 11 11 .50 Unit.',w- 1010 --.50 9 9 J . 50- 8 8 .50 71 7 -.50' 6 6 :`50 5 5 Si .70 4 4 1:00 3 3 , 1.40 2 2 _ 2.50 T T - - 11 11 .50 10 10• 50 91 9 50 81 8 :50 7 7 .50 6 6 .50 5 5 .70 4 4 ,. 1.00 31 1 1 3140 .. 2 1 21 2.50 T T - -- MESH SPIRALS ETC. U* 13272 oy 6� Rcwl V, p rail to be 36 in. high with termediate rails to be-not— v or 9 in. apart. j s3 A WILDING, DEPARTMENT APPROVED It'd S 7 # LQ Pa/ c 4r,—X_ILJ- r L).4C— STRAIGHT HEAVY LIGHT STRAIGHT HEAVY LIGHT TOT. WGTS. SE PRICING �. 18 18 1.00 Base 14 14 1.00 S.E. 11 11 .50 Fab. 101 10 .50 Det. 9 9 .50 Tax 8 8 .50 Haul 7 7 .50 Access. 6 6 .50 Place 51 5 .70 Wele. 41 4 1.00 Sub. 3 3 1.40 Travel 2 2 2.50 Test T T Total M.U. i l 11 .50 Unit 0 10 •50 9 9 .50 8 8 .50 7 7 .50 6 6 .50 5 5 .70 4 4 1.00 3 3 1.40 2 2 2.50 T T 11 11 .50 10 10 •50 91, q 50 81 8 .50 71 7 .50 61 6 .50 5 5 .70 4 4 1.00 3 3 1.40 2 2 2.50 T I T MESH SPIRALS ETC. U- 13272 V. 5 PERMIT NO. 015-77B,E PERMIT EXPIRES ,OWNER Don Freese 'CONTR. Feather River Const., M4;plig LOCATION (A.P. 64-70-42 140 Colter Way, lot 149,.PP#2, Magalia Gs Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas *Serv. /'lied PG&E ,a FINALED (Date) (Signature r- 1 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 — 1, ' Garage Vents Water Htr. Stemwall L� Insulation Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping &Test I Temp. Gas Slab Final 1 Sanitation Patio FIRE LACE I Final Footings Footin Masonry Walls Throat Reinf. Steel Final ELECTRICAL 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 — -2 d 7 MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME IINSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS h — j 3 �� �►� e,� All— ,� (NOTE: An entry must be made on this form each time you vislt the job site.) COU"TY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive A Orovtlle, California 95965 w " Telephone: 534-4541 APPLICATION AND PERMIT ,50/, -7/t___ QULIIU114C ICF/IC0C11lalIVCS UI Lilt: VUUIIIy UI DUItU IU t:rllCr UNUn Ine above-mentioned property for inspection purposes. r VSi (Ez`Datenature of Permitee or Agent Receipt No. irm s_ 1 P 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 PLIC WORKS By Date /o— 3— 7 Buiing permit expires Date G /0-3-7 BUILDING --� �' Owner00 ly SQ FT. OCC. BUILDING VALUATION L Mailing Address Telephone No. Fireplace Contractor -1 , Total Valuation Z Mailing Address • 0 r L Permit Fee Z O Plan Checking Fee &/or Penalty / j b Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ®L 7—e In— Each Trap 1.50 L 07—`T Repair drainage or vent piping 1.50 Water piping 1.50 A/' /4— f4C� 14 Each gas water heater or vent 1.50 _ �� �i / A. P. No. `y Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es I W.C. I S n Fire Dept. Fire Zone Use Permit Building sewer. 5.00 EQA Parking Parcel Plans DeclarationP Parcel -Ma 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. an ' Recd Lr77f 99 Parcrl Approval Plan pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 'r Main service 100 AMP ORSLESS 5.00 Main service EA, ADD'L too AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 1.00 t 1-� r I NEW CONST. DWELLING O _ OR ACDNS. ( ACC. LN G0 Vpper�& ) 2¢Sgft NEW CONSTR. MULTI -OUTLET NON-RESID, ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Y style � r •� Ex. Occup(OUTLETS OR FIXTURES) 50 BAL 21 EX. OCCU FIXED APPLNS. OR p•(0UTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 `� �,�' License No. /� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 2, _ 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. rVr I have placed on file with the County of Butte a certificate of LA Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify jbat I have read this application and state that the above informatia is correct. I agree to comply to all County Ordinances and Stateaws relating to building construction, and hereby 9. 1 TOTAL PERMIT FEE $ QULIIU114C ICF/IC0C11lalIVCS UI Lilt: VUUIIIy UI DUItU IU t:rllCr UNUn Ine above-mentioned property for inspection purposes. r VSi (Ez`Datenature of Permitee or Agent Receipt No. irm s_ 1 P 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 PLIC WORKS By Date /o— 3— 7 Buiing permit expires Date G /0-3-7 ti 249-78B PERMIT NO. zN lit ~ PERMIT EXPIRES left—fly? Don Freese OWNER CONTR. Don Smith, Para. LOCATION (A.P. 64-70-42 ) 140 Colter Way, Magalia Temp. Power Pole. Called PG&E Temp. Elea Serv. C led PG&E Te . Gas Serv. Called PG&E JOBS FINALED v (Date) (Signature) �= E COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMING Setback , �y; Firewall Soil Piping Forms i Para ets 1 F Main Bldg. Restroom Finish S loor 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. Stemwa I I Insulation Heaters Slab Carport Po Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final - -Z Sanitation Patio FIREP CE Final Footings 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 MOBILEHOME I NSTA LAIN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS_ (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY 01 BUTTE — DEPARTMENT OF PUBLIC WORKS a 7 County Center Drive — Uroville, California 95965 /�/'"/ Telephone: 534-4541 `7J APPLICATION AND PERMIT .1/ X Date ignature of Peermitee or Agent Receipt No. f �6 4055 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORPUBLIC WORKS By Date B ilding permit expires Date Zo `? BUILDING ir Owner D&%7 2eCSe- SQ. FT. OCC. BUILDING VALUATION Mailing Address /Li c C45 L 7- S S/y P6c% Telephone No. �? Fireplace Contractor © / O, Total Valuation Mailing Address c� 6�, /� C O.;-_4 Permit Fee J.�.®� Permit Checking Fee&/or Penalty Tel hone No. wn Permit Fee $ o G0 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 1 e_1 C;, �'`�l Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. G z/I—}�'p — [/ 2 Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 FeedW. SaQ ion Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Plans DePar arratlon Parcel KW R/W Improvem is Lawn sprinkler system 2.00 ✓ Bldg. Plans Recd Parcel Appro al Plans Approval Permit Fee $ $ NEW © ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 r C OR L Main service 10000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home t9 Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 CONST.NEW [DWELLING OCUP. &\ OR ADONSACCBLDG20sq ft / NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea • NEW CONSTR. (POWER APPARATUS & NON_RES,(SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Db �/ / Z r1:? ,��l� Ex. Occup(OUTLETS OR FIXTURES) BAL� FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 C=/= L rAt y3 U [ L_ A'i k/ e. o�y j Mobile Home Facilities 15.00 License No. z-? _S3 IV/ Classification 1 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. MI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this I to ermit is issued I shall not em P employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the+. Ahnvc-mcnti.nncH I ,..;,... n f.,. ........ - TOTAL PERMIT FEE $ /Y' O� This P pppermit is hereby issued under the applicable arovisions of X Date ignature of Peermitee or Agent Receipt No. f �6 4055 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORPUBLIC WORKS By Date B ilding permit expires Date Zo `? n' PERMIT NO. 5014-77P,E '" PERMIT EXPIRES�� ' OWNER Don Freese CONTR. Feather. River Const., Milia LOCATION (A.P. 64-70-42 ) 140 Colter Way, lot 149, PP#2, Magalia o Temp. Power Pole Called PG&E Temp. Elec. Serv. 1012- E)/-) , Called PG&E Temp. Gas Serv.. Called PG&E V OB L (Date) W� (Signature (t. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes . Vto_ 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec: -5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No 5. If m`oj�a than a single unit, are crossover connections properly installed? (Sec. 5088) Yes X.. No 6. Water A. Is flexible connector of adequate size and properly installed'(1/2" ID mdn.)? (Sec. 5566) Ye&N/' No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes__xNo_ C. Backflow - If c ch is not State of California approved, does station have backflow device and pressure -re valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after runninX 3 -gallons of water through each fixture including washing machine standpipe? Yes No �(j D. If coachiso ot'State of Ca .ifornia approved, does station have required trap and vent? Yes_ No� 8. Gas Piping a d GaV A. Connector - Iom connected to the gas supply with an approved 3/4" minimum mobilehome coot more than 6 ft, long? Note: All piping is to be at least as large as th e gas line inlet without reductions other than the mobilehome connector. B. Test OK as peg procedure? ides_ No1. Open all connector valves. 2. Shut off burner.and pilot valves. 3. Air test with no eter to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) X librated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas !ter to mobilehome with connector, turn on gas, test connections with soapy water C. Are all,applia ce vents,properly installed?.,Yes= No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum o, (100 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 No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the d ectrical 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 NamestyleW-® Length (O `/ - Width Vehicle Serial No. (l ei 3 y z , 3 / Z � 5 I State Identification No. Additional Information or Comments: a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BIIJILDING BUILDING (Cont'd) F ewall SoX Piping Parkpets 1s Floor 9• Rest om Finish 2nd loor PLUMBING F tins Windoks 3rd F or SteNvall Siding To out Slab Roof Shekhln*g Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physic a y handicapedd Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final y Sanitation Patio F LACE Final Footinas Footing I AIEIECTRI L Final MECHANICAL InIbrior Lath entllation door Closer%I/Final MOBILEHOME UTILITIES ----------------- Elec. Service Water Piping Sewer MOBILEUQME INST66L ATION ---- ---------Support / Water Piping Drainage JT\JJ LT DATE REMARKS OR CORRECTIONS Fixtures Motors Water Ht . Sub an s Grd. Vault Prot. Sery e emp. Pole oder round Permanent Final Elec. Pedestal 79 Gas Piping Elec. Continuity Gas Piping �.-- (NOTE: An entry must be made on this form each time you visit the job site.) L 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 Ca ifornia Administrative Code, Title 25, Chapter 5, under permit number—S 14- 7 7 • for the following location: 15/h (0 LTe /4 cam../ �Y7i9 �r Owner 1)0n/ Fe & i_ S e Owner's Address �54mc Mobilehome Mfg. F ��✓�cS! Model Year z7 Insignia No. (oh 3 Y2 2 )/ .3 Y;?Z 5� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works l Date /0 /��"7 X By�� THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY" OF'BUTT-E — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive&t I Oroville, California,95965 'Te ephone: 534-4541 ., q.,f 6/ l/ APPLICATION AND PERMIT 0 "``i���� Receipt No. /`to 97/.S White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 5�ermit expires Date `C/� BUILDING Owner Q SQ. FT. OCC. BUILDING VALUATION Mailing Addressf_ D>L- /4-/- 4 11�a%t4 Q d.S 'tn' ' Telephone No. Fireplace Contractor0 .•I �� S. Total Valuation Mailing Address �S a® //,c,t„g�� e 41, C_ 0 Permit Fee Plan Checking Fee&/or Penalty / 2 f. 1 Telephone No. 3 ,�� _-� �� / Permit Fee $ Building Address .,O -j 1, i-^ sa l® f PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /7 1 C_ fIz �/�- iQ�Q.`S 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. N �% �— oning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W, , —8arrrTatldTr FireDept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans Parcel Declara ' n parcel Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd"IT Parcel Approval Plan VADoroval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ElOTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 5-C? Main service 6100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 'Others ❑ Main service ER 600V V00 AMP OR LESS 25.00 -1O Main service EA. ADD'L too AMP 1,00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 22sq ft NEW CONSTR. MULTI.OUTLET NO N•RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS&J NON RES,D. SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: /% &F - C—'��%/l9�. �iC Ile Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 qq /l License No:_ dl �/O 143-- Classification 6 %j� Misc. Wiring 4T2:5:: ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which.requires every employer to be insured against liability for Workme Compensation. ave placed on file with the County of Butte a certificate of Workmen"s Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California:' ,. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 3p Ut' I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State,. Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xDate /D'�/—�7 Signature of Permitee or gent a .A_ e 4— r Ci. / TOTAL PERMIT FEE $ C This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above'for,whichrfees have been paid. r DI CTOR 0 PUBLIC WORKS /4)_� % BV � IiafP. d / Receipt No. /`to 97/.S White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 5�ermit expires Date `C/� tYa � 1�0 �LL6C � ` S�ti M OvIsnuNn��o 3a acne .10 BUTTE COUNTY,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,.Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Do N 4 E 9 ,S�/ 2. Installer's name: ��''. C � i�� 0 ,/� /�r0 �l,r�' ,� -f 3. Is the s'ite currently under permit? Yes / .-- No (If yes, furnish permit number SO /-Y•- -7`7 -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 / --f----. No / / (•If no, clarify ) -- % S �5. What is the mobilehome electrical rating? --------------------- 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? --------------------------------------------------- Yes / / No (If yes, yes, identify the load..and size: (Load) /1/O d* S (Amps) 9. What is the mobilehome site gas pipe size? --=-------------.------ /v0 10, What is'the type of gas service? ----------------------------- Natural./ 11. What is the gas pipe length from meter or tank to the mobilehome? /Vo 5/4ZO (ft.) 12,. .What is the mobilehome gas demand? ---------------=------------.-- /IVO (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than' 50 ft,. on LPG. ) MOBILEHOME SUP. ORT DATA Mobilehome Mfr. j,5X SnVV0d Setup Model No: & 60 3 Year -7 7 Width _(ft.) Length . 64/ ... (.ft.) :-Expand' .Size t.x ft. (Draw support details below).. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. .(.if not on file. with .the. County of Butte) . - Sin le Footings-(check.one) /–'f—Wood. either pressure treated or Center Center Support A fdn. grade. Support Footing Sizes Locations (in.)A/ 2..Concrete pad. 3. Other,: specify In.) - - - Supports (check one) /'2 -concrete block G 3x 3 v 2. Concrete piers 1 .-- (fET inT (in.) (in. ) 3. Steel piers 4. Other, specify foZx3� Typical Support ln,)Footing Size (in.) an.) !! I 1 i _ + -_-t_ Max. Pier 6 Spacing .3b 30 z.n.) Max. ® Overhang (in:) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE . COUNTY �Ul► ►�r , DEPARTMENT APPROVED, COUNTY OF BJJTTE-A - D&ARTMENT OF PUBLIC WORKS A- 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X`/ Date ignature of Pemiitee or Agent Receipt No. 1 -)()d" White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS —7 By Date !®-3� Building permit expires Date /0-J- 7F BUILDING Owner Don te, 5 e SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �T � I K, Total Valuation Mailing Address �� L Permit Fee Plan Checking Fee &/or Penalty ��, , � lepl e�onr N � Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 n l qo o L_ , Lam' ,.w J4 Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping _115& O AL 1° ng Verification OnIl Each gas water heater or vent 1.50 A. P. N7-��- — 70^ R — Zoni rGas piping system 1 - 5 outlets 1.5U Each additional outlet .30 F s Fire Dept.Fire Zone I Use Permit Building sewer EQA Parking Plans Parcel�rce� Declaration P 60' R/ Improvement P Lawn sprinkler system 2.00 000'd Bldg. ans Recd ��% or el Approval Plans Appr val Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 01 OR L Main service 80000 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil :Ho:m:eK Others ❑ Main service EA. ADD'L too AMP 1.00 C Fc S l.°.lii vc!I NEW CONST.(DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 22syft NON•RESID CONSTR. (BRANCH CIRCUITS) '2.50ea EOR MOBILES NON_RESID R (POWER SINGLE OUTLET CIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: C _- ,, Ex. Occup(OUTLETS OR FIXTURES)@25a BAL Cfl i FIXED APP LNS. OR Ex. Occup. (OUTLETS (RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �/� 0� License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ �` $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ 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 73 P19 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X`/ Date ignature of Pemiitee or Agent Receipt No. 1 -)()d" White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS —7 By Date !®-3� Building permit expires Date /0-J- 7F -. � s -rt � �Tfi'T'`r��`��Y r � '.� ��" �i, a fr''t �?5 r �a�r�"#u�y,-,,��-,��k{c t3 ,r. � •,�,., �`i+:�fi��'K �►,�, 3+« � � ► �+ r ..1P +1 ij.S7�'t �•ws'1T {�i Y.�'.Y ,� �1;Yr�i;. 1',.>k ,~ r t �:n..,. r, ;� !; ��x��. 4! tl K't»i,"x.l� .t � t:,i k >"S� ',,.,• ?q, �. M��T MA c�l „rRry Qw d � / J i 0a i v ('a z v ril i I ► i I 1 0a r i v ('a z v ril j7 m i r 6Yr3/' ITer1! /KP1u Tonal Ei cfric, 1 h's et f p cap t m r ri a so Wo Bks, Co � X107` � ARCHITECT NAME v A TRACT DATE ------__L APPROVED BY ADDRESS.& APPROVAL F ELEVATIONS TO STRUCTU l ----� fCAL[s APPROVEO My � y d II t ,:,_..+.:.:�'..�...'�'�....��,..+r'^`^"�M ._ s....�.:....�.:•.`:��,:1. �"s�_'•'-°, �'3�M�"w':�?-Mu�r�r�Mrw�'r�i r� �-..�..:w.w±,...- _i,�_ �li:�j?; r�. i v ('a z v ril j7 m I 6Yr3/' ITer1! /KP1u Tonal Ei cfric, 1 h's et f p cap t m r ri a so Wo Bks, Co � X107` � ARCHITECT NAME v A TRACT DATE ------__L APPROVED BY ADDRESS.& APPROVAL F ELEVATIONS TO STRUCTU l ----� fCAL[s APPROVEO My � y d II t ,:,_..+.:.:�'..�...'�'�....��,..+r'^`^"�M ._ s....�.:....�.:•.`:��,:1. �"s�_'•'-°, �'3�M�"w':�?-Mu�r�r�Mrw�'r�i r� �-..�..:w.w±,...- _i,�_ �li:�j?; r�.